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1.
Med Sci Sports Exerc ; 48(12): 2512-2516, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27434082

RESUMO

INTRODUCTION: A recent US Major League Baseball (MLB) rule change requires baseball pitchers to deliver pitches within 12 s. PURPOSES: To examine the effect of three between-pitch rest intervals on throwing performance during a simulated seven-inning game and muscle damage during postgame recovery. DESIGN: A randomized counterbalanced study. METHODS: Seven intercollegiate pitchers threw 15 pitches per inning for seven innings with rest interval trials of 8, 12, and 20 s between pitches and 5 min between innings. Pitchers threw aimed fastballs at their best effort. Trials were separated by ≥2 wk. RESULTS: Progressive decreases in pitching speed and accuracy below baseline (first inning of 20-s trial) occurred after fourth inning during the 8-s and 12-s trials, but not the 20-s trial. Plasma creatine kinase elevated 48 h later for the 8-s and 12-s trials (+105% and +75%, P < 0.01), but not the 20-s trial (+26%, no significance). A transient interleukin (IL)-6 surges immediately after the game for the 8- and 12-s trials (+265%, +128%, P < 0.01) above baseline. IL-6 reversed below the level of 20-s trial at 48 h after game, whereas IL-10 increased significantly above the level of 20-s trial. CONCLUSIONS: Under the same pitching load, decreasing rest interval from 20 to 12 s or less results in an early-onset performance loss during a game and increases in muscle damage and inflammation for more than 2 d after a game. Our data do not favor the current rule change in concern of keeping musculoskeletal health of pitchers.


Assuntos
Desempenho Atlético/fisiologia , Beisebol/lesões , Beisebol/fisiologia , Músculo Esquelético/lesões , Músculo Esquelético/fisiopatologia , Creatina Quinase/sangue , Humanos , Interleucina-10/sangue , Interleucina-6/sangue , Masculino , Fadiga Muscular/fisiologia , Mialgia/etiologia , Miosite/sangue , Miosite/etiologia , Fatores de Tempo , Adulto Jovem
2.
Sci Rep ; 6: 29472, 2016 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-27388122

RESUMO

Organic/silicon hybrid solar cells have great potential as low-cost, high-efficiency photovoltaic devices. The superior light trapping capability, mediated by the optical resonances, of the organic/silicon hybrid nanostructure-based cells enhances their optical performance. In this work, we fabricated Si nanopillar (NP) arrays coated with organic semiconductor, poly(3-hexylthiophene-2,5-diyl), layers. Experimental and calculated optical properties of the samples showed that Mie-resonance strongly concentrated incoming light in the NPs. Spatial mapping of surface photovoltage, i.e., changes in the surface potential under illumination, using Kelvin probe force microscopy enabled us to visualize the local behavior of the photogenerated carriers in our samples. Under red light, surface photovoltage was much larger (63 meV) on the top surface of a NP than on a planar sample (13 meV), which demonstrated that the confined light in the NPs produced numerous carriers within the NPs. Since the silicon NPs provide pathways for efficient carrier transportation, high collection probability of the photogenerated carriers near the NPs can be expected. This suggests that the optical resonance in organic/silicon hybrid nanostructures benefits not only broad-band light trapping but also efficient carrier collection.

3.
Adv Healthc Mater ; 5(3): 319-325, 2016 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-26627057

RESUMO

Congenital heart defect interventions may benefit from the fabrication of patient-specific vascular grafts because of the wide array of anatomies present in children with cardiovascular defects. 3D printing is used to establish a platform for the production of custom vascular grafts, which are biodegradable, mechanically compatible with vascular tissues, and support neotissue formation and growth.


Assuntos
Materiais Biocompatíveis/química , Polímeros/química , Animais , Prótese Vascular , Células Cultivadas , Humanos , Camundongos , Impressão Tridimensional , Engenharia Tecidual/métodos , Alicerces Teciduais
4.
Biorheology ; 52(3): 235-45, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26444224

RESUMO

BACKGROUND: Deep vein thrombosis and the risk of pulmonary embolism are significant causes of morbidity and mortality. Much remains unclear, however, about the mechanisms by which a venous thrombus initiates, progresses, or resolves. In particular, there is a pressing need to characterize the evolving mechanical properties of a venous thrombus for its mechanical integrity is fundamental to many disease sequelae. OBJECTIVE: The primary goal of the present study was to initiate a correlation between evolving histological changes and biomechanical properties of venous thrombus. METHODS: We employed an inferior vena cava ligation model in mice to obtain cylindrical samples of thrombus that were well suited for mechanical testing and that could be explanted at multiple times following surgery. Using uniaxial micro-mechanical testing, we collected stress-stretch data that were then fit with a microstructurally-inspired material model before submitting the samples to immunohistological examination. RESULTS: We found that venous thrombus underwent a radially inward directed replacement of fibrin with collagen between 2 weeks and 4 weeks of development, which was accompanied by the infiltration of inflammatory and mesenchymal cells. These histological changes correlated with a marked increase in material stiffness. CONCLUSIONS: We demonstrated that 2 to 4 week old venous thrombus undergoes drastic remodeling from a fibrin-dominated mesh to a collagen-dominated microstructure and that these changes are accompanied by dramatic changes in biomechanical behavior.


Assuntos
Veia Cava Inferior/química , Trombose Venosa/fisiopatologia , Animais , Fenômenos Biomecânicos , Colágeno/metabolismo , Modelos Animais de Doenças , Fibrina/metabolismo , Humanos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Remodelação Vascular , Veia Cava Inferior/metabolismo , Veia Cava Inferior/fisiopatologia , Trombose Venosa/metabolismo
5.
Sci Rep ; 5: 13900, 2015 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-26354387

RESUMO

Spin Hall effect of light is a spin-dependent transverse shift of optical beam propagating along a curved trajectory, where the refractive index gradient plays a role of the electric field in spin Hall effect of solid-state systems. In order to observe optical spin Hall shift in a refraction taking place at air-glass interface, an amplification technique was necessary such as quantum weak measurement. In phase-discontinuity metasurface (PMS) a rapid phase-change along metasurface takes place over subwavelength distance, which leads to a large refractive index gradient for refraction beam enabling a direct detection of optical spin Hall shift without amplification. Here, we identify that the relative optical spin Hall shift depends on incidence angle at PMS, and demonstrate a control of optical spin Hall shift by constructing weak value measurement with a variable phase retardance in the post-selection. Capability of optical spin Hall shift control permits a tunable precision metrology applicable to nanoscale photonics such as angular momentum transfer and sensing.

6.
Biomacromolecules ; 16(2): 437-46, 2015 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-25545620

RESUMO

Surface modification of biodegradable vascular grafts is an important strategy to improve the in situ endothelialization of tissue engineered vascular grafts (TEVGs) and prevent major complications associated with current synthetic grafts. Important strategies for improving endothelialization include increasing endothelial cell mobilization and increased endothelial cell capture through biofunctionalization of TEVGs. The objective of this study was to assess two biofunctionalization strategies for improving endothelialization of biodegradable polyester vascular grafts. These techniques consisted of cross-linking heparin to graft surfaces to immobilize vascular endothelial growth factor (VEGF) or antibodies against CD34 (anti-CD34Ab). To this end, heparin, VEGF, and anti-CD34Ab attachment and quantification assays confirmed the efficacy of the modification strategy. Cell attachment and proliferation on these groups were compared to unmodified grafts in vitro and in vivo. To assess in vivo graft functionality, the grafts were implanted as inferior vena cava interpositional conduits in mice. Modified vascular grafts displayed increased endothelial cell attachment and activity in vivo, according to microscopy techniques, histological results, and eNOS expression. Inner lumen diameter of the modified grafts was also better maintained than controls. Overall, while both functionalized grafts outperformed the unmodified control, grafts modified with anti-CD34Ab appeared to yield the most improved results compared to VEGF-loaded grafts.


Assuntos
Prótese Vascular , Materiais Revestidos Biocompatíveis/metabolismo , Heparina/metabolismo , Células Endoteliais da Veia Umbilical Humana/metabolismo , Enxerto Vascular/métodos , Animais , Antígenos CD34/metabolismo , Prótese Vascular/tendências , Materiais Revestidos Biocompatíveis/administração & dosagem , Materiais Revestidos Biocompatíveis/química , Feminino , Heparina/administração & dosagem , Heparina/química , Células Endoteliais da Veia Umbilical Humana/efeitos dos fármacos , Humanos , Camundongos , Fator A de Crescimento do Endotélio Vascular/metabolismo , Enxerto Vascular/tendências
7.
Opt Express ; 22(17): 20816-27, 2014 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-25321285

RESUMO

Electro-optic switching of refraction is experimentally demonstrated in a phase-discontinuity complementary metasurface twisted nematic cell. The phase-discontinuity complementary metasurface is fabricated by focused-ion-beam milling, and a twisted nematic cell is constructed with complementary V-shape slot antenna metasurface. By application of an external voltage, switching is achieved between ordinary refraction and extraordinary refraction satisfying the generalized Snell's law. It has a strong implication for applications in spatial light modulation and wavelength division multiplexer/demultiplexer in a near-IR spectral range.

8.
ACS Appl Mater Interfaces ; 6(11): 8602-5, 2014 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-24850379

RESUMO

In this study, we observed that the photoluminescence (PL) intensity of ZnO/Ag nanogratings was significantly enhanced compared with that of a planar counterpart under illumination of both transverse magnetic (TM) and transverse electric (TE)-mode light. In the TM mode, angle-resolved reflectance spectra exhibited dispersive dips, indicating cavity resonance as well as grating-coupled surface plasmon polariton (SPP) excitation. In the TE mode, cavity resonance only was allowed, and broad dips appeared in the reflectance spectra. Strong optical field confinement in the ZnO layers, with the help of SPP and cavity modes, facilitated polarization-insensitive PL enhancement. Optical simulation results were in good agreement with the experimental results, supporting the suggested scenario.

9.
J Biomech ; 47(9): 2080-7, 2014 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-24210474

RESUMO

Advances in vascular tissue engineering have been tremendous over the past 15 years, yet there remains a need to optimize current constructs to achieve vessels having true growth potential. Toward this end, it has been suggested that computational models may help hasten this process by enabling time-efficient parametric studies that can reduce the experimental search space. In this paper, we present a first generation computational model for describing the in vivo development of a tissue engineered vein from an implanted polymeric scaffold. The model was motivated by our recent data on the evolution of mechanical properties and microstructural composition over 24 weeks in a mouse inferior vena cava interposition graft. It is shown that these data can be captured well by including both an early inflammatory-mediated and a subsequent mechano-mediated production of extracellular matrix. There remains a pressing need, however, for more data to inform the development of next generation models, particularly the precise transition from the inflammatory to the mechanobiological dominated production of matrix having functional capability.


Assuntos
Prótese Vascular , Modelos Cardiovasculares , Veia Cava Inferior , Animais , Matriz Extracelular , Camundongos , Camundongos SCID , Polímeros , Alicerces Teciduais
10.
Opt Express ; 21(15): 17492-7, 2013 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-23938619

RESUMO

Electric switching of reflection resonances at near-IR spectral range is experimentally demonstrated in a reflective metamaterial twisted nematic liquid crystal cell. Reflective metamaterial composed of nano-sized double-split ring resonator aperture is fabricated by a focused ion beam milling. Two-fold rotational symmetry of double-split ring resonators allows for two orthogonal polarization-dependent reflection resonances in the reflective metamaterial. With an external voltage of 10V across 12µm cell gap, a full switching is achieved between two reflection resonances. Dynamic measurements show the time constants of switch-on and switch-off are in the order of 100ms and 10ms, respectively.


Assuntos
Cristais Líquidos/química , Cristais Líquidos/efeitos da radiação , Nanotecnologia/instrumentação , Refratometria/instrumentação , Processamento de Sinais Assistido por Computador/instrumentação , Ressonância de Plasmônio de Superfície/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Luz , Espalhamento de Radiação
11.
J Biomech ; 46(13): 2277-82, 2013 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-23859752

RESUMO

Multiple murine models have proven useful in studying the natural history of neovessel development in the tissue engineering of vascular grafts. Nevertheless, to better understand longitudinal changes in the biomechanics of such neovessels, we must first quantify native tissue structure and properties. In this paper, we present the first biaxial mechanical data for, and nonlinear constitutive modeling of, &QJ;the inferior vena cava from two models used in tissue engineering: wild-type C57BL/6 and immunodeficient CB-17 SCID/bg mice. Results show that inferior vena cava from the latter are significantly stiffer in the circumferential direction, both materially (as assessed by a stored energy function) and structurally (as assessed by the compliance), despite a lower intramural content of fibrillar collagen and similar wall thickness. Quantifying the natural history of neovessel development in different hosts could lead to increased insight into the mechanisms by which cells fashion and maintain extracellular matrix in order to match best the host stiffness while ensuring sufficient vascular integrity.


Assuntos
Modelos Biológicos , Veia Cava Inferior/fisiologia , Animais , Fenômenos Biomecânicos , Feminino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos SCID , Especificidade da Espécie
12.
J Mech Behav Biomed Mater ; 27: 132-42, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23290821

RESUMO

The full potential of computational models of arterial wall mechanics has yet to be realized primarily because of a lack of data sufficient to quantify regional mechanical properties, especially in genetic, pharmacological, and surgical mouse models that can provide significant new information on the time course of adaptive or maladaptive changes as well as disease progression. The goal of this work is twofold: first, to present modifications to a recently developed panoramic-digital image correlation (p-DIC) system that significantly increase the rate of data acquisition, overall accuracy in specimen reconstruction, and thus full-field strain analysis, and the axial measurement domain for in vitro mechanical tests on excised mouse arteries and, second, to present a new method of data analysis that similarly increases the accuracy in image reconstruction while reducing the associated computational time. The utility of these advances is illustrated by presenting the first full-field strain measurements at multiple distending pressures and axial elongations for a suprarenal mouse aorta before and after exposure to elastase. Such data promise to enable improved inverse characterization of regional material properties using established computational methods.


Assuntos
Aorta , Processamento de Imagem Assistida por Computador/métodos , Estresse Mecânico , Animais , Aorta/metabolismo , Feminino , Processamento de Imagem Assistida por Computador/instrumentação , Camundongos , Camundongos Endogâmicos C57BL , Fenômenos Ópticos , Elastase Pancreática/metabolismo
13.
Nanotechnology ; 24(1): 015306, 2013 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-23220863

RESUMO

By focused ion beam milling, we fabricated near-IR reflective metamaterials consisting of nano-aperture arrays. Optimum parameters of ion beam current and accelerating voltage in the fabrication process are obtained. Nano-apertures constituting reflective metamaterial are successfully milled, and possess a reflective resonance in the near-IR spectral range. With a double-split-ring resonator structure for the nano-aperture, the intensity reflection at resonance is rendered polarization dependent. It is found that the point group symmetry of the nano-aperture array determines the amount of anisotropy in the intensity reflection. Finite-difference time-domain simulation was adopted to identify details of nano-aperture metastructures transferred from nano-aperture patterns by the focused ion beam milling.

14.
Opt Express ; 20(14): 15440-51, 2012 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-22772240

RESUMO

THz metamaterials are employed to examine changes in the meta-resonances when two anisotropic organic materials, liquid crystal and carbon nanotubes, are placed on top of metamaterials. In both anisotropic double split-ring resonators and isotropic four-fold symmetric split-ring resonators, anisotropic interactions between the electric field and organic materials are enhanced in the vicinity of meta-resonances. In liquid crystal, meta-resonance frequency shift is observed with the magneto-optical coupling giving rise to the largest anisotropic shift. In carbon nanotube, meta-resonance absorptions, parallel and perpendicular to nanotube direction, experience different amount of broadening of Lorentzian oscillator of meta-resonance. Investigation reported here opens the application of metamaterials as a sensor for anisotropic materials.

15.
Opt Express ; 19(5): 4384-92, 2011 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-21369268

RESUMO

A symmetric metamaterial superlattice is introduced accommodating a high Q-factor trapped mode. THz time-domain spectroscopy is employed to measure the transmission spectra, identifying the excitation of trapped and open-modes in the meta-resonances. A finite-difference-time- domain calculation showed that the trapped mode excitation is from the cancelation of current densities among the nearest-neighboring meta-particles. A cryogenic temperature THz measurement is carried out to examine the temperature dependence of resonance characteristics of meta-resonances. At low temperatures, the temperature-independent radiative damping is dominant for the open-mode, while the Q-factor of the trapped mode is determined by the temperature-dependent phonon scattering and temperature-independent defect scattering with the radiative damping significantly suppressed. When compared with the room temperature measurement, a 16% increase in Q-factor is observed for the trapped mode, while a 7% increase for the open-mode at the cryogenic temperature.


Assuntos
Manufaturas , Teste de Materiais/métodos , Espectroscopia Terahertz/métodos , Termografia/métodos , Algoritmos , Temperatura Baixa
16.
Comput Methods Biomech Biomed Engin ; 14(3): 213-25, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21347912

RESUMO

Recent advances in vascular biology and pathophysiology have revealed the need to understand better the genetic basis of arterial stiffness, disease progression and responses to clinical intervention. Towards this end, in vitro experiments on arteries from genetically modified mice promise to provide significantly increased insight into both health and disease. The need to test small arteries, often of complex shape, necessitates new methods for experimental arterial mechanics, however, ones that can provide information on local changes in geometry and strain. In this paper, we present a theoretical framework for a new panoramic digital image correlation-based method sufficient to collect such information and we demonstrate the utility of this approach via validation studies on phantoms having dimensions on the order of 500-1000 µm, similar to those of large mouse arteries. In particular, we show that placing the specimen within a conical mirror and imaging the specimen via a gimbal-mounted mirror using a single camera yields stereo information sufficient to quantify the size, shape and deformation along the full length and around the entire circumference of small arteries. In a companion paper, we show further that this approach can be implemented effectively while testing arteries within a physiological solution that maintains native biomechanical properties.


Assuntos
Artérias/fisiologia , Imageamento Tridimensional/instrumentação , Dispositivos Ópticos , Animais , Artérias/anatomia & histologia , Fenômenos Biomecânicos , Desenho de Equipamento , Imageamento Tridimensional/métodos , Técnicas In Vitro , Camundongos , Modelos Cardiovasculares , Fenômenos Ópticos
17.
Comput Methods Biomech Biomed Engin ; 14(3): 227-37, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21347913

RESUMO

In a companion paper, we described a theoretical foundation for and initial experimental implementation of a novel stereo-digital image correlation (DIC) method for quantifying the size, shape and deformation of small cylindrical specimens along their full length and around their entire circumference. In this paper, we further show that this panoramic-DIC method can be used to study mouse carotid arteries without affecting their native mechanical properties and show the advantage of the approach in studying more complex mouse aorta. In particular, we first resolve the ubiquitous issue of refraction in non-contacting optical measurements of strain while tissues are immersed in physiologic saline and we show that surface preparation for DIC does not affect the inferred mechanical properties either qualitatively or quantitatively, the latter via the use of a four-fibre family hyperelastic constitutive relation and associated estimation of material parameters using nonlinear regression. We thus submit that panoramic-DIC-based strain measurement has significant potential to increase our understanding of arterial mechanics in genetic models of arterial health and disease by allowing investigators to exploit advances in transgenic mice.


Assuntos
Artérias/fisiologia , Imageamento Tridimensional/instrumentação , Dispositivos Ópticos , Animais , Aorta Torácica/anatomia & histologia , Aorta Torácica/fisiologia , Artérias/anatomia & histologia , Fenômenos Biomecânicos , Artéria Carótida Primitiva/anatomia & histologia , Artéria Carótida Primitiva/fisiologia , Desenho de Equipamento , Imageamento Tridimensional/métodos , Imageamento Tridimensional/estatística & dados numéricos , Masculino , Camundongos , Modelos Cardiovasculares , Dinâmica não Linear , Fenômenos Ópticos
18.
J Psychosom Res ; 51(1): 379-85, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11448706

RESUMO

The aim of this study was to examine the reliability and validity of a Chinese-version stress instrument among emergency nurses. The study sample comprised of 113 nurses whose age ranged from 21 to 47 years old. The Chinese version of Medical Personnel Stress Survey (MPSS-R) was answered in 1996 through self-administered questionnaires. The instrument demonstrated excellent convergent and discriminant validity. Cronbach's alpha (reliability) coefficients ranged from.57 to.77. Factorial analysis yielded four principal components, corresponding to job dissatisfaction, team relationship, organization support, and somatic distress. Validation by independent variable was also consistent with theory. Thus, the Chinese-version MPSS-R retained excellent psychometric properties when used in an emergency nurses group.


Assuntos
Enfermagem em Emergência , Recursos Humanos de Enfermagem/psicologia , Saúde Ocupacional , Estresse Psicológico , Adulto , China , Feminino , Humanos , Satisfação no Emprego , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Transtornos Somatoformes/psicologia , Inquéritos e Questionários
19.
J Korean Med Sci ; 16(1): 62-8, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11289403

RESUMO

We investigated the expression of MAGE-1, -2, and -3 genes in tissues of 51 gastric carcinomas from Korean patients and in 11 gastric cancer cell lines established in Korea using reverse transcriptase-polymerase chain reaction along with immunohistochemical analyses and DNA sequencing. Among the 51 gastric carcinomas, MAGE-1, -2, and -3 genes were expressed in 16 (31%), 22 (43%), and 17 (33%), respectively, and 31 (60%) expressed at least one of the three genes. In contrast, none of the three MAGE genes were expressed in normal sites of gastric tissue from each cancer patient. Out of 11 gastric cancer cell lines, MAGE-1, -2, and -3 genes were expressed in two (18%), five (46%), and four (36%), respectively. According to the clinicopathological analysis, the expression of any of the three MAGE genes was not significantly correlated with several clinicopathological factors except histologic types (p= 0.067). Immunohistochemical analyses identified positive staining with monoclonal antibodies 77B and 57B specifically against MAGE-1 and -3 proteins, respectively, in nuclei and cytoplasms of cells in mRNA-positive tumor tissue. These findings suggest the possibility as a target for tumor-specific immunotherapy for Korean patients.


Assuntos
Antígenos de Neoplasias/genética , Proteínas de Neoplasias/genética , Neoplasias Gástricas/metabolismo , Feminino , Humanos , Imuno-Histoquímica , Masculino , Antígenos Específicos de Melanoma , Pessoa de Meia-Idade , Proteínas de Neoplasias/análise , RNA Mensageiro/análise , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Neoplasias Gástricas/patologia , Neoplasias Gástricas/terapia , Células Tumorais Cultivadas
20.
J Clin Ultrasound ; 27(5): 231-7, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10355886

RESUMO

PURPOSE: We compared the abilities of power and conventional color Doppler sonography to depict the vascularity of solid breast lesions and evaluated the usefulness of power Doppler sonography in differentiating between benign and malignant breast lesions. METHODS: One hundred two solid breast lesions (59 benign and 43 malignant lesions) were studied with power and color Doppler sonography. Power and color Doppler sonograms were retrospectively compared for the depiction of blood flow signals. Power Doppler images were also reviewed for the amount of Doppler signals, pattern of vascularity, and morphology of vessels. The sensitivity, specificity, and accuracy of the 2 techniques were calculated. RESULTS: Compared with color Doppler sonography, power Doppler sonography depicted flow superiorly in 61 cases (60%) and equally in 41 cases (40%). On power Doppler sonography, the incidence of marked blood flow in malignant lesions (65%) was higher than that in benign lesions (39%). The pattern of vascularity was predominantly central (86%) and/or penetrating (65%) more often in malignant lesions than in benign lesions (51% and 34%, respectively). Branching (56%) and disordered vessels (42%) were seen more often in malignant lesions than in benign lesions (22% and 8%, respectively). The sensitivity, specificity, and accuracy in diagnosing malignancy were 64%, 76%, and 71%, respectively, for power Doppler sonography and 77%, 76%, and 76% for color Doppler sonography. CONCLUSIONS: Power Doppler sonography was more sensitive than color Doppler sonography in the detection of flow in solid breast lesions. Although power Doppler sonography was not more effective in diagnosing malignant lesions, central and penetrating vascularity patterns and branching and disordered vessels seem to be helpful findings in predicting malignancy.


Assuntos
Neoplasias da Mama/diagnóstico por imagem , Ultrassonografia Doppler/métodos , Adolescente , Adulto , Idoso , Neoplasias da Mama/irrigação sanguínea , Neoplasias da Mama/patologia , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Fluxo Sanguíneo Regional , Sensibilidade e Especificidade
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