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1.
J Appl Crystallogr ; 57(Pt 2): 509-528, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38596722

ABSTRACT

INSIGHT is a Python-based software tool for processing and reducing 2D grazing-incidence wide- and small-angle X-ray scattering (GIWAXS/GISAXS) data. It offers the geometric transformation of the 2D GIWAXS/GISAXS detector image to reciprocal space, including vectorized and parallelized pixel-wise intensity correction calculations. An explicit focus on efficient data management and batch processing enables full control of large time-resolved synchrotron and laboratory data sets for a detailed analysis of kinetic GIWAXS/GISAXS studies of thin films. It processes data acquired with arbitrarily rotated detectors and performs vertical, horizontal, azimuthal and radial cuts in reciprocal space. It further allows crystallographic indexing and GIWAXS pattern simulation, and provides various plotting and export functionalities. Customized scripting offers a one-step solution to reduce, process, analyze and export findings of large in situ and operando data sets.

3.
Rev Sci Instrum ; 95(4)2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38656556

ABSTRACT

Multimodal in situ experiments during slot-die coating of thin films pioneer the way to kinetic studies on thin-film formation. They establish a powerful tool to understand and optimize the formation and properties of thin-film devices, e.g., solar cells, sensors, or LED films. Thin-film research benefits from time-resolved grazing-incidence wide- and small-angle x-ray scattering (GIWAXS/GISAXS) with a sub-second resolution to reveal the evolution of crystal structure, texture, and morphology during the deposition process. Simultaneously investigating optical properties by in situ photoluminescence measurements complements in-depth kinetic studies focusing on a comprehensive understanding of the triangular interdependency of processing, structure, and function for a roll-to-roll compatible, scalable thin-film deposition process. Here, we introduce a modular slot-die coater specially designed for in situ GIWAXS/GISAXS measurements and applicable to various ink systems. With a design for quick assembly, the slot-die coater permits the reproducible and comparable fabrication of thin films in the lab and at the synchrotron using the very same hardware components, as demonstrated in this work by experiments performed at Deutsches Elektronen-Synchrotron (DESY). Simultaneous to GIWAXS/GISAXS, photoluminescence measurements probe optoelectronic properties in situ during thin-film formation. An environmental chamber allows to control the atmosphere inside the coater. Modular construction and lightweight design make the coater mobile, easy to transport, quickly extendable, and adaptable to new beamline environments.

4.
Adv Mater ; 36(7): e2310237, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38009650

ABSTRACT

The experimental replicability of highly efficient perovskite solar cells (PSCs) is a persistent challenge faced by laboratories worldwide. Although trace impurities in raw materials can impact the experimental reproducibility of high-performance PSCs, the in situ study of how trace impurities affect perovskite film growth is never investigated. Here, light is shed on the impact of inevitable water contamination in lead iodide (PbI2 ) on the replicability of device performance, mainly depending on the synthesis methods of PbI2 . Through synchrotron-based structure characterization, it is uncovered that even slight additions of water to PbI2 accelerate the crystallization process in the perovskite layer during annealing. However, this accelerated crystallization also results in an imbalance of charge-carrier mobilities, leading to a degradation in device performance and reduced longevity of the solar cells. It is also found that anhydrous PbI2 promotes a homogenous nucleation process and improves perovskite film growth. Finally, the PSCs achieve a remarkable certified power conversion efficiency of 24.3%. This breakthrough demonstrates the significance of understanding and precisely managing the water content in PbI2 to ensure the experimental replicability of high-efficiency PSCs.

5.
ACS Appl Mater Interfaces ; 15(25): 30342-30349, 2023 Jun 28.
Article in English | MEDLINE | ID: mdl-37326620

ABSTRACT

Perovskite solar cells (PSCs) have achieved competitive power conversion efficiencies compared with established solar cell technologies. However, their operational stability under different external stimuli is limited, and the underlying mechanisms are not fully understood. In particular, an understanding of degradation mechanisms from a morphology perspective during device operation is missing. Herein, we investigate the operational stability of PSCs with CsI bulk modification and a CsI-modified buried interface under AM 1.5G illumination and 75 ± 5% relative humidity, respectively, and concomitantly probe the morphology evolution with grazing-incidence small-angle X-ray scattering. We find that volume expansion within perovskite grains, induced by water incorporation, initiates the degradation of PSCs under light and humidity and leads to the degradation of device performance, in particular, the fill factor and short-circuit current. However, PSCs with modified buried interface degrade faster, which is ascribed to grain fragmentation and increased grain boundaries. In addition, we reveal a slight lattice expansion and PL redshifts in both PSCs after exposure to light and humidity. Our detailed insights from a buried microstructure perspective on the degradation mechanisms under light and humidity are essential for extending the operational stability of PSCs.

6.
ACS Appl Mater Interfaces ; 14(49): 54623-54634, 2022 Dec 14.
Article in English | MEDLINE | ID: mdl-36446022

ABSTRACT

Additive and antisolvent engineering strategies are outstandingly efficient in enhancing perovskite quality, photovoltaic performance, and stability of perovskite solar cells (PSCs). In this work, an effective approach is applied by coupling the antisolvent mixture and multi-functional additive procedures, which is recognized as antisolvent additive engineering (AAE). The graphene quantum dots functionalized with amide (AGQDs), which consists of carbonyl, amine, and long hydrophobic alkyl chain functional groups, are added to the antisolvent mixture of toluene (T) and hexane (H) as an efficient additive to form the CH3NH3PbI3 (MAPI):AGQDs graded heterojunction structure. A broad range of analytical techniques, including scanning electron microscopy, X-ray diffraction, X-ray photoelectron spectroscopy, space charge limited current, UV-visible spectroscopy, external quantum efficiency, and time-of-flight secondary ion mass spectrometry, are used to investigate the effect of AAE treatment with AGQDs on the quality of perovskite film and performance of the PSCs. Importantly, not only a uniform and dense perovskite film with hydrophobic property is obtained but also defects on the perovskite surface are significantly passivated by the interaction between AGQDs and uncoordinated Pb2+. As a result, an enhanced power conversion efficiency (PCE) of 19.10% is achieved for the champion PSCs treated with AGQD additive, compared to the PCE of 16.00% for untreated reference PSCs. In addition, the high-efficiency PSCs based on AGQDs show high stability and maintain 89% of their initial PCE after 960 h in ambient conditions.

7.
J Am Chem Soc ; 144(27): 12102-12115, 2022 Jul 13.
Article in English | MEDLINE | ID: mdl-35759794

ABSTRACT

Colloidal lead-halide perovskite nanocrystals (LHP NCs) have emerged over the past decade as leading candidates for efficient next-generation optoelectronic devices, but their properties and performance critically depend on how they are purified. While antisolvents are widely used for purification, a detailed understanding of how the polarity of the antisolvent influences the surface chemistry and composition of the NCs is missing in the field. Here, we fill this knowledge gap by studying the surface chemistry of purified CsPbBrxI3-x NCs as the model system, which in itself is considered a promising candidate for pure-red light-emitting diodes and top-cells for tandem photovoltaics. Interestingly, we find that as the polarity of the antisolvent increases (from methyl acetate to acetone to butanol), there is a blueshift in the photoluminescence (PL) peak of the NCs along with a decrease in PL quantum yield (PLQY). Through transmission electron microscopy and X-ray photoemission spectroscopy measurements, we find that these changes in PL properties arise from antisolvent-induced iodide removal, which leads to a change in halide composition and, thus, the bandgap. Using detailed nuclear magnetic resonance (NMR) and Fourier-transform infrared spectroscopy (FTIR) measurements along with density functional theory calculations, we propose that more polar antisolvents favor the detachment of the oleic acid and oleylamine ligands, which undergo amide condensation reactions, leading to the removal of iodide anions from the NC surface bound to these ligands. This work shows that careful selection of low-polarity antisolvents is a critical part of designing the synthesis of NCs to achieve high PLQYs with minimal defect-mediated phase segregation.

8.
Adv Mater ; 34(20): e2200907, 2022 May.
Article in English | MEDLINE | ID: mdl-35315132

ABSTRACT

Volatile solids with symmetric π-backbone are intensively implemented on manipulating the nanomorphology for improving the operability and stability of organic solar cells. However, due to the isotropic stacking, the announced solids with symmetric geometry cannot modify the microscopic phase separation and component distribution collaboratively, which will constrain the promotion of exciton splitting and charge collection efficiency. Inspired by the superiorities of asymmetric configuration, a novel process-aid solid (PAS) engineering is proposed. By coupling with BTP core unit in Y-series molecule, an asymmetric, volatile 1,3-dibromo-5-chlorobenzene solid can induce the anisotropic dipole direction, elevated dipole moment, and interlaminar interaction spontaneously. Due to the synergetic effects on the favorable phase separation and desired component distribution, the PAS-treated devices feature the evident improvement of exciton splitting, charge transport, and collection, accompanied by the suppressed trap-assisted recombination. Consequently, an impressive fill factor of 80.2% with maximum power conversion efficiency (PCE) of 18.5% in the PAS-treated device is achieved. More strikingly, the PAS-treated devices demonstrate a promising thickness-tolerance character, where a record PCE of 17.0% is yielded in PAS devices with a 300 nm thickness photoactive layer, which represents the highest PCE for thick-film organic solar cells.

9.
ACS Appl Mater Interfaces ; 14(2): 2958-2967, 2022 Jan 19.
Article in English | MEDLINE | ID: mdl-34989234

ABSTRACT

Crystal orientations are closely related to the behavior of photogenerated charge carriers and are vital for controlling the optoelectronic properties of perovskite solar cells. Herein, we propose a facile approach to reveal the effect of lattice plane orientation distribution on the charge carrier kinetics via constructing CsBr-doped mixed cation perovskite phases. With grazing-incidence wide-angle X-ray scattering measurements, we investigate the crystallographic properties of mixed perovskite films at the microscopic scale and reveal the effect of the extrinsic CsBr doping on the stacking behavior of the lattice planes. Combined with transient photocurrent, transient photovoltage, and space-charge-limited current measurements, the transport dynamics and recombination of the photogenerated charge carriers are characterized. It is demonstrated that CsBr compositional engineering can significantly affect the perovskite crystal structure in terms of the orientation distribution of crystal planes and passivation of trap-state densities, as well as simultaneously facilitate the photogenerated charge carrier transport across the absorber and its interfaces. This strategy provides unique insight into the underlying relationship between the stacking pattern of crystal planes, photogenerated charge carrier transport, and optoelectronic properties of solar cells.

10.
Metabolomics ; 10(3): 414-424, 2014.
Article in English | MEDLINE | ID: mdl-25814918

ABSTRACT

Discovery of new biomarkers is critical for early diagnosis of acute coronary syndrome (ACS). Recent advances in metabolomic technologies have drastically enhanced the possibility of improving the knowledge of its physiopathology through the identification of the altered metabolic pathways. In this study, analyses of peripheral plasma from non-ST segment elevation ACS patients and healthy controls by gas chromatography-mass spectrometry (GC-MC) permitted the identification of 15 metabolites with statistical differences (p < 0.05) between experimental groups. Additionally, validation by GC-MC and liquid chromatography-MC permitted us to identify a potential panel of biomarkers formed by 5-OH-tryptophan, 2-OH-butyric acid and 3-OH-butyric acid. This panel of biomarkers reflects the oxidative stress and the hypoxic state that suffers the myocardial cells and consequently constitutes a metabolomic signature of the atherogenesis process that could be used for early diagnosis of ACS.

11.
Clin Chem Lab Med ; 51(4): 851-62, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23518452

ABSTRACT

BACKGROUND: Biological variation (BV) and reference change values (RCVs) have been widely described for the general population, but the use of these data derived from adults in the elderly population is a controversial issue. We determined the within- and between-subject BV and RCV in both elderly and young people and compared them with previously published analyses. METHODS: Samples were collected from 135 volunteers over 80 years of age at weekly intervals over 4 weeks. Eighteen biochemical and eight haematological analytes were measured. The Fraser and Harris methods were used to calculate the components of BV and RCV. To perform a comparative analysis, a reference group of 118 young subjects was studied under the same conditions. RESULTS: The obtained coefficients of BV showed statistical differences in many cases, but in general, both the elderly and young patient data fall within the ranges previously described for the general population. The indexes of individuality for the analytes investigated did not exceed 1.4 in any case and were <0.6 for some analytes. The RCVs derived from elderly subjects were similar to those published in the young population, both in healthy and diseased individuals. CONCLUSIONS: The strong individuality observed supports the preferential use of RCVs rather than population-based reference intervals in elderly people. For most of the analytes studied, data from the young population can be applied to elderly people, but the specific elderly coefficients of BV and RCVs are a recommended option.


Subject(s)
Blood Chemical Analysis/standards , Adult , Age Factors , Aged, 80 and over , Blood Cells/cytology , Blood Cells/metabolism , Female , Humans , Male , Middle Aged , Reference Values , Sex Factors , Young Adult
12.
J Ultrasound Med ; 32(3): 495-504, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23443190

ABSTRACT

OBJECTIVES: The purpose of our study was to investigate interobserver agreement for thyroid ultrasound elastography and to analyze the reproducibility of real-time freehand elastography in thyroid nodules. METHODS: A prospective nonrandomized double-blind study was conducted between September 2008 and June 2010. Real-time elastography of 89 thyroid nodules was performed by two radiologists, with the first radiologist evaluating each thyroid nodule 5 minutes before the second. The elastograms were obtained with the patients holding their breath and considered valid when the quality factor was 50 or higher. The region of interest was positioned to include the nodule and 0.5 cm of surrounding normal thyroid parenchyma but to exclude the carotids and esophageal-tracheal structures. The elastograms were classified on a scale of 5 different patterns. RESULTS: Observers 1 and 2 coincided in 79 elastographic patterns and disagreed on 10 nodules (11.2%). The results between the radiologists had a statistically significant agreement (P < .005), with a κ value of 0.838. CONCLUSIONS: The introduction of a quality factor in elastographic software and the selection of elastograms with a quality factor of 50 or higher confer almost perfect interobserver agreement for thyroid nodule elastography and make elastography a reproducible technique that could be used in daily clinical practice.


Subject(s)
Thyroid Gland/diagnostic imaging , Thyroid Gland/physiopathology , Thyroid Nodule/diagnostic imaging , Thyroid Nodule/physiopathology , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Observer Variation , Reproducibility of Results , Sensitivity and Specificity , Ultrasonography , Young Adult
13.
Rev. lab. clín ; 5(4): 170-176, oct.-dic. 2012.
Article in Spanish | IBECS | ID: ibc-107851

ABSTRACT

Introducción. El modelo Seis-Sigma constituye una herramienta de gestión de calidad basada en la cuantificación de la variabilidad de un proceso en función del ratio de defectos por millón (DPM). Sin embargo, su estimación durante la fase analítica es dependiente del error total admisible (ETa). Nuestro objetivo es demostrar que la selección inadecuada de las especificaciones de calidad puede originar interpretaciones erróneas del rendimiento del laboratorio. Material y métodos. El cálculo del Sigma se realizó mediante la ecuación (ETa - sesgo)/coeficiente de variación. Se emplearon diferentes especificaciones de calidad, basadas en la variabilidad biológica (VB), el consenso de mínimos de SEQC/AEFA/AEBM y las especificaciones legislativas americanas y alemanas. La imprecisión y sesgo propios del laboratorio fueron estimados a partir del control interno/externo. Resultados. Los valores de Sigma obtenidos son inversamente proporcionales a la exigencia de la especificación de calidad escogida en todos los casos. Las especificaciones legislativas o recomendadas por expertos son las que proporcionalmente se correlacionan con Sigmas más elevados. El uso de la VB deseable y óptima se asocia a Sigmas inaceptables en el 44 y 94% de las determinaciones respectivamente. Conclusiones. La selección de especificaciones de calidad poco exigentes por parte del laboratorio supone elevaciones del Sigma, el cual no se asocia en todos los casos con una mejora en la detección de errores clínicamente significativos. Con objeto de evitar falsas elevaciones en informes de rendimiento y evitar comparaciones inter-laboratorio sesgadas, se recomienda informar el valor de Sigma en todo caso junto al ETa empleado en su estimación (AU)


Introduction. The Six-Sigma model is a quality management tool based on the variability of a process in terms of defects per million (DPM). In the analytical phase, sigma value estimation is dependent of the allowable total error (TEa). Our goal is to demonstrate that the improper selection of quality specifications can lead to erroneous interpretations of the laboratory status. Material and methods. The Sigma value was estimated using the equation (TEa - bias)/coefficient of variation. We used different quality specifications based on biological variability (BV), the consensus of the SEQC/AEFA/AEBM, and the American and German legislative specifications. The laboratory imprecision and bias were estimated from the internal/external control quality. Results. Sigma values are inversely proportional to the requirement for quality specification. Specifications based on German and American laws or the consensus of the Spanish experts were proportionally correlated with higher Sigma values. The optimal and desirable BV was associated with high rates of determinations that did not exceed the minimum Sigma requirement. Conclusions. The selection of less demanding quality specifications involves elevations in Sigma values, which is not necessarily associated with an improvement in the detection of clinically significant errors. In order to avoid false elevations in performance reports and errors in the inter-laboratory comparison, we recommend indicating the sigma value and the TEa (AU)


Subject(s)
Humans , Male , Female , Medical Laboratory Science/methods , Medical Laboratory Science/trends , Laboratory Test/methods , Research/methods , /methods , Quality Control , Clinical Laboratory Techniques/methods , Clinical Laboratory Techniques/standards
14.
Rev. lab. clín ; 5(3): 127-129, jul.-sept. 2012.
Article in Spanish | IBECS | ID: ibc-105600

ABSTRACT

El objetivo de este trabajo es describir la utilidad de la determinación de la triptasa del líquido de una ampolla, como marcador del grado de liberación local de mediadores mastocitarios, en una mastocitosis cutánea eritrodérmica difusa, durante un episodio agudo de liberación que cursa con la formación de estas lesiones. La determinación de la triptasa sérica se emplea en las mastocitosis de forma rutinaria, ya que está relacionada con el grado de infiltración mastocitaria (carga mastocitaria) así como con la activación y posterior liberación de mediadores mastocitarios. Cuando esta determinación se realiza en el líquido de una ampolla, indica el grado de infiltración de la piel por mastocitos y de liberación de mediadores mastocitarios a nivel cutáneo (AU)


Serum tryptase determination is usually performed in mastocytosis, as in most cases it can predict mast-cell burden and/or mast-cell activation. Tryptase values in blister fluids are correlated with dermal mast-cell numbers and local mast-cell activation. The aim of this report is to describe the usefulness of tryptase determination in blister fluid as a marker of mast-cells mediators release in diffuse erythrodermic cutaneous mastocytosis (AU)


Subject(s)
Humans , Female , Infant , Tryptases/analysis , Mastocytosis/diagnosis , Mastocytosis/pathology , Mastocytosis, Cutaneous/diagnosis , Mastocytosis, Cutaneous/pathology , Reference Values , Biopsy/methods , Immunohistochemistry/methods , Immunohistochemistry , Enzyme-Linked Immunosorbent Assay/methods , Blister/diagnosis , Blister/pathology
15.
J Ultrasound Med ; 30(9): 1241-6, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21876095

ABSTRACT

OBJECTIVES: The purpose of this study was to evaluate the effect of intra-articular injection of SonoVue (sulfur hexafluoride with a phospholipid shell; Bracco SpA, Milan, Italy) on the synovial membrane in an animal model. METHODS: Twenty-one New Zealand White rabbits (42 knees) were used in this study. We injected the knees with normal saline (saline group; n = 21) and SonoVue (SonoVue group; n = 21). A histologic examination of the knees was performed out at 3 and 12 hours and 3, 7, 15, 30, and 45 days after injection. Four histologic parameters (synovial hyperplasia, synovial stroma, vascular dilatation, and inflammatory infiltrates) were graded separately. RESULTS: We found no significant differences in this study for synovial hyperplasia, vascular dilatation, or inflammatory infiltrates between the saline and SonoVue groups. A significant difference was only observed for synovial stroma (P < .05), and most of the histologic changes were mild in the saline group and moderate in the SonoVue group. The histologic changes observed in this study are considered transitory and reversible. CONCLUSIONS: The results suggest that intra-articular injection of SonoVue is a safe procedure.


Subject(s)
Contrast Media/pharmacology , Knee Joint/diagnostic imaging , Phospholipids/pharmacology , Sulfur Hexafluoride/pharmacology , Synovial Membrane/drug effects , Synovial Membrane/diagnostic imaging , Animals , Chi-Square Distribution , Contrast Media/administration & dosage , Injections, Intra-Articular , Male , Phospholipids/administration & dosage , Rabbits , Sulfur Hexafluoride/administration & dosage , Ultrasonography
16.
J Ultrasound Med ; 30(7): 975-9, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21705730

ABSTRACT

OBJECTIVES: The purposes of this study were to investigate interobserver reproducibility using acoustic radiation force impulse imaging and to develop an acoustic radiation force impulse scoring system. METHODS: Fifty healthy volunteers with normal liver function test values were selected for the study. Shear wave velocity measurements, expressed in meters per second, were taken in a deep portion of liver segment 6. Two observers with different levels of experience performed the measurements independently and blindly. RESULTS: All of the measurements taken by the 2 observers were valid, even in volunteers with a body mass index of greater than 28 kg/m(2). The results point to very good interobserver reproducibility of shear wave velocity measurements, with an intraclass coefficient correlation of 0.86 (P < .001). CONCLUSIONS: The results of this study show that shear wave velocity measurements using the acoustic radiation force impulse technique and a standardized protocol are accurate and reproducible.


Subject(s)
Liver/diagnostic imaging , Acoustics , Adult , Aged , Body Mass Index , Female , Humans , Liver Cirrhosis/diagnostic imaging , Liver Function Tests , Male , Middle Aged , Reference Values , Reproducibility of Results , Ultrasonography
17.
Eur Radiol ; 20(10): 2367-71, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20445981

ABSTRACT

OBJECTIVE: To evaluate acoustic radiation force impulse (ARFI) imaging as a non-invasive tool for quantification of the grades of liver steatosis in chickens. METHODS: We used two different diets: a standard diet (SD group) and a hyperlipidaemic diet (HD group). The ARFI technique was performed in all the animals in the right hepatic lobe and shear wave velocity (SWV) was measured and expressed in metres per second (m/s). Plasma lipid levels were analysed. Steatosis was quantified by using semiquantitative analysis. Statistical analysis was used and Pearson's correlation coefficient was calculated. RESULTS: Mean SWV was 0.94 ± 0.16 m/s (range 0.8-1.3 m/s) in the SD group and 1.91 ± 0.25 m/s (range 1.3-2.2 m/s) in the HD group (p < 0.001). The lowest SWVs (≤1.3 m/s) corresponded to the chickens in the SD group, with 100% of the animals returning a score of 0, whereas the range of SWV in the HD group chickens was between 1.6 and 2.2 m/s. A substantial correlation was observed between SWVs with histological semiquantitative analysis of steatosis (r = 0.85, p < 0.001). CONCLUSION: ARFI imaging is a non-invasive diagnostic tool that allows discrimination between the grades of liver steatosis in chickens.


Subject(s)
Acoustics , Diagnostic Imaging/methods , Liver/pathology , Animals , Biomarkers/metabolism , Chickens , Disease Models, Animal , Fatty Liver/diagnosis , Fatty Liver/pathology , Liver/diagnostic imaging , Liver Diseases/diagnosis , Liver Diseases/pathology , Male , Ultrasonography/methods
18.
AJR Am J Roentgenol ; 191(5): 1397-400, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18941076

ABSTRACT

OBJECTIVE: The purpose of our study was to optimize anterior MR arthrography of the shoulder by comparing three injection sites. MATERIALS AND METHODS: Seventy-eight patients were divided into three groups of 26 each, according to the injection site selected: the upper third of the medial part of the humeral head, the lower third of the medial part of the humeral head, or the area between the middle and lower thirds of the glenohumeral joint. A marker plate with radiopaque coordinates was used in performing the technique. Radiologist time and exposure time were recorded, and the intensity of the patient's pain was measured using a Visual Analogue Scale (VAS). Groups were compared using variance analysis and the least significant difference method. RESULTS: Shoulder arthrography was considered satisfactory for all three injection sites. Mean exposure time was 20.9 +/- 7.8 (SD) milliseconds, and mean radiologist time was 6.4 +/- 0.8 minutes. Mean pain intensity registered by the VAS was 1.7 +/- 0.9, the lowest values tending to be those recorded by patients who received an injection in the upper third. Exposure and radiologist times were lower for these latter patients; differences between the upper third and the other two areas were statistically significant (p < 0.005). CONCLUSION: The optimal injection site for anterior MR arthrography of the shoulder is the upper third of the humeral head, a simple, rapid procedure that is well tolerated by patients and reduces the radiation dose administered.


Subject(s)
Contrast Media/administration & dosage , Image Enhancement/methods , Magnetic Resonance Imaging/methods , Shoulder Joint/pathology , Shoulder/pathology , Adolescent , Adult , Aged , Female , Humans , Injections/methods , Male , Middle Aged
19.
J Ultrasound Med ; 27(2): 193-7, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18204009

ABSTRACT

OBJECTIVE: The purpose of this study was to evaluate the reproducibility of median nerve cross-sectional area (CSA) measurements using the indirect method (ellipsoid formula) and the direct or tracing method. METHODS: The median nerve CSA was measured in 22 wrists of patients with carpal tunnel syndrome by means of high-frequency sonography. Measurements were made at the level of the pisiform bone by a standardized sonographic examination protocol. Two observers with different levels of experience performed the measurements, independently and blinded. An analysis of reliability was carried out, and the concordance between the methods was determined with parametric statistical tests. RESULTS: The results point to good reproducibility of the median nerve CSA measurements obtained by both methods, whether performed by an experienced observer or by an inexperienced observer after a short learning period. CONCLUSIONS: The results suggest sonography for median nerve CSA measurements is reproducible by either the direct or indirect method when a standardized sonographic examination protocol is used.


Subject(s)
Carpal Tunnel Syndrome/diagnostic imaging , Median Nerve/diagnostic imaging , Adult , Carpal Tunnel Syndrome/pathology , Female , Humans , Male , Median Nerve/pathology , Middle Aged , Reproducibility of Results , Ultrasonography
20.
J Ultrasound Med ; 27(2): 255-9, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18204016

ABSTRACT

OBJECTIVE: The purpose of this study was to present a procedure for sonographically guided percutaneous drilling in the treatment of a case of osteochondritis dissecans (OD) of the knee. METHODS: A 14-year-old boy had OD of the external femoral condyle. Conventional radiography, magnetic resonance imaging, and sonography revealed the osteochondral lesion. RESULTS: This study showed the utility of sonography both in the treatment of OD through percutaneous drilling and in follow-up. CONCLUSIONS: On the basis of the good results obtained in the case described here, it is thought that sonographically guided percutaneous drilling may be a good alternative to arthroscopic drilling in cases of early OD lesions without displacement of the fragment.


Subject(s)
Arthroscopy , Osteochondritis Dissecans/diagnostic imaging , Osteochondritis Dissecans/surgery , Adolescent , Bone Nails , Humans , Male , Ultrasonography, Interventional
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