Intra-operative acoustic hemostasis of liver: production of a homogenate for effective treatment

Objective: We have shown that High-Intensity Focused Ultrasound (HIFU) can effectively control bleeding from injuries to solid organs such as liver, spleen, and lung. Achievement of hemostasis was augmented when a homogenate of tissue and blood was formed. The objective of this study was to investigate quantitatively the effect of homogenate production on HIFU application time for hemostasis. Possible mechanisms involved in homogenate production were also studied.Methods: Ten anesthetized rabbits had laparotomy and liver exposure. Liver incisions, 15-25 mm long and 3-4 mm deep, were made followed immediately by HIFU application. Two electrical powers of 80 and 100 W corresponding to focal acoustic intensities of 2264 and 2829 W/cm², respectively were used. Tissue and homogenate temperatures were measured. Smear and histological tissue sample analysis using light microscopy were performed.Results: In treatments with homogenate formation, hemostasis was achieved in 76 ± 1.3 s (Mean ± Standard Error Mean: SEM) at 80 W. In treatments without homogenate formation (at 80 W), hemostasis was achieved in 106 ± 0.87 s. At 100 W, hemostasis was achieved in 46 ± 0.3 s. The time required for homogenate formation, at 80 and 100 W were 60 ± 2.5 and 23 ± 0.3 s, respectively. The homogenate temperature was 83 °C (SEM 0.6 °C), and the non-homogenate tissue temperature at the treatment site was 60 °C (SEM 0.4 °C). The smear and histological analysis showed significant blood components and cellular debris in the homogenate, with some intact cells.Conclusion: The HIFU-induced homogenate of blood and tissue resulted in a statistically significant shorter HIFU application time for hemostasis. The incisions with homogenate had higher temperatures as compared to incisions without homogenate. Further studies of the correlation between homogenate formation and temperature must be done, as well as studies on the long-term effects of homogenate in achieving hemostasis.     

Z箍缩丝阵负载区域的似稳态磁场分布

 将负载区域的电流（丝阵电流、阴极板电流、阳极板电流和回流柱电流）离散成电流线或电流面等电流微元,根据毕奥-萨伐尔定律,计算所有电流微元在指定场点的磁场,再通过叠加给出该点的总磁场。研究结果发现:在丝阵外围区域,仅由丝阵电流所产生的磁场偏离无限长直导线磁场公式的值,但全部电流所产生的总磁场与公式给出的值很接近。同时,研究了不同负载结构参数下的磁场分布,结果表明：增加丝根数有助于减小单根丝表面的局部磁场,改善丝阵外围磁场分布的均匀性。     

Molality as a unit of measure for expressing 1H MRS brain metabolite concentrations in vivo

Absolute concentrations of cerebral metabolite in in vivo 1H magnetic resonance spectroscopy studies (1H-MRS) are widely reported in molar units as moles per liter of tissue, or in molal units as moles per kilogram of tissue. Such measurements require external referencing or assumptions as to local water content. To reduce the scan time, avoid assumptions that may be invalid under specific pathologies, and provide a universally accessible referencing procedure, we suggest that metabolite concentrations from 1H-MRS measurements in vivo be reported in molal units as moles per kilogram of tissue water. Using internal water referencing, a two-compartment water model, a simulated brain spectrum for peak identification, and a spectroscopic bi-exponential spin-spin relaxation segmentation technique, we measured the absolute concentrations for the four common 1H brain metabolites: choline (Cho), myo-inositol (mIno), phosphocreatine + creatine (Cr), and N-acetyl-aspartate (NAA), in the hippocampal region (n = 26) and along the Sylvian fissure (n = 61) of 35 healthy adults. A stimulated echo localization method (20 ms echo time, 10 ms mixing time, 4 s repetition time) yielded metabolite concentrations, uncorrected for metabolite relaxation or contributions from macromolecule resonances, that were expectantly higher than with molar literature values. Along the Sylvian fissure the average concentrations (coefficient of variation (CV)) in mmoles/kg of tissue water were 17.6 (12%) for NAA, 14.2 (9%) for Cr, 3.6 (13%) for Cho, and 13.2 (15%) for mIno. Respective values for the hippocampal region were 15.7 (20%), 14.7 (16%), 4.6 (19%), and 17.7 (26%). The concentrations of the two regions were significantly different (p 相似文献   

High-intensity laser induced ion acceleration from heavy-water droplets

Fusion neutrons from a heavy water droplet target irradiated with laser pulses of 3 x 10(19) W/cm(2) and from a deuterated secondary target are observed by a time-of-flight (TOF) neutron spectrometer. The observed TOF spectrum can be explained by fusion of deuterium ions simultaneously originating from two different sources: ion acceleration in the laser focus by ponderomotively induced charge separation and target-normal sheath acceleration off the target rear surface. The experimental findings agree well with 3D particle-in-cell simulations.     

Time-irreversibility is hidden within Newtonian mechanics

ABSTRACT

We develop a bit-reversible implementation of Milne's fourth-order predictor algorithm so as to generate precisely time-reversible simulations of irreversible processes. We apply our algorithm to the collision of two zero-temperature Morse-potential balls, which collide to form a warm liquid oscillating drop. The oscillations are driven by surface tension and damped by the viscosities. We characterise the ‘important’ Lyapunov-unstable particles during the collision and equilibration phases in both time directions to demonstrate the utility of the Milne algorithm in exposing ‘Time's Arrow’.     

Density excitations of a harmonically trapped ideal gas

The dynamic structure factor S(q, ω) of a harmonically trapped Bose gas has been calculated well above the Bose-Einstein condensation temperature by treating the gas cloud as a canonical ensemble of non-interacting classical particles. The static structure factor is found to vanish s8 q ² in the long-wavelength limit. We also incorporate a relaxation mechanism phenomenologically by including a stochastic friction force to study S(q, ω). A significant temperature dependence of the density fluctuation spectra is found. The Debye-Waller factor has been calculated for the trapped thermal cloud as a function of q and the number N of atoms. A substantial difference is found for small- and large-N clouds.     

聚龙一号驱动Z箍缩负载内爆的简化电路模型

为方便描述聚龙一号装置与Z箍缩负载的电磁耦合过程,基于大量电参数实验数据和全电路模拟分析,建立了一个简化的集总电路模型,获得了等效电压波形和等效电阻、电感等集总参量。采用水介质三板输出线出口位置的开路电压作为等效电压,进一步拟合为正弦平方函数,峰值为3.3 MV（当前驱动器充压为65 kV）,零到峰值的时间长度为102.5ns。采用简化的流阻抗模型描述磁绝缘传输线内部空间电子流的电流损失效应。将电路程序与零维负载动力学程序耦合模拟,得到了与实验结果符合的负载电流波形,尤其电流波形的前沿和峰值符合较好,分析了电磁能转化为负载动能的过程。     

A magnetic resonance imaging-based articulatory and acoustic study of "retroflex" and "bunched" American English /r/

Speakers of rhotic dialects of North American English show a range of different tongue configurations for /r/. These variants produce acoustic profiles that are indistinguishable for the first three formants [Delattre, P., and Freeman, D. C., (1968). "A dialect study of American English r's by x-ray motion picture," Linguistics 44, 28-69; Westbury, J. R. et al. (1998), "Differences among speakers in lingual articulation for American English /r/," Speech Commun. 26, 203-206]. It is puzzling why this should be so, given the very different vocal tract configurations involved. In this paper, two subjects whose productions of "retroflex" /r/ and "bunched" /r/ show similar patterns of F1-F3 but very different spacing between F4 and F5 are contrasted. Using finite element analysis and area functions based on magnetic resonance images of the vocal tract for sustained productions, the results of computer vocal tract models are compared to actual speech recordings. In particular, formant-cavity affiliations are explored using formant sensitivity functions and vocal tract simple-tube models. The difference in F4/F5 patterns between the subjects is confirmed for several additional subjects with retroflex and bunched vocal tract configurations. The results suggest that the F4/F5 differences between the variants can be largely explained by differences in whether the long cavity behind the palatal constriction acts as a half- or a quarter-wavelength resonator.     

Constrained modeling for spectroscopic measurement of bi-exponential spin-lattice relaxation of water in vivo

The (1)H NMR water signal from spectroscopic voxels localized in gray matter contains contributions from tissue and cerebral spinal fluid (CSF). A typically weak CSF signal at short echo times makes separating the tissue and CSF spin-lattice relaxation times (T(1)) difficult, often yielding poor precision in a bi-exponential relaxation model. Simulations show that reducing the variables in the T(1) model by using known signal intensity values significantly improves the precision of the T(1) measurement. The method was validated on studies on eight healthy subjects (four males and four females, mean age 21 +/- 2 years) through a total of twenty-four spectroscopic relaxation studies. Each study included both T(1) and spin-spin relaxation (T(2)) experiments. All volumes were localized along the Sylvian fissure using a stimulated echo localization technique with a mixing time of 10 ms. The T(2) experiment consisted of 16 stimulated echo acquisitions ranging from a minimum echo time (TE) of 20 ms to a maximum of 1000 ms, with a repetition time of 12 s. All T(1) experiments consisted of 16 stimulated echo acquisition, using a homospoil saturation recovery technique with a minimum recovery time of 50 ms and a maximum 12 s. The results of the T(2) measurements provided the signal intensity values used in the bi-exponential T(1) model. The mean T(1) values when the signal intensities were constrained by the T(2) results were 1055.4 ms +/- 7.4% for tissue and 5393.5 ms +/- 59% for CSF. When the signal intensities remained free variables in the model, the mean T(1) values were 1085 ms +/- 19.4% and 5038.8 ms +/- 113.0% for tissue and CSF, respectively. The resulting improvement in precision allows the water tissue T(1) value to be included in the spectroscopic characterization of brain tissue.