Quantitative evaluation of disc degeneration using dual-energy CT: advantages of R-VH, D-VH values and the IVNCa + CT model.

OBJECTIVE: To evaluate the correlation between dual-energy CT (DECT) virtual calcium free (VNCA), CT attenuation, the ratio and difference of VNCA to CT attenuation, and Pfirrmann grading of lumbar disc degeneration. METHODS: A retrospective analysis on 135 intervertebral discs from 30 patients who underwent DECT and MR. Discs was graded using the Pfirrmann system. ROIs on the sagittal plane assessed HU value, VNCA value, Rho value, Z value, R-VH value, and D-VH value. Correlation, grade differences, and multivariate regression models were assessed. Diagnostic performance and cut-off values were determined using AUC. RESULTS: VNCA (r = 0.589, P < 0.001), R-VH (r = 0.622, P < 0.001), and D-VH (r = 0.613, P < 0.001) moderately correlated with Pfirrmann grading. HU (r = 0.388, P < 0.001), Rho (r = 0.142, P = 0.102), and Z (r = -0.125, P = 0.153) showed a weak correlation. R-VH, D-VH, and VNCA had significantly higher correlation than HU. Statistically significant differences were observed in P values of VNCA, HU, R-VH, and D-VH in relative groups (P < 0.05), but not in Rho and Z values (P > 0.05). R-VH and D-VH had significant differences between Pfirrmann grades 1 and 2, and grades 2 and 3 (early stage) (P < 0.05). AUC readings of R-VH and D-VH (≥2, ≥3, ≥4) were higher. The multivariate model IVNCa + CT had the highest AUC. CONCLUSION: The new quantitative indices R-VH value and D-VH value of DECT have advantages over VNCA value and HU value in evaluating early-stage disc degeneration (≥2 grades, ≥3 grades). The multivariate model IVNCa + CT has the best AUC values for evaluating disc degeneration at all stages.

Shish-Kebab-Structured UHMWPE Coating for Efficient and Cost-Effective Oil-Water Separation.

High-performance low-cost superhydrophobic sponges are desired for selective recycling of leaking oils from open water. Herein, an ingenious method is proposed to fabricate an ultrathin superhydrophobic coating layer on a commercial sponge. The coating layer is composed of a shish-kebab-structured porous ultrahigh molecular weight polyethylene (UHMWPE) film that is fabricated from a UHMWPE/xylene solution by shear flow-induced crystallization. A strong relationship between the shish-kebab crystallite morphology and the superwetting performance is confirmed. The UHMWPE coating layer fabricated at a 900 rpm rotation rate possesses a lamellae size of 95.1 nm and a lamellae distance of 27.4 nm, which lead to a high water contact angle of 157° and a low contact angle hysteresis of 4.5°. The UHMWPE layer prepared in 4 min of treatment is thick enough to prevent the intrusion of water even under vacuum and remain superoleophilic. The developed UHMWPE-coated sponge (UCS) exhibited a high absorption capability of 70-191 g/g toward various oils and solvents, which is comparable with the neat melamine sponge. Its excellent compressibility and durability enabled fast recovery of absorbed oil with a high recovery rate (over 85%) by mechanical squeezing. The UCS could be assembled into small devices to selectively collect oil from open water and a water/oil mixture using a pump, which manifests its promising practical applicability. Apart from these extraordinary properties, the approach developed has the lowest material cost and the shortest processing time hitherto.