Volume Swept Research Articles

Effect of Design Parameters on Buckling Tendency of an Eccentric Drag Link Used in a Truck Steering Linkage: A DoE/RSM-Based Design Optimisation Study

The steering system, deemed one of the most critical subsystems for ensuring the safety of a vehicle, is characterised by its pivotal role in manoeuvrability and control. The primary function of transmitting the steering input from the steering wheel to the vehicle's wheels is carried out by the drag link within the steering system. Therefore, the durability and proper functioning of the drag link in vehicles, especially carrying heavy loads, are of critical importance for both safety and efficiency. The main purpose of this study is to determine the optimal geometry of the drag link utilised in the steering system of a 4x2 truck using the Design of Experiments-Response Surface Methodology (DoE-RSM). Firstly, an idealised worst-case load model was used to determine the maximum force applied by the Pitman arm on the drag link. The stress distribution and deformation on the drag link caused by the maximum design load were deter-mined using Finite Element Analysis (FEA). Based on the results of the analyses, eccentricity, rod thickness, and fillet radius were defined as design parameters. The parameter ranges were determined by considering the volume swept by the wheel and buckling criteria under maximum load conditions. According to the DoE-RSM results, concerning the local sensitivity per-centages of the parameters on total deformation, it was observed that the eccentricity (e) parameter has the most significant impact, with an approximate positive rate of 74%.

The Time-Varying Characteristics of Relative Permeability in Oil Reservoirs with Gas Injection

Relative permeability is a critical parameter in reservoir numerical simulation and production prediction, intimately associated with reservoir architecture and fluid property. During gas injection development, substantial alterations in reservoir properties and fluid phase behavior induce dynamic changes in relative permeability. Clearly characterizing the time-varying features of relative permeability is very useful for an understanding of how gas injection influences fluid mobility within the reservoir and enhances recovery rates. In this paper, core displacement experiments are firstly conducted to obtain the characteristics of the relative permeability of oil and gas under various development stages and displacement conditions, further delineating the comprehensive shifts in reservoir properties at different gas injection stages. Subsequently, a novel reservoir numerical simulation method is proposed that considers the spatial and temporal segmentation of relative permeability curves in the reservoir simulation. Finally, a practical application is presented to clarify the effects of injection and production parameters on the development performance of gas flooding oil reservoirs. The results show the following: (i) Significant time-varying characteristics of relative permeability occur throughout gas injection development, in the early stages of gas injection, where most of the reservoir is at the gas injection front, and a rightward shift in relative oil and gas permeability indicates that gas injection promotes oil mobility. Conversely, in the later stages of gas injection, as the reservoir reaches the trailing edge of gas injection, the change trend in relative oil and gas permeability reverses, shifting leftward, thereby exacerbating the gas breakout phenomena. (ii) Increasing the rate of gas injection causes relative oil and gas permeability to move leftward, effectively enhancing the gas volume sweep coefficient and microscopic oil displacement efficiency at lower injection speeds while reducing development performance at higher injection speeds. (iii) An increase in gas injection pressure causes relative oil and gas permeability to shift rightward, and although it reduces residual oil saturation and enhances microscopic oil displacement efficiency, it also intensifies gas breakout phenomena and lowers the gas volume sweep coefficient. This paper provides theoretical guidance and technical support for the design of gas injection strategies, optimization of injection and production parameters, and production forecasting.

Automatic and User-Assisted Sphere-Mesh Construction.

A sphere-mesh is a class of geometric proxies defined as the volume swept by spheres with linearly interpolated centers and radii, potentially striking a good balance between conciseness of representation, simplicity of spatial queries, and expressive power. We investigate the semiautomatic generation of sphere-meshes from standard triangular meshes. We improve one known automatic construction algorithm, based on iterative local coarsening operation, by introducing a mechanism to prevent operations that would result in spheres exceeding the target shape; then, we propose a 3-D interface designed to permit users to easily and intuitively modify the automatically generated sphere-meshes. The two phases, an improved automatic algorithm and a novel interactive tool, used in cascade, constitute a viable semiautomatic way to produce high-quality sphere-meshes. We test our method on several inputs tri-meshes, assess their quality, and finally exemplify the usability of our results by testing them in a few downstream applications.

Advancements in the Understanding of Single‐Bubble Dynamics: Integrated Experimental and Simulation Studies

Because of wake instability, bubbles always ascend along an unstable path, which is not considered when simulating their movement in steel refining and continuous casting systems. Utilizing the 3D shadow image method, a quantitative characterization of the bubble trajectories is conducted to establish a bubble path oscillation model considering the zigzag lateral movement of bubbles due to asymmetric wake shedding. This model is incorporated into a rectilinear bubble motion model within the Lagrangian framework and then used to simulate the free ascent of single bubbles within the 2.15–2.55 mm range. The predicted bubble ascent velocities and trajectories agree well with the experimental. The spatial position, velocity, acceleration, forces, volume swept by bubbles, and bubble residence time are discussed. The results shown that the dominant force in the horizontal direction is the lateral force, followed by the drag and virtual mass force. Compared to the rectilinear path model, the volume swept by bubbles with initial diameters of 2.15, 2.25, 2.34, 2.45, and 2.55 mm in this model increases by 30.8%, 32.0%, 34.0%, 31.5%, and 29.6%, respectively. These findings help accurately predict the path of bubbles and also may contribute to a better understanding of bubble dynamics in bubble metallurgy and clean steel production.

Effects of dead volume and inert sweep gas flow on photocatalytic hydrogen evolution over Pt/TiO2

In this study, the effects of dead volume and sweep gas flow rate on photocatalytic hydrogen production over Pt/TiO2 were examined to determine their possible impact on hydrogen production rates. Five different dead volumes (15, 45, 75, 190, 425 ml) under constant reaction solution and interfacial area experimented by using custom made reactors. It was found that higher dead volumes in the gas phase inversely affect the measured hydrogen production. The difference between highest and lowest H2 production rates (at steady state) among five dead volumes is found as 30 μmol/h gcat which is 24% of the highest rate. On the other hand, the difference due to sweep gas flow rates (15, 30, 45 ml/min Ar) was not as significant. It was concluded from these results that measured hydrogen production rate in photocatalytic systems depend strongly on the reactor size through gas phase dead volume and operational factors like sweep gas flowrate. The difference between highest and lowest hydrogen production rates for different dead volumes or sweep gas flow rates is too great to ignore when the average photocatalytic hydrogen production levels (∼500 μmol/h gcat) in the literature are considered. Uncertainties associated with these factors together with well-known difficulties in measurement (or reporting) of the amount of energy and the characteristics of light absorbed by the reaction solution make the comparison of results from different studies impossible. The results of this study confirm the need for standard protocols of measurement and testing in the photocatalysis field in general, and photocatalytic hydrogen production particularly.

WATUNet: a deep neural network for segmentation of volumetric sweep imaging ultrasound

Limited access to breast cancer diagnosis globally leads to delayed treatment. Ultrasound, an effective yet underutilized method, requires specialized training for sonographers, which hinders its widespread use. Volume sweep imaging (VSI) is an innovative approach that enables untrained operators to capture high-quality ultrasound images. Combined with deep learning, like convolutional neural networks, it can potentially transform breast cancer diagnosis, enhancing accuracy, saving time and costs, and improving patient outcomes. The widely used UNet architecture, known for medical image segmentation, has limitations, such as vanishing gradients and a lack of multi-scale feature extraction and selective region attention. In this study, we present a novel segmentation model known as Wavelet_Attention_UNet (WATUNet). In this model, we incorporate wavelet gates and attention gates between the encoder and decoder instead of a simple connection to overcome the limitations mentioned, thereby improving model performance. Two datasets are utilized for the analysis: the public ‘Breast Ultrasound Images’ dataset of 780 images and a private VSI dataset of 3818 images, captured at the University of Rochester by the authors. Both datasets contained segmented lesions categorized into three types: no mass, benign mass, and malignant mass. Our segmentation results show superior performance compared to other deep networks. The proposed algorithm attained a Dice coefficient of 0.94 and an F1 score of 0.94 on the VSI dataset and scored 0.93 and 0.94 on the public dataset, respectively. Moreover, our model significantly outperformed other models in McNemar’s test with false discovery rate correction on a 381-image VSI set. The experimental findings demonstrate that the proposed WATUNet model achieves precise segmentation of breast lesions in both standard-of-care and VSI images, surpassing state-of-the-art models. Hence, the model holds considerable promise for assisting in lesion identification, an essential step in the clinical diagnosis of breast lesions.

Assessment of a Brief Standardized Obstetric Ultrasound Training Program for Individuals Without Prior Ultrasound Experience.

Obstetric volume sweep imaging (OB VSI) is a simple set of transducer movements guided by external body landmarks that can be taught to ultrasound-naive non-experts. This approach can increase access to ultrasound in rural/low-resources settings lacking trained sonographers. This study presents and evaluates a training program for OB VSI. Six trainees without previous formal ultrasound experience received a training program on the OB VSI protocol containing focused didactics and supervised live hands-on ultrasound scanning practice. Trainees then independently performed 194 OB VSI examinations on pregnancies >14 weeks with known prenatal ultrasound abnormalities. Images were reviewed by maternal-fetal medicine specialists for the primary outcome (protocol deviation rates) and secondary outcomes (examination quality and image quality). Protocol deviation was present in 25.8% of cases, but only 7.7% of these errors affected the diagnostic potential of the ultrasound. Error rate differences between trainees ranged from 8.6% to 53.8% (P < 0.0001). Image quality was excellent or acceptable in 88.2%, and 96.4% had image quality capable of yielding a diagnostic interpretation. The frequency of protocol deviations decreased over time in the majority of trainees, demonstrating retention of training program over time. This brief OB VSI training program for ultrasound-naive non-experts yielded operators capable of producing high-quality images capable of diagnostic interpretation after 3 hours of training. This training program could be adapted for use by local community members in low-resource/rural settings to increase access to obstetric ultrasound.

Sustainable volume sweep imaging lung teleultrasound in Peru: Public health perspectives from a new frontier in expanding access to imaging.

Pulmonary disease is a common cause of morbidity and mortality, but the majority of the people in the world lack access to diagnostic imaging for its assessment. We conducted an implementation assessment of a potentially sustainable and cost-effective model for delivery of volume sweep imaging (VSI) lung teleultrasound in Peru. This model allows image acquisition by individuals without prior ultrasound experience after only a few hours of training. Lung teleultrasound was implemented at 5 sites in rural Peru after a few hours of installation and staff training. Patients were offered free lung VSI teleultrasound examination for concerns of respiratory illness or research purposes. After ultrasound examination, patients were surveyed regarding their experience. Health staff and members of the implementation team also participated in separate interviews detailing their views of the teleultrasound system which were systematically analyzed for key themes. Patients and staff rated their experience with lung teleultrasound as overwhelmingly positive. The lung teleultrasound system was viewed as a potential way to improve access to imaging and the health of rural communities. Detailed interviews with the implementation team revealed obstacles to implementation important for consideration such as gaps in lung ultrasound understanding. Lung VSI teleultrasound was successfully deployed to 5 health centers in rural Peru. Implementation assessment revealed enthusiasm for the system among members of the community along with important areas of consideration for future teleultrasound deployment. This system offers a potential means to increase access to imaging for pulmonary illness and improve the health of the global community.

No sonographer, no radiologist: Assessing accuracy of artificial intelligence on breast ultrasound volume sweep imaging scans.

Breast ultrasound provides a first-line evaluation for breast masses, but the majority of the world lacks access to any form of diagnostic imaging. In this pilot study, we assessed the combination of artificial intelligence (Samsung S-Detect for Breast) with volume sweep imaging (VSI) ultrasound scans to evaluate the possibility of inexpensive, fully automated breast ultrasound acquisition and preliminary interpretation without an experienced sonographer or radiologist. This study was conducted using examinations from a curated data set from a previously published clinical study of breast VSI. Examinations in this data set were obtained by medical students without prior ultrasound experience who performed VSI using a portable Butterfly iQ ultrasound probe. Standard of care ultrasound exams were performed concurrently by an experienced sonographer using a high-end ultrasound machine. Expert-selected VSI images and standard of care images were input into S-Detect which output mass features and classification as "possibly benign" and "possibly malignant." Subsequent comparison of the S-Detect VSI report was made between 1) the standard of care ultrasound report by an expert radiologist, 2) the standard of care ultrasound S-Detect report, 3) the VSI report by an expert radiologist, and 4) the pathological diagnosis. There were 115 masses analyzed by S-Detect from the curated data set. There was substantial agreement of the S-Detect interpretation of VSI among cancers, cysts, fibroadenomas, and lipomas to the expert standard of care ultrasound report (Cohen's κ = 0.73 (0.57-0.9 95% CI), p<0.0001), the standard of care ultrasound S-Detect interpretation (Cohen's κ = 0.79 (0.65-0.94 95% CI), p<0.0001), the expert VSI ultrasound report (Cohen's κ = 0.73 (0.57-0.9 95% CI), p<0.0001), and the pathological diagnosis (Cohen's κ = 0.80 (0.64-0.95 95% CI), p<0.0001). All pathologically proven cancers (n = 20) were designated as "possibly malignant" by S-Detect with a sensitivity of 100% and specificity of 86%. Integration of artificial intelligence and VSI could allow both acquisition and interpretation of ultrasound images without a sonographer and radiologist. This approach holds potential for increasing access to ultrasound imaging and therefore improving outcomes related to breast cancer in low- and middle- income countries.

Volume sweep imaging lung teleultrasound for detection of COVID-19 in Peru: a multicentre pilot study

ObjectivesPulmonary disease is a significant cause of morbidity and mortality in adults and children, but most of the world lacks diagnostic imaging for its assessment. Lung ultrasound is a portable,...

Panoramic Reconstruction of B-mode Lung Ultrasound Images Acquired using a Longitudinal Volume Sweep Imaging Protocol.

The ongoing COVID-19 pandemic has already affected more than 300 million people worldwide. Medical imaging shortage affects an estimated of 4 billion people, especially in rural and remote areas (RAs), limiting diagnostic assessment of respiratory illness. Lung ultrasound imaging (LUS) together with volume sweep imaging (VSI) acquisition protocols have been successfully piloted as a solution for lung screening in RAs eliminating the need for trained operators and on-site radiologists. Nevertheless, this protocol requires the acquisition of 12 videos for 6 areas with both longitudinal and transverse positions of the transducer. Nonetheless, bandwidth limitations can hamper the transmission of these videos for remote interpretation. This work aimed to developed a stitching algorithm capable of generating a panoramic reconstruction of LUS cine clips. The results show reconstructions with minimal loss of information as 92.5% of the panoramic images conserved the presence of A-lines. These results show that LUS can be represented as an image without significantly compromising its quality. This can be useful to overcome bandwidth issues as well as improve the time on lung assessment of the patient.

Breast Ultrasound Volume Sweep Imaging: A New Horizon in Expanding Imaging Access for Breast Cancer Detection.

The majority of people in the world lack basic access to breast diagnostic imaging resulting in delay to diagnosis of breast cancer. In this study, we tested a volume sweep imaging (VSI) ultrasound protocol for evaluation of palpable breast lumps that can be performed by operators after minimal training without prior ultrasound experience as a means to increase accessibility to breast ultrasound. Medical students without prior ultrasound experience were trained for less than 2 hours on the VSI breast ultrasound protocol. Patients presenting with palpable breast lumps for standard of care ultrasound examination were scanned by a trained medical student with the VSI protocol using a Butterfly iQ handheld ultrasound probe. Video clips of the VSI scan imaging were later interpreted by an attending breast imager. Results of VSI scan interpretation were compared to the same-day standard of care ultrasound examination. Medical students scanned 170 palpable lumps with the VSI protocol. There was 97% sensitivity and 100% specificity for a breast mass on VSI corresponding to 97.6% agreement with standard of care (Cohen's κ=0.95, P < .0001). There was a detection rate of 100% for all cancer presenting as a sonographic mass. High agreement for mass characteristics between VSI and standard of care was observed, including 87% agreement on Breast Imaging-Reporting and Data System assessments (Cohen's κ=0.82, P < .0001). Breast ultrasound VSI for palpable lumps offers a promising means to increase access to diagnostic imaging in underserved areas. This approach could decrease delay to diagnosis for breast cancer, potentially improving morbidity and mortality.

Integral mean curvature per unit volume and the grain boundary sweep constant

A microstructural property new in application to grain growth, the integral mean curvature per unit volume, MVSgb, has been found to describe the rate of volume sweeping by boundaries throughout the entire structure. It is shown that MVSgb is experimentally obtainable via the sweeping tangent count or from summing the values of MS of all grains within a volume. Measurements on real materials and from computer simulations in the self-similar grain growth regime show that the values of MVSgb and V¯−2/3, where V¯ is the mean grain volume, are essentially equal, though the basis of this experimentally observed similarity remains to be derived. The Rhines/Doherty grain boundary sweep constant, θ*, describing the number fraction of grains lost per volume fraction swept by boundaries, has also been determined for the first time for a 3D grain structure as θ* ≈ −2, constant throughout steady-state grain growth. Combining MVSgb and θ* derives the classic grain growth law expressed as V¯2/3−V¯02/3 = −4/3k(t−t0). Testing shows that the value of the rate constant k from this relationship independently matches the slope k of the plot of dV/dt vs. MS, as theoretically expected. This is the first known time the classic grain growth law of D¯2 ≈ kt, where D¯ is equivalent to the mean linear grain intercept, has been derived using a comprehensive microstructural approach, encompassing the entire structure.

No sonographer, no radiologist: New system for automatic prenatal detection of fetal biometry, fetal presentation, and placental location.

Ultrasound imaging is a vital component of high-quality Obstetric care. In rural and under-resourced communities, the scarcity of ultrasound imaging results in a considerable gap in the healthcare of pregnant mothers. To increase access to ultrasound in these communities, we developed a new automated diagnostic framework operated without an experienced sonographer or interpreting provider for assessment of fetal biometric measurements, fetal presentation, and placental position. This approach involves the use of a standardized volume sweep imaging (VSI) protocol based solely on external body landmarks to obtain imaging without an experienced sonographer and application of a deep learning algorithm (U-Net) for diagnostic assessment without a radiologist. Obstetric VSI ultrasound examinations were performed in Peru by an ultrasound operator with no previous ultrasound experience who underwent 8 hours of training on a standard protocol. The U-Net was trained to automatically segment the fetal head and placental location from the VSI ultrasound acquisitions to subsequently evaluate fetal biometry, fetal presentation, and placental position. In comparison to diagnostic interpretation of VSI acquisitions by a specialist, the U-Net model showed 100% agreement for fetal presentation (Cohen’s κ 1 (p<0.0001)) and 76.7% agreement for placental location (Cohen’s κ 0.59 (p<0.0001)). This corresponded to 100% sensitivity and specificity for fetal presentation and 87.5% sensitivity and 85.7% specificity for anterior placental location. The method also achieved a low relative error of 5.6% for biparietal diameter and 7.9% for head circumference. Biometry measurements corresponded to estimated gestational age within 2 weeks of those assigned by standard of care examination with up to 89% accuracy. This system could be deployed in rural and underserved areas to provide vital information about a pregnancy without a trained sonographer or interpreting provider. The resulting increased access to ultrasound imaging and diagnosis could improve disparities in healthcare delivery in under-resourced areas.

Dobutamine 3D strain in the left anterior descending subtended ventricular territory: evidence for relationship with the respective velocity flow reserve

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Three dimensional speckle tracking imaging (3DST), provides an evolving means to interrogate left ventricular (LV) function. However, its clinical application still remains limited. Purpose Purpose of the study was to interrogate the relationship between regional deformation by 3DST in left anterior descending artery (LAD) subtended territory and the respective coronary flow reserve (CFR). Methods Fifty patients aged 63 ± 6 years with chronic coronary syndromes were studied. Patients had no evidence of dobutamine (DOB) induced ischemia in LAD territory. Distal LAD CFR was estimated by adenosine Doppler echo (140mg/kg/min). 3DST derived integral strain (IS) and respective components (longitudinal -LS, circumferential –CS, radial -RS) were estimated by a full volume sweep (3.5 MHz sector probe) at &amp;gt;20 volumes/sec. A 16 LV sectors (sc) polar map was provided (Artida,Toshiba) with 10/16 sectors (sc) analysed, 6 sc being the conventional LAD territory (sc: 3,4,5,6,7,8) and another 4 sc being adjacent ones (sc: 1, 2, 9, 10). 3D datasets acquired at rest (R) and low dose DOB (20mg/kg/min). LV mass was automatically measured from volumetric data sets and its variability during cardiac cycle was considered as an index of coherence for true LV borders recognition. Results CFR was &amp;gt;2 in all pts (range 2.0-4.2, 2.74 + 0.46). Mean variability of LV mass between R and DOB was 0.044 (range: -0.090-0.008, p = ns). 3DST strain was related with LAD CFR as follows: 1.For IS: at R: sc1: r = 0.38, p = 0.023, sc3: r = 0.44, p = 0.006, sc5: r = 0.35, p = 0.03, sc9: r = 0.50, p = 0.002. At DOB sc7: r = 0.31, p = 0.05. 2.For LS: at R: sc5: r=-0.40, p = 0.01. 3.For CS: at R: sc5: r=-0.33, p = 0.02, sc5: r=-0.46, p = 0.004. 4.For RS: at R: sc9: r=-0.38, p = 0.08. The % changes of regional IS post DOB compared to R were also related with CFR LAD in the sectors sc1 and sc3 (r = 0.34, p = 0.05, and p = 0.40, p = 0.002 respectively). Conclusion 3DST derived LV deformation indices in the LAD territory are related with the respective CFR. LV regional integral strain has a stronger relationship with LAD CFR when compared to the partial vectors. The 3DST derived deformation indices seem sensitive enough to reproduce the flow function relationship in the LAD territory. Thus, potential applicability has to be supported.

Lung ultrasound volume sweep imaging for respiratory illness: a new horizon in expanding imaging access

BackgroundRespiratory illness is a leading cause of morbidity in adults and the number one cause of mortality in children, yet billions of people lack access to medical imaging to assist...

Testing telediagnostic right upper quadrant abdominal ultrasound in Peru: A new horizon in expanding access to imaging in rural and underserved areas.

BackgroundHepatic and biliary diseases are prevalent worldwide, but the majority of people lack access to diagnostic medical imaging for their assessment. The liver and gallbladder are readily amenable to sonographic examination, and ultrasound is a portable, cost-effective imaging modality suitable for use in rural and underserved areas. However, the deployment of ultrasound in these settings is limited by the lack of experienced sonographers to perform the exam. In this study, we tested an asynchronous telediagnostic system for right upper quadrant abdominal ultrasound examination operated by individuals without prior ultrasound experience to facilitate deployment of ultrasound to rural and underserved areas.MethodsThe teleultrasound system utilized in this study employs volume sweep imaging and a telemedicine app installed on a tablet which connects to an ultrasound machine. Volume sweep imaging is an ultrasound technique in which an individual scans the target region utilizing preset ultrasound sweeps demarcated by easily recognized external body landmarks. The sweeps are saved as video clips for later interpretation by an experienced radiologist. Teleultrasound scans from a Peruvian clinic obtained by individuals without prior ultrasound experience were sent to the United States for remote interpretation and quality assessment. Standard of care comparison was made to a same-day ultrasound examination performed by a radiologist.ResultsIndividuals without prior ultrasound experience scanned 144 subjects. Image quality was rated “poor” on 36.8% of exams, “acceptable” on 38.9% of exams, and “excellent” on 24.3% of exams. Among telemedicine exams of “acceptable” or “excellent” image quality (n = 91), greater than 80% of the liver and gallbladder were visualized in the majority of cases. In this group, there was 95% agreement between standard of care and teleultrasound on whether an exam was normal or abnormal, with a Cohen’s kappa of 0.84 (95% CI 0.7–0.98, p <0.0001). Finally, among these teleultrasound exams of “acceptable” or “excellent” image quality, the sensitivity for cholelithiasis was 93% (95% CI 68.1%-99.8%), and the specificity was 97% (95% CI 89.5%-99.6%).ConclusionThis asynchronous telediagnostic system allows individuals without prior ultrasound experience to effectively scan the liver, gallbladder, and right kidney with a high degree of agreement with standard of care ultrasound. This system can be deployed to improve access to diagnostic imaging in low-resource areas.

Testing telediagnostic thyroid ultrasound in Peru: a new horizon in expanding access to imaging in rural and underserved areas

PurposeThyroid ultrasound is a key tool in the evaluation of the thyroid, but billions of people around the world lack access to ultrasound imaging. In this study, we tested an asynchronous telediagnostic ultrasound system operated by individuals without prior ultrasound training which may be used to effectively evaluate the thyroid and improve access to imaging worldwide.MethodsThe telediagnostic system in this study utilizes volume sweep imaging (VSI), an imaging technique in which the operator scans the target region with simple sweeps of the ultrasound probe based on external body landmarks. Sweeps are recorded and saved as video clips for later interpretation by an expert. Two operators without prior ultrasound experience underwent 8 h of training on the thyroid VSI protocol and the operation of the telemedicine platform. After training, the operators scanned patients at a health center in Lima. Telediagnostic examinations were sent to the United States for remote interpretation. Standard of care thyroid ultrasound was performed by an experienced radiologist at the time of VSI examination to serve as a reference standard.ResultsNovice operators scanned 121 subjects with the thyroid VSI protocol. Of these exams, 88% were rated of excellent image quality showing complete or near complete thyroid visualization. There was 98.3% agreement on thyroid nodule presence between VSI teleultrasound and standard of care ultrasound (Cohen’s kappa 0.91, P < 0.0001). VSI measured the thyroid size, on average, within 5 mm compared to standard of care. Readers of VSI were also able to effectively characterize thyroid nodules, and there was no significant difference in measurement of thyroid nodule size (P = 0.74) between VSI and standard of care.ConclusionThyroid VSI telediagnostic ultrasound demonstrated both excellent visualization of the thyroid gland and agreement with standard of care thyroid ultrasound for nodules and thyroid size evaluation. This system could be deployed for evaluation of palpable thyroid abnormalities, nodule follow-up, and epidemiological studies to promote global health and improve the availability of diagnostic imaging in underserved communities.

Towards a model of wet deposition of bioaerosols: The raindrop size role

Bioaerosols play a major role in the plant life of ecosystems. In addition, they have a profound impact on human health, since they may cause lung diseases or allergies. The key objective of this study is to assess the below cloud scavenging effect of rainfall on pollen concentration. The analysis is based on a sampling carried out in León, Spain, between 2015 and 2018. The rainfall variables and the pollen concentrations have been obtained with a disdrometer and a volumetric Hirst type spore-trap, respectively. In order to evaluate the scavenging, three parameters have been calculated: scavenging efficiency (through the concentration-weighted average (%ΔC)), the scavenging coefficient (λ) and the percentage of events with a decrease in pollen concentration (%ES) also called events with effective scavenging. 71% of rain events presented an effective scavenging that affected all types of pollen. The %ΔC mean value of total pollen was 24 ± 18% (positive values indicate an effective scavenging) and the types of pollen with the highest values were Castanea and Cupressaceae (71 and 40%, respectively). A linear model (R2 = 0.94) to estimate the pollen concentration after rain was built with variables such as pollen concentration before rain and other variables from a weather station and a disdrometer. Furthermore, we have shown the possibility of knowing in real time the probable Cupressaceae pollen concentration, from the initial pollen concentration and the physical parameters of rain (such as raindrop size, rain intensity or volume swept by raindrops in their falling path).

Towards a model for aerosol removal by rain scavenging: The role of physical-chemical characteristics of raindrops

A one-year study was carried out in León, Spain, in order to characterize physically and chemically the precipitation. With the aim of studying the scavenging process of atmospheric pollutants, scavenging ratio and removal coefficients were calculated through physical parameters of raindrops (obtained by disdrometer data) and through chemical properties of aerosols. Finally, linear models for the prediction of the chemical composition of rainwater and the efficiency of the removal effect were established. In general, the rainwater was dominated by NH4+ > SO42− > NO3− in all seasons. Higher ion concentrations and conductivity and lowest pH were observed in summer, due to the low volume of rain. In winter, the high values of Na+ and Cl− in the rainwater showed the contribution from marine sources, while in summer the high concentrations of Ca2+, Mg2+, SO42−, NH4+ and NO3− reflected the contribution from both crustal and anthropogenic sources. The linear models revealed that the amount of dissolved organic carbon and of the water-soluble ions in rain samples, Ca2+, SO42−, NO3−, increases with the volume swept by the falling drops. Insoluble carbon fraction has a negative dependence with the volume swept and positive with the diameter of the raindrop. Removal coefficients are affected by the concentration in the air of each species before precipitation, the duration of the event and the time elapsed between two precipitation events.