Diffusion-weighted MRI for the detection of colorectal polyps: feasibility study

The purpose of this study was to determine the feasibility of diffusion-weighted magnetic resonance imaging (DWI) for detecting colorectal polyps. DWI (high b-value of 1000 s/mm²) was prospectively performed in 26 symptomatic patients who were scheduled to undergo colonoscopy. DWI and colonoscopic findings were interpreted in a blinded manner. The sensitivity and positive predictive value (PPV) of DWI for the detection of clinically relevant polyps (≥ 6 mm) and colorectal cancer (CRC) were calculated on a per-lesion basis, using colonoscopy results as the standard of reference. Sensitivity, specificity, PPV and negative predictive value (NPV) on a per-patient basis were also calculated. Sensitivity and PPV on a per-lesion basis were 80.0% [95% confidence interval (CI): 49.0%–94.3%] and 72.7% (95% CI: 43.4%–90.3%) for polyps ≥ 6 mm and CRC. Sensitivity, specificity, PPV and NPV on a per-patient basis were 85.7% (95% CI: 48.7%–97.4%), 84.2% (95% CI: 62.4%–94.5%), 66.7% (95% CI: 35.4%–87.9%) and 94.1% (95% CI: 73.0%–99.0%) for polyps ≥ 6mm and CRC. In conclusion, DWI cannot yet be recommended in a clinical setting in which DWI is performed first and subsequent colonoscopy is only performed in patients with positive findings at DWI. Further (technical) developments are required to increase its diagnostic yield.     

Methylprednisolone release from agar-Carbomer-based hydrogel: a promising tool for local drug delivery

A number of studies and works in drug delivery literature are focused on the understanding and modelling of transport phenomena, the pivotal point of a good scaffold design for tissue engineering. Accurate knowledge of the diffusion coefficient of an active drug plays a key role in the analysis, prediction of their kinetics and formulation of efficient drug delivery systems. In this work, the kinetics of the release of methylprednisolone from agar-Carbomer hydrogel were studied taking into consideration the different drug concentrations and clearances typically achieved in in vitro or in vivo tests. Starting from the experiments it is possible to model the transport phenomenon and to calculate the diffusion coefficient through the hydrogel matrix.     

Numerical modeling of large strain behavior of polymeric crushable foams

This paper describes a constitutive law modeling isotropic polymeric foam materials. Focus has been placed on modeling the relative density dependency effect on polymeric foams subjected to large deformations using uniaxial and hydrostatic compressive hardening laws. The constitutive model is written in terms of the rotated Kirchhoff stress and of its conjugate logarithmic, or Hencky, strain measure. A numerical scheme for solving the constitutive model is described and implemented using both the finite element and the element-free Galerkin methods, in a Total Lagrangian finite strain framework. The imposition of the unilateral contact with friction and the essential boundary conditions are obtained by applying the Augmented Lagrangian method. Numerical examples are presented in order to attest the performance of the proposed constitutive model.     

Approximate Controllability,Exact Controllability,and Conical Eigenvalue Intersections for Quantum Mechanical Systems

Communications in Mathematical Physics - We study the controllability of a closed control-affine quantum system driven by two or more external fields. We provide a sufficient condition for...