Femtosecond laser generation of bimetallic oxide nanoparticles with potential X-ray absorbing and magnetic functionalities for medical imaging applications

Bimetallic nanoparticles have gained vivid attention due to their unique and synergistic properties. They can be used in fields such as solar cells, optics, sensing, as well as medicine. The generation of bimetallic nanoparticles, containing oxide phases of both magnetic and X-ray attenuating metals for bioimaging applications has been challenging with traditional chemical synthesis methods. An alternative is the generation of nanoparticles from binary oxide ceramics by laser ablation in liquid. However, the applicability of this technique for production of hybrid nanoparticles consisting of magnetic and X-ray absorbing elements has not been demonstrated yet. In this work, novel ceramics composed of bimetallic oxide phases of iron-tantalum, iron-tungsten, and ironbismuth were produced by a reaction-sintering method. The bulk samples were characterized with scanning electron microscopy, energy dispersive X-ray spectroscopy, and X-ray diffractometry. Nanoparticles were produced in aqueous and ethanol solutions by employing a femtosecond laser and characterized with transmission electron microscopy, selected area electron diffraction, and energy dispersive X-ray spectroscopy. The results demonstrated that the production of binary oxide bulk ceramics and their subsequent laser ablation in liquids leads to the successful generation of bimetallic oxide nanoparticles, without a core-shell morphology. In addition, it was found that the ablation threshold fluence of bulk samples as well as the crystallinity of the synthesized nanoparticles is governed by both the nature of the metallic oxide ceramics and the employed liquid. The results pave the way for a single step generation of well-defined bimetallic nanoparticles by laser ablation that could potentially exhibit X-ray and magnetic absorption properties suitable for multimodal imaging applications.This research has been partially funded by the Spanish Ministerio de Ciencia e Innovacion through the research project MAT2015-67354R (MINECO-FEDER). Funding through a Marie Sklodowska-Curie Individual Fellowships (MSCA-IF 2014, 656908-NIMBLIS-ESR) of the Horizon 2020 program, and the Project PI-0030-2017 of the Junta de Andalucia in the framework of the integrated territorial initiative 20142020 for research and innovation in biomedicine and health sciences in the province of Cadiz is also greatly appreciated. The authors acknowledge support for scanning electron microscopy by Dr. Stephan Puchegger and the faculty center for nanostructure research at the University of Vienna

Rehabilitation and outcomes after complicated vs uncomplicated mild TBI: results from the CENTER-TBI study

International audienceBackground: Despite existing guidelines for managing mild traumatic brain injury (mTBI), evidence-based treatments are still scarce and large-scale studies on the provision and impact of specific rehabilitation services are needed. This study aimed to describe the provision of rehabilitation to patients after complicated and uncomplicated mTBI and investigate factors associated with functional outcome, symptom burden, and TBI-specific health-related quality of life (HRQOL) up to six months after injury. Methods: Patients (n = 1379) with mTBI from the Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI) study who reported whether they received rehabilitation services during the first six months post-injury and who participated in outcome assessments were included. Functional outcome was measured with the Glasgow Outcome Scale – Extended (GOSE), symptom burden with the Rivermead Post Concussion Symptoms Questionnaire (RPQ), and HRQOL with the Quality of Life after Brain Injury – Overall Scale (QOLIBRI-OS). We examined whether transition of care (TOC) pathways, receiving rehabilitation services, sociodemographic (incl. geographic), premorbid, and injury-related factors were associated with outcomes using regression models. For easy comparison, we estimated ordinal regression models for all outcomes where the scores were classified based on quantiles. Results: Overall, 43% of patients with complicated and 20% with uncomplicated mTBI reported receiving rehabilitation services, primarily in physical and cognitive domains. Patients with complicated mTBI had lower functional level, higher symptom burden, and lower HRQOL compared to uncomplicated mTBI. Rehabilitation services at three or six months and a higher number of TOC were associated with unfavorable outcomes in all models, in addition to pre-morbid psychiatric problems. Being male and having more than 13 years of education was associated with more favorable outcomes. Sustaining major trauma was associated with unfavorable GOSE outcome, whereas living in Southern and Eastern European regions was associated with lower HRQOL. Conclusions: Patients with complicated mTBI reported more unfavorable outcomes and received rehabilitation services more frequently. Receiving rehabilitation services and higher number of care transitions were indicators of injury severity and associated with unfavorable outcomes. The findings should be interpreted carefully and validated in future studies as we applied a novel analytic approach. Trial registration: ClinicalTrials.gov NCT02210221