Direct Comparison Research Articles

Nanodosimetric quantity-weighted dose optimization for carbon-ion treatment planning.

Dose verification of treatment plans is an essential step in radiotherapy workflows. In this work, we propose a novel method of treatment planning based on nanodosimetric quantity-weighted dose (NQWD), which could realize biological representation using pure physical quantities for biological-oriented carbon ion-beam treatment plans and their direct verification. The relationship between nanodosimetric quantities and relative biological effectiveness (RBE) was studied with the linear least-squares method for carbon-ion radiation fields. Next, under the framework of the matRad treatment planning platform, NQWD was optimized using the existing RBE-weighted dose (RWD) optimization algorithm. The schemes of NQWD-based treatment planning were compared with the RWD treatment plans in term of the microdosimetric kinetic model (MKM). The results showed that the nanodosimetric quantity F3 - 10 had a good correlation with the radiobiological effect reflected by the relationship between RBE and F3 - 10. Moreover, the NQWD-based treatment plans reproduced the RWD plans generally. Therefore, F3 - 10 could be adopted as a radiation quality descriptor for carbon-ion treatment planning. The novel method proposed herein not only might be helpful for rapid physical verification of biological-oriented ion-beam treatment plans with the development of experimental nanodosimetry, but also makes the direct comparison of ion-beam treatment plans in different institutions possible. Thus, our proposed method might be potentially developed to be a new strategy for carbon-ion treatment planning and improve patient safety for carbon-ion radiotherapy.

A Direct Comparison of rAAV5 Variants Derived from the Baculovirus Expression System Using LC-MS Workflows Demonstrates Key Differences in Overall Production Yield, Product Quality and Vector Efficiency.

Gene therapy holds great promise for the treatment of severe diseases, and adeno-associated virus (AAV) vectors have emerged as valuable tools in this field. However, challenges such as immunogenicity and high production costs complicate the commercial viability of AAV-based therapies. To overcome these barriers, improvements in production yield, driven through the availability of robust and sensitive characterization techniques that allow for the monitoring of critical quality attributes to deepen product and process understanding are crucial. Among the main attributes affecting viral production and performance, the ratio between empty and full capsids along with capsid protein stoichiometry are emerging as potential parameters affecting product quality and safety. This study focused on the production of AAV vectors using the baculovirus expression vector system (BEVS) in Sf9 cells and the complete characterization of AAV5 variants using novel liquid chromatography and mass spectrometry techniques (LC-MS) that, up to this point, had only been applied to reference commercially produced virions. When comparing virions produced using ATG, CTG or ACG start codons of the cap gene, we determined that although ACG was the most productive in terms of virus yield, it was also the least effective in transducing mammalian cells. This correlated with a low VP1/VP2 ratio and a higher percentage of empty capsids. Overall, this study provides insights into the impact of translational start codon modifications during rAAV5 production using the BEVS, the associated relationship with capsid packaging, capsid protein stoichiometry and potency. The developed characterization workflow using LC-MS offers a comprehensive and transferable analysis of AAV-based gene therapies, with the potential to aid in process optimization and facilitate the large-scale commercial manufacturing of these promising treatments.

Radiolabeling Diaminosarcophagine with Cyclotron-Produced Cobalt-55 and [55Co]Co-NT-Sarcage as a Proof of Concept in a Murine Xenograft Model.

Cobalt-sarcophagine complexes exhibit high kinetic inertness under various stringent conditions, but there is limited literature on radiolabeling and in vivo positron emission tomography (PET) imaging using no carrier added 55Co. To fill this gap, this study first investigates the radiolabeling of DiAmSar (DSar) with 55Co, followed by stability evaluation in human serum and EDTA, pharmacokinetics in mice, and a direct comparison with [55Co]CoCl2 to assess differences in pharmacokinetics. Furthermore, the radiolabeling process was successfully used to generate the NTSR1-targeted PET agent [55Co]Co-NT-Sarcage (a DSar-functionalized SR142948 derivative) and administered to HT29 tumor xenografted mice. The [55Co]Co-DSar complex can be formed at 37 °C with purity and stability suitable for preclinical in vivo radiopharmaceutical applications, and [55Co]Co-NT-Sarcage demonstrated prominent tumor uptake with a low background signal. In a direct comparison with [64Cu]Cu-NT-Sarcage, [55Co]Co-NT-Sarcage achieved a higher tumor-to-liver ratio but with overall similar biodistribution profile. These results demonstrate that Sar would be a promising chelator for constructing Co-based radiopharmaceuticals including 55Co for PET and 58mCo for therapeutic applications.

Depositional environments and plant communities in the exceptional context of the Kungurian megacaldera of the Athesian Volcanic Group (Southern Alps, N-Italy)

We used a combined approach (lithofacies and palynology) and multivariate analyses to reconstruct the different depositional environments and changes in the plant communities throughout the middle to late Kungurian in the tropical Pangea. The late Paleozoic terrestrial biotas underwent changes under the pressure of a general aridification trend and a warming event that changed biota composition favoring drought-tolerant taxa during the Artinskian. Few studies integrate the different terrestrial ecosystem components to reconstruct palaeoenvironments and climate changes throughout the Cisuralian (early Permian). We analyzed several sedimentary successions of different stratigraphic positions intercalated in well-dated volcanic units of the megacaldera of the Athesian Volcanic Group (Southern Alps, northern Italy). The obtained palynofacies and quantitative sporomorph records with an exceptional high resolution (∼10 Ma) evidence a palaeoenvironmental/climatic change in the plant communities from the middle to the late Kungurian. The late Kungurian shows a higher diversity in the plant communities with a dominance of seed ferns and a higher relative abundance of xeromorphic-hygromorphic sporomorph taxa. This suggests the presences of more stable and putatively more humid environmental conditions in respect to the middle Kungurian. Furthermore, a direct comparison between lithofacies and all primary components of the palynofacies assemblages permits to characterize lacustrine and alluvial depositional environments since these studies are underrepresented for terrestrial environments.

The Lagrangian Atmospheric Radionuclide Transport Model (ARTM) – sensitivity studies and evaluation using airborne measurements of power plant emissions

Abstract. The Atmospheric Radionuclide Transport Model (ARTM) operates at the meso-γ scale and simulates the dispersion of radionuclides originating from nuclear facilities under routine operation within the planetary boundary layer. This study presents the extension and validation of this Lagrangian particle dispersion model and consists of three parts: (i) a sensitivity study that aims to assess the impact of key input parameters on the simulation results, (ii) the evaluation of the mixing properties of five different turbulence models using the well-mixed criterion, and (iii) a comparison of model results to airborne observations of carbon dioxide (CO2) emissions from a power plant and the evaluation of related uncertainties. In the sensitivity study, we analyse the effects of the stability class, roughness length, zero-plane displacement factor, and source height on the three-dimensional plume extent as well as the distance between the source and maximum concentration at the ground. The results show that the stability class is the most sensitive input parameter as expected. The five turbulence models are the default turbulence models of ARTM 2.8.0 and ARTM 3.0.0, one alternative built-in turbulence model of ARTM, and two further turbulence models implemented for this study. The well-mixed condition tests showed that all five turbulence models are able to preserve an initially well-mixed atmospheric boundary layer reasonably well. The models deviate only 6 % from the expected uniform concentration below 80 % of the mixing layer height, except for the default turbulence model of ARTM 3.0.0 with deviations of up to 18 %. CO2 observations along a flight path in the vicinity of the lignite power plant Bełchatów, Poland, measured by the Deutsches Zentrum für Luft- und Raumfahrt (DLR) Cessna aircraft during the Carbon Dioxide and Methane Mission (CoMet) campaign in 2018 allowed for evaluation of model performance for the different turbulence models under unstable boundary layer conditions. All simulated mixing ratios are of the same order of magnitude as the airborne in situ data. An extensive uncertainty analysis using probability distribution functions, statistical tests, and direct spatio-temporal comparisons of measurements and model results help to quantify the model uncertainties. With the default turbulence setups of ARTM versions 2.8.0 and 3.0.0, the plume widths are underestimated by up to 50 %, resulting in a strong overestimation of the maximum plume CO2 mixing ratios. The comparison of the three alternative turbulence models shows good agreement of the peak plume CO2 concentrations, the CO2 distribution within the plumes, and the plume width, with a 30 % deviation in the peak CO2 concentration and a less than 25 % deviation in the measured CO2 plume width. Uncertainties in the simulations may arise from the different spatial and temporal resolutions of simulations and measurements in addition to the turbulence parametrisation and boundary conditions. The results of this work may help to improve the accurate representation of real plumes in very unstable atmospheric conditions through the selection of distinct turbulence models. Further comparisons at different stability regimes are required for a final assessment of model uncertainties.

The DECam Ecliptic Exploration Project (DEEP). III. Survey Characterization and Simulation Methods

We present a detailed study of the observational biases of the DECam Ecliptic Exploration Project’s B1 data release and survey simulation software that enables direct statistical comparisons between models and our data. We inject a synthetic population of objects into the images, and then subsequently recover them in the same processing as our real detections. This enables us to characterize the survey’s completeness as a function of apparent magnitudes and on-sky rates of motion. We study the statistically optimal functional form for the magnitude, and develop a methodology that can estimate the magnitude and rate efficiencies for all survey’s pointing groups simultaneously. We have determined that our peak completeness is on average 80% in each pointing group, and our magnitude drops to 25% of this value at m 25 = 26.22. We describe the freely available survey simulation software and its methodology. We conclude by using it to infer that our effective search area for objects at 40 au is 14.8 deg2, and that our lack of dynamically cold distant objects means that there at most 8 × 103 objects with 60 < a < 80 au and absolute magnitudes H ≤ 8.

Population-Based Disease Odds for E-Cigarettes and Dual Use versus Cigarettes

BackgroundE-cigarettes are promoted as less harmful than cigarettes. There has not been a direct comparison of health effects of e-cigarettes or dual use (concurrently using e-cigarettes and cigarettes) with those of cigarettes in the general population.MethodsStudies in PubMed, EMBASE, Web of Science, and PsychINFO published through October 1, 2023, were pooled in a random-effects meta-analysis if five or more studies were identified with a disease outcome. We assessed risk of bias with Risk Of Bias In Non-randomized Studies of Exposure and certainty with Grading of Recommendations, Assessment, Development, and Evaluations. Outcomes with fewer studies were summarized but not pooled.ResultsWe identified 124 odds ratios (94 cross-sectional and 30 longitudinal) from 107 studies. Pooled odds ratios for current e-cigarette versus cigarette use were not different for cardiovascular disease (odds ratio, 0.81; 95% confidence interval, 0.58 to 1.14), stroke (0.73; 0.47 to 1.13), or metabolic dysfunction (0.99; 0.91 to 1.09) but were lower for asthma (0.84; 0.74 to 0.95), chronic obstructive pulmonary disease (0.53; 0.38 to 0.74), and oral disease (0.87; 0.76 to 1.00). Pooled odds ratios for dual use versus cigarettes were increased for all outcomes (range, 1.20 to 1.41). Pooled odds ratios for e-cigarettes and dual use compared with nonuse of either product were increased (e-cigarette range, 1.24 to 1.47; dual use, 1.49 to 3.29). All included studies were assessed as having a low risk of bias. Results were generally not sensitive to study characteristics. Limited studies of other outcomes suggest that e-cigarette use is associated with additional diseases.ConclusionsThere is a need to reassess the assumption that e-cigarette use provides substantial harm reduction across all cigarette-caused diseases, particularly accounting for dual use.

Impact of haemostasis methods during ovarian cystectomy on ovarian reserve: a pairwise and network meta-analysis

Background Haemostasis during ovarian cystectomy is reported to damage the ovarian reserve, but the comparative impacts of three haemostasis methods (bipolar energy, suture and haemostatic sealant) on ovarian reserve in patients with ovarian cysts are not well known. Methods The Cochrane Library, PubMed and Web of Science databases were searched from the date of inception of the database to June 2022 for literature exploring the impact of haemostasis methods during ovarian cystectomy on ovarian reserve. A traditional meta-analysis was performed using Review Manager software. A network meta-analysis (NMA) was performed using Stata and GemTC software. Results The direct meta-analysis comparison indicated that the mean postoperative reduction of anti-Müllerian hormone (AMH) level was significantly higher in the electrocoagulation (bipolar) group than suture and haemostatic sealant group, both in the overall group and subgroup of women with ovarian endometrioma. In NMA, the reduction of postoperative AMH levels in the electrocoagulation (bipolar) group was higher than the suture group at 6 months with a statistical significance, and at 1, 3 and 12 months without a significant difference. The difference in the postoperative decrease of AMH level did not reach statistical significance between suture and sealant, coagulation and haemostatic sealant. The comprehensive ranking results revealed that suture treatment was, with the highest probability, beneficial to the protection of the ovarian reserve. Conclusions There was insufficient research to detect the optimal haemostasis method for ovarian reserve preservation in ovarian cystectomy. Nevertheless, haemostasis by electrocoagulation (bipolar) should be avoided when possible, and the suture might be considered as the best choice.

Diamond seed dependent luminescence properties of CVD diamond composite

Diamond-based X-ray luminescent composites are robust materials to be used in synchrotrons and free-electron lasers to detect and visualize high-intensity X-ray beams. Such composites consist of luminescent rare-earth (RE) particles embedded into an X-ray transparent diamond matrix. In this work, polycrystalline diamond composites with embedded particles of EuF3, SrF2:Eu and YAG:Ce were grown by microwave plasma CVD using diamond seeds with an average particle size difference of two orders of magnitude: from 5 nm up to 500 nm, with positive and negative zeta potentials. The structure, phase composition, and luminescent characteristics of the resulting composite films were investigated and analyzed. We found that various particle types can be better-suited for different composites, and the exact seeding should be selected on the case-by-case basis. The direct comparison of various diamond-based composites, grown in the identical CVD conditions but with various luminescent powders, show that YAG:Ce particles in diamond allow achieving a brighter photoluminescence (PL) in comparison to Eu-based fluorides. However, the set of fluoride powders doped with Eu3+ ions allow obtaining unusually narrow (FWHM = 0.9 nm) and intensive line near 611 nm in PL spectra, which might be better-suited for detection and characterization applications rather than a broad peak of Ce with FWHM ≈ 120 nm.

Visible, NIR, SWIR, and eSWIR urban and rural scene contrast comparison.

The spectral information contained in the reflective imaging bands can be exploited for specific tasks. Whether targeting or mapping, the visible (VIS), near-infrared (NIR), shortwave infrared (SWIR), extended shortwave infrared (eSWIR) bands perform very differently for every application. For any imaging project, high contrast is very important for good imagery. High contrast leads to more recognizable features within a scene and easier identifiable objects. For mapping, good background scene contrast gives prominent features more detail and their locations can be easily identified. For targeting, low background scene contrast reduces clutter, making it easier to detect objects of interest. The VIS, NIR, SWIR, and eSWIR bands are popular reflective bands to design daytime imaging systems for either task. Deciding on which band will have the best contrast for a specific task is one of the first things to study when designing an imaging system. By measuring urban and rural scenes in terms of equivalent reflectivity (ER), a direct comparison of these four bands can show the utility they provide. The systems used to measure scene contrast are designed to have the same spatial resolution and field of view (FOV). With these instantaneous FOV (IFOV) matched systems, the variance and 1D power spectral densities (PSDs) provide a quantitative comparison for the contrast among the four bands. The ER differences and resulting contrast measured among these four bands show that the eSWIR has the highest contrast in both urban and rural scenes.

Impact of MRI RF coil design on the RF-induced heating of medical implants: fixed B 1 + rms exposure versus normal operating mode

A direct comparison of the impact of RF coil design under specific absorption rate and B1+rms limitations are investigated and quantified using RF coils of different geometries and topologies at 64 MHz and 128 MHz. The RF-induced in vivo electric field and power deposition of a 50 cm long pacemaker and 55 cm long deep brain stimulator (DBS) are evaluated within two anatomical models exposed with these RF coils. The associated uncertainty is quantified and analyzed under a fixed B1+rms incident and normal operating mode. For a fixed B1+rms incident, the in vivo incident field shows a much higher uncertainty (>5.6 dB) to the RF coil diameter compared to other design parameters (e.g. <2.2 dB for coil length and topology), while the associated uncertainty reduced greatly (e.g. <1.5 dB) under normal operating mode exposure. Similar uncertainties are observed in the power deposition near the pacemaker and DBS electrode. Compared to the normal operating mode, applying a fixed B1+rms field to the untested implant will lead to a large variation in the induced incident and power deposition of the implant, as a result, a larger safe margin when different coil designs (e.g. coil diameter) are considered.

Surveillance esophagogastroduodenoscopy using linked color imaging and narrow-band imaging: A multicenter randomized controlled trial.

There has been no report on a direct comparison between linked color imaging (LCI) and second-generation narrow-band imaging (2G-NBI) for surveillance of epithelial neoplasms in the upper gastrointestinal tract (UGIT). The aim of this study was to verify the superiority of LCI to 2G-NBI for surveillance esophagogastroduodenoscopy and to clarify how each endoscopic system should be used. This study was conducted as an open-label, two-arm-parallel (1:1), multicenter, randomized controlled trial at six institutions. Patients aged 20-85years with a treatment history of epithelial neoplasms in the UGIT were recruited. Patients were assigned to a 2G-NBI group and an LCI group, and esophagogastroduodenoscopy was performed with primary image-enhanced endoscopy followed by white light imaging (WLI). The primary endpoint was the detection rate of one or more epithelial neoplasms in the primary image-enhanced endoscopy. A WLI-detected epithelial neoplasm was defined as a lesion that was detected in only WLI. A total of 372 patients in the 2G-NBI group and 378 patients in the LCI group were analyzed. Epithelial neoplasms in the UGIT were detected by 2G-NBI in 18 patients (4.6%) and were detected by LCI in 20 patients (5.3%) (P=0.87). WLI-detected epithelial neoplasms were in 11 patients in the 2G-NBI group (3.0%) and in 1 patient in the LCI group (0.27%) (P=0.003). Linked color imaging did not show superiority to 2G-NBI for the detection of epithelial neoplasms. Also, the percentage of WLI-detected epithelial neoplasms in primary NBI was significantly higher than that in primary LCI.

Crystalline and amorphous Fe2O3 nanocubes grown on electrospun carbon nanofibers for lithium-ion batteries and lithium-sulfur batteries: A comparative study

Amorphous transition metal oxides have recently received particular research interests in electrochemical energy storage. However, there is still a lack of direct comparisons between amorphous materials and their crystalline counterparts. Here, we demonstrate the rational synthesis of crystalline and amorphous Fe2O3 nanocubes uniformly grown on carbon nanofibers (denoted as CNFs@C-Fe2O3 and CNFs@A-Fe2O3, respectively) for lithium-ion batteries (LIBs) and lithium-sulfur batteries (LSBs). In such a structure, the Fe2O3 nanocubes possess strong interfacial bonding with CNFs, which can ensure rapid electron transportation. Besides, these Fe2O3 nanocubes are highly porous, which can effectively alleviate the volume change, enlarge the surface area, increase active sites and facilitate ion diffusion. When employed as freestanding anode for LIBs, the CNFs@C-Fe2O3 electrode delivers much improved lithium ion storage performance compared to that of CNFs@A-Fe2O3. When evaluated as interlayers for LSBs, instead, the batteries with CNFs@A-Fe2O3 exhibit better rate performance cycling stability than that of with CNFs@C-Fe2O3. Moreover, theoretical calculations elucidate the amorphous Fe2O3 has stronger adsorption ability toward the soluble lithium polysulfides. This work would provide new insights into the reasonably development of crystalline and amorphous transition metal oxides toward electrochemical energy storage.

Cross-cultural validity and reliability of the comprehensive assessment of acceptance and commitment therapy processes (CompACT) in people with multiple sclerosis.

The Comprehensive assessment of Acceptance and Commitment Therapy (CompACT) is a 23-item questionnaire measuring psychological flexibility, a quality of life protective factor. An 18-item version was recently produced. We assessed validity and reliability of CompACT, and equivalence of paper and electronic (eCompACT) versions in people with multiple sclerosis (PwMS) in Italy, Germany and Spain. We used confirmatory factor analysis and assessed CompACT-23 and CompACT-18 measurement invariance between the three language versions. We assessed construct validity (Spearman's correlations) and internal consistency (Cronbach's alpha). Test-retest reliability (intraclass correlation coefficient, ICC) and equivalence of paper and eCompACT (ICC and linear regression model for repeated measures) were assessed in subsamples of PwMS. A total of 725 PwMS completed the study. The three-factor structure of the CompACT-23 showed poor fit (RMSEA 0.07; CFI 0.82; SRMR 0.08), while the fit of the CompACT-18 was good (RMSEA 0.05; CFI 0.93; SRMR 0.05). Configural and partial metric invariance were confirmed, as well as partial scalar invariance (reached when five items were allowed to vary freely). The CompACT-18 showed good internal consistency (all alpha ≥ 0.78); and test-retest reliability (all ICCs ≥ 0.86). Equivalence between paper and eCompACT was excellent (all ICCs ≥ 0.86), with no mode, order, or interaction effects. Results support using the refined CompACT-18 as a three-factor measure of psychological flexibility in PwMS. Paper and eCompACT-18 versions are equivalent. CompACT-18 can be used cross-culturally, but sub-optimal scalar invariance suggests that direct comparison between the three language versions should be interpreted with caution.

Critical new insights into the interactions of hexafluoropropylene oxide-dimer acid (GenX or HFPO-DA) with albumin at molecular and cellular levels

A key characteristic to be elucidated, to address the harmful health risks of environmental perfluorinated alkyl substances (PFAS), is their binding modes to serum albumin, the most abundant protein in blood. Hexafluoropropylene oxide-dimer acid (GenX or HFPO-DA) is a new industrial replacement for the widespread linear long-chain PFAS. However, the detailed interaction of new-generation short-chain PFAS with albumin is still lacking. Herein, the binding characteristics of bovine serum albumin (BSA) to GenX were explored at the molecular and cellular levels. It was found that this branched short-chain GenX could bind to BSA with affinity lower than that of legacy linear long-chain perfluorooctanoic acid (PFOA). Site marker competitive study and molecular docking simulation revealed that GenX interacted with subdomain IIIA to form BSA-GenX complex. Consistent with its weaker affinity to albumin protein, the cytotoxicity of branched short-chain GenX was less susceptible to BSA binding compared with that of the linear long-chain PFOA. In contrast to the significant effects of strong BSA-PFOA interaction, the weak affinity of BSA-GenX binding did not influence the structure of protein and the cytotoxicity of GenX. The detailed characterization and direct comparisons of serum albumin interaction with new generation short-chain GenX will provide a better understanding for the toxicological properties of this new alternative.

The impact of different states of type 2 diabetes when stratified by baseline HbA1c on the periodontal outcomes of non-surgical periodontal treatment: A systematic review and network meta-analysis.

Type 2 diabetes mellitus (T2DM) has been considered by many studies to have a bidirectional relationship with periodontitis. This systematic review and network meta-analysis aimed to investigate the impact of different states of T2DM when stratified by baseline HbA1c on the clinical outcomes of non-surgical periodontal treatment (NSPT). This study followed the Preferred Reporting Items for Meta-Analyses (PRISMA) guidelines and involved an electronic literature search (from inception to the 2nd of January 2023). The study included at least two groups of patients: chronic periodontitis only (No-DM) or periodontitis and well-controlled/poorly controlled type 2 diabetes mellitus (WC/PC-T2DM). Clinical outcomes included probing depth (PD) reduction, bleeding on probing reduction, and clinical attachment level (CAL) gain. Direct and indirect comparisons between groups were assessed by network meta-analysis, thus allowing us to establish a treatment ranking. Ten prospective cohort studies (11 data sets) were included for qualitative analysis and network meta-analysis. The data included in this study had high consistency; in addition, a funnel plot and Egger's test showed that the articles had low publication bias. Network meta-analysis showed that the effect of NSPT in the No-DM group was significantly better than the WC-T2DM group [weighted mean difference (WMD) = 0.09, 95% confidence interval (CI) (0.01, 0.18)] and the PC-T2DM group [WMD = 0.09, 95% CI (0.01, 0.18)] in terms of CAL gain and better than the PC-T2DM group [WMD = 0.15, 95% CI (0.02, 0.28)] in terms of PD reduction. According to the surface under the cumulative ranking value, the No-DM group had the highest probability of achieving the best outcome following NSPT. Collectively, our analyses show that T2DM exerts significant effects on the outcomes of NSPT.

Influence of spectral shaping and tube voltage modulation in ultralow-dose computed tomography of the abdomen

PurposeUnenhanced abdominal CT constitutes the diagnostic standard of care in suspected urolithiasis. Aiming to identify potential for radiation dose reduction in this frequent imaging task, this experimental study compares the effect of spectral shaping and tube voltage modulation on image quality.MethodsUsing a third-generation dual-source CT, eight cadaveric specimens were scanned with varying tube voltage settings with and without tin filter application (Sn 150, Sn 100, 120, 100, and 80 kVp) at three dose levels (3 mGy: standard; 1 mGy: low; 0.5 mGy: ultralow). Image quality was assessed quantitatively by calculation of signal-to-noise ratios (SNR) for various tissues (spleen, kidney, trabecular bone, fat) and subjectively by three independent radiologists based on a seven-point rating scale (7 = excellent; 1 = very poor).ResultsIrrespective of dose level, Sn 100 kVp resulted in the highest SNR of all tube voltage settings. In direct comparison to Sn 150 kVp, superior SNR was ascertained for spleen (p ≤ 0.004) and kidney tissue (p ≤ 0.009). In ultralow-dose scans, subjective image quality of Sn 100 kVp (median score 3; interquartile range 3–3) was higher compared with conventional imaging at 120 kVp (2; 2–2), 100 kVp (1; 1–2), and 80 kVp (1; 1–1) (all p < 0.001). Indicated by an intraclass correlation coefficient of 0.945 (95% confidence interval: 0.927–0.960), interrater reliability was excellent.ConclusionsIn abdominal CT with maximised dose reduction, tin prefiltration at 100 kVp allows for superior image quality over Sn 150 kVp and conventional imaging without spectral shaping.

Silicon kerf loss as a potential anode material for lithium-ion batteries

In this work, industrially processed silicon kerf loss (abbreviated to silicon kerf) from the photovoltaic industry is assessed as an anode material for the lithium-ion battery (LIB). The study includes both a characterization of processed silicon kerf from different sources and a comparison with commercially available nano-sized silicon (40 and 100 nm) in electrochemical testing. Such a direct comparison between these two silicon types in electrochemical testing provides a new insight into silicon kerf as an anode material. The silicon kerf particles are flake-like with varying lengths, with a mean particle size (d50) measured to ∼700 nm and a dimension of thickness of a few tens of nanometers. However, the specific surface area ranging from 20 to 26 m2/g is comparable to that of a silicon material of size ∼100 nm. The silicon oxide layer surrounding the particles was measured to 1–2 nm in thickness and, therefore, is in a suitable range for the LIB. In terms of electrochemical performance, the silicon kerf is on par with the commercial nano-sized silicon, further supporting the size evaluation based on the specific surface area considerations. Initial discharge capacities in the range 700–750 mAh/g (close to the theoretical value for the 12 wt% Si mixture with graphite) and first cycle efficiencies of 86%–92% are obtained. The cycling stability is comparable between the two materials, although the differential voltage analysis (DVA) of the galvanostatic data reveals that only the silicon kerf samples maintain silicon activity beyond 120 cycles. This study shows that industrially processed silicon kerf has characteristics similar to nano-sized silicon without reducing the size of the silicon kerf particles themselves. Considering its low carbon footprint and potentially lower cost, it can thus be an attractive alternative to nano-sized silicon as an anode material for the LIB industry.

Donor complication rates in whole blood, plasma and platelet donors: Age versus experience.

Many blood banks use upper age limits for donors out of concern for a higher donor complication rate in older donors. Experienced donors are known to have lower donor complication rates, and older donors are often more experienced, confounding the effect of age on donor complication rate. We studied donor complication rates in whole blood, plasma, and plateletpheresis donors from 2012 to 2022. Donor complication rates were compared between age groups in inexperienced (<20th donation) and experienced (≥20th donation) donors. In addition to this direct comparison, we made use of logistic regression with finer-grained experience groups, to further quantify the effects of age, experience and other factors on donor complication rate. While overall rate of vasovagal reaction was lower, rate of moderate/severe vasovagal syncope was highest in 70-79 year donors, however, only reached significance for plasma donors. Furthermore, rates of failed stab were highest in this age group. Hematoma rate showed a U-shaped pattern with regard to age, where the rate was not higher in the 70-79 year age group than in the 18-23 year age group. Pain decreased with age, however, rates were higher in the 70-79 year age group than in the 65-69 year age group. When properly accounting for donor experience, donor complication rate profiles clearly change with age. The increased risk for moderate/severe vasovagal syncope in older donors should be clearly communicated. Extra caution is needed if these donors are accepted for first-time donations.

Outcomes of Intracorporeal Continuous and Paracorporeal Pulsatile Ventricular Assist Devices in Pediatric Patients 10-30 kg.

Ventricular assist devices (VADs) have been increasingly implanted in pediatric patients. Paracorporeal VADs are generally chosen when intracorporeal continuous (IC) devices are too large. Superiority between IC and paracorporeal pulsatile (PP) devices remains unclear in smaller pediatric patients. Our study analyzes outcomes of IC and PP VADs in pediatric patients who could be considered for either of these options. Using the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) database, we identified children between 10 and 30 kg who received a VAD between June 2018 and September 2021. Survival and stroke outcomes were analyzed based on VAD type. There were 41 patients in the IC group and 54 patients in the PP group. Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) profile at the time of implant was higher in the PP cohort ( p < 0.02). The PP cohort was younger ( p < 0.001) and smaller ( p < 0.001) than the IC cohort. The diagnosis was similar between cohorts. Overall survival was similar between groups. Stroke was more common in the PP cohort, but did not reach statistical significance ( p = 0.07). Discharge was possible only in the IC group, but the discharge rate was low (9.5%). Direct comparisons remain challenging given differences in INTERMACS profiles, age, and size.