A study of an improved cutting mechanism of composite materials using novel design of diamond micro-core drills

Core drilling at small diameters in carbon composite materials is largely carried out using diamond electroplated tools consisting of hollow shafts and simplistic geometries that are likely to work in an abrasional/rubbing mode for material removal. The paper reports a step change in the performance of small diameter core drilling by facilitating a shearing mechanism of the composite workpiece through the utilisation of a novel tool design. This has been achieved by laser producing core drills from solid polycrystalline diamond, incorporating controlled cutting edges where the geometries are defined. To evaluate the efficiency of the shearing vs. abrasion/rubbing cutting mechanisms, a critical comparison between the novel (defined cutting edges) and the conventional electroplated tools (randomly distributed micro-grains) has been made with reference to thrust forces, tool wear mechanisms and their influences on the hole quality (e.g. delamination, fibre pullout). This work has been augmented by studies using high-speed thermal imaging of the two tool types in operation. The examinations have shown that, based on the concept of defined cutting edges in solid diamond, there is the possibility to make significant improvements in core drilling performance, (ca. 26% lower thrust force, minimal tool surface clogging, lower drilling temperatures) resulting in improved cleanliness of fibre fracture and a reduced tendency of material delamination

MRI-guided and CT-guided cervical nerve root infiltration therapy: a cost comparison

PURPOSE To evaluate and compare the costs of MRI-guided and CT-guided cervical nerve root infiltration for the minimally invasive treatment of radicular neck pain. MATERIALS AND METHODS Between September 2009 and April 2012, 22 patients (9 men, 13 women; mean age: 48.2 years) underwent MRI-guided (1.0 Tesla, Panorama HFO, Philips) single-site periradicular cervical nerve root infiltration with 40 mg triamcinolone acetonide. A further 64 patients (34 men, 30 women; mean age: 50.3 years) were treated under CT fluoroscopic guidance (Somatom Definition 64, Siemens). The mean overall costs were calculated as the sum of the prorated costs of equipment use (purchase, depreciation, maintenance, and energy costs), personnel costs and expenditure for disposables that were identified for MRI- and CT-guided procedures. Additionally, the cost of ultrasound guidance was calculated. RESULTS The mean intervention time was 24.9 min. (range: 12 - 36 min.) for MRI-guided infiltration and 19.7 min. (range: 5 - 54 min.) for CT-guided infiltration. The average total costs per patient were EUR 240 for MRI-guided interventions and EUR 124 for CT-guided interventions. These were (MRI/CT guidance) EUR 150/60 for equipment use, EUR 46/40 for personnel, and EUR 44/25 for disposables. The mean overall cost of ultrasound guidance was EUR 76. CONCLUSION Cervical nerve root infiltration using MRI guidance is still about twice as expensive as infiltration using CT guidance. However, since it does not involve radiation exposure for patients and personnel, MRI-guided nerve root infiltration may become a promising alternative to the CT-guided procedure, especially since a further price decrease is expected for MRI devices and MR-compatible disposables. In contrast, ultrasound remains the less expensive method for nerve root infiltration guidance