Dual-energy computed tomography and micro-computed tomography for assessing bone regeneration in a rabbit tibia model.

To gain a more meaningful understanding of bone regeneration, it is essential to select an appropriate assessment method. Micro-computed tomography (Micro-CT) is widely used for bone regeneration because it provides a substantially higher spatial resolution. Dual-energy computed tomography (DECT) ensure shorter scan time and lower radiation doses during quantitative evaluation. Therefore, in this study, DECT and Micro-CT were used to evaluate bone regeneration. We created 18 defects in the tibial plateau of the rabbits and filled them with porous polyetheretherketone implants to promote bone regeneration. At 4, 8, and 12 weeks, Micro-CT and DECT were used to assess the bone repair in the defect region. In comparison to Micro-CT (152 ± 54 mg/cm3), the calcium density values and hydroxyapatite density values obtained by DECT [DECT(Ca) and DECT(HAP)] consistently achieved lower values (59 ± 25 mg/cm3, 126 ± 53 mg/cm3). In addition, there was a good association between DECT and Micro-CT (R = 0.98; R2 = 0.96; DECT(Ca): y = 0.45x-8.31; DECT(HAP): y = 0.95x-17.60). This study highlights the need to use two different imaging methods, each with its advantages and disadvantages, to better understand the bone regeneration process.

Differences in Vertebral Morphology and bone Mineral Density between Grade 1 Vertebral Fracture and Non-Fractured Participants in the Chinese Population.

PURPOSE: To investigate the difference in vertebral morphology and bone mineral density (BMD) between grade 1 VFs and non-fractured participants in the Chinese population to shed light on the clinical significance of grade 1 VFs from various perspectives. METHODS: This retrospective cohort study included patients who received a chest low-dose computed tomography (LDCT) scan for health examination and visited the First Affiliated Hospital of Zhengzhou University, Henan, China, from October 2019 to August 2022. Data were analyzed from March 2023 to July 2023. The main outcome of this study was the difference in morphological parameters and BMD between grade 1 VFs and non-fractured participants. The prevalence of grade 1 VFs in China populations was calculated. The difference in BMD of three fracture types in the Grade 1 group was also evaluated. RESULTS: A total of 3652 participants (1799 males, 54.85 ± 9.02 years, range, 40-92 years; 1853 females, 56.00 ± 9.08 years, range, 40-93 years) were included. The prevalence of grade 2 and 3 increase with age. The prevalence of grade 1 VFs gradually increases ≤ 50y to 60-69y group, but there is a decrease in the ≥ 70 years male group (6.6%) and a rise in the female group (25.5%). There was no significant statistical difference observed in vertebral shape indices (VSI) and BMD between the Grade 1 group and the no-fractured group aged < 50 years old except the wedge index in male. The biconcavity index did not differ between the non-fractured group and the Grade 1 group in men aged 50-59 years, whereas a significant statistical difference was observed in women. Additionally, the results of BMD were consistent with these findings. For the 40-59 years age group, there were significant differences between the compression deformity group and the other groups. CONCLUSIONS: The grade 1 group had higher VSI and lower BMD than the non-fractured group, suggesting an association between the Grade 1 group and osteoporosis in individuals aged over 50 for women and over 60 for men. Different fracture types have significant variations in BMD among middle-aged people. The prevalence of grade 1 VFs exhibits an age-related increase in both genders, with opposite trends observed between older males and females. We suggested VSI can aid physicians in the diagnosis of grade 1 VFs.

The improving strategies and applications of nanotechnology-based drugs in hepatocellular carcinoma treatment.

Hepatocellular carcinoma (HCC) is one of the leading causes of tumor-related death worldwide. Conventional treatments for HCC include drugs, radiation, and surgery. Despite the unremitting efforts of researchers, the curative effect of HCC has been greatly improved, but because HCC is often found in the middle and late stages, the curative effect is still not satisfactory, and the 5-year survival rate is still low. Nanomedicine is a potential subject, which has been applied to the treatment of HCC and has achieved promising results. Here, we summarized the factors affecting the efficacy of drugs in HCC treatment and the strategies for improving the efficacy of nanotechnology-based drugs in HCC, reviewed the recent applications' progress on nanotechnology-based drugs in HCC treatment, and discussed the future perspectives and challenges of nanotechnology-based drugs in HCC treatment.

Two-dimensional modeling of CO2 mineral trapping through the oxalate­carbonate pathway: Influence of the root system model.

Two-dimensional reactive transport models, one with a simplified root system and the other accounting for dynamically evolving root architecture, were constructed to examine the influence of model complexity on capturing the effect of soil-root dynamics relating to the Oxalate Carbonate Pathway (OCP) of the Iroko tree over 170 years. Oxidation of oxalate from fallen tree tissue by soil bacteria enables local soil pH increase, leading to the sequestration of atmospheric carbon in carbonate minerals (calcite) in the shallow soil surrounding the tree. Simulations of both root models corroborate previous one-dimensional models of the OCP focused on Ca and C mass balance, where high weathering rates of Ca-containing silicate minerals in bedrock, along with contributions from groundwater, provided sufficient Ca for precipitation of observed quantities of calcite. Both simulations demonstrate the development of a distinct high pH zone where oxalate is oxidized, Ca accumulates, and calcite precipitates (OCP zone); and a low pH zone where roots collect Ca, later returned to the top soil as calcium oxalate (Total Root Extent/TRE zone) via litterfall. While the extent of OCP zone development near the ground surface was very similar between simulations, differences in localized root water uptake between the two approaches resulted in variation in water and solute transport and influenced the geometry of the OCP zone at depth, with implications for calcite precipitation in the soil. Trends in CO2 and O2 partial pressures in the OCP zone were mirrored in the TRE zone, suggesting linkage between the two zones with regard to gas transport. Near the end of the tree's lifespan, results indicate that soil permeability decreases due to calcite precipitation may limit O2 ingress and availability in the shallow soil, while trapping CO2 released from the oxidation of organics in the shallow soil, with implications for the long-term sustainability of the OCP itself.

Pore size-mediated macrophage M1 to M2 transition affects osseointegration of 3D-printed PEEK scaffolds.

Increasing evidence indicates that macrophages play an important role in angiogenesis and bone regeneration. Because the phenotypic polarization of macrophage is extremely sensitive to the pore size of materials, poly(ether-ether-ketone) (PEEK) scaffolds with pore sizes of 0, 200, and 400 µm were prepared, and the influence of pore size-mediated macrophage polarization on subsequent angiogenesis and osteogenesis was examined. The interaction results of macrophages and scaffolds indicated that macrophages were responsive to the pore size of three-dimensional (3D)-printed PEEK scaffolds, and large pore size scaffolds showed greater potential in inducing M1 to M2 transition of macrophage and enhanced macrophage secretion of high concentrations of osteogenesis-related and angiogenesis-related cytokines. When human umbilical vein endothelial cells (HUVECs) and bone marrow mesenchymal stem cells (BMSCs) were cultured in the conditioned medium derived from co-culture of macrophages and scaffolds, HUVECs showed good angiogenic responses in terms of cell migration and angiogenic gene expression, while BMSCs showed good osteogenic differentiation effect in in vitro mineralization and osteogenesis-related gene expression. The results of bone defect repair showed that the bone volume/total volume ratio and trabecular thickness of the large pore size PEEK scaffold were significantly higher, and it had better biomechanical properties and achieved a better osseointegration effect. Our data demonstrate that large-pore PEEK scaffolds promote angiogenesis and osteogenic differentiation in vitro and osseointegration in vivo, most likely because scaffolds with larger pore size are able to mediate a higher degree of M1 to M2 transition in macrophages.

The advancements in targets for ferroptosis in liver diseases.

Ferroptosis is a type of regulated cell death caused by iron overload and lipid peroxidation, and its core is an imbalance of redox reactions. Recent studies showed that ferroptosis played a dual role in liver diseases, that was, as a therapeutic target and a pathogenic factor. Therefore, herein, we summarized the role of ferroptosis in liver diseases, reviewed the part of available targets, such as drugs, small molecules, and nanomaterials, that acted on ferroptosis in liver diseases, and discussed the current challenges and prospects.

Influence of Basalt/Polypropylene Fiber on Permeability and Uniaxial Compressive Properties of Waste Tire Rubberized Concrete.

The rubber particles obtained from the grinding of waste tires can replace a portion of the fine aggregates in concrete, thus effectively reducing the level of environmental damage and saving resources. However, when concrete is mixed with rubber, it greatly reduces its strength. In this study, by introducing basalt fiber (BF) and polypropylene fiber (PF) as modified materials in rubberized concrete, the influence of the fiber type/volume ratio on the slump, water absorption, static uniaxial compression, and permeability of the rubberized concrete was tested. The axial compression stress-strain relationship was analyzed, the effect of the fiber type/volume ratio on the energy dissipation of the rubberized concrete during uniaxial compression was expounded, and a stress-strain constitutive model under uniaxial compression was established. The test results showed that the fiber reduces the fluidity and water absorption of the rubberized concrete. Compared with the polypropylene fiber, the basalt fiber increased the strength of the rubberized concrete, while the polypropylene fiber mainly inhibited the expansion and penetration of the macroscopic crack of the rubberized concrete. The mixing of the basalt fiber and polypropylene fiber significantly decreased the release rate of the elastic strain energy of the rubberized concrete, increased the dissipation energy, and thus improved its ductility and toughness. During a loading process under confining pressure, the permeability of the tested specimen decayed exponentially, and the fiber greatly enhanced the anti-permeability of the rubber concrete.

Corrigendum: The optimal axial anatomical site for a single-slice area to quantify the total volume of visceral adipose tissue in quantitative CT.

[This corrects the article DOI: 10.3389/fendo.2022.870552.].

Deep-learning image reconstruction for image quality evaluation and accurate bone mineral density measurement on quantitative CT: A phantom-patient study.

Background and purpose: To investigate the image quality and accurate bone mineral density (BMD) on quantitative CT (QCT) for osteoporosis screening by deep-learning image reconstruction (DLIR) based on a multi-phantom and patient study. Materials and methods: High-contrast spatial resolution, low-contrast detectability, modulation function test (MTF), noise power spectrum (NPS), and image noise were evaluated for physical image quality on Caphan 500 phantom. Three calcium hydroxyapatite (HA) inserts were used for accurate BMD measurement on European Spine Phantom (ESP). CT images were reconstructed with filtered back projection (FBP), adaptive statistical iterative reconstruction-veo 50% (ASiR-V50%), and three levels of DLIR(L/M/H). Subjective evaluation of the image high-contrast spatial resolution and low-contrast detectability were compared visually by qualified radiologists, whilst the statistical difference in the objective evaluation of the image high-contrast spatial resolution and low-contrast detectability, image noise, and relative measurement error were compared using one-way analysis of variance (ANOVA). Cohen's kappa coefficient (k) was performed to determine the interobserver agreement in qualitative evaluation between two radiologists. Results: Overall, for three levels of DLIR, 50% MTF was about 4.50 (lp/cm), better than FBP (4.12 lp/cm) and ASiR-V50% (4.00 lp/cm); the 2 mm low-contrast object was clearly resolved at a 0.5% contrast level, while 3mm at FBP and ASiR-V50%. As the strength level decreased and radiation dose increased, DLIR at three levels showed a higher NPS peak frequency and lower noise level, leading to leftward and rightward shifts, respectively. Measured L1, L2, and L3 were slightly lower than that of nominal HA inserts (44.8, 95.9, 194.9 versus 50.2, 100.6, 199.2mg/cm3) with a relative measurement error of 9.84%, 4.08%, and 2.60%. Coefficients of variance for the L1, L2, and L3 HA inserts were 1.51%, 1.41%, and 1.18%. DLIR-M and DLIR-H scored significantly better than ASiR-V50% in image noise (4.83 ± 0.34, 4.50 ± 0.50 versus 4.17 ± 0.37), image contrast (4.67 ± 0.73, 4.50 ± 0.70 versus 3.80 ± 0.99), small structure visibility (4.83 ± 0.70, 4.17 ± 0.73 versus 3.83 ± 1.05), image sharpness (3.83 ± 1.12, 3.53 ± 0.90 versus 3.27 ± 1.16), and artifacts (3.83 ± 0.90, 3.42 ± 0.37 versus 3.10 ± 0.83). The CT value, image noise, contrast noise ratio, and image artifacts in DLIR-M and DLIR-H outperformed ASiR-V50% and FBP (P<0.001), whilst it showed no statistically significant between DLIR-L and ASiR-V50% (P>0.05). The prevalence of osteoporosis was 74 (24.67%) in women and 49 (11.79%) in men, whilst the osteoporotic vertebral fracture rate was 26 (8.67%) in women and (5.29%) in men. Conclusion: Image quality with DLIR was high-qualified without affecting the accuracy of BMD measurement. It has a potential clinical utility in osteoporosis screening.

The Optimal Axial Anatomical Site for a Single-Slice Area to Quantify the Total Volume of Visceral Adipose Tissue in Quantitative CT.

Purpose: Determine the association between cross-sectional visceral adipose tissue (VAT) area of different anatomic locations and total abdominopelvic VAT volume; identify the optimal measurement site in a single-slice to quantify the total VAT volume. Method: Participants who underwent non-contrast abdominal scan by quantitative CT (QCT) were enrolled from May 2021 to October 2021. The VAT area (cm2) at different anatomic sites as upper-pole, lower-pole, and hilum of the kidney, intervertebral disc of L2/L3 and L5/S1, and umbilical level were measured on QCT PRO BMD workstation (Mindways QCT PRO workstation). The total VAT volume (cm3) from the upper pole of kidney to the L5/S1 intervertebral disc of the pelvis (abdominopelvic region) was obtained by using Siemens Healthineers Syngo via Frontier cardiac risk assessment. Regression models were used to identify the optimal single-slice in different gender for estimating VAT volume. Statistical significance was established at P < 0.05. Results: Total of 311 Chinese participants including 179 men [age, 55.1 ± 14.9 years; body mass index (BMI), 24.2 ± 3.2 kg/m2; total VAT volume, 2482.6 ± 1276.5 mL] and 132 women [age, 54.3 ± 14.9; BMI, 23.5 ± 2.9; total VAT volume, 1761.5 ± 876.4]. Pearson's correlation analysis revealed a strong association between the VAT area and total abdominopelvic VAT volume at the hilum of the kidney in both men (r=0.938, P<0.001) and women (r=0.916, P<0.001). Adjust for covariates including age, BMI, and waist circumference make a relatively small effect on predicting the total VAT volume. Conclusions: Measurement of cross-sectional areas at the hilum of the kidney in both genders showed a strongest relation to TVAT volume. Our results may provide an identifiable and valuable axial landmark for measuring visceral adipose tissue in clinical practice.

Experimental Study on the Influence of Rubber Content on Chloride Salt Corrosion Resistance Performance of Concrete.

In order to enhance the corrosion resistance of concrete to chloride salt, 5% NaCl solution was used to corrode ordinary concrete (OC) and rubber concrete (RC) with 5%, 10%, and 15% rubber content, respectively. By testing the compressive strength, mass, chloride ion concentration at different depths and relative dynamic elastic modulus, the erosion mechanism was analyzed by means of SEM scanning and EDS patterns, and the mechanical properties and deterioration degree of ordinary concrete (OC) and rubber concrete (RC) under the corrosion environment of chloride salt were studied. The results show that: the quality of rubber mixed into concrete increases first and then decreases, and rubber can increase the compressive strength of concrete, improve its internal structure. At the same time, the mechanical properties of concrete in the corrosion environment of chloride salt are improved to a certain extent, and the deterioration degree is reduced. Considering the comprehensive performance of OC and RC in the dry-wet alternation mechanism under chloride salt corrosion, the best content of rubber is 10%.

Laboratory-scale experimental and modelling investigations of 222Rn profiles in chemically heterogeneous LNAPL contaminated vadose zones.

The potential of LNAPL delineation by 222Rn soil-gas monitoring in a chemically heterogeneous vadose zone was investigated in this study based on laboratory (batch and columns) experiments and numerical modelling. An enhanced version of the MIN3P reactive transport code was used to simulate Rn transport in both uncontaminated and NAPL-contaminated vadose zones and results were validated against analytical solutions and laboratory experiments. Results show that 222Rn activity profiles are mainly controlled by porous media 222Rn production, vadose zone fluid saturations and especially the type and distribution of NAPL in contaminated areas. The results also show that decreases in 222Rn activity and variations in activity gradients provide evidence for the presence and saturation of NAPL. This study demonstrates that LNAPL delineation via 222Rn gas surveys at contaminated sites works best, if gas measurements extend as deep as possible and include regions where 222Rn activity decreases due to elevated NAPL content. In addition, collection and analysis of depth-discrete gas samples allows the characterization of vertical NAPL distribution based on the 222Rn activity gradient. The determination of 222Rn production in the unsaturated zone, as well as water capillary pressure curves are of key importance in enabling the discrimination of an uncontaminated from a NAPL-contaminated area.