348 research outputs found
Expresión génica de IL4 e INFΓ en hígado y nódulo linfático hepático en ovejas vacunadas con CL1 infectadas con Fasciola hepática
Radiographers supporting radiologists in the interpretation of screening mammography: a viable strategy to meet the shortage in the number of radiologists.
BackgroundAn alternative approach to the traditional model of radiologists interpreting screening mammography is necessary due to the shortage of radiologists to interpret screening mammograms in many countries.MethodsWe evaluated the performance of 15 Mexican radiographers, also known as radiologic technologists, in the interpretation of screening mammography after a 6 months training period in a screening setting. Fifteen radiographers received 6 months standardized training with radiologists in the interpretation of screening mammography using the Breast Imaging Reporting and Data System (BI-RADS) system. A challenging test set of 110 cases developed by the Breast Cancer Surveillance Consortium was used to evaluate their performance. We estimated sensitivity, specificity, false positive rates, likelihood ratio of a positive test (LR+) and the area under the subject-specific Receiver Operating Characteristic (ROC) curve (AUC) for diagnostic accuracy. A mathematical model simulating the consequences in costs and performance of two hypothetical scenarios compared to the status quo in which a radiologist reads all screening mammograms was also performed.ResultsRadiographer's sensitivity was comparable to the sensitivity scores achieved by U.S. radiologists who took the test but their false-positive rate was higher. Median sensitivity was 73.3 % (Interquartile range, IQR: 46.7-86.7 %) and the median false positive rate was 49.5 % (IQR: 34.7-57.9 %). The median LR+ was 1.4 (IQR: 1.3-1.7 %) and the median AUC was 0.6 (IQR: 0.6-0.7). A scenario in which a radiographer reads all mammograms first, and a radiologist reads only those that were difficult for the radiographer, was more cost-effective than a scenario in which either the radiographer or radiologist reads all mammograms.ConclusionsGiven the comparable sensitivity achieved by Mexican radiographers and U.S. radiologists on a test set, screening mammography interpretation by radiographers appears to be a possible adjunct to radiologists in countries with shortages of radiologists. Further studies are required to assess the effectiveness of different training programs in order to obtain acceptable screening accuracy, as well as the best approaches for the use of non-physician readers to interpret screening mammography
VAMOS: a Pathfinder for the HAWC Gamma-Ray Observatory
VAMOS was a prototype detector built in 2011 at an altitude of 4100m a.s.l.
in the state of Puebla, Mexico. The aim of VAMOS was to finalize the design,
construction techniques and data acquisition system of the HAWC observatory.
HAWC is an air-shower array currently under construction at the same site of
VAMOS with the purpose to study the TeV sky. The VAMOS setup included six water
Cherenkov detectors and two different data acquisition systems. It was in
operation between October 2011 and May 2012 with an average live time of 30%.
Besides the scientific verification purposes, the eight months of data were
used to obtain the results presented in this paper: the detector response to
the Forbush decrease of March 2012, and the analysis of possible emission, at
energies above 30 GeV, for long gamma-ray bursts GRB111016B and GRB120328B.Comment: Accepted for pubblication in Astroparticle Physics Journal (20 pages,
10 figures). Corresponding authors: A.Marinelli and D.Zaboro
Observation of the Crab Nebula with the HAWC Gamma-Ray Observatory
The Crab Nebula is the brightest TeV gamma-ray source in the sky and has been
used for the past 25 years as a reference source in TeV astronomy, for
calibration and verification of new TeV instruments. The High Altitude Water
Cherenkov Observatory (HAWC), completed in early 2015, has been used to observe
the Crab Nebula at high significance across nearly the full spectrum of
energies to which HAWC is sensitive. HAWC is unique for its wide field-of-view,
nearly 2 sr at any instant, and its high-energy reach, up to 100 TeV. HAWC's
sensitivity improves with the gamma-ray energy. Above 1 TeV the
sensitivity is driven by the best background rejection and angular resolution
ever achieved for a wide-field ground array.
We present a time-integrated analysis of the Crab using 507 live days of HAWC
data from 2014 November to 2016 June. The spectrum of the Crab is fit to a
function of the form . The data is well-fit with values of
, , and
log when
is fixed at 7 TeV and the fit applies between 1 and 37 TeV. Study of the
systematic errors in this HAWC measurement is discussed and estimated to be
50\% in the photon flux between 1 and 37 TeV.
Confirmation of the Crab flux serves to establish the HAWC instrument's
sensitivity for surveys of the sky. The HAWC survey will exceed sensitivity of
current-generation observatories and open a new view of 2/3 of the sky above 10
TeV.Comment: Submitted 2017/01/06 to the Astrophysical Journa
Medical imaging: Foundations and scope
Indexación: Scopus; Radalyc.En la actualidad es innegable la utilidad de las diversas modalidades
de imagenología médica como apoyo clínico tanto en
la generación de diagnósticos de un buen número de enfermedades
como en la planeación de tratamientos tendientes a
proporcionar una alternativa de solución a las personas que,
por una u otra razón, manifiestan algún desequilibrio en su
salud. Entre las modalidades imagenológicas que, frecuentemente,
se utilizan en el ámbito médico se pueden mencionar:
Ultrasonido (US), Resonancia Magnética (MRI), Tomografía
Computarizada sencilla (CT) y multicapa (MSCT), Tomografía
Computarizada por Emisión de Positrones (PET) y Tomografía
Computarizada por Emisión de Fotones simples (SPECT).
En este sentido, este artículo tiene como finalidad presentar
una descripción ordenada, coherente y sistemática de cada
una de las mencionadas modalidades y establecer la vinculación
de la MSCT con situaciones clínicas íntimamente relacionadas
con la anatomía cardiaca y procesos de hipertensión.
La razón por la cual se hace énfasis en la MSCT es debido a
que, por una parte, se cuenta con un número importante de
bases de datos tanto de sujetos fisiológicos como de sujetos
patológicos y, por la otra, que se tiene previsto presentar un
conjunto de técnicas computacionales que serán exploradas
en el desarrollo de futuras investigaciones en el contexto de
aspectos anatómico-cardiológicos que influyen directa o indirectamente
en la aparición, desarrollo y prevalencia de procesos
hipertensivos.Nowdays, several forms of medical imaging are usefulness in
clinical support for both diagnostics diseases generation and
treatment planning designed to provide an alternative solution
to people who, for one or another reason, manifest an
imbalance in your health. Among the imaging modalities that
frequently are used in the medical field may include: Ultrasound
(US), magnetic resonance imaging (MRI), simple computed
tomography (CT) and multilayer computed tomography
(MSCT), CT positron emission tomography (PET) Computed
tomography and single photon emission (SPECT). In this sense,
this article presents an orderly, coherent and systematic
description of these modalities and it establishes relationship
with the MSCT modality and clinical situations closely related
to cardiac anatomy and hypertension processes. The reason
emphasis on MSCT is done is because, on the one hand, we
have a large number of databases both physiological subjects
and pathological subjects and, on the other, we plan to
present a set of computational techniques that will be explored
in future research, in the context of cardiologic anatomical
aspects, with directly or indirectly influence in the emergence,
development and prevalence of hypertensive processes.http://www.redalyc.org/articulo.oa?id=5594990700
Search for very-high-energy emission from Gamma-ray Bursts using the first 18 months of data from the HAWC Gamma-ray Observatory
The High Altitude Water Cherenkov (HAWC) Gamma-ray Observatory is an
extensive air shower detector operating in central Mexico, which has recently
completed its first two years of full operations. If for a burst like GRB
130427A at a redshift of 0.34 and a high-energy component following a power law
with index -1.66, the high-energy component is extended to higher energies with
no cut-off other than from extragalactic background light attenuation, HAWC
would observe gamma rays with a peak energy of 300 GeV. This paper
reports the results of HAWC observations of 64 gamma-ray bursts (GRBs) detected
by and , including three GRBs that were also
detected by the Large Area Telescope (-LAT). An ON/OFF analysis
method is employed, searching on the time scale given by the observed light
curve at keV-MeV energies and also on extended time scales. For all GRBs and
time scales, no statistically significant excess of counts is found and upper
limits on the number of gamma rays and the gamma-ray flux are calculated. GRB
170206A, the third brightest short GRB detected by the Gamma-ray Burst Monitor
on board the satellite (-GBM) and also
detected by the LAT, occurred very close to zenith. The LAT measurements can
neither exclude the presence of a synchrotron self-Compton (SSC) component nor
constrain its spectrum. Instead, the HAWC upper limits constrain the expected
cut-off in an additional high-energy component to be less than
for reasonable assumptions about the energetics and redshift of the burst.Comment: 19 pages, 6 figures, published in Ap
Extended gamma-ray sources around pulsars constrain the origin of the positron flux at Earth
The unexpectedly high flux of cosmic ray positrons detected at Earth may
originate from nearby astrophysical sources, dark matter, or unknown processes
of cosmic-ray secondary production. We report the detection, using the
HighAltitude Water Cherenkov Observatory (HAWC), of extended tera-electron volt
gamma-ray emission coincident with the locations of two nearby middle-aged
pulsars (Geminga and PSR B0656+14). The HAWC observations demonstrate that
these pulsars are indeed local sources of accelerated leptons, but the measured
tera-electron volt emission profile constrains the diffusion of particles away
from these sources to be much slower than previously assumed. We demonstrate
that the leptons emitted by these objects are therefore unlikely to be the
origin of the excess positrons, which may have a more exotic origin.Comment: 16 pages (including supplementary material), 5 figure
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