Use of shear waves for diagnosis and ablation monitoring of prostate cancer: a feasibility study

Prostate cancer remains as a major healthcare issue. Limitations in current diagnosis and treatment monitoring techniques imply that there is still a need for improvements. The efficacy of prostate cancer diagnosis is still low, generating under and over diagnoses. High intensity focused ultrasound ablation is an emerging treatment modality, which enables the noninvasive ablation of pathogenic tissue. Clinical trials are being carried out to evaluate its longterm efficacy as a focal treatment for prostate cancer. Successful treatment of prostate cancer using non-invasive modalities is critically dependent on accurate diagnostic means and is greatly benefited by a real-time monitoring system. While magnetic resonance imaging remains the gold standard for prostate imaging, its wider implementation for prostate cancer diagnosis remains prohibitively expensive. Conventional ultrasound is currently limited to guiding biopsy. Elastography techniques are emerging as a promising real-time imaging method, as cancer nodules are usually stiffer than adjacent healthy prostatic tissue. In this paper, a new transurethral approach is proposed, using shear waves for diagnosis and ablation monitoring of prostate cancer. A finite-difference time domain model is developed for studying the feasibility of the method, and an inverse problem technique based on genetic algorithms is proposed for reconstructing the location, size and stiffness parameters of the tumour. Preliminary results indicate that the use of shear waves for diagnosis and monitoring ablation of prostate cancer is feasible

Wave propagation in a fractional viscoelastic tissue model: Application to transluminal procedures

In this article, a wave propagation model is presented as the first step in the development of a new type of transluminal procedure for performing elastography. Elastography is a medical imaging modality for mapping the elastic properties of soft tissue. The wave propagation model is based on a Kelvin Voigt Fractional Derivative (KVFD) viscoelastic wave equation, and is numerically solved using a Finite Difference Time Domain (FDTD) method. Fractional rheological models, such as the KVFD, are particularly well suited to model the viscoelastic response of soft tissue in elastography. The transluminal procedure is based on the transmission and detection of shear waves through the luminal wall. Shear waves travelling through the tissue are perturbed after encountering areas of altered elasticity. These perturbations carry information of medical interest that can be extracted by solving the inverse problem. Scattering from prostate tumours is used as an example application to test the model. In silico results demonstrate that shear waves are satisfactorily transmitted through the luminal wall and that echoes, coming from reflected energy at the edges of an area of altered elasticity, which are feasibly detectable by using the transluminal approach. The model here presented provides a useful tool to establish the feasibility of transluminal procedures based on wave propagation and its interaction with the mechanical properties of the tissue outside the lumen

Patient Satisfaction With the Family Physician Program in Sabzevar, Iran

BACKGROUND AND OBJECTIVES: Patient satisfaction with the family physician program is an important factor for more favorable treatment results. Evaluation of patient satisfaction improves the services and approximates them to patient's preferences. The family physician program has been executed since late March, 2005 in Iran. This study aimed to measure patient satisfaction with family physician services and determines factors affecting the level of satisfaction in order to propose appropriate suggestions for providing medical services based on patients' expectations. METHODS: Forty-one centers provide healthcare services in rural and urban areas. The participants in this study comprised 1263 people. The data were collected by an inventory with 11 items about demographic specifications, waiting time and the importance of physician's sex and 40 items for assessing the level of patient satisfaction. RESULTS: A total of 1199 patients participated in the current study, 72.1 of them were female and 19.6 waited 10-20 minutes for receiving services. About 55.72 of the participants chose high and very high for the items of the inventory. Total satisfaction with the family physician program decreased with age (p-value=0.029).Moreover, total satisfaction did not show any significant differences in different groups in terms of sex, place of residence, education level and marital status. Also family physicians' sex did not affect patient satisfaction significantly. Based on results of regression model, an increase in patients' age by one year decreased their satisfaction by 0.12 and level of satisfaction in rural patients was lower than that in urban patients by 7.93. CONCLUSIONS: The level of patient satisfaction with family physician services was moderate, which mostly arose from the components of the family physician program and services such as the waiting time, costs, welfare facilities, accessibility and the service-providing team rather than patients' personal characteristics

Experimental Evidence of Generation and Reception by a Transluminal Axisymmetric Shear Wave Elastography Prototype

Experimental evidence on testing a non-ultrasonic-based probe for a new approach in transluminal elastography was presented. The proposed modality generated shear waves by inducing oscillatory rotation on the lumen wall. Detection of the propagated waves was achieved at a set of receivers in mechanical contact with the lumen wall. The excitation element of the probe was an electromagnetic rotational actuator whilst the sensing element was comprised by a uniform anglewise arrangement of four piezoelectric receivers. The prototype was tested in two soft-tissue-mimicking phantoms that contained lumenlike conduits and stiffer inclusions. The shear wave speed of the different components of the phantoms was characterized using shear wave elastography. These values were used to estimate the time-of-flight of the expected reflections. Ultrafast ultrasound imaging, based on Loupas' algorithm, was used to estimate the displacement field in transversal planes to the lumenlike conduit and to compare against the readouts from the transluminal transmission-reception tests. Experimental observations between ultrafast imaging and the transluminal probe were in good agreement, and reflections due to the stiffer inclusions were detected by the transluminal probe. The obtained experimental evidence provided proof-of-concept for the transluminal elastography probe and encouraged further exploration of clinical applications

Investigation of the Effect of Ultrasound Parameters on Continuous Sonocrystallization in a Millifluidic Device

© 2016 American Chemical Society. Continuous-flow crystallization of adipic acid in a millichannel chip equipped with a piezoelectric element is presented and investigated experimentally and numerically. A single, straight channel chip (cross section: 2 mm × 5 mm, length: 76 mm) made of glass, which is ultrasonically transparent, was designed and fabricated. The piezoelectric element allows studying the effect of different ultrasound frequencies in the kHz to MHz range. Ultrasound was applied in burst mode to reduce heating; this allowed operating at higher levels of input power. To accurately control the temperature of the fluid, Peltier elements were used to cool the bottom and top surfaces of the chip. Crystallization was performed in isothermal conditions, ensuring that the temperature and in turn the supersaturation were kept uniform along the channel. The effect of ultrasound frequency and sonication time was studied. Crystal size distributions at different operating conditions were obtained by laser diffraction. The distributions were narrow, with coefficients of variation â0.5, while the mean sizes were small (â30 μm) and decreased when the sonication time increased. The crystal production rate increased by increasing the sonication time; this suggests that ultrasound enhances nucleation. On the other hand, in crystal breakage experiments, no difference in the size distribution of the seed crystals entering and leaving the device was observed, and hence, in this setup, ultrasound does not cause breakage. Numerical simulations of wave propagation in aqueous solution were utilized to predict the probability of cavitation, adopting a suitable cavitation threshold. The simulations showed that high pressure amplitudes are achievable inside the channel at low frequencies. The size range of bubbles which undergo violent collapse at different pressure amplitudes and frequencies was quantified. By increasing the frequency in the simulations, it was observed that the probability of transient cavitation decreases. The theoretical prediction of negligible transient cavitation at higher frequencies, in conjunction with the absence of crystals at such frequencies, indicates a strong link between transient cavitation and sonocrystallization

Mouse Lung Conditioned Medium Induces Short Term Erythropoiesis in Mouse Long Term Bone Marrow Culture System

Dexter-type long-term bone marrow culture is a myelopoietic culture system that allows maintenance of  mouse and human hematopoiesis in vitro over a period of several months. In mouse unperturbed long-term  bone marrow culture, erythropoiesis activity is limited to the production of immature erythroid progenitors  (BFU-E) from primitive hematopoietic stem cells. In this study the effects of mouse lung conditioned  medium (MLCM) as a source of myeloid growth factors, on long-term mouse bone marrow cultures was  studied. Numbers of cells in adherent and non-adherent layers of cultures were counted weekly and the  morphological appearances of mature cells that were produced in non-adherent layers were analyzed. In the  presence of MLCM, mature nonnucleated and hemoglobinized red blood cells were produced in the nonadherent  layers of the cultures.

Ability of biofilm production and molecular analysis of spa and ica genes among clinical isolates of methicillin-resistant Staphylococcus aureus

Objective: This study aimed to evaluate the phenotypic and genotypic characterization of biofilm formation and spa and ica genes among clinical isolates of methicillin-resistant Staphylococcus aureus. Result: This cross-sectional study was performed on 146 Staphylococcus aureus isolates from hospitalized patients in Isfahan Province Hospitals. MRSA isolates were confirmed using disk diffusion test with oxacillin disk and amplification of mecA gene by PCR assays. Ability of biofilm production was evaluated targeting the icaA and icaD genes. Of 146 Staphylococcus aureus isolates, 24 (16.4) carried mecA genes and identified as MRSA strains. Strong ability of biofilm production was seen among 76.02 (111/146) S. aureus isolates and 87.5 (21/24) MRSA strains, respectively. Also, 75.0 (18/24) MRSA isolates carried icaA and icaD was not detected in these strains. Analysis of spa gene showed 70.83 (17/24) MRSA strains were spa positive. From which 14 and 3 strains identified with one band (150, 270, 300, 360, 400 bp) and two bands (150-300 bp), respectively. According to data obtained, the prevalence of MRSA isolates from Isfahan Province Hospitals is relatively high and a remarkable percentage of them show strong power in biofilm production. Also analysis of spa gene showed a fairly large diversity among MRSA strains. © 2020 The Author(s)

Super-resolution of faces using texture mapping on a generic 3D model

This paper proposes a novel face texture mapping framework to transform faces with different poses into a unique texture map. Under this framework, texture mapping can be realized by utilizing a generic 3D face model, standard Haar-like feature based detector, active appearance model and pose estimation algorithm. By this texture map, correspondence of every pixel at the face across multiple distinct input images can then be established, which enables super-resolution algorithms to be applied directly on registered texture map to render high resolution faces. This paper details the proposed framework, and illustrates how the proposed super-resolution algorithm works with the help of weighted average and median filters. Convincing experimental results are also presented to validate the effectiveness of the proposed framework and superresolution algorithm. © 2009 IEEE.published_or_final_versio