Radiation dose in non-dental cone beam CT applications: a systematic review.

BACKGROUND: Radiation-induced health risks are broadly questioned in the literature. As cone beam computed tomography (CBCT) is increasingly used in non-dental examinations, its effective dose needs to be known. This study aimed to review the published evidence on effective dose of non-dental CBCT for diagnostic use by focusing on dosimetry system used to estimate dose. MATERIALS AND METHODS: A systematic review of the literature was performed on 12 November 2017. All the literature up to this date was included. The PubMed and web of science databases were searched. Studies were screened for inclusion based on defined inclusion and exclusion criteria according to the preferred reporting items for systematic reviews. RESULTS: Fifteen studies met the inclusion criteria and were included in our review. Thirteen and two of them examined one and two anatomical areas, respectively. The anatomical areas were: ear (6), paranasal sinuses (4), ankle (3), wrist (2), knee (1), and cervical spine (1). Effective dose was estimated by different methods: (i) RANDO phantom associated with thermoluminescent dosimeters (6), metal oxide semiconductor field-effect transistor dosimeters (3), and optically stimulated luminescent dosimeters (1). (ii) Scanner outputs, namely computed tomography dose index (1) and dose area product (2). (iii) Monte Carlo simulations (2). CONCLUSION: CBCT of extremities, cervical spine, ears and paranasal sinuses was found to be a low-dose volumetric imaging technique. Effective doses varied significantly because of different exposure settings of CBCT-units and different dosimetry systems used to estimate dose.

A deadly organometallic luminescent probe: anticancer activity of a ReI bisquinoline complex.

The photophysical properties of [Re(CO)3 (L-N3)]Br (L-N3 =2-azido-N,N-bis[(quinolin-2-yl)methyl]ethanamine), which could not be localized in cancer cells by fluorescence microscopy, have been revisited in order to evaluate its use as a luminescent probe in a biological environment. The Re(I) complex displays concentration-dependent residual fluorescence besides the expected phosphorescence, and the nature of the emitting excited states have been evaluated by DFT and time-dependent (TD) DFT methods. The results show that fluorescence occurs from a (1) LC/MLCT state, whereas phosphorescence mainly stems from a (3) LC state, in contrast to previous assignments. We found that our luminescent probe, [Re(CO)3 (L-N3)]Br, exhibits an interesting cytotoxic activity in the low micromolar range in various cancer cell lines. Several biochemical assays were performed to unveil the cytotoxic mechanism of the organometallic Re(I) bisquinoline complex. [Re(CO)3 (L-N3)]Br was found to be stable in human plasma indicating that [Re(CO)3 (L-N3)]Br itself and not a decomposition product is responsible for the observed cytotoxicity. Addition of [Re(CO)3 (L-N3)]Br to MCF-7 breast cancer cells grown on a biosensor chip micro-bioreactor immediately led to reduced cellular respiration and increased glycolysis, indicating a large shift in cellular metabolism and inhibition of mitochondrial activity. Further analysis of respiration of isolated mitochondria clearly showed that mitochondrial respiratory activity was a direct target of [Re(CO)3 (L-N3)]Br and involved two modes of action, namely increased respiration at lower concentrations, potentially through increased proton transport through the inner mitochondrial membrane, and efficient blocking of respiration at higher concentrations. Thus, we believe that the direct targeting of mitochondria in cells by [Re(CO)3 (L-N3)]Br is responsible for the anticancer activity.

The way we were (and how we got here): fifty years of technology changes in dental and maxillofacial radiology.

The history of the last 50 years (1970-2020) of technological changes and progresses for equipment and procedures in dental and maxillofacial radiology is related from the insider perspective of an industrial physicist and technologist who has been instrumental at innovating and developing medical equipment in different parts of the world. The onset and improvement of all major categories of dental and maxillofacial radiographic equipment is presented, from the standpoint of their practical acceptance and impact among common dentists and maxillofacial radiologists: X-ray sources and detectors for intraoral radiography, and panoramic systems, both film-based and digital (including photo-stimulated phosphor plates); and cone beam CT.

Study of the different evaluation areas in the pesticide risk assessment process.

Approval of active substances and authorisation of plant protection products in the EU is made based on a strict risk assessment of the agronomic use of the plant protection products. Regulation 1107/2009 regulates the procedure in the EU with complex procedures involving many actors. 'The Farm to Fork strategy' and 'The Biodiversity for 2030 strategy', that are the heart of the 'European Green Deal', aiming to make food systems fair, healthy, environmentally friendly and put Europe's biodiversity on the path to recovery by 2030, for the benefit of people, climate and the planet. Therefore, 'The Farm to Fork strategy' and 'The Biodiversity for 2030 strategy' represents a challenge for the evaluation and authorisation of plant protection products in which the risk management will constitute a key element on the approval of active substances and authorisation of plant protection products. The aim of the work was to get knowledge of the large body of EU legislation and guidelines in the plant production products, identifying the most critical points of the pesticide evaluation in each of its areas, analysing the complexity and the interaction between these different areas. This study allowed to have a global and clearer vision of these procedures, with the focus on highlighting inconsistency and to propose speed up alternatives. Finally, this work will also facilitate not only the risk assessment but also the decision-making on the approval of active substances and the authorisation of plant protection products.

The role of cone beam CT in the study of symptomatic total knee arthroplasty (TKA): a 20 cases report.

OBJECTIVE: The aims of this study were to evaluate the efficacy of cone beam CT (CBCT) in the study of the patellar tilt angle and rotational alignment of the femoral/tibial component after total knee arthroplasty and to estimate how metallic artefacts impaired detection of periprosthetic bone structures and bordering tendon-muscle structures. METHODS: 20 symptomatic total knee arthroplasties were examined using CBCT by three independent observers. The patellar tilt angle and rotational alignment of femoral and tibial components were measured in relation to the femoral flange, transepicondylar axis and tibial tuberosity, respectively. A four-score scale, ranging from "many metallic artefacts" (the structure cannot be identified) to "no metallic artefacts" (the structure can be perfectly identified), was used to judge every structure. RESULTS: The patellar tilt angle and rotational alignment of the prosthetic components showed very high intra- and interobserver agreements (intraclass correlation coefficient values 0.895-0.975 and 0.891-0.948, respectively). Bone and tendon-muscle structures cannot be identified in the distal part of the femoral component, whereas they can be well identified in the proximal part of the femoral component and in the proximal/middle third of the tibial stem. CONCLUSION: CBCT was an effective tool, providing reproducible measurements of the patellar tilt angle and the rotational alignment of the femoral/tibial component. Furthermore, it allowed bone and tendon-muscle structures analysis with little impediments from metal artefacts. Advances in knowledge: CBCT allows easy and accurate measurements on the rotational axial plane, unburdened by image quality impairment due to metal artefacts.

An unexpected transmetalation intermediate: isolation and structural characterization of a solely CH3 bridged di-copper(i) complex.

Structural characterization of unsupported, two metal centres bridging methyl groups is rare. They have been proposed as transmetalation intermediates in cuprate chemistry, but as yet no structural evidence has been presented. We have isolated a di-copper(i) complex with solely a methyl ligand bridging two Cu(i) atoms, representing a new bonding mode of CH3.

Motion artefacts in cone beam CT: an in vitro study about the effects on the images.

OBJECTIVE: In cone beam CT (CBCT), imperfect patient immobility, caused by involuntary movements, is one of the most important causes of artefacts and image quality degradation. Various works in literature address this topic, but seldom is the nature of the movement correlated with the type of artefact and the image degradation in a systematic manner, and the correlation analyzed and explained. METHODS: All three types of movements that can occur during a scan-nodding, tilting and rolling-were applied to a dry skull, in various manners from abrupt to gradual through the entire scan, at different times and angles, over a wide range of displacements. 84 scans were performed, with different skull movements, and the resulting images examined by two skilled radiologists, rated in a four-point scale and statistically analyzed. A commercial CBCT machine was used, featuring supine patient positioning. RESULTS: Different types of movements induce different artefacts, in different parts of the anatomy. In general, movement of short duration may lead to double contours (bilateral or monolateral depending upon the angle of the scan at which they occur), whereas gradual movements result into blurring. CONCLUSION: Not all movements cause motion artefacts that equally jeopardize the image. Rolling is the type of movement that most severely affects the image diagnostic value. ADVANCES IN KNOWLEDGE: These findings may help practitioners to identify the causes of motion artefacts and the resulting image degradation, and remediate them, and manufacturers to improve the patient-positioning devices.

Prospects and challenges of rendering tissue density in Hounsfield units for cone beam computed tomography.

OBJECTIVES: Limitations in rendering of tissue density in Hounsfield units (HUs) for cone beam computed tomography (CBCT) are described and illustrated using a phantom and two CBCT systems to demonstrate grayscale measurement variability. MATERIALS AND METHODS: The basis of the HU scale, its correlation with measured computed tomography (CT) numbers, and the limitations in the accuracy of such correlation due to artifacts are discussed. Rendering of tissue densities based on HU values of two CBCT systems [NewTom VGi and Hyperion X9, respectively large and small field of view (FOV)] are measured using a phantom. RESULTS: Data produced from small FOV CBCT acquisition are generally less affected by artifacts compared with large FOV CBCT. CONCLUSIONS: Artifacts challenge the accurate conversion of density values into HUs. Care should be taken when interpreting quantitative density measurements obtained with CBCT. With more advanced software and methods, it may be possible to improve the consistency and accuracy of density measurements.