Real-time tissue elastography, a qualitative elastography method, has shown promising results in the diagnostic work up of thyroid nodules. However, to our knowledge no study has evaluated a quantitative elastography method in the thyroid gland. The present study is a feasibility study evaluating Acoustic Radiation Force Impulse-Imaging, a novel quantitative elastography method in the thyroid gland.
Methods
ARFI-imaging involves the mechanical excitation of tissue using short-duration acoustic pulses to generate localized displacements in tissue. The displacements induce a lateral shear-wave propagation which is tracked using multiple laterally positioned ultrasound “tracking“ beams. Inclusion criteria were: thyroid nodules ?1 cm, non-functioning or hypo-functioning on radionuclide scanning, and cytological/histological assessment of thyroid nodule as reference method. All patients received conventional ultrasound, and examination of the thyroid gland including Power Doppler Ultrasound using a 9 MHz linear transducer, in addition real-time elastography (RTE) was performed at 9 MHz frequency and ARFI-imaging was performed at 4 MHz using Siemens (ACUSON S2000) B-mode-ARFI combination transducer.
Results
Sixty nodules in 55 patients were analyzed. Three nodules were papillary carcinoma. The stiffer the tissue the faster the shear wave propagates. The results obtained indicated that the shear wave velocity in thyroid lobes ranged between 0.5 and 4.9 m/s. The median velocity of ARFI-imaging in the healthy nodule-free thyroid gland, as well as in benign and malignant thyroid nodules was 1.98 m/s (range: 1.20-3.63 m/s), 2.02 m/s (range: 0.92-3.97 m/s), and 4.30 m/s (range: 2.40-4.50 m/s), respectively. While no significant difference in median velocity was found between healthy thyroid tissue and benign thyroid nodules, a significant difference was found between malignant thyroid nodules on the one hand and healthy thyroid tissue (p = 0.018) or benign thyroid nodules (p = 0.014) on the other hand. Specificity of ARFI-imaging for the differentiation of benign and malignant thyroid nodules was comparable with RTE (91-95%).
Conclusions
ARFI can be performed in the thyroid tissue with reliable results. 相似文献
A numerical method based on the boundary-fitted finite difference method (BFDM) is presented in this paper. The boundaries are external (the boundary of the physical domain) and internal (which corresponds to the fracture network). The difference between this approach and the usual one lies in the inclusion of discrete fractures in the volume that represents the porous medium. The numerical model has been used in the prediction of the flow pattern in several internationally recognized verification cases and applied to the solution of hypothetical problems of interest to us in the field of nuclear waste repository modelling. The results obtained show that the numerical approach considered gives accurate and reliable predictions of the hydrodynamics of fractured-porous media, thus justifying its use for the above-mentioned studies. 相似文献
Carboxymethyl cellulose-and starch-stabilized nZVI nanoparticles were prepared and showed high efficiency for reductive immobilization of 99TcO4- in simulated groundwater. 相似文献
Radionuclides are released together with fly ash from the coal-fired power plant and thus add to the natural radiation. Fifty soil samples were collected around the Baoji coal-fired power plant from 25 locations and the natural radionuclide concentrations were determined by a gamma ray spectrometric system. The results show that the activity concentrations in soil samples range from 12.54 to 40.18 Bq kg?1, 38.02 to 72.55 Bq kg?1 and 498.02 to 1126.98 Bq kg?1 for 226Ra, 232Th and 40K with the mean values of 27.35, 52.66 and 764.72 Bq kg?1, respectively. In order to evaluate the radiological hazard of the natural radioactivity, the radium equivalent activity (Raeq), the absorbed dose rate (D) and the annual effective dose rate have been calculated and compared with the internationally approved values. The radium equivalent activity in all the soil samples is lower than the safe limit set in the Organization for Economic Cooperation and Development report (370 Bq kg?1). The average value of the calculated dose rates is higher than the global average value 55 nGy h?1, and the calculated annual effective dose rate is significantly lower than the average annual external effective dose rate (460 μSv y?1) of the normal background radiation. 相似文献
Recent studies have evaluated the capability of plastic scintillation (PS) as an alternative to liquid scintillation (LS) in radionuclide activity determination without mixed waste production. In order to complete the comparison, we now assess the extent to which PS can be used to quantify mixtures of radionuclides and the influence of the diameter of the plastic scintillation beads in detection efficiency.
The results show that the detection efficiency decreases and the spectrum shrink to lower energies when the size of the plastic scintillation beads increases, and that the lower the energy of the beta particle, the greater the variation takes place. Similar behaviour has been observed for beta–gamma and alpha emitters.
Two scenarios for the quantification of mixtures are considered, one including two radionuclides (14C and 60Co) whose spectra do not overlap significantly, and the other including two radionuclides (137Cs and 90Sr/90Y), where the spectra of one the isotopes is totally overlapped by the other The calculation has been performed by using the conventional window selection procedure and a new approach in which the selected windows correspond to those with lower quantification errors. Relative errors obtained using the proposed approach (less than 10%) are lower than those of the conventional procedure, even when a radionuclide is completely overlapped, except for those samples with extreme activity ratios that were not included in the window optimization process. 相似文献
Covalent organic frameworks(COFs), as a class of crystalline porous materials with periodic lattices and porous structures, have received extensive attention in the fields of gas storage and separation, energy storage, catalysis and optoelectronics and so on. However, COFs are still in their infancy in the field of nuclear waste treatment, especially for sequestration of long-live problematic radionuclides, such as 99Tc. Battle of decontamination of pertechnetate(TcO4–), a main existence of 99Tc under aerobic environments, is far from finished. In this review, recent progresses of COFs and some relative materials in the sequestration of pertechnetate, and perspective on surmounting the unmet issues are elucidated. 相似文献