Differences In Peak Intensities Research Articles

Application of Contrast-Enhanced Ultrasound Parameters of Metastatic Axillary Lymph Nodes in Breast Cancer Patients in Predicting the Efficacy of Neoadjuvant Chemotherapy in Early Stage.

To investigate the performance of contrast-enhanced ultrasound(CEUS) parameters of metastatic axillary lymph nodes (ALNs) before and after two courses of neoadjuvant chemotherapy (NAC) in breast cancer patients in predicting the efficacy of NAC. A total of 41 postoperative breast cancer patients were selected. All patients underwent NAC, and ALN biopsy was positive before chemotherapy. Metastatic ALN was examined by CEUS before and after two courses of NAC. The CEUS parameters of metastatic ALNs before and after two courses of NAC were analyzed to determine the performance of CEUS parameters in predicting the efficacy of NAC in early stage. The NAC was effective for 28 cases and ineffective for 13 cases. There were no statistically significant differences in the CEUS parameters between effective NAC and ineffective NAC individuals before and after two courses of NAC. But, there were statistically significant differences in long diameter (LD), short diameter (SD), Peak intensity (Peak%) and area under the curve (AUC) between the effective and ineffective NAC patients after two courses of NAC. Receiver operating characteristic curve (ROC) analysis suggested the drop-out value of LD, SD, Peak% and AUC after two courses of NAC can be used as important indicators to evaluate the efficacy of NAC (p < 0.05). CEUS parameters of metastatic axillary lymph nodes (ALNs) before and after two courses of neoadjuvant chemotherapy (NAC) in breast cancer patients can predict the efficacy of NAC in early stage.

Synthesis, characterization, and thermal conductivity properties of graphene oxide doped chromium-titanium oxide structures

This study investigates synthesis and characterization of graphene oxide (GO) undoped and doped chromium-titanium oxide structures, along with their thermal conductivity properties in detail. The importance of low or high thermal conductivity varies depending on the type of material intended, and it is known that thermal conductivity, which determines the ability of materials to conduct heat, plays a crucial role in energy, electronics, and thermoelectric applications. Materials with low thermal conductivity are widely used in various industrial fields due to their ability to isolate heat effectively. For experimental studies, GO-undoped(T1), 1%-GO-doped(T2), and 3%-GO-doped(T3) samples were produced via sol-gel method, followed by calcination, pelletization, and sintering processes. Characterization of these pellets was performed using X-ray Diffraction (XRD), Scanning Electron Microscopy (SEM), and Fourier Transform-Infrared Spectroscopy (FTIR). Thermal conductivity was measured using Physical Properties Measurement System (PPMS). No structural or peak changes were detected in the XRD and FTIR results, but differences in peak intensities were observed. SEM images revealed that reductions in structural dimensions occurred with GO doping, and this was explained by changes in thermal conductivity data. The thermal conductivity values of T1, T2, and T3 samples were measured as 6.49, 3.45, and 1.50 W/K·m, respectively. These findings indicate that GO-doping reduces thermal conductivity and differences in the material structure are effective. Additionally, it was observed that the reduction of the structure to the nanoscale also led to a decrease in thermal conductivity data. These materials could play an important role in developing next-generation material designs.

Systematic Characterisation of the Fragmentation of Flavonoids Using High-Resolution Accurate Mass Electrospray Tandem Mass Spectrometry.

Flavonoids are a class of polyphenolic secondary metabolites found in plants. Due to their ubiquity in our daily dietary intake and their major anti-oxidative, anti-inflammatory and anti-mutagenic activities, they have been a major focus of wide-ranging research for the past two decades. Mass spectrometry combined with liquid chromatography is one of the most popular techniques for the analysis of flavonoids. In this study, high-resolution accurate mass electrospray tandem mass spectrometry was used to study 30 flavonoids in both positive and negative ionisation modes. From the data obtained, common losses were summarised and compiled. Dominating neutral losses were tabulated. The radical loss of CH3· was observed in flavonoids containing methoxy groups and three key diagnostic product ions were identified. These were m/z 153 (indicative of two OH groups on ring A) m/z 167 (indicative of one OH and one methoxy group on ring A) and m/z 151 (a flavanol, with no ketone oxygen but two OH groups on ring A). These will be useful in structural elucidation of unknown flavonoids and flavonoid metabolites. Energy breakdown graphs were utilised to distinguish between three pairs of structural isomers, and to help rationalise proposed fragmentation pathways. Lastly, a competition of loss of CH3· and methane was reported for rhamnetin and isorhamnetin in the negative ion mode for the first time. Proposed fragmentation pathways were given to rationalise the differences in peak intensities for this competitive process.

Rational Control of Maximum EMI/CPL Intensity and Wavelength of Bora[6]helicene via Polarity and Vibronic Effects.

Solvent polarity control as an efficient methodology to regulate the chiroptical properties, including spectral shape, width, intensity, wavelength, etc., has emerged as a novel frontier in optical materials design. However, the underling relationship connecting polarity to the optical property remains unclear. Herein, using state-of-the-art computations and the FC|VG model, the solvent effect on the chiroptical properties of bora[6]helicene was accurately and systematically computed to shed light on this issue. It is found that the vibronic coupling is crucial in explaining the spectral shape, width, and relative intensity of different peaks. Moreover, the intensity and position of the emission (EMI) and circularly polarized luminescence (CPL) are closely related to the polarity of the solvent. Intriguingly, we got a series of good linear relationships between polarity and EMI|CPL (|r| ≥ 0.95). Thus, this parameter can be used as a potential descriptor to estimate the intensity and position of EMI|CPL, leading to new strategies for designing fully colored fluorescent materials.

Characteristic of new Phaffia rhodozyma yeast strains isolated from birch slime fluxes in Poland

Three new strains of Phaffia rhodozyma yeast have recently been isolated in Poland. The aim of this study was to phenotypically characterize these strains and to compare them with the properties of the reference strain. The potential for carotenoid biosynthesis in these strains was also determined, depending on temperature, carbon, and nitrogen sources in the medium. Phaffia rhodozyma yeasts were also identified by MALDI-TOF MS. There were minor differences in cell morphology among the strains. All strains reproduced asexually by budding and formed spherical chlamydospores. No ability for sexual reproduction was observed. Physiological tests showed minor variations between the reference strain and the isolates, likely due to the geographical specificity of the habitat from which they were originally isolated. Analysis of protein spectra showed that the tested yeast isolates had seven common peaks of different intensities, with masses at 2200, 2369, 3213, 3628, 3776, 3921, and 4710 m/z. Moreover, additional strain-dependent spectra were found. The amount of synthesized carotenoids varied with the carbon and nitrogen sources used, as well as the temperature. The best producer of carotenoids was the P. rhodozyma CMIFS 102 isolate.

A Preliminary Experimental Study on Biodegradation of 3D-Printed Samples from Biomass–Fungi Composite Materials

Products made from petroleum-derived plastic materials are linked to many environmental problems, such as greenhouse gas emissions and plastic pollution. It is desirable to manufacture products from environmentally friendly materials instead of petroleum-based plastic materials. Products made from biomass–fungi composite materials are biodegradable and can be utilized for packaging, construction, and furniture. In biomass–fungi composite materials, biomass particles (derived from agricultural wastes) serve as the substrate, and the fungal hyphae network binds the biomass particles together. There are many reported studies on the 3D printing of biomass–fungi composite materials. However, there are no reported studies on the biodegradation of 3D-printed samples from biomass–fungi composite materials. In this study, two types of biomass materials were used to prepare printable mixture hemp hurd and beechwood sawdust. The fungi strain used was Trametes versicolor. Extrusion based 3D printing was used to print samples. 3D-printed samples were left for five days to allow fungi to grow. The samples were then dried in an oven for 4 h at 120 °C to kill all the fungi in the samples. The samples were buried in the soil using a mesh bag and kept in an environmental chamber at 25 °C with a relative humidity of 48%. The weight of these samples was measured every week over a period of three months. During the testing period, the hemp hurd test samples lost about 33% of their original weight, whereas the beechwood sawdust samples lost about 30% of their original weight. The SEM (scanning electron microscope) micrographs showed the presence of zygospores in the test samples, providing evidence of biodegradation of the test samples in the soils. Additionally, the difference in peak intensity between the control samples and test samples (for both hemp hurd and beechwood sawdust) showed additional evidence of biodegradation of the test samples in the soils.

Photocatalytic activity of self-heterojunctioned intermediate phases in HCl protonated and HNO3 deconjugated g-C3N4 nanostructures

This research involved the different acid-treatment conditions of graphitic carbon nitride and its modified nanostructures through thermal polycondensation of urea at various temperatures. X-ray diffraction patterns revealed that processing at a lower temperature than 500 °C resulted in melem and its derivatives, indicating incomplete transformation of urea to g-C3N4. However, treatment at higher temperatures and the HCl acid treatment led to the formation and expansion of g-C3N4 networks, as evidenced by notable differences in peak intensities observed in their Fourier-transform infrared and Raman spectra. Scanning electron microscopy analysis illustrated a transition from the granular morphology of melamine to the layered structure characteristic of g-C3N4. The nanoparticle morphology observed in the HNO3 acid treatment sample was attributed to the deconjugation of nanosheets through the highly oxidative acid medium. The most suitable photocatalytic activity for Methylene Blue (MB) degradation under UV and visible light illumination was observed for the samples prepared at 550 °C and HCl post-processed nanostructures. It is proposed that the enhanced photocatalytic activity observed in these samples is most likely attributed to the reduced recombination of photogenerated charge carriers facilitated by heterojunctions formed between different intermediate phases. These findings highlight the potential of modified g-C3N4 and its derivatives as promising photocatalytic materials for water purification applications.

Unforeseen advantage of looser focusing in vacuum laser acceleration

Acceleration of electrons in vacuum directly by intense laser fields holds great promise for the generation of high-charge, ultrashort, relativistic electron bunches. While the energy gain is expected to be higher with tighter focusing, this does not account for the reduced acceleration range, which is limited by diffraction. Here, we present the results of an experimental investigation that exposed nanotips to relativistic few-cycle laser pulses. We demonstrate the vacuum laser acceleration of electron beams with 100s pC charge and 15 MeV energy. Two different focusing geometries, with normalized vector potential a0 of 9.8 and 3.8, produced comparable overall charge and electron spectra, despite a factor of almost ten difference in peak intensity. Our results are in good agreement with 3D particle-in-cell simulations, which indicate the importance of dephasing.

Effect of cold plasma treatment on physicochemical and functional properties of gelatin extracted from buffalo bone

The present investigation was carried out to evaluate the impact of cold plasma at various power levels (170, 200, and 230V) and for different times (5, 10, and 15 min) on gelatin extracted from buffalo bone to ascertain the difference in physicochemical and functional parameters of untreated and cold plasma treated gelatin. An increase in porosity and angle of repose, and decrease in flow characteristics were observed. The etching phenomenon of cold plasma enhanced surface area, and hence increased viscosity. An increase in the elastic behaviour of gelatin was detected from G' (Storage Modulus) and G" (Loss Modulus). The relative crystallinity dropped to 39.45% in the control sample and 36.9% in the treated samples on XRD as an effect of active plasma species. FTIR revealed minor differences in peak intensity, without a new chemical group. Gelatin's microstructure and surface topography were revealed via SEM investigation. The DSC analysis demonstrated an increase in glass transition (Tg) temperature of gelatin molecules due to alteration in chain dynamics and intermolecular interactions. Moreover, gelatin films prepared from cold plasma treated gelatin showed significant improvement in their tensile strength and mechanical properties suitable for development of packaging films.

Analysis of genetic variability for nutritional quality traits among maize inbreds adapted to Punjab: A North‐Western province of India

AbstractBackground and ObjectivesThe deficiency of essential amino acids such as methionine, lysine, and tryptophan in maize protein presents a significant challenge in meeting nutritional demand. Comprehensive evaluation of maize germplasm for variability of essential amino acids, protein content, starch content, and β‐carotene contents in grains, along with their relationships with yield and its associated traits, is a prerequisite for strengthening genetic enhancement for nutritional traits. Thus, the current study presents the profiling of 60 maize inbred lines across 11 nutritional quality and yield, aiming to identify variability in these traits and potential donor candidates for commercial breeding.FindingsThe test inbreds exhibited significant variations in the content of grain methionine (0.04%–0.28%), tryptophan (0.019%–0.069%), lysine (0.063%–0.318%), protein (9.31%–11.80%), starch (58.32%–70.88%), and β‐carotene (2.38 ppm–6.79 ppm). Additionally, variations were noted in grain yield (0.87–2.52 t ha−1). Inter‐relationship analyses suggested the feasibility of simultaneous selection of essential amino acids (methionine, tryptophan, lysine) and β‐carotene. The germplasm stock was clustered, and potential diverse donors identified were recommended for utilization in breeding programs. Furthermore, the use of Attenuated Total Reflectance‐Fourier Transform Infrared (ATR‐FTIR) spectroscopy for screening high methionine and high lysine lines in large germplasm based on differences in peak intensity at 2922 cm−1 and 1110 cm−1 was reported, respectively.ConclusionsThe multilocation experiment revealed genetic diversity in both nutritional quality and yield across the 60 inbreds. The absence of a negative correlation between the amino acids and β‐carotene indicates the possibility of the development of hybrids with elevated essential amino‐acid levels combined with high β‐carotene content.Significance and NoveltyThis is the first holistic report on the variability of nutritional quality traits coupled with yield in maize germplasm. Identified nutrient‐rich inbreds will serve as valuable germplasm in maize biofortification programs. AT‐FTIR is proposed as an easy screening technique and the first report, which can be employed for the initial screening of a large set of germplasm for methionine and lysine content.

Raman Study of Novel Nanostructured WO3 Thin Films Grown by Spray Deposition.

The present communication reports on the effect of the sprayed solution volume variation (as a thickness variation element) on the detailed Raman spectroscopy for WO3 thin films with different thicknesses grown from precursor solutions with two different concentrations. Walls-like structured monoclinic WO3 thin films were obtained by the spray deposition method for further integration in gas sensors. A detailed analysis of the two series of samples shows that the increase in thickness strongly affects the films' morphology, while their crystalline structure is only slightly affected. The Raman analysis contributes to refining the structural feature clarifications. It was observed that, for 0.05 M precursor concentration series, thinner films (lower volume) show less intense peaks, indicating more defects and lower crystallinity, while thicker films (higher volume) exhibit sharper and more intense peaks, suggesting improved crystallinity and structural order. For higher precursor concentration 0.1 M series, films at higher precursor concentrations show overall more intense and sharper peaks across all thicknesses, indicating higher crystallinity and fewer defects. Differences in peak intensity and presence reflect variations in film morphology and structural properties due to increased precursor concentration. Further studies are ongoing.

#751 Noninvasive evaluation of histopathology in immunoglobulin A nephropathy by contrast-enhanced ultrasonography

Abstract Background and Aims IgA nephropathy is a common primary glomerulonephritis. Renal pathology provides a visual reflection of renal lesions, but percutaneous renal biopsy carries risks This study explores a non-invasive method for evaluating the renal pathological changes in IgA nephropathy patients. We attempt to correlate contrast-enhanced ultrasonography parameters with IgA nephropathy pathological changes, discussing the potential value of this approach in assisting the assessment of IgA nephropathy renal pathology. Method This prospective study included 26 IgAN cases eventually confirmed through renal pathology. Prior to renal biopsy, patients underwent contrast-enhanced ultrasound examination and conventional renal ultrasound. Ultrasound contrast parameters, including time-intensity curve (TIC) peak intensity, time to peak, rise time, and mean transit time, were recorded. Correlation analyses were conducted between conventional ultrasound, contrast-enhanced ultrasound parameters, clinical data, and pathology scores. Results Significant differences in peak intensity were observed between different Oxford C scores, with significant statistical differences between C0 and C1, as well as C0 and C2 (P &amp;lt; 0.05). Quantitative analysis revealed correlations between peak intensity, time to peak, and C scores (r = −0.571, P &amp;lt; 0.05; r = 0.498, P &amp;lt; 0.05). Time to peak correlated with T scores (r = −0.445, P &amp;lt; 0.05). No correlations were found between other contrast-enhanced ultrasound parameters and Lee's grading, Oxford MEST-C M, E, or S scores. Conclusion Contrast-enhanced ultrasonography parameters, specifically time-intensity curve peak intensity and time to peak, correlate with renal pathology C scores. Contrast-enhanced ultrasound holds clinical significance in the non-invasive assessment of renal pathological changes in IgA nephropathy patients.

Achieving thermoelectric properties of ultra-high-performance concrete using carbon nanotubes and fibers

The study investigated the impact of carbon nanotubes (CNTs), carbon fibers (CFs), steel fibers, and varying water-to-binder (W/B) ratios on the thermoelectric and mechanical properties of ultra-high-performance concrete (UHPC). Flowability tests revealed reduced flow with decreased water content and the addition of CNTs or CFs, particularly pronounced at a lower W/B ratio. Thermal gravimetric analysis and Fourier-transform infrared spectroscopy demonstrated differences in peak intensities and shifts in peaks related to the hydration products of the UHPC by the incorporation of the CNTs and CFs. The compressive strength and tensile performance increased with reduced W/B ratios and the inclusion of steel fibers, whereas the CNTs and CFs affected the strength differently based on their dispersion and interaction with other components that influenced porosity. The presence of steel fibers reduces the percolation threshold for CNTs and CFs, indicating a synergistic effect that enhances electron transport connectivity. The thermal conductivity increased with the addition of CNTs, CFs, and steel fibers, enhancing heat transfer within the UHPC. The thermoelectric figure of merit (ZT) values highlighted the combined impact of CNTs, CFs, steel fibers, and W/B ratios on the thermoelectric efficiency of the UHPC, showing significant improvements with the inclusion of steel fibers and the interplay between the CNTs and W/B ratios. Ultimately, upon introducing 1.5 % steel fibers and 0.3 % CNTs, a substantial enhancement in the thermoelectric ZT was observed, surpassing the standard UHPC values by 12 orders of magnitude.

Quantitative analysis of contrast-enhanced ultrasound in neoadjuvant treatment of locally advanced rectal cancer: a retrospective study.

To explore the clinical value of contrast-enhanced ultrasound (CEUS) quantitative analysis in the evaluation and prognosis of neoadjuvant chemoradiotherapy for locally advanced rectal cancer (LARC). Eighty-three consecutive patients undergoing neoadjuvant chemoradiotherapy and total mesorectal excision for LARC were retrospectively included. According to pathological results, patients were categorized into complete or incomplete response groups. Differences in ultrasonic parameters, pathological results, and clinical data between groups were evaluated. The cutoff point for a complete response as determined by quantitative analysis of CEUS was assessed using a receiver operating characteristic curve; additionally, overall survival (OS) and progression-free survival (PFS) were analyzed. Of the 83 patients, 12 (14.5%) achieved a complete response and 71 (85.5%) did not. There were significant between-group differences in carcinoembryonic antigen (CEA) levels, differentiation degree, proportion of tumor occupying the lumen, anterior-posterior and superior-inferior diameters of the lesion, and intensity of enhancement (P<0.05). CEUS quantitative analysis showed significant between-group differences in peak intensity (PI) and area under the curve (AUC) values (P<0.05). The OS and PFS of patients with high PI, high AUC value, and poorly differentiated cancer were significantly worse than those with low PI, low AUC values, and moderately to highly differentiated cancer (P<0.05). High CEA levels (hazard ratio: 1.02, 95% confidence interval: 1.01-1.04; P=0.002) and low differentiation (2.72, 1.12-6.62; P=0.028) were independent risk factors for PFS and OS. CEUS can predict the response to neoadjuvant treatment in patients with LARC. CEUS quantitative analysis is helpful for clinical prognosis.

Determination of Raman spectrum under different culture conditions: preliminary research on bacterial fish pathogens

The intensive labour and time required for conventional methods to identify bacterial fish pathogens have revealed the need to develop alternative methods. Raman spectroscopy has been used in the rapid optical identification of bacterial pathogens in recent years as an alternative method in microbiology. Strains of bacterial fish pathogens (Vibrio anguillarum, Lactococcus garvieae and Yersinia ruckeri) that often cause infectious diseases in fish were here identified and analyzed in terms of their biochemical structures in different media and at different incubation times, and the data were specified by using Raman spectroscopy. The results demonstrated that Raman spectroscopy presents species-specific Raman spectra of each disease-causing bacteria and that it would be more appropriate to choose general microbiological media over selective media for routine studies. Additionally, it was found that species-specific band regions did not differ in 24- and 48-hour cultures, but there could be a difference in peak intensity which may lead to difficult characterization of spectrum. The current study, conducted for the first time with bacterial fish pathogens under different incubation conditions, is believed to provide a basis for the routine use of Raman spectroscopy for quick pathogen identification and the precise determination of the methodology for further research.

Effect of Ecotype and Starch Isolation Methods on the Physicochemical, Functional, and Structural Properties of Ethiopian Potato (Plectranthus edulis) Starch.

The Ethiopian potato (Plectranthus edulis) is an annual tuber crop indigenous to Ethiopia. The crop is underutilized and not much studied despite its high yield of starch, which has a good potential to contribute to the effort in meeting the quickly growing demand for starch. In this study, the effects of the ecotype and isolation methods on the physicochemical, functional, structural, and crystalline properties of starches were evaluated. Starches were isolated from two Ethiopian potato ecotypes (Loffo and Chanqua) using distilled water (DW), 0.01% sodium metabisulphite (SMS), and 1M sodium chloride (NaCl) in the isolation media. The results showed that the lowest starch yield was obtained from Chanqua using DW (97.4%), while the maximum was from Loffo using SMS (99.3%). The L* (lightness) and whiteness values of the starches obtained from Loffo were higher than those of Chanqua starches, with NaCl and SMS extractants yielding the highest values. The bulk density, water activity (aw), pH, proximate composition (moisture content, protein, ash, fat, crude fiber, and carbohydrate contents), and techno-functional properties were established. The majority of these parameters varied depending on both the isolation method and the ecotype. The crystallinity pattern of all starches showed B-type diffraction, with differences in diffraction peak intensities between all starches. FTIR tests showed structural changes as a function of the ecotype and isolation procedure used. The Loffo ecotype exhibited considerably better results, and the SMS isolation method was found to be the most effective way to acquire the highest starch quality in most of the characteristics evaluated.

Enteric-coating film effect on the delayed drug release of pantoprazole gastro-resistant generic tablets.

Background: Enteric coating films in acidic labile tablets protect the drug molecule from the acidic environment of the stomach. However, variations in the excipients used in the coating formulation may affect their ability to provide adequate protection. This study is the first to investigate the potential effects of coating materials on the protective functionality of enteric coating films for pantoprazole (PNZ) generic tablets after their recall from the market. Methods: A comparative analysis was conducted between generic and branded PNZ products, using pure drug powder for identification. The in vitro release of the drug was evaluated in different pH media. The study also utilized various analytical and thermal techniques, including differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), X-ray diffraction (XRD), scanning electron microscopy (SEM), Fourier-transform infrared (FTIR), and confocal Raman microscopy. Results: The in vitro assessment results revealed significant variations in the release profile for the generic product in acidic media at 120 min. DSC and TGA thermal profile analyses showed slight variation between the two products. XRD analysis exhibited a noticeable difference in peak intensity for the generic sample, while SEM revealed smaller particle sizes in the generic product. The obtained spectra profile for the generic product displayed significant variation in peaks and band intensity, possibly due to impurities. These findings suggest that the excipients used in the enteric coating film of the generic product may have affected its protective functionality, leading to premature drug release in acidic media. Additionally, the presence of polysorbate 80 (P-80) in the brand product might improve the properties of the enteric coating film due to its multi-functionality. Conclusions: In conclusion, the excipients used in the brand product demonstrated superior functionality in effectively protecting the drug molecule from acidic media through the enteric coating film, as compared to the generic version.

Clinical value of quantitative analysis of contrast-enhanced ultrasonography in the differential diagnosis of benign and malignant pelvic tumors.

Cervical cancer, endometrial cancer, and ovarian cancer are among the top 10 most common cancers in women, with ovarian cancer in particular being considered a "silent killer". Therefore, early detection, diagnosis, and treatment constitute important means of care for women's health. This study investigated the clinical value of the quantitative analysis of contrast-enhanced ultrasonography (CEUS) in the differential diagnosis of benign and malignant pelvic tumors. CEUS was performed on 151 patients with pelvic masses. Subsequently, a qualitative diagnosis was completed using the image enhancement features and tumor parameters. A multiparametric analysis of CEUS images was performed, which included the following parameters: arrival time (AT), time to peak (TTP), peak intensity (PI), and ascent slope (AS). In addition, the qualitative diagnostic efficiency of CEUS was assessed in a multiparametric analysis, and the results were compared with pathological findings. The patients in the malignant group were older (P=0.001) and had larger lesion PI values (P<0.01) than those in the benign group. The PI difference (PId) and the AS difference (ASd) showed statistical differences (P<0.01) between the myometrium and lesion tissues in the same patient. Moreover, the PId and ASd showed the largest receiver operating characteristic (ROC) curve and area under the ROC curve (AUC), with sensitivities of 90.9% and 91.7% and specificities of 86.4% and 72.5%, respectively. The quantitative analysis of CEUS provides a new, simpler, and more accurate method for the differential diagnosis of benign and malignant pelvic masses in clinical practice. The sensitivities and specificities of PId and ASd were higher compared to other parameters from the same patient.

Alveolar gradients in breath analysis. A pilot study with comparison of room air and inhaled air by simultaneous measurements using ion mobility spectrometry

Analyzing exhaled breath samples, especially using a highly sensitive method such as MCC/IMS (multi-capillary column/ion mobility spectrometry), may also detect analytes that are derived from exogenous production. In this regard, there is a discussion about the optimal interpretation of exhaled breath, either by considering volatile organic compounds (VOCs) only in exhaled breath or by additionally considering the composition of room air and calculating the alveolar gradients. However, there are no data on whether the composition and concentration of VOCs in room air are identical to those in truly inhaled air directly before analyzing the exhaled breath. The current study aimed to determine whether the VOCs in room air, which are usually used for the calculation of alveolar gradients, are identical to the VOCs in truly inhaled air. For the measurement of inhaled air and room air, two IMS, each coupled with an MCC that provided a pre-separation of the VOCs, were used in parallel. One device was used for sampling room air and the other for sampling inhaled air. Each device was coupled with a newly invented system that cleaned room air and provided a clean carrier gas, whereas formerly synthetic air had to be used as a carrier gas. In this pilot study, a healthy volunteer underwent three subsequent runs of sampling of inhaled air and simultaneous sampling and analysis of room air. Three of the selected 11 peaks (P4—unknown, P5—1-Butanol, and P9—Furan, 2-methyl-) had significantly higher intensities during inspiration than in room air, and four peaks (P1—1-Propanamine, N-(phenylmethylene), P2—2-Nonanone, P3—Benzene, 1,2,4-trimethyl-, and P11—Acetyl valeryl) had higher intensities in room air. Furthermore, four peaks (P6—Benzaldehyde, P7—Pentane, 2-methyl-, P8—Acetone, and P10—2-Propanamine) showed inconsistent differences in peak intensities between inhaled air and room air. To the best of our knowledge, this is the first study to compare simultaneous sampling of room air and inhaled air using MCC/IMS. The simultaneous measurement of inhaled air and room air showed that using room air for the calculation of alveolar gradients in breath analysis resulted in different alveolar gradient values than those obtained by measuring truly inhaled air.

Rapid point-of-care detection of SARS-CoV-2 infection in exhaled breath using ion mobility spectrometry: a pilot study

BackgroundAn effective testing strategy is essential for pandemic control of the novel Coronavirus disease 2019 (COVID-19) caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Breath gas analysis can expand the available toolbox for diagnostic tests by using a rapid, cost-beneficial, high-throughput point-of-care test. We conducted a bi-center clinical pilot study in Germany to evaluate breath gas analysis using multi-capillary column ion mobility spectrometry (MCC-IMS) to detect SARS-CoV-2 infection.MethodsBetween September 23, 2020, and June 11, 2021, breath gas measurements were performed on 380 patients (SARS-CoV-2 real-time polymerase chain reaction (PCR) positive: 186; PCR negative: 194) presenting to the emergency department (ED) with respiratory symptoms.ResultsBreath gas analysis using MCC-IMS identified 110 peaks; 54 showed statistically significant differences in peak intensity between the SARS-CoV-2 PCR-negative and PCR-positive groups. A decision tree analysis classification resulted in a sensitivity of 83% and specificity of 86%, but limited robustness to dataset changes. Modest values for the sensitivity (74%) and specificity (52%) were obtained using linear discriminant analysis. A systematic search for peaks led to a sensitivity of 77% and specificity of 67%; however, validation by transferability to other data is questionable.ConclusionsDespite identifying several peaks by MCC-IMS with significant differences in peak intensity between PCR-negative and PCR-positive samples, finding a classification system that allows reliable differentiation between the two groups proved to be difficult. However, with some modifications to the setup, breath gas analysis using MCC-IMS may be a useful diagnostic toolbox for SARS-CoV-2 infection.Trial registration: This study was registered at ClinicalTrials.gov on September 21, 2020 (NCT04556318; Study-ID: HC-N-H-2004).