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1.
Proc Natl Acad Sci U S A ; 119(15): e2123111119, 2022 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-35380898

RESUMO

In vivo fluorescence/luminescence imaging in the near-infrared-IIb (NIR-IIb, 1,500 to 1,700 nm) window under <1,000 nm excitation can afford subcentimeter imaging depth without any tissue autofluorescence, promising high-precision intraoperative navigation in the clinic. Here, we developed a compact imager for concurrent visible photographic and NIR-II (1,000 to 3,000 nm) fluorescence imaging for preclinical image-guided surgery. Biocompatible erbium-based rare-earth nanoparticles (ErNPs) with bright down-conversion luminescence in the NIR-IIb window were conjugated to TRC105 antibody for molecular imaging of CD105 angiogenesis markers in 4T1 murine breast tumors. Under a ∼940 ± 38 nm light-emitting diode (LED) excitation, NIR-IIb imaging of 1,500- to 1,700-nm emission afforded noninvasive tumor­to­normal tissue (T/NT) signal ratios of ∼40 before surgery and an ultrahigh intraoperative tumor-to-muscle (T/M) ratio of ∼300, resolving tumor margin unambiguously without interfering background signal from surrounding healthy tissues. High-resolution imaging resolved small numbers of residual cancer cells during surgery, allowing thorough and nonexcessive tumor removal at the few-cell level. NIR-IIb molecular imaging afforded 10-times-higher and 100-times-higher T/NT and T/M ratios, respectively, than imaging with IRDye800CW-TRC105 in the ∼900- to 1,300-nm range. The vastly improved resolution of tumor margin and diminished background open a paradigm of molecular imaging-guided surgery.


Assuntos
Érbio , Neoplasias Mamárias Experimentais , Nanopartículas Metálicas , Imagem Óptica , Espectroscopia de Luz Próxima ao Infravermelho , Cirurgia Assistida por Computador , Animais , Anticorpos Monoclonais/química , Anticorpos Monoclonais/imunologia , Fluorescência , Corantes Fluorescentes/química , Neoplasias Mamárias Experimentais/diagnóstico por imagem , Neoplasias Mamárias Experimentais/cirurgia , Camundongos , Neoplasia Residual/diagnóstico por imagem , Imagem Óptica/métodos , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Cirurgia Assistida por Computador/métodos
2.
Small ; 20(33): e2311557, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38553810

RESUMO

A liquescent salt consisting of a 7,7,8,8-tetracyanquinodimethane (TCNQ) radical anion and a tetra-n-decylammonium ion, 1+•TCNQ•-, exhibits rapid changes in the short-wave infrared (SWIR) light transparency at 1000-1400 nm upon the application of a one-shot needlestick-stimulus. Radical anion salt 1+•TCNQ•- transforms from a blue solid to a green liquid at 90 °C without decomposition under aerated conditions, and remains in the liquid state upon cooling to 70 °C. After applying pressure with a needlestick on a cover glass at 70 °C, the liquid transforms rapidly into the solid state over a timescale of seconds across a centimeter scale of area. Along with the liquid-solid transition, the SWIR-light transparency at 1200 nm completely switches from the "on" to the "off" states. Experimental results, such as electronic spectra and crystal structure analysis, indicates that the SWIR-light absorption in the solid state is due to the existence of a slipped-stacking π-dimer structure for TCNQ•-. The rapid rearrangement is induced by the formation of the π-dimer structures from the monomers of TCNQ•- and the subsequent generations of the solid-state seed.

3.
Small ; 20(2): e2305668, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37670219

RESUMO

A liquescent bis(malononitriledithiolato)nickel(III) complex with a bis(methoxyethyl)imidazolium cation, 1[Ni(mnt)2 ], exhibits three-stage thermochromic modulation of transparency/absorption in the short-wave-infrared (SWIR) region (1000-2500 nm), driven by associated structural changes. Upon heating, the electronic spectra of 1[Ni(mnt)2 ] in the SWIR region shift to shorter wavelengths accompanying with the solid-liquid phase transition at 76 °C. Further heating to over 109 °C induces a second transition of the electronic spectra, characterized by a blue-shift of the SWIR absorption in the liquid phase. The results of temperature-dependent electronic spectra and magnetic susceptibility indicated that the thermochromic changes can be attributed to the two-step dissociation of the associated structures of [Ni(mnt)2 ]- , occurring during the solid-liquid phase transition and the shift of dimer-monomer equilibrium in the liquid state. These changes can be visualized using an SWIR imaging camera under appropriate SWIR lights.

4.
Sensors (Basel) ; 24(10)2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38794013

RESUMO

In many areas of engineering, the design of a new system usually involves estimating performance-related parameters from early stages of the project to determine whether a given solution will be compliant with the defined requirements. This aspect is particularly relevant during the design of satellite payloads, where the target environment is not easily accessible in most cases. In the context of Earth observation sensors, this problem has been typically solved with the help of a set of complex pseudo-empirical models and/or expensive laboratory equipment. This paper describes a more practical approach: the illumination conditions measured by an in-orbit payload are recreated on ground with the help of a replica of the same payload so the performance of another Earth observation sensor in development can be evaluated. The proposed method is specially relevant in the context of small satellites, as the possibility of having extra units devoted to these tasks becomes greater as costs are reduced. The results obtained using this method in an actual space mission are presented in this paper, giving valuable information that will help in further stages of the project.

5.
Angew Chem Int Ed Engl ; 63(8): e202316733, 2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-38170453

RESUMO

Heavy-metal-free III-V colloidal quantum dots (CQDs) are promising materials for solution-processed short-wave infrared (SWIR) photodetectors. Recent progress in the synthesis of indium antimonide (InSb) CQDs with sizes smaller than the Bohr exciton radius enables quantum-size effect tuning of the band gap. However, it has been challenging to achieve uniform InSb CQDs with band gaps below 0.9 eV, as well as to control the surface chemistry of these large-diameter CQDs. This has, to date, limited the development of InSb CQD photodetectors that are sensitive to ≥ ${\ge }$ 1400 nm light. Here we adopt solvent engineering to facilitate a diffusion-limited growth regime, leading to uniform CQDs with a band gap of 0.89 eV. We then develop a CQD surface reconstruction strategy that employs a dicarboxylic acid to selectively remove the native In/Sb oxides, and enables a carboxylate-halide co-passivation with the subsequent halide ligand exchange. We find that this strategy reduces trap density by half compared to controls, and enables electronic coupling among CQDs. Photodetectors made using the tailored CQDs achieve an external quantum efficiency of 25 % at 1400 nm, the highest among III-V CQD photodetectors in this spectral region.

6.
Small ; : e2306535, 2023 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-38063843

RESUMO

Colloidal quantum dots (CQDs) are emerging materials for short-wave infrared (SWIR, ≈1100-3000 nm) photodetectors, which are technologically important for a broad array of applications. Unfortunately, the most developed SWIR CQD systems are Pb and Hg chalcogenides; their toxicity and regulated compositions limit their applications. InSb CQD system is a potential environmentally friendly alternative, whose bandgap in theory, is tunable via quantum confinement across the SWIR spectrum. However, InSb CQDs are difficult to exploit, due to their complex syntheses and uncommon reactive precursors, which greatly hinder their application and study. Here, a one-pot synthesis strategy is reported using commercially available precursors to synthesize-under standard colloidal synthesis conditions-high-quality, size-tunable InSb CQDs. With this strategy, the large Bohr exciton radius of InSb can be exploited for tuning the bandgap of the CQDs over a wide range of wavelengths (≈1250-1860 nm) across the SWIR region. Furthermore, by changing the surface ligands of the CQDs from oleic acid (OA) to 1-dodecanthiol (DDT), a ≈20-fold lengthening in the excited-state lifetime, efficient carrier multiplication, and slower carrier annihilation are observed. The work opens a wide range of SWIR applications to a promising class of Pb- and Hg-free CQDs.

7.
Sensors (Basel) ; 23(14)2023 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-37514671

RESUMO

Although Short-Wave Infrared (SWIR) sensors have advantages in terms of robustness in bad weather and low-light conditions, the SWIR images have not been well studied for automated object detection and tracking systems. The majority of previous multi-object tracking studies have focused on pedestrian tracking in visible-spectrum images, but tracking different types of vehicles is also important in city-surveillance scenarios. In addition, the previous studies were based on high-computing-power environments such as GPU workstations or servers, but edge computing should be considered to reduce network bandwidth usage and privacy concerns in city-surveillance scenarios. In this paper, we propose a fast and effective multi-object tracking method, called Multi-Class Distance-based Tracking (MCDTrack), on SWIR images of city-surveillance scenarios in a low-power and low-computation edge-computing environment. Eight-bit integer quantized object detection models are used, and simple distance and IoU-based similarity scores are employed to realize effective multi-object tracking in an edge-computing environment. Our MCDTrack is not only superior to previous multi-object tracking methods but also shows high tracking accuracy of 77.5% MOTA and 80.2% IDF1 although the object detection and tracking are performed on the edge-computing device. Our study results indicate that a robust city-surveillance solution can be developed based on the edge-computing environment and low-frame-rate SWIR images.

8.
Sensors (Basel) ; 24(1)2023 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-38203035

RESUMO

Pomological traits are the major factors determining the quality and price of fresh fruits. This research was aimed to investigate the feasibility of using two hyperspectral imaging (HSI) systems in the wavelength regions comprising visible to near infrared (VisNIR) (400-1000 nm) and short-wave infrared (SWIR) (935-1720 nm) for predicting four strawberry quality attributes (firmness-FF, total soluble solid content-TSS, titratable acidity-TA, and dry matter-DM). Prediction models were developed based on artificial neural networks (ANN). The entire strawberry VisNIR reflectance spectra resulted in accurate predictions of TSS (R2 = 0.959), DM (R2 = 0.947), and TA (R2 = 0.877), whereas good prediction was observed for FF (R2 = 0.808). As for models from the SWIR system, good correlations were found between each of the physicochemical indices and the spectral information (R2 = 0.924 for DM; R2 = 0.898 for TSS; R2 = 0.953 for TA; R2 = 0.820 for FF). Finally, data fusion demonstrated a higher ability to predict fruit internal quality (R2 = 0.942 for DM; R2 = 0. 981 for TSS; R2 = 0.976 for TA; R2 = 0.951 for FF). The results confirmed the potential of these two HSI systems as a rapid and nondestructive tool for evaluating fruit quality and enhancing the product's marketability.


Assuntos
Fragaria , Imageamento Hiperespectral , Frutas , Luz , Redes Neurais de Computação
9.
Int J Mol Sci ; 24(3)2023 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-36769307

RESUMO

Ethanol intoxication, although an elemental part of life in many places around the world, still presents several issues associated with excessive consumption. These issues range from drunk driving, violence, and antisocial behavior to self-harm, all exerting an increased cost on the society. Monitoring of intoxication levels can help to limit the impact of these issues by preventing the use of automobiles or heavy machinery and personal monitoring. Previous works on noninvasive measurement of ethanol tissue concentration for estimation of blood alcohol concentration (BAC) performed worst during the first hour of intoxication. Gas chromatography research of intoxication shows that levels of acetic acid rise together at a similar rate as those of ethanol after initial imbibement. In this research, short-wave infrared (SWIR) spectroscopy was utilized with the aim of establishing the interaction between ethanol and acetic acid in water and serum mixtures. The most consistent and clear correlation between ethanol and acetic acid was recorded at 2262 and 2302 nm wavelengths. Partial least-squares (PLS) analysis indicates that the most effective region for consideration in measurement of ethanol is the therapeutic window four (IV) due to high variance in vibration of carbon bonds. The behavior of spectra at different concentration ranges was examined and described in detail in relation to the consequence of alcohol measurement. The investigation concluded that ethanol shows distinctive regions of absorbance at wavelengths of 2262 and 2302 nm, with variations arising from increasing concentrations of acetic acid, whilst also showing that therapeutic window four is amongst the most influential regions of the spectrum for SWIR.


Assuntos
Concentração Alcoólica no Sangue , Etanol , Humanos , Ácido Acético , Água , Espectrofotometria Infravermelho
10.
Angew Chem Int Ed Engl ; 62(35): e202308570, 2023 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-37436067

RESUMO

The light-transmissive properties of a solid-state tetrathiafulvalene radical cation-bis(trifluoromethanesulfonyl)imide, 1-C5 ⋅+ ⋅ NTf2 - , underwent instantaneous changes in the short-wave infrared (SWIR) region (1000-2500 nm) upon exposure to solvent vapor or the application of mechanostress at room temperature. The initial solid state of 1-C5 ⋅+ ⋅ NTf2 - exhibited strong absorption in the near-infrared (NIR; 700-1000 nm) and SWIR regions, whereas the absorption in the SWIR region was significantly diminished in the stimulated state induced by dichloromethane vapor. Upon cessation of vapor stimulation, the solid state spontaneously and promptly reverted to its original state, characterized by absorption bands in the NIR/SWIR region. Moreover, the SWIR absorption was absent upon the application of mechanical stress using a steel spatula. The reversal was fast and occurred within 10 s. These changes were visualized using a SWIR imaging camera under 1450-nm light irradiation. Experimental investigations demonstrated that the transparency to the SWIR light in the solid states was modulated through significant structural transformations of the associated radical cations, with transitions between columnar and isolated π-dimer structures under ambient and stimulated conditions, respectively.

11.
Nanotechnology ; 33(22)2022 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-35147516

RESUMO

The on-chip avalanche photodiodes (APDs) are crucial component of a fully integrated photonics system. Specifically, III-V compound APD has become one of the main applications of optical fiber communication reception due to adaptable bandgap and low noise characteristics. The advancement of structural design and material choice has emerged as a means to improve the performance of APDs. Therefore, it is inevitable to review the evolution and recent developments on III-V compound APDs to understand the current progress in this field. To begin with, the basic working principle of APDs are presented. Next, the structure development of APDs is briefly reviewed, and the subsequent progression of III-V compound APDs (InGaAs APDs, AlxIn1-xAsySb1-yAPDs) is introduced. Finally, we also discuss the key issues and prospects of AlxIn1-xAsySb1-ydigital alloy avalanche APDs that need to be addressed for the future development of ≥2µm optical communication field.

12.
Nanotechnology ; 2022 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-35144248

RESUMO

The on-chip avalanche photodiodes (APDs) are crucial component of a fully integrated photonics system. Specifically, III-V compound APD has become one of the main applications of optical fiber communication reception due to adaptable bandgap and low noise characteristics. The advancement of structural design and material choice has emerged as a means to improve the performance of APDs.Therefore, it is inevitable to review the evolution and recent developments on III-V compound APDs to understand the current progress in this field. To begin with, the basic working principle of APDs are presented. Next, the structure development of APDs is briefly reviewed, and the subsequent progression of III-V compound APDs (InGaAs APDs, AlxIn1-xAsySb1-y APDs) is introduced. Finally, we also discuss the key issues and prospects of AlxIn1-xAsySb1-y digital alloy avalanche APDs that need to be addressed for the future development of ≥2µm optical communication field.

13.
Lasers Med Sci ; 37(7): 2873-2877, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35650311

RESUMO

Cancer surgery requires removing the tumor tissue in necessary and sufficient quantities. Spectral optical imaging in the short-wave infrared (900-1700 nm) could provide an intraoperative guidance to the surgeon based on the absorption of the tissues without contrast agent. Our objective was to ensure the safety of our ENDOSWIR device on human tissues. Histological analysis of fresh human tonsils exposed to the SWIR light or not was compared and showed no histological differences. This demonstrates the safety of using the SWIR device on human tissues and allows us to initiate a clinical study for the resection of tumors intraoperatively.


Assuntos
Neoplasias , Imagem Óptica , Meios de Contraste , Humanos , Imagem Óptica/métodos , Estudos Prospectivos
14.
Sensors (Basel) ; 22(9)2022 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-35591036

RESUMO

Automatic identification and sorting of livestock organs in the meat processing industry could reduce costs and improve efficiency. Two hyperspectral sensors encompassing the visible (400-900 nm) and short-wave infrared (900-1700 nm) spectra were used to identify the organs by type. A total of 104 parenchymatous organs of cattle and sheep (heart, kidney, liver, and lung) were scanned in a multi-sensory system that encompassed both sensors along a conveyor belt. Spectral data were obtained and averaged following manual markup of three to eight regions of interest of each organ. Two methods were evaluated to classify organs: partial least squares discriminant analysis (PLS-DA) and random forest (RF). In addition, classification models were obtained with the smoothed reflectance and absorbance and the first and second derivatives of the spectra to assess if one was superior to the rest. The in-sample accuracy for the visible, short-wave infrared, and combination of both sensors was higher for PLS-DA compared to RF. The accuracy of the classification models was not significantly different between data pre-processing methods or between visible and short-wave infrared sensors. Hyperspectral sensors, particularly those in the visible spectrum, seem promising to identify organs from slaughtered animals which could be useful for the automation of quality and process control in the food supply chain, such as in abattoirs.


Assuntos
Imageamento Hiperespectral , Gado , Animais , Bovinos , Análise Discriminante , Análise dos Mínimos Quadrados , Ovinos , Espectroscopia de Luz Próxima ao Infravermelho/métodos
15.
Sensors (Basel) ; 22(11)2022 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-35684859

RESUMO

GaN-based quantum well infrared detectors can make up for the weakness of GaAs-based quantum well infrared detectors for short-wave infrared detection. In this work, GaN/AlN (1.8 nm/1.8 nm) multi-quantum wells have been epitaxially grown on sapphire substrate using MBE technology. Meanwhile, based on this device structure, the band positions and carrier distributions of a single quantum well are also calculated. At room temperature, the optical response of the device is 58.6 µA/W with a bias voltage of 0.5 V, and the linearity between the optical response and the laser power is R2 = 0.99931. This excellent detection performance can promote the research progress of GaN-based quantum well infrared detectors in the short-wave infrared field.

16.
Sensors (Basel) ; 21(7)2021 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-33916817

RESUMO

We theoretically explore the potential of Si3N4 on SiO2 waveguide platform toward a wideband spectroscopic detection around the optical wavelength of 2 µm. The design of Si3N4 on SiO2 waveguide architectures consisting of a Si3N4 slot waveguide for a wideband on-chip spectroscopic sensing around 2 µm, and a Si3N4 multi-mode interferometer (MMI)-based coupler for light coupling from classical strip waveguide into the identified Si3N4 slot waveguides over a wide spectral range are investigated. We found that a Si3N4 on SiO2 slot waveguide structure can be designed for using as optical interaction part over a spectral range of interest, and the MMI structure can be used to enable broadband optical coupling from a strip to the slot waveguide for wideband multi-gas on-chip spectroscopic sensing. Reasons for the operating spectral range of the system are discussed.

17.
Sensors (Basel) ; 21(18)2021 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-34577356

RESUMO

Hyperspectral reflectance imaging in the short-wave infrared range (SWIR, "extended NIR", ca. 1000 to 2500 nm) has proven to provide enhanced characterization of paint materials. However, the interpretation of the results remains challenging due to the intrinsic complexity of the SWIR spectra, presenting both broad and narrow absorption features with possible overlaps. To cope with the high dimensionality and spectral complexity of such datasets acquired in the SWIR domain, one data treatment approach is tested, inspired by innovative development in the cultural heritage field: the use of a pigment spectral database (extracted from model and historical samples) combined with a deep neural network (DNN). This approach allows for multi-label pigment classification within each pixel of the data cube. Conventional Spectral Angle Mapping and DNN results obtained on both pigment reference samples and a Buddhist painting (thangka) are discussed.


Assuntos
Inteligência Artificial , Redes Neurais de Computação , Diagnóstico por Imagem , Pigmentação , Ondas de Rádio
18.
Nano Lett ; 20(5): 3999-4006, 2020 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-32283029

RESUMO

To date, defect-tolerance electronic structure of lead halide perovskite nanocrystals is limited to an optical feature in the visible range. Here, we demonstrate that IR sensitization of formamidinium lead iodine (FAPI) nanocrystal array can be obtained by its doping with PbS nanocrystals. In this hybrid array, absorption comes from the PbS nanocrystals while transport is driven by the perovskite which reduces the dark current compared to pristine PbS. In addition, we fabricate a field-effect transistor using a high capacitance ionic glass made of hybrid FAPI/PbS nanocrystal arrays. We show that the hybrid material has an n-type nature with an electron mobility of 2 × 10-3 cm2 V-1 s-1. However, the dark current reduction is mostly balanced by a loss of absorption. To overcome this limitation, we couple the FAPI/PbS hybrid to a guided mode resonator that can enhance the infrared light absorption.

19.
Nano Lett ; 20(8): 6185-6190, 2020 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-32662652

RESUMO

Mercury telluride (HgTe) nanocrystals are among the most versatile infrared (IR) materials with the absorption of lowest energy optical absorption which can be tuned from the visible to the terahertz range. Therefore, they have been extensively considered as near IR emitters and as absorbers for low-cost IR detectors. However, the electroluminescence of HgTe remains poorly investigated despite its ability to go toward longer wavelengths compared to traditional lead sulfide (PbS). Here, we demonstrate a light-emitting diode (LED) based on an indium tin oxide (ITO)/zinc oxide (ZnO)/ZnO-HgTe/PbS/gold-stacked structure, where the emitting layer consists of a ZnO/HgTe bulk heterojunction which drives the charge balance in the system. This LED has low turn-on voltage, long lifetime, and high brightness. Finally, we conduct short wavelength infrared (SWIR) active imaging, where illumination is obtained from a HgTe NC-based LED, and demonstrate moisture detection.


Assuntos
Nanopartículas , Óxido de Zinco , Ouro , Raios Infravermelhos , Iluminação
20.
Rheumatology (Oxford) ; 59(11): 3201-3210, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-32215624

RESUMO

OBJECTIVE: Hyperspectral imaging (HSI) is a novel technology for obtaining quantitative measurements from transcutaneous spatial and spectral information. In patients with SSc, the severity of skin tightness is associated with internal organ involvement. However, clinical assessment using the modified Rodnan skin score is highly variable and there are currently no universal standardized protocols. This study aimed to compare the ability to differentiate between SSc patients and healthy controls using skin scores, ultrasound and HSI. METHODS: Short-wave infrared light was utilized to detect the spectral angle mapper (SAM) of HSI. In addition, skin severity was evaluated by skin scores, ultrasound to detect dermal thickness and strain elastography. Spearman's correlation was used for assessing skin scores, strain ratio, thickness and SAM. Comparisons of various assessment tools were performed by receiver operating characteristic curves. RESULTS: In total, 31 SSc patients were enrolled. SAM was positively correlated with skin scores and dermal thickness. In SSc patients with normal skin scores, SAM values were still significantly higher than in healthy controls. SAM exhibited the highest area under the curve (AUC: 0.812, P < 0.001) in detecting SSc compared with skin scores (AUC: 0.712, P < 0.001), thickness (AUC: 0.585, P = 0.009) and strain ratio by elastography (AUC: 0.522, P = 0.510). Moreover, the severity of skin tightness was reflected by the incremental changes of waveforms in the spectral diagrams. CONCLUSION: SAM was correlated with skin scores and sufficiently sensitive to detect subclinical disease. HSI can be used as a novel, non-invasive method for assessing skin changes in SSc.


Assuntos
Imageamento Hiperespectral , Escleroderma Sistêmico/diagnóstico , Dermatopatias/diagnóstico , Adulto , Estudos de Coortes , Técnicas de Imagem por Elasticidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Escleroderma Sistêmico/complicações , Índice de Gravidade de Doença , Dermatopatias/diagnóstico por imagem , Dermatopatias/etiologia
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