ABSTRACT
Good practice guide for cervical ultrasound scan and echo-guided techniques in treating differentiated thyroid cancer of vesicular origin. American, European and French Recommendations for the treatment of differentiated vesicular thyroid cancer were recently published. Cervical ultrasound scanning is now considered a key examination in the follow-up of these cancers. This examination is noninvasive, easy to perform and to obtain, is not costly, but remains operator-dependent. To date, there are no recommendations published that assemble all the technical aspects, results, indications and the limits of this examination in the initial medical report and the follow-up of these cancers. In order to standardise the procedure and validate the quality of the examination, a workgroup made up of a panel of experts particularly involved in carrying out ultrasound scans was set up. The aim was to draw up a good practice guide for performing cervical ultrasound scans and echo-guided techniques in treating patients with differentiated thyroid cancer of vesicular origin. The main objectives are to: (a) standardise the procedure and reports, (b) define the criteria for establishing whether lesions identified during a cervical ultrasound scan are malignant or benign, (c) standardise the indications for carrying out cytological tests and an in situ assay of markers, (d) help doctors to select the patients who ought to receive a cervical ultrasound scan and or cytological tests, (e) discuss how frequently the examinations should be carried out depending on the risk of recurrence.
Subject(s)
Adenoma/diagnostic imaging , Carcinoma/diagnostic imaging , Thyroid Neoplasms/diagnostic imaging , Ultrasonography/standards , Adenoma/mortality , Adenoma/surgery , Carcinoma/mortality , Carcinoma/surgery , Female , Humans , Iodine Radioisotopes , Male , Thyroid Neoplasms/mortality , Thyroid Neoplasms/surgery , Thyroidectomy , Ultrasonography/methodsABSTRACT
Single-axis acoustic levitation of the heaviest solid (iridium, rho=22.6 g cm(-3)) and liquid (mercury, rho=13.6 g cm(-3) on the Earth is achieved by greatly enhancing both the levitation force and stability through optimizing the geometric parameters of the levitator. The acoustically levitated Pb-Sn eutectic alloy melt (rho=8.5 g cm(-3)) is highly undercooled by up to 38 K, which results in a microstructural transition of "lamellae-broken lamellae-dendrites." The drastic enhancement of levitation capability indicates a broader application range of single-axis acoustic levitation.
ABSTRACT
Samples of Pb-Sn eutectic alloy with a high density of 8.5 x 10(3) kg/m(3) are levitated with a single-axis acoustic levitator, and containerlessly melted and then solidified in argon atmosphere. High undercoolings up to 38 K are obtained, which results in a microstructural transition of "lamellas-broken lamellas-dendrites." This transition is further investigated in the light of the coupled zone for eutectic growth and the effects of ultrasound. The breaking of regular eutectic lamellas and suppression of gravity-induced macrosegregation of (Pb) and (Sn) dendrites are explained by the complicated internal flow inside the levitated drop, which is jointly induced by the shape oscillation, bulk vibration and rotation of the levitated drop. The ultrasonic field is also found to drive forced surface vibration, which subsequently excites capillary ripples and catalyzes nucleation on the sample surface.