Comparison of the effects of air-powder abrasion, chemical decontamination, or their combination in open-flap surface decontamination of implants failed for peri-implantitis: an ex vivo study

Objectives To compare, using an ex vivo model, the biofilm removal of three surface decontamination methods following surgical exposure of implants failed for severe peri-implantitis. Materials and methods The study design was a single-blind, randomized, controlled, ex vivo investigation with intra-subject control. Study participants were 20 consecutive patients with at least 4 hopeless implants, in function for >12 months and with progressive bone loss exceeding 50%, which had to be explanted. Implants of each patient were randomly assigned to the untreated control group or one of the three decontamination procedures: mechanical debridement with air-powder abrasion, chemical decontamination with hydrogen peroxide and chlorhexidine gluconate, or combined mechanical-chemical decontamination. Following surgical exposure, implants selected as control were retrieved, and afterwards, test implants were decontaminated according to allocation and carefully explanted with a removal kit. Microbiological analysis was expressed in colony-forming-units (CFU/ml). Results A statistically significant difference (p < 0.001) in the concentrations of CFU/ml was found between implants treated with mechanical debridement (531.58 ± 372.07) or combined mechanical-chemical decontamination (954.05 ± 2219.31) and implants untreated (37,800.00 ± 46,837.05) or treated with chemical decontamination alone (29,650.00 ± 42,596.20). No statistically significant difference (p = 1.000) was found between mechanical debridement used alone or supplemented with chemical decontamination. Microbiological analyses identified 21 microbial species, without significant differences between control and treatment groups. Conclusions Bacterial biofilm removal from infected implant surfaces was significantly superior for mechanical debridement than chemical decontamination. Clinical relevance The present is the only ex vivo study based on decontamination methods for removing actual and mature biofilm from infected implant surfaces in patients with peri-implantitis

Effects of an amino acid buffered hypochlorite solution as an adjunctive to air-powder abrasion in open-flap surface decontamination of implants failed for peri-implantitis: an ex vivo randomized clinical trial

Objectives: To evaluate ex vivo the efficacy of an amino acid buffered hypochlorite solution supplemented to surface debridement with air-powder abrasion in removing bacterial biofilm following open-flap decontamination of implants failed due to peri-implantitis. Materials and methods: This study was an ex vivo, single-blind, randomized, intra-subject investigation. Study population consisted of 20 subjects with at least three implants failed for peri-implantitis (in function for > 12 months and progressive bone loss exceeding 50%) to be explanted. For each patient, implants were randomly assigned to surface decontamination with sodium bicarbonate air-powder abrasion (test-group 1) or sodium bicarbonate air-powder abrasion supplemented by amino acid buffered hypochlorite solution (test-group 2) or untreated control group. Following open-flap surgery, untreated implants (control group) were explanted. Afterwards, test implants were decontaminated according to allocation and explanted. Microbiological analysis was expressed in colony-forming units (CFU/ml). Results: A statistically significant difference in the concentrations of CFU/ml was found between implants of test-group 1 (63,018.18 ± 228,599.36) (p = 0.007) and implants of test-group 2 (260.00 ± 375.80) (p < 0.001) compared to untreated implants (control group) (86,846.15 ± 266,689.44). The concentration of CFU/ml on implant surfaces was lower in test-group 2 than in test-group 1, with a statistically significant difference (p < 0.001). Conclusion: The additional application of amino acid buffered hypochlorite solution seemed to improve the effectiveness of implant surface decontamination with air-powder abrasion following open-flap surgery. Clinical relevance: Lacking evidence on the most effective method for biofilm removal from contaminated implant surfaces, the present experimental study provides further information for clinicians and researchers

Equalizing the Pixel Response of the Imaging Photoelectric Polarimeter On-Board the IXPE Mission

The Gas Pixel Detector is a gas detector, sensitive to the polarization of X-rays, currently flying on-board IXPE - the first observatory dedicated to X-ray polarimetry. It detects X-rays and their polarization by imaging the ionization tracks generated by photoelectrons absorbed in the sensitive volume, and then reconstructing the initial direction of the photoelectrons. The primary ionization charge is multiplied and ultimately collected on a finely-pixellated ASIC specifically developed for X-ray polarimetry. The signal of individual pixels is processed independently and gain variations can be substantial, of the order of 20%. Such variations need to be equalized to correctly reconstruct the track shape, and therefore its polarization direction. The method to do such equalization is presented here and is based on the comparison between the mean charge of a pixel with respect to the other pixels for equivalent events. The method is shown to finely equalize the response of the detectors on board IXPE, allowing a better track reconstruction and energy resolution, and can in principle be applied to any imaging detector based on tracks.Comment: Accepted for publication in The Astronomical Journal. 10 pages, 19 figure

In-flight calibration system of imaging x-ray polarimetry explorer

The NASA/ASI Imaging X-ray Polarimetry Explorer, which will be launched in 2021, will be the first instrument to perform spatially resolved X-ray polarimetry on several astronomical sources in the 2-8 keV energy band. These measurements are made possible owing to the use of a gas pixel detector (GPD) at the focus of three X-ray telescopes. The GPD allows simultaneous measurements of the interaction point, energy, arrival time, and polarization angle of detected X-ray photons. The increase in sensitivity, achieved 40 years ago, for imaging and spectroscopy with the Einstein satellite will thus be extended to X-ray polarimetry for the first time. The characteristics of gas multiplication detectors are subject to changes over time. Because the GPD is a novel instrument, it is particularly important to verify its performance and stability during its mission lifetime. For this purpose, the spacecraft hosts a filter and calibration set (FCS), which includes both polarized and unpolarized calibration sources for performing in-flight calibration of the instruments. In this study, we present the design of the flight models of the FCS and the first measurements obtained using silicon drift detectors and CCD cameras, as well as those obtained in thermal vacuum with the flight units of the GPD. We show that the calibration sources successfully assess and verify the functionality of the GPD and validate its scientific results in orbit; this improves our knowledge of the behavior of these detectors in X-ray polarimetry

An Algorithm to Calibrate and Correct the Response to Unpolarized Radiation of the X-Ray Polarimeter Onboard IXPE

The Gas Pixel Detector (GPD) is an X-ray polarimeter to fly onboard IXPE and other missions. To correctly measure the source polarization, the response of IXPE's GPDs to unpolarized radiation has to be calibrated and corrected. In this paper, we describe the way such response is measured with laboratory sources and the algorithm to apply such correction to the observations of celestial sources. The latter allows to correct the response to polarization of single photons, therefore allowing great flexibility in all the subsequent analysis. Our correction approach is tested against both monochromatic and nonmonochromatic laboratory sources and with simulations, finding that it correctly retrieves the polarization up to the statistical limits of the planned IXPE observations

IXPE instrument integration, testing and verification

The Imaging X-ray Polarimetry Explorer (IXPE) is a scientific observatory with the purpose of expand observation space adding polarization property to the X-ray source's currently measured characteristics. The mission selected in the context of NASA Small Explorer (SMEX) is a collaboration between NASA and ASI that will provide to observatory the instrumentation of focal plane. IXPE instrument is composed by three photoelectric polarimeters based on the Gas Pixel Detector (GPD) design, integrated by INFN inside the detector unit (DU) that comprises of the electrical interfaces required to control and communicate with the GPD. The three DUs are interfaced with spacecraft through a detector service unit (DSU) that collect scientific and ancillary data and provides a basically data handling and interfaces to manage the three DUs. AIV has been planned to combine calibration of DUs and Instrument integration and verification activities. Due the tight schedule and the scientific and functional requirements to be verified, in IAPS/INAF have been assembled two equipment's that work in parallel. The flight model of each DU after the environmental tests campaign was calibrated on-ground using the Instrument Calibration Equipment (ICE) and subsequently integrated in the instrument in the AIV-T process on a AIV and Calibration Equipment (ACE), both the facilities managed by Electrical Ground Support Equipment (EGSE) that emulate the spacecraft interfaces of power supply, functional and thermal control and scientific data collection. AIV activities test functionalities and nominal/off-nominal orbits activities of IXPE instrument each time a calibrated DU is connected to DSU flight model completing step by step the full instrument. Here we describe the details of instrumentation and procedures adopted to make possible the full integration and test activities compatibly with calibration of IXPE Instrument

The IXPE Instrument Calibration Equipment

The Imaging X-ray Polarimetry Explorer is a mission dedicated to the measurement of X-ray polarization from tens of astrophysical sources belonging to different classes. Expected to be launched at the end of 2021, the payload comprises three mirrors and three focal plane imaging polarimeters, the latter being designed and built in Italy. While calibration is always an essential phase in the development of high-energy space missions, for IXPE it has been particularly extensive both to calibrate the response to polarization, which is peculiar to IXPE, and to achieve a statistical uncertainty below the expected sensitivity. In this paper we present the calibration equipment that was designed and built at INAF-IAPS in Rome, Italy, for the calibration of the polarization-sensitive focal plane detectors on-board IXPE. Equipment includes calibration sources, both polarized and unpolarized, stages to align and move the beam, test detectors and their mechanical assembly. While all these equipments were designed to fit the specific needs of the IXPE Instrument calibration, their versatility could also be used in the future for other projects

X-ray polarimetry reveals the magnetic field topology on sub-parsec scales in Tycho's supernova remnant

Supernova remnants are commonly considered to produce most of the Galactic cosmic rays via diffusive shock acceleration. However, many questions about the physical conditions at shock fronts, such as the magnetic-field morphology close to the particle acceleration sites, remain open. Here we report the detection of a localized polarization signal from some synchrotron X-ray emitting regions of Tycho's supernova remnant made by the Imaging X-ray Polarimetry Explorer. The derived polarization degree of the X-ray synchrotron emission is 9+/-2% averaged over the whole remnant, and 12+/-2% at the rim, higher than the 7-8% polarization value observed in the radio band. In the west region the polarization degree is 23+/-4%. The X-ray polarization degree in Tycho is higher than for Cassiopeia A, suggesting a more ordered magnetic-field or a larger maximum turbulence scale. The measured tangential polarization direction corresponds to a radial magnetic field, and is consistent with that observed in the radio band. These results are compatible with the expectation of turbulence produced by an anisotropic cascade of a radial magnetic-field near the shock, where we derive a magnetic-field amplification factor of 3.4+/-0.3. The fact that this value is significantly smaller than those expected from acceleration models is indicative of highly anisotropic magnetic-field turbulence, or that the emitting electrons either favor regions of lower turbulence, or accumulate close to where the magnetic-field orientation is preferentially radially oriented due to hydrodynamical instabilities.Comment: 31 pages, 7 figures, 3 tables. Accepted for publication in ApJ. Revised versio