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1.
São José dos Campos; s.n; 2022. 48 p. ilus, graf.
Tese em Português | BBO - Odontologia | ID: biblio-1393096

RESUMO

O objetivo deste estudo foi avaliar acurácia do posicionamento de implantes imediatos instalados na região anterior da maxila por meio de cirurgia guiada ou convencional de acordo com a experiência do cirurgião. Dez cirurgiões inexperientes e 10 cirurgiões experientes instalaram em modelos odontológico, um implante de forma guiada e convencional na região do dente 12 e 22, distribuídos aleatoriamente. A amostra foi composta por 4 grupos: experiente e guiado (EG), experiente e convencional (EC), inexperiente e guiado (IG) e inexperiente e convencional (IC) com 10 casos em cada grupo, totalizando 40 implantes. Foram impressos 20 modelos obtidos a partir do escaneamento de um manequim de treinamento padronizado (MOM). O modelo foi submetido a tomografia por feixe cônico e escaneado para planejamento da posição ideal do implante e obtenção das guias cirúrgicas, utilizando o software coDiagnostiX®. Após a instalação dos implantes foram obtidas novas tomografias dos modelos e a acurácia do posicionamento foi comparada ao planejamento inicial por meio da sobreposição das imagens nos sentidos global, e linear. Os dados obtidos foram tabulados e submetidos à análise estatística. Observamos diferenças estatísticas entre o tipo de cirurgia no grupo experiente no desvio angular e nos desvios lineares: plataforma tridimensional (P-3D), mesio distal (P-MD), vestíbulo palatino (P-VP),apical tridimensional (A-3D), mesio distal (A-MD), vestíbulo palatino (A-VP) e no grupodos cirurgiões inexperientes nos desvios lineares P-3D, P-MD, P-VP, A-3D, A-MD. Ao comparar a acurácia de acordo com a experiência do cirurgião, observamos diferenças significativas apenas na cirurgia convencional para os desvios de P-3D, PAC e A-AC. Concluímos que a acurácia dos implantes instalados de forma guiada foi maior independentemente do grau de experiência do cirurgião. (AU)


The objective of this study was to evaluate the accuracy of the positioning of immediate implants installed in the anterior region of the maxilla through guided or conventional surgery, according to the surgeon's experience. Ten inexperienced surgeons and 10 experienced surgeons installed, in dental models, an implant in a guided and conventional way in the region of tooth 12 and 22, randomly distributed. The sample consisted of 4 groups: experienced and guided (EG), experienced and conventional (EC), inexperienced and guided (IG) and inexperienced and conventional (IC) with 10 cases in each group, totaling 40 implants. Twenty models obtained from the scanning of a standardized training manikin (MOM) were printed. The model was submitted to cone beam tomography and scanned to plan the ideal position of the implant and obtain the surgical guides, using the coDiagnostiX® software. After implant placement, new tomography scans of the models were obtained and the positioning accuracy was compared to the initial planning by superimposing the images in the global and linear directions. The data obtained were tabulated and submitted to statistical analysis. We observed statistical differences between the type of surgery in the group experienced in angular deviation and linear deviations: three-dimensional platform (P-3D), mesiodistal (P-MD), palatal vestibule (P-VP), three-dimensional apical (A-3D), mesiodistal (A-MD), vestibule palatine (A-VP) and in the group of inexperienced surgeons in linear deviations P-3D, P-MD, P-VP, A-3D, A-MD. When comparing the accuracy according to the surgeon's experience, we observed significant differences only in conventional surgery for P-3D, P-AC and A-AC deviations. We concluded that the accuracy of guided implants was higher regardless of the surgeon's experience. (AU)


Assuntos
Implantes Dentários , Cirurgia Assistida por Computador , Precisão da Medição Dimensional
2.
Pesqui. bras. odontopediatria clín. integr ; 22: e210163, 2022. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1386815

RESUMO

Abstract Objective: To compare the accuracy of periapical radiography (PR) and cone-beam computed tomography (CBCT) for the detection of external apical root resorption (EARR) due to root canal contamination. Material and Methods: Dog's teeth with experimentally induced root resorption due to root canal contamination underwent or not root canal treatment (n=62). True positives (TP), false positives (FP), true negatives (TN), and false negatives (FN) in PR and CBCT diagnoses were determined using histopathologic findings as the gold standard. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy (TP + TN) in the diagnosis of EARR were calculated. Data were compared using chi-squared test (α=0.05). Results: EARR was detected in 35% of roots by PR, in 47% by CBCT, and in 50% of the roots by microscopy (p=0.03 PR versus microscopy; p=0.67 CBCT versus microscopy). Overall, CBCT produced more accurate diagnoses than PR (p=0.008). PR and CBCT allowed the identification of large resorption in 100% of the cases and showed the same accuracy. However, for small resorptions, PR showed an accuracy of 0.83, whereas CBCT showed an accuracy of 0.96 (p=0.003). Conclusion: Cone-beam computed tomography showed higher accuracy in detecting external apical root resorption of endodontic origin.


Assuntos
Animais , Cães , Periodontite Periapical/diagnóstico por imagem , Reabsorção da Raiz/diagnóstico por imagem , Radiografia Dentária/instrumentação , Tomografia Computadorizada de Feixe Cônico/instrumentação , Precisão da Medição Dimensional , Distribuição de Qui-Quadrado , Cavidade Pulpar
3.
Isr Med Assoc J ; 23(11): 714-719, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34811987

RESUMO

BACKGROUND: The 2015 American Thyroid Association (ATA2015) and the American College of Radiology Thyroid Imaging and Reporting Data System (ACR TI-RADS) are two widely used thyroid sonographic systems. OBJECTIVES: To compare the two systems for accuracy of cancer risk prediction. METHODS: Preoperative ultrasound images from 265 patients who underwent thyroidectomy at our hospital from January 2012 to March 2019 were retrospectively categorized by the ACR TI-RADS and ATA2015 systems. Diagnostic performances were compared. RESULTS: Of 238 nodules assessed, 115 were malignant. Malignancy risks for the five ACR TI-RADS categories were 0%, 7.5%, 11.4%, 59.6%, and 90.0%. Malignancy risks for the five ATA2015 categories were 0%, 6.8%, 17.0%, 55.5%, and 92.1%. The proportion of total nodules biopsied was higher with the ATA2015 system than the ACR TI-RADS system: 88.7% vs. 66.3%. Proportions of malignant nodules and benign nodules biopsied were higher with ATA2015 than with ACR TI-RADS: 93.3% vs. 87.8% and 84.4% vs. 46.3%, respectively. Specificity and sensitivity rates were 53.6% and 84.3%, respectively, for ACR TI-RADS, and 15.5% and 93.3%, respectively, for ATA2015. The two systems showed similarly accurate diagnostic performance (AUC > 0.88). False negative rates for ACR TI-RADS and ATA2015 were 15.6% and 6.6%, respectively. Rates of missed aggressive cancer were similar for the two systems: 3.4% and 3.7%, respectively. CONCLUSIONS: ACR TI-RADS was superior to ATA2015 in specificity and avoiding unnecessary biopsies. ATA2015 yielded better sensitivity and a lower false negative rate. Identification of aggressive cancers was identical in the two systems.


Assuntos
Biópsia por Agulha Fina , Glândula Tireoide , Neoplasias da Glândula Tireoide , Nódulo da Glândula Tireoide , Tireoidectomia , Biópsia por Agulha Fina/métodos , Biópsia por Agulha Fina/estatística & dados numéricos , Erros de Diagnóstico/estatística & dados numéricos , Precisão da Medição Dimensional , Reações Falso-Negativas , Feminino , Humanos , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Medição de Risco/métodos , Glândula Tireoide/diagnóstico por imagem , Glândula Tireoide/patologia , Glândula Tireoide/cirurgia , Neoplasias da Glândula Tireoide/diagnóstico por imagem , Neoplasias da Glândula Tireoide/epidemiologia , Neoplasias da Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/cirurgia , Nódulo da Glândula Tireoide/diagnóstico por imagem , Nódulo da Glândula Tireoide/epidemiologia , Nódulo da Glândula Tireoide/patologia , Nódulo da Glândula Tireoide/cirurgia , Tireoidectomia/métodos , Tireoidectomia/estatística & dados numéricos , Ultrassonografia/métodos , Ultrassonografia/estatística & dados numéricos , Procedimentos Desnecessários/métodos , Procedimentos Desnecessários/estatística & dados numéricos
5.
Eur J Pharm Biopharm ; 169: 52-63, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34547415

RESUMO

Wireless sensor networks have become prolific in a wide range of industrial processes and offer several key advantages over their wired counterparts in terms of positioning flexibility, modularity, interconnectivity, and data routing. We demonstrate their utility in pharmaceutical lyophilization by developing a series of wireless devices to measure spatial variations in gas pressure and temperature during primary drying. The influence of shelf temperature, chamber pressure, excipient concentration, and dryer configuration are explored for various representative cycles using a laboratory-scale pharmaceutical lyophilizer. Pressure and temperature variations across the shelf for these cases are shown to vary up to 1.2 Pa and 10 °C, respectively. Experimental measurements are supported by computational fluid dynamics simulations to reveal the mechanisms driving the vapor flow. The measurements and simulation data are then combined to estimate the shelf-wise sublimation rate in the inverse sense to within a deviation of 3% based on comparison with gravimetric data. We then apply the sublimation rate profile to obtain the vial heat transfer coefficient and product mass transfer resistance for a 5% w/v mannitol formulation. Finally, these parameters are applied to a one-dimensional quasi-steady heat transfer model to predict the evolution of the product temperature over the course of primary drying. Thermocouple measurements of product temperature are compared directly to the simulated data and demonstrate accuracy comparable to existing published one-dimensional models.


Assuntos
Simulação por Computador , Liofilização , Tecnologia Farmacêutica , Tecnologia sem Fio , Dessecação/instrumentação , Dessecação/métodos , Precisão da Medição Dimensional , Liofilização/instrumentação , Liofilização/métodos , Humanos , Hidrodinâmica , Modelos de Interação Espacial , Pressão , Tecnologia Farmacêutica/instrumentação , Tecnologia Farmacêutica/métodos , Tecnologia Farmacêutica/tendências , Temperatura
6.
Acta amaz ; 51(3): 199-206, set 2021.
Artigo em Inglês | LILACS | ID: biblio-1353492

RESUMO

Enquanto o Inventário Florestal Nacional Brasileiro (IFN) está em andamento, há uma demanda crescente para entender o efeito da área do conglomerado sobre a exatidão e precisão da estimativa de atributos florestais. O objetivo deste estudo foi determinar a área mínima de um conglomerado para estimar o volume comercial (VC) com a mesma acurácia e precisão que as estimativas derivadas do conglomerado original de 8.000 m². A base de dados é proveniente de um inventário realizado em uma unidade florestal (Floresta Nacional do Bom Futuro) no sudoeste da Amazônia brasileira, onde 22 conglomerados foram distribuídos em um desenho amostral em dois estágios. Foram avaliados três produtos: (i) VC de árvores com diâmetro à altura do peito (DAP) ≥ 20 cm (P1); (ii) VC de árvores com DAP ≥ 50 cm (P2); e (iii) VC de espécies comerciais com DAP ≥ 50 cm e qualidade de fuste 'nível 1' ou 'nível 2' (P3). O estudo avaliou dez cenários em que a área do conglomerado foi reduzida de 8.000 a 800 m². A acurácia de P1, P2 e P3 foi significativamente menor para reduções < 2.400 m². A precisão foi mais sensível à variação no tamanho do conglomerado, sobretudo para P2 e P3. Os tamanhos mínimos de conglomerado foram ≥ 2.400 m² para estimar P1, ≥ 4.800 m² para estimar P2 e ≥ 7.200 m² para estimar P3. Concluímos que é possível reduzir a área do conglomerado sem perder acurácia e precisão do conglomerado original do IFN. Um conglomerado de 2.400 m² fornece estimativas com a mesma acurácia que o conglomerado original, independentemente do produto avaliado. (AU)


Assuntos
Madeira , Florestas , Ecossistema Amazônico , Conservação dos Recursos Naturais , Precisão da Medição Dimensional
7.
Rev. Ciênc. Méd. Biol. (Impr.) ; 20(2): 240-244, set 29, 2021. fig, tab
Artigo em Português | LILACS | ID: biblio-1354433

RESUMO

Introdução: a detecção da reabsorção da raiz dentária é realizada por meio de exames de imagens, pois frequentemente não apresenta sinal e sintoma clínicos. Dentre os exames de imagem disponíveis, o exame radiográfico periapical, é indicado para diagnóstico, prognóstico e acompanhamento da reabsorção radicular. Objetivo: o estudo tem como objetivo investigar a relação de diferentes resoluções espaciais com o diagnóstico de reabsorção radicular. Metodologia: foram realizados desgastes simulando reabsorção externa no terço apical e vestibular de 15 (quinze) incisivos inferiores, radiografados em crânio seco, antes e depois do desgaste. A técnica radiográfica foi realizada utilizando o sistema VistaScan (Durr Dental, Bietigheim-Bissingen, Germany), aparelho CS 2200 (Carestream Dental LLC, Atlanta-GA, USA) usando tempo de exposição de 0,15 segundos e escaneadas sob diferentes protocolos de resolução espacial, a saber, 20 pares de linhas por milímetro (pl/mm) e 40 pl/mm. Posteriormente dois avaliadores experientes fizeram análises das referidas imagens sem conhecimento prévio da resolução de escaneamento. Resultados: 75% das radiografias realizadas com 20 pl/mm foram classificadas como excelentes pelos avaliadores, contra 33% com 40 pl/mm, estatisticamente significativa. Discussão: ao avaliar a reabsorção radicular, obteve-se uma acurácia diagnóstica igual para os dois protocolos sem distinção, estatisticamente significativa, entre localização ou profundidade. Conclusão: tendo em vista que para os examinadores imagens com 20 pl/mm foram satisfatórias, com percentual de qualidade maior quando comparado a imagens obtidas com 40 pl/ mm, este estudo indica o emprego de imagens com 20 pl/mm para avaliação inicial de suspeita de reabsorções nas raízes dentárias.


Introduction: the detection of tooth root resorption is carried out by means of imaging tests, as it often does not present a clinical sign and symptom. Among the imaging tests available, the periapical radiographic examination is indicated for diagnosis, prognosis and monitoring of root resorption. Objective: the study aims to investigate the relationship of different spatial resolutions in the diagnosis of root resorption. Methods: Artificial external root resorptions were simulated using burs by drilling to the entire depth in different locations at the apical and buccal thirds of 15 (fifteen) lower incisors were worn, radiographed on a dry skull, before and after wear. The radiographic technique was performed using the VistaScan system (Durr Dental, Bietigheim-Bissingen, Germany), CS 2200 device (Carestream Dental LLC, Atlanta-GA, USA) using an exposure time of 0.15 seconds and scanned under different resolutions protocols, namely, 20 pairs of lines per millimeters (pl/mm) and 40 pl/mm. Subsequently, two experienced evaluators performed analyzes of these images without prior knowledge of the scanning resolution. Results: seventy-five percent of the radiographs taken at 20 pl/mm were rated as excellent by the evaluators, against 33% at 40 pl/mm, a statistically significant difference. Discussion: When assessing root resorption, a similar diagnostic accuracy was obtained for the two protocols without a statistically significant distinction between location or depth. Conclusions: Considering that for examiners images with 20 pl/mm were satisfactory, with a percentage of quality greater than 40 pl/mm, this study indicates the use of 20 pl/mm for initial evaluation of suspected root resorption.


Assuntos
Humanos , Reabsorção da Raiz , Raiz Dentária , Diagnóstico por Imagem , Radiografia Dentária Digital , Pesquisa , Precisão da Medição Dimensional , Incisivo
8.
Artigo em Inglês | MEDLINE | ID: mdl-34246615

RESUMO

OBJECTIVES: To compare the geometric accuracy and measurement reliability of 3-dimensional (3D) reconstructed models of the mandible created from cone beam computed tomography (CBCT) images obtained with 0.2-mm and 0.4-mm voxel sizes with the reference standard model and compare the accuracy of the CBCT-based models to each other. STUDY DESIGN: The reference standard 3D model of a dry human mandible was obtained using a white light scanner. The mandible was scanned with CBCT 10 times at each voxel size. The models created from the CBCT data were compared with the reference standard by using a point-based rigid registration algorithm where the distance differences between the superimposed CBCT models and the reference standard model were recorded. The measurements derived from the 2 CBCT-based scans were also compared. RESULTS: Mean deviations from the reference standard for 0.2-mm and 0.4-mm voxel scans were 0.4342 mm and 0.4580 mm, respectively (P ≥ .16). The CBCT scans with both 0.2-mm and 0.4-mm voxels produced good measurement reliability and did not significantly differ from each other (P ≥ .20). CONCLUSIONS: CBCT scans with 0.2-mm and 0.4-mm voxel sizes delivered similarly accurate models. Larger voxels can be used to minimize radiation exposure.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Imageamento Tridimensional , Precisão da Medição Dimensional , Humanos , Mandíbula/diagnóstico por imagem , Reprodutibilidade dos Testes
9.
ScientificWorldJournal ; 2021: 9315553, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34220368

RESUMO

BACKGROUND: This study aims to formulate regression equations that predict the mesiodistal crown widths of the permanent first molars utilizing the mesiodistal crown widths of the deciduous second molars. METHODS: Fifty pairs of study models belonging to 50 Iraqi children aged eight to nine years with sound mixed dentition were used to measure the mesiodistal crown widths of the permanent first molars and deciduous second molars using a pointed digital sliding caliper with 0.01 mm sensitivity. Side and gender differences were assessed, and the correlations between these teeth were obtained to develop the regression equations. RESULTS: The results revealed no significant side differences, so the samples were merged and analyzed for gender differences, which were found to be significant in all examined teeth except the mandibular permanent first molar. Direct, moderate, and highly significant correlations between the mesiodistal crown widths of the permanent first molars and deciduous second molars were found, which led to the development of regression equations. After applying these equations, the resultant predicted widths were compared to the actual widths, and the results revealed nonsignificant method differences. CONCLUSIONS: A new method was developed to predict the widths of permanent first molars from the adjacent primary second molars with high precision.


Assuntos
Coroas , Precisão da Medição Dimensional , Dente Decíduo , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Dente Molar , Estudos Retrospectivos
10.
Chest ; 160(5): 1902-1914, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34089738

RESUMO

BACKGROUND: There is an urgent need for population-based studies on managing patients with pulmonary nodules. RESEARCH QUESTION: Is it possible to identify pulmonary nodules and associated characteristics using an automated method? STUDY DESIGN AND METHODS: We revised and refined an existing natural language processing (NLP) algorithm to identify radiology transcripts with pulmonary nodules and greatly expanded its functionality to identify the characteristics of the largest nodule, when present, including size, lobe, laterality, attenuation, calcification, and edge. We compared NLP results with a reference standard of manual transcript review in a random test sample of 200 radiology transcripts. We applied the final automated method to a larger cohort of patients who underwent chest CT scan in an integrated health care system from 2006 to 2016, and described their demographic and clinical characteristics. RESULTS: In the test sample, the NLP algorithm had very high sensitivity (98.6%; 95% CI, 95.0%-99.8%) and specificity (100%; 95% CI, 93.9%-100%) for identifying pulmonary nodules. For attenuation, edge, and calcification, the NLP algorithm achieved similar accuracies, and it correctly identified the diameter of the largest nodule in 135 of 141 cases (95.7%; 95% CI, 91.0%-98.4%). In the larger cohort, the NLP found 217,771 reports with nodules among 717,304 chest CT reports (30.4%). From 2006 to 2016, the number of reports with nodules increased by 150%, and the mean size of the largest nodule gradually decreased from 11 to 8.9 mm. Radiologists documented the laterality and lobe (90%-95%) more often than the attenuation, calcification, and edge characteristics (11%-14%). INTERPRETATION: The NLP algorithm identified pulmonary nodules and associated characteristics with high accuracy. In our community practice settings, the documentation of nodule characteristics is incomplete. Our results call for better documentation of nodule findings. The NLP algorithm can be used in population-based studies to identify pulmonary nodules, avoiding labor-intensive chart review.


Assuntos
Neoplasias Pulmonares , Pulmão/diagnóstico por imagem , Nódulos Pulmonares Múltiplos , Processamento de Linguagem Natural , Nódulo Pulmonar Solitário , Algoritmos , Calcinose/diagnóstico por imagem , Precisão da Medição Dimensional , Documentação/métodos , Documentação/normas , Humanos , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/patologia , Nódulos Pulmonares Múltiplos/diagnóstico por imagem , Nódulos Pulmonares Múltiplos/patologia , Melhoria de Qualidade , Radiografia Torácica/métodos , Radiologia/normas , Radiologia/tendências , Sensibilidade e Especificidade , Nódulo Pulmonar Solitário/diagnóstico por imagem , Nódulo Pulmonar Solitário/patologia , Tomografia Computadorizada por Raios X/métodos , Carga Tumoral
11.
CMAJ Open ; 9(2): E642-E650, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34131027

RESUMO

BACKGROUND: Home blood pressure monitoring is increasingly used for pregnant individuals; however, there are no guidelines on such monitoring in this population. We assessed current practices in the prescription and use of home blood pressure monitoring in pregnancy. METHODS: We conducted a systematic review and meta-analysis of observational studies and randomized controlled trials (RCTs). We conducted a structured search through the MEDLINE (from 1946), Embase (from 1974) and CENTRAL (from 2018) databases up to Oct. 19, 2020. We included trials comparing office and home blood pressure monitoring in pregnant people. Outcomes included patient education, home blood pressure device, monitoring schedule, adherence, diagnostic thresholds for home blood pressure, and comparison between home and office measurements of blood pressure. RESULTS: We included in our review 21 articles on 19 individual studies (1 RCT, 18 observational) that assessed home and office blood pressure in pregnant individuals (n = 2843). We observed variation in practice patterns in terms of how home monitoring was prescribed. Eight (42%) of the studies used validated home blood pressure devices. Across all studies, measurements were taken 3 to 36 times per week. Third-trimester home blood pressure corresponding to office blood pressure of 140/90 mm Hg after application of a conversion factor ranged from 118 to 143 mm Hg (systolic) and from 76 to 92 mm Hg (diastolic), depending on the patient population and methodology. Systolic and diastolic blood pressure values measured at home were lower than office values by 4 (95% confidence interval [CI] -6 to -3) mm Hg and 3 (95% CI -4 to -2) mm Hg, respectively. INTERPRETATION: Many issues related to home blood pressure monitoring in pregnancy are currently unresolved, including technique, monitoring schedule and target values. Future studies should prioritize the use of validated home measuring devices and standardized measurement schedules and should establish treatment targets. PROSPERO REGISTRATION: CRD42020147352.


Assuntos
Monitorização Ambulatorial da Pressão Arterial , Hipertensão Induzida pela Gravidez/diagnóstico , Hipertensão/diagnóstico , Complicações Cardiovasculares na Gravidez/diagnóstico , Monitorização Ambulatorial da Pressão Arterial/instrumentação , Monitorização Ambulatorial da Pressão Arterial/métodos , Monitorização Ambulatorial da Pressão Arterial/normas , Precisão da Medição Dimensional , Feminino , Humanos , Gravidez
12.
Am Heart J ; 239: 19-26, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33992606

RESUMO

Angiography-derived physiological assessment of coronary lesions has emerged as an alternative to wire-based assessment aiming at less-invasiveness and shorter procedural time as well as cost effectiveness in physiology-guided decision making. However, current available image-derived physiology software have limitations including the requirement of multiple projections and are time consuming. METHODS/DESIGN: The ReVEAL iFR (Radiographic imaging Validation and EvALuation for Angio-iFR) trial is a multicenter, multicontinental, validation study which aims to validate the diagnostic accuracy of the Angio-iFR medical software device (Philips, San Diego, US) in patients undergoing angiography for Chronic Coronary Syndrome (CCS). The Angio-iFR will enable operators to predict both the iFR and FFR value within a few seconds from a single projection of cine angiography by using a lumped parameter fluid dynamics model. Approximately 440 patients with at least one de-novo 40% to 90% stenosis by visual angiographic assessment will be enrolled in the study. The primary endpoint is the sensitivity and specificity of the iFR and FFR for a given lesion compared to the corresponding invasive measures. The enrollment started in August 2019, and was completed in March 2021. SUMMARY: The Angio-iFR system has the potential of simplifying physiological evaluation of coronary stenosis compared with available systems, providing estimates of both FFR and iFR. The ReVEAL iFR study will investigate the predictive performance of the novel Angio-iFR software in CCS patients. Ultimately, based on its unique characteristics, the Angio-iFR system may contribute to improve adoption of functional coronary assessment and the workflow in the catheter laboratory.


Assuntos
Angiografia Coronária , Estenose Coronária/diagnóstico por imagem , Vasos Coronários , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Software/normas , Angiografia Coronária/métodos , Angiografia Coronária/tendências , Doença da Artéria Coronariana/diagnóstico , Doença da Artéria Coronariana/fisiopatologia , Vasos Coronários/diagnóstico por imagem , Vasos Coronários/fisiopatologia , Precisão da Medição Dimensional , Humanos , Avaliação de Resultados em Cuidados de Saúde , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Índice de Gravidade de Doença
13.
BMC Pregnancy Childbirth ; 21(1): 324, 2021 Apr 24.
Artigo em Inglês | MEDLINE | ID: mdl-33894762

RESUMO

BACKGROUND: To establish reference ranges of fetal facial profile markers and study their correlations with crown-rump length (CRL) during the first trimester (11 ~ 13+ 6 weeks' gestation) in a Chinese population. METHODS: Ultrasonographic images of measuring fetal nuchal translucency (NT) were retrospectively selected randomly in normal fetuses whose parents were both Chinese. The facial markers included inferior facial angle (IFA), maxilla-nasion-mandible (MNM) angle, facial maxillary angle (FMA) and profile line (PL) distance. These markers were measured through ViewPoint 6 software by two experienced sonographers. RESULTS: Three hundred and eighty fetuses were selected. The ICCs (95 % CI) of intra-operator 1 reproducibility of IFA, MNM angle, FMA, PL distance were 0.944 (0.886 ~ 0.973), 0.804 (0.629 ~ 0.902), 0.834 (0.68 ~ 0.918) and 0.935 (0.868 ~ 0.969), respectively. The ICCs (95 % CI) of intra-operator 2 reproducibility of IFA, MNM angle, FMA, PL distance were 0.931 (0.857 ~ 0.967), 0.809 (0.637 ~ 0.904), 0.786 (0.600 ~ 0.892) and 0.906 (0.813 ~ 0.954), respectively. The ICCs (95 % CI) of inter-operator reproducibility of IFA, MNM angle, FMA, PL distance were 0.885 (0.663 ~ 0.953), 0.829 (0.672 ~ 0.915), 0.77 (0.511 ~ 0.891) and 0.844 (0.68 ~ 0.925), respectively. The average ± SD of IFA, MNM angle, FMA and PL distance were 80.2°±7.25°, 4.17°±1.19°, 75.36°±5.31°, 2.78 ± 0.54 mm, respectively. IFA and PL distance significantly decreased with CRL, while MNM angle and FMA significantly increased with CRL. CONCLUSIONS: It was feasible to measure fetal facial markers during the first trimester. In Chinese population, the reference ranges of IFA, MNM angle, FMA and PL distance were 80.2°±7.25°, 4.17°±1.19°, 75.36°±5.31°, 2.78 ± 0.54 mm, respectively, and the measurements were found to correlate with CRL.


Assuntos
Estatura Cabeça-Cóccix , Face , Feto/diagnóstico por imagem , Medição da Translucência Nucal/métodos , Ultrassonografia Pré-Natal/métodos , Adulto , China/epidemiologia , Precisão da Medição Dimensional , Face/anormalidades , Face/diagnóstico por imagem , Estudos de Viabilidade , Feminino , Idade Gestacional , Humanos , Gravidez , Primeiro Trimestre da Gravidez , Reprodutibilidade dos Testes
14.
PLoS One ; 16(4): e0250207, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33861774

RESUMO

Vertical tanks are commonly used appliances for liquids, and its capacity is very important for quantitative liquid ratio and liquid trade. In order to measure the capacity of vertical tanks more conveniently, this paper proposes a vertical tank capacity measurement method based on Monte Carlo Method. The method arranges a plurality of sensor points on the inner surface of the tank, and then performs Monte Carlo tests by generating a large number of random sample points, and finally calculates the capacity by counting the sample points that meet the criterion. The criterion for whether a sample point is located in the tank, which is the core issue, is established with the coordinates of sensor points and the distance between different sensor points along the surface of the tank. The results show that the absolute error of the measurement results of the proposed method does not exceed ±0.0003[m3], and the absolute error of capacity per unit volume has a linear relationship with the height of the vertical tank, and has little effect with the radial size of the vertical tank.


Assuntos
Previsões/métodos , Precisão da Medição Dimensional , Modelos Teóricos , Método de Monte Carlo , Pesos e Medidas
15.
J Endocrinol Invest ; 44(11): 2485-2492, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33890251

RESUMO

PURPOSE: Vitamin D (VitD) is a pleiotropic hormone with effects on a multitude of systems and metabolic pathways. Consequently, the relevance of a sufficiently high VitD serum level becomes self-evident. METHODS: A rapid immunofluorescence assay designed for the point-of-care measurement of serum VitD3 solely was tested. Inter- and intra-assay validation, double testing and result comparison with a standardized laboratory method were performed. RESULTS: An overall linear correlation of r = 0.89 (Pearson, 95% CI 0.88-0.92, p < 0.01) between the point of care and the conventional reference assay was registered. Accuracy and precision were of special interest at cut-points (10 ng/ml [mean deviation 1.7 ng/ml, SD 1.98 ng/ml, SE 0.16 ng/ml], 12 ng/ml [MD 0.41, SD 1.89, SE 0.19] and 30 ng/ml [MD - 1.11, SD 3.89, SE 0.35]). Only a slight deviation was detected between the two assays when using fresh (r = 0.91, 95% CI 0.86-0.94, p < 0.01) and frozen serum samples (r = 0.86, 0.82-0.89, p < 0.01). Results remained steady when samples were frozen several times. Inter- and intra-assay validation according to the CLSI protocol as well as multiuser testing showed stable results. CONCLUSION: This novel, innovative, and controlled study indicates that the evaluated rapid point of care VitD assay is reliable, accurate, and suited for clinical practice.


Assuntos
Colecalciferol , Imunofluorescência/métodos , Medições Luminescentes/métodos , Sistemas Automatizados de Assistência Junto ao Leito , Deficiência de Vitamina D , Colecalciferol/análise , Colecalciferol/sangue , Precisão da Medição Dimensional , Humanos , Reprodutibilidade dos Testes , Deficiência de Vitamina D/sangue , Deficiência de Vitamina D/diagnóstico
16.
World J Urol ; 39(9): 3399-3405, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33710425

RESUMO

PURPOSE: Increasing use and resolution of testicular ultrasound imaging has resulted in a greater diagnosis of non-palpable small testicular masses and subsequent over-treatment with orchiectomy. Our aim was to determine the diagnostic accuracy of testicular ultrasound to accurately determine the pathologic size of small testicular masses (SMTMs) and to evaluate the association of various measurements with benign pathology. METHODS: Retrospectively, an institutional testicular cancer database was reviewed to evaluate the patients who underwent an orchiectomy for a testicular mass seen on ultrasound from 2003 to 2017. Three-dimensional measurements were compared from the ultrasound and pathology specimens, including other measures such as tumor volume and percentage of testicular volume. Finally, the predictive accuracy of maximum diameter and tumor volume to predict benign pathology was evaluated using receiver-operating curve analysis. RESULTS: We identified 208 patients and showed that ultrasound significantly underestimated sub-centimeter testicular masses (mean difference 0.56 cm, 95%CI 0.89-0.14, p = 0.004) and testicular masses between 1 and < 2 cm (mean difference 0.50 cm, 95%CI 0.97-0.15, p = 0.009). Tumor volume measured on ultrasound was consistently similar to pathologic tumor volume across all sizes and was significantly correlated (Spearman's Rho = 0.81). Mass volume had a greater predictive accuracy for benign pathology than maximum diameter using a 1 cm cut-off (AUC 0.65 vs 0.60). CONCLUSION: Using the maximal diameter, testicular ultrasound significantly miscalculated the pathologic dimensions of masses less than 2 cm compared to orchiectomy specimens. Volumetric measurements may better represent actual tumor sizes for SMTMs and may be a more useful measure for identifying those a higher risk for benign pathology, however, further studies are required.


Assuntos
Precisão da Medição Dimensional , Neoplasias Testiculares/diagnóstico por imagem , Neoplasias Testiculares/patologia , Carga Tumoral , Adulto , Correlação de Dados , Humanos , Masculino , Estudos Retrospectivos , Ultrassonografia
17.
Cancer Biother Radiopharm ; 36(10): 809-819, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33656372

RESUMO

Background: The purpose of this study was to develop a rapid, reliable, and efficient tool for three-dimensional (3D) dosimetry treatment planning and post-treatment evaluation of liver radioembolization with 90Y microspheres, using tissue-specific dose voxel kernels (DVKs) that can be used in everyday clinical practice. Materials and Methods: Two tissue-specific DVKs for 90Y were calculated through Monte Carlo (MC) simulations. DVKs for the liver and lungs were generated, and the dose distribution was compared with direct MC simulations. A method was developed to produce a 3D dose map by convolving the calculated DVKs with the activity biodistribution derived from clinical single-photon emission computed tomography (SPECT) or positron emission tomography (PET) images. Image registration for the SPECT or PET images with the corresponding computed tomography scans was performed before dosimetry calculation. The authors first compared the DVK convolution dosimetry with a direct full MC simulation on an XCAT anthropomorphic phantom. They then tested it in 25 individual clinical cases of patients who underwent 90Y therapy. All MC simulations were carried out using the GATE MC toolkit. Results: Comparison of the measured absorbed dose using tissue-specific DVKs and direct MC simulation on 25 patients revealed a mean difference of 1.07% ± 1.43% for the liver and 1.03% ± 1.21% for the tumor tissue, respectively. The largest difference between DVK convolution and full MC dosimetry was observed for the lung tissue (10.16% ± 1.20%). The DVK statistical uncertainty was <0.75% for both media. Conclusions: This semiautomatic algorithm is capable of performing rapid, accurate, and efficient 3D dosimetry. The proposed method considers tissue and activity heterogeneity using tissue-specific DVKs. Furthermore, this method provides results in <1 min, making it suitable for everyday clinical practice.


Assuntos
Embolização Terapêutica , Neoplasias Hepáticas/radioterapia , Neoplasias Pulmonares/radioterapia , Microesferas , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada/métodos , Planejamento da Radioterapia Assistida por Computador/métodos , Tomografia Computadorizada com Tomografia Computadorizada de Emissão de Fóton Único/métodos , Radioisótopos de Ítrio/farmacologia , Algoritmos , Precisão da Medição Dimensional , Relação Dose-Resposta à Radiação , Embolização Terapêutica/instrumentação , Embolização Terapêutica/métodos , Humanos , Imageamento Tridimensional , Método de Monte Carlo , Datação Radiométrica , Compostos Radiofarmacêuticos/farmacologia , Reprodutibilidade dos Testes
18.
BMC Pregnancy Childbirth ; 21(1): 175, 2021 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-33663407

RESUMO

BACKGROUND: Accuracy of fetal weight estimation by ultrasound is essential in making decisions on the time and mode of delivery. There are many proposed formulas for fetal weight estimation such as Hadlock 1, Hadlock 2, Hadlock 3, Hadlock 4 and Shepard. What best applies to the Ugandan population is not known since no verification of any of the formulas has been done before. The primary aim of this study was to determine the accuracy of sonographic estimation of fetal weight using five most commonly used formulas, and analyze formula variations for different weight ranges. METHODS: This was a hospital based prospective cohort study at Mulago National Referral Hospital, Kampala, Uganda. A total of 356 pregnant women who consented and were within 3 days of birth were enrolled. Prenatal ultrasound fetal weight determined by measuring the biparietal diameter, head circumference, abdominal circumference, femoral length, and then was compared with actual birth weight. RESULTS: The overall accuracy of Hadlock 1, Hadlock 2, Hadlock 3, Hadlock 4 and Shepard formula were 66.9, 73.3, 77.3, 78.4 and 69.7% respectively. All Hadlocks showed significant mean difference between weight estimates and actual birth weight (p < 0.01) whereas Shepard formula did not [p - 0.2], when no stratification of fetal weights was done. However, all Hadlocks showed a none significant (p-values > 0.05) mean difference between weight estimates and actual birth weight when the actual birth weight was ≥4000.0 g. Shepard weight estimates showed a none significant mean difference when actual birth weight was < 4000 g. Bland-Altman graphs also showed a better agreement of weight estimated by Shepard formula and actual birth weights. CONCLUSION: All the five formulas were accurate at estimating actual birth weights within 10% accuracy. However, this accuracy varied with the fetal birth weight. Shepard was more accurate in estimating actual birth weights < 4000 g whereas all Hadlocks were more accurate when the actual birthweight was ≥4000 g.


Assuntos
Peso ao Nascer , Peso Fetal , Cuidado Pré-Natal/métodos , Nascimento a Termo , Ultrassonografia Pré-Natal/métodos , Adulto , Tamanho Corporal , Estudos de Coortes , Precisão da Medição Dimensional , Feminino , Humanos , Recém-Nascido , Gravidez , Prognóstico , Estudos Prospectivos , Estatística como Assunto/métodos , Estatística como Assunto/normas , Uganda/epidemiologia
19.
J Plast Reconstr Aesthet Surg ; 74(6): 1173-1179, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33573886

RESUMO

INTRODUCTION: Infrared thermography allows the detection of infrared radiation which can be reliably associated with skin temperature. Modern portable thermography devices have been used to identify the location of skin perforators by detecting subtle differences in skin temperature. The aim of this study is to conduct a diagnostic accuracy systematic review to determine the specificity and sensitivity of infrared thermography. MATERIALS AND METHODS: A PRISMA-compliant systematic review and meta-analysis was conducted, scrutinising PUBMED and EMBASE databases for diagnostic studies measuring the accuracy of infrared thermography for perforator identification. Article screening, review and data gathering was conducted in parallel by two independent authors. Eligible studies were subject to a formal risk of bias was assessment using the QUADAS2 instrument. RESULTS: A total of 254 entries were obtained, of which 7 satisfied our pre-established inclusion criteria. These studies reported a total of 435 perforators in 133 individuals. The most commonly investigated locations were the antero-lateral thigh and abdominal wall. Reported sensitivity values ranged from 73.7% to 100%. A meta-analysis demonstrated a cumulative sensitivity of 95%. Specificity was not routinely reported. All studies presented a moderate to high risk of bias according to QUADAS2. DISCUSSION: Affordable infrared thermography devices are an interesting alternative to traditional preoperative investigations for perforator mapping. They are sensitive enough to reliably identify a large proportion of perforators as "hot-spots". However, there is limited evidence to estimate the specificity of this technology, as studies have failed to report true negative values associated with "cold-spots".


Assuntos
Raios Infravermelhos , Retalho Perfurante , Pele/diagnóstico por imagem , Termografia , Precisão da Medição Dimensional , Humanos , Retalho Perfurante/irrigação sanguínea , Retalho Perfurante/transplante , Cirurgia Plástica/métodos , Termografia/instrumentação , Termografia/métodos , Termografia/normas , Coleta de Tecidos e Órgãos
20.
World J Urol ; 39(8): 2853-2860, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33495864

RESUMO

PURPOSE: To assess the safety and efficacy of contrast-enhanced ultrasound (CEUS) imaging for monitoring small (< 4 cm) renal masses (SRM) in patients undergoing active surveillance (AS). METHODS: We retrospectively selected all consecutive patients with SRMs who underwent AS for at least 6 months at our Institution between January 2014 and December 2018. CEUS imaging was performed by two experienced genitourinary radiologists at established time points. The accuracy of CEUS for monitoring SRM size was compared with that of CT scan. For solid SRMs, four enhancement patterns (EP) were recorded. Radiological progression was defined as SRM growth rate ≥ 5 mm/year. RESULTS: Overall, 158/1049 (15.1%) patients with SRMs underwent AS. At a median follow-up of 25 months (IQR 13-39), no patient died due to renal cell carcinoma (RCC). No patients experienced CEUS-related adverse events. There was a large variability in the pattern of growth of SRMs (overall median growth rate: 0.40 mm/year), with 9.5% of SRMs showing radiological progression. The median SRM size was comparable between CEUS and CT scan examinations at all time points. The vast majority (92.7%) of SRMs did not show a change in their EP over time; and there was no association between the SRM's EP and radiological progression or SRM size. Overall, 43 (27.2%) patients underwent delayed intervention (DI); median SRM size, and median growth rate were significantly higher in these patients as compared to those continuing AS. CONCLUSION: In experienced hands, CEUS is a safe and effective strategy for active monitoring of SRMs in well-selected patients undergoing AS.


Assuntos
Carcinoma de Células Renais , Aumento da Imagem/métodos , Neoplasias Renais , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia/métodos , Conduta Expectante , Idoso , Carcinoma de Células Renais/diagnóstico por imagem , Carcinoma de Células Renais/patologia , Carcinoma de Células Renais/terapia , Pesquisa Comparativa da Efetividade , Meios de Contraste/farmacologia , Precisão da Medição Dimensional , Feminino , Humanos , Itália/epidemiologia , Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/patologia , Neoplasias Renais/terapia , Masculino , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Carga Tumoral , Conduta Expectante/métodos , Conduta Expectante/estatística & dados numéricos
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