3D-printed Magnetic Resonance (MR)-based gynecological phantom for image-guided brachytherapy training.

PURPOSE/OBJECTIVES: There is a clinical need to develop anatomic phantoms for simulation-based learning in gynecological brachytherapy. Here, we provide a step-by-step approach to build a life-sized gynecological training phantom based on magnetic resonance imaging (MRI) of an individual patient. Our hypothesis is that this phantom can generate convincing ultrasound (US) images that are similar to patient scans. METHODS: Organs-at-risk were manually segmented using patient scans (MRI). The gynecological phantom was constructed using positive molds from 3D printing and polyvinyl chloride (PVC) plastisol. Tissue texture/acoustic properties were simulated using different plastic softener/hardener ratios and microbead densities. Nine readers (residents) were asked to evaluate 10 cases (1 ultrasound image per case) and categorize each as a "patient" or "phantom" image. To evaluate whether the phantom and patient images were equivalent, we used a multireader, multicase equivalence study design with two composite null hypotheses with proportion (pr) at H01: pr ≤ 0.35 and H02: pr ≥ 0.65. Readers were also asked to review US videos and identify the insertion of an interstitial needle into the pelvic phantom. Computed Tomography (CT) and magnetic resonance (MR) images of the phantom were acquired for a feasibility study. RESULTS: Readers correctly classified "patient" and "phantom" scans at pr = 53.3% ± 6.2% (p values 0.013 for H01 and 0.054 for H02, df = 5.96). Readers reviewed US videos and identified the interstitial needle 100% of the time in transabdominal view, and 78% in transrectal view. The phantom was CT and MR safe. CONCLUSIONS: We have outlined a manufacturing process to create a life-sized, gynecological phantom that is compatible with multi-modality imaging and can be used to simulate clinical scenarios in image-guided brachytherapy procedures.

Phantom with multiple active points for ultrasound calibration.

Accurate tracking and localization of ultrasound (US) images are used in various computer-assisted interventions. US calibration is a preoperative procedure to recover the transformation bridging the tracking sensor and the US image coordinate systems. Although many calibration phantom designs have been proposed, a limitation that hinders the resulted calibration accuracy is US elevational beam thickness. Previous studies have proposed an active-echo (AE)-based calibration concept to overcome this limitation by utilizing dynamic active US feedback from a single PZT element-based phantom, which assists in placing the phantom within the US elevational plane. However, the process of searching elevational midplane is time-consuming and requires dedicated hardware to enable "AE" functionality. Extending this active phantom, we present a US calibration concept and associated mathematical framework enabling fast and accurate US calibration using multiple "active" points. The proposed US calibration can simplify the calibration procedure by minimizing the number of times midplane search is performed and shortening calibration time. This concept is demonstrated with a configuration mechanically tracking a US probe using a robot arm. We validated the concept through simulation and experiment, and achieved submillimeter calibration accuracy. This result indicates that the multiple active-point phantom has potential to provide superior calibration performance for applications requiring high tracking accuracy.

Correction to: RF-ablation pattern shaping employing switching channels of dual bipolar needle electrodes: ex vivo results.

The original version of this article was published without funding note. The funding note is given below.

Correction to: Ultrasound thermal monitoring with an external ultrasound source for customized bipolar RF ablation shapes.

The original article has been published without article note.

Toward dynamic lumbar puncture guidance using needle-based single-element ultrasound imaging.

Lumbar punctures (LPs) are interventional procedures that are used to collect cerebrospinal fluid. Since the target window is small, physicians have limited success conducting the procedure. The procedure is especially difficult for obese patients due to the increased distance between bone and skin surface. We propose a simple and direct needle insertion platform, enabling image formation by sweeping a needle with a single ultrasound element at the tip. The needle-shaped ultrasound transducer can not only sense the distance between the tip and a potential obstacle, such as bone, but also visually locate the structures by combining transducer location tracking and synthetic aperture focusing. The concept of the system was validated through a simulation that revealed robust image reconstruction under expected errors in tip localization. The initial prototype was built into a 14 G needle and was mounted on a holster equipped with a rotation shaft allowing one degree-of-freedom rotational sweeping and a rotation tracking encoder. We experimentally evaluated the system using a metal-wire phantom mimicking high reflection bone structures and human spinal bone phantom. Images of the phantoms were reconstructed, and the synthetic aperture reconstruction improved the image quality. These results demonstrate the potential of the system to be used as a real-time guidance tool for improving LPs.

RF-ablation pattern shaping employing switching channels of dual bipolar needle electrodes: ex vivo results.

PURPOSE: Radiofrequency (RF) ablation with mono- or bipolar electrodes is a common procedure for hepatocellular carcinoma (HCC) with a low rate of recurrence for small size tumors. For larger lesions and/or non-round/ellipsoid shapes RF ablation has some limitations and generally does not achieve comparable success rates to microwave ablation or high-intensity focused ultrasound therapies. MATERIALS AND METHODS: To shape RF ablations for matching a tumor size and geometry, we have developed an electronic channel switch box for two bipolar needles that generates multiple selectable ablation patterns. The setup can be used with commercially available mono- or bipolar RF generators. The switch box provides ten selectable ablation procedures to generate different ablation patterns without a relocation of a needle. Five patterns were exemplary generated in ex vivo tissue of porcine liver and chicken breast and visually characterized. RESULTS: Different ablation patterns, e.g., in a L- or U-shape, were achieved. In chicken breast a maximum ablation with a diameter of [Formula: see text] was obtained and in porcine liver [Formula: see text] with electrodes of [Formula: see text] length. CONCLUSION: The resulting ablations with the electronic switch box and two bipolar needles show the potential ability to manage RF therapies of complex and large tumor geometries. Next steps would be to validate the actual tissue ablation volumes in further ex vivo and preclinical studies and against simulation results.

Ultrasound thermal monitoring with an external ultrasound source for customized bipolar RF ablation shapes.

PURPOSE: Thermotherapy is a clinical procedure which delivers thermal energy to a target, and it has been applied for various medical treatments. Temperature monitoring during thermotherapy is important to achieve precise and reproducible results. Medical ultrasound can be used for thermal monitoring and is an attractive medical imaging modality due to its advantages including non-ionizing radiation, cost-effectiveness and portability. We propose an ultrasound thermal monitoring method using a speed-of-sound tomographic approach coupled with a biophysical heat diffusion model. METHODS: We implement an ultrasound thermometry approach using an external ultrasound source. We reconstruct the speed-of-sound images using time-of-flight information from the external ultrasound source and convert the speed-of-sound information into temperature by using the a priori knowledge brought by a biophysical heat diffusion model. RESULTS: Customized treatment shapes can be created using switching channels of radio frequency bipolar needle electrodes. Simulations of various ablation lesion shapes in the temperature range of 21-59 [Formula: see text]C are performed to study the feasibility of the proposed method. We also evaluated our method with ex vivo porcine liver experiments, in which we generated temperature images between 22 and 45 [Formula: see text]C. CONCLUSION: In this paper, we present a proof of concept showing the feasibility of our ultrasound thermal monitoring method. The proposed method could be applied to various thermotherapy procedures by only adding an ultrasound source.

Photoacoustic-based catheter tracking: simulation, phantom, and in vivo studies.

Catheters are commonly used in many procedures and tracking and localizing them is critical to patient safety and surgical success. The standard of care for catheter tracking is with the use of fluoroscopy. Alternatives using conventional tracking technologies such as electromagnetic trackers have been previously explored. This work explores the use of an emerging imaging modality, photoacoustics, as a means for tracking. A piezoelectric (PZT) sensor is placed at the tip of the catheter, allowing it to receive the acoustic signals generated from photoacoustic markers due to the photoacoustic effect. The locations of these photoacoustic markers are determined by a stereo-camera and the received acoustic signals are converted into distances between the PZT element and the photoacoustic markers. The location of the PZT sensor can be uniquely determined following a multilateration process. This work validates this photoacoustic tracking method in phantom, simulation, and in vivo scenarios using metrics including reconstruction precision, relative accuracy, estimated accuracy, and leave-out accuracy. Submillimeter tracking results were achieved in phantom experiments. Simulation studies evaluated various physical parameters relating to the photoacoustic source and the PZT sensor. In vivo results showed feasibility for the eventual deployment of this technology.

Robot-assisted automatic ultrasound calibration.

PURPOSE: Ultrasound (US) calibration is the process of determining the unknown transformation from a coordinate frame such as the robot's tooltip to the US image frame and is a necessary task for any robotic or tracked US system. US calibration requires submillimeter-range accuracy for most applications, but it is a time-consuming and repetitive task. We provide a new framework for automatic US calibration with robot assistance and without the need for temporal calibration. METHOD: US calibration based on active echo (AE) phantom was previously proposed, and its superiority over conventional cross-wire phantom-based calibration was shown. In this work, we use AE to guide the robotic arm motion through the process of data collection; we combine the capability of the AE point to localize itself in the frame of the US image with the automatic motion of the robotic arm to provide a framework for calibrating the arm to the US image automatically. RESULTS: We demonstrated the efficacy of the automated method compared to the manual method through experiments. To highlight the necessity of frequent ultrasound calibration, it is demonstrated that the calibration precision changed from 1.67 to 3.20 mm if the data collection is not repeated after a dismounting/mounting of the probe holder. In a large data set experiment, similar reconstruction precision of automatic and manual data collection was observed, while the time was reduced by 58 %. In addition, we compared ten automatic calibrations with ten manual ones, each performed in 15 min, and showed that all the automatic ones could converge in the case of setting the initial matrix as identity, while this was not achieved by manual data sets. Given the same initial matrix, the repeatability of the automatic was [0.46, 0.34, 0.80, 0.47] versus [0.42, 0.51, 0.98, 1.15] mm in the manual case for the US image four corners. CONCLUSIONS: The submillimeter accuracy requirement of US calibration makes frequent data collections unavoidable. We proposed an automated calibration setup and showed feasibility by implementing it for a robot tooltip to US image calibration. The automated method showed a similar reconstruction precision as well as repeatability compared to the manual method, while the time consumed for data collection was reduced. The automatic method also reduces the burden of data collection for the user. Thus, the automated method can be a viable solution for applications that require frequent calibrations.

Conjugated polymer chain and crystallite orientation induced by vertically aligned carbon nanotube arrays.

We report a method for controlling the orientations of conjugated polymers in the active layer of organic thin-film transistors (OTFTs) by annealing the film at the melting temperature in a vertically aligned multiwalled carbon nanotube (VA-CNT) template under various load pressures. Poly(3-hexylthiophene) [P3HT] molecules are effectively aligned in the melting state annealing at 240 °C for 30 min, as a result of intermolecular π-π and CH3-π interactions between the polymer and the VA-CNTs, which are separated from the conjugated polymer film after cooling to room temperature. In-plane and out-of-plane X-ray diffraction results show that the melt-annealed P3HT film with VA-CNTs has better crystallite ordering than a pristine 80 °C baked film and a melt-annealed film without VA-CNTs, and a larger number of crystallites in the treated P3HT film are oriented in the [100] direction, which is normal to the substrate. When we used the melt-aligned P3HT film with VA-CNTs as the active layer in OTFTs, the P3HT OTFT exhibits a better field-effect mobility value of 0.12 cm(2)/(V s) than a simply melt-annealed device without VA-CNTs [0.06 cm(2)/(V s)].

Out-of-plane growth of CNTs on graphene for supercapacitor applications.

This paper describes the fabrication and characterization of a hybrid nanostructure comprised of carbon nanotubes (CNTs) grown on graphene layers for supercapacitor applications. The entire nanostructure (CNTs and graphene) was fabricated via atmospheric pressure chemical vapor deposition (APCVD) and designed to minimize self-aggregation of the graphene and CNTs. Growth parameters of the CNTs were optimized by adjusting the gas flow rates of hydrogen and methane to control the simultaneous, competing reactions of carbon formation toward CNT growth and hydrogenation which suppresses CNT growth via hydrogen etching of carbon. Characterization of the supercapacitor performance of the CNT-graphene hybrid nanostructure indicated that the average measured capacitance of a fabricated graphene-CNT structure was 653.7 µF cm(-2) at 10 mV s(-1) with a standard rectangular cyclic voltammetry curve. Rapid charging-discharging characteristics (mV s(-1)) were exhibited with a capacitance of approximately 75% (490.3 µF cm(-2)). These experimental results indicate that this CNT-graphene structure has the potential towards three-dimensional (3D) graphene-CNT multi-stack structures for high-performance supercapacitors.

Structural and electrochemical properties of Ag nano-dots combined amorphous Si electrodes for thin-film lithium rechargeable batteries.

We have one-pot fabricated Si-based nanocomposite electrodes containing Ag nano-dots for thin-film Li rechargeable batteries by a co-sputtering method. The structural and electrochemical properties of the Si/Ag nanocomposite electrodes are investigated via transmission electron microscopy (TEM), field emission scanning electron microscopy (FESEM), X-ray diffraction (XRD), and cycler. The TEM and XRD results show that crystalline Ag nano-dots (approximately 5-9 in size) are well-dispersed within an amorpohous Si matrix. It is shown that the Si/Ag nanocomposite electrode shows much better structural stability than the Si only sample. It is also shown that the Si/Ag nanocomposite electrode shows superior capacity retention compared to the Si only electrode. The results indicate that the presence of the Ag nano-dots is important minimizing the formation of cracks in the electrode, so leading to the better life-time for thin-film Li rechargeable batteries.

Diameter-engineered SnO2 nanowires over contact-printed gold nanodots using size-controlled carbon nanopost array stamps.

A novel and effective methodology to control the diameters of semiconductor nanowires is reported through a versatile contact-printing method for obtaining size-controlled nanocatalysts by size-tunable carbon-based nanometer stamps. Vertically aligned carbon nanopost arrays, derived from nanoporous alumina templates, are used as the nanoscale stamps for printing of catalyst nanoparticles. The diameter of the carbon nanopost can be engineered by adjusting the pore dimension of the templates. Over the contact-printed Au nanodots in a uniform size distribution, semiconductor SnO2 nanowires are grown via a vapor-liquid-solid growth mechanism. Consequently, a direct dimension correspondence is achieved between the carbon nanopost stamp, the printed Au catalyst, and the finally obtained SnO2 nanowires. A model example of the diameter-dependent electrical properties of the semiconductor nanowires is successfully demonstrated in this work by applying three diameter-controlled SnO2 nanowires to nanowire field effect transistors.

Carbon nanosyringe array as a platform for intracellular delivery.

We report a novel platform for intracellular delivery of genetic material and nanoparticles, based on vertically aligned carbon nanosyringe arrays (CNSAs) of controllable height. Using this technology, we have shown that plasmid and quantum dots can be efficiently delivered to the cytoplasm of cancer cells and human mesenchymal stem cells. The CNSA platform holds great promise for a myriad of applications including cell-based therapy, imaging, and tracking in vivo, and in biological studies aimed at understanding cellular function.

Patterned array of nanoparticles on substrates via contact printing method with CNTs/AAO stamp.

Patterned arrays of Fe oxide nanoparticles were transferred via contact printing method on a substrate surface using carbon nanotubes embedded in anodic aluminum oxide (CNTs/AAO) as a stamp, in which vertically aligned CNTs in hexagonally patterned array was first fabricated by chemical vapor deposition into the AAO, followed by a partial chemical etching to expose the CNTs from the AAO. Fe precursor inked CNTs stamp was contact-printed on a Pt-coated Si substrate, and after heat treatment at 200 degrees C, patterned array of Fe oxide nanoparticles with ca. 80 nm of diameter and ca. 120 nm of inter-distance between the nanoparticles was consequently obtained.

Effects of tanshinone IIA on the hepatotoxicity and gene expression involved in alcoholic liver disease.

Tanshinone IIA is one of the most abundant constituents of the root of Salvia miltiorrhiza BUNGE which exerts antioxidant and anti-inflammatory actions in many experimental disease models. In the present study, we demonstrated that the standardized fraction of S. miltiorrhiza (Sm-SF) was able to protect RAW 264.7 cells from ethanol-and lipopolysaccharide (LPS)-induced production of superoxide radical, activation of NADPH oxidase and subsequently death of the cells. Among four main components of Sm-SF, tanshinone IIA was the most potent in protecting cells from LPS-and ethanol-induced cytotoxicity. LPS or ethanol induced the expression of CD14, iNOS, and SCD1 and decreased RXR-alpha, which was completely reversed by tanshinone IIA. In H4IIEC3 cells, 10 microM tanshinone IIA effectively blocked ethanol-induced fat accumulation as evidenced by Nile Red binding assay. These results indicate that tanshinone IIA may have potential to inhibit alcoholic liver disease by reducing LPS-and ethanol-induced Kupffer cell sensitization, inhibiting synthesis of reactive oxygen/nitrogen species, inhibiting fatty acid synthesis and stimulating fatty acid oxidation.

Nanoimprint lithography patterns with a vertically aligned nanoscale tubular carbon structure.

A nanoscale tubular carbon structure array was demonstrated as a mold for nanoimprint lithography (NIL), in which a vertically formed and hexagonally aligned nanoscale tubular carbon array was fabricated through carbon growth inside an anodic aluminum oxide (AAO) nanotemplate, followed by controlled chemical etching of the AAO layer. High density (over 10(10) cm(-2)) of the nanoscale carbon pillars with their controlled diameters and protruded lengths was inversely replicated onto a UV-curable resist for the first time using the imprinting lithography technique.

Magnetic dipolar interaction in NiFe nanodot arrays formed on vertical carbon nanotubes.

A new and simple method for the fabrication of densely packed magnetic nanodot arrays was developed using conventional sputtering deposition at room temperature. An anodized alumina template was employed for the formation of nanodot assemblies, consisting of carbon nanotubes (CNTs) and magnetic nanodot arrays. Each nanodot was formed exactly on top of a CNT and was arranged with a well-ordered structure in a wide range of area. It was also found that the size of dots and the distance between dots can be tailored by changing the length of CNTs, inducing a change of strength of dipolar interaction between nanodots.

Size controlled nickel oxide nanoparticles on carbon nanotubes for supercapacitor electrode.

We have synthesized supercapacitor electrodes fashioned of NiO(x)/multiwalled carbon nanotubes (MWNTs), in which the controlled NiO(x) nanoparticles were prepared via a simple colloidal method and supported on the MWNTs. The sizes of the NiO(x) nanoparticles on MWNTs were systematically varied from 4 to 14 nm at a fixed metal loading of 20 wt% by changing sintering temperature in a controlled manner. The maximum specific capacitance of the NiO(x)/MWNTs was measured to be ca. 215 F per unit gram of NiO(x)/MWNTs by cyclic voltammetry (CV) in an aqueous 1 M KOH electrolyte, demonstrating that the specific capacitance of the MWNTs-supported nanosize NiO(x) is strongly dependent on the dispersion and size of the nanoparticles for the supercapacitor performance.

Ta2O5-Incorporated WO3 nanocomposite film for improved electrochromic performance in an acidic condition.

We report electrochromic and electrochemical properties of a WO3-Ta2O5 nanocomposite electrode that was fabricated from co-sputtering. Transmission electron microscopy (TEM) images of the WO3-Ta20 nanocomposite electrode revealed that morphology of the WO3 film was changed by incorporation of Ta2O5 nanoparticles, and their chemical states were confirmed to be W6+ and Ta5+ oxides from X-ray photoelectron spectroscopy (XPS). The introduction of Ta2O5 to the WO3 film played a role in alleviating surface roughness increase during continuous potential cycling; whereas the surface roughness of the WO3 film was increased from ca. 3.0 nm to ca. 13.4 nm after 400 cycles, the roughness increase on the WO3-Ta2O5 was significantly reduced to 4.2 nm after 400 cycles, as investigated by atomic force microscopy (AFM). This improvement of the stability by adding Ta2O5 may be responsible for the enhanced electrochemical and optical properties over long-term cycling with the WO3-Ta2O5 nanocomposite electrode.