NASA Astrophysics Data System (ADS)
Moshavegh, Ramin; Hansen, Kristoffer Lindskov; Møller Sørensen, Hasse; Hemmsen, Martin Christian; Ewertsen, Caroline; Nielsen, Michael Bachmann; Jensen, Jørgen Arendt
2016-04-01
This paper presents a novel automatic method for detection of B-lines (comet-tail artifacts) in lung ultrasound scans. B-lines are the most commonly used artifacts for analyzing the pulmonary edema. They appear as laser-like vertical beams, which arise from the pleural line and spread down without fading to the edge of the screen. An increase in their number is associated with presence of edema. All the scans used in this study were acquired using a BK3000 ultrasound scanner (BK Ultrasound, Denmark) driving a 192-element 5:5 MHz wide linear transducer (10L2W, BK Ultrasound). The dynamic received focus technique was employed to generate the sequences. Six subjects, among those three patients after major surgery and three normal subjects, were scanned once and Six ultrasound sequences each containing 50 frames were acquired. The proposed algorithm was applied to all 300 in-vivo lung ultrasound images. The pleural line is first segmented on each image and then the B-line artifacts spreading down from the pleural line are detected and overlayed on the image. The resulting 300 images showed that the mean lateral distance between B-lines detected on images acquired from patients decreased by 20% in compare with that of normal subjects. Therefore, the method can be used as the basis of a method of automatically and qualitatively characterizing the distribution of B-lines.
A no-decompression air dive and ultrasound lung comets.
Dujic, Zeljko; Marinovic, Jasna; Obad, Ante; Ivancev, Vladimir; Breskovic, Toni; Jovovic, Pavle; Ljubkovic, Marko
2011-01-01
Increased accumulation of extravascular lung water after repetitive deep trimix dives was recently reported. This effect was evident 40 min post-dive, but in subsequent studies most signs of this lung congestion were not evident 2-3 h post-dive, indicating no major negative effects on respiratory gas exchange following deep dives. Whether this response is unique for trimix dives or also occurs in more frequent air dives is presently unknown. A single no-decompression field dive to 33 m with 20 min bottom time was performed by 12 male divers. Multiple ultrasound lung comets (ULC), bubble grade (BG), and single-breath lung diffusing capacity (DLCO) measurements were made before and up to 120 min after the dive. Median BG was rather high with maximal values observed at 40 min post-dive [median 4 (4-4)]. Arterialization of bubbles from the venous side was observed only in one diver lasting up to 60 min post-dive. Despite high BG, no DCS symptoms were noted. DLCO and ULC were unchanged after the dive at any time point (DLCO(corr) was 33.6 +/- 1.9 ml x min(-1) mmHg(-1) pre-dive, 32.7 +/- 3.8 ml x min(-1) x mmHg(-1) at 60 min post-dive, and 33.2 +/- 5.3 ml x min(-1) x mmHg(-1) at 120 min post-dive; ULC count was 4.1 +/- 1.9 pre-dive, 4.9 +/- 3.3 at 20 min post-dive, and 3.3 +/- 1.9 at 60 min post-dive. These preliminary findings show no evidence of increased accumulation of extravascular lung water in male divers after a single no-decompression air dive at the limits of accepted Norwegian diving tables.
Dussault, C; Gontier, E; Verret, C; Soret, M; Boussuges, A; Hedenstierna, G; Montmerle-Borgdorff, S
2016-07-01
Aeroatelectasis has developed in aircrew flying routine peacetime flights on the latest generation high-performance aircraft, when undergoing excessive oxygen supply. To single out the effects of hyperoxia and hypergravity on lung tissue compression, and on ventilation and perfusion, eight subjects were studied before and after 1 h 15 min exposure to +1 to +3.5 Gz in a human centrifuge. They performed the protocol three times, breathing air, 44.5% O2, or 100% O2 and underwent functional and topographical imaging of the whole lung by ultrasound and single-photon emission computed tomography combined with computed tomography (SPECT/CT). Ultrasound lung comets (ULC) and atelectasis both increased after exposure. The number of ULC was <1 pre protocol (i.e., normal lung) and larger post 100% O2 (22 ± 3, mean ± SD) than in all other conditions (P < 0.001). Post 44.5% O2 differed from air (P < 0.05). Seven subjects showed low- to medium-grade atelectasis post 100% O2 There was an effect on grade of gas mixture and hypergravity, with interaction (P < 0.001, respectively); 100% O2, 44.5% O2, and air differed from each other (P < 0.05). SPECT ventilation and perfusion were always normal. Ultrasound concurred with CT in showing normal lung in the upper third and ULC/atelectasis in posterior and inferior areas, not for other localizations. In conclusion, hyperoxia and hypergravity are independent risk factors of reversible atelectasis formation. Ultrasound is a useful screening tool. Together with electrical impedance tomography measurements (reported separately), these findings show that zones with decreased ventilation prone to transient airway closure are present above atelectatic areas. Copyright © 2016 the American Physiological Society.
Influence of Scan Duration on Pulmonary Capillary Hemorrhage Induced by Diagnostic Ultrasound.
Miller, Douglas L; Dong, Zhihong; Dou, Chunyan; Raghavendran, Krishnan
2016-08-01
Diagnostic ultrasound can induce pulmonary capillary hemorrhage (PCH) in rats and display this as "comet tail" artifacts (CTAs) after a time delay. To test the hypothesis that no PCH occurs for brief scans, anesthetized rats were scanned using a 6-MHz linear array for different durations. PCH was characterized by ultrasound CTAs, micro-computed tomography (μCT), and measurements of fixed lung tissue. The μCT images revealed regions of PCH, sometimes penetrating the entire depth of a lobe, which were reflected in the fixed tissue measurements. At -3 dB of power, PCH was substantial for 300-s scans, but not significant for 25-s scans. At 0 dB, PCH was not strongly dependent on scan durations of 300 to 10 s. Contrary to the hypothesis, CTAs were not evident during most 10-s scans (p > 0.05), but PCH was significant (p = 0.02), indicating that PCH could occur without evidence of the injury in the images. Copyright © 2016 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Dependence of thresholds for pulmonary capillary hemorrhage on diagnostic ultrasound frequency.
Miller, Douglas L; Dou, Chunyan; Raghavendran, Krishnan
2015-06-01
Pulmonary ultrasound examination has become routine for diagnosis in many clinical and point-of-care medical settings. However, the phenomenon of pulmonary capillary hemorrhage (PCH) induction during diagnostic ultrasound imaging presents a poorly understood risk factor. PCH was observed in anesthetized rats exposed to 1.5-, 4.5- and 12.0-MHz diagnostic ultrasound to investigate the frequency dependence of PCH thresholds. PCH was detected in the ultrasound images as growing comet tail artifacts and was assessed using photographs of the surface of excised lungs. Previous photographs acquired after exposure to 7.6-MHz diagnostic ultrasound were included for analysis. In addition, at each frequency we measured dosimetric parameters, including peak rarefactional pressure amplitude and spatial peak, pulse average intensity attenuated by rat chest wall samples. Peak rarefactional pressure amplitude thresholds determined at each frequency, based on the proportion of PCH in groups of five rats, were 1.03 ± 0.02, 1.28 ± 0.14, 1.18 ± 0.12 and 1.36 ± 0.15 MPa at 1.5, 4.5, 7.6 and 12.0 MHz, respectively. Although the PCH lesions decreased in size with increasing ultrasonic frequency, owing to the smaller beam widths and scan lengths, the peak rarefactional pressure amplitude thresholds remained approximately constant. This dependence was different from that of the mechanical index, which indicates a need for a specific dosimetric parameter for safety guidance in pulmonary ultrasound. Copyright © 2015 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Lisciandro, Gregory R; Fosgate, Geoffrey T; Fulton, Robert M
2014-01-01
Lung ultrasound is superior to lung auscultation and supine chest radiography for many respiratory conditions in human patients. Ultrasound diagnoses are based on easily learned patterns of sonographic findings and artifacts in standardized images. By applying the wet lung (ultrasound lung rockets or B-lines, representing interstitial edema) versus dry lung (A-lines with a glide sign) concept many respiratory conditions can be diagnosed or excluded. The ultrasound probe can be used as a visual stethoscope for the evaluation of human lungs because dry artifacts (A-lines with a glide sign) predominate over wet artifacts (ultrasound lung rockets or B-lines). However, the frequency and number of wet lung ultrasound artifacts in dogs with radiographically normal lungs is unknown. Thus, the primary objective was to determine the baseline frequency and number of ultrasound lung rockets in dogs without clinical signs of respiratory disease and with radiographically normal lung findings using an 8-view novel regionally based lung ultrasound examination called Vet BLUE. Frequency of ultrasound lung rockets were statistically compared based on signalment, body condition score, investigator, and reasons for radiography. Ten left-sided heart failure dogs were similarly enrolled. Overall frequency of ultrasound lung rockets was 11% (95% confidence interval, 6-19%) in dogs without respiratory disease versus 100% (95% confidence interval, 74-100%) in those with left-sided heart failure. The low frequency and number of ultrasound lung rockets observed in dogs without respiratory disease and with radiographically normal lungs suggests that Vet BLUE will be clinically useful for the identification of canine respiratory conditions. © 2014 American College of Veterinary Radiology.
Prospective Evaluation of Thoracic Ultrasound in the Detection of Pneumothorax
NASA Technical Reports Server (NTRS)
Schwarz, K. W.; Hamilton, D. R.; Kirkpatrick, A. W.; Billica, R. D.; Williams, D. R.; Diebel, L. N.; Sargysan, A. E.; Dulchavsky, S. A.
2000-01-01
Introduction: Pneumothorax (PTX) occurs commonly in trauma patients and is confirmed by examination and radiography. Thoracic ultrasound (VIS) has been suggested as an alternative method for rapidly diagnosing PTX when X-ray is unavailable as in rural, military, or space flight settings; however, its accuracy and specificity are not known. Methods: We evaluated the accuracy of thoracic U/S detection of PTX compared to radiography in stable, emergency patients with a high suspicion of PTX at a Level-l trauma center over a 6-month period. Following University and NASA Institutional Review Board approval, informed consent was obtained from patients with penetrating or blunt chest trauma, or with a history consistent with PTX. Whenever possible, the presence or absence of the " lung sliding" sign or the "comet tail" artifact were determined by U/S in both hemithoraces by residents instructed in thoracic U/S before standard radiologic verification of PTX. Results were recorded on data sheets for comparison to standard radiography. Results: Thoracic VIS had a 94% sensitivity; two PTX could not be reliably diagnosed due to subcutaneous air; the true negative rate was 100%. In one patient, the VIS exam was positive while X ray did not confirm PTX; a follow-up film 1 hour later demonstrated a small PTX. The average time for bilateral thoracic VIS examination was 2 to 3 minutes. Conclusions: Thoracic ultrasound reliably diagnoses pneumothorax. Presence of the "lung sliding" sign conclusively excludes pneumothorax. Expansion of the FAST examination to include the thorax should be investigated.
Wang, Xiao-ting; Liu, Da-wei; Zhang, Hong-min; He, Huai-wu; Liu, Ye; Chai, Wen-zhao; Du, Wei
2012-12-01
To investigate the effect of the bedside lung ultrasound in emergency(BLUE)-plus lung ultrasound protocol on lung consolidation and atelectasis of critical patients. All patients who need to receive mechanical ventilation for more than 48 hours in ICU from June 2010 to December 2011 in Peking Union Medical College Hospital were included in the study. BLUE-plus and BLUE lung ultrasound, bedside X-ray, lung CT examination were performed on all patients at the same time. The condition of lung consolidation and atelectasis discovered by BLUE-plus lung ultrasound protocol was recorded and compared with bedside X-ray or lung CT. The difference in assessment of lung consolidation and atelectasis between BLUE-plus lung ultrasound protocol and BLUE protocol was compared. A total of 78 patients were finally enrolled in the study. The lung CT found 70 cases (89.74%) had different degrees of lung consolidation and atelectasis. The sensitivity, specificity and diagnostic accuracy of lung consolidation and atelectasis by the bedside chest X-ray were 31.29%, 75.00% and 38.46%, respectively. BLUE-plus lung ultrasound protocol found 68 cases with lung consolidation and atelectasis, and its sensitivity, specificity, and diagnostic accuracy were 95.71%, 87.50% and 94.87%, respectively, which were significantly higher than those of lung CT. BLUE protocol found 48 cases of lung consolidation and atelectasis, and its sensitivity, specificity, and diagnostic accuracy were 65.71%, 75.00% and 66.67%, respectively. The position of lung consolidation and atelectasis which hadn't been found by BLUE protocol was mainly proved to be located in the basement of lung by lung CT. The incidence of lung consolidation and atelectasis in critical patients who received mechanical ventilation is high. The BLUE-plus lung ultrasound protocol has a relatively higher sensitivity, specificity and diagnostic accuracy for consolidation and atelectasis, which can find majority of consolidation and atelectasis. As BLUE-plus lung ultrasound is a bedside noninvasive method allowing immediate assessment of most lung consolidation and atelectasis, it will be likely the alternative of the CT and play a key role in assessment of lung consolidation and atelectasis.
Ten good reasons to practice ultrasound in critical care.
Lichtenstein, Daniel; van Hooland, Simon; Elbers, Paul; Malbrain, Manu L N G
2014-01-01
Over the past decade, critical care ultrasound has gained its place in the armamentarium of monitoring tools. A greater understanding of lung, abdominal, and vascular ultrasound plus easier access to portable machines have revolutionised the bedside assessment of our ICU patients. Because ultrasound is not only a diagnostic test, but can also be seen as a component of the physical exam, it has the potential to become the stethoscope of the 21st century. Critical care ultrasound is a combination of simple protocols, with lung ultrasound being a basic application, allowing assessment of urgent diagnoses in combination with therapeutic decisions. The LUCI (Lung Ultrasound in the Critically Ill) consists of the identification of ten signs: the bat sign (pleural line); lung sliding (seashore sign); the A-lines (horizontal artefact); the quad sign and sinusoid sign indicating pleural effusion; the fractal and tissue-like sign indicating lung consolidation; the B-lines and lung rockets indicating interstitial syndromes; abolished lung sliding with the stratosphere sign suggesting pneumothorax; and the lung point indicating pneumothorax. Two more signs, the lung pulse and the dynamic air bronchogram, are used to distinguish atelectasis from pneumonia. The BLUE protocol (Bedside Lung Ultrasound in Emergency) is a fast protocol (< 3 minutes), also including a vascular (venous) analysis allowing differential diagnosis in patients with acute respiratory failure. With this protocol, it becomes possible to differentiate between pulmonary oedema, pulmonary embolism, pneumonia, chronic obstructive pulmonary disease, asthma, and pneumothorax, each showing specific ultrasound patterns and profiles. The FALLS protocol (Fluid Administration Limited by Lung Sonography) adapts the BLUE protocol to be used in patients with acute circulatory failure. It makes a sequential search for obstructive, cardiogenic, hypovolemic, and distributive shock using simple real-time echocardiography in combination with lung ultrasound, with the appearance of B-lines considered to be the endpoint for fluid therapy. An advantage of lung ultrasound is that the patient is not exposed to radiation, and so the LUCI-FLR project (LUCI favouring limitation of radiation) can be unfolded in trauma patients. Although it has been practiced for 25 years, critical care ultrasound is a relatively young but expanding discipline and can be seen as the stethoscope of the modern intensivist. In this review, the usefulness and advantages of ultrasound in the critical care setting are discussed in ten points. The emphasis is on a holistic approach, with a central role for lung ultrasound.
Clinical review: Bedside lung ultrasound in critical care practice
Bouhemad, Bélaïd; Zhang, Mao; Lu, Qin; Rouby, Jean-Jacques
2007-01-01
Lung ultrasound can be routinely performed at the bedside by intensive care unit physicians and may provide accurate information on lung status with diagnostic and therapeutic relevance. This article reviews the performance of bedside lung ultrasound for diagnosing pleural effusion, pneumothorax, alveolar-interstitial syndrome, lung consolidation, pulmonary abscess and lung recruitment/derecruitment in critically ill patients with acute lung injury. PMID:17316468
Diagnosing pulmonary edema: lung ultrasound versus chest radiography.
Martindale, Jennifer L; Noble, Vicki E; Liteplo, Andrew
2013-10-01
Diagnosing the underlying cause of acute dyspnea can be challenging. Lung ultrasound may help to identify pulmonary edema as a possible cause. To evaluate the ability of residents to recognize pulmonary edema on lung ultrasound using chest radiographs as a comparison standard. This is a prospective, blinded, observational study of a convenience sample of resident physicians in the Departments of Emergency Medicine (EM), Internal Medicine (IM), and Radiology. Residents were given a tutorial on interpreting pulmonary edema on both chest radiograph and lung ultrasound. They were then shown both ultrasounds and chest radiographs from 20 patients who had presented to the emergency department with dyspnea, 10 with a primary diagnosis of pulmonary edema, and 10 with alternative diagnoses. Cohen's κ values were calculated to describe the strength of the correlation between resident and gold standard interpretations. Participants included 20 EM, 20 IM, and 20 Radiology residents. The overall agreement with gold standard interpretation of pulmonary edema on lung ultrasound (74%, κ = 0.51, 95% confidence interval 0.46-0.55) was superior to chest radiographs (58%, κ = 0.25, 95% confidence interval 0.20-0.30) (P < 0.0001). EM residents interpreted lung ultrasounds more accurately than IM residents. Radiology residents interpreted chest radiographs more accurately than did EM and IM residents. Residents were able to more accurately identify pulmonary edema with lung ultrasound than with chest radiograph. Physicians with minimal exposure to lung ultrasound may be able to correctly recognize pulmonary edema on lung ultrasound.
Dalrymple, Annette; Ordoñez, Patricia; Thorne, David; Dillon, Debbie; Meredith, Clive
2015-06-01
Smoking is a cause of serious diseases, including lung cancer, emphysema, chronic bronchitis and heart disease. DNA damage is thought to be one of the mechanisms by which cigarette smoke (CS) initiates disease in the lung. Indeed, CS induced DNA damage can be measured in vitro and in vivo. The potential of the Comet assay to measure DNA damage in isolated rat lung alveolar type II epithelial cells (AEC II) was explored as a means to include a genotoxicity end-point in rodent sub-chronic inhalation studies. In this study, published AEC II isolation methods were improved to yield viable cells suitable for use in the Comet assay. The improved method reduced the level of basal DNA damage and DNA repair in isolated AEC II. CS induced DNA damage could also be quantified in isolated cells following a single or 5 days CS exposure. In conclusion, the Comet assay has the potential to determine CS or other aerosol induced DNA damage in AEC II isolated from rodents used in sub-chronic inhalation studies. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
Touw, H R; Parlevliet, K L; Beerepoot, M; Schober, P; Vonk, A; Twisk, J W; Elbers, P W; Boer, C; Tuinman, P R
2018-03-12
Postoperative pulmonary complications are common after cardiothoracic surgery and are associated with adverse outcomes. The ability to detect postoperative pulmonary complications using chest X-rays is limited, and this technique requires radiation exposure. Little is known about the diagnostic accuracy of lung ultrasound for the detection of postoperative pulmonary complications after cardiothoracic surgery, and we therefore aimed to compare lung ultrasound with chest X-ray to detect postoperative pulmonary complications in this group of patients. We performed this prospective, observational, single-centre study in a tertiary intensive care unit treating adult patients who had undergone cardiothoracic surgery. We recorded chest X-ray findings upon admission and on postoperative days 2 and 3, as well as rates of postoperative pulmonary complications and clinically-relevant postoperative pulmonary complications that required therapy according to the treating physician as part of their standard clinical practice. Lung ultrasound was performed by an independent researcher at the time of chest X-ray. We compared lung ultrasound with chest X-ray for the detection of postoperative pulmonary complications and clinically-relevant postoperative pulmonary complications. We also assessed inter-observer agreement for lung ultrasound, and the time to perform both imaging techniques. Subgroup analyses were performed to compare the time to detection of clinically-relevant postoperative pulmonary complications by both modalities. We recruited a total of 177 patients in whom both lung ultrasound and chest X-ray imaging were performed. Lung ultrasound identified 159 (90%) postoperative pulmonary complications on the day of admission compared with 107 (61%) identified with chest X-ray (p < 0.001). Lung ultrasound identified 11 out of 17 patients (65%) and chest X-ray 7 out of 17 patients (41%) with clinically-relevant postoperative pulmonary complications (p < 0.001). The clinically-relevant postoperative pulmonary complications were detected earlier using lung ultrasound compared with chest X-ray (p = 0.024). Overall inter-observer agreement for lung ultrasound was excellent (κ = 0.907, p < 0.001). Following cardiothoracic surgery, lung ultrasound detected more postoperative pulmonary complications and clinically-relevant postoperative pulmonary complications than chest X-ray, and at an earlier time-point. Our results suggest lung ultrasound may be used as the primary imaging technique to search for postoperative pulmonary complications after cardiothoracic surgery, and will enhance bedside decision making. © 2018 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland.
Chinardet, B; Brisson, H; Arbelot, C; Langeron, O; Rouby, J J; Lu, Q
2016-01-01
The aim of the pilot study was to assess by ultrasound changes in dimensions of lung consolidation and reaeration after drainage of large pleural effusion in patients with acute respiratory distress syndrome (ARDS). Lung ultrasound and blood gas were performed before, 2 hours (H2) and 24 hours (H24) after drainage of pleural effusion. Lung ultrasound aeration score was calculated. Cephalocaudal dimension and diaphragmatic transversal area of lung consolidation were measured. Ten patients were studied. Median volume of drained effusion was 675 ml at H2 and 895 at H24. Two hours after drainage, dimension of cephalocaudal consolidation and diaphragmatic transversal area decreased significantly. Lung reaeration after drainage occurred mainly in latero-inferior and postero-superior regions. PaO2/FiO2 increased significantly at H24. Ultrasound is a useful method to assess lung consolidation after pleural effusion drainage. Drainage of pleural effusion may lead to a decrease of lung consolidation and improvement of lung reaeration.
Point-of-care lung ultrasound in children with community acquired pneumonia.
Yilmaz, Hayri Levent; Özkaya, Ahmet Kağan; Sarı Gökay, Sinem; Tolu Kendir, Özlem; Şenol, Hande
2017-07-01
To present lung ultrasound findings in children assessed with suspected pneumonia in the emergency department and to show the benefit of lung ultrasound in diagnosing pneumonia in comparison with chest X-rays. This observational prospective study was performed in the pediatric emergency department of a single center. Point of care lung ultrasound was performed on each child by an independent sonographer blinded to the patient's clinical and chest X-ray findings. Community acquired pneumonia was established as a final diagnosis by two clinicians based on the recommendations in the British Thoracic Society guideline. One hundred sixty children with a mean age of 3.3±4years and a median age of 1.4years (min-max 0.08-17.5years) were investigated. Final diagnosis in 149 children was community-acquired pneumonia. Lung ultrasound findings were compatible with pneumonia in 142 (95.3%) of these 149 children, while chest X-ray findings were compatible with pneumonia in 132 (88.5%). Pneumonia was confirmed with lung ultrasound in 15 of the 17 patients (11.4%) not evaluated as compatible with pneumonia at chest X-ray. While pneumonia could not be confirmed with lung ultrasound in seven (4.6%) patients, findings compatible with pneumonia were not determined at chest X-ray in two of these patients. When lung ultrasound and chest X-ray were compared as diagnostic tools, a significant difference was observed between them (p=0.041). This study shows that lung ultrasound is at least as useful as chest X-ray in diagnosing children with community-acquired pneumonia. Copyright © 2017 Elsevier Inc. All rights reserved.
Mai, Tuan V; Ahn, David T; Phillips, Colin T; Agan, Donna L; Kimura, Bruce J
2013-01-01
Background. The potential of pocket-sized ultrasound devices (PUDs) to improve global healthcare delivery is limited by the lack of a suitable imaging protocol and trained users. Therefore, we investigated the feasibility of performing a brief, evidence-based cardiac limited ultrasound exam (CLUE) through wireless guidance of novice users. Methods. Three trainees applied PUDs on 27 subjects while directed by an off-site cardiologist to obtain a CLUE to screen for LV systolic dysfunction (LVSD), LA enlargement (LAE), ultrasound lung comets (ULC+), and elevated CVP (eCVP). Real-time remote audiovisual guidance and interpretation by the cardiologist were performed using the iPhone 4/iPod (FaceTime, Apple, Inc.) attached to the PUD and transmitted data wirelessly. Accuracy and technical quality of transmitted images were compared to on-site, gold-standard echo thresholds. Results. Novice versus sonographer imaging yielded technically adequate views in 122/135 (90%) versus 130/135 (96%) (P < 0.05). CLUE's combined SN, SP, and ACC were 0.67, 0.96, and 0.90. Technical adequacy (%) and accuracy for each abnormality (n) were LVSD (85%, 0.93, n = 5), LAE (89%, 0.74, n = 16), ULC+ (100%, 0.94, n = 5), and eCVP (78%, 0.91, n = 1). Conclusion. A novice can perform the CLUE using PUD when wirelessly guided by an expert. This method could facilitate PUD use for off-site bedside medical decision making and triaging of patients.
Hand ultrasound: a high-fidelity simulation of lung sliding.
Shokoohi, Hamid; Boniface, Keith
2012-09-01
Simulation training has been effectively used to integrate didactic knowledge and technical skills in emergency and critical care medicine. In this article, we introduce a novel model of simulating lung ultrasound and the features of lung sliding and pneumothorax by performing a hand ultrasound. The simulation model involves scanning the palmar aspect of the hand to create normal lung sliding in varying modes of scanning and to mimic ultrasound features of pneumothorax, including "stratosphere/barcode sign" and "lung point." The simple, reproducible, and readily available simulation model we describe demonstrates a high-fidelity simulation surrogate that can be used to rapidly illustrate the signs of normal and abnormal lung sliding at the bedside. © 2012 by the Society for Academic Emergency Medicine.
The Agreement between Auscultation and Lung Ultrasound in Hemodialysis Patients: The LUST Study.
Torino, Claudia; Gargani, Luna; Sicari, Rosa; Letachowicz, Krzysztof; Ekart, Robert; Fliser, Danilo; Covic, Adrian; Siamopoulos, Kostas; Stavroulopoulos, Aristeidis; Massy, Ziad A; Fiaccadori, Enrico; Caiazza, Alberto; Bachelet, Thomas; Slotki, Itzchak; Martinez-Castelao, Alberto; Coudert-Krier, Marie-Jeanne; Rossignol, Patrick; Gueler, Faikah; Hannedouche, Thierry; Panichi, Vincenzo; Wiecek, Andrzej; Pontoriero, Giuseppe; Sarafidis, Pantelis; Klinger, Marian; Hojs, Radovan; Seiler-Mussler, Sarah; Lizzi, Fabio; Siriopol, Dimitrie; Balafa, Olga; Shavit, Linda; Tripepi, Rocco; Mallamaci, Francesca; Tripepi, Giovanni; Picano, Eugenio; London, Gérard Michel; Zoccali, Carmine
2016-11-07
Accumulation of fluid in the lung is the most concerning sequela of volume expansion in patients with ESRD. Lung auscultation is recommended to detect and monitor pulmonary congestion, but its reliability in ESRD is unknown. In a subproject of the ongoing Lung Water by Ultra-Sound Guided Treatment to Prevent Death and Cardiovascular Complications in High Risk ESRD Patients with Cardiomyopathy Trial, we compared a lung ultrasound-guided ultrafiltration prescription policy versus standard care in high-risk patients on hemodialysis. The reliability of peripheral edema was tested as well. This study was on the basis of 1106 pre- and postdialysis lung ultrasound studies (in 79 patients) simultaneous with standardized lung auscultation (crackles at the lung bases) and quantification of peripheral edema. Lung congestion by crackles, edema, or a combination thereof poorly reflected the severity of congestion as detected by ultrasound B lines in various analyses, including standard regression analysis weighting for repeated measures in individual patients (shared variance of 12% and 4% for crackles and edema, respectively) and κ-statistics (κ ranging from 0.00 to 0.16). In general, auscultation had very low discriminatory power for the diagnosis of mild (area under the receiver operating curve =0.61), moderate (area under the receiver operating curve =0.65), and severe (area under the receiver operating curve =0.68) lung congestion, and the same was true for peripheral edema (receiver operating curve =0.56 or lower) and the combination of the two physical signs. Lung crackles, either alone or combined with peripheral edema, very poorly reflect interstitial lung edema in patients with ESRD. These findings reinforce the rationale underlying the Lung Water by Ultra-Sound Guided Treatment to Prevent Death and Cardiovascular Complications in High Risk ESRD Patients with Cardiomyopathy Trial, a trial adopting ultrasound B lines as an instrument to guide interventions aimed at mitigating lung congestion in high-risk patients on hemodialysis. Copyright © 2016 by the American Society of Nephrology.
Integrated quadruple stress echocardiography.
Picano, Eugenio; Morrone, Doralisa; Scali, Maria C; Huqi, Alda; Coviello, Katia; Ciampi, Quirino
2018-04-11
Stress Echocardiography (SE) is an established diagnostic technique. For 40 years, the cornerstone of the technique has been the detection of regional wall motion abnormalities (RWMA), due to the underlying physiologically-relevant epicardial coronary artery stenosis. In the last decade, three new parameters (more objective than RWMA) have shown the potential to integrate and comple- ment RWMA: 1- B-lines, also known as ultrasound lung comets, as a marker of extra-vascular lung water, measured using lung ultrasound with the 4-site simplified scan symmetrically of the antero- lateral thorax on the third intercostal space, from mid-axillary to anterior axillary and mid- clavicular line; 2-left ventricular contractile reserve (LVCR), assessed as the peak stress/rest ratio of left ventricular force, also known as elastance (systolic arterial pressure by cuff sphygmomanome- ter/end-systolic volume from 2D echocardiography); 3- coronary flow velocity reserve (CFVR) on left anterior descending coronary artery, calculated as peak stress/rest ratio of diastolic peak flow velocity assessed using pulsed-wave Doppler. The 4 parameters (RWMA, B-lines, LVCR and CFVR) now converge conceptually, logistically, and methodologically in the Integrated Quadruple (IQ)-SE. IQ-SE optimizes the versatility of SE to include in a one-stop shop the core "ABCD" (Asynergy+B-lines+Contractile reserve+Doppler flowmetry) protocol. It allows a synoptic assess- ment of parameters mirroring the epicardial artery stenosis (RWMA), interstitial lung water (B- lines), myocardial function (LVCR) and small coronary vessels (CFVR). Each variable has a clear clinical correlate, different and complementary to all others: RWMA identify an ischemic vs non- ischemic heart; B-lines a wet vs dry lung; LVCR a strong vs weak heart; CFVR a warm vs cold heart. IQ-SE is highly feasible, with minimal increase in the imaging and analysis time, and obvi- ous diagnostic and prognostic impact also beyond coronary artery disease - especially in heart fail- ure. Large scale effectiveness studies with IQ-SE are now under way with the Stress Echo 2020 study, and will provide the necessary evidence base prior to large scale acceptance of the tech- nique.
Characterization of the Lung Parenchyma Using Ultrasound Multiple Scattering.
Mohanty, Kaustav; Blackwell, John; Egan, Thomas; Muller, Marie
2017-05-01
The purpose of the study described here was to showcase the application of ultrasound to quantitative characterization of the micro-architecture of the lung parenchyma to predict the extent of pulmonary edema. The lung parenchyma is a highly complex and diffusive medium for which ultrasound techniques have remained qualitative. The approach presented here is based on ultrasound multiple scattering and exploits the complexity of ultrasound propagation in the lung structure. The experimental setup consisted of a linear transducer array with an 8-MHz central frequency placed in contact with the lung surface. The diffusion constant D and transport mean free path L* of the lung parenchyma were estimated by separating the incoherent and coherent intensities in the near field and measuring the growth of the incoherent diffusive halo over time. Significant differences were observed between the L* values obtained in healthy and edematous rat lungs in vivo. In the control rat lung, L* was found to be 332 μm (±48.8 μm), whereas in the edematous lung, it was 1040 μm (±90 μm). The reproducibility of the measurements of L* and D was tested in vivo and in phantoms made of melamine sponge with varying air volume fractions. Two-dimensional finite difference time domain numerical simulations were carried out on rabbit lung histology images with varying degrees of lung collapse. Significant correlations were observed between air volume fraction and L* in simulation (r = -0.9542, p < 0.0117) and sponge phantom (r = -0.9932, p < 0.0068) experiments. Ex vivo measurements of a rat lung in which edema was simulated by adding phosphate-buffered saline revealed a linear relationship between the fluid volume fraction and L*. These results illustrate the potential of methods based on ultrasound multiple scattering for the quantitative characterization of the lung parenchyma. Copyright © 2017 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
2013-01-01
Background Sonography has become the imaging technique of choice for guiding intraoperative interventions in abdominal surgery. Due to artefacts from residual air content, however, videothoracoscopic and open intraoperative ultrasound-guided thermoablation of lung malignancies are impossible. Lung flooding is a new method that allows complete ultrasound imaging of lungs and their tumours. Methods Fourteen resected tumourous human lung lobes were examined transpleurally with B-mode ultrasound before (in atelectasis) and after lung flooding with isotonic saline solution. In two swine, the left lung was filled with 15 ml/kg isotonic saline solution through the left side of a double-lumen tube. Lung tumours were simulated by transthoracic ultrasound-guided injection of 5 ml of purified bovine serum albumin in glutaraldehyde, centrally into the left lower lung lobe. The rate of tumour detection, the severity of disability caused by residual gas, and sonomorphology of the lungs and tumours were assessed. Results The ex vivo tumour detection rate was 100% in flooded human lung lobes and 43% (6/14) in atelectatic lungs. In all cases of atelectasis, sonographic tumour imaging was impaired by residual gas. Tumours and atelectatic tissue were isoechoic. In 28% of flooded lungs, a little residual gas was observed that did not impair sonographic tumour imaging. In contrast to tumours, flooded lung tissue was hyperechoic, homogeneous, and of fine-grained structure. Because of the bronchial wall three-laminar structure, sonographic differentiation of vessels and bronchi was possible. In all cases, malignant tumours in the flooded lung appeared well-demarcated from the lung parenchyma. Adenocarcinoma, squamous, and large cell carcinomas were hypoechoic. Bronchioloalveolar cell carcinoma was slightly hyperechoic. Transpleural sonography identifies endobronchial tumour growth and bronchial wall destruction. With transthoracic sonography, the flooded animal lung can be completely examined in vivo. There is no residual gas, which interferes with ultrasound. Pulmonary vessels and bronchi are clearly differentiated. Simulated lung lesions can easily be detected inside the lung lobe. Conclusions Lung flooding enables complete lung sonography and tumour detection. We have developed a novel method that efficiently uses ultrasound for guiding intraoperative interventions in open and endoscopic lung surgery. PMID:23841910
Nazerian, Peiman; Volpicelli, Giovanni; Gigli, Chiara; Becattini, Cecilia; Sferrazza Papa, Giuseppe Francesco; Grifoni, Stefano; Vanni, Simone
2017-03-01
Lung and venous ultrasound are bedside diagnostic tools increasingly used in the early diagnostic approach of suspected pulmonary embolism (PE). However, the possibility of improving the conventional prediction rule for PE by integrating ultrasound has never been investigated. We performed lung and venous ultrasound in consecutive patients suspected of PE in four emergency departments. Conventional Wells score (Ws) was adjudicated by the attending physician, and ultrasound was performed by one of 20 investigators. Signs of deep venous thrombosis (DVT) at venous ultrasound and signs of pulmonary infarcts or alternative diagnoses at lung ultrasound were considered to recalculate two items of the Ws: signs and symptoms of DVT and alternative diagnosis less likely than PE. The diagnostic performances of the ultrasound-enhanced Ws (USWs) and Ws were then compared after confirmation of the final diagnosis. A total of 446 patients were studied. PE was confirmed in 125 patients (28%). USWs performed significantly better than Ws, with a sensitivity of 69.6% versus 57.6% and a specificity of 88.2% versus 68.2%. In combination with D-dimer, USWs showed an optimal failure rate (0.8%) and a significantly superior efficiency than Ws (32.3% vs. 27.2%). A strategy based on lung and venous ultrasound combined with D-dimer would allow to avoid CT pulmonary angiography in 50.5% of patients with suspected PE, compared to 27.2% when the rule without ultrasound is applied. A pretest risk stratification enhanced by ultrasound of lung and venous performs better than Ws in the early diagnostic process of PE. © 2016 by the Society for Academic Emergency Medicine.
Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound.
Kraft, Clara; Lasure, Benjamin; Sharon, Melinda; Patel, Paulina; Minardi, Joseph
2018-06-01
The diagnosis of lung abscess can be difficult to make and often requires imaging beyond plain chest x-ray. The decision to further image with computed tomography should be weighed against the risks of radiation exposure, especially in pediatric patients. In addition, the cost and potential impact on length of stay from obtaining computed tomography scans should be considered. In this report, we describe a case of lung abscess made immediately using point-of-care ultrasound in the emergency department. To our knowledge, there are no previous cases describing lung abscess diagnosed by point-of-care ultrasound. This case report aims to describe a case of pediatric lung abscess, review the ultrasound findings, and discuss relevant literature on the topic.
The Agreement between Auscultation and Lung Ultrasound in Hemodialysis Patients: The LUST Study
Torino, Claudia; Gargani, Luna; Sicari, Rosa; Letachowicz, Krzysztof; Ekart, Robert; Fliser, Danilo; Covic, Adrian; Siamopoulos, Kostas; Stavroulopoulos, Aristeidis; Massy, Ziad A.; Fiaccadori, Enrico; Caiazza, Alberto; Bachelet, Thomas; Slotki, Itzchak; Martinez-Castelao, Alberto; Coudert-Krier, Marie-Jeanne; Rossignol, Patrick; Gueler, Faikah; Hannedouche, Thierry; Panichi, Vincenzo; Wiecek, Andrzej; Pontoriero, Giuseppe; Sarafidis, Pantelis; Klinger, Marian; Hojs, Radovan; Seiler-Mussler, Sarah; Lizzi, Fabio; Siriopol, Dimitrie; Balafa, Olga; Shavit, Linda; Tripepi, Rocco; Mallamaci, Francesca; Tripepi, Giovanni; Picano, Eugenio; London, Gérard Michel
2016-01-01
Background and objectives Accumulation of fluid in the lung is the most concerning sequela of volume expansion in patients with ESRD. Lung auscultation is recommended to detect and monitor pulmonary congestion, but its reliability in ESRD is unknown. Design, setting, participants, & measurements In a subproject of the ongoing Lung Water by Ultra-Sound Guided Treatment to Prevent Death and Cardiovascular Complications in High Risk ESRD Patients with Cardiomyopathy Trial, we compared a lung ultrasound–guided ultrafiltration prescription policy versus standard care in high-risk patients on hemodialysis. The reliability of peripheral edema was tested as well. This study was on the basis of 1106 pre– and postdialysis lung ultrasound studies (in 79 patients) simultaneous with standardized lung auscultation (crackles at the lung bases) and quantification of peripheral edema. Results Lung congestion by crackles, edema, or a combination thereof poorly reflected the severity of congestion as detected by ultrasound B lines in various analyses, including standard regression analysis weighting for repeated measures in individual patients (shared variance of 12% and 4% for crackles and edema, respectively) and κ-statistics (κ ranging from 0.00 to 0.16). In general, auscultation had very low discriminatory power for the diagnosis of mild (area under the receiver operating curve =0.61), moderate (area under the receiver operating curve =0.65), and severe (area under the receiver operating curve =0.68) lung congestion, and the same was true for peripheral edema (receiver operating curve =0.56 or lower) and the combination of the two physical signs. Conclusions Lung crackles, either alone or combined with peripheral edema, very poorly reflect interstitial lung edema in patients with ESRD. These findings reinforce the rationale underlying the Lung Water by Ultra-Sound Guided Treatment to Prevent Death and Cardiovascular Complications in High Risk ESRD Patients with Cardiomyopathy Trial, a trial adopting ultrasound B lines as an instrument to guide interventions aimed at mitigating lung congestion in high-risk patients on hemodialysis. PMID:27660305
The diagnosis of neonatal pulmonary atelectasis using lung ultrasonography.
Liu, Jing; Chen, Shui-Wen; Liu, Fang; Li, Qiu-Ping; Kong, Xiang-Yong; Feng, Zhi-Chun
2015-04-01
Ultrasonography has been used for the diagnosis of many kinds of lung conditions, but few studies have investigated ultrasound for the diagnosis of neonatal pulmonary atelectasis (NAP). In this study, we evaluated the usefulness of lung ultrasonography for the diagnosis of NPA. From May 2012 to December 2013, 80 neonates with NPA and 50 neonates without lung disease were enrolled in this study. Each lung of every infant was divided into the anterior, lateral, and posterior regions by the anterior and posterior axillary lines. Each region was scanned carefully with the probe perpendicular or parallel to the ribs. The ultrasound findings were confirmed by chest radiograph (CXR) or CT scan. Sixty of the 80 patients with signs of NPA on lung ultrasound also had signs of NPA on CXR (termed focal-type atelectasis), and the other 20 patients had signs of NPA on chest CT scan while there were no abnormal findings on CXR (termed occult lung atelectasis). In patients with NPA, the main ultrasound findings were large areas of lung consolidation with clearly demarcated borders, air bronchograms, pleural line abnormalities, and absence of A-lines, as well as the presence of lung pulse and absence of lung sliding on real-time ultrasound. The sensitivity of lung ultrasonography for the diagnosis of NPA was 100%, whereas the sensitivity of CXR was 75%. Large areas of lung consolidation with clearly demarcated borders were only observed in patients with NPA. Lung ultrasonography is an accurate and reliable method for diagnosing NPA; most importantly, it can find those occult lung atelectasis that could not be detected on CXR. Routine lung ultrasonography is a useful method of diagnosing or excluding NPA in neonates.
Lung Ultrasound in the Critically Ill Neonate
Lichtenstein, Daniel A; Mauriat, Philippe
2012-01-01
Critical ultrasound is a new tool for first-line physicians, including neonate intensivists. The consideration of the lung as one major target allows to redefine the priorities. Simple machines work better than up-to-date ones. We use a microconvex probe. Ten standardized signs allow a majority of uses: the bat sign (pleural line), lung sliding and the A-line (normal lung surface), the quad sign and sinusoid sign indicating pleural effusion regardless its echogenicity, the tissue-like sign and fractal sign indicating lung consolidation, the B-line artifact and lung rockets (indicating interstitial syndrome), abolished lung sliding with the stratosphere sign, suggesting pneumothorax, and the lung point, indicating pneumothorax. Other signs are used for more sophisticated applications (distinguishing atelectasis from pneumonia for instance...). All these disorders were assessed in the adult using CT as gold standard with sensitivity and specificity ranging from 90 to 100%, allowing to consider ultrasound as a reasonable bedside gold standard in the critically ill. The same signs are found, with no difference in the critically ill neonate. Fast protocols such as the BLUE-protocol are available, allowing immediate diagnosis of acute respiratory failure using seven standardized profiles. Pulmonary edema e.g. yields anterior lung rockets associated with lung sliding, making the B-profile. The FALLS-protocol, inserted in a Limited Investigation including a simple model of heart and vessels, assesses acute circulatory failure using lung artifacts. Interventional ultrasound (mainly, thoracocenthesis) provides maximal safety. Referrals to CT can be postponed. CEURF proposes personnalized bedside trainings since 1990. Lung ultrasound opens physicians to a visual medicine. PMID:23255876
Lung Ultrasound in the Critically Ill Neonate.
Lichtenstein, Daniel A; Mauriat, Philippe
2012-08-01
Critical ultrasound is a new tool for first-line physicians, including neonate intensivists. The consideration of the lung as one major target allows to redefine the priorities. Simple machines work better than up-to-date ones. We use a microconvex probe. Ten standardized signs allow a majority of uses: the bat sign (pleural line), lung sliding and the A-line (normal lung surface), the quad sign and sinusoid sign indicating pleural effusion regardless its echogenicity, the tissue-like sign and fractal sign indicating lung consolidation, the B-line artifact and lung rockets (indicating interstitial syndrome), abolished lung sliding with the stratosphere sign, suggesting pneumothorax, and the lung point, indicating pneumothorax. Other signs are used for more sophisticated applications (distinguishing atelectasis from pneumonia for instance...). All these disorders were assessed in the adult using CT as gold standard with sensitivity and specificity ranging from 90 to 100%, allowing to consider ultrasound as a reasonable bedside gold standard in the critically ill. The same signs are found, with no difference in the critically ill neonate. Fast protocols such as the BLUE-protocol are available, allowing immediate diagnosis of acute respiratory failure using seven standardized profiles. Pulmonary edema e.g. yields anterior lung rockets associated with lung sliding, making the B-profile. The FALLS-protocol, inserted in a Limited Investigation including a simple model of heart and vessels, assesses acute circulatory failure using lung artifacts. Interventional ultrasound (mainly, thoracocenthesis) provides maximal safety. Referrals to CT can be postponed. CEURF proposes personnalized bedside trainings since 1990. Lung ultrasound opens physicians to a visual medicine.
Le Neindre, Aymeric; Mongodi, Silvia; Philippart, François; Bouhemad, Bélaïd
2016-02-01
The use of diagnostic ultrasound by physiotherapists is not a new concept; it is frequently performed in musculoskeletal physiotherapy. Physiotherapists currently lack accurate, reliable, sensitive, and valid measurements for the assessment of the indications and effectiveness of chest physiotherapy. Thoracic ultrasound may be a promising tool for the physiotherapist and could be routinely performed at patients' bedsides to provide real-time and accurate information on the status of pleura, lungs, and diaphragm; this would allow for assessment of lung aeration from interstitial syndrome to lung consolidation with much better accuracy than chest x-rays or auscultation. Diaphragm excursion and contractility may also be assessed by ultrasound. This narrative review refers to lung and diaphragm ultrasound semiology and describes how physiotherapists could use this tool in their clinical decision-making processes in various cases of respiratory disorders. The use of thoracic ultrasound semiology alongside typical examinations may allow for the guiding, monitoring, and evaluating of chest physiotherapy treatments. Thoracic ultrasound is a potential new tool for physiotherapists. Copyright © 2015 Elsevier Inc. All rights reserved.
See, K C; Ong, V; Wong, S H; Leanda, R; Santos, J; Taculod, J; Phua, J; Teoh, C M
2016-01-01
Guidelines recommend teaching of lung ultrasound for critical care, though little information exists on how much training is required for independent practice, especially for non-physician trainees. We thus aimed to elucidate a threshold number of cases above which competency for independent practice may be attained for respiratory therapists (RTs). We conducted a prospective audit of lung ultrasound training between July 2014 and April 2015 in our 20-bed medical intensive care unit. Following theoretical instruction and self-learning, trainees acquired images from 12 lung zones under direct supervision and classified images into six patterns. Assistance during image acquisition and correct interpretation of ultrasound images were recorded. Eleven ultrasound-naïve RTs scanned an average of 15 patients each (170 patients in total). Among supervisor-adjudicated lung ultrasound findings, 35.5% were abnormal. Blinded verification of the adjudicated findings was done for the first 92 patients (1104 images), with an agreement of 95.4%. As RTs scanned more patients, there was a significant decrease in the proportion of images requiring supervisor assistance (Cuzick's P < 0.001), and a significant increase in the proportion of correctly identified images (Cuzick's P = 0.008). After trainees performed at least ten scans, less than 2% of images required assistance with acquisition and less than 5% were wrongly interpreted. Our training method allowed RTs to independently perform lung ultrasound after at least ten directly supervised scans. Given that RTs are likely to have less ultrasound knowledge and less clinical know-how compared to physicians, we believe that the same threshold number of scans may be also safely applied to the latter.
Pulmonary ultrasound elastography: a feasibility study with phantoms and ex-vivo tissue
NASA Astrophysics Data System (ADS)
Nguyen, Man Minh; Xie, Hua; Paluch, Kamila; Stanton, Douglas; Ramachandran, Bharat
2013-03-01
Elastography has become widely used for minimally invasive diagnosis in many tumors as seen with breast, liver and prostate. Among different modalities, ultrasound-based elastography stands out due to its advantages including being safe, real-time, and relatively low-cost. While lung cancer is the leading cause of cancer mortality among both men and women, the use of ultrasound elastography for lung cancer diagnosis has hardly been investigated due to the limitations of ultrasound in air. In this work, we investigate the use of static-compression based endobronchial ultrasound elastography by a 3D trans-oesophageal echocardiography (TEE) transducer for lung cancer diagnosis. A water-filled balloon was designed to 1) improve the visualization of endobronchial ultrasound and 2) to induce compression via pumping motion inside the trachea and bronchiole. In a phantom study, we have successfully generated strain images indicating the stiffness difference between the gelatin background and agar inclusion. A similar strain ratio was confirmed with Philips ultrasound strain-based elastography product. For ex-vivo porcine lung study, different tissue ablation methods including chemical injection, Radio Frequency (RF) ablation, and direct heating were implemented to achieve tumor-mimicking tissue. Stiff ablated lung tissues were obtained and detected with our proposed method. These results suggest the feasibility of pulmonary elastography to differentiate stiff tumor tissue from normal tissue.
Lung ultrasound in the critically ill.
Lichtenstein, Daniel A
2014-01-09
Lung ultrasound is a basic application of critical ultrasound, defined as a loop associating urgent diagnoses with immediate therapeutic decisions. It requires the mastery of ten signs: the bat sign (pleural line), lung sliding (yielding seashore sign), the A-line (horizontal artifact), the quad sign, and sinusoid sign indicating pleural effusion, the fractal, and tissue-like sign indicating lung consolidation, the B-line, and lung rockets indicating interstitial syndrome, abolished lung sliding with the stratosphere sign suggesting pneumothorax, and the lung point indicating pneumothorax. Two more signs, the lung pulse and the dynamic air bronchogram, are used to distinguish atelectasis from pneumonia. All of these disorders were assessed using CT as the "gold standard" with sensitivity and specificity ranging from 90% to 100%, allowing ultrasound to be considered as a reasonable bedside "gold standard" in the critically ill. The BLUE-protocol is a fast protocol (<3 minutes), which allows diagnosis of acute respiratory failure. It includes a venous analysis done in appropriate cases. Pulmonary edema, pulmonary embolism, pneumonia, chronic obstructive pulmonary disease, asthma, and pneumothorax yield specific profiles. Pulmonary edema, e.g., yields anterior lung rockets associated with lung sliding, making the "B-profile." The FALLS-protocol adapts the BLUE-protocol to acute circulatory failure. It makes sequential search for obstructive, cardiogenic, hypovolemic, and distributive shock using simple real-time echocardiography (right ventricle dilatation, pericardial effusion), then lung ultrasound for assessing a direct parameter of clinical volemia: the apparition of B-lines, schematically, is considered as the endpoint for fluid therapy. Other aims of lung ultrasound are decreasing medical irradiation: the LUCIFLR program (most CTs in ARDS or trauma can be postponed), a use in traumatology, intensive care unit, neonates (the signs are the same than in adults), many disciplines (pulmonology, cardiology…), austere countries, and a help in any procedure (thoracentesis). A 1992, cost-effective gray-scale unit, without Doppler, and a microconvex probe are efficient. Lung ultrasound is a holistic discipline for many reasons (e.g., one probe, perfect for the lung, is able to scan the whole-body). Its integration can provide a new definition of priorities. The BLUE-protocol and FALLS-protocol allow simplification of expert echocardiography, a clear advantage when correct cardiac windows are missing.
Lung ultrasound in the critically ill
2014-01-01
Lung ultrasound is a basic application of critical ultrasound, defined as a loop associating urgent diagnoses with immediate therapeutic decisions. It requires the mastery of ten signs: the bat sign (pleural line), lung sliding (yielding seashore sign), the A-line (horizontal artifact), the quad sign, and sinusoid sign indicating pleural effusion, the fractal, and tissue-like sign indicating lung consolidation, the B-line, and lung rockets indicating interstitial syndrome, abolished lung sliding with the stratosphere sign suggesting pneumothorax, and the lung point indicating pneumothorax. Two more signs, the lung pulse and the dynamic air bronchogram, are used to distinguish atelectasis from pneumonia. All of these disorders were assessed using CT as the “gold standard” with sensitivity and specificity ranging from 90% to 100%, allowing ultrasound to be considered as a reasonable bedside “gold standard” in the critically ill. The BLUE-protocol is a fast protocol (<3 minutes), which allows diagnosis of acute respiratory failure. It includes a venous analysis done in appropriate cases. Pulmonary edema, pulmonary embolism, pneumonia, chronic obstructive pulmonary disease, asthma, and pneumothorax yield specific profiles. Pulmonary edema, e.g., yields anterior lung rockets associated with lung sliding, making the “B-profile.” The FALLS-protocol adapts the BLUE-protocol to acute circulatory failure. It makes sequential search for obstructive, cardiogenic, hypovolemic, and distributive shock using simple real-time echocardiography (right ventricle dilatation, pericardial effusion), then lung ultrasound for assessing a direct parameter of clinical volemia: the apparition of B-lines, schematically, is considered as the endpoint for fluid therapy. Other aims of lung ultrasound are decreasing medical irradiation: the LUCIFLR program (most CTs in ARDS or trauma can be postponed), a use in traumatology, intensive care unit, neonates (the signs are the same than in adults), many disciplines (pulmonology, cardiology…), austere countries, and a help in any procedure (thoracentesis). A 1992, cost-effective gray-scale unit, without Doppler, and a microconvex probe are efficient. Lung ultrasound is a holistic discipline for many reasons (e.g., one probe, perfect for the lung, is able to scan the whole-body). Its integration can provide a new definition of priorities. The BLUE-protocol and FALLS-protocol allow simplification of expert echocardiography, a clear advantage when correct cardiac windows are missing. PMID:24401163
BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill.
Lichtenstein, Daniel A
2015-06-01
This review article describes two protocols adapted from lung ultrasound: the bedside lung ultrasound in emergency (BLUE)-protocol for the immediate diagnosis of acute respiratory failure and the fluid administration limited by lung sonography (FALLS)-protocol for the management of acute circulatory failure. These applications require the mastery of 10 signs indicating normal lung surface (bat sign, lung sliding, A-lines), pleural effusions (quad and sinusoid sign), lung consolidations (fractal and tissue-like sign), interstitial syndrome (lung rockets), and pneumothorax (stratosphere sign and the lung point). These signs have been assessed in adults, with diagnostic accuracies ranging from 90% to 100%, allowing consideration of ultrasound as a reasonable bedside gold standard. In the BLUE-protocol, profiles have been designed for the main diseases (pneumonia, congestive heart failure, COPD, asthma, pulmonary embolism, pneumothorax), with an accuracy > 90%. In the FALLS-protocol, the change from A-lines to lung rockets appears at a threshold of 18 mm Hg of pulmonary artery occlusion pressure, providing a direct biomarker of clinical volemia. The FALLS-protocol sequentially rules out obstructive, then cardiogenic, then hypovolemic shock for expediting the diagnosis of distributive (usually septic) shock. These applications can be done using simple grayscale machines and one microconvex probe suitable for the whole body. Lung ultrasound is a multifaceted tool also useful for decreasing radiation doses (of interest in neonates where the lung signatures are similar to those in adults), from ARDS to trauma management, and from ICUs to points of care. If done in suitable centers, training is the least of the limitations for making use of this kind of visual medicine.
[Diagnostic ultrasound in pneumothorax].
Maury, É; Pichereau, C; Bourcier, S; Galbois, A; Lejour, G; Baudel, J-L; Ait-Oufella, H; Guidet, B
2016-10-01
For a long time the lung has been regarded as inaccessible to ultrasound. However, recent clinical studies have shown that this organ can be examined by this technique, which appears, in some situations, to be superior to thoracic radiography. The examination does not require special equipment and is possible using a combination of simple qualitative signs: lung sliding, the presence of B lines and the demonstration of the lung point. The lung sliding corresponds to the artefact produced by the movement of the two pleural layers, one against the other. The B lines indicate the presence of an interstitial syndrome. The presence of lung sliding and/or B lines has a negative predictive value of 100% and formally excludes a pneumothorax in the area where the probe has been applied. The presence of the lung point is pathognomonic of pneumothorax but the sensitivity is no more than 60%. Ultrasound is therefore a rapid and simple means of excluding a pneumothorax (lung sliding or B lines) and of confirming a pneumothorax when the lung point is visible. The question that remains is whether ultrasound can totally replace radiography in the management of this disorder. Copyright © 2015 SPLF. Published by Elsevier Masson SAS. All rights reserved.
Usefulness of lung ultrasound in a newborn with pulmonary atelectasis.
Caiulo, V A; Gargani, L; Caiulo, S; Moramarco, F; Latini, G; Gargasole, C; Picano, E
2011-01-01
The use of ultrasound for the evaluation of the lung is relatively recent. We describe the case of a newborn with pulmonary atelectasis and shift of the mediastinum underlining both advantages and limits of lung ultrasound (LUS). The baby, 1 month of age, was admitted to our hospital for tachypnoea, vomiting and poor weight gain. Chest X-ray (CXR) showed displacement of the heart to the right, suggesting the presence of atelectasis of the right lung. LUS confirmed the displacement of the mediastinum to the right and atelectasis of the right lung, clearly visible as a consolidation with the presence of air bronchograms. The computed tomography image showed that the lung parenchyma displayed in the right hemithorax could be attributed to the hyperexpanded left lung. However, once this information was acquired, and compared to the ultrasound picture, we were able to monitor the patient by LUS until normalization, thus avoiding further exposure to ionizing radiation. Our case, in accordance with the recent Literature, indicates that LUS can be adopted as a simple and non-invasive method for evaluating children with lung disease. It is easy to perform at bedside, allows a close follow-up and avoids the use of ionizing radiation.
Soldati, Gino; Demi, Marcello
2017-06-01
In recent years, great advances have been made in the use of lung ultrasound to detect pulmonary edema and interstitial changes in the lung. However, it is clear that B-lines oversimplify the description of the physical phenomena associated with their presence. The artifactual images that ultrasounds provide in interstitial pulmonary pathology are merely the ultimate outcome of the complex interaction of a specific acoustic wave with a specific three-dimensional biological structure. This interaction lacks a solid physical interpretation of the acoustic signs to support it. The aim of this paper was to describe the differences between the sonographic interstitial syndrome related to lung diseases and that related to cardiogenic edema in the light of current knowledge regarding the pleural plane's response to ultrasound waves.
[Use of lung ultrasound as a prognostic tool in outpatients with heart failure].
Tojo Villanueva, María Del Carmen; Fernández López, María; Canora Lebrato, Jesús; Satué Bartolomé, José Ángel; San Martín Prado, Alberto; Zapatero Gaviria, Antonio
2016-07-01
To assess the prognostic value of lung ultrasound for patients with chronic heart failure. Prospective observational cohort study, in which a lung ultrasound was performed on 54 patients at a heart failure outpatient consultation. Ultrasonography was classified as positive or negative for ultrasound interstitial syndrome depending on the number of B lines observed. Patients were followed up for six months; considering emergency visits, readmissions and deaths due to heart failure as markers of poor prognosis. 53.7% (29) of the patients had ultrasound interstitial syndrome. Among them, 48.3% (14) were readmitted, compared to 16% (4) of those without the syndrome (P=.012). Considering any of the events previously described as end points (readmissions, emergencies and deaths), we found that in the group of patients with ultrasound interstitial syndrome, 55.2% (16) had at least one of these complications, compared to 20% (5) of participants without the syndrome (P=.008). Lung ultrasound in the outpatient setting is useful in predicting which patients are at increased risk of heart failure decompensation in the mid-term. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.
Ellington, Laura E; Gilman, Robert H; Chavez, Miguel A; Pervaiz, Farhan; Marin-Concha, Julio; Compen-Chang, Patricia; Riedel, Stefan; Rodriguez, Shalim J; Gaydos, Charlotte; Hardick, Justin; Tielsch, James M; Steinhoff, Mark; Benson, Jane; May, Evelyn A; Figueroa-Quintanilla, Dante; Checkley, William
2017-07-01
Pneumonia is a leading cause of morbidity and mortality in children worldwide; however, its diagnosis can be challenging, especially in settings where skilled clinicians or standard imaging are unavailable. We sought to determine the diagnostic accuracy of lung ultrasound when compared to radiographically-confirmed clinical pediatric pneumonia. Between January 2012 and September 2013, we consecutively enrolled children aged 2-59 months with primary respiratory complaints at the outpatient clinics, emergency department, and inpatient wards of the Instituto Nacional de Salud del Niño in Lima, Peru. All participants underwent clinical evaluation by a pediatrician and lung ultrasonography by one of three general practitioners. We also consecutively enrolled children without respiratory symptoms. Children with respiratory symptoms had a chest radiograph. We obtained ancillary laboratory testing in a subset. Final clinical diagnoses included 453 children with pneumonia, 133 with asthma, 103 with bronchiolitis, and 143 with upper respiratory infections. In total, CXR confirmed the diagnosis in 191 (42%) of 453 children with clinical pneumonia. A consolidation on lung ultrasound, which is our primary endpoint for pneumonia, had a sensitivity of 88.5%, specificity of 100%, and an area under-the-curve of 0.94 (95% CI 0.92-0.97) when compared to radiographically-confirmed clinical pneumonia. When any abnormality on lung ultrasound was compared to radiographically-confirmed clinical pneumonia the sensitivity increased to 92.2% and the specificity decreased to 95.2%, with an area under-the-curve of 0.94 (95% CI 0.91-0.96). Lung ultrasound had high diagnostic accuracy for the diagnosis of radiographically-confirmed pneumonia. Added benefits of lung ultrasound include rapid testing and high inter-rater agreement. Lung ultrasound may serve as an alternative tool for the diagnosis of pediatric pneumonia. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Caroli, Guido; Dell'Amore, Andrea; Cassanelli, Nicola; Dolci, Giampiero; Pipitone, Emanuela; Asadi, Nizar; Stella, Franco; Bini, Alessandro
2015-10-01
We wanted to determine the accuracy of transthoracic ultrasound in the prediction of chest wall infiltration by lung cancer or lung infiltration by chest wall tumours. Patients having preoperative CT-scan suspect for lung/chest wall infiltration were prospectively enrolled. Inclusion criteria for lung cancer were: obliteration of extrapleural fat, obtuse angle between tumour and chest wall, associated pleural thickening. The criteria for chest wall tumours were: rib destruction and intercostal muscles infiltration with extrapleural fat obliteration and intrathoracic extension. Lung cancer patients with evident chest wall infiltration were excluded. Transthoracic ultrasound was preoperatively performed. Predictions were checked during surgical intervention. Twenty-three patients were preoperatively examined. Sensitivity, specificity, positive and negative predictive values of transthoracic ultrasound were 88.89%, 100%, 100% and 93.3%, respectively. Youden index was used to determine the best cut-off for tumour size in predicting lung/chest wall infiltration: 4.5cm. At univariate logistic regression, tumour size (<4.5 vs ≥ 4.5cm) (p=0.0072) was significantly associated with infiltration. Transthoracic ultrasound is a useful instrument for predicting neoplastic lung or chest wall infiltration in cases of suspect CT-scans and could be used as part of the preoperative workup to assess tumour staging and to plan the best surgical approach. Copyright © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
Amir, Rabia; Knio, Ziyad O; Mahmood, Feroze; Oren-Grinberg, Achikam; Leibowitz, Akiva; Bose, Ruma; Shaefi, Shahzad; Mitchell, John D; Ahmed, Muneeb; Bardia, Amit; Talmor, Daniel; Matyal, Robina
2017-07-01
Although real-time ultrasound guidance during central venous catheter insertion has become a standard of care, postinsertion chest radiograph remains the gold standard to confirm central venous catheter tip position and rule out associated lung complications like pneumothorax. We hypothesize that a combination of transthoracic echocardiography and lung ultrasound is noninferior to chest radiograph when used to accurately assess central venous catheter positioning and screen for pneumothorax. All operating rooms and surgical and trauma ICUs at the institution. Single-center, prospective noninferiority study. Patients receiving ultrasound-guided subclavian or internal jugular central venous catheters. During ultrasound-guided central venous catheter placement, correct positioning of central venous catheter was accomplished by real-time visualization of the guide wire and positive right atrial swirl sign using the subcostal four-chamber view. After insertion, pneumothorax was ruled out by the presence of lung sliding and seashore sign on M-mode. Data analysis was done for 137 patients. Chest radiograph ruled out pneumothorax in 137 of 137 patients (100%). Lung ultrasound was performed in 123 of 137 patients and successfully screened for pneumothorax in 123 of 123 (100%). Chest radiograph approximated accurate catheter tip position in 136 of 137 patients (99.3%). Adequate subcostal four-chamber views could not be obtained in 13 patients. Accurate positioning of central venous catheter with ultrasound was then confirmed in 121 of 124 patients (97.6%) as described previously. Transthoracic echocardiography and lung ultrasound are noninferior to chest x-ray for screening of pneumothorax and accurate central venous catheter positioning. Thus, the point of care use of ultrasound can reduce central venous catheter insertion to use time, exposure to radiation, and improve patient safety.
Blüthgen, Christian; Sanabria, Sergio; Frauenfelder, Thomas; Klingmüller, Volker; Rominger, Marga
2017-10-01
This project evaluated a low-cost sponge phantom setup for its capability to teach and study A- and B-line reverberation artifacts known from lung ultrasound and to numerically simulate sound wave interaction with the phantom using a finite-difference time-domain (FDTD) model. Both A- and B-line artifacts were reproducible on B-mode ultrasound imaging as well as in the FDTD-based simulation. The phantom was found to be an easy-to-set up and economical tool for understanding, teaching, and researching A- and B-line artifacts occurring in lung ultrasound. The FDTD method-based simulation was able to reproduce the artifacts and provides intuitive insight into the underlying physics. © 2017 by the American Institute of Ultrasound in Medicine.
NASA Astrophysics Data System (ADS)
Tavera Busso, Iván; Vera, Anahí; Mateos, Ana Carolina; Amarillo, Ana Carolina; Carreras, Hebe
2017-10-01
Concentration of fine particulate matter (PM2.5) is one of the most important environmental parameters to estimate health impacts attributable to air pollution. Despite the fact there are many studies regarding PM2.5 effects on human health, most of them were performed under conditions that do not simulate the natural particles interaction with the organism. In the present paper, we studied the effects of mammals' sub-chronic exposure to PM2.5 on the lower respiratory tract, addressing realistic exposure conditions to normal urban air. Thus, we exposed Wistar rats under controlled settings to the same normal urban air, with and without particles. Next, we analyzed chemical composition of PM2.5 and lungs samples, performed a histologic examination and run the comet assay to assess genotoxic effects. We found a strong agreement between lung tissues and PM2.5 elemental composition suggesting that metals found in lungs came from the particles inhaled. Histological analysis showed a mild to moderate infiltration, with a reduction of alveoli lumen and increment of alveolar macrophages and periodic acid-Schiff (PAS) (+) cells in treated animals. We also observed an increase in the number of nuclei with comets, mostly comets type 3, with a high DNA fragmentation as well. These results provide strong evidence that sub-chronic exposure to low particle levels, even below the 24 h WHO standard, can cause injuries in lungs tissues and DNA damage, as well.
Overview of ultrasound-induced lung hemorrhage
NASA Astrophysics Data System (ADS)
O'Brien, William D.; Simpson, Douglas G.; Frizzell, Leon A.; Oelze, Michael L.; Zachary, James F.
2003-10-01
It is well documented that ultrasound-induced lung hemorrhage can occur in mice, rats, rabbits, pigs, and monkeys. Our own experimental studies have focused on mice, rats, and pigs as animal models. The characteristics of the lesions produced in mice, rats and pigs were similar to those described in studies by our research group and others, suggesting a common pathogenesis for the initiation and propagation of the lesions at the macroscopic and microscopic levels. Five experimental in vivo studies have been conducted to evaluate whether cavitation is responsible for ultrasound-induced lung hemorrhage. The studies evaluated the dependencies of hydrostatic pressure, frequency, pulse polarity, contrast agents and lung inflation, and the results of each study appeared inconsistent with the hypothesis that the mechanism for the production of a lung hemorrhage was inertial cavitation. Other dependencies evaluated included beam width, pulse repetition frequency, pulse duration, exposure duration, and animal species and age. The thresholds for producing ultrasound-induced lung hemorrhage, in general, were less than the FDA's regulatory limit of a Mechanical Index (MI) of 1.9. Further, the MI does not appear to provide a risk-based index for lung hemorrhage. [Work supported by NIH Grant No. R01EB02641.
The role of ultrasonography in the management of lung and pleural diseases.
Rumende, C Martin
2012-04-01
Ultrasonographic examination in pulmonology provides a revolutionary advance because it is very helpful in the diagnosis and management of various pleural and peripheral pulmonary defects. Lung ultrasonography allows the clinicians to diagnose some pulmonary abnormalities more rapidly, including the diagnosis of pleural effusion. Ultrasound examination also provides great assistance for the clinicians to perform invasive techniques in the field of pulmonology, which may increase the success rate and reduce the likelihood of complications. In addition to pleural effusion, other lung disorders can be diagnosed by ultrasound such as peripheral lung tumors and other pleural abnormalities caused by pleural fibrosis and tumor metastasis as well as the primary pleural tumor (mesothelioma). Ultrasound-guided invasive procedures include aspiration of minimal effusion, Transthoracal Needle Aspiration, Transthoracal biopsies and chest tube insertion. Lung ultrasound also offers other advantages, i.e. free from radiation hazards, portable, non-invasive and relatively inexpensive. Ultrasonography in the thorax also has its limitations, especially in detecting mediastinal abnormalities.
Lung Ultrasound for Diagnosing Pneumothorax in the Critically Ill Neonate.
Raimondi, Francesco; Rodriguez Fanjul, Javier; Aversa, Salvatore; Chirico, Gaetano; Yousef, Nadya; De Luca, Daniele; Corsini, Iuri; Dani, Carlo; Grappone, Lidia; Orfeo, Luigi; Migliaro, Fiorella; Vallone, Gianfranco; Capasso, Letizia
2016-08-01
To evaluate the accuracy of lung ultrasound for the diagnosis of pneumothorax in the sudden decompensating patient. In an international, prospective study, sudden decompensation was defined as a prolonged significant desaturation (oxygen saturation <65% for more than 40 seconds) and bradycardia or sudden increase of oxygen requirement by at least 50% in less than 10 minutes with a final fraction of inspired oxygen ≥0.7 to keep stable saturations. All eligible patients had an ultrasound scan before undergoing a chest radiograph, which was the reference standard. Forty-two infants (birth weight = 1531 ± 812 g; gestational age = 31 ± 3.5 weeks) were enrolled in 6 centers; pneumothorax was detected in 26 (62%). Lung ultrasound accuracy in diagnosing pneumothorax was as follows: sensitivity 100%, specificity 100%, positive predictive value 100%, and negative predictive value 100%. Clinical evaluation of pneumothorax showed sensitivity 84%, specificity 56%, positive predictive value 76%, and negative predictive value 69%. After sudden decompensation, a lung ultrasound scan was performed in an average time of 5.3 ± 5.6 minutes vs 19 ± 11.7 minutes required for a chest radiography. Emergency drainage was performed after an ultrasound scan but before radiography in 9 cases. Lung ultrasound shows high accuracy in detecting pneumothorax in the critical infant, outperforming clinical evaluation and reducing time to imaging diagnosis and drainage. Copyright © 2016 Elsevier Inc. All rights reserved.
Counts, Sarah J; Kim, Anthony W
2017-08-01
Modalities to detect and characterize lung cancer are generally divided into those that are invasive [endobronchial ultrasound (EBUS), esophageal ultrasound (EUS), and electromagnetic navigational bronchoscopy (ENMB)] versus noninvasive [chest radiography (CXR), computed tomography (CT), positron emission tomography (PET), and magnetic resonance imaging (MRI)]. This chapter describes these modalities, the literature supporting their use, and delineates what tests to use to best evaluate the patient with lung cancer. Copyright © 2017 Elsevier Inc. All rights reserved.
Lung ultrasonography to diagnose pneumothorax of the newborn.
Liu, Jing; Chi, Jing-Han; Ren, Xiao-Ling; Li, Jie; Chen, Ya-Juan; Lu, Zu-Lin; Liu, Ying; Fu, Wei; Xia, Rong-Ming
2017-09-01
To explore the reliability and accuracy of lung ultrasound for diagnosing neonatal pneumothorax. This study was divided into two phases. (1) In the first phase, from January 2013 to June 2015, 40 patients with confirmed pneumothorax had lung ultrasound examinations performed to identify the sonographic characteristics of neonatal pneumothorax. (2) In the second phase, from July 2015 to August 2016, lung ultrasound was undertaken on 50 newborn infants with severe lung disease who were suspected of having pneumothorax, to evaluate the sonographic accuracy and reliability to diagnose pneumothorax. (1) The main ultrasonic manifestations of pneumothorax are as follows: ① lung sliding disappearance, which was observed in all patients (100%); ② the existence of the pleural line and the A-line, which was also observed in all patients (100%); ③ the lung point, which was found in 75% of the infants with mild-moderate pneumothorax but not found to exist in 25% of the severe pneumothorax patients; ④ the absence of B-lines in the area of the pneumothorax (100% of the pneumothorax patients); and ⑤ no lung consolidation existed in the area of the pneumothorax (100% of the pneumothorax patients). (2) The accuracy and reliability of the lung sonographic signs of lung sliding disappearance as well as the existence of the pleural line and the A-line in diagnosing pneumothorax were as follows: 100% sensitivity, 100% specificity, 100% positive predictive value, and 100% negative predictive value. When the lung point exists, the diagnosis is mild-moderate pneumothorax, whereas if no lung point exists, the diagnosis is severe pneumothorax. Lung ultrasound is accurate and reliable in diagnosing and ruling out neonatal pneumothorax and, in our study, was found to be as accurate as chest X-ray. Copyright © 2017 Elsevier Inc. All rights reserved.
Models to teach lung sonopathology and ultrasound-guided thoracentesis.
Wojtczak, Jacek A
2014-12-01
Lung sonography allows rapid diagnosis of lung emergencies such as pulmonary edema, hemothorax or pneumothorax. The ability to timely diagnose an intraoperative pneumothorax is an important skill for the anesthesiologist. However, lung ultrasound exams require an interpretation of not only real images but also complex acoustic artifacts such as A-lines and B-lines. Therefore, appropriate training to gain proficiency is important. Simulated environment using ultrasound phantom models allows controlled, supervised learning. We have developed hybrid models that combine dry or wet polyurethane foams, porcine rib cages and human hand simulating a rib cage. These models simulate fairly accurately pulmonary sonopathology and allow supervised teaching of lung sonography with the immediate feedback. In-vitro models can also facilitate learning of procedural skills, improving transducer and needle positioning and movement, rapid recognition of thoracic anatomy and hand - eye coordination skills. We described a new model to teach an ultrasound guided thoracentesis. This model consists of the experimenter's hand placed on top of the water-filled container with a wet foam. Metacarpal bones of the human hand simulate a rib cage and a wet foam simulates a diseased lung immersed in the pleural fluid. Positive fluid flow offers users feedback when a simulated pleural effusion is accurately assessed.
Lung ultrasound accurately detects pneumothorax in a preterm newborn lamb model.
Blank, Douglas A; Hooper, Stuart B; Binder-Heschl, Corinna; Kluckow, Martin; Gill, Andrew W; LaRosa, Domenic A; Inocencio, Ishmael M; Moxham, Alison; Rodgers, Karyn; Zahra, Valerie A; Davis, Peter G; Polglase, Graeme R
2016-06-01
Pneumothorax is a common emergency affecting extremely preterm. In adult studies, lung ultrasound has performed better than chest x-ray in the diagnosis of pneumothorax. The purpose of this study was to determine the efficacy of lung ultrasound (LUS) examination to detect pneumothorax using a preterm animal model. This was a prospective, observational study using newborn Border-Leicester lambs at gestational age = 126 days (equivalent to gestational age = 26 weeks in humans) receiving mechanical ventilation from birth to 2 h of life. At the conclusion of the experiment, LUS was performed, the lambs were then euthanised and a post-mortem exam was immediately performed. We used previously published ultrasound techniques to identify pneumothorax. Test characteristics of LUS to detect pneumothorax were calculated, using the post-mortem exam as the 'gold standard' test. Nine lambs (18 lungs) were examined. Four lambs had a unilateral pneumothorax, all of which were identified by LUS with no false positives. This was the first study to use post-mortem findings to test the efficacy of LUS to detect pneumothorax in a newborn animal model. Lung ultrasound accurately detected pneumothorax, verified by post-mortem exam, in premature, newborn lambs. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
Dexheimer, Felippe Leopoldo; de Andrade, Juliana Mara Stormovski; Raupp, Ana Carolina Tabajara; Townsend, Raquel da Silva; Beltrami, Fabiana Gabe; Brisson, Hélène; Lu, Qin; Dalcin, Paulo de Tarso Roth
2015-01-01
Objective: Bedside lung ultrasound (LUS) is a noninvasive, readily available imaging modality that can complement clinical evaluation. The Bedside Lung Ultrasound in Emergency (BLUE) protocol has demonstrated a high diagnostic accuracy in patients with acute respiratory failure (ARF). Recently, bedside LUS has been added to the medical training program of our ICU. The aim of this study was to investigate the accuracy of LUS based on the BLUE protocol, when performed by physicians who are not ultrasound experts, to guide the diagnosis of ARF. Methods: Over a one-year period, all spontaneously breathing adult patients consecutively admitted to the ICU for ARF were prospectively included. After training, 4 non-ultrasound experts performed LUS within 20 minutes of patient admission. They were blinded to patient medical history. LUS diagnosis was compared with the final clinical diagnosis made by the ICU team before patients were discharged from the ICU (gold standard). Results: Thirty-seven patients were included in the analysis (mean age, 73.2 ± 14.7 years; APACHE II, 19.2 ± 7.3). LUS diagnosis had a good agreement with the final diagnosis in 84% of patients (overall kappa, 0.81). The most common etiologies for ARF were pneumonia (n = 17) and hemodynamic lung edema (n = 15). The sensitivity and specificity of LUS as measured against the final diagnosis were, respectively, 88% and 90% for pneumonia and 86% and 87% for hemodynamic lung edema. Conclusions: LUS based on the BLUE protocol was reproducible by physicians who are not ultrasound experts and accurate for the diagnosis of pneumonia and hemodynamic lung edema. PMID:25750675
Neonatal respiratory distress syndrome: Chest X-ray or lung ultrasound? A systematic review
Culpan, Anne-Marie; Watts, Catriona; Munyombwe, Theresa; Wolstenhulme, Stephen
2017-01-01
Background and aim Neonatal respiratory distress syndrome is a leading cause of morbidity in preterm new-born babies (<37 weeks gestation age). The current diagnostic reference standard includes clinical testing and chest radiography with associated exposure to ionising radiation. The aim of this review was to compare the diagnostic accuracy of lung ultrasound against the reference standard in symptomatic neonates of ≤42 weeks gestation age. Methods A systematic search of literature published between 1990 and 2016 identified 803 potentially relevant studies. Six studies met the review inclusion criteria and were retrieved for analysis. Quality assessment was performed before data extraction and meta-analysis. Results Four prospective cohort studies and two case control studies included 480 neonates. All studies were of moderate methodological quality although heterogeneity was evident across the studies. The pooled sensitivity and specificity of lung ultrasound were 97% (95% confidence interval [CI] 94–99%) and 91% (CI: 86–95%) respectively. False positive diagnoses were made in 16 cases due to pneumonia (n = 8), transient tachypnoea (n = 3), pneumothorax (n = 1) and meconium aspiration syndrome (n = 1); the diagnoses of the remaining three false positive results were not specified. False negatives diagnoses occurred in nine cases, only two were specified as air-leak syndromes. Conclusions Lung ultrasound was highly sensitive for the detection of neonatal respiratory distress syndrome although there is potential to miss co-morbid air-leak syndromes. Further research into lung ultrasound diagnostic accuracy for neonatal air-leak syndrome and economic modelling for service integration is required before lung ultrasound can replace chest radiography as the imaging component of the reference standard. PMID:28567102
Validation of freezing tissues and cells for analysis of DNA strand break levels by comet assay
Jackson, Petra
2013-01-01
The comet analysis of DNA strand break levels in tissues and cells has become a common method of screening for genotoxicity. The large majority of published studies have used fresh tissues and cells processed immediately after collection. However, we have used frozen tissues and cells for more than 10 years, and we believe that freezing samples improve efficiency of the method. We compared DNA strand break levels measured in fresh and frozen bronchoalveolar cells, and lung and liver tissues from mice exposed to the known mutagen methyl methanesulphonate (0, 25, 75, 112.5mg/kg). We used a high-throughput comet protocol with fully automated scoring of DNA strand break levels. The overall results from fresh and frozen samples were in agreement [R 2 = 0.93 for %DNA in tail (%TDNA) and R 2 = 0.78 for tail length (TL)]. A slightly increased %TDNA was observed in lung and liver tissue from vehicle controls; and TL was slightly reduced in bronchoalveolar lavage cells from the high-dose group. In our comet protocol, a small block of tissue designated for comet analysis is frozen immediately at tissue collection and kept deep frozen until rapidly homogenised and embedded in agarose. To demonstrate the feasibility of long-term freezing of samples, we analysed the day-to-day variation of our internal historical negative and positive comet assay controls collected over a 10-year period (1128 observations, 11 batches of frozen untreated and H2O2-treated A549 lung epithelial cells). The H2O2 treatment explained most of the variation 57–77% and the day-to-day variation was only 2–12%. The presented protocol allows analysis of samples collected over longer time span, at different locations, with reduced variation by reducing number of electrophoreses and is suitable for both toxicological and epidemiological studies. The use of frozen tissues; however, requires great care during preparation before analysis, with handling as a major risk factor. PMID:24136994
Cvijetić, Selma; Pipinić, Ivana Sabolić; Varnai, Veda Maria; Macan, Jelena
2017-03-01
Low bone mineral density has been reported in paediatric and adult patients with different lung diseases, but limited data are available on the association between lung function and bone density in a healthy young population. We explored the predictors of association between bone mass and pulmonary function in healthy first-year university students, focusing on body mass index (BMI). In this cross-sectional study we measured bone density with ultrasound and lung function with spirometry in 370 university students (271 girls and 99 boys). Information on lifestyle habits, such as physical activity, smoking, and alcohol consumption were obtained with a questionnaire. All lung function and bone parameters were significantly higher in boys than in girls (P<0.001). Underweight students had a significantly lower forced vital capacity (FVC%) (P=0.001 girls; P=0.012 boys), while overweight students had a significantly higher FVC% than normal weight students (P=0.024 girls; P=0.001 boys). BMI significantly correlated with FVC% (P=0.001) and forced expiratory volume in 1 second (FEV1 %) in both genders (P=0.001 girls; P=0.018 boys) and with broadband ultrasound attenuation (BUA) in boys. There were no significant associations between any of the bone and lung function parameters either in boys or girls. The most important determinant of lung function and ultrasound bone parameters in our study population was body mass index, with no direct association between bone density and lung function.
Haji, Kavi; Haji, Darsim; Canty, David J; Royse, Alistair G; Tharmaraj, Dhaksha; Azraee, Meor; Hopkins, Lynda; Royse, Collin F
2018-02-01
Limited transthoracic echocardiography (TTE) and lung ultrasound increasingly is performed in the intensive care unit (ICU), though used in a goal-directed rather than routine manner. Prospective observational study. Tertiary ICU. Ninety-three critically ill participants within 24 hours of admission to ICU. A treating intensivist documented a clinical diagnosis and management plan before and after combined limited TTE and lung ultrasound. Ultrasound was performed by an independent intensivist and checked for accuracy offline by a second reviewer. Ultrasound images were interpretable in 99%, with good interobserver agreement. The hemodynamic diagnosis was altered in 66% of participants, including new (14%) or altered (25%) abnormal states or exclusion of clinically diagnosed abnormal state (27%). Valve pathology of at least moderate severity was diagnosed for mitral regurgitation (7%), aortic stenosis (1%), aortic stenosis and mitral regurgitation (1%), tricuspid regurgitation (3%), and 1 case of mitral regurgitation was excluded. Lung pathology diagnosis was changed in 58% of participants including consolidation (13%), interstitial syndrome (4%), and pleural effusion (23%), and exclusion of clinically diagnosed consolidation (6%), interstitial syndrome (3%), and pleural effusion (9%). Management changed in 65% of participants including increased (12%) or decreased (23%) fluid therapy, initiation (10%), changing (6%) or cessation (9%) of inotropic, vasoactive or diuretic drugs, non-invasive ventilation (3%), and pleural drainage (2%). Routine screening of patients with combined limited TTE and lung ultrasound on admission to ICU is feasible and frequently alters diagnosis and management. Copyright © 2018 Elsevier Inc. All rights reserved.
An Ultrasound Surface Wave Technique for Assessing Skin and Lung Diseases.
Zhang, Xiaoming; Zhou, Boran; Kalra, Sanjay; Bartholmai, Brian; Greenleaf, James; Osborn, Thomas
2018-02-01
Systemic sclerosis (SSc) is a multi-organ connective tissue disease characterized by immune dysregulation and organ fibrosis. Severe organ involvement, especially of the skin and lung, is the cause of morbidity and mortality in SSc. Interstitial lung disease (ILD) includes multiple lung disorders in which the lung tissue is fibrotic and stiffened. The purpose of this study was to translate ultrasound surface wave elastography (USWE) for assessing patients with SSc and/or ILD via measuring surface wave speeds of both skin and superficial lung tissue. Forty-one patients with both SSc and ILD and 30 healthy patients were enrolled in this study. An external harmonic vibration was used to generate the wave propagation on the skin or lung. Three excitation frequencies of 100, 150 and 200 Hz were used. An ultrasound probe was used to measure the wave propagation in the tissue non-invasively. Surface wave speeds were measured on the forearm and upper arm of both left and right arm, as well as the upper and lower lungs, through six intercostal spaces of patients and healthy patients. Viscoelasticity of the skin was calculated by the wave speed dispersion with frequency using the Voigt model. The magnitudes of surface wave speed and viscoelasticity of patients' skin were significantly higher than those of healthy patients (p <0.0001) for each location and each frequency. The surface wave speeds of patients' lung were significantly higher than those of healthy patients (p <0.0001) for each location and each frequency. USWE is a non-invasive and non-ionizing technique for measuring both skin and lung surface wave speed and may be useful for quantitative assessment of SSc and/or ILD. Copyright © 2018 World Federation for Ultrasound in Medicine and Biology. Published by Elsevier Inc. All rights reserved.
Pfeiffer, P; Rudolph, S S; Børglum, J; Isbye, D L
2011-11-01
This study compared the time consumption of bilateral lung ultrasound with auscultation and capnography for verifying endotracheal intubation. A prospective, paired, and investigator-blinded study carried out in the operating theatre. Twenty-five adult patients requiring endotracheal intubation were included. During intubation, transtracheal ultrasound was performed to visualize passage of the endotracheal tube. During bag ventilation, bilateral lung ultrasound was performed for the detection of lung sliding as a sign of ventilation simultaneous with capnography and auscultation of the epigastrium and chest. Primary outcome measure was time difference to confirmed endotracheal intubation between ultrasound and auscultation alone. Secondary outcome measure was time difference between ultrasound and auscultation combined with capnography. Both methods verified endotracheal tube placement in all patients. In 68% of patients, endotracheal tube placement was visualized by real-time transtracheal ultrasound. Comparing ultrasound with the combination of auscultation and capnography, there was a significant difference between the two methods. Median time for ultrasound was 40 s [interquartile range (IQR) 35-48 s] vs. 48 s (IQR 45-53 s), P < 0.0001. Mean difference was -7.1 s in favour of ultrasound [95% confidence interval (CI) -9.4--4.8 s]. No significant difference was found between ultrasound compared with auscultation alone. Median time for auscultation alone was 42 s (IQR 37-47 s), P = 0.6, with a mean difference of -0.88 s in favour of ultrasound (95% CI -4.2-2.5 s). Verification of endotracheal tube placement with ultrasound is as fast as auscultation alone and faster than the standard method of auscultation and capnography. © 2011 The Authors. Acta Anaesthesiologica Scandinavica © 2011 The Acta Anaesthesiologica Scandinavica Foundation.
Ito, Fumitaka; Kawasaki, Masanori; Ohno, Yasushi; Toyoshi, Sayaka; Morishita, Megumi; Kaito, Daizo; Yanase, Komei; Funaguchi, Norihiko; Asano, Masahiro; Endo, Junki; Mori, Hidenori; Kobayashi, Kazuhiro; Nishigaki, Kazuhiko; Miyazaki, Tatsuhiko; Takemura, Genzou; Minatoguchi, Shinya
2016-05-01
Endobronchial ultrasonography (EBUS) facilitates a lung cancer diagnosis. However, qualitative tissue characterization of lung tumors is difficult using EBUS. Integrated backscatter (IBS) is an ultrasound technique that calculates the power of the ultrasound signal to characterize tissue components in coronary arteries. We hypothesized that qualitative diagnosis of lung tumors is possible using the IBS technique. The aim of the present study was to elucidate whether the IBS technique can be used in lung tissue diagnoses. Thirty-five consecutive patients who underwent surgery for lung cancer were prospectively enrolled. Surgical specimens of the lung and the tumor tissue were obtained, and the IBS values were measured within 48 h after surgery. Histologic images of lung and tumor tissues were compared with IBS values, and the relative interstitial area according to results of Masson's trichrome staining were determined by using an imaging processor. The IBS values in tumor tissue were significantly lower than those in normal lung tissue (-50.9 ± 2.6 dB and -47.6 ± 2.6 dB, respectively; P < .001). The IBS values of adenocarcinomas associated with a good 5-year survival rate were higher than those of non-adenocarcinomas (-48.1 ± 1.6 dB and -52.6 ± 1.4 dB; P < .001). There were significant correlations between the IBS values and the relative interstitial area or micro air area in tumor (r = 0.53 and r = 0.67; P < .01). After combining normal lung tissue and adenocarcinomas with a good prognosis, the sensitivity and specificity for establishing the presence of lung tumors were 84% and 85%. Qualitative diagnosis of lung tumors was possible, with a sensitivity of 84% and a specificity of 85%, using the ultrasound IBS technique. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
Ultrasound Fissure Observation: Assessment of Lung by Pleural-Hub Affiliates.
Zanforlin, Alessandro; Livi, Vanina; Santoriello, Carlo; Ceruti, Paolo; Trigiani, Marco; Valerio, Manlio; Perani, Cristiano; Carlucci, Paolo; Palmiotti, Antonio; Marchetti, Giampietro
2018-02-22
Lung ultrasound examination is becoming an even more important part of pulmonologists' clinical routine. As indicated in the literature, the coordinates of any findings on lung parenchyma are based on surface landmarks or conventional quadrants. In our experience we have noticed that lung fissures are clearly detectable as interruptions of the pleural line, but this has never been investigated previously. The aim of this study was to evaluate whether lung fissures are detectable under normal conditions in routine clinical practice. Ten operators were enrolled from Pleural-Hub, a scientific discussion group. After compiling a prestudy survey to investigate whether they had observed fissures previously, they were asked to note if the following fissures were detectable: posterior right (PR) and left (PL), lateral right (LR) and left (LL), anterior right (AR), and anterolateral left (AL). Enrollment was competitive, aiming to reach 100 case subjects. We found that general fissure detection was 61.3%, in particular: PR, 59%; LR, 75%; AR, 69%; PL, 45%; LL, 64%; AL, 56%. Single operators yielded different detection rates ranging from 90% to 25%, showing strong operator dependency. Before being made aware of general results operators indicated operator's skill and rib shadow artifacts as the principal factors affecting fissure detection. Lung fissures may be detected with ultrasound once adequate training is provided. This may allow the clinician a more precise anatomical delineation of pathology identified by lung ultrasound. Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
Khan, Farrah; Anker, Christopher J; Garrison, Garth; Kinsey, C Matthew
2015-01-01
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an established technique for the diagnosis of thoracic malignancies. Non-ultrasound-guided transbronchial needle injection has been used previously to deliver chemotherapeutic agents. To use endobronchial ultrasound-guided transbronchial needle injection (EBUS-TBNI) to achieve local control of recurrent early-stage lung cancer. A 63-year-old man presented with recurrent early stage non-small cell lung carcinoma after chemotherapy and external beam radiation. We used EBUS-TBNI to deliver cisplatin into the tumor located outside the airway. This procedure was performed on three separate occasions without complication. EBUS-TBNI resulted in resolution of fluorodeoxyglucose avidity, measured by positron emission tomography-computed tomography, in the region at 4 weeks. However, at 5 months, there was evidence of distal recurrence. This is the first description of EBUS-TBNI to treat local recurrence of lung cancer and one of the first reports of the use of EBUS for intratumoral therapy. Additional research is warranted to determine the clinical usefulness and safety of this therapeutic approach.
Ultrasonography in lung pathologies: new perspectives.
Demi, Libertario; Demi, Marcello; Smargiassi, Andrea; Inchingolo, Riccardo; Faita, Francesco; Soldati, Gino
2014-01-01
Nowadays, ultrasound techniques have not gained importance in the diagnosis and monitoring of lung pathologies yet because of the high mismatch in acoustic impedance between air and intercostal tissues. However, it is evident that B-mode imaging provides important information on pulmonary tissue, although in the form of image artifacts. Notwithstanding medical evidences, there exists no ultrasound-based method dedicated to the lung, hampering de facto the full exploitation of ultrasound potentials. A chance is given by the experience acquired in other fields, where acoustic attenuation is used to estimate concentrations of suspended particles in liquids and of air-bubbles in aerated foods. Custom hardware must be developed since commercial echographic equipment has been optimized to work with low acoustic impedance mismatches, and, in general, does not provide the primitive radiofrequency (RF) signals nor the possibility to tune key acquisition parameters such as ultrasound carrier frequency and pulse bandwidth, which are surely needed for our application.
Ultrasonography in lung pathologies: new perspectives
2014-01-01
Background Nowadays, ultrasound techniques have not gained importance in the diagnosis and monitoring of lung pathologies yet because of the high mismatch in acoustic impedance between air and intercostal tissues. However, it is evident that B-mode imaging provides important information on pulmonary tissue, although in the form of image artifacts. Findings Notwithstanding medical evidences, there exists no ultrasound-based method dedicated to the lung, hampering de facto the full exploitation of ultrasound potentials. A chance is given by the experience acquired in other fields, where acoustic attenuation is used to estimate concentrations of suspended particles in liquids and of air-bubbles in aerated foods. Conclusions Custom hardware must be developed since commercial echographic equipment has been optimized to work with low acoustic impedance mismatches, and, in general, does not provide the primitive radiofrequency (RF) signals nor the possibility to tune key acquisition parameters such as ultrasound carrier frequency and pulse bandwidth, which are surely needed for our application. PMID:24834347
Álvarez-Díaz, N; Amador-García, I; Fuentes-Hernández, M; Dorta-Guerra, R
2015-01-01
To compare the ability of lung ultrasound and a clinical method in the confirmation of a selective bronchial intubation by left double-lumen tube in elective thoracic surgery. A prospective and blind, observational study was conducted in the setting of a university hospital operating room assigned for thoracic surgery. A single group of 105 consecutive patients from a total of 130, were included. After blind intubation, the position of the tube was confirmed by clinical and ultrasound assessment. Finally, the fiberoptic bronchoscopy confirmation as a reference standard was used to confirm the position of the tube. Under manual ventilation, by sequentially clamping the tracheal and bronchial limbs of the tube, clinical confirmation was made by auscultation, capnography, visualizing the chest wall expansion, and perceiving the lung compliance in the reservoir bag. Ultrasound confirmation was obtained by visualizing lung sliding, diaphragmatic movements, and the appearance of lung pulse sign. The sensitivity of the clinical method was 84.5%, with a specificity of 41.1%. The positive and negative likelihood ratio was 1.44 and 0.38, respectively. The sensitivity of the ultrasound method was 98.6%, specificity was 52.9%, with a positive likelihood ratio of 2.10 and a negative likelihood ratio of 0.03. Comparisons between the diagnostic performance of the 2 methods were calculated with McNemar's test. There was a significant difference in sensitivity between the ultrasound method and the clinical method (P=.002). Nevertheless, there was no statistically significant difference in specificity between both methods (P=.34). A p value<.01 was considered statistically significant. Lung ultrasound was superior to the clinical method in confirming the adequate position of the left double-lumen tube. On the other hand, in confirming the misplacement of the tube, differences between both methods could not be ensured. Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.
Bah, Ismaël; Goudie, Eric; Khereba, Mohamed; Ferraro, Pasquale; Duranceau, André; Martin, Jocelyne; Thiffault, Vicky; Liberman, Moishe
2014-05-01
Preoperative evaluation of patients with suspected or confirmed lung cancer consists of clinical and radiological staging. Malignant pleural effusion is a poor prognosticator in non-small-cell lung cancer. Pleural ultrasound (PU) allows for the assessment of pleural effusion, providing real-time guidance for its aspiration and cytological analysis. Pleural Ultrasonography in Lung Cancer (PULC) as an adjunct to physical examination has the potential to improve preoperative staging of non-small-cell lung cancer during first surgical encounter by allowing the evaluation of previously unassessed pleural effusion. This study consisted of a prospective trial of surgeon-performed PU in the preoperative evaluation of lung cancer patients. All patients evaluated in the thoracic surgery clinic with the new or presumed diagnosis of lung cancer were eligible. A portable ultrasound machine was used to evaluate pleural fluid in the bilateral costophrenic sulci with pleural fluid aspiration for cytological analysis. Forty-five patients were prospectively enrolled over a 3-month period. Thirteen patients had ultrasound evidence of a pleural effusion, of which 3 were significant enough for aspiration. Cytological analysis of these effusions yielded malignant cells in 1 patient. Positive PULC evaluation led to a change in clinical staging (M0 to M1a) in 10 patients and a change in pathological staging (pleural fluid cytology positive) in 1 patient. The time required for PULC examination was 15 ± 7 min. There were no complications related to the procedures. Preoperative pleural ultrasonography is a rapid and effective way to improve precision of staging in patients with lung cancer. More precise staging may allow for more appropriate testing, patient prognostication and operative planning.
A new needle on the block: EchoTip ProCore endobronchial ultrasound needle
Dincer, H Erhan; Andrade, Rafael; Zamora, Felix; Podgaetz, Eitan
2016-01-01
Endobronchial ultrasound has become the first choice standard of care procedure to diagnose benign or malignant lesions involving mediastinum and lung parenchyma adjacent to the airways owing to its characteristics of being real-time and minimally invasive. Although the incidence of lung cancer has been decreasing, it is and will be the leading cause of cancer-related mortality in the next few decades. When compared to other cancers, lung cancer kills more females than breast and colon cancers combined and more males than colon and prostate cancers combined. The type of lung cancer has changed in recent decades and adenocarcinoma has become the most frequent cell type. Prognosis of lung cancer depends upon the cell type and the staging at the time of diagnosis. The cell type and molecular characteristics of adenocarcinoma may allow individualized targeted treatment. Other malignant conditions in the mediastinum and lung (eg, metastatic lung cancers and lymphoma) can be biopsied using endobronchial ultrasound needles. Endobronchial ultrasound needle biopsies provides mostly cytology specimens due to its small sizes of needles (22 gauge or larger) which may not give enough tissue to make a definitive diagnosis in malignant (eg, lymphoma) or benign conditions (eg, sarcoidosis). EchoTip ProCore endobronchial needle released in early 2014 provides histologic biopsy material. Larger tissue biopsies may potentially provide a higher diagnostic yield and it eliminates mediastinoscopy or other surgical interventions. Here we aim to review bronchoscopic approach in the diagnosis of mediastinal lesions with emphasis of EchoTip ProCore needles. PMID:27099535
Assessment of the predictive capacity of the optimized in vitro comet assay using HepG2 cells.
Hong, Yoon-Hee; Jeon, Hye Lyun; Ko, Kyung Yuk; Kim, Joohwan; Yi, Jung-Sun; Ahn, Ilyoung; Kim, Tae Sung; Lee, Jong Kwon
2018-03-01
Evaluation of DNA damage is critical during the development of new drugs because it is closely associated with genotoxicity and carcinogenicity. The in vivo comet assay to assess DNA damage is globally harmonized as OECD TG 489. However, a comet test guideline that evaluates DNA damage without sacrificing animals does not yet exist. The goal of this study was to select an appropriate cell line for optimization of the in vitro comet assay to assess DNA damage. We then evaluated the predictivity of the in vitro comet assay using the selected cell line. In addition, the effect of adding S9 was evaluated using 12 test chemicals. For cell line selection, HepG2, Chinese hamster lung (CHL/IU), and TK6 cell lines were evaluated. We employed a method for the in vitro comet assay based on that for the in vivo comet assay. The most appropriate cell line was determined by% tail DNA increase after performing in vitro comet assays with 6 test chemicals. The predictivity of the in vitro comet assay using the selected cell line was measured with 10 test chemicals (8 genotoxins and 2 non-genotoxic chemicals). The HepG2 cell line was found to be the most appropriate, and in vitro comet assays using HepG2 cells exhibited a high accuracy of 90% (9/10). This study suggests that HepG2 is an optimal cell line for the in vitro comet assay to assess DNA damage. Copyright © 2018 Elsevier B.V. All rights reserved.
Ultrasound Evaluation of the Magnitude of Pneumothorax: A New Concept
NASA Technical Reports Server (NTRS)
Sargsyan, Ashot E.; Nicolaou, S.; Kirkpatrick, A. W.; Hamilton, D. R.; Campbell, M. R,; Billica, R. D.; Dawson, D. L.; Williams, D. R.; Dulchavsky, S. A.
2000-01-01
Pneumothorax is commonly seen in trauma patients; the diagnosis is usually confirmed by radiography. Use of ultrasound for this purpose, in environments such as space flight and remote terrestrial areas where radiographic capabilities are absent, is being investigated by NASA. In this study, the ability of ultrasound to assess the magnitude of pneumothorax in a porcine model was evaluated. Sonography was performed on anesthetized pigs (avg. wt. 50 kg) in both ground-based laboratory (n = 5) and micro gravity conditions (0 g) aboard the KC-135 aircraft during parabolic flight (n = 4). Aliquots of air (50-1 OOcc) were introduced into the chest through a catheter to simulate pneumothorax. Results were video-recorded and digitized for later interpretation by radiologists. Several distinct sonographic patterns of partial lung sliding were noted, including the combination of a sliding zone with a still zone, and a "segmented" sliding zone. These "partial lung sliding" patterns exclude massive pneumothorax manifested by a complete separation of the lung from the parietal pleura. In 0 g, the sonographic picture was more diverse; 1 g differences between posterior and anterior aspects were diminished. CONCLUSIONS: Modest pneumothorax can be inferred by the ultrasound sign of "partial lung sliding". This finding, which increases the negative predictive value of thoracic ultrasound, may be attributed to intermittent pleural contact, small air spaces, or alterations in pleural lubricant. Further studies of these phenomena are warranted.
[Basic lung ultrasound. Part 2. Parenchymal diseases].
de la Quintana Gordon, F B; Nacarino Alcorta, B; Fajardo Pérez, M
2015-01-01
In this second part, an analysis is made of the pathology of lung parenchyma. This text is structured into different sections, including the study of atelectasias, pneumonia and abscess, interstitial/alveolar or Blines patterns, and finally an analysis is made of pulmonary embolism. With this second part, the basic knowledge to develop lung ultrasound in the anesthesia department has been presented. Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.
Vezzosi, T; Mannucci, T; Pistoresi, A; Toma, F; Tognetti, R; Zini, E; Domenech, O; Auriemma, E; Citi, S
2017-05-01
In dogs with chronic valvular heart disease (CVHD), early recognition of pulmonary edema (PE) is of paramount importance. Recent studies in dogs showed that lung ultrasound examination (LUS) is a useful technique to diagnose cardiogenic PE. To describe LUS features in dogs with different stages of CVHD, and to determine its diagnostic accuracy in detecting PE using thoracic radiography as the reference standard. Sixty-three dogs with CVHD. Prospective, multicenter, cross-sectional study. Each dog underwent physical examination, echocardiography, thoracic radiography, and LUS. The LUS findings were classified as absent, rare, numerous, or confluent B-lines. Sensitivity, specificity, and positive and negative predictive values of LUS B-lines to identify PE were calculated using thoracic radiography as the reference standard. Dogs in stage B1 had absent or rare B-lines in 14 of 15 cases (93.3%). Dogs in stage B2 had absent or rare B-lines in 16 of 18 cases (88.9%). All dogs in stage C, without radiographic signs of PE, had absent or rare B-lines. Dogs in stage C, with radiographic signs of PE, had numerous or confluent B-lines in 18 of 20 cases (90%). Lung ultrasound examination detected PE with a sensitivity of 90%, specificity of 93%, and with positive and negative predictive values of 85.7 and 95.2%, respectively. Lung ultrasound examination showed good diagnostic accuracy to identify cardiogenic PE and might be helpful in staging dogs with CVHD. Lung ultrasound examination should be considered as a new, noninvasive diagnostic tool for clinicians managing CVHD in dogs. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
Chest sonography detects lung water accumulation in healthy elite apnea divers.
Frassi, Francesca; Pingitore, Alessandro; Cialoni, Danilo; Picano, Eugenio
2008-10-01
Ultrasound lung comets (ULCs) detected by chest sonography are a simple, noninvasive, semiquantitative sign of increased extravascular lung water. Pulmonary edema may occur in elite apnea divers, possibly triggered by centralization of blood flow from the periphery to pulmonary vessels. We assessed the prevalence of ULCs in top-level breath-hold divers after immersion. We evaluated 31 consecutive healthy, top-level, breath-hold divers (10 female, 21 male; age 31 +/- 5 years) participating in a yearly international apnea diving contest in Sharm-el-Sheik, Egypt, November 1 to 3, 2007. We performed chest and cardiac sonography with a transthoracic probe (2.5-3.5 MHz, Esaote Mylab) in all divers, both on the day before and 10 +/- 9 minutes after immersion. In a subset of 4 divers, chest scan was also repeated at 24 hours after immersion. ULCs were evaluated on the anterior and posterior chest at 61 predefined scanning sites. An independent sonographer, blind to both patient identity and status (pre- or post-diving), scored ULCs. Diving depth ranged from 31 to 112 m. Duration of immersion ranged from 120 to 225 seconds. The ULC score was 0.5 +/- 1.5 at baseline and 13 +/- 21 after diving (P = .012). At individual patient analysis, ULCs appeared in 14 athletes (45%) after diving. Of these 14 athletes, 4 were asymptomatic, 6 showed aspecific symptoms with transient loss of motor control ("Samba"), 2 had palpitations with frequent premature ventricular contractions, and 2 had persistent cough with hemoptysis and pulmonary crackles. In a subset of 4 athletes with post-diving ULCs in whom late follow-up study also was available, chest sonography findings fully normalized at 24 hours of follow-up. In top-level breath-hold divers, chest sonography frequently reveals an increased number of ULCs after immersion, indicating a relatively high prevalence of (often subclinical) reversible extravascular lung water accumulation.
Figueiredo, Viviane Rossi; Cardoso, Paulo Francisco Guerreiro; Jacomelli, Márcia; Demarzo, Sérgio Eduardo; Palomino, Addy Lidvina Mejia; Rodrigues, Ascédio José; Terra, Ricardo Mingarini; Pego-Fernandes, Paulo Manoel; Carvalho, Carlos Roberto Ribeiro
2015-01-01
Objective: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive, safe and accurate method for collecting samples from mediastinal and hilar lymph nodes. This study focused on the initial results obtained with EBUS-TBNA for lung cancer and lymph node staging at three teaching hospitals in Brazil. Methods: This was a retrospective analysis of patients diagnosed with lung cancer and submitted to EBUS-TBNA for mediastinal lymph node staging. The EBUS-TBNA procedures, which involved the use of an EBUS scope, an ultrasound processor, and a compatible, disposable 22 G needle, were performed while the patients were under general anesthesia. Results: Between January of 2011 and January of 2014, 149 patients underwent EBUS-TBNA for lymph node staging. The mean age was 66 ± 12 years, and 58% were male. A total of 407 lymph nodes were sampled by EBUS-TBNA. The most common types of lung neoplasm were adenocarcinoma (in 67%) and squamous cell carcinoma (in 24%). For lung cancer staging, EBUS-TBNA was found to have a sensitivity of 96%, a specificity of 100%, and a negative predictive value of 85%. Conclusions: We found EBUS-TBNA to be a safe and accurate method for lymph node staging in lung cancer patients. PMID:25750671
Figueiredo, Viviane Rossi; Cardoso, Paulo Francisco Guerreiro; Jacomelli, Márcia; Demarzo, Sérgio Eduardo; Palomino, Addy Lidvina Mejia; Rodrigues, Ascédio José; Terra, Ricardo Mingarini; Pego-Fernandes, Paulo Manoel; Carvalho, Carlos Roberto Ribeiro
2015-01-01
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive, safe and accurate method for collecting samples from mediastinal and hilar lymph nodes. This study focused on the initial results obtained with EBUS-TBNA for lung cancer and lymph node staging at three teaching hospitals in Brazil. This was a retrospective analysis of patients diagnosed with lung cancer and submitted to EBUS-TBNA for mediastinal lymph node staging. The EBUS-TBNA procedures, which involved the use of an EBUS scope, an ultrasound processor, and a compatible, disposable 22 G needle, were performed while the patients were under general anesthesia. Between January of 2011 and January of 2014, 149 patients underwent EBUS-TBNA for lymph node staging. The mean age was 66 ± 12 years, and 58% were male. A total of 407 lymph nodes were sampled by EBUS-TBNA. The most common types of lung neoplasm were adenocarcinoma (in 67%) and squamous cell carcinoma (in 24%). For lung cancer staging, EBUS-TBNA was found to have a sensitivity of 96%, a specificity of 100%, and a negative predictive value of 85%. We found EBUS-TBNA to be a safe and accurate method for lymph node staging in lung cancer patients.
Heepchantree, Worapa; Paratasilpin, Thipmani; Kangwanpong, Daoroong
2006-06-01
The comet assay was performed to evaluate the effect of environmental exposure between human populations residing in two areas that differ in lung cancer incidence, Saraphi (n = 91) and Chom Thong (n = 94). Three parameters, the tail length, tail intensity, and tail moment, were used to detect DNA damage in peripheral blood and stimulated lymphocytes with and without the DNA repair inhibitor, aphidicolin. Internal standards, cryopreserved isolated lymphocytes, and isolated lymphocytes irradiated with 2 Gy gamma rays, were used to correct the interexperimental variability. Results revealed a significant difference between two populations only when the tail length was used to measure DNA damage. The evaluation of various potential confounding factors, such as gender, pesticide exposure, smoking, alcohol drinking, and fermented tea leaf or betel nut chewing, indicated no significant influence in DNA damage. In conclusion, significant difference in DNA damage, detected only by tail length between the two populations residing in the areas with different incidence of lung cancer, may reflect a nonhazardous level of exposure to toxic substances.
Lung Ultrasonography to Diagnose Transient Tachypnea of the Newborn.
Liu, Jing; Chen, Xin-Xin; Li, Xiang-Wen; Chen, Shui-Wen; Wang, Yan; Fu, Wei
2016-05-01
This study explored the sensitivity and specificity of ultrasound for diagnosing transient tachypnea of the newborn (TTN). Ultrasound was performed by one export. Patients were placed in a supine, lateral recumbent, or prone position. The probe was placed perpendicular or parallel to the ribs, and each region of the lung was scanned. The scan results were compared with conventional chest radiographic results. A total of 1,358 infants were included in this study. We identified 412 cases without pulmonary diseases, 228 TTN cases, 358 respiratory distress syndrome (RDS) cases, 85 meconium aspiration syndrome (MAS) cases, 215 infectious pneumonia cases, and 60 other cases. The primary ultrasonic characteristic of TTN was pulmonary edema. "White lung" or a "compact B-line" were only observed in severe cases, whereas TTN primarily presented as pulmonary interstitial syndrome or "double lung point." Furthermore, double lung point could appear during the recovery period of severe TTN or RDS, MAS, and pneumonia. Lung consolidation with air bronchograms was not observed in TTN patients. The results showed that white lung or a compact B-line exhibited a sensitivity of 33.8% and a specificity of 91.3% in diagnosing TTN, whereas double lung point exhibited a sensitivity of 45.6% and a specificity of 94.8% in diagnosing severe TTN. Pulmonary edema, alveolar-interstitial syndrome, double lung point, white lung, and compact B-line are the primary ultrasound characteristics of TTN. Ultrasonic diagnosis of TTN based on these findings is accurate and reliable. TTN can be ruled out in the presence of lung consolidation with air bronchograms. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
Liu, Jing; Ren, Xiao-Ling; Fu, Wei; Liu, Ying; Xia, Rong-Ming
2017-10-01
Pulmonary atelectasis (PA) is a common clinical complication among newborns, and it is one of the most common causes of neonatal dyspnea, a condition with no specific effective treatment. This study examined the effectiveness and security of bronchoalveolar lavage (BL) regarding the treatment of neonatal PA under ultrasound monitoring. A total of 57 patients diagnosed with PA via lung ultrasound (LUS) were included in this study. All patients received BL via a tracheal intubation injection of lavage fluid. The LUS was conducted immediately after each lavage to understand the conditions of lung re-expansion. Irrigation was repeated two to three times as one course of treatment. BL was provided as one to two courses of treatment daily for several days according to atelectasis and lung recruitment status. Of the 57 patients, BL was very effective in 44 cases (77.2%), marginally effective in nine cases (15.8%) and ineffective in four cases (7.0%), showing a total effective rate of 93.0%. The four ineffective cases showed a long disease duration and severe pulmonary consolidation. BL showed significant effectiveness for the treatment of neonatal PA under ultrasound monitoring. This treatment is easy to operate, and no adverse side effects were observed. Thus, BL should be considered for clinical application.
Lung ultrasound for the diagnosis of community-acquired pneumonia in children.
Stadler, Jacob A M; Andronikou, Savvas; Zar, Heather J
2017-10-01
Ultrasound (US) has been proposed as an alternative first-line imaging modality to diagnose community-acquired pneumonia in children. Lung US has the potential benefits over chest radiography of being radiation free, subject to fewer regulatory requirements, relatively lower cost and with immediate bedside availability of results. However, the uptake of lung US into clinical practice has been slow and it is not yet included in clinical guidelines for community-acquired pneumonia in children. The aim of this review is to give an overview of the equipment and techniques used to perform lung US in children with suspected pneumonia and the interpretation of relevant sonographic findings. We also summarise the current evidence of diagnostic accuracy and reliability of lung US compared to alternative imaging modalities in children and critically consider the strengths and limitations of lung US for use in children presenting with suspected community-acquired pneumonia.
Demi, Libertario; van Hoeve, Wim; van Sloun, Ruud J G; Soldati, Gino; Demi, Marcello
2017-10-06
B-lines are ultrasound-imaging artifacts, which correlate with several lung-pathologies. However, their understanding and characterization is still largely incomplete. To further study B-lines, lung-phantoms were developed by trapping a layer of microbubbles in tissue-mimicking gel. To simulate the alveolar size reduction typical of various pathologies, 170 and 80 µm bubbles were used for phantom-type 1 and 2, respectively. A normal alveolar diameter is approximately 280 µm. A LA332 linear-array connected to the ULA-OP platform was used for imaging. Standard ultrasound (US) imaging at 4.5 MHz was performed. Subsequently, a multi-frequency approach was used where images were sequentially generated using orthogonal sub-bands centered at different frequencies (3, 4, 5, and 6 MHz). Results show that B-lines appear predominantly with phantom-type 2. Moreover, the multi-frequency approach revealed that the B-lines originate from a specific portion of the US spectrum. These results can give rise to significant clinical applications since, if further confirmed by extensive in-vivo studies, the native frequency of B-lines could provide a quantitative-measure of the state of the lung.
2012-01-01
Background Rapid and accurate diagnosis and management can be lifesaving for patients with acute dyspnea. However, making a differential diagnosis and selecting early treatment for patients with acute dyspnea in the emergency setting is a clinical challenge that requires complex decision-making in order to achieve hemodynamic balance, improve functional capacity, and decrease mortality. In the present study, we examined the screening potential of rapid evaluation by lung-cardiac-inferior vena cava (LCI) integrated ultrasound for differentiating acute heart failure syndromes (AHFS) from primary pulmonary disease in patients with acute dyspnea in the emergency setting. Methods Between March 2011 and March 2012, 90 consecutive patients (45 women, 78.1 ± 9.9 years) admitted to the emergency room of our hospital for acute dyspnea were enrolled. Within 30 minutes of admission, all patients underwent conventional physical examination, rapid ultrasound (lung-cardiac-inferior vena cava [LCI] integrated ultrasound) examination with a hand-held device, routine laboratory tests, measurement of brain natriuretic peptide, and chest X-ray in the emergency room. Results The final diagnosis was acute dyspnea due to AHFS in 53 patients, acute dyspnea due to pulmonary disease despite a history of heart failure in 18 patients, and acute dyspnea due to pulmonary disease in 19 patients. Lung ultrasound alone showed a sensitivity, specificity, negative predictive value, and positive predictive value of 96.2, 54.0, 90.9, and 75.0%, respectively, for differentiating AHFS from pulmonary disease. On the other hand, LCI integrated ultrasound had a sensitivity, specificity, negative predictive value, and positive predictive value of 94.3, 91.9, 91.9, and 94.3%, respectively. Conclusions Our study demonstrated that rapid evaluation by LCI integrated ultrasound is extremely accurate for differentiating acute dyspnea due to AHFS from that caused by primary pulmonary disease in the emergency setting. PMID:23210515
NASA Astrophysics Data System (ADS)
Rahardjo, K. D.; Dharmaeizar; Nainggolan, G.; Harimurti, K.
2017-08-01
Research has shown that hemodialysis patients with lung congestion have high morbidity and mortality. Patients were assumed to be free of lung congestion if they had reached their post-dialysis dry weight. Most often, to determine if the patient was free of lung congestion, physical examination was used. However, the accuracy of physical examination in detecting lung congestion has not been established. To compare the capabilities of physical examination and lung ultrasound in detection of lung congestion, cross-sectional data collection was conducted on hemodialysis patients. Analysis was done to obtain proportion, sensitivity, specificity, positive predictive value, negative predictive value, and positive likelihood ratio. Sixty patients participated in this study. The inter observer variation of 20 patients revealed a kappa value of 0.828. When all 60 patients were taken into account, we found that 36 patients (57.1%) had lung congestion. Mild lung congestion was found in 24 (38.1%), and 12 (19%) had a moderate degree of congestion. In the analysis comparing jugular venous pressure to lung ultrasound, we found that sensitivity was 0.47 (0.31-0.63), specificity was 0.73 (0.54-0.86), positive predictive value (PPV) was 0.51 (0.36-0.67), negative predictive value (NPV) was 0.70 (0.49-0.84), positive likelihood ratio (PLR) was 1.75 (0.88-3.47), and the negative likelihood ratio (NLR) was 0.72 (0.47-1.12). In terms of lung auscultation, we found that sensitivity was 0.56 (0.39-0.71), specificity was 0.54 (0.35-0.71), PPV was 0.61 (0.44-0.76), NPV was 0.48 (0.31-0.66), PLR was 1.21 (0.73-2.0), and NLR was 0.82 (0.49-1.38). The results of our study showed that jugular venous distention and lung auscultation examination are not reliable means of detecting lung congestion.
Velalopoulou, Anastasia; Tyagi, Sonia; Pietrofesa, Ralph A.; Arguiri, Evguenia; Christofidou-Solomidou, Melpo
2015-01-01
Plant phenolic compounds are common dietary antioxidants that possess antioxidant and anti-inflammatory properties. Flaxseed (FS) has been reported to be radioprotective in murine models of oxidative lung damage. Flaxseed’s protective properties are attributed to its main biphenolic lignan, secoisolariciresinol diglucoside (SDG). SDG is a free radical scavenger, shown in cell free systems to protect DNA from radiation-induced damage. The objective of this study was to investigate the in vitro radioprotective efficacy of SDG in murine lung cells. Protection against irradiation (IR)-induced DNA double and single strand breaks was assessed by γ-H2AX labeling and alkaline comet assay, respectively. The role of SDG in modulating the levels of cytoprotective enzymes was evaluated by qPCR and confirmed by Western blotting. Additionally, effects of SDG on clonogenic survival of irradiated cells were evaluated. SDG protected cells from IR-induced death and ameliorated DNA damage by reducing mean comet tail length and percentage of γ-H2AX positive cells. Importantly, SDG significantly increased gene and protein levels of antioxidant HO-1, GSTM1 and NQO1. Our results identify the potent radioprotective properties of the synthetic biphenolic SDG, preventing DNA damage and enhancing the antioxidant capacity of normal lung cells; thus, rendering SDG a potential radioprotector against radiation exposure. PMID:26703588
Velalopoulou, Anastasia; Tyagi, Sonia; Pietrofesa, Ralph A; Arguiri, Evguenia; Christofidou-Solomidou, Melpo
2015-12-22
Plant phenolic compounds are common dietary antioxidants that possess antioxidant and anti-inflammatory properties. Flaxseed (FS) has been reported to be radioprotective in murine models of oxidative lung damage. Flaxseed's protective properties are attributed to its main biphenolic lignan, secoisolariciresinol diglucoside (SDG). SDG is a free radical scavenger, shown in cell free systems to protect DNA from radiation-induced damage. The objective of this study was to investigate the in vitro radioprotective efficacy of SDG in murine lung cells. Protection against irradiation (IR)-induced DNA double and single strand breaks was assessed by γ-H2AX labeling and alkaline comet assay, respectively. The role of SDG in modulating the levels of cytoprotective enzymes was evaluated by qPCR and confirmed by Western blotting. Additionally, effects of SDG on clonogenic survival of irradiated cells were evaluated. SDG protected cells from IR-induced death and ameliorated DNA damage by reducing mean comet tail length and percentage of γ-H2AX positive cells. Importantly, SDG significantly increased gene and protein levels of antioxidant HO-1, GSTM1 and NQO1. Our results identify the potent radioprotective properties of the synthetic biphenolic SDG, preventing DNA damage and enhancing the antioxidant capacity of normal lung cells; thus, rendering SDG a potential radioprotector against radiation exposure.
Santana, Pauliane Vieira; Prina, Elena; Albuquerque, André Luis Pereira; Carvalho, Carlos Roberto Ribeiro; Caruso, Pedro
2016-01-01
Objective: To investigate the applicability of ultrasound imaging of the diaphragm in interstitial lung disease (ILD). Methods: Using ultrasound, we compared ILD patients and healthy volunteers (controls) in terms of diaphragmatic mobility during quiet and deep breathing; diaphragm thickness at functional residual capacity (FRC) and at total lung capacity (TLC); and the thickening fraction (TF, proportional diaphragm thickening from FRC to TLC). We also evaluated correlations between diaphragmatic dysfunction and lung function variables. Results: Between the ILD patients (n = 40) and the controls (n = 16), mean diaphragmatic mobility was comparable during quiet breathing, although it was significantly lower in the patients during deep breathing (4.5 ± 1.7 cm vs. 7.6 ± 1.4 cm; p < 0.01). The patients showed greater diaphragm thickness at FRC (p = 0.05), although, due to lower diaphragm thickness at TLC, they also showed a lower TF (p < 0.01). The FVC as a percentage of the predicted value (FVC%) correlated with diaphragmatic mobility (r = 0.73; p < 0.01), and an FVC% cut-off value of < 60% presented high sensitivity (92%) and specificity (81%) for indentifying decreased diaphragmatic mobility. Conclusions: Using ultrasound, we were able to show that diaphragmatic mobility and the TF were lower in ILD patients than in healthy controls, despite the greater diaphragm thickness at FRC in the former. Diaphragmatic mobility correlated with ILD functional severity, and an FVC% cut-off value of < 60% was found to be highly accurate for indentifying diaphragmatic dysfunction on ultrasound. PMID:27167428
Novel use of pleural ultrasound can identify malignant entrapped lung prior to effusion drainage.
Salamonsen, Matthew R; Lo, Ada K C; Ng, Arnold C T; Bashirzadeh, Farzad; Wang, William Y S; Fielding, David I K
2014-11-01
The presence of entrapped lung changes the appropriate management of malignant pleural effusion from pleurodesis to insertion of an indwelling pleural catheter. No methods currently exist to identify entrapped lung prior to effusion drainage. Our objectives were to develop a method to identify entrapped lung using tissue movement and deformation (strain) analysis with ultrasonography and compare it to the existing technique of pleural elastance (PEL). Prior to drainage, 81 patients with suspected malignant pleural effusion underwent thoracic ultrasound using an echocardiogram machine. Images of the atelectatic lower lobe were acquired during breath hold, allowing motion and strain related to the cardiac impulse to be analyzed using motion mode (M mode) and speckle-tracking imaging, respectively. PEL was measured during effusion drainage. The gold-standard diagnosis of entrapped lung was the consensus opinion of two interventional pulmonologists according to postdrainage imaging. Participants were randomly divided into development and validation sets. Both total movement and strain were significantly reduced in entrapped lung. Using data from the development set, the area under the receiver-operating curves for the diagnosis of entrapped lung was 0.86 (speckle tracking), 0.79 (M mode), and 0.69 (PEL). Using respective cutoffs of 6%, 1 mm, and 19 cm H2O on the validation set, the sensitivity/specificity was 71%/85% (speckle tracking), 50%/85% (M mode), and 40%/100% (PEL). This novel ultrasound technique can identify entrapped lung prior to effusion drainage, which could allow appropriate choice of definitive management (pleurodesis vs indwelling catheter), reducing the number of interventions required to treat malignant pleural effusion.
McBeth, Paul B; Crawford, Innes; Blaivas, Michael; Hamilton, Trevor; Musselwhite, Kimberly; Panebianco, Nova; Melniker, Lawrence; Ball, Chad G; Gargani, Luna; Gherdovich, Carlotta; Kirkpatrick, Andrew W
2011-12-01
Apnea (APN) and pneumothorax (PTX) are common immediately life-threatening conditions. Ultrasound is a portable tool that captures anatomy and physiology as digital information allowing it to be readily transferred by electronic means. Both APN and PTX are simply ruled out by visualizing respiratory motion at the visceral-parietal pleural interface known as lung sliding (LS), corroborated by either the M-mode or color-power Doppler depiction of LS. We thus assessed how economically and practically this information could be obtained remotely over a cellular network. Ultrasound images were obtained on handheld ultrasound machines streamed to a standard free internet service (Skype) using an iPhone. Remote expert sonographers directed remote providers (with variable to no ultrasound experience) to obtain images by viewing the transmitted ultrasound signal and by viewing the remote examiner over a head-mounted webcam. Examinations were conducted between a series of remote sites and a base station. Remote sites included two remote on-mountain sites, a small airplane in flight, and a Calgary household, with base sites located in Pisa, Rome, Philadelphia, and Calgary. In all lung fields (20/20) on all occasions, LS could easily and quickly be seen. LS was easily corroborated and documented through capture of color-power Doppler and M-mode images. Other ultrasound applications such as the Focused Assessment with Sonography for Trauma examination, vascular anatomy, and a fetal wellness assessment were also demonstrated. The emergent exclusion of APN-PTX can be immediately accomplished by a remote expert economically linked to almost any responder over cellular networks. Further work should explore the range of other physiologic functions and anatomy that could be so remotely assessed.
Huang, Chun-Ta; Chen, Chung-Yu; Ho, Chao-Chi; Yu, Chong-Jen
2011-07-01
The introduction of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) brought about significant advancement in the field of bronchoscopy. The major indications for EBUS-TBNA are lung cancer staging and diagnosis of mediastinal lymphadenopathy. This procedure is minimally invasive and cost saving, and no complications have been described in large-scale studies. In this report, we present a case of empyema, lung abscess, and mediastinal abscess that developed in a patient undergoing EBUS-TBNA; the patient subsequently recovered uneventfully after aggressive surgical debridement and antimicrobial therapy. Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
Steinmetz, Peter; Oleskevich, Sharon; Dyachenko, Alina; McCusker, Jane; Lewis, John
2018-03-25
This study compared the accuracy of medical students in identifying pleural effusion in hospitalized patients using the physical examination versus lung ultrasound (US). Fourth-year medical students (n = 14) received 20 hours of general practical US training (including 2 hours of specialized lung US training) plus theoretical and video documentation. The students used the physical examination alone versus the physical examination plus lung US to document the presence or absence of pleural effusion in the right and left hemithoraces of hospitalized patients (n = 11 patients; 22 hemithoraces examined 544 times in total). The reference standard for identification of pleural effusion was a lung US examination by 2 expert point-of-care sonographers. The odds of correctly identifying the presence versus absence of pleural effusion was 5 times greater with lung US as an adjunct to the physical examination compared to the physical examination alone (odds ratio [OR], 5.1 from multivariate logistic regression; 95% confidence interval, 3.3-8.0). The addition of lung US to the physical examination resulted in an increase in sensitivity from 48% to 90%, in specificity from 73% to 86%, and in accuracy from 60% to 88%. The benefits of using US were greater when pleural effusion was present versus absent (OR, 10.8 versus 2.4) and when examining older versus younger patients (OR, 10.2 versus 2.8). These results demonstrate that medical students' ability to detect the presence or absence of pleural effusion is superior when using lung US as an adjunct to the physical examination than when using the physical examination alone. © 2018 by the American Institute of Ultrasound in Medicine.
The role of endobronchial ultrasound versus mediastinoscopy for non-small cell lung cancer.
Czarnecka-Kujawa, Katarzyna; Yasufuku, Kazuhiro
2017-03-01
This review provides an update on the current role of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and mediastinoscopy (Med) in assessment of patients with non-small cell lung cancer (NSCLC). Invasive mediastinal lymph node (LN) staging is the major application for both of these techniques. Up until recently, Med was the gold standard for invasive mediastinal LN staging in NSCLC. However, EBUS-TBNA has shown to be equivalent, and in some studies better than Med for invasive staging of lung cancer. EBUS-TBNA offers access to N1 LNs and development of the thin convex probe EBUS (TCP-EBUS) will expand EBUS-TBNA access from the paratracheal region and central airways to more distal parabronchial regions allowing for more extensive N1 LN assessment and sampling more distal lung tumors. EBUS-TBNA is more cost-effective than Med and it is currently recommended as the test of first choice for invasive mediastinal LN staging in lung cancer. Confirmatory Med should be performed selectively in patients with high pretest probability of metastatic disease. Addition of esophageal ultrasound fine needle aspiration (EUS-FNA) may increase diagnostic yield of EBUS-TBNA mediastinal staging. Both Med and EBUS-TBNA can be used in primary lung cancer diagnosis, restaging of the mediastinum following neoadjuvant therapy and in diagnosis of lung cancer recurrence. In the future, a combination of EBUS-TBNA with or without EUS-FNA and Med is most likely going to provide the most optimal invasive assessment of the mediastinum in patients with lung cancer. The decision on test choice and sequence should be made on a case-by-case basis and factoring in local resources and expertise.
[Thoracic ultrasound: the pneumologist's new stethoscope].
Heinen, V; Duysinx, B; Corhay, J L; Louis, R
2012-10-01
We now have access to a large library of publications validating transparietal thoracic echography in various clinical situations. Parietal lesions, including osteolysis, can be detected and biopsied during the thoracic ultrasound (TUS) examination. To evaluate the parietal extension of lung cancers, TUS has proved superior to tomodensitometry. Pleural effusions can be easily diagnosed and aspirated. Pneumothoraces can be detected using well defined lung artifacts with a high frequency probe. Pleural and peripheral lung nodules can be detected and biopsied with real time visualization; the procedure is safe and accurate. Lung consolidations with a pleural contact can be diagnosed; this is particularly useful for pregnant women. In conclusion, TUS is a precious diagnostic tool for chosen applications, and can help to guide interventional procedures. The portable devices are also very useful for bedridden patients or for out of hospital use.
Lung Surfactant Microbubbles Increase Lipophilic Drug Payload for Ultrasound-Targeted Delivery
Sirsi, Shashank R.; Fung, Chinpong; Garg, Sumit; Tianning, Mary Y.; Mountford, Paul A.; Borden, Mark A.
2013-01-01
The cavitation response of circulating microbubbles to targeted ultrasound can be used for noninvasive, site-specific delivery of shell-loaded materials. One challenge for microbubble-mediated delivery of lipophilic compounds is the limitation of drug loading into the microbubble shell, which is commonly a single phospholipid monolayer. In this study, we investigated the use of natural lung surfactant extract (Survanta®, Abbott Nutrition) as a microbubble shell material in order to improve drug payload and delivery. Pulmonary surfactant extracts such as Survanta contain hydrophobic surfactant proteins (SP-B and SP-C) that facilitate lipid folding and retention on lipid monolayers. Here, we show that Survanta-based microbubbles exhibit wrinkles in bright-field microscopy and increased lipid retention on the microbubble surface in the form of surface-associated aggregates observed with fluorescence microscopy. The payload of a model lipophilic drug (DiO), measured by flow cytometry, increased by over 2-fold compared to lipid-coated microbubbles lacking SP-B and SP-C. Lung surfactant microbubbles were highly echogenic to contrast enhanced ultrasound imaging at low acoustic intensities. At higher ultrasound intensity, excess lipid was observed to be acoustically cleaved for localized release. To demonstrate targeting, a biotinylated lipopolymer was incorporated into the shell, and the microbubbles were subjected to a sequence of radiation force and fragmentation pulses as they passed through an avidinated hollow fiber. Lung surfactant microbubbles showed a 3-fold increase in targeted deposition of the model fluorescent drug compared to lipid-only microbubbles. Our results demonstrate that lung surfactant microbubbles maintain the acoustic responsiveness of lipid-coated microbubbles with the added benefit of increased lipophilic drug payload. PMID:23781287
Lung surfactant microbubbles increase lipophilic drug payload for ultrasound-targeted delivery.
Sirsi, Shashank R; Fung, Chinpong; Garg, Sumit; Tianning, Mary Y; Mountford, Paul A; Borden, Mark A
2013-01-01
The cavitation response of circulating microbubbles to targeted ultrasound can be used for noninvasive, site-specific delivery of shell-loaded materials. One challenge for microbubble-mediated delivery of lipophilic compounds is the limitation of drug loading into the microbubble shell, which is commonly a single phospholipid monolayer. In this study, we investigated the use of natural lung surfactant extract (Survanta(®), Abbott Nutrition) as a microbubble shell material in order to improve drug payload and delivery. Pulmonary surfactant extracts such as Survanta contain hydrophobic surfactant proteins (SP-B and SP-C) that facilitate lipid folding and retention on lipid monolayers. Here, we show that Survanta-based microbubbles exhibit wrinkles in bright-field microscopy and increased lipid retention on the microbubble surface in the form of surface-associated aggregates observed with fluorescence microscopy. The payload of a model lipophilic drug (DiO), measured by flow cytometry, increased by over 2-fold compared to lipid-coated microbubbles lacking SP-B and SP-C. Lung surfactant microbubbles were highly echogenic to contrast enhanced ultrasound imaging at low acoustic intensities. At higher ultrasound intensity, excess lipid was observed to be acoustically cleaved for localized release. To demonstrate targeting, a biotinylated lipopolymer was incorporated into the shell, and the microbubbles were subjected to a sequence of radiation force and fragmentation pulses as they passed through an avidinated hollow fiber. Lung surfactant microbubbles showed a 3-fold increase in targeted deposition of the model fluorescent drug compared to lipid-only microbubbles. Our results demonstrate that lung surfactant microbubbles maintain the acoustic responsiveness of lipid-coated microbubbles with the added benefit of increased lipophilic drug payload.
Dalrymple, Annette; Ordoñez, Patricia; Thorne, David; Walker, David; Camacho, Oscar M.; Büttner, Ansgar; Dillon, Debbie; Meredith, Clive
2016-01-01
Abstract Many laboratories are working to develop in vitro models that will replace in vivo tests, but occasionally there remains a regulatory expectation of some in vivo testing. Historically, cigarettes have been tested in vivo for 90 days. Recently, methods to reduce and refine animal use have been explored. This study investigated the potential of reducing animal cigarette smoke (CS) exposure to 3 or 6 weeks, and the feasibility of separate lung lobes for histopathology or the Comet assay. Rats were exposed to sham air or CS (1 or 2 h) for 3 or 6 weeks. Respiratory tissues were processed for histopathological evaluation, and Alveolar type II cells (AEC II) isolated for the Comet assay. Blood was collected for Pig-a and micronucleus quantification. Histopathological analyses demonstrated exposure effects, which were generally dependent on CS dose (1 or 2 h, 5 days/week). Comet analysis identified that DNA damage increased in AEC II following 3 or 6 weeks CS exposure, and the level at 6 weeks was higher than 3 weeks. Pig-a mutation or micronucleus levels were not increased. In conclusion, this study showed that 3 weeks of CS exposure was sufficient to observe respiratory tract pathology and DNA damage in isolated AEC II. Differences between the 3 and 6 week data imply that DNA damage in the lung is cumulative. Reducing exposure time, plus analyzing separate lung lobes for DNA damage or histopathology, supports a strategy to reduce and refine animal use in tobacco product testing and is aligned to the 3Rs (replacement, reduction and refinement). PMID:27160659
Dalrymple, Annette; Ordoñez, Patricia; Thorne, David; Walker, David; Camacho, Oscar M; Büttner, Ansgar; Dillon, Debbie; Meredith, Clive
2016-06-01
Many laboratories are working to develop in vitro models that will replace in vivo tests, but occasionally there remains a regulatory expectation of some in vivo testing. Historically, cigarettes have been tested in vivo for 90 days. Recently, methods to reduce and refine animal use have been explored. This study investigated the potential of reducing animal cigarette smoke (CS) exposure to 3 or 6 weeks, and the feasibility of separate lung lobes for histopathology or the Comet assay. Rats were exposed to sham air or CS (1 or 2 h) for 3 or 6 weeks. Respiratory tissues were processed for histopathological evaluation, and Alveolar type II cells (AEC II) isolated for the Comet assay. Blood was collected for Pig-a and micronucleus quantification. Histopathological analyses demonstrated exposure effects, which were generally dependent on CS dose (1 or 2 h, 5 days/week). Comet analysis identified that DNA damage increased in AEC II following 3 or 6 weeks CS exposure, and the level at 6 weeks was higher than 3 weeks. Pig-a mutation or micronucleus levels were not increased. In conclusion, this study showed that 3 weeks of CS exposure was sufficient to observe respiratory tract pathology and DNA damage in isolated AEC II. Differences between the 3 and 6 week data imply that DNA damage in the lung is cumulative. Reducing exposure time, plus analyzing separate lung lobes for DNA damage or histopathology, supports a strategy to reduce and refine animal use in tobacco product testing and is aligned to the 3Rs (replacement, reduction and refinement).
Parikh, Mihir S; Seeley, Eric; Nguyen-Tran, Evelyn; Krishna, Ganesh
2017-10-01
Surgical treatment with lung resection has traditionally been the treatment of choice for pulmonary cavities containing aspergillomas that cause hemoptysis. Endobronchial ultrasound (EBUS) is a minimally invasive bronchoscopic technique that is commonly used for transbronchial needle aspiration of hilar and mediastinal lymph nodes as well as centrally located parenchymal lesions. Here, we describe a case of a 71-year-old woman who was found to have a cavitary lesion in the lung containing aspergillomas. Under direct ultrasound visualization with EBUS, liposomal amphotericin B was injected into the aspergillomas. These aspergillomas regressed after treatment. To our knowledge, this is the first reported treatment of aspergilloma with EBUS-guided transbronchial needle injection of liposomal amphotericin B.
Twinkling artifact on color Doppler ultrasound: an advantage or a pitfall?
Ozan, Ebru; Atac, Gokce Kaan; Gundogdu, Sadi
2016-07-01
The twinkling artifact (TA) or color comet-tail artifact is characterized by a rapidly changing mixture of red and blue color Doppler signals. Even though many diseases and clinical conditions have been shown to produce this artifact, its source is not clearly understood yet. The TA may provide additional information to gray-scale ultrasound findings in several clinical situations. However, there may be pitfalls to keep in mind. We must first be aware of the TA to benefit from the advantages and avoid the pitfalls. In this review, we aim to give practicing radiologists an overview of the mechanisms and clinical applications of the TA by illustrating sample cases we have encountered.
Performance of chest ultrasound in pediatric pneumonia.
Claes, Anne-Sophie; Clapuyt, Philippe; Menten, Renaud; Michoux, Nicolas; Dumitriu, Dana
2017-03-01
The objective of this study was to evaluate the performance of ultrasound in detecting lung consolidation in children suspected of pneumonia, in comparison to the current gold standard, chest X-rays. From September 2013 to June 2014, a monocentric prospective study was performed on all children between 0 and 16 years-old, referred for chest X-ray for suspected pneumonia. Each child was examined by chest ultrasound by an examiner blinded to the chest X-ray. The presence or absence of areas of consolidation, their number and location were noted for each technique. The size of the consolidations identified only on ultrasound was compared with that of consolidations visible on both techniques. 143 children (mean age 3 years; limits between 8days and 14 years) were included. Ultrasound detected at least one area of consolidation in 44 out of 45 patients with positive X-rays. Of the 59 areas of consolidation on X-ray, ultrasound identified 54. In the 8 patients with negative X-ray, ultrasound revealed 17 areas of consolidation. The mean size of consolidations visible only on ultrasound was 9.4mm; for consolidations visible on both techniques the mean size was 26mm (p<0.0001). The sensitivity and specificity of ultrasound were calculated at 98% and 92%. PPV and NPV were 85% and 99%, respectively. Chest ultrasound is a fast, non-ionizing and feasible technique. With its high negative predictive value, it can replace X-rays in order to exclude lung consolidation in children, thus reducing radiation exposure in this population. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ipsen, S; Bruder, R; Schweikard, A
Purpose: While MLC tracking has been successfully used for motion compensation of moving targets, current real-time target localization methods rely on correlation models with x-ray imaging or implanted electromagnetic transponders rather than direct target visualization. In contrast, ultrasound imaging yields volumetric data in real-time (4D) without ionizing radiation. We report the first results of online 4D ultrasound-guided MLC tracking in a phantom. Methods: A real-time tracking framework was installed on a 4D ultrasound station (Vivid7 dimension, GE) and used to detect a 2mm spherical lead marker inside a water tank. The volumetric frame rate was 21.3Hz (47ms). The marker wasmore » rigidly attached to a motion stage programmed to reproduce nine tumor trajectories (five prostate, four lung). The 3D marker position from ultrasound was used for real-time MLC aperture adaption. The tracking system latency was measured and compensated by prediction for lung trajectories. To measure geometric accuracy, anterior and lateral conformal fields with 10cm circular aperture were delivered for each trajectory. The tracking error was measured as the difference between marker position and MLC aperture in continuous portal imaging. For dosimetric evaluation, 358° VMAT fields were delivered to a biplanar diode array dosimeter using the same trajectories. Dose measurements with and without MLC tracking were compared to a static reference dose using a 3%/3 mm γ-test. Results: The tracking system latency was 170ms. The mean root-mean-square tracking error was 1.01mm (0.75mm prostate, 1.33mm lung). Tracking reduced the mean γ-failure rate from 13.9% to 4.6% for prostate and from 21.8% to 0.6% for lung with high-modulation VMAT plans and from 5% (prostate) and 18% (lung) to 0% with low modulation. Conclusion: Real-time ultrasound tracking was successfully integrated with MLC tracking for the first time and showed similar accuracy and latency as other methods while holding the potential to measure target motion non-invasively. SI was supported by the Graduate School for Computing in Medicine and Life Science, German Excellence Initiative [grant DFG GSC 235/1].« less
Lung mass density analysis using deep neural network and lung ultrasound surface wave elastography.
Zhou, Boran; Zhang, Xiaoming
2018-05-23
Lung mass density is directly associated with lung pathology. Computed Tomography (CT) evaluates lung pathology using the Hounsfield unit (HU) but not lung density directly. We have developed a lung ultrasound surface wave elastography (LUSWE) technique to measure the surface wave speed of superficial lung tissue. The objective of this study was to develop a method for analyzing lung mass density of superficial lung tissue using a deep neural network (DNN) and synthetic data of wave speed measurements with LUSWE. The synthetic training dataset of surface wave speed, excitation frequency, lung mass density, and viscoelasticity from LUSWE (788,000 in total) was used to train the DNN model. The DNN was composed of 3 hidden layers of 1024 neurons for each layer and trained for 10 epochs with a batch size of 4096 and a learning rate of 0.001 with three types of optimizers. The test dataset (4000) of wave speeds at three excitation frequencies (100, 150, and 200 Hz) and shear elasticity of superficial lung tissue was used to predict the lung density and evaluate its accuracy compared with predefined lung mass densities. This technique was then validated on a sponge phantom experiment. The obtained results showed that predictions matched well with test dataset (validation accuracy is 0.992) and experimental data in the sponge phantom experiment. This method may be useful to analyze lung mass density by using the DNN model together with the surface wave speed and lung stiffness measurements. Copyright © 2018 Elsevier B.V. All rights reserved.
Buda, N; Piskunowicz, M; Porzezińska, M; Kosiak, W; Zdrojewski, Z
2016-08-01
Patients with a diagnosed systemic connective tissue disease require regular monitoring from the point of view of interstitial lung disease. The main aim of this work is a description of the criteria for pulmonary fibrosis and the degree of the severity of the fibrosis during the course of interstitial lung disease through the TLU (transthoracic lung ultrasound). 52 patients with diagnosed diffuse interstitial lung disease were qualified for this research, together with 50 volunteers in the control group. The patients in both groups were over 18 years of age and were of both sexes. The results of the TLU of the patients underwent statistical analysis and were compared to High-Resolution Computed Tomography (HRCT) results. As a consequence of the statistical analysis, we defined our own criteria for pulmonary fibrosis in TLU: irregularity of the pleura line, tightening of the pleura line, the fragmentary nature of the pleura line, blurring of the pleura line, thickening of the pleura line, artifacts of line B ≤ 3 and ≥ 4, artifacts of Am line and subpleural consolidations < 5 mm. As a result of the conducted research, a scale of severity of pulmonary fibrosis in TLU was devised (UFI - Ultrasound Fibrosis Index), enabling a division to be made into mild, moderate and severe cases. Transthoracic Lung Ultrasonography (TLU) gives a new outlook on the diagnostic possibilities, non-invasive and devoid of ionising radiation, of pulmonary fibrosis. This research work has allowed to discover two new ultrasound symptoms of pulmonary fibrosis (blurred pleural line and Am lines). © Georg Thieme Verlag KG Stuttgart · New York.
Usefulness of emergency ultrasound in nontraumatic cardiac arrest.
Volpicelli, Giovanni
2011-02-01
Treatment of nontraumatic cardiac arrest in the hospital setting depends on the recognition of heart rhythm and differential diagnosis of the underlying condition while maintaining a constant oxygenated blood flow by ventilation and chest compression. Diagnostic process relies only on patient's history, physical findings, and active electrocardiography. Ultrasound is not currently scheduled in the resuscitation guidelines. Nevertheless, the use of real-time ultrasonography during resuscitation has the potential to improve diagnostic accuracy and allows the physician a greater confidence in deciding aggressive life-saving therapeutic procedures. This article reviews the current opinions and literature about the use of emergency ultrasound during resuscitation of nontraumatic cardiac arrest. Cardiac and lung ultrasound have a great potential in identifying the reversible mechanical causes of pulseless electrical activity or asystole. Brief examination of the heart can even detect a real cardiac standstill regardless of electrical activity displayed on the monitor, which is a crucial prognostic indicator. Moreover, ultrasound can be useful to verify and monitor the tracheal tube placement. Limitation to the use of ultrasound is the need to minimize the no-flow intervals during mechanical cardiopulmonary resuscitation. However, real-time ultrasound can be successfully applied during brief pausing of chest compression and first pulse-check. Finally, lung sonographic examination targeted to the detection of signs of pulmonary congestion has the potential to allow hemodynamic noninvasive monitoring before and after mechanical cardiopulmonary maneuvers. Copyright © 2011 Elsevier Inc. All rights reserved.
Sonography of iatrogenic pneumothorax in pediatric patients
2013-01-01
Pneumothorax is defined as the presence of air in the pleural cavity. The incidence of iatrogenic pneumothorax in the pediatric population is 0.3–0.48 in 1000 patients. A conventional chest X-ray, in some cases supplemented with chest computed tomography, is a typical imaging examination used to confirm the diagnosis of pneumothorax. Within the last years, the relevance of transthoracic lung ultrasound in the diagnostic process of this disease entity has greatly increased. This is confirmed by the opinion of a group of experts in ultrasound lung imaging in patients in a life-threatening condition, who strongly recommend a transthoracic ultrasound examination for the diagnosis of pneumothorax in such patients. These data constituted the basis for initiating the prospective studies on the application of this method in pneumothorax diagnosis in patients of pediatric hematology and oncology wards. Aim The aim of the study was to present the possibility of using the transthoracic lung ultrasound in the diagnostic process of pneumothorax in pediatric patients, with particular attention paid to its iatrogenic form. The article discusses sonographic criteria for pneumothorax diagnosis in pediatric patients, including the sensitivity and specificity of the method, in relation to conventional chest X-ray. Material and methods The prospective studies included a group of patients treated in the Clinic of Pediatrics, Pediatric Hematology, Oncology and Endocrinology of the Academic Clinical Centre (Medical University of Gdańsk, Poland) in whom a central venous catheter was placed in the subclavian veins. The studies lasted for one year – from 1 July 2011 to 30 June 2012. The examined group comprised 63 patients – 25 girls (39.7%) and 38 boys (60.3%) aged from 1 to 17. The analysis included the results of 115 ultrasound examinations conducted in this group. Results In t he examined group with suspected or diagnosed neoplasm, iatrogenic pneumothorax was identified in 4 out of 63 patients (6.3%). In all cases, it was a consequence of procedures connected with the introduction of a central catheter. In the examined material, the sensitivity, specificity and predictive values (positive and negative) of the transthoracic lung ultrasound equaled 100%. Conclusions The transthoracic ultrasound examination is a highly effective method in diagnosing iatrogenic pneumothorax in pediatric patients. However, to confirm this conclusion, multicenter studies, among considerably larger populations, are necessary. PMID:26675373
Ma, Irene W Y; Arishenkoff, Shane; Wiseman, Jeffrey; Desy, Janeve; Ailon, Jonathan; Martin, Leslie; Otremba, Mirek; Halman, Samantha; Willemot, Patrick; Blouw, Marcus
2017-09-01
Bedside point-of-care ultrasound (POCUS) is increasingly used to assess medical patients. At present, no consensus exists for what POCUS curriculum is appropriate for internal medicine residency training programs. This document details the consensus-based recommendations by the Canadian Internal Medicine Ultrasound (CIMUS) group, comprising 39 members, representing 14 institutions across Canada. Guiding principles for selecting curricular content were determined a priori. Consensus was defined as agreement by at least 80% of the members on POCUS applications deemed appropriate for teaching and assessment of trainees in the core (internal medicine postgraduate years [PGY] 1-3) and expanded (general internal medicine PGY 4-5) training programs. We recommend four POCUS applications for the core PGY 1-3 curriculum (inferior vena cava, lung B lines, pleural effusion, and abdominal free fluid) and three ultrasound-guided procedures (central venous catheterization, thoracentesis, and paracentesis). For the expanded PGY 4-5 curriculum, we recommend an additional seven applications (internal jugular vein, lung consolidation, pneumothorax, knee effusion, gross left ventricular systolic function, pericardial effusion, and right ventricular strain) and four ultrasound-guided procedures (knee arthrocentesis, arterial line insertion, arterial blood gas sampling, and peripheral venous catheterization). These recommendations will provide a framework for training programs at a national level.
Effects of HIFU induced cavitation on flooded lung parenchyma.
Wolfram, Frank; Dietrich, Georg; Boltze, Carsten; Jenderka, Klaus Vitold; Lesser, Thomas Günther
2017-01-01
High intensity focused ultrasound (HIFU) has gained clinical interest as a non-invasive local tumour therapy in many organs. In addition, it has been shown that lung cancer can be targeted by HIFU using One-Lung Flooding (OLF). OLF generates a gas free saline-lung compound in one lung wing and therefore acoustic access to central lung tumours. It can be assumed that lung parenchyma is exposed to ultrasound intensities in the pre-focal path and in cases of misguiding. If so, cavitation might be induced in the saline fraction of flooded lung and cause tissue damage. Therefore this study was aimed to determine the thresholds of HIFU induced cavitation and tissue erosion in flooded lung. Resected human lung lobes were flooded ex-vivo. HIFU (1,1 MHz) was targeted under sonographic guidance into flooded lung parenchyma. Cavitation events were counted using subharmonic passive cavitation detection (PCD). B-Mode imaging was used to detect cavitation and erosion sonographically. Tissue samples out of the focal zone were analysed histologically. In flooded lung, a PCD and a sonographic cavitation detection threshold of 625 Wcm - 2 ( p r = 4, 3 MPa ) and 3.600 Wcm - 2 ( p r = 8, 3 MPa ) was found. Cavitation in flooded lung appears as blurred hyperechoic focal region, which enhances echogenity with insonation time. Lung parenchyma erosion was detected at intensities above 7.200 Wcm - 2 ( p r = 10, 9 MPa ). Cavitation occurs in flooded lung parenchyma, which can be detected passively and by B-Mode imaging. Focal intensities required for lung tumour ablation are below levels where erosive events occur. Therefore focal cavitation events can be monitored and potential risk from tissue erosion in flooded lung avoided.
Hofstad, Erlend Fagertun; Amundsen, Tore; Langø, Thomas; Bakeng, Janne Beate Lervik; Leira, Håkon Olav
2017-01-01
Background Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) is the endoscopic method of choice for confirming lung cancer metastasis to mediastinal lymph nodes. Precision is crucial for correct staging and clinical decision-making. Navigation and multimodal imaging can potentially improve EBUS-TBNA efficiency. Aims To demonstrate the feasibility of a multimodal image guiding system using electromagnetic navigation for ultrasound bronchoschopy in humans. Methods Four patients referred for lung cancer diagnosis and staging with EBUS-TBNA were enrolled in the study. Target lymph nodes were predefined from the preoperative computed tomography (CT) images. A prototype convex probe ultrasound bronchoscope with an attached sensor for position tracking was used for EBUS-TBNA. Electromagnetic tracking of the ultrasound bronchoscope and ultrasound images allowed fusion of preoperative CT and intraoperative ultrasound in the navigation software. Navigated EBUS-TBNA was used to guide target lymph node localization and sampling. Navigation system accuracy was calculated, measured by the deviation between lymph node position in ultrasound and CT in three planes. Procedure time, diagnostic yield and adverse events were recorded. Results Preoperative CT and real-time ultrasound images were successfully fused and displayed in the navigation software during the procedures. Overall navigation accuracy (11 measurements) was 10.0 ± 3.8 mm, maximum 17.6 mm, minimum 4.5 mm. An adequate sample was obtained in 6/6 (100%) of targeted lymph nodes. No adverse events were registered. Conclusions Electromagnetic navigated EBUS-TBNA was feasible, safe and easy in this human pilot study. The clinical usefulness was clearly demonstrated. Fusion of real-time ultrasound, preoperative CT and electromagnetic navigational bronchoscopy provided a controlled guiding to level of target, intraoperative overview and procedure documentation. PMID:28182758
Han, MeiLan K; Zhou, Yueren; Murray, Susan; Tayob, Nabihah; Noth, Imre; Lama, Vibha N; Moore, Bethany B; White, Eric S; Flaherty, Kevin R; Huffnagle, Gary B; Martinez, Fernando J
2014-07-01
The role of the lung microbiome in the pathogenesis of idiopathic pulmonary fibrosis is unknown. We investigated whether unique microbial signatures were associated with progression of idiopathic pulmonary fibrosis. Patients (aged 35-80 years) with idiopathic pulmonary fibrosis within 4 years of diagnosis from the Correlating Outcomes with biochemical Markers to Estimate Time-progression (COMET) in idiopathic pulmonary fibrosis study were followed up for a maximum of 80 weeks. Progression-free survival was defined as time to death, acute exacerbation, lung transplant, or decrease in forced vital capacity (FVC) of 10% or greater or decrease in diffusion capacity of the lung (DLCO) of 15% or greater. DNA was isolated from 55 samples of bronchoscopic alveolar lavage. 454 pyrosequencing was used to assign operational taxonomic units (OTUs) to bacteria based on a 3% sequence divergence. Adjusted Cox models were used to identify OTUs that were significantly associated with progression-free survival at a p<0.10. These OTUs were then used in the analysis of the principal components. The association between principal components and microbes with high factor loadings and progression-free survival were assessed with Cox regression analyses. The COMET study is registered with ClinicalTrials.gov, number NCT01071707. Mean FVC was 70.1% (SD 17.0) and DLCO 42.3% (14.0) of predicted. Disease progression was significantly associated with increased relative abundance of two OTUs-Streptococcus OTU 1345 (relative risk 1.11, 95% CI 1.04-1.18; p=0.0009) and Staphylococcus OTU 1348 (1.16, 1.03-1.31, p=0.012). Thresholds for relative abundance of each OTU associated with progression-free survival were more than 3.9% for Streptococcus OTU 1345 (10.19, 2.94-35.35; p=0.0002) and more than 1.8% for Staphylococcus OTU 1348 (5.06, 1.71-14.93; p=0.003). These preliminary data suggest progression of idiopathic pulmonary fibrosis is associated with the presence of specific members within the Staphylococcus and Streptococcus genera. Additional research will be needed to identify the specific bacterial species and to ascertain whether this is a causal association. National Institutes of Health. Copyright © 2014 Elsevier Ltd. All rights reserved.
Speit, Günter; Schütz, Petra; Bausinger, Julia
2016-06-01
The comet assay in combination with the polymerase inhibitor aphidicolin (APC) has been used to measure DNA excision repair activity, DNA repair kinetics and individual DNA repair capacity. Since APC can enhance genotoxic effects of mutagens measured by the comet assay, this approach has been proposed for increasing the sensitivity of the comet assay in human biomonitoring. The APC-modified comet assay has mainly been performed with human blood and it was shown that it not only enhances the detection of DNA damage repaired by nucleotide excision repair (NER) but also damage typically repaired by base excision repair (BER). Recently, we reported that in contrast to blood leukocytes, A549 cells (a human lung adenocarcinoma cell line) seem to be insensitive towards the repair-inhibiting action of APC. To further elucidate the general usefulness of the APC-modified comet assay for studying repair in cultured mammalian cells, we comparatively investigated further cell lines (HeLa, TK6, V79). DNA damage was induced by BPDE (benzo[a]pyrene-7,8-dihydrodiol-9,10-epoxide) and MMS (methyl methanesulfonate) in the absence and presence of APC (3 or 15μM). APC was either added for 2h together with the mutagen or cells were pre-incubated for 30min with APC before the mutagen was added. The results indicate that the cell lines tested differ fundamentally with regard to their sensitivity and specificity towards the repair-inhibiting effect of APC. The actual cause for these differences is still unclear but potential molecular explanations are discussed. Irrespective of the underlying mechanism(s), our study revealed practical limitations of the use of the APC-modified comet assay. Copyright © 2016 Elsevier B.V. All rights reserved.
Ultrasound-guided chest biopsies.
Middleton, William D; Teefey, Sharlene A; Dahiya, Nirvikar
2006-12-01
Pulmonary nodules that are surrounded by aerated lung cannot be visualized with sonography. Therefore, percutaneous biopsy must be guided with computed tomography or fluoroscopy. Although this restriction only applies to central lung nodules, it has permeated referral patterns for other thoracic lesions and has retarded the growth of ultrasound-guided interventions. Nevertheless, sonography is an extremely flexible modality that can expeditiously guide many biopsy procedures in the thorax. Peripheral pulmonary nodules can be successfully biopsied with success rates exceeding 90% and complications rates of less than 5%. Orienting the probe parallel to the intercostal space facilitates biopsies of peripheral pulmonary nodules. Anterior mediastinal masses that extend to the parasternal region are often easily approachable provided the internal mammary vessels, costal cartilage, and deep great vessels are identified and avoided. Superior mediastinal masses can be sampled from a suprasternal or supraclavicular approach. Phased array probes or tightly curved arrays may provide improved access for biopsies in this location. Posterior mediastinal masses are more difficult to biopsy with ultrasound guidance because of the overlying paraspinal muscles. However, when posterior mediastinal masses extend into the posterior medial pleural region, they can be biopsied with ultrasound guidance. Because many lung cancers metastasize to the supraclavicular nodes, it is important to evaluate the supraclavicular region when determining the best approach to obtain a tissue diagnosis. When abnormal supraclavicular nodes are present, they often are the easiest and safest lesions to biopsy.
Portable bedside ultrasound: the visual stethoscope of the 21st century
2012-01-01
Over the past decade technological advances in the realm of ultrasound have allowed what was once a cumbersome and large machine to become essentially hand-held. This coupled with a greater understanding of lung sonography has revolutionized our bedside assessment of patients. Using ultrasound not as a diagnostic test, but instead as a component of the physical exam, may allow it to become the stethoscope of the 21st century. PMID:22400903
[Basics of emergency ultrasound].
Schellhaas, S; Breitkreutz, R
2012-09-05
Focused ultrasound is a key methodology of critical care medicine. By referencing few ultrasound differential diagnosis, it is possible to identifying in real-time the reason of the critical state of a patient. Therefore typical focused ultrasound protocols were developed. The well known Focused Assessment with Sonography for trauma (FAST) was incorporated into the Advanced Trauma Life Support (ATLS) for shock room. Focused echocardiographic evaluation in life support (FEEL) has been designed to be conformed with the universal Advanced Life Support (ALS) algorithm and to identify treatable conditions such as acute right ventricular pressure overload in pulmonary embolism, hypovolemia, or pericardial effusion/tamponade. Using lung ultrasound one can differentiate pulmonary edema, pleural effusion or pneumothorax.
Lung Ultrasound Pattern Is Normal during the Last Gestational Weeks: An Observational Pilot Study.
Arbeid, Erik; Demi, Alessio; Brogi, Etrusca; Gori, Elisa; Giusto, Teresa; Soldati, Gino; Vetrugno, Luigi; Giunta, Francesco; Forfori, Francesco
2017-01-01
The normal lung ultrasound (US) pattern during a regular pregnancy has not been evaluated extensively in the current literature. Pregnancy-related changes in the respiratory tract affect maternal predisposition to several respiratory complications; consequently, it is important to differentiate between a physiologic pattern during pregnancy and a pathologic lung pattern, due to respiratory failure. The goal of our study was to assess the normal US lung pattern in women without known comorbidities in the last weeks of pregnancy. We conducted a prospective cross-sectional observational pilot study. Chest wall was examined in 8 areas, 1 scan for each area with women in supine position. One hundred fifty parturients were enrolled during the 36th-38th gestational weeks. None of the participants showed pleural effusion, pneumothorax or lung consolidation. None presented an interstitial syndrome US pattern. One hundred thirteen participants out of 150 (75%) showed A-lines in all the regions. The remaining 25% showed 1 or 2 B-lines in at least 3 regions. Only 2 participants showed 2 positive regions also. We found that, in the majority of the women examined, the lung US pattern matches the physiological pattern in non-pregnant patients. Lung US assessment is a feasible and a helpful diagnostic tool during pregnancy. © 2016 S. Karger AG, Basel.
Diaphragm and Lung Ultrasound to Predict Weaning Outcome: Systematic Review and Meta-Analysis.
Llamas-Álvarez, Ana M; Tenza-Lozano, Eva M; Latour-Pérez, Jaime
2017-12-01
Deciding the optimal timing for extubation in patients who are mechanically ventilated can be challenging, and traditional weaning predictor tools are not very accurate. The aim of this systematic review and meta-analysis was to assess the accuracy of lung and diaphragm ultrasound for predicting weaning outcomes in critically ill adults. MEDLINE, the Cochrane Library, Web of Science, Scopus, LILACS, Teseo, Tesis Doctorales en Red, and OpenGrey were searched, and the bibliographies of relevant studies were reviewed. Two researchers independently selected studies that met the inclusion criteria and assessed study quality in accordance with the Quality Assessment of Diagnostic Accuracy Studies-2 tool. The summary receiver-operating characteristic curve and pooled diagnostic OR (DOR) were estimated by using a bivariate random effects analysis. Sources of heterogeneity were explored by using predefined subgroup analyses and bivariate meta-regression. Nineteen studies involving 1,071 people were included in the study. For diaphragm thickening fraction, the area under the summary receiver-operating characteristic curve was 0.87, and DOR was 21 (95% CI, 11-40). Regarding diaphragmatic excursion, pooled sensitivity was 75% (95% CI, 65-85); pooled specificity, 75% (95% CI, 60-85); and DOR, 10 (95% CI, 4-24). For lung ultrasound, the area under the summary receiver-operating characteristic curve was 0.77, and DOR was 38 (95% CI, 7-198). Based on bivariate meta-regression analysis, a significantly higher specificity for diaphragm thickening fraction and higher sensitivity for diaphragmatic excursion was detected in studies with applicability concerns. Lung and diaphragm ultrasound can help predict weaning outcome, but its accuracy may vary depending on the patient subpopulation. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
Validation of Ultrasound Imaging to Rule-out Thoracic Trauma on the International Space Station
NASA Technical Reports Server (NTRS)
Hamilton, Douglas R.; Sargsyan, Ashot E.; Melton, Shannon; Martin, David; Dulchavsky, Scott A.
2006-01-01
Introduction: Aboard the International Space Station (ISS) an intra-thoracic injury may be disastrous to the crew member if the diagnosis is missed or even delayed. Pneumothorax and hemothorax commonly seen in trauma patients; the diagnosis is usually confirmed by chest X-ray or computed tomography. In this study, the ability of ultrasound to rule out pneumothorax by the presence "lung sliding" and hemothorax by the absence of pleural fluid was validated. Methods: The research activities were approved by the NASA Johnson Space Center Committee for the Protection of Human Subjects, and the participating crewmembers signed informed consent prior to the activity. ISS crewmembers received 2-hours of "hands on" ultrasound training 8 months prior to the on-orbit ultrasound exam. Baseline ultrasound images of the thorax were acquired on the crewmebers of Increment 8 and 9 prior to launch from Bakonur, Russia. Ultrasound examination of the thorax were performed on crewmembers at 30 day intervals (n=??) throughout their flight. Post flight images were acquired on or about landing day 10. Ultrasound images were acquired using the ISS Health Research Facility ultrasound system and examined by experts on the ground to rule out the presence of pneumothorax and hemothorax. Results: The presence of "lung sliding" which excludes pneumothorax, was seen in all subjects. The absence of pleural fluid, which excludes hemothorax was seen in all subjects. The optimal position between sonographer and patient under microgravity conditions and the amount and type of training for a non-physician crew medical officer for these procedures was also established for this procedure. Conclusion: Ultrasound can be performed on orbit under microgravity condition to rule thoracic trauma, such as pneumothorax and hemothorax.
Jiang, Jun-Hong; Turner, J Francis; Huang, Jian-An
2015-12-01
TBNA through the flexible bronchoscope is a 37-year-old technology that utilizes a TBNA needle to puncture the bronchial wall and obtain specimens of peribronchial and mediastinal lesions through the flexible bronchoscope for the diagnosis of benign and malignant diseases in the mediastinum and lung. Since 2002, the Olympus Company developed the first generation ultrasound equipment for use in the airway, initially utilizing an ultrasound probe introduced through the working channel followed by incoroporation of a fixed linear ultrasound array at the distal tip of the bronchoscope. This new bronchoscope equipped with a convex type ultrasound probe on the tip was subsequently introduced into clinical practice. The convex probe (CP)-EBUS allows real-time endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of mediastinal and hilar lymph nodes. EBUS-TBNA is a minimally invasive procedure performed under local anesthesia that has been shown to have a high sensitivity and diagnostic yield for lymph node staging of lung cancer. In 10 years of EBUS development, the Olympus Company developed the second generation EBUS bronchoscope (BF-UC260FW) with the ultrasound image processor (EU-M1), and in 2013 introduced a new ultrasound image processor (EU-M2) into clinical practice. FUJI company has also developed a curvilinear array endobronchial ultrasound bronchoscope (EB-530 US) that makes it easier for the operator to master the operation of the ultrasonic bronchoscope. Also, the new thin convex probe endobronchial ultrasound bronchoscope (TCP-EBUS) is able to visualize one to three bifurcations distal to the current CP-EBUS. The emergence of EBUS-TBNA has also been accompanied by innovation in EBUS instruments. EBUS elastography is, then, a new technique for describing the compliance of structures during EBUS, which may be of use in the determination of metastasis to the mediastinal and hilar lymph nodes. This article describes these new EBUS techniques and reviews the relevant literature.
Gilman, Robert H; Tielsch, James M; Steinhoff, Mark; Figueroa, Dante; Rodriguez, Shalim; Caffo, Brian; Tracey, Brian; Elhilali, Mounya; West, James; Checkley, William
2012-01-01
Introduction WHO case management algorithm for paediatric pneumonia relies solely on symptoms of shortness of breath or cough and tachypnoea for treatment and has poor diagnostic specificity, tends to increase antibiotic resistance. Alternatives, including oxygen saturation measurement, chest ultrasound and chest auscultation, exist but with potential disadvantages. Electronic auscultation has potential for improved detection of paediatric pneumonia but has yet to be standardised. The authors aim to investigate the use of electronic auscultation to improve the specificity of the current WHO algorithm in developing countries. Methods This study is designed to test the hypothesis that pulmonary pathology can be differentiated from normal using computerised lung sound analysis (CLSA). The authors will record lung sounds from 600 children aged ≤5 years, 100 each with consolidative pneumonia, diffuse interstitial pneumonia, asthma, bronchiolitis, upper respiratory infections and normal lungs at a children's hospital in Lima, Peru. The authors will compare CLSA with the WHO algorithm and other detection approaches, including physical exam findings, chest ultrasound and microbiologic testing to construct an improved algorithm for pneumonia diagnosis. Discussion This study will develop standardised methods for electronic auscultation and chest ultrasound and compare their utility for detection of pneumonia to standard approaches. Utilising signal processing techniques, the authors aim to characterise lung sounds and through machine learning, develop a classification system to distinguish pathologic sounds. Data will allow a better understanding of the benefits and limitations of novel diagnostic techniques in paediatric pneumonia. PMID:22307098
Cavaliere, F; Biasucci, D; Costa, R; Soave, M; Addabbo, G; Proietti, R
2011-07-01
Reexpansion of a pulmonary atelectasis is often difficult, even after removing possible causes of bronchial obstruction. Chest ultrasounds, inexpensive and readily available at the patient bedside, may offer valuable support to guide recruitment maneuvers. We report the case of a 57-year-old woman that developed a complete collapse of the left lung seven days after undergoing an intestinal resection for perforation. A mucous plug occluding the main bronchus was removed with bronchoscopy, but persistent hypoxemia required mechanical ventilation; 24 hours later, an attempt to wean the patient from the ventilator failed. Chest X-rays revealed the persistence of a partial collapse of the left inferior lobe associated with a pleural effusion. A chest ultrasound confirmed the presence of a lung consolidation and of a modest pleural effusion. Manual reexpansion was then attempted, and ventilatory pressures as well as the duration of forced inspirations were based on real-time ultrasound images. Complete reexpansion was achieved within a few minutes and confirmed by chest X-ray. The patient was weaned from mechanical ventilation on the same day and discharged from ICU three days later.
Ultrasound power deposition model for the chest wall.
Moros, E G; Fan, X; Straube, W L
1999-10-01
An ultrasound power deposition model for the chest wall was developed based on secondary-source and plane-wave theories. The anatomic model consisted of a muscle-ribs-lung volume, accounted for wave reflection and refraction at muscle-rib and muscle-lung interfaces, and computed power deposition due to the propagation of both reflected and transmitted waves. Lung tissue was assumed to be air-equivalent. The parts of the theory and numerical program dealing with reflection were experimentally evaluated by comparing simulations with acoustic field measurements using several pertinent reflecting materials. Satisfactory agreement was found. A series of simulations were performed to study the influence of angle of incidence of the beam, frequency, and thickness of muscle tissue overlying the ribs on power deposition distributions that may be expected during superficial ultrasound (US) hyperthermia of chest wall recurrences. Both reflection at major interfaces and attenuation in bone were the determining factors affecting power deposition, the dominance of one vs. the other depending on the angle of incidence of the beam. Sufficient energy is reflected by these interfaces to suggest that improvements in thermal doses to overlying tissues are possible with adequate manipulation of the sound field (advances in ultrasonic heating devices) and prospective treatment planning.
Navani, Neal; Nankivell, Matthew; Lawrence, David R; Lock, Sara; Makker, Himender; Baldwin, David R; Stephens, Richard J; Parmar, Mahesh K; Spiro, Stephen G; Morris, Stephen; Janes, Sam M
2015-01-01
Summary Background The diagnosis and staging of lung cancer is an important process that identifies treatment options and guides disease prognosis. We aimed to assess endobronchial ultrasound-guided transbronchial needle aspiration as an initial investigation technique for patients with suspected lung cancer. Methods In this open-label, multicentre, pragmatic, randomised controlled trial, we recruited patients who had undergone a CT scan and had suspected stage I to IIIA lung cancer, from six UK centres and randomly assigned them to either endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) or conventional diagnosis and staging (CDS), for further investigation and staging. If a target node could not be accessed by EBUS-TBNA, then endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) was allowed as an alternative procedure. Randomisation was stratified according to the presence of mediastinal lymph nodes measuring 1 cm or more in the short axis and by recruiting centre. We used a telephone randomisation method with permuted blocks of four generated by a computer. Because of the nature of the intervention, masking of participants and consenting investigators was not possible. The primary endpoint was the time-to-treatment decision after completion of the diagnostic and staging investigations and analysis was by intention-to-diagnose. This trial is registered with ClinicalTrials.gov, number NCT00652769. Findings Between June 10, 2008, and July 4, 2011, we randomly allocated 133 patients to treatment: 66 to EBUS-TBNA and 67 to CDS (one later withdrew consent). Two patients from the EBUS-TBNA group underwent EUS-FNA. The median time to treatment decision was shorter with EBUS-TBNA (14 days; 95% CI 14–15) than with CDS (29 days; 23–35) resulting in a hazard ratio of 1·98, (1·39–2·82, p<0·0001). One patient in each group had a pneumothorax from a CT-guided biopsy sample; the patient from the CDS group needed intercostal drainage and was admitted to hospital. Interpretation Transbronchial needle aspiration guided by endobronchial ultrasound should be considered as the initial investigation for patients with suspected lung cancer, because it reduces the time to treatment decision compared with conventional diagnosis and staging techniques. Funding UK Medical Research Council. PMID:25660225
Platz, Elke; Lewis, Eldrin F; Uno, Hajime; Peck, Julie; Pivetta, Emanuele; Merz, Allison A; Hempel, Dorothea; Wilson, Christina; Frasure, Sarah E; Jhund, Pardeep S; Cheng, Susan; Solomon, Scott D
2016-04-14
Pulmonary congestion is a common and important finding in heart failure (HF). While clinical examination and chest radiography are insensitive, lung ultrasound (LUS) is a novel technique that may detect and quantify subclinical pulmonary congestion. We sought to independently relate LUS and clinical findings to 6-month HF hospitalizations and all-cause mortality (composite primary outcome). We used LUS to examine 195 NYHA class II-IV HF patients (median age 66, 61% men, 74% white, ejection fraction 34%) during routine cardiology outpatient visits. Lung ultrasound was performed in eight chest zones with a pocket ultrasound device (median exam duration 2 min) and analysed offline. In 185 patients with adequate LUS images in all zones, the sum of B-lines (vertical lines on LUS) ranged from 0 to 13. B-lines, analysed by tertiles, were associated with clinical and laboratory markers of congestion. Thirty-two per cent of patients demonstrated ≥3 B-lines on LUS, yet 81% of these patients had no findings on auscultation. During the follow-up period, 50 patients (27%) were hospitalized for HF or died. Patients in the third tertile (≥3 B-lines) had a four-fold higher risk of the primary outcome (adjusted HR 4.08, 95% confidence interval, CI 1.95, 8.54; P < 0.001) compared with those in the first tertile and spent a significantly lower number of days alive and out of the hospital (125 days vs. 165 days; adjusted P < 0.001). Pulmonary congestion assessed by ultrasound is prevalent in ambulatory patients with chronic HF, is associated with other features of clinical congestion, and identifies those who have worse prognosis. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2016. For permissions please email: journals.permissions@oup.com.
Postural lung recruitment assessed by lung ultrasound in mechanically ventilated children.
Tusman, Gerardo; Acosta, Cecilia M; Böhm, Stephan H; Waldmann, Andreas D; Ferrando, Carlos; Marquez, Manuel Perez; Sipmann, Fernando Suarez
2017-10-13
Atelectasis is a common finding in mechanically ventilated children with healthy lungs. This lung collapse cannot be overcome using standard levels of positive end-expiratory pressure (PEEP) and thus for only individualized lung recruitment maneuvers lead to satisfactory therapeutic results. In this short communication, we demonstrate by lung ultrasound images (LUS) the effect of a postural recruitment maneuver (P-RM, i.e., a ventilatory strategy aimed at reaerating atelectasis by changing body position under constant ventilation). Data was collected in the operating room of the Hospital Privado de Comunidad, Mar del Plata, Argentina. Three anesthetized children undergoing mechanical ventilation at constant settings were sequentially subjected to the following two maneuvers: (1) PEEP trial in the supine position PEEP was increased to 10 cmH 2 O for 3 min and then decreased to back to baseline. (2) P-RM patient position was changed from supine to the left and then to the right lateral position for 90 s each before returning to supine. The total P-RM procedure took approximately 3 min. LUS in the supine position showed similar atelectasis before and after the PEEP trial. Contrarily, atelectasis disappeared in the non-dependent lung when patients were placed in the lateral positions. Both lungs remained atelectasis free even after returning to the supine position. We provide LUS images that illustrate the concept and effects of postural recruitment in children. This maneuver has the advantage of achieving recruitment effects without the need to elevate airways pressures.
Jost, Petr; Svobodova, Hana; Stetina, Rudolf
2015-07-25
Sulfur mustard is a highly toxic chemical warfare agent with devastating impact on intoxicated tissues. DNA cross-links are probably the most toxic DNA lesions induced in the cell by sulfur mustard. The comet assay is a very sensitive method for measuring DNA damage. In the present study using the A-549 lung cell line, the comet assay protocol was optimized for indirect detection of DNA cross-links induced by sulfur mustard. The method is based on the additional treatment of the assayed cells containing cross-links with the chemical mutagen, styrene oxide. Alkali-labile adducts of styrene oxide cause DNA breaks leading to the formation of comets. A significant dose-dependent reduction of DNA migration of the comet's tail was found after exposing cells to sulfur mustard, indicative of the amount of sulfur mustard induced cross-links. The remarkable decrease of % tail DNA could be observed as early as 5min following exposure to sulfur mustard and the maximal effect was found after 30min, when DNA migration was reduced to the minimum. Sulfur mustard preincubated in culture medium without cells lost its ability to induce cross-links and had a half-life of about 15min. Pre-incubation longer than 30min does not lead to a significant increase in cross-links when applied to cells. However, the amount of cross-links is decreased during further incubation due to repair. The current modification of the comet assay provides a useful tool for detecting DNA cross-links induced by sulfur mustard and could be used for detection of other DNA cross-linking agents such as chemotherapeutic drugs. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Clinical review: Lung imaging in acute respiratory distress syndrome patients - an update
2013-01-01
Over the past 30 years lung imaging has greatly contributed to the current understanding of the pathophysiology and the management of acute respiratory distress syndrome (ARDS). In the past few years, in addition to chest X-ray and lung computed tomography, newer functional lung imaging techniques, such as lung ultrasound, positron emission tomography, electrical impedance tomography and magnetic resonance, have been gaining a role as diagnostic tools to optimize lung assessment and ventilator management in ARDS patients. Here we provide an updated clinical review of lung imaging in ARDS over the past few years to offer an overview of the literature on the available imaging techniques from a clinical perspective. PMID:24238477
Sforza, Alfonso; Mancusi, Costantino; Carlino, Maria Viviana; Buonauro, Agostino; Barozzi, Marco; Romano, Giuseppe; Serra, Sossio; de Simone, Giovanni
2017-06-19
The availability of ultra-miniaturized pocket ultrasound devices (PUD) adds diagnostic power to the clinical examination. Information on accuracy of ultrasound with handheld units in immediate differential diagnosis in emergency department (ED) is poor. The aim of this study is to test the usefulness and accuracy of lung ultrasound (LUS) alone or combined with ultrasound of the heart and inferior vena cava (IVC) using a PUD for the differential diagnosis of acute dyspnea (AD). We included 68 patients presenting to the ED of "Maurizio Bufalini" Hospital in Cesena (Italy) for AD. All patients underwent integrated ultrasound examination (IUE) of lung-heart-IVC, using PUD. The series was divided into patients with dyspnea of cardiac or non-cardiac origin. We used 2 × 2 contingency tables to analyze sensitivity, specificity, positive predictive value and negative predictive value of the three ultrasonic methods and their various combinations for the diagnosis of cardiogenic dyspnea (CD), comparing with the final diagnosis made by an independent emergency physician. LUS alone exhibited a good sensitivity (92.6%) and specificity (80.5%). The highest accuracy (90%) for the diagnosis of CD was obtained with the combination of LUS and one of the other two methods (heart or IVC). The IUE with PUD is a useful extension of the clinical examination, can be readily available at the bedside or in ambulance, requires few minutes and has a reliable diagnostic discriminant ability in the setting of AD.
Søgaard, Rikke; Fischer, Barbara Malene B; Mortensen, Jann; Rasmussen, Torben R; Lassen, Ulrik
2013-01-01
To assess the expected costs and outcomes of alternative strategies for staging of lung cancer to inform a Danish National Health Service perspective about the most cost-effective strategy. A decision tree was specified for patients with a confirmed diagnosis of non-small-cell lung cancer. Six strategies were defined from relevant combinations of mediastinoscopy, endoscopic or endobronchial ultrasound with needle aspiration, and combined positron emission tomography-computed tomography with F18-fluorodeoxyglucose. Patients without distant metastases and central or contralateral nodal involvement (N2/N3) were considered to be candidates for surgical resection. Diagnostic accuracies were informed from literature reviews, prevalence and survival from the Danish Lung Cancer Registry, and procedure costs from national average tariffs. All parameters were specified probabilistically to determine the joint decision uncertainty. The cost-effectiveness analysis was based on the net present value of expected costs and life years accrued over a time horizon of 5 years. At threshold values of around €30,000 for cost-effectiveness, it was found to be cost-effective to send all patients to positron emission tomography-computed tomography with confirmation of positive findings on nodal involvement by endobronchial ultrasound. This result appeared robust in deterministic sensitivity analysis. The expected value of perfect information was estimated at €52 per patient, indicating that further research might be worthwhile. The policy recommendation is to make combined positron emission tomography-computed tomography and endobronchial ultrasound available for supplemental staging of patients with non-small-cell lung cancer. The effects of alternative strategies on patients' quality of life, however, should be examined in future studies. Copyright © 2013 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.
Solitary fibrous tumour of the cheek: An unusual presentation of a rare soft tissue tumour
Jones, JL; Jones, AV; Drage, NA; Bhatia, S; Hourihan, MD
2014-01-01
This case report discusses the unusual presentation and ultrasound features of a solitary fibrous tumour of the face. Solitary fibrous tumour is an uncommon form of soft tissue tumour which, although seen predominantly within the lung pleura, can occur throughout the body in sites such as the peritoneum, mediastinum and head and neck. Ultrasound is an excellent imaging modality in the assessment of soft tissue masses in the head and neck. The ultrasound features demonstrated by this example of solitary fibrous tumour are reviewed. This report also highlights that ultrasound alone is ultimately limited in reaching a definitive diagnosis. The roles of other investigations such as ultrasound-guided biopsy and cross-sectional imaging are discussed. PMID:27433225
Costa, Daniel B.; Wright, Jeffrey; VanderLaan, Paul A.
2015-01-01
The diagnosis and staging of patients with lung cancer in recent decades has increasingly relied on minimally invasive tissue sampling techniques, such as endobronchial ultrasound (EBUS) or endoscopic ultrasound (EUS) needle aspiration, transbronchial biopsy, and transthoracic image guided core needle biopsy. These modalities have been shown to have low complication rates, and provide adequate cellular material for pathologic diagnosis and necessary ancillary molecular testing. As an important component to a multidisciplinary team approach in the care of patients with lung cancer, these minimally invasive modalities have proven invaluable for the rapid and safe acquisition of tissue used for the diagnosis, staging, and molecular testing of tumors to identify the best evidence-based treatment plan. The continuous evolution of the field of lung cancer staging and treatment has translated into improvements in survival and quality of life for patients. Although differences in clinical practice between academic and community hospital settings still exist, improvements in physician education and training as well as adoption of technological advancements should help narrow this gap going forward. PMID:26380180
[Ultrasound in the emergency department as an extension of the practitioner's clinical examination].
Schmit, Aline; Pécoul, David; Lebret, Yannick; Dussoix, Philippe
2018-01-31
Ultrasound in the emergency department and general practice can be used as an extension of the physical examination, answering simple questions. It requires a short basic training that is easily accessible. This article illustrates with a few examples (kidney, lung and fractures) the interest of this formidable tool becoming unavoidable in the emergency department and general practice.
Holistic ultrasound in trauma: An update.
Saranteas, Theodosios; Mavrogenis, Andreas F
2016-10-01
Holistic ultrasound is a total body examination using an ultrasound device aiming to achieve immediate patient care and decision making. In the setting of trauma, it is one of the most fundamental components of care of the injured patients. Ground-breaking imaging software allows physicians to examine various organs thoroughly, recognize imaging signs early, and potentially foresee the onset or the possible outcome of certain types of injuries. Holistic ultrasound can be performed on a routine basis at the bedside of the patients, at admission and during the perioperative period. Trauma care physicians should be aware of the diagnostic and guidance benefits of ultrasound and should receive appropriate training for the optimal management of their patients. In this paper, the findings of holistic ultrasound in trauma patients are presented, with emphasis on the lungs, heart, cerebral circulation, abdomen, and airway. Additionally, the benefits of ultrasound imaging in interventional anaesthesia techniques such as ultrasound-guided peripheral nerve blocks and central vein catheterization are described. Copyright © 2016 Elsevier Ltd. All rights reserved.
Silica nanoparticles and biological dispersants: genotoxic effects on A549 lung epithelial cells
NASA Astrophysics Data System (ADS)
Brown, David M.; Varet, Julia; Johnston, Helinor; Chrystie, Alison; Stone, Vicki
2015-10-01
Silica nanoparticle exposure could be intentional (e.g. medical application or food) or accidental (e.g. occupational inhalation). On entering the body, particles become coated with specific proteins depending on the route of entry. The ability of silica particles of different size and charge (non-functionalized 50 and 200 nm and aminated 50 and 200 nm) to cause genotoxic effects in A549 lung epithelial cells was investigated. Using the modified comet assay and the micronucleus assay, we examined the effect of suspending the particles in different dispersion media [RPMI or Hanks' balanced salt solution (HBSS), supplemented with bovine serum albumin (BSA), lung lining fluid (LLF) or serum] to determine if this influenced the particle's activity. Particle characterisation suggested that the particles were reasonably well dispersed in the different media, with the exception of aminated 50 nm particles which showed evidence of agglomeration. Plain 50, 200 nm and aminated 50 nm particles caused significant genotoxic effects in the presence of formamidopyrimidine-DNA glycosylase when dispersed in HBSS or LLF. These effects were reduced when the particles were dispersed in BSA and serum. There was no significant micronucleus formation produced by any of the particles when suspended in any of the dispersants. The data suggest that silica particles can produce a significant genotoxic effect according to the comet assay in A549 cells, possibly driven by an oxidative stress-dependent mechanism which may be modified depending on the choice of dispersant employed.
2013-01-01
Background Houttuynia cordata Thunb (HCT) is commonly used in Taiwan and other Asian countries as an anti-inflammatory, antibacterial and antiviral herbal medicine. In this study, we investigated the anti-human lung cancer activity and growth inhibition mechanisms of HCT in human lung cancer A549 cells. Results In order to investigate effects of HCT on A549 cells, MTT assay was used to evaluate cell viability. Flow cytometry was employed for cell cycle analysis, DAPI staining, and the Comet assay was used for DNA fragmentation and DNA condensation. Western blot analysis was used to analyze cell cycle and apoptotic related protein levels. HCT induced morphological changes including cell shrinkage and rounding. HCT increased the G0/G1 and Sub-G1 cell (apoptosis) populations and HCT increased DNA fragmentation and DNA condensation as revealed by DAPI staining and the Comet assay. HCT induced activation of caspase-8 and caspase-3. Fas/CD95 protein levels were increased in HCT-treated A549 cells. The G0/G1 phase and apoptotic related protein levels of cyclin D1, cyclin A, CDK 4 and CDK 2 were decreased, and p27, caspase-8 and caspase-3 were increased in A549 cells after HCT treatment. Conclusions The results demonstrated that HCT-induced G0/G1 phase arrest and Fas/CD95-dependent apoptotic cell death in A549 cells PMID:23506616
Training and certification in endobronchial ultrasound-guided transbronchial needle aspiration
Konge, Lars; Nayahangan, Leizl Joy; Clementsen, Paul Frost
2017-01-01
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) plays a key role in the staging of lung cancer, which is crucial for allocation to surgical treatment. EBUS-TBNA is a complicated procedure and simulation-based training is helpful in the first part of the long learning curve prior to performing the procedure on actual patients. New trainees should follow a structured training programme consisting of training on simulators to proficiency as assessed with a validated test followed by supervised practice on patients. The simulation-based training is superior to the traditional apprenticeship model and is recommended in the newest guidelines. EBUS-TBNA and oesophageal ultrasound-guided fine needle aspiration (EUS-FNA or EUS-B-FNA) are complementary to each other and the combined techniques are superior to either technique alone. It is logical to learn and to perform the two techniques in combination, however, for lung cancer staging solely EBUS-TBNA simulators exist, but hopefully in the future simulation-based training in EUS will be possible. PMID:28840013
[Endobronchial Ultrasound (EBUS) - an Update 2017].
Darwiche, K; Özkan, F; Wolters, C; Eisenmann, S
2017-11-01
Endobronchial Ultrasound (EBUS) with the two modalities curved and radial EBUS significantly improved the diagnostics in several pulmonary diseases. The examination and staging of mediastinal and hilar lymph nodes in patients with known or suspected lung malignancy as well as the evaluation of unknown pulmonary or mediastinal lesions can be achieved with minimal invasive means when using EBUS. More invasive surgical procedures for diagnostic purposes can be omitted. The diagnostic yield also increases when EBUS is applied in sarcoidosis or mediastinal lymph node tuberculosis but only to some extend in case of lymphoma. Samples obtained by EBUS-TBNA should be handled efficiently to allow molecular analysis in lung cancer. EBUS is a safe procedure, and complication rate is extremely low. Further advances of the EBUS technology focus on improving analysis of the information provided by the ultrasound image and a better tissue sampling by developing of new EBUS bronchoscopes and TBNA-needles. © Georg Thieme Verlag KG Stuttgart · New York.
Palacio, Montse; Bonet-Carne, Elisenda; Cobo, Teresa; Perez-Moreno, Alvaro; Sabrià, Joan; Richter, Jute; Kacerovsky, Marian; Jacobsson, Bo; García-Posada, Raúl A; Bugatto, Fernando; Santisteve, Ramon; Vives, Àngels; Parra-Cordero, Mauro; Hernandez-Andrade, Edgar; Bartha, José Luis; Carretero-Lucena, Pilar; Tan, Kai Lit; Cruz-Martínez, Rogelio; Burke, Minke; Vavilala, Suseela; Iruretagoyena, Igor; Delgado, Juan Luis; Schenone, Mauro; Vilanova, Josep; Botet, Francesc; Yeo, George S H; Hyett, Jon; Deprest, Jan; Romero, Roberto; Gratacos, Eduard
2017-08-01
Prediction of neonatal respiratory morbidity may be useful to plan delivery in complicated pregnancies. The limited predictive performance of the current diagnostic tests together with the risks of an invasive procedure restricts the use of fetal lung maturity assessment. The objective of the study was to evaluate the performance of quantitative ultrasound texture analysis of the fetal lung (quantusFLM) to predict neonatal respiratory morbidity in preterm and early-term (<39.0 weeks) deliveries. This was a prospective multicenter study conducted in 20 centers worldwide. Fetal lung ultrasound images were obtained at 25.0-38.6 weeks of gestation within 48 hours of delivery, stored in Digital Imaging and Communication in Medicine format, and analyzed with quantusFLM. Physicians were blinded to the analysis. At delivery, perinatal outcomes and the occurrence of neonatal respiratory morbidity, defined as either respiratory distress syndrome or transient tachypnea of the newborn, were registered. The performance of the ultrasound texture analysis test to predict neonatal respiratory morbidity was evaluated. A total of 883 images were collected, but 17.3% were discarded because of poor image quality or exclusion criteria, leaving 730 observations for the final analysis. The prevalence of neonatal respiratory morbidity was 13.8% (101 of 730). The quantusFLM predicted neonatal respiratory morbidity with a sensitivity, specificity, positive and negative predictive values of 74.3% (75 of 101), 88.6% (557 of 629), 51.0% (75 of 147), and 95.5% (557 of 583), respectively. Accuracy was 86.5% (632 of 730) and positive and negative likelihood ratios were 6.5 and 0.3, respectively. The quantusFLM predicted neonatal respiratory morbidity with an accuracy similar to that previously reported for other tests with the advantage of being a noninvasive technique. Copyright © 2017. Published by Elsevier Inc.
Long-term sequelae after lung abscess in children - Two tertiary centers' experience.
Wojsyk-Banaszak, I; Krenke, K; Jończyk-Potoczna, K; Ksepko, K; Wielebska, A; Mikoś, M; Bręborowicz, A
2018-05-01
The aim of the study was to describe the epidemiology and clinical characteristic of children hospitalized with pneumonia complicated by lung abscess, as well as to evaluate the long-term sequelae of the disease. A retrospective review of medical records of all patients treated for pulmonary abscess in two tertiary centers was undertaken. Pulmonary function tests and lung ultrasound were performed at a follow-up. During the study period, 5151 children with pneumonia were admitted, and 49 (0.95%) cases were complicated with lung abscess. In 38 (77.5%) patients, lung abscess was treated solely with antibiotics, and in nine cases (16.3%) surgically. In 21 (51.21%) children complete radiological regression was documented. The mean time for radiological abnormalities regression was 84.14 ± 51.57 days, regardless of the treatment mode. Fifteen patients were followed up at 61.6 ± 28.3 months after discharge. Lung ultrasound revealed minor residual abnormalities: pleural thickening, subpleural consolidations and line B artefacts in 11 (73.3%) children. Pulmonary function tests results were abnormal in eight (53.3%) patients, the most frequent abnormality being hyperinflation. We did not find a restrictive disorder in any of the children. There were no deaths in our study. Lung abscess is a rare but severe complication of pneumonia in children. Most children recover uneventfully with no significant long-term pulmonary sequelae. Copyright © 2018 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Low-frequency ultrasound increases non-viral gene transfer to the mouse lung.
Xenariou, Stefania; Liang, Hai-Dong; Griesenbach, Uta; Zhu, Jie; Farley, Raymond; Somerton, Lucinda; Singh, Charanjit; Jeffery, Peter K; Scheule, Ronald K; Cheng, Seng H; Geddes, Duncan M; Blomley, Martin; Alton, Eric W F W
2010-01-01
The aim of the study was to assess if low-frequency ultrasound (US), in the range of 30-35 kHz, increases non-viral gene transfer to the mouse lung. US is greatly attenuated in the lung due to large energy losses at the air/tissue interfaces. The advantages of low-frequency US, compared with high-frequency US are: (i) increased cavitation (responsible for the formation of transient pores in the cell membrane) and (ii) reduced energy losses during lung penetration. Cationic lipid GL67/plasmid DNA (pDNA), polyethylenimine (PEI)/pDNA and naked pDNA were delivered via intranasal instillation and the animals were then exposed to US (sonoporation) at 0.07 or 0.1 MPa for 10 min. Under these conditions, US did not enhance GL67 or PEI-mediated transfection. It did, however, increase naked pDNA gene transfer by approximately 4 folds. Importantly, this was achieved in the absence of microbubbles, which are crucial for the commonly used high-frequency (1 MHz) sonoporation but may not be able to withstand nebulization in a clinically relevant setup. Lung hemorrhage was also assessed and shown to increase with US pressure in a dose-dependent manner. We have thus, established that low-frequency US can enhance lung gene transfer with naked pDNA and this enhancement is more effective than the previously reported 1 MHz US.
Pulmonary Abscess as a Complication of Transbronchial Lung Cryobiopsy.
Skalski, Joseph H; Kern, Ryan M; Midthun, David E; Edell, Eric S; Maldonado, Fabien
2016-01-01
We present the case of a 49-year-old man who developed pulmonary abscess as a complication of transbronchial lung cryobiopsy. He had been receiving prednisone therapy, but otherwise had no specific risk factors for lung abscess. Cryobiopsy is a novel technique for obtaining peripheral lung parenchymal tissue for the evaluation of diffuse parenchymal lung diseases. Cryobiopsy is being increasingly proposed as an alternative to surgical lung biopsy or conventional bronchoscopic transbronchial forceps biopsy, but the safety profile of the procedure has not been fully appreciated. Pulmonary abscess has been rarely reported as a complication of other bronchoscopic procedures such as endobronchial ultrasound-guided needle biopsy, however, to our knowledge this is the first reported case of pulmonary abscess complicating peripheral lung cryobiopsy.
Lung ultrasound has limited diagnostic value in rare cystic lung diseases: a cross-sectional study.
Davidsen, Jesper Rømhild; Bendstrup, Elisabeth; Henriksen, Daniel P; Graumann, Ole; Laursen, Christian B
2017-01-01
Background : Lung ultrasound (LUS) used to identify interstitial syndrome (IS) and pleural thickening related to diffuse parenchymal lung disease (DPLD) has shown significant correlations with ground glass opacity (GGO) on high-resolution computed tomography (HRCT). However, the applicability of LUS in patients with DPLD subtypes as rare cystic lung diseases has not previously been investigated. This study aimed to observe if distinctive LUS findings could be found in patients with lymphangioleiomyomatosis (LAM), pulmonary Langerhans cell histiocytosis (PLCH), and Birt-Hogg-Dubé syndrome (BHDS). Methods : This single centre case-based cross-sectional study of patients diagnosed with LAM, PCLH and BHDS was conducted at a Danish DPLD specialist centre. Patients underwent clinical examination including LUS. LUS findings were compared to findings scored according to a modified Belmaati score on HRCT and reviewed in consensus between two pulmonologists and one radiologist. Results : Twelve patients with HRCT proven cystic lung disease were included, six with LAM, three with PLCH, two with BHDS, and one with uncharacteristic cystic lung disease. The mean age was 48.7 years (SD ± 15.8). In general all had normal LUS findings. IS could not be found in any patients despite GGO presentation on HRCT among 75% of the patients with a Belmaati in the highest category of 0.76-1.00. Pleural thickening on LUS was present in three patients, but with inconsistent findings. Conclusion : This study indicates that LUS has limited value as a diagnostic tool in patients with LAM, PLCH, and BHDS as normal LUS findings did not rule out severe cystic lung disease.
Implementation of real-time ultrasound in a thoracic surgery practice.
Coonar, Aman S; Hughes, Jacqueline A; Walker, Susan; dePerrot, Marc; Waddell, Thomas K; Pierre, Andrew F; Darling, Gail E; Johnston, Michael R; Keshavjee, Shaf
2009-05-01
The purpose of this study was to implement real-time transthoracic ultrasound in a thoracic surgery and lung transplant practice. Ultrasound units that are light, small, robust, and portable are now available. Obstacles to use include demarcation issues between specialties, training, and a perception that basic ultrasound may be difficult to use. The experience of implementing this is described. After a training period, 62 studies were performed in 4 months. Patients and clinicians gave positive feedback. The learning time was short, and with ultrasonic guidance, all interventional procedures were successful at the first attempt, without any complications. Basic transthoracic ultrasound was found to be easy to learn and use by thoracic surgeons, fellows, and specialist nurses. Patients were appreciative. Real-time use may have genuine advantages to patient care.
Lung Ultrasound Findings in Congenital Pulmonary Airway Malformation.
Yousef, Nadya; Mokhtari, Mostafa; Durand, Philippe; Raimondi, Francesco; Migliaro, Fiorella; Letourneau, Alexandra; Tissières, Pierre; De Luca, Daniele
2018-05-01
Congenital pulmonary airway malformation (CPAM) is a group of rare congenital malformations of the lung and airways. Lung ultrasound (LU) is increasingly used to diagnose neonatal respiratory diseases since it is quick, easy to learn, and radiation-free, but no formal data exist for congenital lung malformations. We aimed to describe LU findings in CPAM neonates needing neonatal intensive care unit (NICU) admission and to compare them with a control population. A retrospective review of CPAM cases from three tertiary academic NICUs over 3 years (2014-2016) identified five patients with CPAM who had undergone LU examination. LU was compared with chest radiograms and computed tomography (CT) scans that were used as references. CPAM lesions were easily identified and corresponded well with CT scans; they varied from a single large cystic lesion, multiple hypoechoic lesions, and/or consolidation. The first two LU findings have not been described in other respiratory conditions and were not found in controls. We provide the first description of LU findings in neonates with CPAM. LU may be used to confirm antenatally diagnosed CPAM and to suspect CPAM in infants with respiratory distress if cystic lung lesions are revealed. Further studies are necessary to define the place of LU in the management of CPAM. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Endobronchial Ultrasound (EBUS) - Update 2017.
Darwiche, Kaid; Özkan, Filiz; Wolters, Celina; Eisenmann, Stephan
2018-02-01
Endobronchial ultrasound (EBUS) has revolutionized the diagnosis of lung cancer over the last decade. This minimally invasive diagnostic method has also become increasingly important in the case of other diseases such as sarcoidosis, thereby helping to avoid unnecessary diagnostic interventions. This review article provides an update regarding EBUS and discusses current and future developments of this method. © Georg Thieme Verlag KG Stuttgart · New York.
Cassle, Stephen E; Jensen, Eric D; Smith, Cynthia R; Meegan, Jennifer M; Johnson, Shawn P; Lutmerding, Betsy; Ridgway, Sam H; Francis-Floyd, Ruth
2013-06-01
This brief communication describes the clinical presentation, antemortem diagnosis, and successful treatment of a pulmonary abscess associated with a Brucella sp. in a 27-yr-old female bottlenose dolphin (Tursiops truncatus). Ultrasound revealed a 3-cm diameter hypoechoic mass deep to the pleural lining in the left lung field. Multiple ultrasound-guided fine-needle aspirates were performed and tested for bacterial and fungal etiology. All cultures were negative, but the infectious agent was identified by MicroSEQ analysis in two samples and confirmed with real-time polymerase chain reaction (PCR) amplification using known Brucella sp. primers. Amikacin was infused into the abscess and was followed by an oral doxycycline and rifampin protocol. Follow-up diagnostic imaging, including radiographs and computed tomography, revealed a resolved lesion with minimal mineralization within the affected lung fields. Brucellosis should be considered for pulmonary disease in dolphins, and personnel who interact with marine animals should use caution to prevent zoonotic brucellosis.
Teixeira, Elba Calesso; Pra, Daniel; Idalgo, Daniele; Henriques, João Antonio Pêgas; Wiegand, Flavio
2012-03-01
This study was designed to biomonitor the effect of PAH extracts from urban areas on the DNA of lung cell cultures. The analyses of the polycyclic aromatic hydrocarbons (PAHs) were performed in atmospheric PM(2.5) and PM(10) collected at three sampling sites with heavy traffic located in the Metropolitan Area of Porto Alegre (MAPA) (Brazil). The concentrations of 16 major PAHs were determined according to EPA. Comet assay on V79 hamster lung cells was chosen for genotoxicity evaluation. Temperature, humidity, and wind speed were recorded. With regard to the damage index, higher levels were reported in the extract of particulate matter samples from the MAPA during the summer. High molecular weight compounds showed correlation with DNA damage frequency and their respective carcinogenicity. Copyright © 2011. Published by Elsevier Ltd.
I Vivo Characterization of Ultrasonic Backscattering from Normal and Abnormal Lungs.
NASA Astrophysics Data System (ADS)
Jafari, Farhad
The primary goal of this project has been to characterize the lung tissue in its in vivo ultrasonic backscattering properties in normal human subjects, and study the changes in the lung echo characteristics under various pathological conditions. Such a characterization procedure is used to estimate the potential of ultrasound for providing useful diagnostic information about the superficial region of the lung. The results of this study may be divided into three categories: (1) This work has resulted in the ultrasonic characterization of lung tissue, in vivo, and has investigated the various statistical features of the lung echo properties in normal human subjects. The echo properties of the lungs are characterized with respect to the mean echo amplitude relative to a perfect reflector and the mean autocorrelation of normalized echo signals. (2) A theoretical model is developed to simulate the ultrasonic backscattering properties of the lung under normal and various simulated abnormal conditions. This model has been tested on various phantoms simulating the strong acoustic interactions of the lung. When applied to the lung this model has shown excellent agreement to experimental data gathered on a population of normal human subjects. By varying a few of the model parameters, the effect of changes in the lung structural parameters on the detected ultrasonic echoes is investigated. It is found that alveoli size changes of about 50 percent and concentration changes of 40 percent may produce spectral changes exceeding the variability exhibited by normal lungs. (3) Ultrasonic echoes from the lungs of 4 groups of patients were studied. The groups included patients with edema, emphysema, pneumothorax, and patients undergoing radiation therapy for treatment of lung cancer. Significant deviations from normal lung echo characteristics is observed in more than 80 percent of the patients studied. These deviations are intercompared and some qualitative associations between the echo characteristics on each patient group and their pulmonary pathology is made. It is concluded that the technique may provide a potential tool in detecting pulmonary abnormalities. More controlled patient studies, however, are indicated as necessary to determine the sensitivity of the ultrasound technique.
Numerical benchmarking of a Coarse-Mesh Transport (COMET) Method for medical physics applications
NASA Astrophysics Data System (ADS)
Blackburn, Megan Satterfield
2009-12-01
Radiation therapy has become a very import method for treating cancer patients. Thus, it is extremely important to accurately determine the location of energy deposition during these treatments, maximizing dose to the tumor region and minimizing it to healthy tissue. A Coarse-Mesh Transport Method (COMET) has been developed at the Georgia Institute of Technology in the Computational Reactor and Medical Physics Group for use very successfully with neutron transport to analyze whole-core criticality. COMET works by decomposing a large, heterogeneous system into a set of smaller fixed source problems. For each unique local problem that exists, a solution is obtained that we call a response function. These response functions are pre-computed and stored in a library for future use. The overall solution to the global problem can then be found by a linear superposition of these local problems. This method has now been extended to the transport of photons and electrons for use in medical physics problems to determine energy deposition from radiation therapy treatments. The main goal of this work was to develop benchmarks for testing in order to evaluate the COMET code to determine its strengths and weaknesses for these medical physics applications. For response function calculations, legendre polynomial expansions are necessary for space, angle, polar angle, and azimuthal angle. An initial sensitivity study was done to determine the best orders for future testing. After the expansion orders were found, three simple benchmarks were tested: a water phantom, a simplified lung phantom, and a non-clinical slab phantom. Each of these benchmarks was decomposed into 1cm x 1cm and 0.5cm x 0.5cm coarse meshes. Three more clinically relevant problems were developed from patient CT scans. These benchmarks modeled a lung patient, a prostate patient, and a beam re-entry situation. As before, the problems were divided into 1cm x 1cm, 0.5cm x 0.5cm, and 0.25cm x 0.25cm coarse mesh cases. Multiple beam energies were also tested for each case. The COMET solutions for each case were compared to a reference solution obtained by pure Monte Carlo results from EGSnrc. When comparing the COMET results to the reference cases, a pattern of differences appeared in each phantom case. It was found that better results were obtained for lower energy incident photon beams as well as for larger mesh sizes. Possible changes may need to be made with the expansion orders used for energy and angle to better model high energy secondary electrons. Heterogeneity also did not pose a problem for the COMET methodology. Heterogeneous results were found in a comparable amount of time to the homogeneous water phantom. The COMET results were typically found in minutes to hours of computational time, whereas the reference cases typically required hundreds or thousands of hours. A second sensitivity study was also performed on a more stringent problem and with smaller coarse meshes. Previously, the same expansion order was used for each incident photon beam energy so better comparisons could be made. From this second study, it was found that it is optimal to have different expansion orders based on the incident beam energy. Recommendations for future work with this method include more testing on higher expansion orders or possible code modification to better handle secondary electrons. The method also needs to handle more clinically relevant beam descriptions with an energy and angular distribution associated with it.
Esophageal ultrasound (EUS) assessment of T4 status in NSCLC patients.
Kuijvenhoven, Jolanda C; Crombag, Laurence; Breen, David P; van den Berk, Inge; Versteegh, Michel I M; Braun, Jerry; Winkelman, Toon A; van Boven, Wimjan; Bonta, Peter I; Rabe, Klaus F; Annema, Jouke T
2017-12-01
Mediastinal and central large vessels (T4) invasion by lung cancer is often difficult to assess preoperatively due to the limited accuracy of computed tomography (CT) scan of the chest. Esophageal ultrasound (EUS) can visualize the relationship of para-esophageally located lung tumors to surrounding mediastinal structures. To assess the value of EUS for detecting mediastinal invasion (T4) of centrally located lung tumors. Patients who underwent EUS for the diagnosis and staging of lung cancer and in whom the primary tumor was detected by EUS and who subsequently underwent surgical- pathological staging (2000-2016) were retrospectively selected from two university hospitals in The Netherlands. T status of the lung tumor was reviewed based on EUS, CT and thoracotomy findings. Surgical- pathological staging was the reference standard. In 426 patients, a lung malignancy was detected by EUS of which 74 subjects subsequently underwent surgical- pathological staging. 19 patients (26%) were diagnosed with stage T4 based on vascular (n=8, 42%) or mediastinal (n=8, 42%) invasion or both (n=2, 11%), one patient (5%) had vertebral involvement. Sensitivity, specificity, PPV and NPV for assessing T4 status were: for EUS (n=74); 42%, 95%, 73%, 83%, for chest CT (n=66); 76%, 61%, 41%, 88% and the combination of EUS and chest CT (both positive or negative for T4, (n=34); 83%, 100%, 100% 97%. EUS has a high specificity and NPV for the T4 assessment of lung tumors located para-esophageally and offers further value to chest CT scan. Copyright © 2017 Elsevier B.V. All rights reserved.
Lung ultrasound has limited diagnostic value in rare cystic lung diseases: a cross-sectional study
Davidsen, Jesper Rømhild; Bendstrup, Elisabeth; Henriksen, Daniel P.; Graumann, Ole; Laursen, Christian B.
2017-01-01
ABSTRACT Background: Lung ultrasound (LUS) used to identify interstitial syndrome (IS) and pleural thickening related to diffuse parenchymal lung disease (DPLD) has shown significant correlations with ground glass opacity (GGO) on high-resolution computed tomography (HRCT). However, the applicability of LUS in patients with DPLD subtypes as rare cystic lung diseases has not previously been investigated. This study aimed to observe if distinctive LUS findings could be found in patients with lymphangioleiomyomatosis (LAM), pulmonary Langerhans cell histiocytosis (PLCH), and Birt-Hogg-Dubé syndrome (BHDS). Methods: This single centre case-based cross-sectional study of patients diagnosed with LAM, PCLH and BHDS was conducted at a Danish DPLD specialist centre. Patients underwent clinical examination including LUS. LUS findings were compared to findings scored according to a modified Belmaati score on HRCT and reviewed in consensus between two pulmonologists and one radiologist. Results: Twelve patients with HRCT proven cystic lung disease were included, six with LAM, three with PLCH, two with BHDS, and one with uncharacteristic cystic lung disease. The mean age was 48.7 years (SD ± 15.8). In general all had normal LUS findings. IS could not be found in any patients despite GGO presentation on HRCT among 75% of the patients with a Belmaati in the highest category of 0.76–1.00. Pleural thickening on LUS was present in three patients, but with inconsistent findings. Conclusion: This study indicates that LUS has limited value as a diagnostic tool in patients with LAM, PLCH, and BHDS as normal LUS findings did not rule out severe cystic lung disease. PMID:28649310
Relationship between thoracic auscultation and lung pathology detected by ultrasonography in sheep.
Scott, Phil; Collie, Dave; McGorum, Bruce; Sargison, Neil
2010-10-01
The utility of routine auscultation to detect and characterise the nature of a range of superficial lung and pleural pathologies in domestic sheep was assessed using ultrasonographic examination to indicate and localise pathologies pre-mortem. Necropsy examination was then used to fully characterise the nature and extent of the lesions. Auscultation recordings were made from 10 normal sheep with no clinical evidence of respiratory disease and with absence of significant superficial lung pathology, which was confirmed initially by ultrasound examination and subsequently at necropsy examination. A further two sheep with endotoxaemia and 30 sheep with well-defined lung lesions were also examined. Increased audibility of normal lung sounds in 4/10 normal sheep was associated with tachypnoea as a consequence of handling and transport during hot weather and was also observed in the two sheep with endotoxaemia. Moderate to severe coarse crackles detected in all advanced cases of ovine pulmonary adenocarcinoma (n=16) were audible over an area larger than the lesion distribution identified during ultrasound examination, and confirmed later at necropsy. Auscultation did not detect abnormal sounds in any of the five sheep with focal pleural abscesses (up to 10 cm diameter). Unilateral pyothorax caused attenuation of sounds relative to the contra-lateral normal lung in all three sheep with this condition. Marked fibrinous pleurisy caused attenuation of sounds relative to normal areas of lung in six sheep. No sounds resembling the description of pleural frictions rubs were heard in the sheep with marked fibrinous pleurisy (n=6) or associated with focal pleural abscesses (n=5). Routine interpretation of auscultated sound did not allow the presence of superficial lung pathology or its distribution to be accurately defined in the respiratory diseases represented in this study. Copyright © 2009 Elsevier Ltd. All rights reserved.
Avila, Jacob; Smith, Ben; Mead, Therese; Jurma, Duane; Dawson, Matthew; Mallin, Michael; Dugan, Adam
2018-04-24
It is unknown whether the addition of M-mode to B-mode ultrasound (US) has any effect on the overall accuracy of interpretation of lung sliding in the evaluation of a pneumothorax by emergency physicians. This study aimed to determine what effect, if any, this addition has on US interpretation by emergency physicians of varying training levels. One hundred forty emergency physicians were randomized via online software to receive a quiz with B-mode clips alone or B-mode with corresponding M-mode images and asked to identify the presence or absence of lung sliding. The sensitivity, specificity, and accuracy of the diagnosis of lung sliding with and without M-mode US were compared. Overall, the sensitivities, specificities, and accuracies of B-mode + M-mode US versus B-mode US alone were 93.1% and 93.2% (P = .8), 96.0% and 89.8% (P < .0001), and 91.5% and 94.5% (P = .0091), respectively. A subgroup analysis showed that in those providers with fewer than 250 total US scans done previously, M-mode US increased accuracy from 88.2% (95% confidence interval, 86.2%-90.2%) to 94.4% (92.8%-96.0%; P = .001) and increased the specificity from 87.0% (84.5%-89.5%) to 97.2% (95.4%-99.0%; P < .0001) compared with B-mode US alone. There was no statistically significant difference observed in the sensitivity, specificity, and accuracy of B-mode + M-mode US compared with B-mode US alone in those with more than 250 scans. The addition of M-mode images to B-mode clips aids in the accurate diagnosis of lung sliding by emergency physicians. The subgroup analysis showed that the benefit of M-mode US disappears after emergency physicians have performed more than 250 US examinations. © 2018 by the American Institute of Ultrasound in Medicine.
Aziz, Fahad
2012-09-01
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) offers a minimally invasive alternative to mediastinoscopy with additional access to the hilar nodes, a better safety profile, and it removes the costs and hazards of theatre time and general anesthesia with comparable sensitivity, although the negative predictive value of mediastinoscopy (and sample size) is greater. EBUS- TBNA also obtains larger samples than conventional TBNA, has superior performance and theoretically is safer, allowing real-time sampling under direct vision. It can also have predictive value both in sonographic appearance of the nodes and histological characteristics. EBUS-TBNA is therefore indicated for NSCLC staging, diagnosis of lung cancer when there is no endobronchial lesion, and diagnosis of both benign (especially tuberculosis and sarcoidosis) and malignant mediastinal lesions. The procedure is different than for flexible bronchoscopy, takes longer, and requires more training. EBUS-TBNA is more expensive than conventional TBNA but can save costs by reducing the number of more costly mediastinoscopies. In the future, endobronchial ultrasound may have applications in airways disease and pulmonary vascular disease.
Congenital pulmonary lymphangiectasia
Bellini, Carlo; Boccardo, Francesco; Campisi, Corradino; Bonioli, Eugenio
2006-01-01
Congenital pulmonary lymphangiectasia (PL) is a rare developmental disorder involving the lung, and characterized by pulmonary subpleural, interlobar, perivascular and peribronchial lymphatic dilatation. The prevalence is unknown. PL presents at birth with severe respiratory distress, tachypnea and cyanosis, with a very high mortality rate at or within a few hours of birth. Most reported cases are sporadic and the etiology is not completely understood. It has been suggested that PL lymphatic channels of the fetal lung do not undergo the normal regression process at 20 weeks of gestation. Secondary PL may be caused by a cardiac lesion. The diagnostic approach includes complete family and obstetric history, conventional radiologic studies, ultrasound and magnetic resonance studies, lymphoscintigraphy, lung functionality tests, lung biopsy, bronchoscopy, and pleural effusion examination. During the prenatal period, all causes leading to hydrops fetalis should be considered in the diagnosis of PL. Fetal ultrasound evaluation plays a key role in the antenatal diagnosis of PL. At birth, mechanical ventilation and pleural drainage are nearly always necessary to obtain a favorable outcome of respiratory distress. Home supplemental oxygen therapy and symptomatic treatment of recurrent cough and wheeze are often necessary during childhood, sometimes associated with prolonged pleural drainage. Recent advances in intensive neonatal care have changed the previously nearly fatal outcome of PL at birth. Patients affected by PL who survive infancy, present medical problems which are characteristic of chronic lung disease. PMID:17074089
Chest ultrasound and hidden lung congestion in peritoneal dialysis patients.
Panuccio, Vincenzo; Enia, Giuseppe; Tripepi, Rocco; Torino, Claudia; Garozzo, Maurizio; Battaglia, Giovanni Giorgio; Marcantoni, Carmelita; Infantone, Lorena; Giordano, Guido; De Giorgi, Maria Loreta; Lupia, Mario; Bruzzese, Vincenzo; Zoccali, Carmine
2012-09-01
Chest ultrasound (US) is a non-invasive well-validated technique for estimating extravascular lung water (LW) in patients with heart diseases and in end-stage renal disease. We systematically applied this technique to the whole peritoneal dialysis (PD) population of five dialysis units. We studied the cross-sectional association between LW, echocardiographic parameters, clinical [pedal oedema, New York Heart Association (NYHA) class] and bioelectrical impedance analysis (BIA) markers of volume status in 88 PD patients. Moderate to severe lung congestion was evident in 41 (46%) patients. Ejection fraction was the echocardiographic parameter with the strongest independent association with LW (r = -0.40 P = 0.002). Oedema did not associate with LW on univariate and multivariate analysis. NYHA class was slightly associated with LW (r = 0.21 P = 0.05). Among patients with severe lung congestion, only 27% had pedal oedema and the majority (57%) had no dyspnoea (NYHA Class I). Similarly, the prevalence of patients with BIA, evidence of volume excess was small (11%) and not significantly different (P = 0.79) from that observed in patients with mild or no congestion (9%). In PD patients, LW by chest US reveals moderate to severe lung congestion in a significant proportion of asymptomatic patients. Intervention studies are necessary to prove the usefulness of chest US for optimizing the control of fluid excess in PD patients.
NASA Astrophysics Data System (ADS)
Régnier, Jean-François; Pothmann-Krings, Daniela; Simar, Sophie; Dony, Eva; Le Net, Jean-Loïc; Beausoleil, Julien
2017-06-01
Graphistrength© C100 provides superior electrical and mechanical properties for various applications and is one of the industrial MWCNT referenced in the OECD sponsorship program for the safety testing of nanomaterials. Graphistrength© C100 is formed of MWCNT (ca. 12 walls, outer mean diameter ca. 12 nm, length ca. 1 µm) agglomerated in particles with a granulometry centered on 400 µm. A general feature of MWCNT after inhalation or intratracheal exposures is the induction of an inflammatory reaction in the lungs sometimes associated with local genotoxic effects. Most of the in vitro and in vivo genotoxicity data available on Graphistrength© C100 are negative. However, a weak DNA damage activity in the in vitro and in vivo FPG-modified Comet assays and a weak clastogenic effect in the in vitro micronucleus test were reported. After investigating different parameters for the aerosol generation, male and female Wistar rats were exposed by nose-only inhalation (6h/day, 5d/week) to target concentrations of 0.05, 0.25 and 5.0 mg/m3 air of a respirable aerosol (MMAD < 3 µm) and sacrificed immediately after 4 and 13 weeks of exposure and 13 and 52 weeks of recovery after the 13-week exposure. Clinical, biological and histological evaluations were performed according to the OECD TG 413. Broncho-alveolar lavage fluid (BALF) was collected and analysed for cytokines and inflammatory parameters. Immediately after 13 weeks of exposure, chromosomal aberrations in the bone marrow cells of males and females were evaluated by the micronucleus test (OECD TG 474) and DNA damage in the lung, kidney and liver cells of males were assessed by both the standard and the human 8-oxoguanine DNA N-glycosylase 1 (hOGG1)-modified comet assay (OECD TG 489). Concentration-related deposition of black particles (MWCNT) was observed in lungs. At all sacrifice periods, an inflammatory lung reaction was observed in rats exposed to 5.0 mg/m3 associated with changes in the differential white blood cells counts. The lung inflammation was characterized by changes in the cytological, biochemical and cytokine parameters of the BALF, an increase of the lung weight, an interstitial inflammation mainly around the alveolar ducts at the bronchiole-alveolar junction and a cell hypertrophy/hyperplasia in the terminal and respiratory bronchioles. The slight changes in BALF parameters observed at 0.25 mg/m3 recovered after the 13-week treatment-free period and were not associated with any of the histological changes observed in lungs at 5.0 mg/m3. Signs of lung clearance of the MWCNT were observed at 0.05 and 0.25 mg/m3. After a one year treatment-free period, the inflammatory lung reaction was slight and of similar intensity that at the earlier sacrifice periods. Additional findings were minimal/slight bronchiolar/alveolar cell hypertrophy/hyperplasia and focally extensive alveolar septal fibrosis. No other pathological change was observed, nor was there any brain translocation via the olfactory bulb. The microscopic observations of the pleura were unremarkable. Neither increase in the number of micronucleated polychromatic erythrocytes nor increase in percent DNA damage were observed at any concentration. In conclusion, a lung inflammation characteristic of an overload with insoluble particles was observed after a 13-week inhalation exposure to 5.0 mg/m3 of Graphistrength© C100. A No-Observed Adverse Effect Concentration (NOAEC) of 0.25 mg/m3 was established for the repeated-dose toxicity and Graphistrength© C100 appears of low concern in term of local and systemic genotoxicity.
Hoey, Seamus; Keller, Dominique; Chamberlin, Tamara; Pinkerton, Marie; Waller, Kenneth; Drees, Randi
2013-01-01
A 3-year-old male New Caledonian giant gecko, or Leach's gecko (Rhacodactylus leachianus) presented with acute lethargy and coelomic distention. Findings from survey radiographs and an upper gastrointestinal tract contrast study were consistent with severe aerophagia, a collapsed left lung, and hyperinflation of the right lung due to suspected bronchial obstruction. The gecko was treated with conservative medical management, but was found dead 5 days after presentation. Necropsy findings showed intussusception of the proximal left lung into the left mainstem bronchus and trachea. © 2013 Veterinary Radiology & Ultrasound.
Dizeux, Alexandre; Payen, Thomas; Le Guillou-Buffello, Delphine; Comperat, Eva; Gennisson, Jean-Luc; Tanter, Mickael; Oelze, Michael; Bridal, S Lori
2017-09-01
Longitudinal imaging techniques are needed that can meaningfully probe the tumor microenvironment and its spatial heterogeneity. Contrast-enhanced ultrasound, shear wave elastography and quantitative ultrasound are ultrasound-based techniques that provide information on the vascular function and micro-/macroscopic tissue structure. Modifications of the tumor microenvironment induced by cytotoxic and anti-angiogenic molecules in ectopic murine Lewis lung carcinoma tumors were monitored. The most heterogenous structures were found in tumors treated with anti-angiogenic drug that simultaneously accumulated the highest levels of necrosis and fibrosis. The anti-angiogenic group presented the highest number of correlations between parameters related to vascular function and those related to the micro-/macrostructure of the tumor microenvironment. Results suggest how patterns of multiparametric ultrasound modifications can be related to provide a more insightful marker of changes occurring within tumors during therapy. Copyright © 2017. Published by Elsevier Inc.
Tutino, Lorenzo; Cianchi, Giovanni; Barbani, Francesco; Batacchi, Stefano; Cammelli, Rita; Peris, Adriano
2010-08-12
The use of lung ultrasound (LUS) in ICU is increasing but ultrasonographic patterns of lung are often difficult to quantify by different operators. The aim of this study was to evaluate the accuracy and quality of LUS reporting after the introduction of a standardized electronic recording sheet. Intensivists were trained for LUS following a teaching programme. From April 2008, an electronic sheet was designed and introduced in ICU database in order to uniform LUS examination reporting. A mark from 0 to 24 has been given for each exam by two senior intensivists not involved in the survey. The mark assigned was based on completeness of a precise reporting scheme, concerning the main finding of LUS. A cut off of 15 was considered sufficiency. The study comprehended 12 months of observations and a total of 637 LUS. Initially, although some improvement in the reports completeness, still the accuracy and precision of examination reporting was below 15. The time required to reach a sufficient quality was 7 months. A linear trend in physicians progress was observed. The uniformity in teaching programme and examinations reporting system permits to improve the level of completeness and accuracy of LUS reporting, helping physicians in following lung pathology evolution.
The increasing incidence of foetal echogenic congenital lung malformations: an observational study.
Stocker, Linden J; Wellesley, Diana G; Stanton, Michael P; Parasuraman, Rajeswari; Howe, David T
2015-02-01
The aim of this study was to investigate the incidence of congenital lung malformations over the past 19 years. Congenital lung malformations (CLM) are a heterogeneous group of lung abnormalities. The antenatal diagnosis is important for foetal and neonatal management but there have been no studies examining whether the reported incidence of this abnormality is constant. A retrospective cross-sectional study of cases identified from the Wessex Antenatally Detected Anomalies (WANDA) register 1994-2012. One hundred and thirty-three cases of CLM in 524 372 live and stillbirths were identified. All but seven were identified on antenatal ultrasound. During the early registry (1994-1998) the average incidence of CLM was 1.27 per 10,000 births. By the last 4 years (2008-2012) this had risen to 4.15 per 10,000 births, with a progressive increase during the intervening years. There was over a three-fold increase in the antenatally detected CLM in the Wessex region 1994-2012. Comparison with the antenatal detection of diaphragmatic hernia suggests that this is a true rise in incidence rather than an artefactual increase due to increased antenatal recognition secondary to improved ultrasound resolution and operator experience. These results have clinical and cost implications for practitioners of foetal medicine, neonatology and paediatric surgery services. © 2014 John Wiley & Sons, Ltd.
Arsenic is Cytotoxic and Genotoxic to Primary Human Lung Cells
Xie, Hong; Huang, ShouPing; Martin, Sarah; Wise, John P.
2014-01-01
Arsenic originates from both geochemical and numerous anthropogenic activities. Exposure of the general public to significant levels of arsenic is widespread. Arsenic is a well-documented human carcinogen. Long-term exposure to high levels of arsenic in drinking water have been linked to bladder, lung, kidney, liver, prostate, and skin cancer. Among them, lung cancer is of great public concern. However, little is known about how arsenic causes lung cancer and few studies have considered effects in normal human lung cells. The purpose of this study was to determine the cytotoxicity and genotoxicity of arsenic in human primary bronchial fibroblast and epithelial cells. Our data show that arsenic induces a concentration-dependent decrease in cell survival after short (24 h) or long (120 h) exposures. Arsenic induces concentration-dependent but not time-dependent increases in chromosome damage in fibroblasts. No chromosome damage is induced after either 24 h or 120 h arsenic exposure in epithelial cells. Using neutral comet assay and gamma-H2A.X foci forming assay, we found that 24 h or 120 h exposure to arsenic induces increases in DNA double strand breaks in both cell lines. These data indicate that arsenic is cytotoxic and genotoxic to human lung primary cells but lung fibroblasts are more sensitive to arsenic than epithelial cells. Further research is needed to understand the specific mechanisms involved in arsenic-induced genotoxicity in human lung cells. PMID:24291234
Nanobubbles as ultrasound contrast agent for facilitating small cell lung cancer imaging
Wang, Jin-Ping; Zhou, Xiao-Lin; Yan, Ji-Ping; Zheng, Rong-Qin; Wang, Wei
2017-01-01
Background This study is to investigate whether liposome-loaded nanobubbles (NBs) have the potentials to carry anti-pro-gastrin releasing peptide (proGRP) antibody and enhance ultrasound imaging of small cell lung cancer (SCLC). Methods NBs were loaded with an antibody against SCLC (H446 cell line). A nude mouse model of SCLC tumor was established by a subcutaneous injection of tumor cell suspension in the dorsal skin. Images for contrast-enhanced ultrasound (CEUS) of xenograft tumors in the model were obtained through an intravenous injection of blank and targeting NBs. Results The targeted NBs showed a high binding affinity (90.2 ± 3.24%) of the H446 cells in vitro as compared to the blank NBs that have no affinity of the cells. In process of tumor imaging, no mice died of the NB application. CEUS imaging of the targeted NBs manifested significant increases in half-peak time, area under the curve and peak intensity as compared to the blank NBs. In the model of SCLC, treatment with targeting NBs resulted in a large amount of fluorescent dye accumulated in the tumor tissue but not the liver tissue. Conclusion Our results indicate that NBs can carry antibody traveling to the SCLC cells, whereas application of NBs is safe and reliable in serving as ultrasound contrast agents for improving SCLC imaging. PMID:29100457
Bourbeau, Jean; Casan, Pere; Tognella, Silvia; Haidl, Peter; Texereau, Joëlle B; Kessler, Romain
2016-01-01
Most hospitalizations and costs related to COPD are due to exacerbations and insufficient disease management. The COPD patient Management European Trial (COMET) is investigating a home-based multicomponent COPD self-management program designed to reduce exacerbations and hospital admissions. Multicenter parallel randomized controlled, open-label superiority trial. Thirty-three hospitals in four European countries. A total of 345 patients with Global initiative for chronic Obstructive Lung Disease III/IV COPD. The program includes extensive patient coaching by health care professionals to improve self-management (eg, develop skills to better manage their disease), an e-health platform for reporting frequent health status updates, rapid intervention when necessary, and oxygen therapy monitoring. Comparator is the usual management as per the center's routine practice. Yearly number of hospital days for acute care, exacerbation number, quality of life, deaths, and costs.
Belanger, Adam R.; Akulian, Jason A.
2017-01-01
Lung cancer remains a common and deadly disease. Many modalities are available to the bronchoscopist to evaluate and stage lung cancer. We review the role of bronchoscopy in the staging of the mediastinum with convex endobronchial ultrasound (EBUS) and discuss emerging role of esophageal ultrasonography as a complementary modality. In addition, we discuss advances in scope technology and elastography. We review the bronchoscopic methods available for the diagnosis of peripheral lung nodules including radial EBUS and navigational bronchoscopy (NB) with a consideration of the basic methodologies and diagnostic accuracies. We conclude with a discussion of the comparison of the various methodologies. PMID:28470104
12th WINFOCUS world congress on ultrasound in emergency and critical care.
Acar, Yahya; Tezel, Onur; Salman, Necati; Cevik, Erdem; Algaba-Montes, Margarita; Oviedo-García, Alberto; Patricio-Bordomás, Mayra; Mahmoud, Mustafa Z; Sulieman, Abdelmoneim; Ali, Abbas; Mustafa, Alrayah; Abdelrahman, Ihab; Bahar, Mustafa; Ali, Osama; Lester Kirchner, H; Prosen, Gregor; Anzic, Ajda; Leeson, Paul; Bahreini, Maryam; Rasooli, Fatemeh; Hosseinnejad, Houman; Blecher, Gabriel; Meek, Robert; Egerton-Warburton, Diana; Ćuti, Edina Ćatić; Belina, Stanko; Vančina, Tihomir; Kovačević, Idriz; Rustemović, Nadan; Chang, Ikwan; Lee, Jin Hee; Kwak, Young Ho; Kim, Do Kyun; Cheng, Chi-Yung; Pan, Hsiu-Yung; Kung, Chia-Te; Ćurčić, Ela; Pritišanac, Ena; Planinc, Ivo; Medić, Marijana Grgić; Radonić, Radovan; Fasina, Abiola; Dean, Anthony J; Panebianco, Nova L; Henwood, Patricia S; Fochi, Oliviero; Favarato, Moreno; Bonanomi, Ezio; Tomić, Ivan; Ha, Youngrock; Toh, Hongchuen; Harmon, Elizabeth; Chan, Wilma; Baston, Cameron; Morrison, Gail; Shofer, Frances; Hua, Angela; Kim, Sharon; Tsung, James; Gunaydin, Isa; Kekec, Zeynep; Ay, Mehmet Oguzhan; Kim, Jinjoo; Kim, Jinhyun; Choi, Gyoosung; Shim, Dowon; Lee, Ji-Han; Ambrozic, Jana; Prokselj, Katja; Lucovnik, Miha; Simenc, Gabrijela Brzan; Mačiulienė, Asta; Maleckas, Almantas; Kriščiukaitis, Algimantas; Mačiulis, Vytautas; Macas, Andrius; Mohite, Sharad; Narancsik, Zoltan; Možina, Hugon; Nikolić, Sara; Hansel, Jan; Petrovčič, Rok; Mršić, Una; Orlob, Simon; Lerchbaumer, Markus; Schönegger, Niklas; Kaufmann, Reinhard; Pan, Chun-I; Wu, Chien-Hung; Pasquale, Sarah; Doniger, Stephanie J; Yellin, Sharon; Chiricolo, Gerardo; Potisek, Maja; Drnovšek, Borut; Leskovar, Boštjan; Robinson, Kristine; Kraft, Clara; Moser, Benjamin; Davis, Stephen; Layman, Shelley; Sayeed, Yusef; Minardi, Joseph; Pasic, Irmina Sefic; Dzananovic, Amra; Pasic, Anes; Zubovic, Sandra Vegar; Hauptman, Ana Godan; Brajkovic, Ana Vujaklija; Babel, Jaksa; Peklic, Marina; Radonic, Vedran; Bielen, Luka; Ming, Peh Wee; Yezid, Nur Hafiza; Mohammed, Fatahul Laham; Huda, Zainal Abidin; Ismail, Wan Nasarudin Wan; Isa, W Yus Haniff W; Fauzi, Hashairi; Seeva, Praveena; Mazlan, Mohd Zulfakar
2016-09-01
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Mahmoud, Abdelmoneim SuliemanA7 High-frequency ultrasound in determining the causes of acute shoulder joint painMustafa Z. MahmoudA8 Teaching WINFOCUS Ultrasound Life Support Basic Level 1 for Providers in resource-limited countriesAbbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H. Lester Kirchner, Gregor ProsenA9 Changes of arterial stiffness and endothelial function during uncomplicated pregnancyAjda Anzic, Paul LeesonA10 Cardiovascular haemodynamic properties before, during and after pregnancyAjda Anzic, Paul LeesonA11 An old man with generalized weaknessMaryam Bahreini, Fatemeh RasooliA12 Ultrasonography for non-specific presentations of abdominal painMaryam Bahreini, Houman HosseinnejadA13 Introduction of a new imaging guideline for suspected renal colic in the emergency department: effect on CT Urogram utilisationGabriel Blecher, Robert Meek, Diana Egerton-WarburtonA14 Transabdominal ultrasound screening for pancreatic cancer in Croatian military veterans: a retrospective analysis from the first Croatian veteran's hospitalEdina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz KovačevićA15 The challenge of AAA: unusual case of obstructive jaundiceEdina Ćatić Ćuti, Nadan RustemovićA16 Educational effectiveness of easy-made new simulator model for ultrasound-guided procedures in pediatric patients: vascular access and foreign body managementIkwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun KimA17 Detection of uterine rupture by point-of-care ultrasound at emergency department: a case reportChi-Yung Cheng, Hsiu-Yung Pan, Chia-Te KungA18 Abdominal probe in the hands of interns as a relevant diagnostic tool in revealing the cause of heart failureEla Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan RadonićA19 Needs assessment of the potential utility of point-of-care ultrasound within the Zanzibar health systemAbiola Fasina, Anthony J. Dean, Nova L. Panebianco, Patricia S. HenwoodA20 Ultrasonographic diagnosis of tracheal compressionOliviero Fochi, Moreno Favarato, Ezio BonanomiA21 The role of ultrasound in the detection of lung infiltrates in critically ill patients: a pilot studyMarijana Grgić Medić, Ivan Tomić, Radovan RadonićA22 The SAFER Lasso; a novel approach using point-of-care ultrasound to evaluate patients with abdominal complaints in the emergency departmentYoungrock Ha, Hongchuen TohA23 Awareness and use of clinician-performed ultrasound among clinical clerkship facultyElizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Nova Panebianco, Anthony J. DeanA24 Clinical outcomes in the use of lung ultrasound for the diagnosis of pediatric pneumoniasAngela Hua, Sharon Kim, James TsungA25 Effectiveness of ultrasound in hypotensive patientsIsa Gunaydin, Zeynep Kekec, Mehmet Oguzhan AyA26 Moderate-to-severe left ventricular ejection fraction related to short-term mortality of patients with post-cardiac arrest syndrome after out-of-hospital cardiac arrestJinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon ShimA27 Usefulness of abdominal ultrasound for acute pyelonephritis diagnosis after kidney transplantationJi-Han LeeA28 Lung ultrasound for assessing fluid tolerance in severe preeclampsiaJana Ambrozic, Katja Prokselj, Miha LucovnikA29 Optic nerve sheath ultrasound in severe preeclampsiaGabrijela Brzan Simenc, Jana Ambrozic, Miha LucovnikA30 Focused echocardiography monitoring in the postoperative period for non-cardiac patientsAsta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius MacasA31 POCUS-guided paediatric upper limb fracture reduction: algorithm, tricks, and tipsSharad MohiteA32 Point-of-care lung ultrasound: a good diagnostic tool for pneumonia in a septic patientZoltan Narancsik, Hugon MožinaA33 A case of undergraduate POCUS (r)evolutionSara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Gregor ProsenA34 The Graz Summer School for ultrasound: from first contact to bedside application: three-and-a-half-day undergraduate ultrasound training: résumé after two years of continuous developmentSimon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard KaufmannA35 Usefulness of point-of-care ultrasound in the emergency room in a patient with acute abdominal painAlberto Oviedo-García, Margarita Algaba-Montes, Mayra Patricio-BordomásA36 Use of bedside ultrasound in a critically ill patient. A case reportAlberto Oviedo-García, Margarita Algaba-Montes, Mayra Patricio-BordomásA37 Diagnostic yield of clinical echocardiography for the emergency physicianAlberto Oviedo-García, Margarita Algaba-Montes, Mayra Patricio-BordomásA38 Focused cardiac ultrasound in early diagnosis of type A aortic dissection with atypical presentationChun-I Pan, Hsiu-Yung Pan, Chien-Hung WuA39 Detection of imperforated hymen by point-of-care ultrasoundHsiu-yung Pan, Chia-Te KungA40 Developing a point-of-care ultrasound curriculum for pediatric nurse practitioners practicing in the pediatric emergency departmentSarah Pasquale, Stephanie J. Doniger, Sharon Yellin, Gerardo ChiricoloA41 Use of transthoracic echocardiography in emergency setting: patient with mitral valve abscessMaja Potisek, Borut Drnovšek, Boštjan LeskovarA42 A young man with syncopeFatemeh Rasooli, Maryam BahreiniA43 Work-related repetitive use injuries in ultrasound fellowsKristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph MinardiA44 Lung ultrasonography in the evaluation of pneumonia in childrenIrmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar ZubovicA45 Central venous catheter placement with the ultrasound aid: two years' experience of the Interventional unit, Division of Intensive Care Medicine, KBC ZagrebAna Godan Hauptman, Marijana Grgic Medic, Ivan Tomic, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Radovan RadonicA46 Duplicitas casui: two patients admitted due to acute liver failureVedran Radonic, Ivan Tomic, Luka Bielen, Marijana Grgic MedicA47 A pilot survey on an understanding of Bedside Point-of-Care Ultrasound (POCUS) among medical doctors in internal medicine: exposure, perceptions, interest, and barriers to trainingPeh Wee MingA48 Unusual case of defecation syncopeNur hafiza Yezid, Fatahul Laham MohammedA49 A case report of massive pulmonary embolism; a multidisciplinary approachZainal Abidin Huda, Wan Nasarudin Wan Ismail, W.Yus Haniff W.Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan.
Habas, Khaled; Abdulmwli, Mhamoued; Demir, Eşref; Jacob, Badie K; Najafzadeh, Mojgan; Anderson, Diana
2018-05-25
Chronic obstructive pulmonary disease (COPD) in humans, describes a group of lung conditions characterised by airflow limitation that is poorly reversible. The airflow limitation usually progresses slowly and is related to an abnormal inflammatory response of the lung to toxic particles. COPD is characterised by oxidative stress and an increased risk of lung carcinoma. The 2-amino-3-methylimidazo [4,5-f]quinoline (IQ) is one of a number of mutagenic/carcinogenic heterocyclic amines found mainly in well-cooked meats which are thus part of the regular diet. Antioxidants are very important in order to protect the cells against oxidative damage. The aim of the present study was to assess the effects of IQ on the level of DNA damage and susceptibility to a potent mutagen in peripheral blood cells of COPD patients. DNA damage and the frequency of micronuclei (MNi) were evaluated using the Comet and micronucleus assays, respectively. Differential expressions of both mRNA and protein of the endogenous antioxidant enzyme catalase were evaluated with quantitative polymerase chain reaction (qPCR) and Western blot analysis, respectively. Furthermore, the effect of bulk and nano forms of quercetin and their combination with IQ were examined. Results of the present study clearly demonstrated that MNi frequency in the peripheral blood lymphocytes exhibited a positive correlation with the DNA damage as evident from the different Comet assay parameters. Increase of the endogenous antioxidant catalase also showed there was a stimulation of this enzyme system by IQ. Whereas, the endogenous antioxidant quercetin significantly reduced oxidative stress in COPD patients and healthy individuals. Copyright © 2018 Elsevier Inc. All rights reserved.
Tang, Ke-Qiang; Yang, Shao-Ling; Zhang, Bin; Liu, Hong-Xiang; Ye, Dong-Ying; Zhang, Hong-Ze; Ma, Shuang
2017-09-01
The aim of this study was to explore the clinical value of ultrasonic monitoring in the assessment of pulmonary recruitment and the best positive end-expiratory pressure (PEEP).Between January 2015 and June 2017, 40 patients with acute respiratory distress syndrome in our hospital were randomly divided into 2 groups: ultrasound group (ULS group; n = 20) and oxygenation group (OXY group; n = 20). The PEEP incremental method was used to perform recruitment maneuvers. Ultrasound scoring and the oxygenation method were used to evaluate the pulmonary recruitment endpoint. The best PEEP was chosen by ultrasound scoring and the oxygenation method after achieving the pulmonary recruitment endpoint and sustaining it for 15 minutes.The oxygenation index, PEEP, peak airway pressure (Ppeak), mean airway pressure (Pmean), and dynamic compliance (Cdyn) in the OXY group were significantly lower than those in the ULS group (P < .05) at the pulmonary recruitment endpoint; however, there was no statistical significance in the mean arterial blood pressure (MAP) or heart rate (HR) (P > .05). The best PEEPs in the OXY and ULS groups were 13.1 ± 3.1 and 15.7 ± 4.2 cmH2O, respectively, with a significant difference between the 2 groups (t = 2.227, P = .016). Compared with the basal state, the Cdyn, oxygenation index, Pmean, and Ppeak in both groups significantly increased after pulmonary recruitment (P < .05). Furthermore, the Cdyn and oxygenation index in the ULS group were significantly higher than those in the OXY group after pulmonary recruitment (P < .05). The HR in both groups significantly increased, and the MAP significantly decreased. Two hours after recruitment, the HR and MAP returned to near basal levels without a significant difference between the 2 groups (P > .05).Lung ultrasound can be used to detect the endpoint of lung recruitment and the best PEEP, with good effects on lung compliance and oxygenation improvement.
NASA Astrophysics Data System (ADS)
Kanick, Stephen Chad; van der Leest, Cor; Aerts, Joachim G. J. V.; Hoogsteden, Henk C.; Kaščáková, Slávka; Sterenborg, Henricus J. C. M.; Amelink, Arjen
2010-01-01
We describe the incorporation of a single-fiber reflectance spectroscopy probe into the endoscopic ultrasound fine-needle aspiration (EUS-FNA) procedure utilized for lung cancer staging. A mathematical model is developed to extract information about the physiological and morphological properties of lymph tissue from single-fiber reflectance spectra, e.g., microvascular saturation, blood volume fraction, bilirubin concentration, average vessel diameter, and Mie slope. Model analysis of data from a clinical pilot study shows that the single-fiber reflectance measurement is capable of detecting differences in the physiology between normal and metastatic lymph nodes. Moreover, the clinical data show that probe manipulation within the lymph node can perturb the in vivo environment, a concern that must be carefully considered when developing a sampling strategy. The data show the feasibility of this novel technique; however, the potential clinical utility has yet to be determined.
Slavova-Azmanova, Neli S.; Phillips, Martin; Trevenen, Michelle L.; Li, Ian W.; Johnson, Claire E.
2018-01-01
Background Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and guide sheath (EBUS-GS) are gaining popularity for diagnosis and staging of lung cancer compared to CT-guided transthoracic needle aspiration (CT-TTNA), blind fiber-optic bronchoscopy, and mediastinoscopy. This paper aimed to examine predictors of higher costs for diagnosing and staging lung cancer, and to assess the effect of EBUS techniques on hospital cost. Material/Methods Hospital costs for diagnosis and staging of new primary lung cancer patients presenting in 2007–2008 and 2010–2011 were reviewed retrospectively. Multiple linear regression was used to determine relationships with hospital cost. Results We reviewed 560 lung cancer patient records; 100 EBUS procedures were performed on 90 patients. Higher hospital costs were associated with: EBUS-TBNA performed (p<0.0001); increasing inpatient length of stay (p<0.0001); increasing number of other surgical/diagnostic procedures (p<0.0001); whether the date of management decision fell within an inpatient visit (p<0.0001); and if the patient did not have a CT-TTNA, then costs increased as the number of imaging events increased (interaction p<0.0001). Cohort was not significantly related to cost. Location of the procedure (outside vs. inside theater) was a predictor of lower one-day EBUS costs (p<0.0001). Cost modelling revealed potential cost saving of $1506 per EBUS patient if all EBUS procedures were performed outside rather than in the theater ($66,259 per annum). Conclusions EBUS-TBNA only was an independent predictor of higher cost for diagnosis and staging of lung cancer. Performing EBUS outside compared to in the theater may lower costs for one-day procedures; potential future savings are considerable if more EBUS procedures could be performed outside the operating theater. PMID:29377878
Munoz, Mark L; Lechtzin, Noah; Li, Qing Kay; Wang, KoPen; Yarmus, Lonny B; Lee, Hans J; Feller-Kopman, David J
2017-07-01
In evaluating patients with suspected lung cancer, it is important to not only obtain a tissue diagnosis, but also to obtain enough tissue for both histologic and molecular analysis in order to appropriately stage the patient with a safe and efficient strategy. The diagnostic approach may often be dependent on local resources and practice patterns rather than current guidelines. We Describe lung cancer staging at two large academic medical centers to identify the impact different procedural approaches have on patient outcomes. We conducted a retrospective cohort study of all patients undergoing a lung cancer diagnostic evaluation at two multidisciplinary centers during a 1-year period. Identifying complication rates and the need for multiple biopsies as our primary outcomes, we developed a multivariate regression model to determine features associated with complications and need for multiple biopsies. Of 830 patients, 285 patients were diagnosed with lung cancers during the study period. Those staged at the institution without an endobronchial ultrasound (EBUS) program were more likely to require multiple biopsies (OR 3.62, 95% CI: 1.71-7.67, P=0.001) and suffer complications associated with the diagnostic procedure (OR 10.2, 95% CI: 3.08-33.58, P<0.001). Initial staging with transthoracic needle aspiration (TTNA) and conventional bronchoscopy were associated with greater need for subsequent biopsies (OR 8.05 and 14.00, 95% CI: 3.43-18.87 and 5.17-37.86, respectively) and higher complication rates (OR 37.75 and 7.20, 95% CI: 10.33-137.96 and 1.36-37.98, respectively). Lung cancer evaluation at centers with a dedicated EBUS program results in fewer biopsies and complications than at multidisciplinary counterparts without an EBUS program.
Liu, Qinghua; Han, Songyan; Arias, Sixto; Turner, J Francis; Lee, Hans; Browning, Robert; Wang, Ko-Pen
2016-01-01
The role of transbronchial needle aspiration (TBNA) in the diagnosis and staging of lung cancer has been well established. Recently, the efficacy of conventional TBNA in the staging of lung cancer has been enhanced by the use of endobronchial ultrasound (EBUS)-TBNA. Our study sought to evaluate the adequacy of TBNA of International Association for the Study of Lung Cancer (IASLC) stations 4R, 4L and 7 using endobronchial landmarks provided by the Wang nodal mapping system in the staging of lung cancer. We retrospectively analyzed all bronchoscopic cases with conventional TBNA punctures positive for malignancy at our institution from 1 January to 31 October 2014. The endobronchial puncture site was guided by the Wang nodal mapping system. The Wang stations were correlated with the IASLC lymph node map. No endobronchial ultrasound or rapid on-site evaluation was used. Pathological analysis included cytological and histological examination. Diagnosis by histological analysis was obtained in 115 (55.3%) out of 208 puncture sites. The metastatic lymph nodes were distributed at IASLC stations 4R (W1, 3, 5) 46.6 %, 7 (W2, 8, 10) 19.7%, 4L (W4, 6) 11.5%, 11R (W7, W9) 11.1% 11L (W11) 9.6%, 2R (high station W3) 0.5%, and the proximal portion of station 8 (station W10 beyond the middle lobe orifice) 1%. No complications were observed. IASLC station 4R (W1, 3, 5), 7 (W2, 8, 10) and 4L (W4, 6) are adequate for the staging of lung cancer.
Trisolini, Rocco; Cancellieri, Alessandra; Tinelli, Carmine; de Biase, Dario; Valentini, Ilaria; Casadei, Gianpiero; Paioli, Daniela; Ferrari, Franco; Gordini, Giovanni; Patelli, Marco; Tallini, Giovanni
2015-12-01
Experts and scientific society guidelines recommend that rapid on-site evaluation (ROSE) be used with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to optimize lung cancer genotyping, but no comparative trial has been carried out to confirm and quantify its usefulness. To assess the influence of ROSE on the yield of EBUS-TBNA for a multigene molecular analysis of lung cancer samples, consecutive patients with suspected or known advanced lung cancer were randomized to undergo EBUS-TBNA without ROSE (EBUS arm) or with ROSE (ROSE arm). The primary end point was the rate of the successful accomplishment of the institution's clinical protocol for molecular profiling of nonsquamous non-small cell lung cancer (EGFR and KRAS testing, followed by ALK testing for tumors with EGFR and KRAS wild-type status). Complete genotyping was achieved in 108 of 126 patients (85.7%) (90.8% in the ROSE arm vs 80.3% in the EBUS arm, P = .09). The patients in the ROSE arm were less likely to have samples that could be used only for pathologic diagnosis because of minimal tumor burden (0 vs 6, P = .05), and were more likely to have the bronchoscopy terminated after a single biopsy site (58.9% vs 44.1%, P = .01). ROSE prevents the need for a repeat invasive diagnostic procedure aimed at molecular profiling in at least one out of 10 patients with advanced lung cancer and significantly reduces the risk of retrieving samples that can be used only for pathologic subtyping because of minimal tumor burden. ClinicalTrials.gov; No.: NCT01799382; URL: www.clinicaltrials.gov.
High Resolution 3D Radar Imaging of Comet Interiors
NASA Astrophysics Data System (ADS)
Asphaug, E. I.; Gim, Y.; Belton, M.; Brophy, J.; Weissman, P. R.; Heggy, E.
2012-12-01
Knowing the interiors of comets and other primitive bodies is fundamental to our understanding of how planets formed. We have developed a Discovery-class mission formulation, Comet Radar Explorer (CORE), based on the use of previously flown planetary radar sounding techniques, with the goal of obtaining high resolution 3D images of the interior of a small primitive body. We focus on the Jupiter-Family Comets (JFCs) as these are among the most primitive bodies reachable by spacecraft. Scattered in from far beyond Neptune, they are ultimate targets of a cryogenic sample return mission according to the Decadal Survey. Other suitable targets include primitive NEOs, Main Belt Comets, and Jupiter Trojans. The approach is optimal for small icy bodies ~3-20 km diameter with spin periods faster than about 12 hours, since (a) navigation is relatively easy, (b) radar penetration is global for decameter wavelengths, and (c) repeated overlapping ground tracks are obtained. The science mission can be as short as ~1 month for a fast-rotating JFC. Bodies smaller than ~1 km can be globally imaged, but the navigation solutions are less accurate and the relative resolution is coarse. Larger comets are more interesting, but radar signal is unlikely to be reflected from depths greater than ~10 km. So, JFCs are excellent targets for a variety of reasons. We furthermore focus on the use of Solar Electric Propulsion (SEP) to rendezvous shortly after the comet's perihelion. This approach leaves us with ample power for science operations under dormant conditions beyond ~2-3 AU. This leads to a natural mission approach of distant observation, followed by closer inspection, terminated by a dedicated radar mapping orbit. Radar reflections are obtained from a polar orbit about the icy nucleus, which spins underneath. Echoes are obtained from a sounder operating at dual frequencies 5 and 15 MHz, with 1 and 10 MHz bandwidths respectively. The dense network of echoes is used to obtain global 3D images of interior structure to ~20 m, and to map dielectric properties (related to internal composition) to better than 200 m throughout. This is comparable in detail to modern 3D medical ultrasound, although we emphasize that the techniques are somewhat different. An interior mass distribution is obtained through spacecraft tracking, using data acquired during the close, quiet radar orbits. This is aligned with the radar-based images of the interior, and the shape model, to contribute to the multi-dimensional 3D global view. High-resolution visible imaging provides boundary conditions and geologic context to these interior views. An infrared spectroscopy and imaging campaign upon arrival reveals the time-evolving activity of the nucleus and the structure and composition of the inner coma, and the definition of surface units. CORE is designed to obtain a total view of a comet, from the coma to the active and evolving surface to the deep interior. Its primary science goal is to obtain clear images of internal structure and dielectric composition. These will reveal how the comet was formed, what it is made of, and how it 'works'. By making global yet detailed connections from interior to exterior, this knowledge will be an important complement to the Rosetta mission, and will lay the foundation for comet nucleus sample return by revealing the areas of shallow depth to 'bedrock', and relating accessible deposits to their originating provenances within the nucleus.
Haney, J T; Connor, T H; Li, L
1999-04-01
Single-strand breaks (SSBs) in DNA have been used a biomarker of oxidative damage. The comet assay, also known as single-cell gel electrophoresis, was used to investigate the ability of ozone (O(3)) to induce DNA SSBs in murine bronchoalveolar lavage (BAL) cells. The comet assay is more sensitive than other techniques currently utilized for detecting SSBs and requires fewer cells. In the present study, 3 mice were exposed for 3 h to 0.25 ppm of O(3), and 3 to 0.5 ppm of O(3) for 3 h. Two air-exposed mice served as negative controls. All mice were euthanized 3 h after exposure, at which time BAL cells were recovered from the lungs and stained with ethidium bromide. BAL cells recovered from an air-exposed mouse were exposed to various concentrations of H(2)O(2) in vitro for 1 h at 4 degrees C. Excluding cells from the H(2)O(2) group (n = 25), 50 randomly selected BAL cells were graded by comet tail length into 1 of 4 categories: no damage (0 mm), low damage (1-10 mm), medium damage (11-30 mm), and high damage (31 + mm). The nonparametric Wilcoxon rank-sum test was used for statistical analysis, and p values lower than .05 were considered significant. The H(2)O(2) and the 0.25 and 0.5 ppm O3 groups showed statistically significant increases in DNA SSBs as compared to air-exposed controls. The results of this study indicate that (1) O(3) induces DNA strand breaks in murine BAL cells at 0.25 and 0.5 ppm, as evidenced by statistically significant increases in the length of comet tails for O(3)-exposed groups, and (2) the comet assay can be used to assess O(3)-induced SSBs for in vivo exposures. Therefore, it has the potential as a biomarker for in vivo oxidant exposures.
Lung abscess-etiology, diagnostic and treatment options.
Kuhajda, Ivan; Zarogoulidis, Konstantinos; Tsirgogianni, Katerina; Tsavlis, Drosos; Kioumis, Ioannis; Kosmidis, Christoforos; Tsakiridis, Kosmas; Mpakas, Andrew; Zarogoulidis, Paul; Zissimopoulos, Athanasios; Baloukas, Dimitris; Kuhajda, Danijela
2015-08-01
Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) containing necrotic debris or fluid caused by microbial infection. It can be caused by aspiration, which may occur during altered consciousness and it usually causes a pus-filled cavity. Moreover, alcoholism is the most common condition predisposing to lung abscesses. Lung abscess is considered primary (60%) when it results from existing lung parenchymal process and is termed secondary when it complicates another process, e.g., vascular emboli or follows rupture of extrapulmonary abscess into lung. There are several imaging techniques which can identify the material inside the thorax such as computerized tomography (CT) scan of the thorax and ultrasound of the thorax. Broad spectrum antibiotic to cover mixed flora is the mainstay of treatment. Pulmonary physiotherapy and postural drainage are also important. Surgical procedures are required in selective patients for drainage or pulmonary resection. In the current review we will present all current information from diagnosis to treatment.
Lung abscess-etiology, diagnostic and treatment options
Kuhajda, Ivan; Zarogoulidis, Konstantinos; Tsirgogianni, Katerina; Tsavlis, Drosos; Kioumis, Ioannis; Kosmidis, Christoforos; Tsakiridis, Kosmas; Mpakas, Andrew; Zissimopoulos, Athanasios; Baloukas, Dimitris; Kuhajda, Danijela
2015-01-01
Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) containing necrotic debris or fluid caused by microbial infection. It can be caused by aspiration, which may occur during altered consciousness and it usually causes a pus-filled cavity. Moreover, alcoholism is the most common condition predisposing to lung abscesses. Lung abscess is considered primary (60%) when it results from existing lung parenchymal process and is termed secondary when it complicates another process, e.g., vascular emboli or follows rupture of extrapulmonary abscess into lung. There are several imaging techniques which can identify the material inside the thorax such as computerized tomography (CT) scan of the thorax and ultrasound of the thorax. Broad spectrum antibiotic to cover mixed flora is the mainstay of treatment. Pulmonary physiotherapy and postural drainage are also important. Surgical procedures are required in selective patients for drainage or pulmonary resection. In the current review we will present all current information from diagnosis to treatment. PMID:26366400
Detection of an embolized central venous catheter fragment with endobronchial ultrasound.
Dhillon, Samjot Singh; Harris, Kassem; Alraiyes, Abdul H; Picone, Anthony L
2018-01-01
An 84-year-old woman underwent Convex-probe Endobronchial Ultrasound (CP-EBUS) for 18 F-fluorodeoxyglucose avid subcarinal lymphadenopathy on Positron Emission Tomogram (PET) scan. Endobronchial ultrasound-guided transbronchial needle aspiration of the subcarinal lymph node revealed squamous cell lung carcinoma. A small hyperechoic rounded density was noted inside the lumen of the azygous vein. Based on chest computed tomography findings and her clinical history, this was felt to be a broken fragment of a peripherally inserted central catheter, which was placed for intravenous antibiotics, a few months prior to this presentation. To the best of our knowledge, this is the first ever CP-EBUS description of a broken fragment of central venous catheter. © 2016 John Wiley & Sons Ltd.
Ziapour, Behrad; Haji, Houman Seyedjavady
2015-01-01
Occult pneumothorax represents a diagnostic pitfall during the primary survey of trauma patients, particularly if these patients require early positive pressure ventilation. This study investigated the accuracy of our proposed rapid model of ultrasound transducer positioning during the primary survey of trauma patients after their arrival at the hospital. This diagnostic trial was conducted over 12 months and was based on the results of 84 ultrasound (US) exams performed on patients with severe multiple trauma. Our index test (US) was used to detect pneumothorax in four pre-defined locations on the anterior of each hemi-thorax using the "Anterior Convergent" approach, and its performance was limited to the primary survey. Consecutively, patients underwent chest-computed tomography (CT) with or without chest radiography. The diagnostic findings of both chest radiography and chest ultrasounds were compared to the gold-standard test (CT). The diagnostic sensitivity was 78 % for US and 36.4 % for chest radiography (p < 0.001); the specificity was 92 % for US and 98 % for chest radiography (not significant); the positive predictive values were 74 % for US and 80 % for chest radiography (not significant); the negative predictive values were 94 % for US and 87 % for chest radiography (not significant); the positive likelihood ratio was 10 for US and 18 for chest radiography (p = 0.007); and the negative likelihood ratio was 0.25 for US and 0.65 for chest radiography (p = 0.001). The mean required time for performing the new method was 64 ± 10 s. An absence of the expected diffused dynamic view among ultrasound images obtained from patients with pneumothorax was also observed. We designated this phenomenon "Gestalt Lung Recession." "Anterior convergent" chest US probing represents a brief but efficient model that provides clinicians a safe and accurate exam and adequate resuscitation during critical minutes of the primary survey without interrupting other medical staff activities taking place around the trauma patient. The use of the new concept of "Gestalt Lung Recession" instead of the absence of "lung sliding" might improve the specificity of US in detecting pneumothorax.
Kim, Jin Sik; Sung, Jae Huyck; Song, Kyung Seuk; Lee, Ji Hyun; Kim, Sun Man; Lee, Gun Ho; Ahn, Kang Ho; Lee, Jong Seong; Shin, Jae Hoon; Park, Jung Duck; Yu, Il Je
2012-08-01
Carbon nanotubes (CNTs) have specific physico-chemical properties that are useful for the electronics, automotive, and construction industries. Yet, despite their many advantages, there is a current lack of available information on the human health and environmental hazards of CNTs. For this reason, the current study investigated the inhalation toxicity potential of multiwall CNTs (MWCNTs). Eight-week-old rats were divided into four groups (10 rats in each group), the fresh-air control (0mg/m(3)), low-concentration group (0.16mg/m(3)), middle-concentration group (0.34mg/m(3)), and high-concentration group (0.94mg/m(3)), and the whole body was exposed to MWCNTs for 5 days (6h/day). Lung cells were then isolated from five rats in each group on day 0 and 1 month after the 5-day exposure, respectively. The MWCNTs were generated by a newly designed generation system, and the MWCNT concentrations in the exposure chambers monitored in accordance with National Institute for Occupational Safety and Health (NIOSH) 0500 using a membrane filter. The MWCNTs were also sampled for an elemental carbon concentration analysis using a glass filter. The animals exhibited no significant body weight changes, abnormal clinical signs, or mortality during the experiment. A single-cell gel electrophoresis assay (Comet assay) was conducted to determine the DNA damage in lung cells obtained from the right lung. As a result, the Olive tail moments were 23.00±1.76, 30.39±1.96, 22.96±1.26, and 33.98±2.21 for the control, low-, middle-, and high-concentration groups, respectively, on day 0 postexposure. Meanwhile, 1 month postexposure, the Olive tail moments were 25.00±2.71, 28.39±3.55, 22.56±1.36, and 31.97±3.16 for the control, low-, middle-, and high-concentration groups, respectively. Thus, the MWCNTs caused a statistically significant increase in lung DNA damage at high concentration (0.94mg/m(3)) when compared with the negative control group on day 0 and 1 month postexposure.
Wang, Song; Yang, Wei; Zhang, Hui; Xu, Qian; Yan, Kun
2015-01-01
Objective. To investigate the value of contrast-enhanced ultrasound (CEUS) in transthoracic biopsy of peripheral lung and mediastinal lesions. Methods. Of 142 patients, 82 patients received CEUS before biopsy and were defined as CEUS group. The remaining 60 patients only underwent conventional ultrasound (US) before biopsy and were served as US group. The information of CEUS was used for selecting indication and instructing biopsy. The imaging features, number of punctures, diagnostic successful rate, and complication rate between the two groups were compared. Results. Necrosis was demonstrated in 43.9% of the lesions in CEUS group and in 6.7% of US group (P < 0.001). Detection rate of lesion hidden in pulmonary atelectasis in CEUS group was 13.4%, which was statistically higher than 1.7% of US group (P = 0.013). The diagnostic success rate was 96.3% for CEUS group and 80% for US group, respectively (P = 0.002). The average number of punctures was 2.5 ± 0.7 and 2.6 ± 0.6, respectively. There was no significant difference in complications between CEUS group and US group. Conclusions. CEUS could play an important role in selecting proper indication and improving diagnostic accuracy rate of lung biopsy. PMID:26090391
Vezzani, Antonella; Manca, Tullio; Brusasco, Claudia; Santori, Gregorio; Valentino, Massimo; Nicolini, Francesco; Molardi, Alberto; Gherli, Tiziano; Corradi, Francesco
2014-12-01
Chest auscultation and chest x-ray commonly are used to detect postoperative abnormalities and complications in patients admitted to intensive care after cardiac surgery. The aim of the study was to evaluate whether chest ultrasound represents an effective alternative to bedside chest x-ray to identify early postoperative abnormalities. Diagnostic accuracy of chest auscultation and chest ultrasound were compared in identifying individual abnormalities detected by chest x-ray, considered the reference method. Cardiac surgery intensive care unit. One hundred fifty-one consecutive adult patients undergoing cardiac surgery. All patients included were studied by chest auscultation, ultrasound, and x-ray upon admission to intensive care after cardiac surgery. Six lung pathologic changes and endotracheal tube malposition were found. There was a highly significant correlation between abnormalities detected by chest ultrasound and x-ray (k = 0.90), but a poor correlation between chest auscultation and x-ray abnormalities (k = 0.15). Chest auscultation may help identify endotracheal tube misplacement and tension pneumothorax but it may miss most major abnormalities. Chest ultrasound represents a valid alternative to chest x-ray to detect most postoperative abnormalities and misplacements. Copyright © 2014 Elsevier Inc. All rights reserved.
Ultrasound assessment of diaphragmatic function in patients with amyotrophic lateral sclerosis.
Fantini, Riccardo; Mandrioli, Jessica; Zona, Stefano; Antenora, Federico; Iattoni, Andrea; Monelli, Marco; Fini, Nicola; Tonelli, Roberto; Clini, Enrico; Marchioni, Alessandro
2016-07-01
Evaluation of diaphragm function in Amyotrophic Lateral Sclerosis (ALS) is critical in determining when to commence non-invasive mechanical ventilation (NIV). Currently, forced vital capacity (FVC) and sniff nasal inspiratory pressure (SNIP) are volitional measures for this evaluation, but require collaboration and are poorly specific. The primary aim of this study was to assess whether diaphragmatic thickness measured by ultrasound (US) correlates with lung function impairment in ALS patients. The secondary aim was then to compare US diaphragm thickness index (ΔTdi) with a new parameter (ΔTmax index). 41 patients with ALS and 30 healthy subjects were enrolled in the study. All subjects underwent spirometry, SNIP and diaphragm US evaluation, while arterial blood gases were measured in some patients only. US assessed diaphragm thickness (Tdi) at tidal volume (Vt) or total lung capacity (TLC), and their ratio (ΔTmax) were recorded. Changes (Δ) in Tdi indices during tidal volume (ΔTdiVt) and maximal inspiration (ΔTdiTLC) were also assessed. ΔTdiTLC (p <0.001) and ΔTmax (p = 0.007), but not ΔTdiVt, differed between patients and controls. Significant correlation (p < 0.05) was found between ΔTdiTLC, ΔTmax and FVC. The ROC curve analysis for comparison of individual testing showed better accuracy with Δtmax than with ΔtdiTLC for FVC (AUC 0.76 and 0.27) and SNIP (AUC 0.71 and 0.25). Diaphragm thickness assessed by ultrasound significantly correlates with global respiratory alterations in patients with ALS. ΔTmax represents a new US index of early diaphragmatic dysfunction, better related with the routinely performed lung function tests. © 2016 Asian Pacific Society of Respirology.
Xu, Dong-Ping; Zheng, Jie; Zhou, Yue; Li, Ya; Li, Sha; Li, Hua-Bin
2016-10-01
The Thelephora ganbajun mushroom has been found to be a potential rich source of natural antioxidants. In this study, an ultrasound-assisted extraction (UAE) technique together with GRAS (generally recognized as safe) solvents (ethanol and water) was used to maximize the extraction of antioxidants from Thelephora ganbajun . Five extraction parameters (ethanol concentration, solvent to solid ratio, extraction time, temperature and ultrasound power) were investigated by single-factor experiments, and then a central composite rotatable design was employed to study interaction of three key extraction parameters. The optimum conditions were as follows: 57.38% ethanol, 70.15 mL/g solvent to solid ratio, 10.58 min extraction time, 40 °C extraction temperature and 500 W ultrasound power. Under the optimum conditions, the antioxidant activity obtained was 346.98 ± 12.19 µmol Trolox/g DW, in accordance with the predicted value of 344.67 µmol Trolox/g DW. Comparison of UAE with conventional maceration and Soxhlet extraction, the UAE method showed stronger extract efficiency in a shorter extraction time. These results showed that UAE was an effective technique to extract antioxidants from Thelephora ganbajun . Furthermore, the extracts obtained under the optimized conditions exhibited antiproliferative activities toward human lung (A549), breast (MCF-7), liver (HepG2) and colon (HT-29) cancer cells, especially for liver and lung cancer cells. In addition, rutin, 2-hydrocinnamic acid and epicatechin were identified in the extract, which might contribute to antioxidant and antiproliferative activities.
Xu, Dong-Ping; Zheng, Jie; Zhou, Yue; Li, Ya; Li, Sha; Li, Hua-Bin
2016-01-01
The Thelephora ganbajun mushroom has been found to be a potential rich source of natural antioxidants. In this study, an ultrasound-assisted extraction (UAE) technique together with GRAS (generally recognized as safe) solvents (ethanol and water) was used to maximize the extraction of antioxidants from Thelephora ganbajun. Five extraction parameters (ethanol concentration, solvent to solid ratio, extraction time, temperature and ultrasound power) were investigated by single-factor experiments, and then a central composite rotatable design was employed to study interaction of three key extraction parameters. The optimum conditions were as follows: 57.38% ethanol, 70.15 mL/g solvent to solid ratio, 10.58 min extraction time, 40 °C extraction temperature and 500 W ultrasound power. Under the optimum conditions, the antioxidant activity obtained was 346.98 ± 12.19 µmol Trolox/g DW, in accordance with the predicted value of 344.67 µmol Trolox/g DW. Comparison of UAE with conventional maceration and Soxhlet extraction, the UAE method showed stronger extract efficiency in a shorter extraction time. These results showed that UAE was an effective technique to extract antioxidants from Thelephora ganbajun. Furthermore, the extracts obtained under the optimized conditions exhibited antiproliferative activities toward human lung (A549), breast (MCF-7), liver (HepG2) and colon (HT-29) cancer cells, especially for liver and lung cancer cells. In addition, rutin, 2-hydrocinnamic acid and epicatechin were identified in the extract, which might contribute to antioxidant and antiproliferative activities. PMID:27706082
Casadio, Chiara; Guarize, Juliana; Donghi, Stefano; Di Tonno, Clementina; Fumagalli, Caterina; Vacirca, Davide; Dell'Orto, Patrizia; De Marinis, Filippo; Spaggiari, Lorenzo; Viale, Giuseppe; Barberis, Massimo
2015-10-01
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure that has revolutionized the diagnosis and staging of lung cancer. The goal of the present study was to investigate the yield and applicability of molecular testing in the specimens obtained by EBUS-TBNA from patients with advanced non-small cell lung cancer (NSCLC), comparing the results with a series of patients who underwent diagnostic surgical procedures in the same institution. The study followed 306 consecutive patients with clinically diagnosed primary lung cancer who had the EBUS-TBNA procedure. EGFR and KRAS mutations were evaluated on cytologic specimens by Sanger sequencing and Cobas real-time polymerase chain reaction, whereas ALK rearrangement was tested by fluorescence in situ hybridization. The results were compared with those obtained from a series of 1,000 NSCLC surgical samples routinely analyzed. Molecular testing was possible in 96.9% of the samples obtained by EBUS-TBNA. EGFR (exons 18-21) mutations were found in 16.9%, KRAS mutation (exons 2-3) in 31.6%, and ALK rearrangement in 3.9% of the cases. In the surgical series, the mutations' distribution were 14.8%, 29.0%, and 3.4%, respectively. There were no statistical differences between the two series. Our study demonstrates that EBUS-TBNA can be effectively used not just for diagnosis but also for complete mutational testing. Copyright© by the American Society for Clinical Pathology.
Ohshimo, Shinichiro; Guzman, Josune; Costabel, Ulrich; Bonella, Francesco
2017-09-30
Granulomatous lung diseases are a heterogeneous group of disorders that have a wide spectrum of pathologies with variable clinical manifestations and outcomes. Precise clinical evaluation, laboratory testing, pulmonary function testing, radiological imaging including high-resolution computed tomography and often histopathological assessment contribute to make a confident diagnosis of granulomatous lung diseases. Differential diagnosis is challenging, and includes both infectious (mycobacteria and fungi) and noninfectious lung diseases (sarcoidosis, necrotising sarcoid granulomatosis, hypersensitivity pneumonitis, hot tub lung, berylliosis, granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis, rheumatoid nodules, talc granulomatosis, Langerhans cell histiocytosis and bronchocentric granulomatosis). Bronchoalveolar lavage, endobronchial ultrasound-guided transbronchial needle aspiration, transbronchial cryobiopsy, positron emission tomography and genetic evaluation are potential candidates to improve the diagnostic accuracy for granulomatous lung diseases. As granuloma alone is a nonspecific histopathological finding, the multidisciplinary approach is important for a confident diagnosis. Copyright ©ERS 2017.
Optimizing Tissue Sampling for the Diagnosis, Subtyping, and Molecular Analysis of Lung Cancer
Ofiara, Linda Marie; Navasakulpong, Asma; Beaudoin, Stephane; Gonzalez, Anne Valerie
2014-01-01
Lung cancer has entered the era of personalized therapy with histologic subclassification and the presence of molecular biomarkers becoming increasingly important in therapeutic algorithms. At the same time, biopsy specimens are becoming increasingly smaller as diagnostic algorithms seek to establish diagnosis and stage with the least invasive techniques. Here, we review techniques used in the diagnosis of lung cancer including bronchoscopy, ultrasound-guided bronchoscopy, transthoracic needle biopsy, and thoracoscopy. In addition to discussing indications and complications, we focus our discussion on diagnostic yields and the feasibility of testing for molecular biomarkers such as epidermal growth factor receptor and anaplastic lymphoma kinase, emphasizing the importance of a sufficient tumor biopsy. PMID:25295226
[CLINICAL AND EPIDEMIOLOGICAL PECULIARITIES OF CYSTIC ECHINOCOCCOSIS IN CHILDREN].
Melia, Kh; Kokaia, N; Manjgaladze, M; Kelbakiani-Kvinikhidze, T; Sulaberidze, G
2017-04-01
The postoperative period of cystic echinococcosis was studied in 13 children. Demographic, epidemiological, clinical diagnosis, treatment, number location, and development of cysts and serologic data were analyzed. Age of children at diagnosis range 5 to 17 years. All patients with cystic echinococcosis had abdominal cysts. The liver was the main organ involved in ten patients (76,9%) - they had cysts located in the liver, two patients (15,4%) had lung cyst, one patient had concomitant lung and liver cysts. Twelve patients had single cysts and one had more than one abdominal cysts. Surgical treatment was performed in 23,1% cases. Ultrasound studies (US) were performed during the monitoring period. Evaluation of cysts was assessed by monitoring US changes. Positive dynamics was revealed in all patients; relapse of the disease was not noticed. Proceeding from the fact that in all patients echoarchitectonics of the hepatic tissue was lumped with a non-uniform structure and uneven ultrasound distribution, it is assumed that these changes are indicative of the development of connective tissue in the liver.
Genotoxicity evaluation of carvacrol in rats using a combined micronucleus and comet assay.
Llana-Ruiz-Cabello, María; Maisanaba, Sara; Puerto, María; Prieto, Ana I; Pichardo, Silvia; Moyano, Rosario; González-Pérez, José A; Cameán, Ana M
2016-12-01
Genotoxic data of substances which could be incorporated into food packaging are required by the European Food Safety Authority. Due to its antioxidant and antibacterial properties carvacrol is one of these compounds. This work aims to study for the first time the in vivo genotoxic effects produced in rats orally exposed to 81, 256 or 810 mg cavacrol/kg body weight (bw) at 0, 24 and 45 h. A combination of the micronucleus assay (OECD 474) in bone marrow and the standard (OECD 489) and enzyme-modified comet assay was used to determine the genotoxicity on cells isolated from stomach and liver of exposed animals. In addition, a histopathological study was performed on the assayed tissues, and also in the lungs due to the volatility of carvacrol. Direct analytical pyrolysis was used to search for carvacrol in viscera and to ensure that the compound reaches stomach and liver cells. Results from MN-comet assay revealed that carvacrol (81-810 mg/kg bw) did not induce in vivo genotoxicity or oxidative DNA damage in any of the tissues investigated. Moreover, no histopathological changes were observed. Altogether, these results suggest lack of genotoxicity of carvacrol and therefore its good profile for its potential application as food preservative. Copyright © 2016 Elsevier Ltd. All rights reserved.
Matzenbacher, Cristina Araujo; Garcia, Ana Letícia Hilario; Dos Santos, Marcela Silva; Nicolau, Caroline Cardoso; Premoli, Suziane; Corrêa, Dione Silva; de Souza, Claudia Telles; Niekraszewicz, Liana; Dias, Johnny Ferraz; Delgado, Tânia Valéria; Kalkreuth, Wolfgang; Grivicich, Ivana; da Silva, Juliana
2017-02-15
Coal mining and combustion generating huge amounts of bottom and fly ash are major causes of environmental pollution and health hazards due to the release of polycyclic aromatic hydrocarbons (PAH) and heavy metals. The Candiota coalfield in Rio Grande do Sul, is one of the largest open-cast coal mines in Brazil. The aim of this study was to evaluate genotoxic and mutagenic effects of coal, bottom ash and fly ash samples from Candiota with the comet assay (alkaline and modified version) and micronucleus test using the lung fibroblast cell line (V79). Qualitative and quantitative analysis of PAH and inorganic elements was carried out by High Performance Liquid Chromatography (HPLC) and by Particle-Induced X-ray Emission (PIXE) techniques respectively. The samples demonstrated genotoxic and mutagenic effects. The comet assay modified using DNA-glicosilase formamidopirimidina (FPG) endonuclease showed damage related to oxidative stress mechanisms. The amount of PAHs was higher in fly ash followed by pulverized coal. The amount of inorganic elements was highest in fly ash, followed by bottom ash. It is concluded that the samples induce DNA damage by mechanisms that include oxidative stress, due to their complex composition, and that protective measures have to be taken regarding occupational and environmental hazards. Copyright © 2016 Elsevier B.V. All rights reserved.
Marabini, Laura; Ozgen, Senem; Turacchi, Silvia; Aminti, Stefania; Arnaboldi, Francesca; Lonati, Giovanni; Fermo, Paola; Corbella, Lorenza; Valli, Gianluigi; Bernardoni, Vera; Dell'Acqua, Manuela; Vecchi, Roberta; Becagli, Silvia; Caruso, Donatella; Corrado, Galli L; Marinovich, Marina
2017-08-01
In this paper, results on the potential toxicity of ultrafine particles (UFPs d<100nm) emitted by the combustion of logwood and pellet (hardwood and softwood) are reported. The data were collected during the TOBICUP (TOxicity of BIomass COmbustion generated Ultrafine Particles) project, carried out by a team composed of interdisciplinary research groups. The genotoxic evaluation was performed on A549 cells (human lung carcinomacells) using UFPs whose chemical composition was assessed by a suite of analytical techniques. Comet assay and γ-H2AX evaluation show a significant DNA damage after 24h treatment. The interpretation of the results is based on the correlation among toxicological results, chemical-physical properties of UFPs, and the type and efficiency conditions in residential pellet or logwood stoves. Copyright © 2017 Elsevier B.V. All rights reserved.
NASA Astrophysics Data System (ADS)
Stoyan, Ronald; Dunlop, Storm
2015-01-01
Foreword; Using this book; Part I. Introduction: Cometary beliefs and fears; Comets in art; Comets in literature and poetry; Comets in science; Cometary science today; Great comets in antiquity; Great comets of the Middle Ages; Part II. The 30 Greatest Comets of Modern Times: The Great Comet of 1471; Comet Halley 1531; The Great Comet of 1556; The Great Comet of 1577; Comet Halley, 1607; The Great Comet of 1618; The Great Comet of 1664; Comet Kirch, 1680; Comet Halley, 1682; The Great Comet of 1744; Comet Halley, 1759; Comet Messier, 1769; Comet Flaugergues, 1811; Comet Halley, 1835; The Great March Comet of 1843; Comet Donati, 1858; Comet Tebbutt, 1861; The Great September Comet of 1882; The Great January Comet of 1910; Comet Halley, 1910; Comet Arend-Roland, 1956; Comet Ikeya-Seki, 1965; Comet Bennett, 1970; Comet Kohoutek, 1973-4; Comet West, 1976; Comet Halley, 1986; Comet Shoemaker-Levy 9, 1994; Comet Hyakutake, 1996; Comet Hale-Bopp, 1997; Comet McNaught, 2007; Part III. Appendices; Table of comet data; Glossary; References; Photo credits; Index.
Ultrasound for the Anesthesiologists: Present and Future
Terkawi, Abdullah S.; Karakitsos, Dimitrios; Elbarbary, Mahmoud; Blaivas, Michael; Durieux, Marcel E.
2013-01-01
Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum. PMID:24348179
Cannabis-induced bullous lung disease leading to pneumothorax: Case report and literature review.
Mishra, Rashmi; Patel, Ravi; Khaja, Misbahuddin
2017-05-01
Marijuana use has been increasing in the United States among college students and young adults. Marijuana use has been associated with bullous lung disease which can lead to pneumothorax. There are other recreational drugs like methylphenidate, cocaine and heroin which have been associated with pneumothorax. We present a case of a 30-year-old man with spontaneous pneumothorax associated with marijuana use. The patient had no medical conditions and presented to the emergency room with chest pain. The physical examination revealed decreased breath sound on the right side of the chest. Bed side ultrasound of chest showed stratosphere sign, absent lung sliding; consistent with right-sided pneumothorax. The patient underwent placement of a chest tube. Computed tomography chest scans performed on day two also showed bullous lung disease in the right lung. Serial x-rays of the chest showed re-expansion of the lung. Despite the beneficial effects of Marijuana there are deleterious effects which are emphasized here. This case highlights the need for further studies to establish the relationship between marijuana use and lung diseases in the absence of nicotine use.
Point-of-care cardiac ultrasound techniques in the physical examination: better at the bedside.
Kimura, Bruce J
2017-07-01
The development of hand-carried, battery-powered ultrasound devices has created a new practice in ultrasound diagnostic imaging, called 'point-of-care' ultrasound (POCUS). Capitalising on device portability, POCUS is marked by brief and limited ultrasound imaging performed by the physician at the bedside to increase diagnostic accuracy and expediency. The natural evolution of POCUS techniques in general medicine, particularly with pocket-sized devices, may be in the development of a basic ultrasound examination similar to the use of the binaural stethoscope. This paper will specifically review how POCUS improves the limited sensitivity of the current practice of traditional cardiac physical examination by both cardiologists and non-cardiologists. Signs of left ventricular systolic dysfunction, left atrial enlargement, lung congestion and elevated central venous pressures are often missed by physical techniques but can be easily detected by POCUS and have prognostic and treatment implications. Creating a general set of repetitive imaging skills for these entities for application on all patients during routine examination will standardise and reduce heterogeneity in cardiac bedside ultrasound applications, simplify teaching curricula, enhance learning and recollection, and unify competency thresholds and practice. The addition of POCUS to standard physical examination techniques in cardiovascular medicine will result in an ultrasound-augmented cardiac physical examination that reaffirms the value of bedside diagnosis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Chen, Gangbin; Yang, Li; Zhong, Lintao; Kutty, Shelby; Wang, Yuegang; Cui, Kai; Xiu, Jiancheng; Cao, Shiping; Huang, Qiaobing; Liao, Wangjun; Liao, Yulin; Wu, Juefei; Zhang, Wenzhu; Bin, Jianping
2016-01-01
Hydrogen sulfide (H2S) is an attractive agent for myocardial ischemia-reperfusion injury, however, systemic delivery of H2S may cause unwanted side effects. Ultrasound targeted microbubble destruction has become a promising tool for organ specific delivery of bioactive substance. We hypothesized that delivery of H2S by ultrasound targeted microbubble destruction attenuates myocardial ischemia-reperfusion injury and could avoid unwanted side effects. We prepared microbubbles carrying hydrogen sulfide (hs-MB) with different H2S/C3F8 ratios (4/0, 3/1, 2/2, 1/3, 0/4) and determined the optimal ratio. Release of H2S triggered by ultrasound was investigated. The cardioprotective effect of ultrasound targeted hs-MB destruction was investigated in a rodent model of myocardial ischemia-reperfusion injury. The H2S/C3F8 ratio of 2/2 was found to be an optimal ratio to prepare stable hs-MB with higher H2S loading capability. Ultrasound targeted hs-MB destruction triggered H2S release and increased the concentration of H2S in the myocardium and lung. Ultrasound targeted hs-MB destruction limited myocardial infarct size, preserved left ventricular function and had no influence on haemodynamics and respiratory. This cardioprotective effect was associated with alleviation of apoptosis and oxidative stress. Delivery of H2S to the myocardium by ultrasound targeted hs-MB destruction attenuates myocardial ischemia-reperfusion injury and may avoid unwanted side effects. PMID:27469291
Point-of-Care Ultrasound for Pulmonary Concerns in Remote Spaceflight Triage Environments.
Johansen, Benjamin D; Blue, Rebecca S; Castleberry, Tarah L; Antonsen, Erik L; Vanderploeg, James M
2018-02-01
With the development of the commercial space industry, growing numbers of spaceflight participants will engage in activities with a risk for pulmonary injuries, including pneumothorax, ebullism, and decompression sickness, as well as other concomitant trauma. Medical triage capabilities for mishaps involving pulmonary conditions have not been systematically reviewed. Recent studies have advocated the use of point-of-care ultrasound to screen for lung injury or illness. The operational utility of portable ultrasound systems in disaster relief and other austere settings may be relevant to commercial spaceflight. A systematic review of published literature was conducted concerning the use of point-of-care pulmonary ultrasound techniques in austere environments, including suggested examination protocols for triage and diagnosis. Recent studies support the utility of pulmonary ultrasound examinations when performed by skilled operators, and comparability of the results to computed tomography and chest radiography for certain conditions, with important implications for trauma management in austere environments. Pulmonary injury and illness are among the potential health risks facing spaceflight participants. Implementation of point-of-care ultrasound protocols could aid in the rapid diagnosis, triage, and treatment of such conditions. Though operator-dependent, ultrasound, with proper training, experience, and equipment, could be a valuable tool in the hands of a first responder supporting remote spaceflight operations.Johansen BD, Blue RS, Castleberry TL, Antonsen EL, Vanderploeg JM. Point-of-care ultrasound for pulmonary concerns in remote spaceflight triage environments. Aerosp Med Hum Perform. 2018; 89(2):122-129.
Ultrasound image guidance of cardiac interventions
NASA Astrophysics Data System (ADS)
Peters, Terry M.; Pace, Danielle F.; Lang, Pencilla; Guiraudon, Gérard M.; Jones, Douglas L.; Linte, Cristian A.
2011-03-01
Surgical procedures often have the unfortunate side-effect of causing the patient significant trauma while accessing the target site. Indeed, in some cases the trauma inflicted on the patient during access to the target greatly exceeds that caused by performing the therapy. Heart disease has traditionally been treated surgically using open chest techniques with the patient being placed "on pump" - i.e. their circulation being maintained by a cardio-pulmonary bypass or "heart-lung" machine. Recently, techniques have been developed for performing minimally invasive interventions on the heart, obviating the formerly invasive procedures. These new approaches rely on pre-operative images, combined with real-time images acquired during the procedure. Our approach is to register intra-operative images to the patient, and use a navigation system that combines intra-operative ultrasound with virtual models of instrumentation that has been introduced into the chamber through the heart wall. This paper illustrates the problems associated with traditional ultrasound guidance, and reviews the state of the art in real-time 3D cardiac ultrasound technology. In addition, it discusses the implementation of an image-guided intervention platform that integrates real-time ultrasound with a virtual reality environment, bringing together the pre-operative anatomy derived from MRI or CT, representations of tracked instrumentation inside the heart chamber, and the intra-operatively acquired ultrasound images.
4-Methoxyestradiol-induced oxidative injuries in human lung epithelial cells
DOE Office of Scientific and Technical Information (OSTI.GOV)
Cheng Yahsin; Chang, Louis W.; Cheng Lichuan
2007-05-01
Epidemiological studies indicated that people exposed to dioxins were prone to the development of lung diseases including lung cancer. Animal studies demonstrated that 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) increased liver tumors and promoted lung metaplasia in females. Metabolic changes in 17{beta}-estradiol (E{sub 2}) resulted from an interaction between TCDD and E{sub 2} could be associated with gender difference. Previously, we reported that methoxylestradiols (MeOE{sub 2}), especially 4-MeOE{sub 2}, accumulated in human lung cells (BEAS-2B) co-treated with TCDD and E{sub 2}. In the present study, we demonstrate unique accumulation of 4-MeOE{sub 2}, as a result of TCDD/E{sub 2} interaction and revealed its bioactivity inmore » human lung epithelial cell line (H1355). 4-Methoxyestradiol treatment significantly decreased cell growth and increased mitotic index. Elevation of ROS and SOD activity, with a concomitant decrease in the intracellular GSH/GSSG ratio, was also detected in 4-MeOE{sub 2}-treated cells. Quantitative comet assay showed increased oxidative DNA damage in the 4-MeOE{sub 2}-treated H1355 cells, which could be significantly reduced by the anti-oxidant N-acetylcysteine (NAC). However, inhibition of cell growth and increase in mitotic arrest induced by 4-MeOE{sub 2} were unaffected by NAC. We concluded that 4-MeOE{sub 2} accumulation resulting from TCDD and E{sub 2} interaction would contribute to the higher vulnerability on lung pathogenesis in females when exposed to TCDD.« less
Goel, Dimple; Gupta, Pankaj; Cooper, Stephen; Klimek, Jan
2018-06-05
Cardiorespiratory physiology plays an important role in neonatal care with increasing utility of point of care ultrasound. This review is to bring to light the importance of systemic to pulmonary collaterals (SPCs) in the preterm population without congenital heart disease (CHD) and provide a useful diagnostic tool to the neonatologist performing a cardiac ultrasound. Medline, PubMed, EMBASE, and the internet were searched up to November 2017 for papers in English which included SPCs in preterm infants without CHD. This comprised title, abstract and full-text screening of relevant data. A total of 10 studies which included case reports, retrospective observational studies, and one small prospective cohort study were identified and analysed in detail. The studies had varying focus such as variable incidence, clinical presentation, association with chronic lung disease, pathophysiology and clinical importance of SPCs. SPCs were overall thought to be prevalent, underdiagnosed and of clinical significance in preterm infants. SPCs are a potential left to right shunt in preterm infants and may contribute to worsening chronic lung disease (CLD) or heart failure. They should be carefully looked for when performing bedside cardiac ultrasound as the findings can mimic those seen in patent ductus arteriosus (PDA). This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
Chlorella vulgaris Induces Apoptosis of Human Non-Small Cell Lung Carcinoma (NSCLC) Cells.
Zhang, Zhi-Dong; Liang, Kai; Li, Kun; Wang, Guo-Quan; Zhang, Ke-Wei; Cai, Lei; Zhai, Shui-Ting; Chou, Kuo-Chen
2017-01-01
Chlorella vulgaris (C. vulgaris), a unicellular green microalga, has been widely used as a food supplement and reported to have antioxidant and anticancer properties. The current study was designed to assess the cytotoxic, apoptotic, and DNA-damaging effects of C. vulgaris growth factor (CGF), hot water C. vulgaris extracts, inlung tumor A549 and NCI-H460 cell lines. A549 cells, NCI-H460 cells, and normal human fibroblasts were treated with CGF at various concentrations (0-300 μg/ml) for 24 hr. The comet assay and γH2AX assay showed DNA damage in A549 and NCI-H460 cells upon CGF exposure. Evaluation of apoptosis by the TUNEL assay and DNA fragmentation analysis by agarose gel electrophoresis showed that CGF induced apoptosis in A549 and NCI-H460 cells. Chlorella vulgaris hot water extract induced apoptosis and DNA damage in human lung carcinoma cells. CGF can thus be considered a potential cytotoxic or genotoxic drug for treatment of lung carcinoma. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
Ramsingh, Davinder; Frank, Ethan; Haughton, Robert; Schilling, John; Gimenez, Kimberly M; Banh, Esther; Rinehart, Joseph; Cannesson, Maxime
2016-05-01
Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with the accuracy of auscultation. Forty-two adult patients requiring general anesthesia with ETT were consented. Patients were randomized to right main bronchus, left main bronchus, or tracheal intubation. After randomization, the ETT was placed via fiber-optic visualization. Next, the location of the ETT was assessed using auscultation by a separate blinded anesthesiologist, followed by an ultrasound performed by a third blinded anesthesiologist. Ultrasound examination included assessment of tracheal dilation via cuff inflation with air and evaluation of pleural lung sliding. Statistical analysis included sensitivity, specificity, positive predictive value, negative predictive value, and interobserver agreement for the ultrasound examination (95% CI). In differentiating tracheal versus bronchial intubations, auscultation showed a sensitivity of 66% (0.39 to 0.87) and a specificity of 59% (0.39 to 0.77), whereas ultrasound showed a sensitivity of 93% (0.66 to 0.99) and specificity of 96% (0.79 to 1). Identification of tracheal versus bronchial intubation was 62% (26 of 42) in the auscultation group and 95% (40 of 42) in the ultrasound group (P = 0.0005) (CI for difference, 0.15 to 0.52), and the McNemar comparison showed statistically significant improvement with ultrasound (P < 0.0001). Interobserver agreement of ultrasound findings was 100%. Assessment of trachea and pleura via point-of-care ultrasound is superior to auscultation in determining the location of ETT.
Lee, Kyungjong; Um, Sang-Won; Jeong, Byeong-Ho; Yang, Jung Wook; Choi, Yoon-La; Han, Joungho; Kim, Hojoong; Kwon, O Jung
2016-01-01
Objective A mutational analysis of tumor tissue samples is an important part of advanced lung cancer treatment strategies. This study evaluated the efficacy of a triple gene analysis using samples obtained via endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Methods Either metastatic lymph nodes or primary lung mass samples obtained by EBUS-TBNA were collected between May 2011 and May 2013. We consecutively analyzed epidermal growth factor receptor (EGFR), V-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog (KRAS), and anaplastic lymphoma kinase (ALK) fusion genes using remnant tissue samples. Results A total of 109 patients were diagnosed with non-small cell lung cancer (NSCLC). Of these, 70% were adenocarcinoma, 27% squamous cell carcinoma with NSCLC, and 3% were related to other types of lung cancer. EGFR mutations were detected in 23 cases (21.1%), KRAS mutations in 13 cases (11.9%), and ALK fusion genes in 5 cases (4.9%). The ALK fusion genes could not be analyzed in four cases because of insufficient tissue samples remaining after routine histochemistry and an EGFR/KRAS mutation analysis. We found that small biopsy samples from EBUS-TBNA were adequate for performing a triple gene analysis in 97 patients (96%). ALK fusion protein immunohistochemistry (IHC) was 100% consistent with fluorescence in situ hybridization (FISH). Conclusion Small samples obtained by EBUS-TBNA were found to be sufficient for performing a triple gene analysis following routine histology and IHC. ALK IHC showed a very good concordance with FISH for detecting ALK fusion genes. PMID:27803402
Hemostasis and sealing of air leaks in the lung using high-intensity focused ultrasound.
Vaezy, Shahram; Zderic, Vesna; Karmy-Jones, Riyad; Jurkovich, Gregory J; Cornejo, Carol; Martin, Roy W
2007-06-01
Operative management of parenchymal lung injury can be complicated by persistent hemorrhage and air leak, which might require resection. Techniques that preserve parenchyma are associated with improved survival. High-intensity focused ultrasound (HIFU) has been demonstrated as a useful method for hemostasis in experimental solid organ injuries. We wished to investigate whether this could be applied to lung injuries. An intraoperative HIFU device (frequency of 5.7 MHz, acoustic power of 65 W), equipped with a titanium coupler, was used. Incisions (average length of 2.5 cm, and depth of 5 mm) were made in the lungs of 11 pigs, which created both parenchymal hemorrhage and air leakage. In treatment experiments, 70 incisions were sealed with HIFU. The HIFU application started within 10 seconds of inducing the injury. Hemostasis was assessed by visual observation of sealed incisions. The possible air leakage was determined by submersing the sealed incision under the layer of water and observing for air bubble formation. In control experiments, five incisions were left untreated to monitor air leaks and bleeding for 2 minutes. Hemostasis and pneumostasis (sealing of air leaks) of the treated incisions were achieved in 51 +/- 37 seconds (mean +/- SD) (range of 10-210 seconds) of HIFU application time. Over 95% of incisions were hemostatic within 2 minutes of HIFU application. The treatment time was not dependent on the incision length or depth. In control experiments, the air leaking and bleeding were still present at 2 minutes after the injury. Intraoperative HIFU might provide an effective method of hemostasis and control of air leaks from lacerations caused by trauma.
Harley, Daniel P; Krimsky, William S; Sarkar, Saiyad; Highfield, David; Aygun, Cengis; Gurses, Burak
2010-02-01
Stereotactic radiosurgery is being increasingly used to treat patients with early-stage non-small cell lung cancers (NSCLC) who are not candidates for surgical resection. Stereotactic radiosurgery usually needs fiducial markers (FMs) for the tracking process. FMs have generally been placed using percutaneous computed axial tomography scan guidance. We report the results of FM placement using endobronchial ultrasound (EBUS) in 43 patients. A multidisciplinary tumor board evaluates NSCLC patients before they are offered stereotactic radiosurgery. In patients selected for stereotactic radiosurgery, FMs were inserted into peripheral, central, and mediastinal tumors using EBUS and, in selected patients, navigational bronchoscopy. Patients underwent repeat computed axial tomography chest scans 2 weeks later to ensure stability of the FMs before beginning stereotactic radiosurgery. Included were 43 consecutive patients (21 men, 22 women; mean age, 74.4 years). Forty-two (98%) had NSC carcinomas (5 recurrences); 1 had a carcinoid tumor. Twenty-two tumors were located in the left lung, 19 in the right lung, 1 at the carina, and 1 pretracheal. Two to 5 FMs were placed in and around all tumor masses using EBUS and, for peripheral lesions, EBUS combined with navigational bronchoscopy. Thirty patients had no displacement of FMs. In the 13 who had displaced 1 or more FMs, the ability to use the remaining FMs for stereotactic radiosurgery was unimpaired. EBUS and navigational bronchoscopy are safe and effective methods to position FMs for preparing patients with both central and peripheral lung cancers for stereotactic radiosurgery. 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Kido, Ryoko; Sato, Itaru; Tsuda, Shuji
2006-01-01
Ethanol is principal ingredient of alcohol beverage, but considered as human carcinogen, and has neurotoxicity. Alcohol consumption during pregnancy often causes fetal alcohol syndrome. The DNA damage is one of the important factors in carcinogenicity or teratogenicity. To detect the DNA damage induced by ethanol, we used an in vivo alkaline single cell gel electrophoresis (Comet) assay in pregnant mice organs and embryos. Pregnant ICR mice on Day 7 of gestation were treated with 2, 4 or 8 g/kg ethanol, and maternal organs/tissues and embryos were subjected to the Comet assay at 4, 8, 12 and 24 hr after ethanol treatment. Four and 8 g/kg ethanol induced DNA damage in brain, lung and embryos at 4 or 8 hr after the treatment. Two g/kg ethanol did not cause any DNA damage, and 8 g/kg ethanol only increased the duration of DNA damage without distinct increase in the degree of the damage. No significant DNA damage was observed in the liver. To detect the effect of acetaldehyde, disulfiram, acetaldehyde dehydrogenase inhibitor, was administered before 4 g/kg ethanol treatment. No significant increase of DNA damage was observed in the disulfiram pre-treated group. These data indicate that ethanol induces DNA damage, which might be related to ethanol toxicity. Since pre-treatment of disulfiram did not increase DNA damage, DNA damage observed in this study might not be the effect of acetaldehyde.
David Levy's Guide to Observing and Discovering Comets
NASA Astrophysics Data System (ADS)
Levy, David H.
2003-05-01
Preface; Part I. Why Observe Comets?: 1. Of history, superstition, magic, and science; 2. Comet science progresses; Part II. Discovering Comets: 3. Comet searching begins; 4. Tails and trails; 5. Comet searching in the twentieth century; 6. How I search for comets; 7. Searching for comets photographically; 8. Searching for comets with CCDs; 9. Comet hunting by reading; 10. Hunting for sungrazers over the Internet; 11. What to do when you think you've found a comet; Part III. A New Way of Looking at Comets: 12. When comets hit planets; 13. The future of visual comet hunting; Part IV. How to Observe Comets: 14. An introduction to comet hunting; 15. Visual observing of comets; 16. Estimating the magnitude of a comet; 17. Taking a picture of a comet; 18. Measuring where a comet is in the sky; Part V. Closing Notes: 19. My passion for comets.
Fernández-Bussy, Sebastián; Labarca, Gonzalo; Canals, Sofia; Caviedes, Iván; Folch, Erik; Majid, Adnan
2015-01-01
OBJECTIVE: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic test with a high diagnostic yield for suspicious central pulmonary lesions and for mediastinal lymph node staging. The main objective of this study was to describe the diagnostic yield of EBUS-TBNA for mediastinal lymph node staging in patients with suspected lung cancer. METHODS: Prospective study of patients undergoing EBUS-TBNA for diagnosis. Patients ≥ 18 years of age were recruited between July of 2010 and August of 2013. We recorded demographic variables, radiological characteristics provided by axial CT of the chest, location of the lesion in the mediastinum as per the International Association for the Study of Lung Cancer classification, and definitive diagnostic result (EBUS with a diagnostic biopsy or a definitive diagnostic method). RESULTS: Our analysis included 354 biopsies, from 145 patients. Of those 145 patients, 54.48% were male. The mean age was 63.75 years. The mean lymph node size was 15.03 mm, and 90 lymph nodes were smaller than 10.0 mm. The EBUS-TBNA method showed a sensitivity of 91.17%, a specificity of 100.0%, and a negative predictive value of 92.9%. The most common histological diagnosis was adenocarcinoma. CONCLUSIONS: EBUS-TBNA is a diagnostic tool that yields satisfactory results in the staging of neoplastic mediastinal lesions. PMID:26176519
[Splenic hydatid cyst. Case report of a pregnant woman].
Menéndez-Arzac, Rodrigo; Sanjuán, Alberto; Rebolledo, Gustavo; Márquez, Juan Carlos; Recinos, Elio Germán; Cue, Araceli; Blas, Carolina; Flisser, Ana
2002-01-01
Hydatid disease is caused by larvae of the platyhelminth parasite called Echinococcus; it generally lodges in liver and lung, and less commonly in spleen. In Mexico, hydatid disease has a very low frequency; only few cases of lung disease have been reported. In this paper, case of a 7 weeks pregnant female patient with a simple cyst in spleen identified by ultrasound and tomography is reported. The patient underwent splenectomy. Diagnosis of hydatid cyst was confirmed by histopathology. This case suggests that hydatid disease should be considered as differential diagnosis in every patient with a cystic mass of the spleen.
Image-guided endobronchial ultrasound
NASA Astrophysics Data System (ADS)
Higgins, William E.; Zang, Xiaonan; Cheirsilp, Ronnarit; Byrnes, Patrick; Kuhlengel, Trevor; Bascom, Rebecca; Toth, Jennifer
2016-03-01
Endobronchial ultrasound (EBUS) is now recommended as a standard procedure for in vivo verification of extraluminal diagnostic sites during cancer-staging bronchoscopy. Yet, physicians vary considerably in their skills at using EBUS effectively. Regarding existing bronchoscopy guidance systems, studies have shown their effectiveness in the lung-cancer management process. With such a system, a patient's X-ray computed tomography (CT) scan is used to plan a procedure to regions of interest (ROIs). This plan is then used during follow-on guided bronchoscopy. Recent clinical guidelines for lung cancer, however, also dictate using positron emission tomography (PET) imaging for identifying suspicious ROIs and aiding in the cancer-staging process. While researchers have attempted to use guided bronchoscopy systems in tandem with PET imaging and EBUS, no true EBUS-centric guidance system exists. We now propose a full multimodal image-based methodology for guiding EBUS. The complete methodology involves two components: 1) a procedure planning protocol that gives bronchoscope movements appropriate for live EBUS positioning; and 2) a guidance strategy and associated system graphical user interface (GUI) designed for image-guided EBUS. We present results demonstrating the operation of the system.
In vitro and in vivo genotoxicity investigations of differently sized amorphous SiO2 nanomaterials.
Maser, Elena; Schulz, Markus; Sauer, Ursula G; Wiemann, Martin; Ma-Hock, Lan; Wohlleben, Wendel; Hartwig, Andrea; Landsiedel, Robert
2015-12-01
In vitro and in vivo genotoxic effects of differently sized amorphous SiO2 nanomaterials were investigated. In the alkaline Comet assay (with V79 cells), non-cytotoxic concentrations of 300 and 100-300μg/mL 15nm-SiO2 and 55nm-SiO2, respectively, relevant (at least 2-fold relative to the negative control) DNA damage. In the Alkaline unwinding assay (with V79 cells), only 15nm-SiO2 significantly increased DNA strand breaks (and only at 100μg/mL), whereas neither nanomaterial (up to 300μg/mL) increased Fpg (Formamidopyrimidine DNA glycosylase)-sensitive sites reflecting oxidative DNA base modifications. In the Comet assay using rat precision-cut lung slices, 15nm-SiO2 and 55nm-SiO2 induced significant DNA damage at ≥100μg/mL. In the Alkaline unwinding assay (with A549 cells), 30nm-SiO2 and 55nm-SiO2 (with larger primary particle size (PPS)) induced significant increases in DNA strand breaks at ≥50μg/mL, whereas 9nm-SiO2 and 15nm-SiO2 (with smaller PPS) induced significant DNA damage at higher concentrations. These two amorphous SiO2 also increased Fpg-sensitive sites (significant at 100μg/mL). In vivo, within 3 days after single intratracheal instillation of 360μg, neither 15nm-SiO2 nor 55nm-SiO2 caused genotoxic effects in the rat lung or in the bone marrow. However, pulmonary inflammation was observed in both test groups with findings being more pronounced upon treatment with 15nm-SiO2 than with 55nm-SiO2. Taken together, the study shows that colloidal amorphous SiO2 with different particle sizes may induce genotoxic effects in lung cells in vitro at comparatively high concentrations. However, the same materials elicited no genotoxic effects in the rat lung even though pronounced pulmonary inflammation evolved. This may be explained by the fact that a considerably lower dose reached the target cells in vivo than in vitro. Additionally, the different time points of investigation may provide more time for DNA damage repair after instillation. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.
Takizawa, Masaomi; Miyashita, Toyohisa; Murase, Sumio; Kanda, Hirohito; Karaki, Yoshiaki; Yagi, Kazuo; Ohue, Toru
2003-01-01
A real-time telescreening system is developed to detect early diseases for rural area residents using two types of mobile vans with a portable satellite station. The system consists of a satellite communication system with 1.5Mbps of the JCSAT-1B satellite, a spiral CT van, an ultrasound imaging van with two video conference system, a DICOM server and a multicast communication unit. The video image and examination image data are transmitted from the van to hospitals and the university simultaneously. Physician in the hospital observes and interprets exam images from the van and watches the video images of the position of ultrasound transducer on screenee in the van. After the observation images, physician explains a results of the examination by the video conference system. Seventy lung CT screening and 203 ultrasound screening were done from March to June 2002. The trial of this real time screening suggested that rural residents are given better healthcare without visit to the hospital. And it will open the gateway to reduce the medical cost and medical divide between city area and rural area.
Magnusson, Pål; Oczkowski, Michał; Øvrevik, Johan; Gajewska, Malgorzata; Wilczak, Jacek; Biedrzycki, Jacek; Dziendzikowska, Katarzyna; Kamola, Dariusz; Królikowski, Tomasz; Kruszewski, Marcin; Lankoff, Anna; Mruk, Remigiusz; Brunborg, Gunnar; Instanes, Christine; Gromadzka-Ostrowska, Joanna; Myhre, Oddvar
2017-04-01
Increased use of biofuels raises concerns about health effects of new emissions. We analyzed relative lung health effects, on Fisher 344 rats, of diesel engine exhausts emissions (DEE) from a Euro 5-classified diesel engine running on petrodiesel fuel containing 20% rapeseed methyl esters (B20) with and without diesel particulate filter (DPF). One group of animals was exposed to DEE for 7 days (6 h/day), and another group for 28 days (6 h/day, 5 days/week), both with and without DPF. The animals (n = 7/treatment) were exposed in whole body exposure chambers. Animals breathing clean air were used as controls. Genotoxic effects of the lungs by the Comet assay, histological examination of lung tissue, bronchoalveolar lavage fluid (BALF) markers of pulmonary injury, and mRNA markers of inflammation and oxidative stress were analyzed. Our results showed that a minor number of genes related to inflammation were slightly differently expressed in the exposed animals compared to control. Histological analysis also revealed only minor effects on inflammatory tissue markers in the lungs, and this was supported by flow cytometry and ELISA analysis of cytokines in BALF. No exposure-related indications of genotoxicity were observed. Overall, exposure to DEE with or without DPF technology produced no adverse effects in the endpoints analyzed in the rat lung tissue or the BALF. Overall, exposure to DEE from a modern Euro 5 light vehicle engine run on B20 fuel with or without DPF technology produced no adverse effects in the endpoints analyzed in the rat lung tissue or the BALF.
Emergency thoracic ultrasound and clinical risk management
Interrigi, Maria Concetta; Trovato, Francesca M; Catalano, Daniela; Trovato, Guglielmo M
2017-01-01
Purpose Thoracic ultrasound (TUS) has been proposed as an easy-option replacement for chest X-ray (CXR) in emergency diagnosis of pneumonia, pleural effusion, and pneumothorax. We investigated CXR unforeseen diagnosis, subsequently investigated by TUS, considering its usefulness in clinical risk assessment and management and also assessing the sustainability of telementoring. Patients and methods This observational report includes a period of 6 months with proactive concurrent adjunctive TUS diagnosis telementoring, which was done using freely available smartphone applications for transfer of images and movies. Results Three hundred and seventy emergency TUS scans (excluding trauma patients) were performed and telementored. In 310 cases, no significant chest pathology was detected either by CXR, TUS, or the subsequent work-up; in 24 patients, there was full concordance between TUS and CXR (ten isolated pleural effusion; eleven pleural effusion with lung consolidations; and three lung consolidation without pleural effusion); in ten patients with lung consolidations, abnormalities identified by CXR were not detected by TUS. In 26 patients, only TUS diagnosis criteria of disease were present: in 19 patients, CXR was not diagnostic, ie, substantially negative, but TUS detected these conditions correctly, and these were later confirmed by computed tomography (CT). In seven patients, even if chest disease was identified by CXR, such diagnoses were significantly modified by ultrasound, and CT confirmed that TUS was more appropriate. The overall respective individual performances of CXR and TUS for the diagnosis of a pleural–pulmonary disease in emergency are good, with accuracy >95%. Conclusion About 20% of pneumonia cases were detectable only by CXR and 20% only by TUS and not by CXR; ie, about 40% of patients may have been misdiagnosed if, by chance, only one of the two tools had been used. The concurrent use of TUS and CXR increases the overall sensitivity and specificity. The contribution of expert telementoring and final reappraisal is a valuable and sustainable element for emergency physicians’ training and performance, contributing reasonably to mitigation of clinical risks. PMID:28223817
Point of Care Ultrasound Diagnosis of Empyema.
Nelson, Mathew; Stankard, Brendon; Greco, Jeffrey; Okumura, Yoshito
2016-08-01
Emergency ultrasonography is an efficient and cost effective tool for patients who are in respiratory distress. Chest radiographs can yield limited information for these patients. Computed tomography scans have long been the criterion standard for advanced imaging in patients with respiratory complaints, but point of care ultrasound (POCUS) can be performed at bedside, does not expose the patient to radiation, and at times may provide more information than a computed tomography scan. A 60-year-old man with a medical history of hypertension presented to the emergency department complaining of a productive cough associated with fever, weakness, and progressively worsening dyspnea on exertion over the previous 1 to 2 weeks. The physical examination was remarkable for rhonchi in the right upper lobe and diminished breath sounds throughout the right lung. POCUS was performed, and the results revealed severe atelectasis and hepatization of the right lung parenchyma with visualized air bronchograms. Complex hypoechoic material with a posterior spine sign was noted, which increased concern for complex consolidation and effusion. The diagnosis of pneumonia with empyema was made. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: POCUS has become a much more commonly used imaging modality within many emergency departments. Ultrasound is more sensitive than chest radiographs for identifying pathologies such as pneumothorax and simple effusions. This case shows how well POCUS can diagnose empyema even in the setting of diagnostic uncertainty of computed tomographic imaging. Copyright © 2016 Elsevier Inc. All rights reserved.
Sources of Variability in the Detection of B-Lines, Using Lung Ultrasound.
Pivetta, Emanuele; Baldassa, Federico; Masellis, Serena; Bovaro, Federica; Lupia, Enrico; Maule, Milena M
2018-06-01
Lung ultrasound (LUS) is a largely employed diagnostic tool but an operational protocol for implementation has never been proposed. The lack of standardization clearly introduces variability in LUS results. We enrolled adult patients presenting for acute dyspnea with a clinical suspect of etiology related to heart failure. We calculated agreement among four providers in assessing B-lines. We varied probes, depth, evaluation time and scanning areas and we estimated the importance of each factors on B-lines assessment. Overall agreement among raters varied from a kappa of 0.70 to 0.81. The mean number of B-lines was 5.44 (95% confidence interval, CI, 4.1-6.8). This estimate did not suffer variation by the depth used (0.03, 95% CI -0.2-0.2, more B-lines, using 19 cm versus 10 cm). The use of a convex probe and expertise in LUS reduced the number of artifacts by 1.7 (95% CI 1.5-1.9) and 1.1 in comparison with a phased array probe and naive operators. Evaluation time increased estimates by 1.2 (95% CI 1-1.5) and 2.9 (95% CI 2.7-3.9) B-lines for 4" and 7" clips (reference was 2" clips). This study suggests that the probe, the evaluation time and the level of expertise might affect the results of quantitative assessment of B-lines. Copyright © 2018 World Federation for Ultrasound in Medicine and Biology. Published by Elsevier Inc. All rights reserved.
Bronchoscopy in the investigation of outpatients with hemoptysis at a lung cancer clinic.
Arooj, Parniya; Bredin, Emily; Henry, Michael T; Khan, Kashif A; Plant, Barry J; Murphy, Desmond M; Kennedy, Marcus P
2018-06-01
In the investigation of lung cancer, current practice in many healthcare systems would support bronchoscopy regardless of CT findings in patients with hemoptysis. We sought to identify the cause, the diagnostic yield of CT and bronchoscopy and the requirement for bronchoscopy in at risk patients with hemoptysis with a normal CT scan through our rapid access lung cancer clinic (RALC). Initially, a chart review was performed on all patients with hemoptysis (2011-2012) and thereafter a prospective analysis was performed (2013-2016). Our analysis represents the largest study to date in outpatients with hemoptysis. In our retrospective study, 155 patients reported hemoptysis. Causes were lower respiratory tract infections (RTIs) (47%) and lung cancer (16%). Our prospective study included 182 patients. The causes of hemoptysis were RTIs (50%) and lung cancer (18%). There were no false negative CT-scans for lung cancer. 47/57 present with lung cancer underwent bronchoscopy and 43/47 were positive for lung cancer (92%). Patients with hemoptysis and lung cancer have a higher stage of malignancy with a predominance of squamous cell lung carcinoma. Smoking status, the duration of hemoptysis or description of hemoptysis were not predictive of lung cancer however lung cancer was not identified in patients age <50. One sixth of patients presenting with hemoptysis to our lung cancer clinic had lung cancer. No patient identified with cancer related haemoptysis had a CT negative for lung cancer and a combination of bronchoscopy plus endobronchial ultrasound trans-bronchial needle aspiration (EBUS-TBNA) in those patients with a CT suspicious of lung cancer is 92% sensitive for lung cancer causing hemoptysis. Copyright © 2018 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Eicher, David J.; Levy, David H.
2013-11-01
Foreword David H. Levy; Preface; Acknowledgments; 1. Strange lights in the sky; 2. Great comets of the past; 3. What are comets?; 4. Comets of the modern era; 5. Comets in human culture; 6. Where comets live; 7. The expanding science of comets; 8. Observing comets; 9. Imaging comets; Glossary; Bibliography; Index.
Ultrasound as a monitoring tool for cystic echinococcosis in sheep.
Dore, F; Varcasia, A; Pipia, A P; Sanna, G; Pinna Parpaglia, M L; Corda, A; Romig, T; Scala, A
2014-06-16
An ultrasound-based survey for cystic echinococcosis (CE) in sheep was carried out in Sardinia in 2012. The study was done on three farms (A, B, C) which had been pre-selected for different CE prevalence levels (A: >80%, B: 50-80%, C: <50%). In total, 129 sheep were examined on the farms using portable ultrasound equipment (A: n=51, B: n=30, C: n=48). Within a period of 20 days after ultrasound examination, all sheep were slaughtered and underwent a parasitological post-mortem examination for cysts in the liver and lungs. With post-mortem as gold standard, ultrasonography gave a test sensitivity of 88.7% and a specificity of 75.9%, while the positive and negative predictive values were 81.8% and 84.6%, respectively. When only sheep with fertile cysts were considered, the sensitivity of the test increased to 100%. We conclude that the ultrasound examination of the liver in sheep - using state-of-the-art technology - is a sensitive and specific diagnostic tool, which is cost-effective, highly appropriate for field use and requires only moderate time (no shaving required). The method can also be applied to other livestock species and will be useful tool in epidemiological studies, monitoring schemes and vaccination/control trials. Copyright © 2014 Elsevier B.V. All rights reserved.
Biegler, Nancy; McBeth, Paul B; Tevez-Molina, Martha C; McMillan, Janelle; Crawford, Innes; Hamilton, Douglas R; Kirkpatrick, Andrew W
2012-12-01
Remote telementored ultrasound (RTMUS) is a new discipline that allows a remote expert to guide variably experienced clinical responders through focused ultrasound examinations. We used the examination of the pleural spaces after tube thoracostomy (TT) removal by a nurse with no prior ultrasound experience as an illustrative but highly accurate example of the technique using a simple cost-effective system. The image outputs of a handheld ultrasound machine and a head-mounted Web camera were input into a customized graphical user interface and streamed over a freely available voice over Internet protocol system that allowed two-way audio and visual communication between the novice examiner and the remote expert. The bedside nurse was then guided to examine the anterior chest of a patient who had recently had bilateral TTs removed. The team sought to determine the presence or absence of any recurrent pneumothoraces using the standard criteria for the ultrasound diagnosis of post-removal pneumothorax (PTXs). An upright chest radiograph (CXR) was obtained immediately after the RTMUS examination. The RTMUS system enabled the novice user to learn how to hold the ultrasound probe, where to place it on the chest, and thereafter to diagnose a subtle unilateral PTX characterized as "tiny" on the subsequent formal CXR report. As ultrasound has almost limitless clinical utility, using simple but advanced informatics and communication technologies has potential to improve worldwide healthcare delivery. RTMUS could be used both to enhance the information content as well as to digitally document important physiologic findings in any clinical encounter wherever a portable ultrasound and Internet connectivity are available.
Hüsler, Margaret R; Wilson, R Douglas; Rychik, Jack; Bebbington, Michael W; Johnson, Mark P; Mann, Stephanie E; Hedrick, Holly L; Adzick, Scott
2007-12-01
Congenital lung malformation can easily be diagnosed by prenatal ultrasound. Associated extrapulmonary malformations such as heart defects and chromosomal aberrations are rare. The objective of this study was to describe the natural history, outcome and other associated malformations in fetuses with lung lesions and an associated heart defect. Retrospective analysis of 4 cases of prenatally diagnosed fetal CCAMs and hybrid lesions with an associated heart defect and review of 8 cases in the literature. At a single referral center 1.9% of the fetuses with Congenital cystic adenomatoid malformation (CCAM) were diagnosed with an associated heart defect. Seven of the total 12 cases (58%) reviewed had a conotruncal heart abnormality. Chromosomal abnormalities were found in 5 (42%) of the cases. This retrospective review shows that karyotyping in fetal lung lesions with an associated heart defect or isolated large lung lesions is indicated. It also suggests that there is a subpopulation of fetuses with CCAMs who have conotruncal heart defects. This finding may suggest a common genetic background. Copyright (c) 2007 John Wiley & Sons, Ltd.
[Primitive lung abscess: an unusual situation in children].
Bouyahia, O; Jlidi, S; Sammoud, A
2014-12-01
Lung abscess is a localized area of non tuberculosis suppurative necrosis of the parenchyma lung, resulting in formation of a cavity containing purulent material. This pathology is uncommon in childhood. A 3-year-6 month-old boy was admitted with prolonged fever and dyspnea. Chest X-ray showed a non systemized, well limited, thick walled, hydric, and excavated opacity containing an air-fluid level. Chest ultrasound examination showed a collection of 6. 8 cm of diameter in the right pulmonary field with an air-fluid level. Hemoculture showed Staphylococcus aureus. The patient received large spectrum antibiotherapy. Three days after, he presented a septic shock and surgical drainage was indicated. Histological examination confirmed the diagnosis of lung abscess. Any underlying condition such as inoculation site, local cause or immune deficiency, was noted and diagnosis of primary abscess was made. The patient demonstrated complete recovery. He is asymptomatic with normal chest X-ray and pulmonary function after 3 years of evolution. Lung abscess represent a rare cause of prolonged fever in childhood. An underlying condition must be excluded to eliminate secondary abscess. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
Methylation of CpG island of p14(ARK), p15(INK4b) and p16(INK4a) genes in coke oven workers.
Zhang, H; Li, X; Ge, L; Yang, J; Sun, J; Niu, Q
2015-02-01
To detect the blood genomic DNA methylation in coke oven workers and find a possible early screening index for occupational lung cancer, 74 coke oven workers as the exposed group and 47 water pump workers as the controls were surveyed, and urine samples and peripheral blood mononuclear cells (PBMCs) were collected. Airborne benzo[a]pyrene (B[a]P) levels in workplace and urinary 1-hydroxypyrene (1-OH-Py) levels were determined by high-performance liquid chromatography. DNA damage of PBMCs and the p14(ARK), p15(INK4b) and p16(INK4a) gene CpG island methylation in the promoter region were detected by comet assay and methylation-specific polymerase chain reaction techniques, respectively. Results show that compared with the controls, concentration of airborne B[a]Ps was elevated in the coke plant, and urinary 1-OH-Py's level and DNA olive tail moment in comet assay were significantly increased in the coke oven workers, and p14(ARK), p15(INK4b) and p16(INK4a) gene methylation rates were also significantly increased. With the working years and urinary 1-OH-Py's level, the rates of p14(ARK) and p16(INK4a) gene methylation were significantly increased while that of p15(INK4b) gene methylation displayed no statistical change. We conclude that PBMCs' p14(ARK) and p16(INK4a) gene methylation may be used for screening and warning lung cancer in coke oven workers. © The Author(s) 2015.
Kyjovska, Zdenka O; Jacobsen, Nicklas R; Saber, Anne T; Bengtson, Stefan; Jackson, Petra; Wallin, Håkan; Vogel, Ulla
2015-01-01
We previously observed genotoxic effects of carbon black nanoparticles at low doses relative to the Danish Occupational Exposure Limit (3.5 mg/m3). Furthermore, DNA damage occurred in broncho-alveolar lavage (BAL) cells in the absence of inflammation, indicating that inflammation is not required for the genotoxic effects of carbon black. In this study, we investigated inflammatory and acute phase response in addition to genotoxic effects occurring following exposure to nanoparticulate carbon black (NPCB) at even lower doses. C57BL/6JBomTac mice were examined 1, 3, and 28 days after a single instillation of 0.67, 2, 6, and 162 µg Printex 90 NPCB and vehicle. Cellular composition and protein concentration was evaluated in BAL fluid as markers of inflammatory response and cell damage. DNA strand breaks in BAL cells, lung, and liver tissue were assessed using the alkaline comet assay. The pulmonary acute phase response was analyzed by Saa3 mRNA real-time quantitative PCR. Instillation of the low doses of NPCB induced a slight neutrophil influx one day after exposure. Pulmonary exposure to small doses of NPCB caused an increase in DNA strand breaks in BAL cells and lung tissue measured using the comet assay. We interpret the increased DNA strand breaks occurring following these low exposure doses of NPCB as DNA damage caused by primary genotoxicity in the absence of substantial inflammation, cell damage, and acute phase response. Environ. Mol. Mutagen. 56:41–49, 2015. © 2014 The Authors. Environmental and Molecular Mutagenesis published by Wiley Periodicals, Inc. on behalf of Environmental Mutagen Society PMID:25042074
de Oliveira, Iuri Marques; Degrandi, Tiago Hoerbe; Jorge, Patrícia Mendes; Saffi, Jenifer; Rosa, Renato Moreira; Guecheva, Temenouga Nikolova; Henriques, João Antonio Pêgas
2014-03-15
The organoselenium compound, dicholesteroyl diselenide (DCDS) is a structural analogue of diphenyl diselenide (DPDS) and may be considered as a promising antioxidant drug in vivo. Nevertheless, little is known about the toxicological properties of DCDS. In the present study we evaluated the cytotoxic, genotoxic and mutagenic properties of DCDS in Chinese hamster lung fibroblasts (V79) and in strains of the yeast Saccharomyces cerevisiae, proficient and deficient in several DNA-repair pathways. The results with V79 cells show that DCDS induced cytotoxicity, GSH depletion and elevation of lipid peroxidation at lower concentrations than did DPDS. DCDS also generated single- and double-strand DNA breaks in V79 cells, both in the presence and in the absence of metabolic activation, as revealed by alkaline and neutral comet assays. Moreover, the induction of oxidative DNA base-damage was demonstrated by means of a modified comet assay with formamidopyrimidine-DNA glycosylase and endonuclease III. Treatment with DCDS also induced micronucleus formation in V79 cells as well as point and frame-shift mutations in a haploid wild-type strain of S. cerevisiae. Yeast mutants defective in base excision-repair proteins were the most sensitive to DCDS. Pre-incubation with N-acetylcysteine reduced DCDS's oxidative, genotoxic and mutagenic effects in yeast and in V79 cells. Our findings indicate that the presence of cholesteroyl substituents in DCDS results in elevation of its cytotoxic and genotoxic potential compared with that of DPDS in yeast and in V79 cells. However, due to dose-dependent contrasting behaviour of organoselenium compounds and differences in their toxicity in in vitro and in vivo systems, further studies are needed in order to establish the non-toxic concentration range for treatment in mammals. Copyright © 2014 Elsevier B.V. All rights reserved.
Miller, Douglas L
2016-12-01
Diagnostic ultrasound can induce pulmonary capillary hemorrhage (PCH) in rats and other mammals. This phenomenon represents the only clearly demonstrated biological effect of (non-contrast enhanced) diagnostic ultrasound and thus presents a uniquely important safety issue. However, the physical mechanism responsible for PCH remains uncertain more than 25 y after its discovery. Experimental research has indicated that neither heating nor acoustic cavitation, the predominant mechanisms for bioeffects of ultrasound, is responsible for PCH. Furthermore, proposed theoretical mechanisms based on gas-body activation, on alveolar resonance and on impulsive generation of liquid droplets all appear unlikely to be responsible for PCH, owing to unrealistic model assumptions. Here, a simple model based on the acoustical radiation surface pressure (ARSP) at a tissue-air interface is hypothesized as the mechanism for PCH. The ARSP model seems to explain some features of PCH, including the approximate frequency independence of PCH thresholds and the dependence of thresholds on biological factors. However, ARSP evaluated for experimental threshold conditions appear to be too weak to fully account for stress failure of pulmonary capillaries, gauging by known stresses for injurious physiologic conditions. Furthermore, consideration of bulk properties of lung tissue suggests substantial transmission of ultrasound through the pleura, with reduced ARSP and potential involvement of additional mechanisms within the pulmonary interior. Although these recent findings advance our knowledge, only a full understanding of PCH mechanisms will allow development of science-based safety assurance for pulmonary ultrasound. Copyright © 2016 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Fluid Therapy in Lung Disease.
Rozanski, Elizabeth; Lynch, Alex
2017-03-01
Fluid therapy is the cornerstone of supportive care in veterinary medicine. In dogs and cats with preexisting confirmed or suspected pulmonary disease, concerns may exist that the fluid therapy may impair gas exchange, either through increases in hydrostatic pressures or extravasation. Colloidal therapy is more likely to magnify lung injury compared with isotonic crystalloids. Radiographic evidence of fluid overload is a late-stage finding, whereas point-of-care ultrasound may provide earlier information that can also be assessed periodically at the patient side. Cases should be evaluated individually, but generally a conservative fluid therapy plan is preferred with close monitoring of its tolerance. Copyright © 2016 Elsevier Inc. All rights reserved.
NASA Technical Reports Server (NTRS)
Donn, B. (Editor); Mumma, M. J. (Editor); Jackson, W. M. (Editor); Ahearn, M. (Editor); Harrington, R. (Editor)
1976-01-01
Papers are presented dealing with observations of comets. Topic discussed include: photometry, polarimetry, and astrometry of comets; detection of water and molecular transitions in comets; ion motions in comet tails; determination of comet brightness and luminosity; and evolution of cometary orbits. Emphasis is placed on analysis of observations of comet Kohoutek.
Rajavel, Tamilselvam; Mohankumar, Ramar; Archunan, Govindaraju; Ruckmani, Kandasamy; Devi, Kasi Pandima
2017-06-13
Lung cancer is the leading cause of cancer related deaths both in developed and developing countries. Since majority of the existing therapeutic methods harms both normal and malignant cells, a viable alternative is to switch into safe and beneficial traditional medicinal plants. Hence the present study was framed to identify selective anti-lung cancer agents from the medicinal plant Grewia tiliaefolia (GT). Cell viability experiments showed that benzene extract of GT (BGT) leaf effectively inhibited the growth of A549 cells, while being non-toxic to normal human lung L132 and PBMC cells. Ames and comet assays demonstrated that BGT is of non-mutagenic and non-genotoxic nature in untransformed cells. The hematological and histopathological profiles of the in vivo acute and sub-acute toxicity studies demonstrated that BGT is safe and tolerable. Importantly, western blot analysis and Annexin V-FITC staining confirmed that BGT promotes mitochondrial dependent apoptotic cell death in A549 cells by arresting cell cycle at G2/M phase. Bio-assay guided fractionation revealed the presence of phytosteols (β-sitosterol and daucosterol) which significantly inhibited the growth of A549 cells both alone and in combination. This study warrants that these phytosterols in alone or in combination can be considered as safe and potential drug candidates for lung cancer treatment.
Ni, Chien-Hang; Yu, Chun-Shu; Lu, Hsu-Feng; Yang, Jai-Sing; Huang, Hui-Ying; Chen, Po-Yuan; Wu, Shin-Hwar; Ip, Siu-Wan; Chiang, Su-Yin; Lin, Jaung-Geng; Chung, Jing-Gung
2014-05-01
Chrysophanol (1,8-dihydroxy-3-methylanthraquinone) is one of the anthraquinone compounds, and it has been shown to induce cell death in different types of cancer cells. The effects of chrysophanol on human lung cancer cell death have not been well studied. The purpose of this study is to examine chrysophanol-induced cytotoxic effects and also to investigate such influences that involved apoptosis or necrosis in A549 human lung cancer cells in vitro. Our results indicated that chrysophanol decreased the viable A549 cells in a dose- and time-dependent manner. Chrysophanol also promoted the release of reactive oxygen species (ROS) and Ca(2+) and decreased the levels of mitochondria membrane potential (ΔΨm ) and adenosine triphosphate in A549 cells. Furthermore, chrysophanol triggered DNA damage by using Comet assay and DAPI staining. Importantly, chrysophanol only stimulated the cytocheome c release, but it did not activate other apoptosis-associated protein levels including caspase-3, caspase-8, Apaf-1, and AIF. In conclusion, human lung cancer A549 cells treated with chrysophanol exhibited a cellular pattern associated with necrotic cell death and not apoptosis in vitro. © 2012 Wiley Periodicals, Inc. Environ Toxicol 29: 740-749, 2014. Copyright © 2012 Wiley Periodicals, Inc., a Wiley company.
Performance of Lung Ultrasound in Detecting Peri-Operative Atelectasis after General Anesthesia.
Yu, Xin; Zhai, Zhenping; Zhao, Yongfeng; Zhu, Zhiming; Tong, Jianbin; Yan, Jianqin; Ouyang, Wen
2016-12-01
The aim of this prospective observational study was to evaluate the performance of lung ultrasound (LUS) in detecting post-operative atelectasis in adult patients under general anesthesia. Forty-six patients without pulmonary comorbidities who were scheduled for elective neurosurgery were enrolled in the study. A total of 552 pairs of LUS clips and thoracic computed tomography (CT) images were ultimately analyzed to determine the presence of atelectasis in 12 prescribed lung regions. The accuracy of LUS in detecting peri-operative atelectasis was evaluated with thoracic CT as gold standard. Levels of agreement between the two observers for LUS and the two observers for thoracic CT were analyzed using the κ reliability test. The quantitative correlation between LUS scores of aeration and the volumetric data of atelectasis in thoracic CT were further evaluated. LUS had reliable performance in post-operative atelectasis, with a sensitivity of 87.7%, specificity of 92.1% and diagnostic accuracy of 90.8%. The levels of agreement between the two observers for LUS and for thoracic CT were both satisfactory, with κ coefficients of 0.87 (p < 0.0001) and 0.93 (p < 0.0001), respectively. In patients in the supine position, LUS scores were highly correlated with the atelectasis volume of CT (r = 0.58, p < 0.0001). Thus, LUS provides a fast, reliable and radiation-free method to identify peri-operative atelectasis in adults. Copyright © 2016. Published by Elsevier Inc.
New operational technology of intrauterine ventilation the fetus lungs by breathing gas
NASA Astrophysics Data System (ADS)
Urakov, A. L.; Nikityuk, D. B.; Urakova, N. A.; Kasankin, A. A.; Chernova, L. V.; Dementiev, V. B.
2015-11-01
New operational technology for elimination intrauterine hypoxia and asphyxia of the fetus using endoscopic artificial ventilation lungs by respiratory gas was developed. For intrauterine ventilation of fetal lung it is proposed to enter into the uterus a special breathing mask and wear it on the head of the fetus using the original endoscopic technology. The breathing mask, developed by us is connected with external breathing apparatus with a hose. The device is called "intrauterine aqualung". Intrauterine aqualung includes a ventilator and breathing circuit with a special fold-out breathing mask that is put on inside the uterus on the head of fetus like a mesh hat. Controlled by ultrasound the technology of the introduction of the mask inside of the uterus through the natural opening in the cervix and technology of putting on the respiratory mask on the head of the fetus with its head previa were developed. The technology intrauterine ventilation of the fetus lungs by respiratory gas was developed.
Utility of Lung Ultrasonography for Detection of Pleural Adhesions in Dogs.
Uemura, Akiko; Fukayama, Toshiharu; Tanaka, Takashi; Tanaka, Ryou
2018-05-01
To assess lung respiratory movement ("lung sliding") in dogs using B-mode ultrasonography (US) and to develop a method that assesses adhesions between the parietal pleura and the lung. Seventeen male beagles were anesthetized, and respiratory management was performed with intermittent positive pressure ventilation. Lung-sliding assessments and adhesion examinations were performed with lung US under general anesthesia before and 2 weeks after thoracotomy. Lung sliding was scored on a 4-level scale based on the percentage of the area that showed lung sliding (3, an area of roughly ≥80% of the intercostal space; 2, about 50% of the area of the intercostal space; 1, a small area of the intercostal space; or 0, movement absent); scores of 0, 1, and 2 indicated adhesions, whereas a score of 3 indicated no adhesions. The animals were then euthanized, and necropsy was performed to examine pleural adhesions. Lung US and necropsy findings were compared. The median lung-sliding score for the 12 sites with pleural adhesions on necropsy was 1.5, whereas it was 3.0 for the 532 sites without pleural adhesions. The lung-sliding score was significantly lower in the group with adhesions (P < .0001). Adhesion sites detected on necropsy were in accordance with the sites that had decreased lung-sliding scores. Lung US could detect pleural adhesions with sensitivity of 100.0% and specificity of 87.8%. Examination of lung sliding by thoracic US has high diagnostic value for detecting canine pleural adhesions and is useful in predicting adhesion sites before thoracic surgery in healthy dogs. © 2017 by the American Institute of Ultrasound in Medicine.
Miller, Douglas L.
2016-01-01
Diagnostic ultrasound can induce pulmonary capillary hemorrhage (PCH) in rats and other mammals. This phenomenon represents the only clearly demonstrated biological effect of (non-contrast enhanced) diagnostic ultrasound and thus presents a uniquely important safety issue. However, the physical mechanism responsible for PCH remains uncertain more than 25 y after its discovery. Experimental research has indicated that neither heating nor acoustic cavitation, the predominant mechanisms for bioeffects of ultrasound, is responsible for PCH. Furthermore, proposed theoretical mechanisms based on gas body activation, on alveolar resonance and on impulsive generation of liquid droplets all appear unlikely to be responsible for PCH, owing to unrealistic model assumptions. Here, a simple model based on the acoustic radiation surface pressure (ARSP) at a tissue-air interface is hypothesized as the mechanism for PCH. The ARSP model seems to explain some features of PCH, including the approximate frequency independence of PCH thresholds, and the dependence of thresholds on biological factors. However, ARSP evaluated for experimental threshold conditions appear to be too weak to fully account for stress failure of pulmonary capillaries, gauging by known stresses for injurious physiological conditions. Furthermore, consideration of bulk properties of lung tissue suggests substantial transmission of ultrasound through the pleura, with reduced ARSP and potential involvement of additional mechanisms within the pulmonary interior. Although these recent findings advance our knowledge, only a full understanding of PCH mechanisms will allow development of science-based safety assurance for pulmonary ultrasound. PMID:27649878
Kolarević, Stoimir; Milovanović, Dragana; Kračun-Kolarević, Margareta; Kostić, Jovana; Sunjog, Karolina; Martinović, Rajko; Đorđević, Jelena; Novaković, Irena; Sladić, Dušan; Vuković-Gačić, Branka
2018-01-04
In this study, mutagenic and genotoxic potential of anti-tumor compounds avarol, avarone, and its derivatives 3'-methoxyavarone, 4'-(methylamino)avarone and 3'-(methylamino)avarone was evaluated and compared to cytostatics commonly used in chemotherapy (5-fluorouracil, etoposid, and cisplatin). Mutagenic potential of selected hydroquinone and quinones was assessed in prokaryotic model by the SOS/umuC assay in Salmonella typhimurium TA1535/pSK1002. Genotoxic potential was also assessed in eukaryotic models using comet assay in human fetal lung cell line (MRC-5), human adenocarcinoma epithelial cell line (A549), and in human peripheral blood cells (HPBC). The results indicated that avarol and avarone do not exert mutagenic/genotoxic potential. Among the studied avarone derivatives, mutagenic potential was detected by SOS/umuC test for 3'-(methylamino)avarone, but only after metabolic activation. The results of comet assay indicated that 3'-methoxyavarone and 3'-(methylamino)avarone have a significant impact on the level of DNA damage in the MRC-5 cell line. Genotoxic potential was not observed in A549 cells or HPBC probably due to a different uptake rate for the compounds and lower in metabolism rate within these cells.
Protection of cadmium chloride induced DNA damage by Lamiaceae plants
Thirugnanasampandan, Ramaraj; Jayakumar, Rajarajeswaran
2011-01-01
Objective To analyze the total phenolic content, DNA protecting and radical scavenging activity of ethanolic leaf extracts of three Lamiaceae plants, i.e. Anisomelos malabarica (A. malabarica), Leucas aspera (L. aspera) and Ocimum basilicum (O. basilicum). Methods The total polyphenols and flavonoids were analyzed in the ethanolic leaf extracts of the lamiaceae plants. To determine the DNA protecting activity, various concentrations of the plant extracts were prepared and treated on cultured HepG2 human lung cancer cells. The pretreated cells were exposed to H2O2 to induce DNA damage through oxidative stress. Comet assay was done and the tail length of individual comets was measured. Nitric oxide and superoxide anion scavenging activities of lamiaceae plants were analyzed. Results Among the three plant extracts, the highest amount of total phenolic content was found in O. basilicum (189.33 mg/g), whereas A. malabarica showed high levels of flavonoids (10.66 mg/g). O. basilicum also showed high levels of DNA protecting (85%) and radical scavenging activity. Conclusions The results of this study shows that bioactive phenols present in lamiaceae plants may prevent carcinogenesis through scavenging free radicals and inhibiting DNA damage. PMID:23569799
The tumor affinity of chlorin e6 and its sonodynamic effects on non-small cell lung cancer.
Chen, Bei; Zheng, Ruinian; Liu, Duan; Li, Baofeng; Lin, Jinrong; Zhang, Weimin
2013-03-01
Sonodynamic therapy (SDT) is a promising new approach for cancer therapy. The aim of this study was to investigate the tumor affinity of chlorin e6, a photosensitizer, and its sonodynamic effects on NSCLC. Human lung adenocarcinoma cells SPCA-1 and mice bearing SPCA-1 tumor xenograft were exposed to ultrasound in the presence or absence of chlorin e6. Chlorin e6 distribution was detected by laser scan confocal microscope. Cell apoptosis and necrosis were studied by flow cytometry analysis. Tumor size and weight were measured after different treatments. The concentration of chlorin e6 in tumor tissue was remarkably higher than that in normal muscle near tumor, and the difference was greatest at 18h (the fluorescence intensity was 5.38-fold higher in tumor than in muscle, P<0.05). In vivo, ultrasound (0.4-1.6W/cm(2)) or chlorin e6 (10-40mg/kg) alone had no remarkable anti-tumor effects, but the combination of ultrasound (1.6W/cm(2)) with chlorin e6 (SDT) hampered tumor growth significantly (P<0.05). Intraperitoneal injection of 40mg/kg chlorin e6 exerted no notable side effect on blood, liver and kidney function. Flow cytometry analysis showed that chlorin e6-mediated sonodynamic effect was mainly through the induction of cell necrosis. Chlorin e6 is a promising sonosensitizer and chlorin e6-mediated SDT may provide a new approach for NSCLC therapy. Copyright © 2012 Elsevier B.V. All rights reserved.
An explorative childhood pneumonia analysis based on ultrasonic imaging texture features
NASA Astrophysics Data System (ADS)
Zenteno, Omar; Diaz, Kristians; Lavarello, Roberto; Zimic, Mirko; Correa, Malena; Mayta, Holger; Anticona, Cynthia; Pajuelo, Monica; Oberhelman, Richard; Checkley, William; Gilman, Robert H.; Figueroa, Dante; Castañeda, Benjamín.
2015-12-01
According to World Health Organization, pneumonia is the respiratory disease with the highest pediatric mortality rate accounting for 15% of all deaths of children under 5 years old worldwide. The diagnosis of pneumonia is commonly made by clinical criteria with support from ancillary studies and also laboratory findings. Chest imaging is commonly done with chest X-rays and occasionally with a chest CT scan. Lung ultrasound is a promising alternative for chest imaging; however, interpretation is subjective and requires adequate training. In the present work, a two-class classification algorithm based on four Gray-level co-occurrence matrix texture features (i.e., Contrast, Correlation, Energy and Homogeneity) extracted from lung ultrasound images from children aged between six months and five years is presented. Ultrasound data was collected using a L14-5/38 linear transducer. The data consisted of 22 positive- and 68 negative-diagnosed B-mode cine-loops selected by a medical expert and captured in the facilities of the Instituto Nacional de Salud del Niño (Lima, Peru), for a total number of 90 videos obtained from twelve children diagnosed with pneumonia. The classification capacity of each feature was explored independently and the optimal threshold was selected by a receiver operator characteristic (ROC) curve analysis. In addition, a principal component analysis was performed to evaluate the combined performance of all the features. Contrast and correlation resulted the two more significant features. The classification performance of these two features by principal components was evaluated. The results revealed 82% sensitivity, 76% specificity, 78% accuracy and 0.85 area under the ROC.
Ruano, Rodrigo; Britto, Ingrid Schwach Werneck; Sananes, Nicolas; Lee, Wesley; Sangi-Haghpeykar, Haleh; Deter, Russell L
2016-06-01
To evaluate fetal lung growth using 3-dimensional sonography in healthy fetuses and those with congenital diaphragmatic hernia (CDH). Right and total lung volumes were serially evaluated by 3-dimensional sonography in 66 healthy fetuses and 52 fetuses with left-sided CDH between 20 and 37 weeks' menstrual age. Functions fitted to these parameters were compared for 2 groups: (1) healthy versus those with CDH; and (2) fetuses with CHD who survived versus those who died. Fetal right and total lung volumes as well as fetal observed-to-expected right and total lung volume ratios were significantly lower in fetuses with CDH than healthy fetuses (P< .001) and in those fetuses with CDH who died (P< .001). The observed-to-expected right and total lung volume ratios did not vary with menstrual age in healthy fetuses or in those with CDH (independent of outcome). Lung volume rates were lower in fetuses with left-sided CDH compared to healthy fetuses, as well as in fetuses with CDH who died compared to those who survived. The observed-to-expected right and total lung volume ratios were relatively constant throughout menstrual age in fetuses with left-sided CDH, suggesting that the origin of their lung growth abnormalities occurred before 20 weeks and did not progress. The observed-to-expected ratios may be useful in predicting the outcome in fetuses with CDH independent of menstrual age. © 2016 by the American Institute of Ultrasound in Medicine.
Ultrasound-guided thoracenthesis: the V-point as a site for optimal drainage positioning.
Zanforlin, A; Gavelli, G; Oboldi, D; Galletti, S
2013-01-01
In the latest years the use of lung ultrasound is increasing in the evaluation of pleural effusions, because it makes follow-up easier and drainage more efficient by providing guidance on the most appropriate sampling site. However, no standardized approach for ultrasound-guided thoracenthesis is actually available. To evaluate our usual ultrasonographic landmark as a possible standard site to perform thoracenthesis by assessing its value in terms of safety and efficiency (success at first attempt, drainage as complete as possible). Hospitalized patients with non organized pleural effusion underwent thoracenthesis after ultrasound evaluation. The point showing on ultrasound the maximum thickness of the effusion ("V-point") was chosen for drainage. 45 ultrasound guided thoracenthesis were performed in 12 months. In 22 cases there were no complications; 16 cases of cough, 2 cases of mild dyspnea without desaturation, 4 cases of mild pain; 2 cases of complications requiring medical intervention occurred. No case of pneumothorax related to the procedure was detected. In all cases drainage was successful on the first attempt. The collected values of maximum thickness at V-point (min 3.4 cm - max 15.3 cm) and drained fluid volume (min 70 ml - max 2000 ml) showed a significative correlation (p < 0.0001). When the thickness was greater or equal to 9.9 cm, drained volume was always more than 1000 ml. The measure of the maximum thickness at V-point provides high efficiency to ultrasound guided thoracentesis and allows to estimate the amount of fluid in the pleural cavity. It is also an easy parameter that makes the proposed method quick to learn and apply.
Buys, Saundra S; Partridge, Edward; Black, Amanda; Johnson, Christine C; Lamerato, Lois; Isaacs, Claudine; Reding, Douglas J; Greenlee, Robert T; Yokochi, Lance A; Kessel, Bruce; Crawford, E David; Church, Timothy R; Andriole, Gerald L; Weissfeld, Joel L; Fouad, Mona N; Chia, David; O'Brien, Barbara; Ragard, Lawrence R; Clapp, Jonathan D; Rathmell, Joshua M; Riley, Thomas L; Hartge, Patricia; Pinsky, Paul F; Zhu, Claire S; Izmirlian, Grant; Kramer, Barnett S; Miller, Anthony B; Xu, Jian-Lun; Prorok, Philip C; Gohagan, John K; Berg, Christine D
2011-06-08
Screening for ovarian cancer with cancer antigen 125 (CA-125) and transvaginal ultrasound has an unknown effect on mortality. To evaluate the effect of screening for ovarian cancer on mortality in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial. Randomized controlled trial of 78,216 women aged 55 to 74 years assigned to undergo either annual screening (n = 39,105) or usual care (n = 39,111) at 10 screening centers across the United States between November 1993 and July 2001. Intervention The intervention group was offered annual screening with CA-125 for 6 years and transvaginal ultrasound for 4 years. Participants and their health care practitioners received the screening test results and managed evaluation of abnormal results. The usual care group was not offered annual screening with CA-125 for 6 years or transvaginal ultrasound but received their usual medical care. Participants were followed up for a maximum of 13 years (median [range], 12.4 years [10.9-13.0 years]) for cancer diagnoses and death until February 28, 2010. Mortality from ovarian cancer, including primary peritoneal and fallopian tube cancers. Secondary outcomes included ovarian cancer incidence and complications associated with screening examinations and diagnostic procedures. Ovarian cancer was diagnosed in 212 women (5.7 per 10,000 person-years) in the intervention group and 176 (4.7 per 10,000 person-years) in the usual care group (rate ratio [RR], 1.21; 95% confidence interval [CI], 0.99-1.48). There were 118 deaths caused by ovarian cancer (3.1 per 10,000 person-years) in the intervention group and 100 deaths (2.6 per 10,000 person-years) in the usual care group (mortality RR, 1.18; 95% CI, 0.82-1.71). Of 3285 women with false-positive results, 1080 underwent surgical follow-up; of whom, 163 women experienced at least 1 serious complication (15%). There were 2924 deaths due to other causes (excluding ovarian, colorectal, and lung cancer) (76.6 per 10,000 person-years) in the intervention group and 2914 deaths (76.2 per 10,000 person-years) in the usual care group (RR, 1.01; 95% CI, 0.96-1.06). Among women in the general US population, simultaneous screening with CA-125 and transvaginal ultrasound compared with usual care did not reduce ovarian cancer mortality. Diagnostic evaluation following a false-positive screening test result was associated with complications. Trial Registration clinicaltrials.gov Identifier: NCT00002540.
Tarantal, A.F.; Chen, H.; Shi, T.T.; Lu, C-H.; Fang, A.B.; Buckley, S.; Kolb, M.; Gauldie, J.; Warburton, D.; Shi, W.
2011-01-01
Altered transforming growth factor (TGF)-β expression levels have been linked to a variety of human respiratory diseases, including bronchopulmonary dysplasia and pulmonary fibrosis. However, a causative role for aberrant TGF-β in neonatal lung diseases has not been defined in primates. Exogenous and transient TGF-β1 overexpression in fetal monkey lung was achieved by transabdominal ultrasound-guided fetal intrapulmonary injection of adenoviral vector expressing TGF-β1 at the second or third trimester of pregnancy. The lungs were then harvested near term, and fixed for histology and immunohistochemistry. Lung hypoplasia was observed where TGF-β1 was overexpressed during the second trimester. The most clearly marked phenotype consisted of severe pulmonary and pleural fibrosis, which was independent of the gestational time point when TGF-β1 was overexpressed. Increased cell proliferation, particularly in α-smooth muscle actin-positive myofibroblasts, was detected within the fibrotic foci. But epithelium to mesenchyme transdifferentiation was not detected. Massive collagen fibres were deposited on the inner and outer sides of the pleural membrane, with an intact elastin layer in the middle. This induced fibrotic pathology persisted even after adenoviral-mediated TGF-β1 overexpression was no longer evident. Therefore, overexpression of TGF-β1 within developing fetal monkey lung results in severe and progressive fibrosis in lung parenchyma and pleural membrane, in addition to pulmonary hypoplasia. PMID:20351039
Arias, Sixto; Lee, Hans; Semaan, Roy; Frimpong, Bernice; Ortiz, Ricardo; Feller-Kopman, David; Oakjones-Burgess, Karen; Yarmus, Lonny
2015-05-23
Lung nodule evaluation represents a clinical challenge especially in patients with intermediate risk for malignancy. Multiple technologies are presently available to sample nodules for pathological diagnosis. Those technologies can be divided into bronchoscopic and non-bronchoscopic interventions. Electromagnetic navigational bronchoscopy is being extensively used for the endobronchial approach to peripheral lung nodules but has been hindered by anatomic challenges resulting in a 70% diagnostic yield. Electromagnetic navigational guided transthoracic needle lung biopsy is novel non-bronchoscopic method that uses a percutaneous electromagnetic tip tracked needle to obtain core biopsy specimens. Electromagnetic navigational transthoracic needle aspiration complements bronchoscopic techniques potentially allowing the provider to maximize the diagnostic yield during one single procedure. This article describes a novel integrated diagnostic approach to pulmonary lung nodules. We propose the use of endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) for mediastinal staging; radial EBUS, navigational bronchoscopy and E-TTNA during one single procedure to maximize diagnostic yield and minimize the number of invasive procedures needed to obtain a diagnosis. This manuscript describes in detail how the navigation transthoracic procedure is performed. Additional clinical studies are needed to determine the clinical utility of this novel technology.
Kim, Y; Gelehrter, S K; Fifer, C G; Lu, J C; Owens, G E; Berman, D R; Williams, J; Wilkinson, J E; Ives, K A; Xu, Z
2011-04-01
Currently available fetal intervention techniques rely on invasive procedures that carry inherent risks. A non-invasive technique for fetal intervention could potentially reduce the risk of fetal and obstetric complications. Pulsed cavitational ultrasound therapy (histotripsy) is an ablation technique that mechanically fractionates tissue at the focal region using extracorporeal ultrasound. In this study, we investigated the feasibility of using histotripsy as a non-invasive approach to fetal intervention in a sheep model. The experiments involved 11 gravid sheep at 102-129 days of gestation. Fetal kidney, liver, lung and heart were exposed to ultrasound pulses (< 10 µs) delivered by an external 1-MHz focused ultrasound transducer at a 0.2-1-kHz pulse-repetition rate and 10-16 MPa peak negative pressure. Procedures were monitored and guided by real-time ultrasound imaging. Treated organs were examined by gross and histological inspection for location and degree of tissue injury. Hyperechoic, cavitating bubble clouds were successfully generated in 19/31 (61%) treatment attempts in 27 fetal organs beneath up to 8 cm of overlying tissue and fetal bones. Histological assessment confirmed lesion locations and sizes corresponding to regions where cavitation was monitored, with no lesions found when cavitation was absent. Inability to generate cavitation was primarily associated with increased depth to target and obstructing structures such as fetal limbs. Extracorporeal histotripsy therapy successfully created targeted lesions in fetal sheep organs without significant damage to overlying structures. With further improvements, histotripsy may evolve into a viable technique for non-invasive fetal intervention procedures. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.
OORT-Cloud and Kuiper-Belt Comets
NASA Technical Reports Server (NTRS)
Whipple, Fred L.
1998-01-01
This paper follows the broadly accepted theory that Oort-Cloud Comets originated in the Solar Nebula in the general region where the major planets, Jupiter and Saturn, were formed while the Kuiper-Belt Comets originated farther out where the temperatures were lower. The Oort-Cloud Comets are identified orbitally by long periods and random inclinations and, including the Halley-type comets, comets with a Tisserand Criterion less than 2.0. Kuiper-Belt comets are identified by short periods, usually much less than 200 years, and small inclinations to the ecliptic. Here two criteria for comet activity are found to separate the two classes of comets. These quantities NG1 and NG2, were intended to measure theoretical nongravitaional effects on comet orbits. They are only, mildly successful in correlations with observed cases of measured non-gravitational forces. But, in fact, their variations with perihelion distance separate the two classes of comets. The results are consistent with the theory that the activity or intrinsic brightness of Oort-Cloud Comets fall off faster with increasing perihelion distance that does the intrinsic brightness of short-period Kuiper-Belt Comets.
On the Determination of the Orbits of Comets
NASA Astrophysics Data System (ADS)
Englefield, Henry
2013-06-01
Preface; 1. General view of the method; 2. On the motion of the point of intersection of the radius vector and cord; 3. On the comparison of the parabolic cord with the space which answers to the mean velocity of the earth in the same time; 4. Of the reduction of the second longitude of the comet; 5. On the proportion of the three curtate distances of the comet from the earth; 6. Of the graphical declination of the orbit of the earth; 7. Of the numerical quantities to be prepared for the construction or computation of the comet's orbit; 8. Determination of the distances of the comet from the earth and the sun; 9. Determination of the elements of the orbit from the determined distances; 10. Determination of the place of the comet from the earth and sun; 11. Determination of the distances of the comet from the earth and sun; 12. Determination of the comet's orbit; 13. Determination of the place of the comet; 14. Application of the graphical method to the comet of 1769; 15. Application of the distances found; 16. Determination of the place of the comet, for another given time; 17. Application of the trigonometrical method to the comet of 1769; 18. Determination of the elements of the orbit of the comet of 1769; Example of the graphical operation for the orbit of the comet of 1769; Example of the trigonometrical operation for the orbit of the comet of 1769; Conclusion; La Place's general method for determining the orbits of comets; Determination of the two elements of the orbit; Application of La Place's method of finding the approximate perihelion distance; Application of La Place's method for correcting the orbit of a comet, to the comet of 1769; Explanation and use of the tables; Tables; Appendix; Plates.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Li Hui; Berlo, Damien van; Shi Tingming
2008-02-15
Chronic inhalation of high concentrations of respirable quartz particles has been implicated in various lung diseases including lung fibrosis and cancer. Generation of reactive oxygen species (ROS) and oxidative stress is considered a major mechanism of quartz toxicity. Curcumin, a yellow pigment from Curcuma longa, has been considered as nutraceutical because of its strong anti-inflammatory, antitumour and antioxidant properties. The aim of our present study was to investigate whether curcumin can protect lung epithelial cells from the cytotoxic, genotoxic and inflammatory effects associated with quartz (DQ12) exposure. Electron paramagnetic resonance (EPR) measurements using the spin-trap DMPO demonstrated that curcumin reducesmore » hydrogen peroxide-dependent hydroxyl-radical formation by quartz. Curcumin was also found to reduce quartz-induced cytotoxicity and cyclooxygenase 2 (COX-2) mRNA expression in RLE-6TN rat lung epithelial cells (RLE). Curcumin also inhibited the release of macrophage inflammatory protein-2 (MIP-2) from RLE cells as observed upon treatment with interleukin-1 beta (IL-1{beta}) and tumour necrosis factor-alpha (TNF{alpha}). However, curcumin failed to protect the RLE cells from oxidative DNA damage induced by quartz, as shown by formamidopyrimidine glycosylase (FPG)-modified comet assay and by immunocytochemistry for 8-hydroxydeoxyguanosine. In contrast, curcumin was found to be a strong inducer of oxidative DNA damage itself at non-cytotoxic and anti-inflammatory concentrations. In line with this, curcumin also enhanced the mRNA expression of the oxidative stress response gene heme oxygenase-1 (ho-1). Curcumin also caused oxidative DNA damage in NR8383 rat alveolar macrophages and A549 human lung epithelial cells. Taken together, these observations indicate that one should be cautious in considering the potential use of curcumin in the prevention or treatment of lung diseases associated with quartz exposure.« less
Modeling of photon migration in the human lung using a finite volume solver
NASA Astrophysics Data System (ADS)
Sikorski, Zbigniew; Furmanczyk, Michal; Przekwas, Andrzej J.
2006-02-01
The application of the frequency domain and steady-state diffusive optical spectroscopy (DOS) and steady-state near infrared spectroscopy (NIRS) to diagnosis of the human lung injury challenges many elements of these techniques. These include the DOS/NIRS instrument performance and accurate models of light transport in heterogeneous thorax tissue. The thorax tissue not only consists of different media (e.g. chest wall with ribs, lungs) but its optical properties also vary with time due to respiration and changes in thorax geometry with contusion (e.g. pneumothorax or hemothorax). This paper presents a finite volume solver developed to model photon migration in the diffusion approximation in heterogeneous complex 3D tissues. The code applies boundary conditions that account for Fresnel reflections. We propose an effective diffusion coefficient for the void volumes (pneumothorax) based on the assumption of the Lambertian diffusion of photons entering the pleural cavity and accounting for the local pleural cavity thickness. The code has been validated using the MCML Monte Carlo code as a benchmark. The code environment enables a semi-automatic preparation of 3D computational geometry from medical images and its rapid automatic meshing. We present the application of the code to analysis/optimization of the hybrid DOS/NIRS/ultrasound technique in which ultrasound provides data on the localization of thorax tissue boundaries. The code effectiveness (3D complex case computation takes 1 second) enables its use to quantitatively relate detected light signal to absorption and reduced scattering coefficients that are indicators of the pulmonary physiologic state (hemoglobin concentration and oxygenation).
Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Using 19-G Needle for Sarcoidosis.
Balwan, Akshu
2018-05-16
Flexible bronchoscopy with endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) is increasingly being used to obtain pathology specimens for diagnosis of sarcoidosis. There is wide variation in reported diagnostic yield in literature. New TBNA needles are available in the market but data are lacking about their diagnostic yield especially for sarcoidosis. This study reports the diagnostic yield of bronchoscopy with EBUS-TBNA using ViziShot FLEX 19-G needle in a series of patients with suspected sarcoidosis. This is a retrospective chart review for diagnostic yield of the 19-G EBUS-TBNA needle for suspected sarcoidosis. Eighty-six EBUS bronchoscopies were performed, 15 were done with clinical suspicion of sarcoidosis. The 19-G needle was used for all cases of suspected sarcoidosis. The procedure was diagnostic of sarcoidosis in 14 (93.3%) patients by TBNA with 1 nondiagnostic bronchoscopy. Procedural diagnostic yield was 93.3%. Eighty-five percent (28/33) of sampled lymph nodes were positive for noncaseating granulomas. The yield of transbronchial lung biopsy (TBLB) and endobronchial lung biopsy was 38% (5/13) and 43% (6/14), respectively. TBLB and endobronchial lung biopsy did not add to the diagnostic yield of the procedure. No significant adverse events were noted. This series reports a higher diagnostic yield than most other published studies and opens platform for direct comparison of each available needle. It also adds to the safety data for this larger needle. In addition, it raises doubt into utility of TBLB for diagnosis of sarcoidosis, which can increase the procedural complications.
Schmid-Bindert, Gerald; Wang, Yongsheng; Jiang, Hongbin; Sun, Hui; Henzler, Thomas; Wang, Hao; Pilz, Lothar R.; Ren, Shengxiang; Zhou, Caicun
2013-01-01
Background Multiple biomarker testing is necessary to facilitate individualized treatment of lung cancer patients. More than 80% of lung cancers are diagnosed based on very small tumor samples. Often there is not enough tissue for molecular analysis. We compared three minimal invasive sampling methods with respect to RNA quantity for molecular testing. Methods 106 small biopsies were prospectively collected by three different methods forceps biopsy, endobronchial ultrasound (EBUS) guided transbronchial needle aspiration (TBNA), and CT-guided core biopsy. Samples were split into two halves. One part was formalin fixed and paraffin embedded for standard pathological evaluation. The other part was put in RNAlater for immediate RNA/DNA extraction. If the pathologist confirmed the diagnosis of non-small cell lung cancer(NSCLC), the following molecular markers were tested: EGFR mutation, ERCC1, RRM1 and BRCA1. Results Overall, RNA-extraction was possible in 101 out of 106 patients (95.3%). We found 49% adenocarcinomas, 38% squamouscarcinomas, and 14% non-otherwise-specified(NOS). The highest RNA yield came from endobronchial ultrasound guided needle aspiration, which was significantly higher than bronchoscopy (37.74±41.09 vs. 13.74±15.53 ng respectively, P = 0.005) and numerically higher than CT-core biopsy (37.74±41.09 vs. 28.72±44.27 ng respectively, P = 0.244). EGFR mutation testing was feasible in 100% of evaluable patients and its incidence was 40.8%, 7.9% and 14.3% in adenocarcinomas, squamouscarcinomas and NSCLC NOS subgroup respectively. There was no difference in the feasibility of molecular testing between the three sampling methods with feasibility rates for ERCC1, RRM1 and BRCA1 of 91%, 87% and 81% respectively. Conclusion All three methods can provide sufficient tumor material for multiple biomarkers testing from routinely obtained small biopsies in lung cancer patients. In our study EBUS guided needle aspiration provided the highest amount of tumor RNA compared to bronchoscopy or CT guided core biopsy. Thus EBUS should be considered as an acceptable option for tissue acquisition for molecular testing. PMID:24205040
Copetti, Roberto; Soldati, Gino; Copetti, Paolo
2008-01-01
Background Differential diagnosis between acute cardiogenic pulmonary edema (APE) and acute lung injury/acute respiratory distress syndrome (ALI/ARDS) may often be difficult. We evaluated the ability of chest sonography in the identification of characteristic pleuropulmonary signs useful in the diagnosis of ALI/ARDS and APE. Methods Chest sonography was performed on admission to the intensive care unit in 58 consecutive patients affected by ALI/ARDS or by acute pulmonary edema (APE). Results Ultrasound examination was focalised on finding in the two groups the presence of: 1) alveolar-interstitial syndrome (AIS) 2) pleural lines abnormalities 3) absence or reduction of "gliding" sign 4) "spared areas" 5) consolidations 6) pleural effusion 7) "lung pulse". AIS was found in 100% of patients with ALI/ARDS and in 100% of patients with APE (p = ns). Pleural line abnormalities were observed in 100% of patients with ALI/ARDS and in 25% of patients with APE (p < 0.0001). Absence or reduction of the 'gliding sign' was observed in 100% of patients with ALI/ARDS and in 0% of patients with APE. 'Spared areas' were observed in 100% of patients with ALI/ARDS and in 0% of patients with APE (p < 0.0001). Consolidations were present in 83.3% of patients with ALI/ARDS in 0% of patients with APE (p < 0.0001). A pleural effusion was present in 66.6% of patients with ALI/ARDS and in 95% of patients with APE (p < 0.004). 'Lung pulse' was observed in 50% of patients with ALI/ARDS and in 0% of patients with APE (p < 0.0001). All signs, except the presence of AIS, presented a statistically significant difference in presentation between the two syndromes resulting specific for the ultrasonographic characterization of ALI/ARDS. Conclusion Pleuroparenchimal patterns in ALI/ARDS do find a characterization through ultrasonographic lung scan. In the critically ill the ultrasound demonstration of a dyshomogeneous AIS with spared areas, pleural line modifications and lung consolidations is strongly predictive, in an early phase, of non-cardiogenic pulmonary edema. PMID:18442425
Karabinis, Andreas; Saranteas, Theodosios; Karakitsos, Dimitrios; Lichtenstein, Daniel; Poularas, John; Yang, Clifford; Stefanadis, Christodoulos
2008-01-01
Introduction We conducted an ultrasound study to investigate echocardiographic artifacts in mechanically ventilated patients with lung pathology. Methods A total of 205 mechanically ventilated patients who exhibited lung atelectasis and/or pleural effusion were included in this 36-month study. The patients underwent lung echography and transthoracic echocardiography, with a linear 5 to 10 MHz and with a 1.5 to 3.6 MHz wide-angle phased-array transducer, respectively. Patients were examined by two experienced observers who were blinded to each other's interpretation. Results A total of 124 patients (60,48%) were hospitalized because of multiple trauma; 60 patients (29,26%) because of respiratory insufficiency, and 21 (10,24%) because of recent postoperative surgery. The mean duration ( ± standard deviation) of hospitalization was 35 ± 27 days. An intracardiac artifact was documented in 17 out of 205 patients (8.29%) by echocardiography. It was visible only in the apical views, whereas subsequent transesophageal echocardiography revealed no abnormalities. The artifact consisted of a mobile component that exhibited, on M-mode, a pattern of respiratory variation similar to the lung 'sinusoid sign'. Lung echography revealed lung atelectasis and/or pleural effusion adjacent to the heart, and a similar M-mode pattern was observed. The artifact was recorded within the left cardiac chambers in 11 cases and within the right cardiac chambers in six. Conclusions Lung atelectasis and/or pleural effusion may create a mirror image, intracardiac artifact in mechanically ventilated patients. The latter was named the 'cardiac-lung mass' artifact to underline the important diagnostic role of both echocardiography and lung echography in these patients. Trial registration This trial is ISRCTN registered: ISRCTN 49216096. PMID:18826590
Thirty years of cometary spectroscopy from McDonald Observatory
NASA Astrophysics Data System (ADS)
Cochran, A. L.; Barker, E. S.; Gray, C. L.
2012-03-01
We report on the results of a spectroscopic survey of 130 comets that was conducted at McDonald Observatory from 1980 through 2008. Some of the comets were observed on only one night, while others were observed repeatedly. For 20 of these comets, no molecules were detected. For the remaining 110 comets, some emission from CN, OH, NH, C3, C2, CH, and NH2 molecules were observed on at least one occasion. We converted the observed molecular column densities to production rates using a Haser (Haser, L. [1957]. Liege Inst. Astrophysics Reprint No. 394) model. We defined a restricted data set of comets that had at least three nights of observations. The restricted data set consists of 59 comets. We used ratios of production rates to study the trends in the data. We find two classes of comets: typical and carbon-chain depleted comets. Using a very strict definition of depleted comets, requiring C2and C3 to both be depleted, we find 9% of our restricted data set comets to be depleted. Using a more relaxed definition that requires only C2 to be below a threshold (similar to other researchers), we find 25% of the comets are depleted. Two-thirds of the depleted comets are Jupiter Family comets, while one-third are Long Period comets. 37% of the Jupiter Family comets are depleted, while 18.5% of the Long Period comets are depleted. We compare our results with other studies and find good agreement.
NASA Technical Reports Server (NTRS)
Ahearn, Michael F.
1988-01-01
The IUE was used to study comets including the first dynamically new comet to approach closer than 3 AU. Differences between old and new comets are studied. Results relevant to the nature of cometary nuclei are discussed. Identification of species in the spectra; relative abundances; variability of comets; and comet mass are considered.
Ganapathy, Sreelatha; Muraleedharan, Aparna; Sathidevi, Puthumangalathu Savithri; Chand, Parkash; Rajkumar, Ravi Philip
2016-09-01
DNA damage analysis plays an important role in determining the approaches for treatment and prevention of various diseases like cancer, schizophrenia and other heritable diseases. Comet assay is a sensitive and versatile method for DNA damage analysis. The main objective of this work is to implement a fully automated tool for the detection and quantification of DNA damage by analysing comet assay images. The comet assay image analysis consists of four stages: (1) classifier (2) comet segmentation (3) comet partitioning and (4) comet quantification. Main features of the proposed software are the design and development of four comet segmentation methods, and the automatic routing of the input comet assay image to the most suitable one among these methods depending on the type of the image (silver stained or fluorescent stained) as well as the level of DNA damage (heavily damaged or lightly/moderately damaged). A classifier stage, based on support vector machine (SVM) is designed and implemented at the front end, to categorise the input image into one of the above four groups to ensure proper routing. Comet segmentation is followed by comet partitioning which is implemented using a novel technique coined as modified fuzzy clustering. Comet parameters are calculated in the comet quantification stage and are saved in an excel file. Our dataset consists of 600 silver stained images obtained from 40 Schizophrenia patients with different levels of severity, admitted to a tertiary hospital in South India and 56 fluorescent stained images obtained from different internet sources. The performance of "CometQ", the proposed standalone application for automated analysis of comet assay images, is evaluated by a clinical expert and is also compared with that of a most recent and related software-OpenComet. CometQ gave 90.26% positive predictive value (PPV) and 93.34% sensitivity which are much higher than those of OpenComet, especially in the case of silver stained images. The results are validated using confusion matrix and Jaccard index (JI). Comet assay images obtained after DNA damage repair by incubation in the nutrient medium were also analysed, and CometQ showed a significant change in all the comet parameters in most of the cases. Results show that CometQ is an accurate and efficient tool with good sensitivity and PPV for DNA damage analysis using comet assay images. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
[18F]FDG imaging of head and neck tumours: comparison of hybrid PET and morphological methods.
Dresel, S; Grammerstorff, J; Schwenzer, K; Brinkbäumer, K; Schmid, R; Pfluger, T; Hahn, K
2003-07-01
The aim of this study was to evaluate fluorine-18 fluorodeoxyglucose ([(18)F]FDG) imaging of head and neck tumours using a second- or third-generation hybrid PET device. Results were compared with the findings of spiral computed tomography (CT) and magnetic resonance imaging (MRI), and, as regards lymph node metastasis, the ultrasound findings. A total of 116 patients with head and neck tumours (83 males and 33 females aged 27-88 years) were examined using a hybrid PET scanner after injection of 185-350 MBq of [(18)F]FDG (Picker Prism 2000 XP-PCD, Marconi Axis gamma-PET(2) AZ). Hybrid PET examinations were performed in list mode using an axial filter. Reconstruction of data was performed iteratively. Ninety-six patients underwent CT using a multislice technique (Siemens Somatom Plus 4, Marconi MX 8000), 18 patients underwent MRI and 100 patients were examined by ultrasound. All findings were verified by histology, which was considered the gold standard, or, in the event of negative histology, by follow-up. Correct diagnosis of the primary or recurrent lesion was made in 73 of 85 patients using the hybrid PET scanner, in 50 of 76 patients on CT and in 7 of 10 patients on MRI. Hybrid PET successfully visualised metastatic disease in cervical lymph nodes in 28 of 34 patients, while 23 of 31 were correctly diagnosed with CT, 3 of 4 with MRI and 30 of 33 with ultrasound. False positive results regarding lymph node metastasis were seen in three patients with hybrid PET, in 14 patients with CT and in 13 patients with ultrasound. MRI yielded no false positive results concerning lymph node metastasis. In one patient, unrecognised metastatic lesions were seen on hybrid PET elsewhere in the body (lung: n=1; bone: n=1). Additional malignant lesions at sites other than the head and neck tumour were found in three patients (one patient with lung cancer, one patient with pelvic metastasis due to a carcinoma of the prostate and one patient with pulmonary metastasis due to breast cancer). It is concluded that [(18)F]FDG PET with hybrid PET scanners is superior to CT and MRI in the diagnosis of primary or recurrent lesions as well as in the assessment of lymph node involvement, whereas it is inferior to ultrasound in the detection of cervical lymph node metastasis.
NASA Technical Reports Server (NTRS)
2006-01-01
[figure removed for brevity, see original site] A Million Comet Pieces (poster version) This infrared image from NASA's Spitzer Space Telescope shows the broken Comet 73P/Schwassman-Wachmann 3 skimming along a trail of debris left during its multiple trips around the sun. The flame-like objects are the comet's fragments and their tails, while the dusty comet trail is the line bridging the fragments. Comet 73P /Schwassman-Wachmann 3 began to splinter apart in 1995 during one of its voyages around the sweltering sun. Since then, the comet has continued to disintegrate into dozens of fragments, at least 36 of which can be seen here. Astronomers believe the icy comet cracked due the thermal stress from the sun. The Spitzer image provides the best look yet at the trail of debris left in the comet's wake after its 1995 breakup. The observatory's infrared eyes were able to see the dusty comet bits and pieces, which are warmed by sunlight and glow at infrared wavelengths. This comet debris ranges in size from pebbles to large boulders. When Earth passes near this rocky trail every year, the comet rubble burns up in our atmosphere, lighting up the sky in meteor showers. In 2022, Earth is expected to cross close to the comet's trail, producing a noticeable meteor shower. Astronomers are studying the Spitzer image for clues to the comet's composition and how it fell apart. Like NASA's Deep Impact experiment, in which a probe smashed into comet Tempel 1, the cracked Comet 73P/Schwassman-Wachmann 3 provides a perfect laboratory for studying the pristine interior of a comet. This image was taken from May 4 to May 6 by Spitzer's multi-band imaging photometer, using its 24-micron wavelength channel.Long-term evolution of Oort Cloud comets: capture of comets
NASA Astrophysics Data System (ADS)
Nurmi, P.; Valtonen, M. J.; Zheng, J. Q.; Rickman, H.
2002-07-01
We test different possibilities for the origin of short-period comets captured from the Oort Cloud. We use an efficient Monte Carlo simulation method that takes into account non-gravitational forces, Galactic perturbations, observational selection effects, physical evolution and tidal splittings of comets. We confirm previous results and conclude that the Jupiter family comets cannot originate in the spherically distributed Oort Cloud, since there is no physically possible model of how these comets can be captured from the Oort Cloud flux and produce the observed inclination and Tisserand constant distributions. The extended model of the Oort Cloud predicted by the planetesimal theory consisting of a non-randomly distributed inner core and a classical Oort Cloud also cannot explain the observed distributions of Jupiter family comets. The number of comets captured from the outer region of the Solar system are too high compared with the observations if the inclination distribution of Jupiter family comets is matched with the observed distribution. It is very likely that the Halley-type comets are captured mainly from the classical Oort Cloud, since the distributions in inclination and Tisserand value can be fitted to the observed distributions with very high confidence. Also the expected number of comets is in agreement with the observations when physical evolution of the comets is included. However, the solution is not unique, and other more complicated models can also explain the observed properties of Halley-type comets. The existence of Jupiter family comets can be explained only if they are captured from the extended disc of comets with semimajor axes of the comets a<5000au. The original flattened distribution of comets is conserved as the cometary orbits evolve from the outer Solar system era to the observed region.
NASA Astrophysics Data System (ADS)
Kelley, Michael; Feaga, Lori; Bodewits, Dennis; McKay, Adam; Snodgrass, Colin; Wooden, Diane
2014-12-01
Spacecraft missions to comets return a treasure trove of details of their targets, e.g., the Rosetta mission to comet 67P/Churyumov-Gerasimenko, the Deep Impact experiment at comet 9P/Tempel 1, or even the flyby of C/2013 A1 (Siding Spring) at Mars. Yet, missions are rare, the diversity of comets is large, few comets are easily accessible, and comet flybys essentially return snapshots of their target nuclei. Thus, telescopic observations are necessary to place the mission data within the context of each comet's long-term behavior, and to further connect mission results to the comet population as a whole. We propose a large Cycle 11 project to study the long-term activity of past and potential future mission targets, and select bright Oort cloud comets to infer comet nucleus properties, which would otherwise require flyby missions. In the classical comet model, cometary mass loss is driven by the sublimation of water ice. However, recent discoveries suggest that the more volatile CO and CO2 ices are the likely drivers of some comet active regions. Surprisingly, CO2 drove most of the activity of comet Hartley 2 at only 1 AU from the Sun where vigorous water ice sublimation would be expected to dominate. Currently, little is known about the role of CO2 in comet activity because telluric absorptions prohibit monitoring from the ground. In our Cycle 11 project, we will study the CO2 activity of our targets through IRAC photometry. In conjunction with prior observations of CO2 and CO, as well as future data sets (JWST) and ongoing Earth-based projects led by members of our team, we will investigate both long-term activity trends in our target comets, with a particular goal to ascertain the connections between each comet's coma and nucleus.
Leptin does not influence surfactant synthesis in fetal sheep and mice lungs
Sato, Atsuyasu; Schehr, Angelica
2011-01-01
In the fetus, leptin in the circulation increases at late gestation and likely influences fetal organ development. Increased surfactant by leptin was previously demonstrated in vitro using fetal lung explant. We hypothesized that leptin treatment given to fetal sheep and pregnant mice might increase surfactant synthesis in the fetal lung in vivo. At 122–124 days gestational age (term: 150 days), fetal sheep were injected with 5 mg of leptin or vehicle using ultrasound guidance. Three and a half days after injection, preterm lambs were delivered, and lung function was studied during 30-min ventilation, followed by pulmonary surfactant components analyses. Pregnant A/J mice were given 30 or 300 mg of leptin or vehicle by intraperitoneal injection according to five study protocols with different doses, number of treatments, and gestational ages to treat. Surfactant components were analyzed in fetal lung 24 h after the last maternal treatment. Leptin injection given to fetal sheep increased fetal body weight. Control and leptin-treated groups were similar in lung function (preterm newborn lamb), surfactant components pool sizes (lamb and fetal mice), and expression of genes related to surfactant synthesis in the lung (fetal mice). Likewise, saturated phosphatidylcholine and phospholipid were normal in mice lungs with absence of circulating leptin (ob/ob mice) at all ages. These studies coincided in findings that neither exogenously given leptin nor deficiency of leptin influenced fetal lung maturation or surfactant pool sizes in vivo. Furthermore, the key genes critically required for surfactant synthesis were not affected by leptin treatment. PMID:21216976
Fetal laser ablation of feeding artery of cystic lung lesions with systemic arterial blood supply.
Cruz-Martinez, R; Martínez-Rodríguez, M; Bermúdez-Rojas, M; Magaña-Abarca, C; Narvaez-Dominguez, V; Rojas-Macedo, A; Bautista-García, N; Alcocer-Alcocer, M
2017-06-01
To assess the effectiveness of laser surgery in fetuses with a cystic lung lesion with systemic arterial blood supply (hybrid lung lesion) at risk of perinatal death. A cohort of five consecutive fetuses with a large hybrid lung lesion associated with hydrops and/or pleural effusion with severe lung compression was selected for percutaneous ultrasound-guided fetal laser ablation of the feeding artery (FLAFA) before 32 weeks' gestation in a single tertiary national referral center in Queretaro, Mexico. The primary outcomes were survival and need for postnatal surgery. FLAFA was performed successfully in all cases at a median gestational age of 24.9 (range, 24.4-31.7) weeks. After fetal intervention, dimensions in both lungs increased and fluid effusions resolved in all cases. All cases were delivered liveborn at term at a median gestational age of 39.6 (range, 38.0-39.7) weeks, without respiratory morbidity or need for oxygen support, resulting in perinatal survival of 100%. During follow-up, three (60%) cases showed progressive regression of the entire lung mass and did not require postnatal surgery, whereas in two (40%) cases a progressive decrease in size of the mass was observed but a cystic portion of the lung mass persisted and postnatal lobectomy was required. In fetuses with large hybrid lung lesions at risk of perinatal death, FLAFA is feasible and could improve survival and decrease the need for postnatal surgery. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.
Sanz-Santos, José; Serra, Pere; Torky, Mohamed; Andreo, Felipe; Centeno, Carmen; Mendiluce, Leire; Martínez-Barenys, Carlos; López de Castro, Pedro; Ruiz-Manzano, Juan
2018-04-06
To evaluate the accuracy of systematic mediastinal staging by endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) (sampling of all visible nodes measuring ≥5mm from stations N3 to N1 regardless of their positron emission tomography/computed tomography (PET/CT) features) and compare this staging approach with targeted EBUS-TBNA staging (sampling only 18F-fluorodeoxyglucose (FDG)-avid nodes) in patients with N2 non-small cell lung cancer (NSCLC) on PET/CT. Retrospective study of 107 patients who underwent systematic EBUS-TBNA mediastinal staging. The results were compared with those of a hypothetical scenario where only FDG-avid nodes on PET/CT would be sampled. Systematic EBUS-TBNA sampling demonstrated N3 disease in 3 patients, N2 disease in 60 (42 single-station or N2a, 18 multiple-station or N2b) and N0/N1 disease in 44. Of these 44, seven underwent mediastinoscopy, which did not show mediastinal disease; six of the seven proceeded to lung resection, which also showed no mediastinal disease. Thirty-four N0/N1 patients after EBUS-TBNA underwent lung resection directly: N0/N1 was found in 30 and N2 in four (one N2b with a PET/CT showing N2a disease, three N2a). Sensitivity, specificity, negative predictive value, positive predictive value, and overall accuracy of systematic EBUS-TBNA were 94%, 100%, 90%, 100% and 96%, respectively. Compared to targeted EBUS-TBNA, systematic EBUS-TBNA sampling provided additional important clinical information in 14 cases (13%): three N3 cases would have passed unnoticed, and 11 N2b cases would have been staged as N2a. In clinical practice, systematic sampling of the mediastinum by EBUS-TBNA, regardless of PET/CT features, is to be recommended over targeted sampling. Copyright © 2018. Published by Elsevier Inc.
Heineman, David Jonathan; Beck, Naomi; Wouters, Michael Wilhelmus; van Brakel, Thomas Jan; Daniels, Johannes Marlene; Schreurs, Wilhelmina Hendrika; Dickhoff, Chris
2018-06-01
Optimal treatment selection for patients with non-small cell lung cancer (NSCLC) depends on the clinical stage of the disease. Particularly patients with mediastinal lymph node involvement (stage IIIA-N2) should be identified since they generally do not benefit from upfront surgery. Although the standardized preoperative use of PET-CT, EUS/EBUS and/or mediastinoscopy identifies most patients with mediastinal lymph node metastasis, a proportion of these patients is only diagnosed after surgery. The objective of this study was to identify all patients with unforeseen N2 disease after surgical resection for NSCLC in a large nationwide database and to evaluate the preoperative clinical staging process. Data was derived from the Dutch Lung Surgery Audit. Patients with pathological stage IIIA NSCLC after an anatomical resection between 2013 and 2015 were evaluated. Clinical and pathological TNM-stage were compared and an analysis was performed on the diagnostic work-up of patients with unforeseen N2 disease. From 3585 patients undergoing surgery for NSCLC between 2013 and 2015, a total of 527 patients with pathological stage IIIA NSCLC were included. Of all 527 patients, 254 patients were upstaged from a clinical N0 (n = 186) or N1 (n = 68) disease to a pathological N2 disease (7.1% unforeseen N2). In these 254 patients, 18 endoscopic ultrasounds, 62 endobronchial ultrasounds and 67 mediastinoscopies were performed preoperatively. In real world clinical practice in The Netherlands, the percentage of unforeseen N2 disease in patients undergoing surgery for NSCLC is seven percent. To further reduce this percentage, optimization of the standardized preoperative workup is necessary. Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
Kerche-Silva, Leandra E; Cólus, Ilce M S; Malini, Maressa; Mori, Mateus Prates; Dekker, Robert F H; Barbosa-Dekker, Aneli M
2017-02-01
Botryosphaeran (BOT) is an exocellular β-d-glucan (carbohydrate biopolymer) of the (1→3;1→6)-linked type produced by Botryosphaeria rhodina MAMB-05. The cytotoxic, mutagenic, genotoxic, and protective effects of this substance were evaluated in Chinese hamster lung fibroblasts (V79) and rat hepatocarcinoma cells (HTC) by the micronucleus test (MN) and the comet assay. BOT was not genotoxic in either cell line; it decreased the clastogenic effects of doxorubicin, H 2 O 2 , and benzo[a]pyrene. These results indicate that BOT may have potential as a therapeutic agent. Copyright © 2016 Elsevier B.V. All rights reserved.
Stone, Jonathan; Matchett, Gerald
2014-01-01
Management of pain from skeletal metastases is notoriously difficult. Case reports and case series have described radiofrequency ablation of the obturator nerve branches to the femoral head for treatment of intractable hip pain. Ablation of the obturator branches to the femoral head is technically difficult because of bony and vascular anatomy, including close proximity of the femoral vessels. Here we present the case of a 79-year-old woman with intractable right hip pain and inability to ambulate secondary to metastatic non-small cell lung cancer in the femoral head and acetabulum, treated with thermal radiofrequency ablation of the obturator and femoral nerve branches to the femoral head. Ablation of the obturator nerve was done via anterior placement of the radiofrequency needle under combined ultrasound and fluoroscopic guidance, passing the radiofrequency needle between the femoral artery and femoral vein. Real-time ultrasound guidance was used to avoid vascular puncture. Thermal radiofrequency ablation resulted in sustained pain relief, and resumption in the ability of the patient to ambulate. From this case we suggest that an anterior approach to the obturator nerve branches to the femoral head may be technically feasible using combined ultrasound and fluoroscopic guidance to avoid vascular puncture.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wachsman, A.M., E-mail: ariw@fusemail.com; Hoffer, E.K.; Forauer, A.R.
A case of tension pneumothorax developed after placement of a tunneled pleural catheter for treatment of malignant pleural effusion in a patient with advanced lung cancer. The catheter placement was carried out by an experienced operator under direct ultrasound guidance, and the patient showed immediate symptomatic improvement with acute decompensation occurring several hours later. Possible mechanisms for this serious complication of tunneled pleural catheter placement are described, and potential strategies to avoid or prevent it in future are discussed.
Development and Assessment of a Dual-Mode, Noise-Immune Stethoscope for Combat Environments
2010-04-01
unusable. A need exists for a stethoscope that can detect heart and lung auscultation in the presence of fixed- and rotary-wing aircraft, as well as...in ambulances and other operational environments where the ambient noise level precludes auscultation with a standard stethoscope. Possessing this...allows auscultation in high-noise environments. Because even modern military vehicles do not produce acoustic energy at the ultrasound carrier
Zhao, Xiang; He, Rong; Liu, Yu; Wu, Yongkai; Kang, Leitao
2017-07-01
Cisplatin and its analogues are widely used as anti-tumor drugs in lung cancer but many cisplatin-resistant lung cancer cases have been identified in recent years. Single-stranded DNA-binding protein 1 (SSDBP1) can effectively induce H69 cell resistance to cisplatin in our previous identification; thus, it is necessary to explore the mechanism underlying the effects of SSDBP1-induced resistance to cisplatin. First, SSDBP1-overexpressed or silent cell line was constructed and used to analyze the effects of SSDBP1 on chemoresistance of lung cancer cells to cisplatin. SSDBP1 expression was assayed by real-time PCR and Western blot. Next, the effects of SSDBP1 on cisplatin sensitivity, proliferation, and apoptosis of lung cancer cell lines were assayed by MTT and flow cytometry, respectively; ABC transporters, apoptosis-related genes, and cell cycle-related genes by real-time PCR, and DNA wound repair by comet assay. Low expression of SSDBP1 was observed in H69 cells, while increased expression in cisplatin-resistant H69 cells. Upregulated expression of SSDBP1 in H69AR cells was identified to promote proliferation and cisplatin resistance and inhibit apoptosis, while downregulation of SSDBP1 to inhibit cisplatin resistance and proliferation and promoted apoptosis. Moreover, SSDBP1 promoted the expression of P2gp, MRP1, Cyclin D1, and CDK4 and inhibited the expression of caspase 3 and caspase 9. Furthermore, SSDBP1 promoted the DNA wound repair. These results indicated that SSDBP1 may induce cell chemoresistance of cisplatin through promoting DNA repair, resistance-related gene expression, cell proliferation, and inhibiting apoptosis.
Ultrasound-guided medical thoracoscopy in the absence of pleural effusion.
Marchetti, Giampietro; Valsecchi, Alberto; Indellicati, Davide; Arondi, Sabrina; Trigiani, Marco; Pinelli, Valentina
2015-04-01
Medical thoracoscopy (MT) is a diagnostic and therapeutic procedure that permits the study of the pleural space. The presence of pleural adhesions is the most important contraindication to performing MT. Lesions of the pleura in absence of pleural effusion are usually studied in video-assisted thoracoscopic surgery (VATS) with preoperative ultrasound evaluation. No data are available about ultrasound-guided MT in the absence of pleural effusion. From January 2007 to June 2013, 622 consecutive MTs were performed under ultrasound guidance without inducing a pneumothorax. A retrospective cohort of 29 patients affected by pleural diseases without fluid was reviewed. The fifth or sixth intercostal spaces along the midaxillary line with a good echographic "sliding sign" and normal appearance of the pleural line were chosen as the entry site. The pleural cavity was explored, and biopsies were performed. The mean age of the patient cohort was 62.8 years; there were 20 male patients and nine female patients. Pleural adherences were avoided, and adequate number of pleural biopsies were performed. No parenchymal lung injuries, bleeding, or hematoma occurred. Seventeen patients had a completely free pleural cavity, four patients had a single pleural adhesion, and eight had multiple pleural adhesions; in all cases, however, endoscopic exploration was possible and biopsy specimens were adequate. The most frequent histopathologic diagnosis was malignant pleural mesothelioma. We have shown that thoracic ultrasound accurately identifies intrathoracic adhesions and, in experienced hands, can guide MT access, replacing the VATS approach, even in the complete absence of pleural effusion.
Comets: Data, problems, and objectives
NASA Technical Reports Server (NTRS)
Whipple, F. L.
1977-01-01
A highly abridged review of new relevant results from the observations of Comet Kohoutek is followed by an outline summary of our basic knowledge concerning comets, both subjects being confined to data related to the nature and origin of comets rather than the phenomena (for example, plasma phenomena are omitted). The discussion then centers on two likely places of cometary origin in the developing solar system, the proto-Uranus-Neptune region versus the much more distant fragmented interstellar cloud region, now frequented by comets of the Opik-Oort cloud. The Comet Kohoutek results add new insights, particularly with regard to the parent molecules and the nature of meteoric solids in comets, to restrict the range of the physical circumstances of comet formation. A few fundamental and outstanding questions are asked, and a plea made for unmanned missions to comets and asteroids in order to provide definitive answers as to the nature and origin of comets, asteroids, and the solar system generally.
The intermediate comets and nongravitational effects
NASA Technical Reports Server (NTRS)
Yeomans, D. K.
1986-01-01
The motions of the intermediate-period comets Pons-Brooks, Olbers, Brorsen-Metcalf, and Westphal are investigated over their observed intervals. The three apparitions of comets Pons-Brooks and Olbers were successfully linked, using the now standard nongravitational-force model. The two apparitions of Comet Brorsen-Metcalf were successfully linked without the need for nongravitational effects. For the 1852 and 1913 apparitions of Comet Westphal, complete success was not achieved in modeling the comet's motion either with or without nongravitational effects. However, by including these effects, the comet's astrometric observations could be represented significantly better than if they were assumed inoperative. Comet Westphal's dynamic and photometric behavior suggests its complete disintegration before reaching perihelion in 1913. If the very large radial nongravitational parameter determined for Comet Westphal is due to the comet's disintegration into dust, then the resultant dust-particle size is of the order of 0.8 mm.
Comet Tempel 2: Orbit, ephemerides and error analysis
NASA Technical Reports Server (NTRS)
Yeomans, D. K.
1978-01-01
The dynamical behavior of comet Tempel 2 is investigated and the comet is found to be very well behaved and easily predictable. The nongravitational forces affecting the motion of this comet are the smallest of any comet that is affected by nongravitational forces. The sign and time history of these nongravitational forces imply (1) a direct rotation of the comet's nucleus and (2) the comet's ability to outgas has not changed substantially over its entire observational history. The well behaved dynamical motion of the comet, the well observed past apparitions, the small nongravitational forces and the excellent 1988 ground based observing conditions all contribute to relatively small position and velocity errors in 1988 -- the year of a proposed rendezvous space mission to this comet. To assist in planned ground based and earth orbital observations of this comet, ephemerides are given for the 1978-79, 1983-84 and 1988 apparitions.
The natural history of Halley's comet
NASA Astrophysics Data System (ADS)
McLaughlin, W. I.
1981-07-01
The 1986 apparition of Halley's comet will be the subject of numerous space probes, planned to determine the chemical nature and physical structure of comet nuclei, atmospheres, and ionospheres, as well as comet tails. The problems of cometary origin remain inconclusive, with theories ranging from a purely interstellar origin to their being ejecta from the Galilean satellites of Jupiter. Comets can be grouped into one of two classes, depending on their periodicity, and statistical mechanics of the entire Jovian family of comets can be examined under the equilibrium hypothesis. Comet anatomy estimations have been determined, and there is speculation that comet chemistry may have been a factor in the origin of life on earth. Halley's comet was first noted using Newton's dynamical methods, and Brady (1972) attempted to use the comet as a gravitational probe in search of a trans-Plutonian planet. Halley's orbit is calculated by combination of ancient observations and modern scientific methods.
Comets in Australian Aboriginal Astronomy
NASA Astrophysics Data System (ADS)
Hamacher, Duane W.; Norris, Ray P.
2011-03-01
We present 25 accounts of comets from 40 Australian Aboriginal communities, citing both supernatural perceptions of comets and historical accounts of historically bright comets. Historical and ethnographic descriptions include the Great Comets of 1843, 1861, 1901, 1910, and 1927. We describe the perceptions of comets in Aboriginal societies and show that they are typically associated with fear, death, omens, malevolent spirits, and evil magic, consistent with many cultures around the world. We also provide a list of words for comets in 16 different Aboriginal languages.
NASA Technical Reports Server (NTRS)
Luu, Jane X.
1992-01-01
Activity in distant comets remains a mystery in the sense that we still have no complete theory to explain the various types of activity exhibited by different comets at large distances. This paper explores the factors that should play a role in determining activity in a distant comet, especially in the cases of comet P/Tempel 2, comet Schwassmann-Wachmann 1, and 2060 Chiron.
NASA Astrophysics Data System (ADS)
Bailey, M. E.; Clube, S. V. M.; Napier, W. M.
Theories of the nature and origin of comets are discussed in a historical review covering the period from ancient times to the present. Consideration is given to the ancient controversy as to the atmospheric or celestial nature of comets, Renaissance theories of comet orbits, superstitions regarding the effects of comets, Kant's (1755) theory of solar-system origin, the nineteenth-century discovery of the relationship between comets and meteor showers, and the continuing solar-system/interstellar debate. Oort's (1950) model of a comet swarm surrounding the solar system is examined in detail; arguments advanced to explain the formation of comets within this model are summarized; and the question of cometary catastrophism is addressed.
Mars Reconnaissance Orbiter Navigation Strategy for the Comet Siding Spring Encounter
NASA Technical Reports Server (NTRS)
Menon, Premkumar R.; Wagner, Sean V.; Martin-Mur, Tomas J.; Jefferson, David C.; Ardalan, Shadan M.; Chung, Min-Kun J.; Lee, Kyong J.; Schulze, William B.
2015-01-01
Comet Siding Spring encountered Mars on October 19, 2014 at a distance of about 140,500 km - the nearest comet flyby of a planet in recorded history. Mars Reconnaissance Orbiter (MRO) was able to detect the comet, gather science data, and capture images of the comet as it approached Mars. To help protect MRO from the incoming comet particles, two propulsive maneuvers were performed to position the spacecraft behind Mars at the arrival time of the expected peak particle fluency. This paper documents the strategy that the MRO Navigation Team executed to mitigate risk from the comet particles while allowing scientific observations of the comet flyby.
A Post-Stardust Mission View of Jupiter Family Comets
NASA Technical Reports Server (NTRS)
Zolensky, M.
2011-01-01
Before the Stardust Mission, many persons (including the mission team) believed that comet nuclei would be geologically boring objects. Most believed that comet nucleus mineralogy would be close or identical to the chondritic interplanetary dust particles (IDPs), or perhaps contain mainly amorphous nebular condensates or that comets might even be composed mainly of preserved presolar material [1]. Amazingly, the results for Comet Wild 2 (a Jupiter class comet) were entirely different. Whether this particular comet will ultimately be shown to be typical or atypical will not be known for a rather long time, so we describe our new view of comets from the rather limited perspective of this single mission.
OpenComet: An automated tool for comet assay image analysis
Gyori, Benjamin M.; Venkatachalam, Gireedhar; Thiagarajan, P.S.; Hsu, David; Clement, Marie-Veronique
2014-01-01
Reactive species such as free radicals are constantly generated in vivo and DNA is the most important target of oxidative stress. Oxidative DNA damage is used as a predictive biomarker to monitor the risk of development of many diseases. The comet assay is widely used for measuring oxidative DNA damage at a single cell level. The analysis of comet assay output images, however, poses considerable challenges. Commercial software is costly and restrictive, while free software generally requires laborious manual tagging of cells. This paper presents OpenComet, an open-source software tool providing automated analysis of comet assay images. It uses a novel and robust method for finding comets based on geometric shape attributes and segmenting the comet heads through image intensity profile analysis. Due to automation, OpenComet is more accurate, less prone to human bias, and faster than manual analysis. A live analysis functionality also allows users to analyze images captured directly from a microscope. We have validated OpenComet on both alkaline and neutral comet assay images as well as sample images from existing software packages. Our results show that OpenComet achieves high accuracy with significantly reduced analysis time. PMID:24624335
OpenComet: an automated tool for comet assay image analysis.
Gyori, Benjamin M; Venkatachalam, Gireedhar; Thiagarajan, P S; Hsu, David; Clement, Marie-Veronique
2014-01-01
Reactive species such as free radicals are constantly generated in vivo and DNA is the most important target of oxidative stress. Oxidative DNA damage is used as a predictive biomarker to monitor the risk of development of many diseases. The comet assay is widely used for measuring oxidative DNA damage at a single cell level. The analysis of comet assay output images, however, poses considerable challenges. Commercial software is costly and restrictive, while free software generally requires laborious manual tagging of cells. This paper presents OpenComet, an open-source software tool providing automated analysis of comet assay images. It uses a novel and robust method for finding comets based on geometric shape attributes and segmenting the comet heads through image intensity profile analysis. Due to automation, OpenComet is more accurate, less prone to human bias, and faster than manual analysis. A live analysis functionality also allows users to analyze images captured directly from a microscope. We have validated OpenComet on both alkaline and neutral comet assay images as well as sample images from existing software packages. Our results show that OpenComet achieves high accuracy with significantly reduced analysis time.
Sarcoidosis with Pancreatic Mass, Endobronchial Nodules, and Miliary Opacities in the Lung.
Matsuura, Shun; Mochizuka, Yasutaka; Oishi, Kyohei; Miyashita, Koichi; Naoi, Hyogo; Mochizuki, Eisuke; Mikura, Shinichiro; Tsukui, Masaru; Koshimizu, Naoki; Ohata, Akihiko; Suda, Takahumi
2017-11-15
Sarcoidosis affects multiple organs and rarely has unusual manifestations. A 78-year-old woman was referred to our hospital for coughing symptoms. A chest computed tomography (CT) scan revealed bilateral diffuse miliary patterns and right pleural effusion. Bronchoscopy showed multiple nodules in the carina and the bronchus intermedius. A CT scan of her abdomen revealed hypovascular lesions involving the pancreatic head and body. A transbronchial lung biopsy, bronchial mucosal biopsy, and endoscopic ultrasound-guided fine-needle aspiration of the pancreatic mass demonstrated non-caseating granulomas. We diagnosed the patient with sarcoidosis. She received no treatment for sarcoidosis and has been followed up for one year, during which no pulmonary disease progression had been observed and the pancreatic masses partially regressed.
Stock, Emmelie; Vanderperren, Katrien; Haers, Hendrik; Duchateau, Luc; Hesta, Myriam; Saunders, Jimmy H
2017-02-01
Contrast-enhanced ultrasound is a valuable and safe technique for the evaluation of organ perfusion. Repeated injections of ultrasound contrast agent are often administered during the same imaging session. However, it remains unclear if quantitative differences are present between the consecutive microbubble injections. Therefore, the first and second injection of contrast agent for the left renal cortex, renal medulla and the splenic parenchyma in healthy cats were compared. A lower peak intensity and area under the curve were observed for the first injection of contrast agent in the feline kidney, both for the renal cortex and medulla, and spleen. Moreover, for the renal cortex, the time-intensity curve was steeper after the second injection. Findings from the present study demonstrate that a second injection of contrast agent provides stronger enhancement. The exact mechanism behind our findings remains unclear; however, saturation of the lung macrophages is believed to play an important role. Copyright © 2016 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Munari, Carla Carolina; Alves, Jacqueline Morais; Bastos, Jairo Kenupp; Tavares, Denise Crispim
2010-01-01
Baccharis dracunculifolia (Asteraceae), the main botanical source of green propolis, is a shrub of the Brazilian 'cerrado'. In folk medicine it is used as an anti-inflammatory agent, mainly for the treatment of gastrointestinal diseases. The aim of the present study was to evaluate the genotoxic and antigenotoxic effects of B. dracunculifolia ethyl acetate extract (Bd-EAE) on Chinese hamster lung fibroblasts (V79 cells) by the comet assay. Methyl methanesulfonate (MMS; 200 microM) was used as an inducer of DNA damage. Genotoxicity was evaluated using four different concentrations of Bd-EAE: 12.5, 25.0, 50.0 and 100.0 microg ml(-1). Antigenotoxicity was assessed before, simultaneously, and after treatment with the mutagen. The results showed a significant increase in the frequency of DNA damage in cultures treated with 50.0 and 100.0 microg ml(-1) Bd-EAE. Regarding its antigenotoxic potential, Bd-EAE reduced the frequency of DNA damage induced by MMS. However, this chemopreventive activity depended on the concentrations and treatment regimens used. The antioxidant activity of phenolic components present in Bd-EAE may contribute to reduce the alkylation damage induced by MMS. In conclusion, our findings confirmed the chemopreventive activity of Bd-EAE and showed that this effect occurs under different mechanism.
Jung, Mi Hyun; Kim, Ha Ryong; Park, Yong Joo; Park, Duck Shin; Chung, Kyu Hyuck; Oh, Seung Min
2012-12-12
Particulate matter (PM) has become an important health risk factor in our society. PM can easily deposit in the bronchi and lungs, causing diverse diseases such as respiratory infections, lung cancers and cardiovascular diseases. In recent days, more and more toxicological studies have been dealing with air particles in distinctive areas including industrial areas, transportation sites, or indoors. Studies on subway PM in particular, have been recognizing PM as an important health risk factor because many people use subways as a major mode of public transportation (4 million people a day in Korea). The main aim of the present study was to evaluate the genotoxic effects of organic extract (OE) of subway PM10 and potential attribution of PAHs to these effects. Particles were collected in the subway tunnel at Kil-eum station(Line 4) for one month and then extracted with Dichloromethane (DCM). Chinese Hamster Ovary cells(CHO-K1) and human normal bronchial cells (BEAS-2B) were exposed to OE, and MN and Comet assays were conducted to analyze the genotoxicity. The results showed that OE increased DNA or chromosome damages in both cell lines. In the modified Comet assay and MN assay with free radical scavengers, we confirmed that the genotoxic effect of OE was partially due to the oxidative damage on DNA. DCFHD Aassay also indicated that OE induced ROS generation in BEAS-2B cells. PAHs [benzo(a)anthracene,benzo(k)fluoranthrene, etc.], the most well-known carcinogens in polluted air, were detected in Kil-eum PM10. In conclusion, our findings confirmed that OE of subway PM10 has genotoxic effects on normal human lung cells, and oxidative stress could be one of the major mechanisms of these genotoxic effects.In addition, some genotoxic and carcinogenic PAHs were detected in OE by GC/MS/MS, even though PAHs level was not enough to increase CYP1A1 gene. Therefore, we suggest that additive or synergistic effects by unidentified chemicals as well as PAHs contained in OE of subway PM10 may induce genotoxic effects and further researches are needed to identify the genotoxic compounds in subway PM.
Asano, Fumihiro; Aoe, Motoi; Ohsaki, Yoshinobu; Okada, Yoshinori; Sasada, Shinji; Sato, Shigeki; Suzuki, Eiichi; Semba, Hiroshi; Fukuoka, Kazuya; Fujino, Shozo; Ohmori, Kazumitsu
2013-05-10
With the recent widespread use of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), there have been occasional reports on complications associated with its use. Previous reviews on EBUS-TBNA have been limited to studies by skilled operators, thus the results may not always be applicable to recent clinical practice. To assess the safety of EBUS-TBNA for the staging and diagnosis of lung cancer in Japan, a nationwide survey on its current usage status and complications associated with its use was conducted by the Japan Society for Respiratory Endoscopy (JSRE). A questionnaire about EBUS-TBNA performed between January 2011 and June 2012 was mailed to 520 JSRE-accredited facilities. Responses were obtained from 455 facilities (87.5%). During the study period, EBUS-TBNA was performed in 7,345 cases in 210 facilities (46.2%) using a convex probe ultrasound bronchoscope, for 6,836 mediastinal and hilar lesions and 275 lung parenchymal lesions. Ninety complications occurred in 32 facilities. The complication rate was 1.23% (95% confidence interval, 0.97%-1.48%), with hemorrhage being the most frequent complication (50 cases, 0.68%). Infectious complications developed in 14 cases (0.19%) (Mediastinitis, 7; pneumonia, 4; pericarditis, 1; cyst infection, 1; and sepsis, 1). Pneumothorax developed in 2 cases (0.03%), one of which required tube drainage. Regarding the outcome of the cases with complications, prolonged hospitalization was observed in 14 cases, life-threatening conditions in 4, and death in 1 (severe cerebral infarction) (mortality rate, 0.01%). Breakage of the ultrasound bronchoscope occurred in 98 cases (1.33%) in 67 facilities (31.9%), and that of the puncture needle in 15 cases (0.20%) in 8 facilities (3.8%). Although the complication rate associated with EBUS-TBNA was found to be low, severe complications, including infectious complications, were observed, and the incidence of device breakage was high. Since the use of EBUS-TBNA is rapidly expanding in Japan, an educational program for its safe performance should be immediately established.
Jin, Yeung Bae; Choi, Seo-Hyun; Lee, Jae Seon; Kim, Jae-Kyung; Lee, Ju-Woon; Hong, Seung-Cheol; Myung, Sung Ho; Lee, Yun-Sil
2014-03-01
The principal objective of this study was to assess the DNA damage in a normal cell line system after exposure to 60 Hz of extremely low frequency magnetic field (ELF-MF) and particularly in combination with various external factors, via comet assays. NIH3T3 mouse fibroblast cells, WI-38 human lung fibroblast cells, L132 human lung epithelial cells, and MCF10A human mammary gland epithelial cells were exposed for 4 or 16 h to a 60-Hz, 1 mT uniform magnetic field in the presence or absence of ionizing radiation (IR, 1 Gy), H(2)O(2) (50 μM), or c-Myc oncogenic activation. The results obtained showed no significant differences between the cells exposed to ELF-MF alone and the unexposed cells. Moreover, no synergistic or additive effects were observed after 4 or 16 h of pre-exposure to 1 mT ELF-MF or simultaneous exposure to ELF-MF combined with IR, H(2)O(2), or c-Myc activation.
Di Giorgio, C; Boyer, L; De Meo, M; Laurant, C; Elias, R; Ollivier, E
2015-07-01
DIG, a liquid herbal preparation made from a mixture of diluted mother tinctures of Berberis vulgaris, Taraxacum officinale and Arctium lappa, was assessed for its antimutagenic properties against mitomycin C. The micronucleus assay on Chinese hamster ovary (CHO)-K1 cells was used to evaluate the in vitro anticlastogenic activity of DIG compared to those of separately diluted mother tinctures. The micronucleus assay was performed on mouse erythrocytes and the comet assay was performed on mouse liver, kidney, lung, brain and testicles to assess the protective effects of DIG (0.2 and 2 % at libitum) against an intraperitoneal injection of mitomycin C (1 mg Kg(-1)) in mice. DIG exerted a powerful anticlastogenic activity, under both pretreatment and simultaneous treatment conditions as assessed by the micronucleus assay in CHO-K1 cells. Its protective activity was greater than that observed for each mother tincture. DIG reduced micronuclei levels in mouse erythrocytes and suppressed >80 % of DNA strand breaks in the liver, kidney, lung, brain and testicles of mice exposed to mitomycin C.
NASA Technical Reports Server (NTRS)
Edberg, Stephen J. (Editor)
1996-01-01
The International Halley Watch (IHW) was organized for the purpose of gathering and archiving the most complete record of the apparition of a comet, Comet Halley (1982i = 1986 III = 1P/Halley), ever compiled. The redirection of the International Cometary Explorer (ICE), toward Comet Giacobini-Zinner (1984e = 1985 XIII = 21P/Giacobini-Zinner) prompted the initiation of a formal watch on that comet. All the data collected on P/Giacobini-Zinner and P/Halley have been published on CD-ROM in the Comet Halley Archive. This document contains a printed version of the archive data, collected by amateur astronomers, on these two comets. Volume 1 contains the Comet Giacobini-Zinner data archive and Volume 2 contains the Comet Halley archive. Both volumes include information on how to read the data in both archives, as well as a history of both comet watches (including the organizing of the network of astronomers and lessons learned from that experience).
Chen, Cheng; Mu, Chuan-Yong; Su, Mei-Qin; Mao, Jing-Yu; Zhu, Ye-Han; Huang, Jian-An
2017-01-01
Background: Due to absence of visible endobronchial target, the diagnostic yield of flexible bronchoscopy for peribronchial lesions has been unsatisfactory. Convex probe endobronchial ultrasound (CP-EBUS) has allowed for performing real-time transbronchial needle aspiration (TBNA) of enlarged hilar and mediastinal lymph nodes and therefore could also be used as a means of diagnosing proximal peribronchial lesions. Methods: We retrospectively analyzed the results related to 72 patients who underwent CP-EBUS for peribronchial lesions without endobronchial involvement and adjacent to three-grade bronchi based on chest computed tomography (CT) scan. We recorded the images during EBUS as well as the diagnostic results of TBNA and conventional-transbronchial lung biopsy/brush (C-TBLB/b), and final diagnoses were based on pathologic analysis and follow-up. Results: In all cases, the mass was able to be identified using EBUS in 97.2% patients (70/72) who were performed with EBUS-TBNA + C-TBLB/b. Sixty-six patients had a final diagnosis, 80.0% patients (56/70) had malignancies, and 14.3% patients (10/70) had benign disease. In malignancies, the diagnostic yield of C-TBLB/b was 57.1% (32/56) and in EBUS-TBNA was 85.7% (48/56), whereas pathologic diagnosis reached 94.6% when EBUS-TBNA was combined with C-TBLB/b. C-TBLB/b + EBUS-TBNA also exhibited stronger potency of histolytic diagnosis for malignancies than either EBUS-TBNA or C-TBLB/b alone. Furthermore, there are data supporting the value of EBUS-TBNA for the diagnosis of benign lung disease. Conclusion: The combined endoscopic approach with EBUS-TBNA and C-TBLB/b is an accurate and effective method for the evaluation of peribronchial lesions, with better results than using each technique alone. PMID:28051017
Pfeiffer, P; Bache, S; Isbye, D L; Rudolph, S S; Rovsing, L; Børglum, J
2012-05-01
Ultrasound (US) may have an emerging role as an adjunct in verification of endotracheal intubation. Obtaining optimal US images in obese patients is generally regarded more difficult than for other patients. This study compared the time consumption of bilateral lung US with auscultation and capnography for verifying endotracheal intubation in obese patients. A prospective, paired and investigator-blinded study performed in the operating theatre. Twenty-four adult patients requiring endotracheal intubation for bariatric surgery were included. During post-intubation bag ventilation, bilateral lung US was performed for detection of lungsliding indicating lung ventilation simultaneous with capnography and auscultation of epigastrium and chest. Primary outcome measure was the time difference to confirmed endotracheal intubation between US and auscultation alone. The secondary outcome measure was time difference between US and auscultation combined with capnography. Both methods verified endotracheal tube placement in all patients. No significant difference was found between US compared with auscultation alone. Median time for verification by auscultation alone was 47.5 s [interquartile (IQR) 40-51 s], with a mean difference of -0.3 s in favor of US (95% confidence interval -3.5-2.9 s) P = 0.87. Comparing US with the combination of auscultation and capnography, there was a significant difference between the two methods. Median time for verification by US was 43 s (IQR 40-51 s) vs. 55 s (IQR 46-65 s), P < 0.0001. In obese patients, verification of endotracheal tube placement with US is as fast as auscultation alone and faster than the standard method of auscultation and capnography. © 2012 The Authors. Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation.
ISO's analysis of Comet Hale-Bopp
NASA Astrophysics Data System (ADS)
1997-03-01
The European Space Agency's Infrared Space Observatory ISO inspected Comet Hall-Bopp during the spring and autumn of 1996. The need to keep ISO's telescope extremely cold restricts the spacecraft's pointing in relation to the Sun and the Earth and it ruled out observations at other times. The analyses of the 1996 observations are not yet complete, but already they give new insight into the nature of comets. Comet Hale-Bopp is believed to be a large comet with a nucleus up to 40 kilometres wide. It was discovered in July 1995 by two American astronomers working independently, Alan Hale and Thomas Bopp. At that time, the comet was a billion kilometres away from the Sun, but 200 times brighter than Halley's Comet was, when at a comparable distance. Comet Hale-Bopp will make its closest approach to the Earth on 22 March, and its closest approach to the Sun (perihelion) on 1 April 1997. Some scientific results from ISO The discovery of Comet Hale-Bopp occurred before ISO's launch in November 1995. When first observed by ISO in March and April 1996, the comet was still 700 million kilometres from the Sun, and almost as far from the Earth and ISO. With its privileged view of infrared wavebands inaccessible from the Earth's surface, ISO's photometer ISOPHOT discovered that carbon dioxide was an important constituent of the comet's emissions of vapour.ISOPHOT measured the temperature of the dust cloud around Comet Hale-Bopp. In March 1996, when the comet was still more than 700 million kilometres from the Sun, the dust cloud was at minus 120 degrees C. When ISOPHOT made similar observations in October 1996, the comet was 420 million kilometres from the Sun, and the dust cloud had warmed to about minus 50 degrees C. Intensive observations of Comet Hale-Bopp were also made by ISO's Short-Wave Spectrometer SWS, the Long-Wave Spectrometer LWS, and the ISOPHOT spectrometer PHOT-S. Results are due for publication at the end of March. They will give details about the composition of the comet's dust and vapour, and also rates of escape of vapour, which will help in assessing the loss of material from Comet Hale-Bopp during this visit to the Sun's vicinity. "Watch out for some fascinating news," says Thijs de Graauw of Groningen University, who is in charge of the SWS instrument used in this study. "What excites me is the opportunity we shall have to compare dusty Comet Hale-Bopp, seen in the Solar System, with dusty objects far away among the stars which seem to be made of similar materials. Infrared astronomy has a special ability to unify cosmic chemistry at all scales from little dust grains in the Earth's vicinity to vast and distant galaxies." The dust itself interests the infrared astronomers, not least because their view of the Universe at large is spoiled to some extent by dust left behind by comets. Together with fine debris from asteroids, the comet dust makes a bright infrared band around the sky, which corresponds with the zodiacal light sometimes seen by eye, slanting above the horizon at twilight. ISO's predecessor, the US-Dutch-UK infrared astronomical satellite IRAS, found trails of comet dust much longer and more persistent than the familiar comet tails. ISO has seen a trail from Comet Kopff. By detecting dust grains that are typically much larger than those seen by visible light, ISO scientists hope to learn more about the dust's long-term behaviour in the Solar System. A series of images of Comet Hale-Bopp, obtained by the camera ISOCAM in October 1996, is the subject of continuing analysis. Leading this work in progress is Philippe Lamy of Marseille, France. "We hope to unveil the nucleus of the comet," Professor Lamy explains. "In principle, the Hubble Space Telescope can see finer details by visible light, but the contrast of the nucleus against the bright surrounding coma is superior at infrared wavelengths. This is because the thermal emission from the nucleus is very large and can be detected thanks to the high spatial resolution of ISO. We have a long time coverage of the comet, so we hope to determine the light-curve of the nucleus -- which, in turn, will reveal its gross shape and an estimate of its rotation period." A commanding role in comet research As comets are relics from the construction of the Solar System, and played a major role in the formation of the planets, they are a link between the Earth and the wider Universe of stars. The carbon compounds contained in comets probably contributed raw materials for the origin of life on the Earth, and according to one theory the Earth's oceans were made from comet ice. Growing knowledge of the composition and behaviour of comets is therefore crucial for a fuller understanding of our cosmic origins. ESA has a commanding role in space research on comets. Its Giotto spacecraft was the most daring of the international fleet of spacecraft that visited Halley's Comet in March 1986. Giotto obtained exceptional pictures and other data as it passed within 600 kilometres of the nucleus. Dust from the comet badly damaged the spacecraft, but in a navigational tour de force Giotto made an even closer approach to Comet Grigg-Skjellerup in July 1992. Now ESA is planning the Rosetta mission that will rendezvous with Comet Wirtanen and fly in company with it, making observations far more detailed than the fast flybys of Halley's Comet and Comet Grigg-Skjellerup could achieve. As for space astronomy, the International Ultraviolet Explorer, in which ESA was a partner, made unrivalled observations of Halley's Comet by ultraviolet light. ESA is also a partner in the Hubble Space Telescope, which saw the historic impacts of Comet Shoemaker-Levy 9 on Jupiter in July 1994, and has recently observed Comet Hyakutake as well as Hale-Bopp. The SOHO spacecraft, built by ESA for a joint ESA-NASA project to examine the Sun, has a distinctive view of comets. It has observed the hydrogen coronas of comets with its SWAN instrument. SOHO's coronagraph LASCO observed Comet Hyakutake rounding the Sun (when it was invisible to ground-based observers) and has discovered seven new comets very close to the Sun. Only ISO provides astronomers with information from comets across a very wide range of infrared wavelengths unobservable from the ground. Besides Comet Hale-Bopp, ISO has examined Comets Schwassmann-Wachmann 1, Chiron, Kopff, IRAS 1 and Wirtanen. The last of these, Comet Wirtanen, is the target of the Rosetta mission and is now making one of its six-yearly visits to the Sun's vicinity. Dietrich Lemke of Heidelberg, Germany, who is in charge of the ISOPHOT instrument in ISO, summarizes ISO's unique contribution. "By measuring the extremely weak heat rays from these frosty objects at different distances," Professor Lemke says, "we have a thermometer to gauge a comet's growing fever when it nears the Sun. As the temperature rises, first one kind of ice evaporates, and then another, producing various chemical signatures in the infrared spectrum. We can also characterize the mineral dust coming out of the comet. So ISO offers a vivid impression of comets in action which no other instrument can match." Photos are available on the ESA home page on Internet : http://www.estec.esa.nl/spdwww/iso/html/hale-bopp.htm
Comets and the Stardust Mission
LLNL - University of California Television
2017-12-09
The occasional appearance of comets has awed humans throughout history. But how much do we really know about comets? Did a comet kill the dinosaurs? And, what can comets tell us about our own ancient history? With comet dust from NASA's Stardust mission, scientists like Hope Ishii, a Research Scientist at Lawrence Livermore National Laboratory, are beginning to answer these questions. She and high school teacher Tom Shefler look at how comets formed, their role in the Earth's history and the clues about what happened over 4 billion years ago. Series: Science on Saturday [5/2008] [Science] [Show ID: 14492
Comets and the Stardust Mission
DOE Office of Scientific and Technical Information (OSTI.GOV)
LLNL - University of California Television
2008-05-16
The occasional appearance of comets has awed humans throughout history. But how much do we really know about comets? Did a comet kill the dinosaurs? And, what can comets tell us about our own ancient history? With comet dust from NASA's Stardust mission, scientists like Hope Ishii, a Research Scientist at Lawrence Livermore National Laboratory, are beginning to answer these questions. She and high school teacher Tom Shefler look at how comets formed, their role in the Earth's history and the clues about what happened over 4 billion years ago. Series: Science on Saturday [5/2008] [Science] [Show ID: 14492
NASA Astrophysics Data System (ADS)
Carey, Elizabeth M.; Peters, Gregory H.; Choukroun, Mathieu; Chu, Lauren; Carpenter, Emma; Cohen, Brooklin; Panossian, Lara; Zhou, Yu Meng; Sarkissian, Ani; Moreland, Scott; Shiraishi, Lori R.; Backes, Paul; Zacny, Kris; Green, Jacklyn R.; Raymond, Carol
2017-11-01
Comets are icy remnants of the Solar System formation, and as such contain some of the most primitive volatiles and organic materials. Sampling the surface of a comet is a high priority for the New Frontiers program. Planetary simulants are crucial to the development of adequate in situ instruments and sample acquisition systems. A high-fidelity comet surface simulant has been developed to support hardware design and development for one Comet Surface Sample Return tool, the BiBlade Comet Sampler. Mechanical Porous Ambient Comet Simulants (MPACS) can be manufactured to cover a wide range of desired physical properties, such as density and cone penetration resistance, and exhibit a brittle fracture mode. The structure of the MPACS materials is an aggregated composite structure of weakly-bonded grains of very small size (diameter ≤ 40 μm) that are most relevant to the structure of the surface of a comet nucleus.
The effect of multiple encounters on short period comet orbits
NASA Technical Reports Server (NTRS)
Lowrey, B. E.
1972-01-01
The observed orbital elements of short period comets are found to be consistent with the hypothesis of derivation from long period comets as long as two assumptions are made. First, the distribution of short period comets has been randomized by multiple encounters with Jupiter and second, the short period comets have lower velocities of encounter with Jupiter than is generally expected. Some 16% of the observed short period comets have lower encounter velocities than is allowed mathematically using Laplace's method. This may be due to double encounter processes with Jupiter and Saturn, or as a result of prolonged encounters. The distribution of unobservable short period comets can be inferred in part from the observed comets. Many have orbits between Jupiter and Saturn with somewhat higher inclinations than those with perihelions near the earth. Debris from those comets may form the major component of the zodiacal dust.
ACTIVITY OF 50 LONG-PERIOD COMETS BEYOND 5.2 au
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sárneczky, K.; Szabó, Gy. M.; Csák, B.
2016-12-01
Remote investigations of ancient matter in the solar system have traditionally been carried out through observations of long-period (LP) comets, which are less affected by solar irradiation than their short-period counterparts orbiting much closer to the Sun. Here we summarize the results of our decade-long survey of the distant activity of LP comets. We found that the most important separation in the data set is based on the dynamical nature of the objects. Dynamically new comets are characterized by a higher level of activity on average: the most active new comets in our sample can be characterized by Afρ valuesmore » >3–4, higher than those for our most active returning comets. New comets develop more symmetric comae, suggesting a generally isotropic outflow. In contrast to this, the comae of recurrent comets can be less symmetrical, ocassionally exhibiting negative slope parameters, which suggest sudden variations in matter production. The morphological appearance of the observed comets is rather diverse. A surprisingly large fraction of the comets have long, tenuous tails, but the presence of impressive tails does not show a clear correlation with the brightness of the comets.« less
2010-03-16
Captured March 12, 2010 The SOHO spacecraft captured a very bright, sungrazing comet as it rocketed towards the Sun (Mar. 12, 2010) and was vaporized. This comet is arguably the brightest comet that SOHO has observed since Comet McNaught in early 2007. The comet is believed to belong to the Kreutz family of comets that broke up from a much larger comet many hundreds of years ago. They are known to orbit close to the Sun. A coronal mass ejection (CME) burst away from the Sun during the bright comet’s approach. Interestingly, a much smaller comet that preceded this one can be seen about half a day earlier on just about the identical route. And another pair of small comets followed the same track into the Sun after the bright one. Such a string of comets has never been witnessed before by SOHO. SOHO's C3 coronagraph instrument blocks out the Sun with an occulting disk; the white circle represents the size of the Sun. The planet Mercury can also be seen moving from left to right just beneath the Sun. To learn more and to download the video and still images go here: sohowww.nascom.nasa.gov/pickoftheweek/old/15mar2010/ Credit: NASA/GSFC/SOHO
Development and Evaluation of Stereographic Display for Lung Cancer Screening
2006-12-01
and also by grant CA80836 from the National Cancer Institute, National Institutes of Health . The content of the contained information does not...Evers H, Henn C, Glombitza G, Meinzer HP. Interactive real- time Doppler-ultrasound visualization of the heart. Stud Health Technol Inform. 2000;70:119...nodule, the scoring form with questionnaire related to the detected nodule would pop up for nodule assessment. We have also implemented mouse cursor as
Kristoffersen, S E; Ipsen, L
1984-01-01
A female infant with extralobar lung sequestration (ELS) combined with bilateral hydrothorax and ascites is presented. A 34-year-old para II, pregnant in the 29th gestation week, was referred to hospital because of acute hydramnios. Ultrasound examination demonstrated marked hydramnios, together with ascites and bilateral pleural effusion in the fetus. In the amniotic fluid, alfafetoprotein was found normal and the karyotype showed a normal chromosome pattern, 46 xx. The hydramnios was so severe and the cervix so unripe, that cesarean section had to be undertaken, and a girl of 1650 g, and 42 cm long was born. Just after delivery the infant had bradycardia, cyanosis and respiratory insufficiency, with Apgar score 2 during the first 15 min. Manual ventilation followed by Servo respirator with 100% oxygen was given, but with poor effect. The infant lived only 6 3/4 hours. At autopsy there was hydrothorax, bilateral collapsed lungs and ascites and ELS as the only congenital malformation.
Nemmar, Abderrahim; Yuvaraju, Priya; Beegam, Sumaya; Yasin, Javed; Kazzam, Elsadig E; Ali, Badreldin H
2016-01-01
The use of amorphous silica (SiO2) in biopharmaceutical and industrial fields can lead to human exposure by injection, skin penetration, ingestion, or inhalation. However, the in vivo acute toxicity of amorphous SiO2 nanoparticles (SiNPs) on multiple organs and the mechanisms underlying these effects are not well understood. Presently, we investigated the acute (24 hours) effects of intraperitoneally administered 50 nm SiNPs (0.25 mg/kg) on systemic toxicity, oxidative stress, inflammation, and DNA damage in the lung, heart, liver, kidney, and brain of mice. Lipid peroxidation was significantly increased by SiNPs in the lung, liver, kidney, and brain, but was not changed in the heart. Similarly, superoxide dismutase and catalase activities were significantly affected by SiNPs in all organs studied. While the concentration of tumor necrosis factor α was insignificantly increased in the liver and brain, its increase was statistically significant in the lung, heart, and kidney. SiNPs induced a significant elevation in pulmonary and renal interleukin 6 and interleukin-1 beta in the lung, liver, and brain. Moreover, SiNPs caused a significant increase in DNA damage, assessed by comet assay, in all the organs studied. SiNPs caused leukocytosis and increased the plasma activities of lactate dehydrogenase, creatine kinase, alanine aminotranferase, and aspartate aminotransferase. These results indicate that acute systemic exposure to SiNPs causes oxidative stress, inflammation, and DNA damage in several major organs, and highlight the need for thorough evaluation of SiNPs before they can be safely used in human beings.
The Comet Halley Handbook: An Observer's Guide. Second Edition.
ERIC Educational Resources Information Center
Yeomans, Donald K.
This handbook contains information on: (1) the orbit of comet Halley; (2) the expected physical behavior of comet Halley in 1985-1986, considering brightness estimates, coma diameters, and tail lengths; (3) observing conditions for comet Halley in 1985-1986; and (4) observing conditions for the dust tail of comet Halley in 1985-1986. Additional…
Observations of faint comets with the IUE
NASA Astrophysics Data System (ADS)
Festou, M.
1982-06-01
Spectral observations of eight comets, including seven periodic comets, made in the range 1150-3400 A with the IUE satellite are presented. Comet Bradfield, the sole nonperiodic comet observed, is found to exhibit strong OH and atomic hydrogen emissions from the decomposition of water, along with oxygen, carbon, sulfur, carbon disulfide, C2 and CO2(plus) emissions and a faint continuum due to dust at longer wavelengths. Comets Encke, Tuttle and Stefan-Oterma appear to have identical spectra in the UV, showing evidence of much gas, little dust and few ions (only CO2(plus) detected), and differing from comet Bradfield only in the lack of C2 emission. All eight comets observed by IUE, including Seargent, Meier, Borrelly and Panther, had the same chemical composition, consisting mainly of water with a few per mil or per cent CN, C2, C3 and CS. The water production rates of the periodic comets range from levels 6 times less to 11 times more than that of Comet Bradfield, which may be related to nuclear size or cometary age.
NASA Technical Reports Server (NTRS)
Edberg, Stephen J. (Editor)
1996-01-01
The International Halley Watch (IHW) was organized for the purpose of gathering and archiving the most complete record of the apparition of a comet, Halley's Comet (1982i = 1986 III = 1P/Halley), ever compiled. The redirection of the International Sun-Earth Explorer 3 (ISEE-3) spacecraft, subsequently renamed the International Cometary Explorer (ICE), toward Comet Giacobini- Zinner (1984e = 1985 XIII = 21P/Giacobini-Zinner) prompted the initiation of a formal watch on that comet. All the data collected on P/Giacobini-Zinner and P/Halley have been published on CD-ROM in the Comet Halley Archive. This document contains a printed version of the archive data, collected by amateur astronomers, on these two comets. Volume 1 contains the Comet Giacobini-Zinner data archive and Volume 2 contains the Comet Halley archive. Both volumes include information on how to read the data in both archives, as well as a history of both comet watches (including the organizing of the network of astronomers and lessons learned from that experience).
NASA Technical Reports Server (NTRS)
Edberg, Stephen J. (Editor)
1966-01-01
The International Halley Watch (IHW) was organized for the purpose of gathering and archiving the most complete record of the apparition of a comet, Halley's Comet (1982i = 1986 III = 1P/Halley), ever compiled. The redirection of the International Sun-Earth Explorer 3 (ISEE-3) spacecraft, subsequently renamed the International Cometary Explorer (ICE), toward Comet Giacobini-Zinner (1984e = 1985 XIII = 21P/Giacobini-Zinner) prompted the initiation of a formal watch on that comet. All the data collected on P/Giacobini-Zinner and P/Halley have been published on CD-ROM in the Comet Halley Archive. This document contains a printed version of the archive data, collected by amateur astronomers, on these two comets. Volume 1 contains the Comet Giacobini-Zinner data archive and Volume 2 contains the Comet Halley archive. Both volumes include information on how to read the data in both archives, as well as a history of both comet watches (including the organizing of the network of astronomers and lessons learned from that experience).
Disappearance and disintegration of comets
NASA Technical Reports Server (NTRS)
Sekanina, Z.
1984-01-01
The present investigation has the objective to provide a summary of the existing evidence on the disappearance of comets and to draw conclusions regarding the physical processes involved in the disappearance. Information concerning the classification of evidence and the causes of apparent disappearance of comets is presented in a table. Attention is given to the dissipating comets, the headless sungrazing comet 1887 I, and the physical behavior of the dissipating comets and the related phenomena. It is found that all comets confined to the planetary region of the solar system decay on astronomically short time scales. However, only some of them appear to perish catastrophically. Some of the observed phenomena could be successfully interpreted. But little insight has been obtained into the character of the processes which the dissipating comets experience.
An Introduction to Comets and Their Origin.
ERIC Educational Resources Information Center
Chapman, Robert D.; Brandt, John C.
1985-01-01
Presents excerpts from "The Comet Book," a nontechnical primer on comets. Various topics discusses in these excerpts include such basic information about comets as their components, paths, and origins. (DH)
Competitive Memory Training (COMET) for OCD: a self-treatment approach to obsessions.
Schneider, Brooke C; Wittekind, Charlotte E; Talhof, Alina; Korrelboom, Kees; Moritz, Steffen
2015-01-01
Competitive Memory Training (COMET) is a cognitive intervention that aims to change the maladaptive cognitive-emotional networks underlying obsessive-compulsive disorder (OCD). COMET has not been previously tried as a self-help intervention. The present study tested the preliminary feasibility, acceptability, and effectiveness of COMET for OCD implemented as a self-help intervention. Sixty-five participants with OCD recruited through online OCD self-help fora completed an online baseline assessment including measures of OCD symptoms, self-esteem, and depression. Participants were randomly assigned to either COMET or a wait-list control group. All participants were approached 4 weeks later to complete an online post-assessment. There was no evidence for a greater decline of OCD symptoms or depression under COMET. When analyses were limited to only those participants who reported reading the entire manual at least once, self-esteem was higher at post-assessment in the COMET group. Although 78.1% of patients in the COMET group rated it as appropriate for self-administration, only 56.5% performed COMET exercises regularly and 26.4% read the entire manual at least once. The feasibility and effectiveness of COMET as a self-help internet intervention for OCD was not supported in this study. Further work is needed to better understand if modifications to our implementation of COMET may yield improved outcomes.
Current ideas on the nature of comets
NASA Technical Reports Server (NTRS)
Rahe, J.
1984-01-01
The chemical composition, emission and line spectra, and structure of comet nuclei, cometary atmospheres, and comet tails are discussed. The role of ultraviolet and infrared astronomy in defining comets is examined.
Comet Halley Returns. A Teacher's Guide, 1985-1986.
ERIC Educational Resources Information Center
Chapman, Robert D.; Bondurant, R. Lynn, Jr.
This booklet was designed as an aid for elementary and secondary school teachers. It is divided into two distinct parts. Part I is a brief tutorial which introduces some of the most important concepts about comets. Areas addressed include: the historical importance of Comet Halley; how comets are found and names; cometary orbits; what Comet Halley…
Comet rendezvous mission study
NASA Technical Reports Server (NTRS)
Friedlander, A. L.; Wells, W. C.
1971-01-01
Four periodic comets with perihelia between 1980 and 1986 (Encke, d'Arrest, Kipff, and Halley) are used as candidates for the comet rendezvous mission study. All these comet apparitions are especially favorable for rendezvous missions, because of early earth-based comet recovery, good opportunities to view their activity from earth, and reasonable launch vehicle and trajectory requirements for nominal payloads.
Comet nucleus sample return mission
NASA Technical Reports Server (NTRS)
1983-01-01
A comet nucleus sample return mission in terms of its relevant science objectives, candidate mission concepts, key design/technology requirements, and programmatic issues is discussed. The primary objective was to collect a sample of undisturbed comet material from beneath the surface of an active comet and to preserve its chemical and, if possible, its physical integrity and return it to Earth in a minimally altered state. The secondary objectives are to: (1) characterize the comet to a level consistent with a rendezvous mission; (2) monitor the comet dynamics through perihelion and aphelion with a long lived lander; and (3) determine the subsurface properties of the nucleus in an area local to the sampled core. A set of candidate comets is discussed. The hazards which the spacecraft would encounter in the vicinity of the comet are also discussed. The encounter strategy, the sampling hardware, the thermal control of the pristine comet material during the return to Earth, and the flight performance of various spacecraft systems and the cost estimates of such a mission are presented.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Omari, E; Tai, A; Li, X
Purpose: Real-time ultrasound monitoring during SBRT is advantageous in understanding and identifying motion irregularities which may cause geometric misses. In this work, we propose to utilize real-time ultrasound to track the diaphragm in conjunction with periodical kV fluoroscopy to monitor motion of tumor or landmarks during SBRT delivery. Methods: Transabdominal Ultrasound (TAUS) b-mode images were collected from 10 healthy volunteers using the Clarity Autoscan System (Elekta). The autoscan transducer, which has a center frequency of 5 MHz, was utilized for the scans. The acquired images were contoured using the Clarity Automatic Fusion and Contouring workstation software. Monitoring sessions of 5more » minute length were observed and recorded. The position correlation between tumor and diaphragm could be established with periodic kV fluoroscopy periodically acquired during treatment with Elekta XVI. We acquired data using a tissue mimicking ultrasound phantom with embedded spheres placed on a motion stand using ultrasound and kV Fluoroscopy. MIM software was utilized for image fusion. Correlation of diaphragm and target motion was also validated using 4D-MRI and 4D-CBCT. Results: The diaphragm was visualized as a hyperechoic region on the TAUS b-mode images. Volunteer set-up can be adjusted such that TAUS probe will not interfere with treatment beams. A segment of the diaphragm was contoured and selected as our tracking structure. Successful monitoring sessions of the diaphragm were recorded. For some volunteers, diaphragm motion over 2 times larger than the initial motion has been observed during tracking. For the phantom study, we were able to register the 2D kV Fluoroscopy with the US images for position comparison. Conclusion: We demonstrated the feasibility of tracking the diaphragm using real-time ultrasound. Real-time tracking can help in identifying such irregularities in the respiratory motion which is correlated to tumor motion. We also showed the feasibility of acquiring 2D KV Fluoroscopy and registering the images with Ultrasound.« less
Special Report: Chemistry of Comets.
ERIC Educational Resources Information Center
A'Hearn, Michael F.
1984-01-01
Discusses the chemistry of comets. How comets provide clues to the birth of the solar system, photolytic reactions on comets involving water, chemical modeling, nuclear chemistry, and research findings are among the areas considered. (JN)
2010-11-04
This montage from NASA EPOXI mission shows the only five comets imaged up close with spacecraft. The comets vary in shape and size. Comet Hartley 2 is by far the smallest and the most active of small comets.
Mehra, Mandeep R; Crespo-Leiro, Maria G; Dipchand, Anne; Ensminger, Stephan M; Hiemann, Nicola E; Kobashigawa, Jon A; Madsen, Joren; Parameshwar, Jayan; Starling, Randall C; Uber, Patricia A
2010-07-01
The development of cardiac allograft vasculopathy remains the Achilles heel of cardiac transplantation. Unfortunately, the definitions of cardiac allograft vasculopathy are diverse, and there are no uniform international standards for the nomenclature of this entity. This consensus document, commissioned by the International Society of Heart and Lung Transplantation Board, is based on best evidence and clinical consensus derived from critical analysis of available information pertaining to angiography, intravascular ultrasound imaging, microvascular function, cardiac allograft histology, circulating immune markers, non-invasive imaging tests, and gene-based and protein-based biomarkers. This document represents a working formulation for an international nomenclature of cardiac allograft vasculopathy, similar to the development of the system for adjudication of cardiac allograft rejection by histology.
Disruptive technology in the treatment of thoracic trauma.
Smith, R Stephen
2013-12-01
The care of patients with thoracic injuries has undergone monumental change over the past 25 years. Advances in technology have driven improvements in care, with obvious benefits to patients. In many instances, new or "disruptive" technologies have unexpectedly displaced previously established standards for the diagnosis and treatment of these potentially devastating injuries. Examples of disruptive technology include the use of ultrasound technology for the diagnosis of cardiac tamponade and pneumothorax; thoracoscopic techniques instead of thoracotomy, pulmonary tractotomy, and stapled lung resection; endovascular repair of thoracic aortic injury; operative fixation of flail chest; and the enhanced availability of extracorporeal lung support for severe respiratory failure. Surgeons must be prepared to recognize the benefits, and limits, of novel technologies and incorporate these methods into day-to-day treatment protocols. Copyright © 2013 Elsevier Inc. All rights reserved.
Alves Monteath, Silvana Amadeu Ferreira; Maciel, Maria Aparecida M.; Vega, Raquel Garcia; de Mello, Heloisa; de Araújo Martins, Carollina; Esteves-Souza, Andressa; Gattass, Cerli Rocha; Echevarria, Aurea
2017-01-01
Background: Ixora coccinea Linn (Rubiaceae) is an evergreen shrub with bright scarlet colored flowers found in several tropical and subtropical countries. It is used as an ornamental and medicinal plant. Phytochemical studies revealed that its major special metabolites are triterpene acids, such as ursolic and oleanolic acid. Objective: To evaluate the isolation of ursolic acid (UA) (1) from methanol extracts of I. coccinea flowers through two methodologies, to prepare four derivatives, and to evaluate the cytotoxic effect against six cancer cell lines. Materials and Methods: The UA was isolated from vegetal material by percolation at room temperature and by ultrasound-assisted extraction. The preparation of derivatives was performed according to literature methods, and the cytotoxic effects were evaluated using the MTT (3,4,5-dimethylthiazol-2-yl-2,5-diphenyltetrazolium bromide) assay. Results: The most efficient extraction was achieved through ultrasound irradiation with a yield of 35% after KOH-impregnated silica in chromatography column. Furthermore, four derivatives (3, 5, 6, 7) of UA were prepared and evaluated, including 1, against two lung cancer (A549 and H460) and four leukemia (K562, Lucena, HL60, and Jurkat) cell lines. Generally, results showed that 1 and 7 were the most active compounds against the assayed cell lines. Also, the cytotoxic effects observed on terpenes 1 and 7 were higher when compared with cisplatin, used as positive control, with the exception of Jurkat cell line. Conclusion: The efficiency of such an alternative extraction method led to the principal and abundant active component, 1, of I. coccinea, thus representing a considerable contribution for promising triterpenoid in cancer chemotherapy. SUMMARY The ultrasound-assisted extraction of Ixora coccinea flowers improved of the ursolic acid isolationMethanolic extract from flowers of I. coccinea provided, by ultrasound irradiation, after KOH-impregnated silica in chromatography column, the ursolic acid in 35% yieldThe ursolic acid and four derivatives were prepared and assayed against two lung cancer and four leukaemia cell linesThe ursolic acid and their 3-oxo-derivative, in general, were more cytotoxic when compared to cisplatin, used as positive control Abbreviations used: MTT: 3,4,5-dimethylthiazol-2-yl-2,5-diphenyltetrazolium bromide, RP: reverse phase, TLC: thin layer chromatography, KOH: potassium hydroxide, IR: infrared, DMF: dimethylformamide, DMSO: dimethyl sulfoxide, TEA: triethylamine, RT: room temperature, EtOAc: ethyl acetate, MeOH: methanol, i-PrOH: iso-propanol, NMR: nuclear magnetic resonance, MDR: multiple drug resistance, RPMI: Roswell Park Memorial Institute PMID:28539719
COMET-AR User's Manual: COmputational MEchanics Testbed with Adaptive Refinement
NASA Technical Reports Server (NTRS)
Moas, E. (Editor)
1997-01-01
The COMET-AR User's Manual provides a reference manual for the Computational Structural Mechanics Testbed with Adaptive Refinement (COMET-AR), a software system developed jointly by Lockheed Palo Alto Research Laboratory and NASA Langley Research Center under contract NAS1-18444. The COMET-AR system is an extended version of an earlier finite element based structural analysis system called COMET, also developed by Lockheed and NASA. The primary extensions are the adaptive mesh refinement capabilities and a new "object-like" database interface that makes COMET-AR easier to extend further. This User's Manual provides a detailed description of the user interface to COMET-AR from the viewpoint of a structural analyst.
100 and counting : SOHO's score as the world's top comet finder
NASA Astrophysics Data System (ADS)
2000-02-01
Like nearly all of SOHO's discoveries, the 100th comet showed up in images from the LASCO instrument. This is a set of coronagraphs that view the space around the Sun out to 20 million kilometres, while blotting out the bright solar disk with masks. Developed for SOHO by a multinational team led by the US Naval Research Laboratory, LASCO watches for mass ejections from the Sun that threaten to disturb the Earth's space environment. The comet discoveries are a big bonus. SOHO's experts spot many of the comets as soon as the images come in. But still pictures and movies from LASCO are freely available on the Internet to astronomers around the world, who can discover less obvious comets without leaving their desks. This was the case when Kazimieras Cernis of the Institute of Theoretical Physics and Astronomy in Vilnius, Lithuania, found SOHO-100. "On 4 February I saw the comet as a small speck of light in the previous day's LASCO images," Cernis explained. "It had no visible tail, but it was too fuzzy to be an asteroid. By the time I had seen the object moving steadily across the sky in six successive images, I was convinced it was a comet and I sent the details to the SOHO scientists for verification." The competition to find SOHO's 100th comet was keen. An amateur astronomer, Maik Meyer of Frauenstein, Germany, discovered SOHO-98 and 99. On 5 February, less than 24 hours after Cernis reported the candidate SOHO-100, Meyer found the candidate SOHO-101. On the same day and in the same LASCO images Douglas Biesecker, a member of the SOHO science team, spotted the candidate SOHO-102 travelling ahead of 101. Computations have now validated the orbits for all three candidates, and shown them to be bona fide comet discoveries. Other amateur astronomers have used the LASCO images to find comets. In the summer of 1999 Terry Lovejoy in Australia found five, and since September 1999 an amateur in England, Jonathan Shanklin, has spotted three more. "SOHO is a special chance for comet hunters," said Shanklin, who is director of the British Astronomical Association's comet section. "It allows amateurs to discover some of the smallest comets ever seen. Yet they link us to sightings of great comets going back more than 2000 years." Nine of the comets found with LASCO, including SOHO-100, 101 and 102, passed the Sun at a safe distance. SOHO-49, which showed up in LASCO images in May 1998 and was designated as Comet 1998 J1, became visible to the naked eye in the southern hemisphere. But the great majority of SOHO's comets failed to survive very close encounters with the Sun. Snowballs in hell Of the first 100 SOHO comets, 92 vaporized in the solar atmosphere. Isaac Newton suggested 300 years ago that infalling comets might supply the Sun with fuel, but no one has ever tracked a comet that definitely hit the bright surface. Near misses are well known, and 100 years ago Heinrich Kreutz in Kiel, Germany, realized that several comets seen buzzing the Sun seemed to have a common origin, because they came from the same direction among the stars. These comets are now called the Kreutz sungrazers, and the 92 vanishing SOHO comets belong to that class. They were not unexpected. Between 1979 and 1989 the P78-1 and SMM solar satellites spotted 16 comets closing with the Sun. Life is perilous for a sungrazer. The mixture of ice and dust that makes up a comet's nucleus is heated like the proverbial snowball in hell, and can survive its visit to the Sun only if it is quite large. What's more, the very strong tidal effect of the Sun's gravity can tear the loosely glued nucleus apart. The disruption that created the many SOHO sungrazers was similar to the fate of Comet Shoemaker-Levy 9, which went too close to Jupiter and broke up into many pieces that eventually fell into the massive planet in 1994. "SOHO is seeing fragments from the gradual break-up of a great comet, perhaps the one that the Greek astronomer Ephorus saw in 372 BC," commented Brian Marsden of the Center for Astrophysics in Cambridge, Massachusetts. "Ephorus reported that the comet split in two. This fits with my calculation that two comets on similar orbits revisited the Sun around AD 1100. They split again and again, producing the sungrazer family, all still coming from the same direction." The sungrazing comets slant in from the south, at 35 degrees to the plane where the Earth and the other planets orbit. As SOHO moves around the Sun, in step with the Earth, it sees the comets approaching the Sun from the east (left) in February and from the west (right) in August. In June and November the sungrazers seem to head straight up towards the Sun. "The rate at which we've discovered comets with LASCO is beyond anything we ever expected," said Douglas Biesecker, the SOHO scientist personally responsible for the greatest number of discoveries, 45. "We've increased the number of known sungrazing comets by a factor of four. This implies that there could be as many as 20,000 fragments." Their ancestor must have been enormous by cometary standards. Although SOHO's sungrazers are all too small to survive, other members of the family are still large enough to reappear, depleted but intact, after their close encounters with the Sun. Among them were the Great September Comet (1882) and Comet Ikeya-Seki (1965). The history of splitting gives clues to the strength of comets, which will be of practical importance if ever a comet seems likely to hit the Earth. And the fragments seen as SOHO comets reveal the internal composition of comets, freshly exposed, in contrast to the much-altered surfaces of objects like Halley's Comet that have visited the Sun many times. LASCO reveals how much visible dust each comet releases. Gas produced by evaporating ice is detected by another instrument on SOHO, the Ultraviolet Coronagraph Spectrometer or UVCS, and enables scientists to measure the speed of the solar wind as it emerges from the Sun. A comet spotted by its gas cloud The count of SOHO's comet discoveries would be one fewer without a recent bonus from SWAN. This instrument's name unpacks into Solar Wind Anisotropies, and it was provided by the French Service d'Aéronomie and the Finnish Meteorological Institute. SWAN looks away from the Sun to survey atomic hydrogen in the Solar System, which glows with ultraviolet light and is altered by the solar wind. The instrument also sees large clouds of hydrogen surrounding comets, produced by the break-up of water molecules evaporating from the comets' ice. In December 1999 the International Astronomical Union retrospectively credited SWAN and SOHO with finding Comet 1997 K2 in SWAN full-sky images from May to July 1997. It made number 93 on the SOHO scorecard. This comet remained outside the orbit of the Earth even at its closest approach to the Sun. Although it was presumably a small, faint comet, the gas cloud grew to a width of more than 4 million kilometres. "The discovery was a surprise," said Teemu Mäkinen, a Finnish member of the SWAN group. "Our normal procedure is to observe hydrogen clouds of comets detected by other people. In that respect, SWAN on SOHO is the most important instrument now available for routinely measuring the release of water vapour from comets." When Comet Wirtanen, the target for ESA's Rosetta mission (2003), made its most recent periodic visit to the Sun, it pumped out water vapour at a rate of 20,000 tons a day, according to the SWAN data. For the great Comet Hale-Bopp the rate reached 20 million tons a day and SWAN watched its hydrogen cloud grow to 70 million kilometres -- by far the largest object ever seen in the Solar System.
The gas production rate of periodic comet d'Arrest
NASA Technical Reports Server (NTRS)
Festou, Michel C.; Feldman, Paul D.; Ahearn, Michael F.
1992-01-01
Comet P/d'Arrest is a potential target for a rendezvous mission to a short period comet. Its light curve is rather peculiar, the comet being active only after perihelion passage. One apparition out of two is easy to observe from the ground. The 1995 apparition of the comet will offer a unique opportunity to characterize the outgassing properties of its nucleus.
Using the EUV to Weigh a Sun-Grazing Comet as it Disappears in the Solar Corona
NASA Technical Reports Server (NTRS)
Pesnell, William Dean; Schrijiver, Carolus J.; Brown, John C.; Battams, Karl; Saint-Hilaire, Pascal; Hudson Hugh S.; Lui, Wei
2012-01-01
On July 6,2011, the Atmospheric Imaging Assembly (AlA) on the Solar Dynamics Observatory (SDO) observed a comet in most of its EUY passbands. The comet disappeared while moving through the solar corona. The comet penetrated to 0.146 solar radii ($\\simapprox.100,000 km) above the photosphere before its EUY faded. Before then, the comet's coma and a tail were observed in absorption and emission, respectively. The material in the variable tail quickly fell behind the nucleus. An estimate of the comet's mass based on this effect, one derived from insolation, and one using the tail's EUY brightness, all yield $\\sim 50$ giga-grams some 10 minutes prior to the end of its visibility. These unique first observations herald a new era in the study of Sun-grazing comets close to their perihelia and of the conditions in the solar corona and solar wind. We will discuss the observations and interpretation of the comet by SDO as well as the coronagraph observations from SOHO and STEREO. A search of the SOHO comet archive for other comets that could be observed in the SDO; AlA EUY channels will be described
DOE Office of Scientific and Technical Information (OSTI.GOV)
Husain, Mainul, E-mail: mainul.husain@hc-sc.gc.ca; Kyjovska, Zdenka O., E-mail: zky@nrcwe.dk; Bourdon-Lacombe, Julie, E-mail: julie.bourdon-lacombe@hc-sc.gc.ca
Inhalation of carbon black nanoparticles (CBNPs) causes pulmonary inflammation; however, time course data to evaluate the detailed evolution of lung inflammatory responses are lacking. Here we establish a time-series of lung inflammatory response to CBNPs. Female C57BL/6 mice were intratracheally instilled with 162 μg CBNPs alongside vehicle controls. Lung tissues were examined 3 h, and 1, 2, 3, 4, 5, 14, and 42 days (d) post-exposure. Global gene expression and pulmonary inflammation were assessed. DNA damage was evaluated in bronchoalveolar lavage (BAL) cells and lung tissue using the comet assay. Increased neutrophil influx was observed at all time-points. DNA strandmore » breaks were increased in BAL cells 3 h post-exposure, and in lung tissues 2–5 d post-exposure. Approximately 2600 genes were differentially expressed (± 1.5 fold; p ≤ 0.05) across all time-points in the lungs of exposed mice. Altered transcript levels were associated with immune-inflammatory response and acute phase response pathways, consistent with the BAL profiles and expression changes found in common respiratory infectious diseases. Genes involved in DNA repair, apoptosis, cell cycle regulation, and muscle contraction were also differentially expressed. Gene expression changes associated with inflammatory response followed a biphasic pattern, with initial changes at 3 h post-exposure declining to base-levels by 3 d, increasing again at 14 d, and then persisting to 42 d post-exposure. Thus, this single CBNP exposure that was equivalent to nine 8-h working days at the current Danish occupational exposure limit induced biphasic inflammatory response in gene expression that lasted until 42 d post-exposure, raising concern over the chronic effects of CBNP exposure. - Highlights: • A single exposure to CBNPs induced expression changes in over 2600 genes in mouse lungs. • Altered genes were associated with immune-inflammatory and acute phase responses. • Several genes were involved in DNA repair, apoptosis, and muscle contraction. • Effects of a single exposure to CBNPs lasted until 42 d post-exposure. • A single exposure to CBNPs induced a biphasic inflammatory response in gene expression.« less
NASA Technical Reports Server (NTRS)
Wooden, D. H.; Woodward, C. E.; Harker, D. E.
2002-01-01
We report on observations and analysis of HIFOGS 10 microns spectrophotometry of short period comet 19P/Borrelly on 2003 October 13, 15 UT at the NASA IRTF. 19P/Borrelly is one of two short period comets, comet 4PIFaye being the other, to have a silicate feature detected. During Borrelly s perihelion passage in 1994 December, a silicate feature was present with a flux-to-continuum ratio of 0.25. Two apparitions later in 2003 October, the silicate feature is absent. Thermal emission modeling using amorphous olivine and amorphous carbon shows that a slight increase in grain size accounts for the disappearance of the silicate feature. Analysis of 19P/Borrelly suggests grain size, and not the absence of olivine minerals, may be responsible for the absence of silicate features in most short period comets. 19P/Borrelly is one of the more active short period comets. However, short period comets as a family are less active than long period comets. Short period comets probably originated in the Kuiper Belt and suffered collisions while in residence in the outer solar system. Upon evolution into orbits that take them through the inner solar system, the surfaces of short period comets are exposed to sunlight through their many perihelion passages. This is in contrast to long period comets which probably originated near Jupiter and were expelled to the Oort cloud where they have existed and been exposed to cosmic ray processing. By studying the grain properties in short period comets and comparing to long period comets, we compare the effects on the grain populations of different parent body evolution histories. Upcoming opportunities to study short and long period comets will be advertised.
NASA Astrophysics Data System (ADS)
Fernández, Julio A.
We analyze a sample of 58 Oort cloud comets (OCCs) (original orbital energies x in the range 0 < x < 100, in units of 10-6 AU-1), plus 45 long-period comets with negative orbital energies or poorly determined or undetermined x, discovered during the period 1999-2007. To analyze the degree of completeness of the sample, we use Everhart's (1967 Astr. J 72, 716) concept of “excess magnitude” (in magnitudes × days), defined as the integrated magnitude excess that a given comet presents over the time above a threshold magnitude for detection. This quantity is a measure of the likelihood that the comet will be finally detected. We define two sub-samples of OCCs: 1) new comets (orbital energies 0 < x < 30) as those whose perihelia can shift from outside to the inner planetary region in a single revolution; and 2) inner cloud comets (orbital energies 30 ≤ x < 100), that come from the inner region of the Oort cloud, and for which external perturbers (essentially galactic tidal forces and passing stars) are not strong enough to allow them to overshoot the Jupiter-Saturn barrier. From the observed comet flux and making allowance for missed discoveries, we find a flux of OCCs brighter than absolute total magnitude 9 of ≃0.65 ± 0.18 per year within Earth's orbit. From this flux, about two-thirds corresponds to new comets and the rest to inner cloud comets. We find striking differences in the q-distribution of these two samples: while new comets appear to follow an uniform q-distribution, inner cloud comets show an increase in the rate of perihelion passages with q.
2016-10-07
The European Space Agency's Rosetta mission concluded its study of comet 67P/Churyumov-Gerasimenko on Sept. 30, 2016. NASA's planet-hunting Kepler spacecraft observed the comet during the final month of the Rosetta mission, while the comet was not visible from Earth. This animation is composed of images from Kepler of the comet. From Sept. 7 through Sept. 20, the Kepler spacecraft, operating in its K2 mission, fixed its gaze on comet 67P. From the distant vantage point of Kepler, the comet's nucleus and tail could be observed. The long-range view from Kepler complements the closeup view of the Rosetta spacecraft, providing context for the high-resolution investigation Rosetta performed as it descended closer and closer to the comet. During the two-week period of study, Kepler took a picture of the comet every 30 minutes. The animation shows a period of 29.5 hours of observation from Sept. 17 thru Sept. 18. The comet is seen passing through Kepler's field of view from top right to bottom left, as outlined by the diagonal strip. The white dots represent stars and other regions in space studied during K2's tenth observing campaign. As a comet travels through space it sheds a tail of gas and dust. The more material that is shed, the more surface area there is to reflect sunlight. A comet's activity level can be obtained by measuring the reflected sunlight. Analyzing the Kepler data, scientists will be able to determine the amount of mass lost each day as comet 67P travels through the solar system. An animation is available at http://photojournal.jpl.nasa.gov/catalog/PIA21072
Reservoirs for Comets: Compositional Differences Based on Infrared Observations
NASA Astrophysics Data System (ADS)
Disanti, Michael A.; Mumma, Michael J.
Tracing measured compositions of comets to their origins continues to be of keen interest to cometary scientists and to dynamical modelers of Solar System formation and evolution. This requires building a taxonomy of comets from both present-day dynamical reservoirs: the Kuiper Belt (hereafter KB), sampled through observation of ecliptic comets (primarily Jupiter Family comets, or JFCs), and the Oort cloud (OC), represented observationally by the long-period comets and by Halley Family comets (HFCs). Because of their short orbital periods, JFCs are subjected to more frequent exposure to solar radiation compared with OC comets. The recent apparitions of the JFCs 9P/Tempel 1 and 73P/Schwassmann-Wachmann 3 permitted detailed observations of material issuing from below their surfaces—these comets added significantly to the compositional database on this dynamical class, which is under-represented in studies of cometary parent volatiles. This chapter reviews the latest techniques developed for analysis of high-resolution spectral observations from ˜2-5 μm, and compares measured abundances of native ices among comets. While no clear compositional delineation can be drawn along dynamical lines, interesting comparisons can be made. The sub-surface composition of comet 9P, as revealed by the Deep Impact ejecta, was similar to the majority of OC comets studied. Meanwhile, 73P was depleted in all native ices except HCN, similar to the disintegrated OC comet C/1999 S4 (LINEAR). These results suggest that 73P may have formed in the inner giant planets' region while 9P formed farther out or, alternatively, that both JFCs formed farther from the Sun but with 73P forming later in time.
Reservoirs for Comets: Compositional Differences Based on Infrared Observations
NASA Astrophysics Data System (ADS)
Disanti, Michael A.; Mumma, Michael J.
2008-07-01
Tracing measured compositions of comets to their origins continues to be of keen interest to cometary scientists and to dynamical modelers of Solar System formation and evolution. This requires building a taxonomy of comets from both present-day dynamical reservoirs: the Kuiper Belt (hereafter KB), sampled through observation of ecliptic comets (primarily Jupiter Family comets, or JFCs), and the Oort cloud (OC), represented observationally by the long-period comets and by Halley Family comets (HFCs). Because of their short orbital periods, JFCs are subjected to more frequent exposure to solar radiation compared with OC comets. The recent apparitions of the JFCs 9P/Tempel 1 and 73P/Schwassmann-Wachmann 3 permitted detailed observations of material issuing from below their surfaces—these comets added significantly to the compositional database on this dynamical class, which is under-represented in studies of cometary parent volatiles. This chapter reviews the latest techniques developed for analysis of high-resolution spectral observations from ˜2 5 μm, and compares measured abundances of native ices among comets. While no clear compositional delineation can be drawn along dynamical lines, interesting comparisons can be made. The sub-surface composition of comet 9P, as revealed by the Deep Impact ejecta, was similar to the majority of OC comets studied. Meanwhile, 73P was depleted in all native ices except HCN, similar to the disintegrated OC comet C/1999 S4 (LINEAR). These results suggest that 73P may have formed in the inner giant planets’ region while 9P formed farther out or, alternatively, that both JFCs formed farther from the Sun but with 73P forming later in time.
15 years of comet photometry: A comparative analysis of 80 comets
NASA Technical Reports Server (NTRS)
Osip, David J.; Schleicher, David G.; Millis, Robert L.; Hearn, M. F. A.; Birch, P. V.
1992-01-01
In 1976 we began a program of narrowband photometry of comets that has encompassed well over 400 nights of observations. To date, the program has provided detailed information on 80 comets, 11 of which have been observed on multiple apparitions. In this paper we present the observed range of compositions (molecular production rate ratios) and dustiness (gas production compared with AF-rho) for a well sampled group of comets. Based on these results we present preliminary analysis of taxonomic groupings as well as the abundance ratios we associate with a 'typical' comet.
THE NEOWISE-DISCOVERED COMET POPULATION AND THE CO + CO{sub 2} PRODUCTION RATES
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bauer, James M.; Stevenson, Rachel; Kramer, Emily
2015-12-01
The 163 comets observed during the WISE/NEOWISE prime mission represent the largest infrared survey to date of comets, providing constraints on dust, nucleus size, and CO + CO{sub 2} production. We present detailed analyses of the WISE/NEOWISE comet discoveries, and discuss observations of the active comets showing 4.6 μm band excess. We find a possible relation between dust and CO + CO{sub 2} production, as well as possible differences in the sizes of long and short period comet nuclei.
Sadowski, Samantha; Chassaing, Nicolas; Gaj, Zuzanna; Czichos, Ewa; Wilczynski, Jan; Nowakowska, Dorota
2017-03-01
The Matthew-Wood syndrome is associated with mutations of the STRA6 gene. It combines a pulmonary agenesis/hypoplasia; microphthalmia/anophthalmia; congenital cardiac, digestive, and urogenital malformations; and diaphragmatic defects. A 23-year-old nulliparous woman was referred to our center after a fetal ultrasound examination at 26 weeks of pregnancy revealed an abnormal head shape, a heart malformation, multiple cysts in both kidneys, and dilated ureters. A male baby (46, XY; 3600g; Apgar score 1) was delivered at 38 weeks of gestation and died 1 hr later due to respiratory failure. The diagnosis of Matthew-Wood syndrome was suspected given the association of bilateral anophthalmia, agenesis of the left lung, and heart and kidney defects. It was confirmed by the identification of two deleterious mutations of the STRA6 gene. The child was a compound heterozygote for two previously reported mutations, a paternally inherited missense mutation (c.878C>T [p.Pro293Leu] and a maternally inherited frameshift mutation (c.50_52delACTinsCC [p. Asp17Alafs*55]), producing a premature stop codon. The diagnosis of Matthew-Wood syndrome should be considered in all fetuses with microphthalmia/anophthalmia. It requires an extensive ultrasound/MRI examination of the lung, heart, and diaphragm. Birth Defects Research 109:251-253, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.
NASA Astrophysics Data System (ADS)
Elmaarry, M. R.; Groussin, O.; Thomas, N.; Pajola, M.; Auger, A. T.; Davidsson, B. J. R.; Hu, X.; Hviid, S. F.; Joerg, K.; Güttler, C.; Tubiana, C.; Bodewits, D.; Fornasier, S.; Vincent, J. B.; Sierks, H.
2017-12-01
Prior to the Rosetta mission at comet 67P/Churyumov-Gerasimenko (hereinafter referred to as 67P), we had limited snapshots of comets from flyby missions: the only comet other than 67P that showed evidence of long-term or seasonal changes was comet Tempel 1 because it was visited by spacecrafts on two separate occasions. With Rosetta, it was possible to monitor the surface of a comet continuously for approximately two years with high spatial resolution, which led to the discovery of a wide variety of changes that occur on comets, and made it possible to constrain the timing and rates of these changes. Comet 67P showed a variety of changes that affected its consolidated materials such as collapsing cliffs, moving boulders, and propagating fractures, which indicate ongoing weathering and erosion on the surface. Similarly, the comet's smooth and unconsolidated materials also displayed changes. However, these changes were mainly transient or short-lived involving the development of circular features that vary in size with time, textural changes in the "dusty" mantles, and retreating scarps similar in scale to what has been previously observed at Tempel 1. The changes in the smooth terrains are more difficult to explain but appear related to insolation since most of the changes to the surface of the comet occurred at, or close to, perihelion, mainly when the comet was around 2 AU away from the Sun. While many (100s) of changes have been detected so far on the surface, they are nonetheless small-scale, and minimally affecting the overall shape or landscape of the comet. This would suggest that higher activity is likely at the earlier stages of a comet's introduction into the inner solar system when comets possibly possess a higher inventory of volatiles (particularly CO and CO2), and/or amorphous ice.
Comet Dust: The Story of Planet Formation as Told by the Tiniest of Particles
NASA Technical Reports Server (NTRS)
Wooden, D. H.
2005-01-01
Our planetary system formed out of a gas-rich disk-shaped nebula with the early Sun at its center. Many small icy bodies were consumed by the formation of the giant planets. However, many km-size icy bodies were tossed out of the giant-planet region to the cold, distant reaches of our solar system. Comets remained in their places of cold storage until perturbed into orbits that carry them into the inner solar system where they pass relatively close to the Sun. Comets are warmed by the Sun and shed material from their outer layers. The ices and gases shed by comets reveal simple and complex organic molecules were present at the time and in the region of the formation of the giant planets. Where the Earth was forming was too hot and had too intense sunlight for many of these ices and molecules to survive. The dust shed by comets tells us that some stardust survived unaltered but much of the dust was heated and crystallized before becoming part of the comet. Therefore, comet dust grains tell of large radial migrations from the cold outer reaches near Neptune into the hot regions near the forming Sun, and then back out to the cold regions where icy comets were accreting and forming. On 2005 July 4, the NASA Deep Impact Mission hit a comet and ejected primitive materials fiom its interior. These materials were not released into the comet s coma during normal activity. Despite the many passages of this comet close to the Sun, these primitive volatile gases and dust grains survived in its interior. Comet dust grains show that cold and hot materials were mixed into the same tiny particle very early in the formation of the solar system, and these aggregate dust grains never saw high temperatures again. The survival of primitive materials in comet nuclei suggests comets could have delivered organic molecules and primitive dust grains to early Earth.
ESA's Rosetta mission and the puzzles that Hale-Bopp left behind
NASA Astrophysics Data System (ADS)
1997-04-01
The scientific payload was confirmed by ESA's Science Programme Committee in February. Now the scientists must perfect the full range of ultra-sensitive yet spaceworthy instruments in good time for Rosetta's despatch by an Ariane 5 launcher in January 2003. And even as most of the world was admiring Comet Hale-Bopp at its brightest, dedicated astronomers were examining the comet that will be Rosetta's target. Although too faint to be seen with the naked eye, Comet Wirtanen made its closest approach to the Sun on 14 March and a fairly close approach to the Earth on 24 March. This comet comes back every 5.5 years. Rosetta will dance attendance on Comet Wirtanen, not at the next return in 2002, nor even in 2008, but in 2013. The project is an ambitious and patient effort to achieve the most thorough investigation of a comet ever attempted. As the successor to ESA's highly successful Giotto mission to Halley's Comet and Comet Grigg-Skjellerup (which took seven years) Rosetta will spend eight years positioning itself. It will manoeuvre around the planets until it is shadowing Comet Wirtanen far beyond Mars, on nearly the same path around the Sun. In 2011 it will rendezvous with the comet and fly near it. In April 2012 Rosetta will go into a near orbit around Comet Wirtanen, and escort it for 17 busy months, as it flies in to make its closest approach to the Sun in September 2013, at the climax of the mission. "The Giotto mission placed us at the forefront of cometary exploration," comments Roger Bonnet, ESA's director of science. "The motivation came from European scientists with a sharp sense of the special importance of comets for understanding the Solar System. The same enthusiasm drives us onward to Rosetta, which will ensure our continued leadership in this important branch of space science." Scientific tasks During its prolonged operations in very close company with the comet's nucleus, Rosetta will map and examine its entire surface from distances of 10 to 50 kilometres with a set of remote-sensing instruments. As the spacecraft moves around the nucleus at a very leisurely walking pace, other onboard instruments will analyse the dust and vapours, which will emanate from Comet Wirtanen with ever-increasing vigour as the Sun's rays warm it. Rosetta will drop a lander on to the comet's surface, for close inspection of its physical condition and chemical composition. The lander is a venture led by Germany, France and Italy, with participation from Austria, Finland, Hungary, Poland and the UK. As a box packed with scientific instruments and standing on three legs, the lander will be capable of anchoring itself to one spot and drilling into the surface. It may also be able to hop like a flea to visit another part of the nucleus. A combination of solar energy and electric batteries will enable operations to last for several months. "The combination of Rosetta in orbit around the comet and the lander on its surface is very powerful from a scientific point of view," says Gerhard Schwehm, ESA's project scientist for Rosetta. "We shall watch Comet Wirtanen brewing up like a volcano as it feels the heat of the Sun. In place of hazy impressions of the nucleus of a comet half hidden by its dust clouds, we shall see all the details with unprecedented clarity." Unanswered questions During and after the 1986 appearance of Halley's Comet, comet science made great progress. More recent comets have revealed important secrets to ESA's Infrared Space Observatory and to other space telescopes examining them at wavelengths unobservable from the Earth. Yet basic questions about comets remain unanswered. Just as the Rosetta Stone was the key that unlocked the meaning of Egyptian hieroglyphs, so the Rosetta spacecraft is intended to decipher the meaning of comets and their role in the origin and history of the Solar System. Here are a few of the main puzzles. * What does a comet weigh? Guesses about the density of cometary material vary widely, and only an orbiting spacecraft can give exact measurements of the comet's volume and mass. * Is a comet a dirty snowball or an icy dirtball? In other words, is it made of ices contaminated with mineral and tarry dust, or is it a consolidation of dust coated with ices? * Why is the nucleus of a comet so dark? Giotto established that Halley's nucleus is like brownish-black velvet, absorbing 96 per cent of the sunlight falling on it. Is the colour due to a surface deposit of tarry dust, or is the interior dark too? * Why are small regions of a comet highly active when most of its surface is not? Multiple jets of dust seen emanating from Halley's Comet, and spectacularly from Comet Hale-Bopp, imply that certain hot-spots differ physically or chemically from the rest of the comet's surface. * Is a comet made as single piece, or does it consist of loosely joined blocks, as suggested by the Giotto images? This relates to the questions of how comets are built, and why they break up into smaller fragments, as seen spectacularly with Comet Shoemaker-Levy 9 which hit Jupiter in 1994. * Does a dying comet evaporate and disappear, or does it simply exhaust the stocks of ice that drive the emissions of gas and dust from an active comet? If the latter answer is correct, dead comets persist long afterwards as dark, inactive masses of minerals and tar, and pose a lasting threat of collisions with the Earth. * What is a comet's exact composition? Many ingredients are known, and the approximate abundances of the main constituents. Details coming from Rosetta will pin down (1) how comets were fashioned from similar constituents of interstellar dust and (2) how comets contributed to building the planets, including the Earth, and stocking their atmospheres. * Is the tarry, carbon-rich material in comets a jumble of every kind of chemical that inorganic processes can make from carbon, nitrogen, oxygen and hydrogen, or does it contain special compounds? This is relevant to assessing the role of comets in the origin of life on the Earth. The comet specialist Uwe Keller of the Max-Planck Institut fur Aeronomie, Germany, is one of the Giotto veterans who has helped with the planning of Rosetta. He was in charge of Giotto's camera. "Rosetta is the mission we are all waiting for," Dr Keller comments. "After I spent six years analysing our images of the Halley nucleus, I say that basic scientific assumptions about the nature of comets are still contradictory. We shall settle the arguments only by the close, prolonged inspection that Rosetta will make possible." Engineering the Rosetta mission To build up the speed needed to adopt the same orbit around the Sun as Comet Wirtanen, Rosetta must steal energy of motion from the planets, in a swingby of Mars and two swingbys of the Earth. During its far-flung manoeuvres in pursuit of the comet, Rosetta will inspect the asteroids Mimistrobell and Rodari at close quarters. When Rosetta is far from the Earth, or on the wrong side of the Sun, communication will be difficult. The spacecraft will therefore have a high degree of robotic self-reliance. It will also be capable of hibernating for more than two years without attention -- a technique devised by ESA for the later stages of the Giotto mission. Rosetta will rely on solar power, even when more than five times further than the Earth from the Sun. Special low-intensity solar cells are under development for Rosetta. Conditions in this farthest phase of Rosetta's voyage will be very chilly, but ESA's engineers are satisfied that the temperatures inside the spacecraft can be kept within limits by black paint, multilayer insulation and electric heaters. Despite its originality and sophistication, Rosetta will be just a flying box with solar arrays like wings, looking rather like a telecommunications satellite. "Keep it simple," is the motto of John Credland, ESA's project manager for Rosetta. "Simplicity brings reliability," he explains, "and that is my overriding concern for the engineering of a spacecraft that has to survive and operate far from the Earth for nearly eleven years." To command Rosetta, and to receive its signals carrying new of the comet, ESA will use a new 32-metre deep-space tracking antenna at Perth in Australia, and a 15-metre antenna in Spain. The spacecraft operations, especially in the near-comet phase of the mission, will be a novel experience for the controllers at the European Space Operations Centre in Darmstadt, Germany. The gravity of the comet will be weak, and Rosetta's manoeuvres around it will be like a ballet in slow motion. At around 10 kilometres distance, the spacecraft will travel at only 1-2 kilometres per hour in relation to the comet and take about a week to circle once around the nucleus. Sometimes Rosetta will swoop even closer to the comet's surface, to inspect possible landing sights and to drop the lander. The spacecraft's thrusters will adjust the orbit. To keep manoeuvres to a minimum, and so conserve fuel and avoid polluting the comet's environment, computer simulations will help the spacecraft navigators to predict the consequences of any manoeuvre for weeks in advance. The target comet Present-day space propulsion systems allow a rendezvous only with a comet with a predictable and relatively small orbit around the Sun. All comets of this kind are "old", in the sense that they have visited the Sun's vicinity many times and are no longer vigorous in the dust and gas formation that makes their visible comas and tails. The second comet visited by Giotto, Comet Grigg-Skjellerup, was of this elderly kind. From among several short-period candidates, the mission team chose Comet Wirtanen as Rosetta's target comet because it offered the quickest timetable between the launch of the spacecraft and the completion of the mission. The comet was discovered by chance by Carl Wirtanen in 1948 on photographic plates at the Lick Observatory in California. In 1972 and 1984 encounters with the planet Jupiter reduced the size of Comet Wirtanen's orbit, and shortened the interval between its visits to the Sun from 6.65 to 5.5 years. Despite many observations no one really knows the comet's mass, size and shape. The uncertainties are reflected in the computer simulations of manoeuvres near the comet. These cover a wide range of possibilities from a lightweight comet to a massive one, and from a small comet 1 kilometre in diameter to a large one 20 kilometres wide. The best estimate may be 1.5 kilometres. But it is in the nature of a voyage of exploration like Rosetta's that you don't know what you will find!
Infrared Observations of Cometary Dust and Nuclei
NASA Technical Reports Server (NTRS)
Lisse, Carey
2004-01-01
This bibliography lists citations for publications published under the grant. Subjects of the publications include cometary dust, instellar and interplanetary dust, comet nuclei and comae, Comet Hale-Bopp, infrared observations of comets, mass loss, and comet break-up.
Study of a comet rendezvous mission. Volume 2: Appendices
NASA Technical Reports Server (NTRS)
1972-01-01
Appendices to the comet Encke rendezvous mission consider relative positions of comet, earth and sun; viewing condition for Encke; detection of Taurid meteor streams; ephemeris of comet Encke; microwave and optical techniques in rendezvous mission; approach instruments; electrostatic equilibrium of ion engine spacecraft; comet flyby data for rendezvous spacecraft assembly; observations of P/Encke extracted from a compilation; and summary of technical innovations.
NASA Technical Reports Server (NTRS)
2008-01-01
[figure removed for brevity, see original site] Poster Version (Figure 1) NASA's Spitzer Space Telescope captured the picture on the left of comet Holmes in March 2008, five months after the comet suddenly erupted and brightened a millionfold overnight. The contrast of the picture has been enhanced on the right to show the anatomy of the comet. Every six years, comet 17P/Holmes speeds away from Jupiter and heads inward toward the sun, traveling the same route typically without incident. However, twice in the last 116 years, in November 1892 and October 2007, comet Holmes mysteriously exploded as it approached the asteroid belt. Astronomers still do not know the cause of these eruptions. Spitzer's infrared picture at left hand side of figure 1, reveals fine dust particles that make up the outer shell, or coma, of the comet. The nucleus of the comet is within the bright whitish spot in the center, while the yellow area shows solid particles that were blown from the comet in the explosion. The comet is headed away from the sun, which lies beyond the right-hand side of figure 1. The contrast-enhanced picture on the right shows the comet's outer shell, and strange filaments, or streamers, of dust. The streamers and shell are a yet another mystery surrounding comet Holmes. Scientists had initially suspected that the streamers were small dust particles ejected from fragments of the nucleus, or from hyerpactive jets on the nucleus, during the October 2007 explosion. If so, both the streamers and the shell should have shifted their orientation as the comet followed its orbit around the sun. Radiation pressure from the sun should have swept the material back and away from it. But pictures of comet Holmes taken by Spitzer over time show the streamers and shell in the same configuration, and not pointing away from the sun. The observations have left astronomers stumped. The horizontal line seen in the contrast-enhanced picture is a trail of debris that travels along with the comet in its orbit. The Spitzer picture was taken with the spacecraft's multiband imaging photometer at an infrared wavelength of 24 microns.NASA Astrophysics Data System (ADS)
Kobayashi, Hitomi; Kawakita, Hideyo; Mumma, Michael J.; Bonev, Boncho P.; Watanabe, Jun-ichi; Fuse, Tetsuharu
2007-10-01
We report the chemical composition of organic molecules in fragment B of comet 73P/Schwassmann-Wachmann 3 (SW3). Comet SW3 is a Jupiter-family comet that split into three fragments during its 1995 apparition and later into additional components. It was expected that fresh ices from deep within the presplit nucleus were exposed on the surface of each fragment. We observed SW3 with the Subaru telescope in 2006 early May when component B was disintegrating rapidly. If this exposed fresh ices from deeper layers of the original nucleus, mixing ratios obtained from our observations may reflect the pristine nature of the comet. Based on our results, comet SW3-B was depleted in C2H6 and C2H 2 with respect to most comets from the Oort Cloud reservoir, suggesting its formation region might have differed from that of the dominant Oort Cloud comets. Furthermore, the chemical composition of SW3-B was similar to that of SW3-C, suggesting that the presplit nucleus was almost homogeneous in volatile composition. The combined results demonstrate that depleted-organics comets from a common formation zone entered both reservoirs, of Jupiter-family comets and and Oort Cloud comets, but likely in different fractions. This Letter is based on data collected at Subaru Telescope, which is operated by the National Astronomical Observatory of Japan. This work was financially supported by the Ministry of Education, Science, and Culture, Grant-in-Aid for Young Scientists 19740107 (H. K.).
NASA Technical Reports Server (NTRS)
Todorovic-Juchniewicz, Bozenna; Sitarski, Grzegorz
1992-01-01
To improve the orbits, all the positional observations of the comets were collected. The observations were selected and weighted according to objective mathematical criteria and the mean residuals a priori were calculated for both comets. We took into account nongravitational effects in the comets' motion using Marsden's method applied in two ways: either determining the three constant parameters, A(sub 1), A(sub 2), A(sub 3) or the four parameters A, eta, I, phi connected with the rotating nucleus of the comet. To link successfully all the observations, we had to assume for both comets that A(t) = A(sub O)exp(-B x t) where B was an additional nongravitational parameter.
Trajectories for spacecraft encounters with Comet Honda-Mrkos-Pajdusakova in 1996
NASA Technical Reports Server (NTRS)
Dunham, David W.; Jen, Shao-Chiang; Farquhar, Robert W.
1989-01-01
Early in 1996, the relatively bright short-period Comet Honda-Mrkos-Pajdusakova (HMP) will pass only 0.17 astronomical unit from the earth, providing both an unusually favorable apparition for ground-based observers and an opportunity for a spacecraft to reach Comet HMP on relatively low-energy trajectories. The Japanense Institute of Space and Astronautical Sciences Sakigake spacecraft is expected to fly by Comet HMP on February 3, 1996, after utilizing four earth swingbys to modify its orbit. If the camera on the ESA Giotto spacecraft is inoperable, Giotto may also be sent to Comet HMP. In addition, 1-year earth-return trajectories to Comet HMP are described, along with some that can be extended to encounter Comet Giacobini-Zinner in 1998.
Discovering the Nature of Comets.
ERIC Educational Resources Information Center
Whipple, Fred L.
1986-01-01
"The Mystery of Comets" by Dr. Fred Whipple provides an introduction to the modern picture of comets and his personal reminiscences of how his model of comets came to be. An adaptation of several sections of the book is presented. (JN)
NASA Astrophysics Data System (ADS)
Weaver, Harold Anthony, Jr.
Ultraviolet spectra of seven comets observed with the International Ultraviolet Explorer (IUE) satellite are presented. Observations of comet Bradfield (1979 X) made in early 1980 allow a comprehensive study of the production of water by this comet. By comparing the observations to the predictions of two water models of the coma (Haser and vectorial), it is determined that these measurements support the idea of a comet composed principally of water ice. The vaporization of the water has a rather unexpected heliocentric variation, decreasing as r('-3.7) over the entire range of observations. Atomic carbon is relatively abundant in the coma of comet Bradfield; the production rate of carbon is roughly 5-10% of the water production rate. Analysis of the spatial brightness profiles of the strongest atomic carbon emission does not reveal the identity of the source of the observed carbon, but the data are apparently inconsistent with a photodissociation source that is either CO or CO(,2). A comparison of the ultraviolet spectrum of periodic comet Encke, recorded by the IUE between 1980 October 24 and November 5, with similar spectra of short and long period comets shows the gaseous composition of P/Encke to be virtually identical to that of the other comets. If P/Encke is indeed the remains of a once giant comet, this similarity implies a homogeneous structure for the cometary ice nucleus. The OH(0,0) band brightness distribution shows a spatial variation similar to the visible fan-shaped image of the comet. Comets P/Tuttle (1980h), P/Stephan-Oterma (1980g), and Meier (1980q) were observed during November-December 1980 with IUE, while comets P/Borrelly (1980i) and Panther (1980u) were observed with IUE on 6 March 1981. The spectra of these comets are compared with those of comets Bradfield (1979 X) and P/Encke, as well as with each other. In order to simplify the interpretation of the data and to minimize the dependence upon a specific model, the spectra are compared at approximately the same value of heliocentric distance whenever possible. Effects due to helicentric velocity, geocentric distance, and optical depth are also discussed. All of the cometary spectra are remarkably similar, which suggests that these comets may have a common composition and origin.
Episodic Aging and End States of Comets
NASA Technical Reports Server (NTRS)
Sekanina, Zdenek
2008-01-01
It is known that comets are aging very rapidly on cosmic scales, because they rapidly shed mass. The processes involved are (i) normal activity - sublimation of ices and expulsion of dust from discrete emission sources on and/or below the surface of a comet's nucleus, and (ii) nuclear fragmentation. Both modes are episodic in nature, the latter includes major steps in the comet's life cycle. The role and history of dynamical techniques used are described and results on mass losses due to sublimation and dust expulsion are reviewed. Studies of split comets, Holmes-like exploding comets, and cataclysmically fragmenting comets show that masses of 10 to 100 million tons are involved in the fragmentation process. This and other information is used to investigate the nature of comets' episodic aging. Based on recent advances in understanding the surface morphology of cometary nuclei by close-up imaging, a possible mechanism for large-scale fragmentation events is proposed and shown to be consistent with evidence available from observations. Strongly flattened pancake-like shapes appear to be required for comet fragments by conceptual constraints. Possible end states are briefly examined.
Georgieva, Milena; Zagorchev, Plamen; Miloshev, George
2015-10-01
Comet assay is an invaluable tool in DNA research. It is widely used to detect DNA damage as an indicator of exposure to genotoxic stress. A canonical set of parameters and specialized software programs exist for Comet assay data quantification and analysis. None of them so far has proven its potential to employ a computer-based algorithm for assessment of the shape of the comet as an indicator of the exact mechanism by which the studied genotoxins cut in the molecule of DNA. Here, we present 14 unique measurements of the comet image based on the comet morphology. Their mathematical derivation and statistical analysis allowed precise description of the shape of the comet image which in turn discriminated the cause of genotoxic stress. This algorithm led to the development of the "CometShape" software which allowed easy discrimination among different genotoxins depending on the type of DNA damage they induce. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
VATS intraoperative tattooing to facilitate solitary pulmonary nodule resection.
Willekes, Lourens; Boutros, Cherif; Goldfarb, Michael A
2008-03-19
Video-assisted thoracic surgery (VATS) has become routine and widely accepted for the removal of solitary pulmonary nodules of unknown etiology. Thoracosopic techniques continue to evolve with better instruments, robotic applications, and increased patient acceptance and awareness. Several techniques have been described to localize peripheral pulmonary nodules, including pre-operative CT-guided tattooing with methylene blue, CT scan guided spiral/hook wire placement, and transthoracic ultrasound. As pulmonary surgeons well know, the lung and visceral pleura may appear featureless on top of a pulmonary nodule. This paper presents a rapid, direct and inexpensive approach to peripheral lung lesion resection by marking the lung parenchyma on top of the nodule using direct methylene blue injection. In two patients with peripherally located lung nodules (n = 3) scheduled for VATS, we used direct methylene blue injection for intraoperative localization of the pulmonary nodule. Our technique was the following: After finger palpation of the lung, a spinal 25 gauge needle was inserted through an existing port and 0.1 ml of methylene blue was used to tattoo the pleura perpendicular to the localized nodule. The methylene blue tattoo immediately marks the lung surface over the nodule. The surgeon avoids repeated finger palpation, while lining up stapler, graspers and camera, because of the visible tattoo. Our technique eliminates regrasping and repalpating the lung once again to identify a non marked lesion. Three lung nodules were resected in two patients. Once each lesion was palpated it was marked, and the area was resected with security of accurate localization. All lung nodules were resected in totality with normal lung parenchymal margins. Our technique added about one minute to the operative time. The two patients were discharged home on the second postoperative day, with no morbidity. VATS with intraoperative tattooing is a safe, easy, and accurate technique to streamline and efficiently resect solitary pulmonary nodules.
The study of the physics of cometary nuclei
NASA Technical Reports Server (NTRS)
Whipple, F. L.; Marsden, B. G.; Sekanina, Z.
1975-01-01
Research in the area of split and hyperbolic comets, orbital calculations, and interstellar comets is discussed. Other topics discussed include the role of comets in galactic chemistry, gamma ray bursts, and predicted favorable visibility conditions for anomalous tails of comets.
NASA Technical Reports Server (NTRS)
Tsou, P.; Albee, A.
1985-01-01
The results of a joint JPL/CSFC feasability study of a low-cost comet sample return flyby mission are presented. It is shown that the mission could be undertaken using current earth orbiter spacecraft technology in conjunction with pathfinder or beacon spacrcraft. Detailed scenarios of missions to the comets Honda-Mrkos-Pajdusakova (HMP), comet Kopff, and comet Giacobini-Zinner (GZ) are given, and some crossectional diagrams of the spacecraft designs are provided.
Halley’s comet; a benevolent visitor to Earth
Spall, H.
1986-01-01
In 1705 Edmund Halley, Professor of Geometry at Oxford University, collected and organized a mass of information on comets observed in 1531, 1607, and 1682, a task for which he had an uncommon genius. He was able to show that the comets had very similar orbits, and correctly drew the conclusion that they were the same object and more importantly that comets could therefore be periodic. He predicted that this comet would again be visible from the Earth in 1759. Since then it has been known as Halley's comet and it has played a significant role in the development of astronomy.
A New Orbit for Comet C/1865 B1 (Great Southern Comet of 1865)
NASA Astrophysics Data System (ADS)
Branham, Richard L., Jr.
2018-04-01
Comet C/1865 B1 (Great southern comet of 1865), observed only in the southern hemisphere, is one of a large number of comets with parabolic orbits. Given that there are 202 observations in right ascension and 165 in declination it proves possible to calculate a better orbit than that Körber published in 1887, the orbit used in various catalogs and data bases. C/1865 B1's orbit is hyperbolic and statistically distinguishable from a parabola. This object, therefore, cannot be considered an NEO. The comet has a small perihelion distance of 0.026 AU.
Cometary ephemerides - needs and concerns
NASA Technical Reports Server (NTRS)
Yeomans, D. K.
1981-01-01
With the use of narrow field-of-view instrumentation on faint comets, the accuracy requirements upon computed ephemerides are increasing. It is not uncommon for instruments with a one arc minute field-of-view to be tracking a faint comet that is not visible without a substantial integration time. As with all ephemerides of solar syste objects, the computed motion and reduction of these observations, the computed motion of a comet is further depenent upon effects related to the comet's activity. Thus, the ephemeris of an active comet is corrupted by both observational errors and errors due to the comet's activity.
From the Vega mission to comet Halley to the Rosetta mission to comet 67/P Churyumov-Gerasimenko
NASA Astrophysics Data System (ADS)
Zelenyi, L. M.; Ksanfomality, L. V.
2016-12-01
The data acquired by the Vega and Giotto spacecraft, while investigating comet 1P/Halley in 1986, are compared to the results of the first phase of exploration of the nucleus of comet 67P/Churyumov-Gerasimenko performed with the Rosetta and Philae modules. The course of the Rosetta mission activity and the status of the modules after the Philae probe landing on the comet's nucleus are overviewed. Since some elements of the touchdown equipment failed, a number of in-situ experiments on the comet's nucleus were not carried out.
A new activity index for comets
NASA Technical Reports Server (NTRS)
Whipple, Fred L.
1992-01-01
An activity index, AI, is derived from observational data to measure the increase of activity in magnitudes for comets when brightest near perihelion as compared to their inactive reflective brightness at great solar distances. Because the observational data are still instrumentally limited in the latter case and because many comets carry particulate clouds about them at great solar distances, the application of the activity index is still limited. A tentative application is made for the comets observed by Max Beyer over a period of nearly 40 years, providing a uniform magnitude system for the near-perihelion observations. In all, 32 determinations are made for long-period (L-P) comets and 15 for short-period (S-P). Although the correlations are scarcely definitive, the data suggest that the faintest comets are just as active as the brightest and that the S-P comets are almost as active as those with periods (P) exceeding 10(exp 4) years or those with orbital inclinations of i less than 120 deg. Comets in the range 10(exp 2) less than P less than 10(exp 4) yr. or with i greater than 120 deg appear to be somewhat more active than the others. There is no evidence to suggest aging among the L-P comets or to suggest other than a common nature for comets generally.
The long-term dynamical behavior of short-period comets
NASA Technical Reports Server (NTRS)
Levison, Harold F.; Duncan, Martin J.
1993-01-01
The orbits of the known short-period comets under the influence of the Sun and all the planets except Mercury and Pluto are numerically integrated. The calculation was undertaken in order to determine the dynamical lifetimes for these objects as well as explaining the current orbital element distribution. It is found that a comet can move between Jupiter-family and Halley-family comets several times in its dynamical lifetime. The median lifetime of the known short-period comets from the time they are first injected into a short-period comet orbit to ultimate ejection is approximately 50,000 years. The very flat inclination distribution of Jupiter-family comets is observed to become more distended as it ages. The only possible explanation for the observed flat distribution is that the comets become extinct before their inclination distribution can change significantly. It is shown that the anomalous concentration of the argument of perihelion of Jupiter-family comets near 0 and 180 deg is a direct result of their aphelion distance being close to 5.2AU and the comet being recently perturbed onto a Jupiter-family orbit. Also the concentration of their aphelion near Jupiter's orbit is a result of the conservation of the Tisserand invariant during the capture process.
The population, magnitudes, and sizes of Jupiter family comets
NASA Astrophysics Data System (ADS)
Fernández, J. A.; Tancredi, G.; Rickman, H.; Licandro, J.
1999-12-01
We analyze the sample of measured nuclear magnitudes of the observed Jupiter family (JF) comets (taken as those with orbital periods P < 20 years and Tisserand parameters T > 2). We find a tendency of the measured nuclear magnitudes to be fainter as JF comets are observed with CCD detectors attached to medium- and large-size telescopes (e.g. Spacewatch Telescope). However, a few JF comets observed very far from the Sun (4-7 AU) show a wide dispersion of their derived absolute nuclear magnitudes which suggests that either these JF comets keep active all along the orbit, so the reported unusually bright distant magnitudes were strongly contaminated by a coma, or some of the measured ``nuclear magnitudes'' were grossly overestimated (i.e. their brightness underestimated). The cumulative mass distribution of JF comets is found to follow a power-law of index s = - 0.88 +/- 0.08, suggesting a distribution significantly steeper than that for both small main-belt asteroids and near-Earth asteroids. The cumulative mass distribution of JF comets with q < 2 AU tends to flatten for absolute (visual) nuclear magnitudes H_N > 16, which is probably due to incompleteness of discovery of fainter comets and/or a real scarcity of small comets due, perhaps, to much shorter physical lifetimes. In particular, no JF comets fainter than H_N ~ 19.5 are found in the sample, suggesting that the critical size for a comet to be still active may be of about 0.4 km radius for an assumed geometric albedo of 0.04. Possibly, smaller comet nuclei disintegrate very quickly into meteor streams. Most absolute nuclear magnitudes are found in the range 15-18, corresponding to nuclear radii in the range 0.8-3.3 km (for the same geometric albedo). We find that a large majority of JF comets with perihelion distances q > 2.5 AU are brighter than absolute nuclear magnitude H_N = 16, suggesting that only a very small fraction (a few percent) of the population of the JF comets with large q has so far been detected. A similar trend is noted for the corresponding absolute total magnitudes H_T taken from Kresák & Kresáková's (1994) catalog. By analyzing the H_N and H_T data, and trends in the discovery rate of JF comets as a function of their perihelion distances, the overall population of JF comets within Jupiter's region (q < 5.2 AU) up to an absolute nuclear magnitude H_N = 18.5 is estimated to be from several thousand to about 104 members. The q-distribution of JF comets shows a steep increase with q, which is consistent with JF comets coming from a flat intermediate source in the Jupiter-Saturn region.
Harris, Kassem; Modi, Kush; Kumar, Abhishek; Dhillon, Samjot Singh
2015-01-01
Convex probe endobronchial ultrasound (CP-EBUS) was originally introduced as a diagnostic and staging tool for lung cancer and subsequently utilized for diagnosis of other malignant and benign mediastinal diseases such as melanoma, lymphoma, and sarcoidosis. More recently, CP-EBUS has been successfully used for the visualization and diagnosis of pulmonary emboli and other vascular lesions including primary and metastatic pulmonary artery (PA) tumors. In this review, we will underline the role of EBUS-guided transbronchial needle aspiration (EBUS-TBNA) for the diagnosis of pulmonary arterial tumors such as sarcomas and tumor emboli. We will concisely discuss the clinical applications of EBUS-TBNA and the types of pulmonary arterial tumors and their different diagnostic modalities. We searched the Cochrane Library and PubMed from 2004 to 2014 to provide the most comprehensive review. Only 10 cases of EBUS-TBNA for intravascular lesions were identified in the literature. Although many cases of EBUS and EUS-guided transvascular tumor biopsies were described in the literature, there were no reported cases of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for intravascular tumor biopsies. Except for one paper, all cases were published as case reports.
Follow-up of fetuses with congenital diaphragmatic hernia: The quantitative lung index.
Rodó, Carlota; Illescas, Tamara; Arévalo, Silvia; Pérez-Hoyos, Santiago; Carreras, Elena
2018-03-26
To assess the longitudinal behavior of Quantitative Lung Index (QLI) for the follow-up of fetuses with congenital diaphragmatic hernia. Retrospective study of fetuses with isolated left congenital diaphragmatic hernia. The fetuses were assessed by ultrasound at different gestational ages and QLI was retrospectively calculated by means of previous lung-to-head ratio measurements. We used a random effects model (mixed model with repeated measurements) to compare the performance of the QLI in operated and non-operated fetuses throughout pregnancy. Fifty-eight cases of isolated left diaphragmatic hernia with complete follow-up were assessed in Hospital Universitari Vall d'Hebron in Barcelona (2003-2015). Thirty-eight of them were managed expectantly (non-TO) and the other 20 underwent tracheal occlusion (TO). All fetuses undergoing tracheal occlusion had lung-to-head ratio (LHR) <1, observed-to-expected LHR (o/eLHR) ≤45%, QLI <0.6 and liver up inside the thorax. The survival rate was 87% for the non-TO group and 60% for the TO group (p = 0.02). The QLI remained constant throughout pregnancy in both groups. The QLI in the TO group had lower values than the non-TO group (p < 0.03). The quantitative lung index was constant during pregnancy. This index was lower in fetuses undergoing tracheal occlusion but no significant changes were seen in its performance during pregnancy. Copyright © 2018 Elsevier B.V. All rights reserved.
Burgos, Carmen Mesas; Davey, Marcus G; Riley, John S; Jia, Huimin; Flake, Alan W; Peranteau, William H
2017-12-19
Lung and pulmonary vascular maldevelopment in congenital diaphragmatic hernia (CDH) results in significant morbidity and mortality. Retinoic acid (RA) and imatinib have been shown to improve pulmonary morphology following prenatal administration in the rat nitrofen-induced CDH model. It remains unclear if these changes translate into improved function. We evaluated the effect of prenatal RA and imatinib on postnatal lung function, structure, and pulmonary artery (PA) blood flow in the rat CDH model. Olive oil or nitrofen was administered alone or in combination with RA or imatinib to pregnant rats. Pups were assessed for PA blood flow by ultrasound and pulmonary function/morphology following delivery, intubation, and short-term ventilation. Neither RA nor imatinib had a negative effect on lung and body growth. RA accelerated lung maturation indicated by increased alveoli number and thinner interalveolar septa and was associated with decreased PA resistance and improved oxygenation. With the exception of a decreased PA pulsatility index, no significant changes in morphology and pulmonary function were noted following imatinib. Prenatal treatment with RA but not imatinib was associated with improved pulmonary morphology and function, and decreased pulmonary vascular resistance. This study highlights the potential of prenatal pharmacologic therapies, such as RA, for management of CDH. Copyright © 2017 Elsevier Inc. All rights reserved.
[Breast cancer metastases to the stomach and colon: two case reports].
Pulanić, Roland; Jelavić, Marko; Premuzić, Marina; Opacić, Milorad; Jakic-Razumović, Jasminka; Padovan-Stern, Ranka; Vrbanec, Damir
2012-01-01
Summary. Breast cancer has a high potential for metastasis, usually to the lungs, bones, liver and lymph nodes. Metastases in the holow organs of the digestive system are rare and mainly affectes the stomach and colon. They are characterized by very different clinical and radiological manifestations. We have warned that the initial unrecognized breast cancer can appear as a primary tumor of the stomach and colon, and onlya histopathological analysis reveales that it is a metastatic breast cancer. Metastases to the stomach or intestine involve deep layer of the mucosa and pathohistological findings of standard biopsy sample can be falsely negative, despite positive imaging technique (abdominal ultrasound and MSCT, endoscopic ultrasound) that indicate the tumor process. That's,why we emphasize the importance of endoscopic mucosal resection in the detection of malignant process of deeper layers of the gastric mucosa and deep intestinal mucosal biopsies with postoperative analysis of its walls.
Using a medium-throughput comet assay to evaluate the global DNA methylation status of single cells
Lewies, Angélique; Van Dyk, Etresia; Wentzel, Johannes F.; Pretorius, Pieter J.
2014-01-01
The comet assay is a simple and cost effective technique, commonly used to analyze and quantify DNA damage in individual cells. The versatility of the comet assay allows introduction of various modifications to the basic technique. The difference in the methylation sensitivity of the isoschizomeric restriction enzymes HpaII and MspI are used to demonstrate the ability of the comet assay to measure the global DNA methylation level of individual cells when using cell cultures. In the experiments described here, a medium-throughput comet assay and methylation sensitive comet assay are combined to produce a methylation sensitive medium-throughput comet assay to measure changes in the global DNA methylation pattern in individual cells under various growth conditions. PMID:25071840
The McDonald Observatory Faint Comet Survey - Gas production in 17 comets
NASA Technical Reports Server (NTRS)
Cochran, Anita L.; Barker, Edwin S.; Ramseyer, Tod F.; Storrs, Alex D.
1992-01-01
The complete Intensified Dissector Scanner data set on 17 comets is presented, and production rates are derived and analyzed. It is shown that there is a strong degree of homogenization in the production rate ratios of many comets. It also appears that the ratio of the production rates of the various species has no heliocentric distance dependence, except for the case of NH2. When speaking of the gas in the coma of a comet, it appears that comets must have been formed under remarkably uniform conditions, and that they must have evolved and formed their comae in a similar manner. The data presented here constitute strong evidence that the minor species must be bound up in a lattice and that the interior of a comet must be reasonably uniform.
NASA Astrophysics Data System (ADS)
Bosiek, Katharina; Hausmann, Michael; Hildenbrand, Georg
2016-04-01
In recent years, studies have shown that there are many similarities between comets and asteroids. In some cases, it cannot even be determined to which of these groups an object belongs. This is especially true for objects found beyond the main asteroid belt. Because of the lack of comet fragments, more progress has been made concerning the chemical composition of asteroids. In particular, the SMASSII classification establishes a link between the reflecting spectra and chemical composition of asteroids and meteorites. To find clues for the chemical structure of comets, the parameters of all known asteroids of the SMASSII classification were compared to those of comet groups like the Encke-type comets, the Jupiter-family comets, and the Halley-type comets, as well as comet-like objects like the damocloids and the centaurs. Fifty-six SMASSII objects similar to comets were found and are categorized as comet-like asteroids in this work. Aside from the chemistry, it is assumed that the available energy on these celestial bodies plays an important role concerning habitability. For the determination of the available energy, the effective temperature was calculated. Additionally, the size of these objects was considered in order to evaluate the possibility of a liquid water core, which provides an environment that is more likely to support processes necessary to create the building blocks of life. Further study of such objects could be notable for the period of the Late Heavy Bombardment and could therefore provide important implications for our understanding of the inner workings of the prebiotic evolution within the Solar System since the beginning.
Bosiek, Katharina; Hausmann, Michael; Hildenbrand, Georg
2016-04-01
In recent years, studies have shown that there are many similarities between comets and asteroids. In some cases, it cannot even be determined to which of these groups an object belongs. This is especially true for objects found beyond the main asteroid belt. Because of the lack of comet fragments, more progress has been made concerning the chemical composition of asteroids. In particular, the SMASSII classification establishes a link between the reflecting spectra and chemical composition of asteroids and meteorites. To find clues for the chemical structure of comets, the parameters of all known asteroids of the SMASSII classification were compared to those of comet groups like the Encke-type comets, the Jupiter-family comets, and the Halley-type comets, as well as comet-like objects like the damocloids and the centaurs. Fifty-six SMASSII objects similar to comets were found and are categorized as comet-like asteroids in this work. Aside from the chemistry, it is assumed that the available energy on these celestial bodies plays an important role concerning habitability. For the determination of the available energy, the effective temperature was calculated. Additionally, the size of these objects was considered in order to evaluate the possibility of a liquid water core, which provides an environment that is more likely to support processes necessary to create the building blocks of life. Further study of such objects could be notable for the period of the Late Heavy Bombardment and could therefore provide important implications for our understanding of the inner workings of the prebiotic evolution within the Solar System since the beginning.
NASA Astrophysics Data System (ADS)
Sanzovo, G. C.; Sanzovo, D. Trevisan; de Almeida, A. A.
After the success of Deep Impact mission to hit the nucleus of Comet 9P/Tempel 1 with an impactor, the concerns are turned now to the possible reutilization of this dormant flyby spacecraft in the study of another comet, for only about 10% of the cost of the original mission. Comet 103P/Hartley 2 on UT 2010 October 11 is the most attractive target in terms of available fuel at rendezvous and arrival time at the comet. In addition, the comet has a low inclination so that major orbital plane changes in the spacecraft trajectory are unnecessary. In an effort to provide information concerning the planning of this new NASA EPOXI space mission of opportunity, we use in this work, visual magnitudes measurements available from International Comet Quarterly (ICQ) to obtain, applying the Semi-Empirical Method of Visual Magnitudes - SEMVM (de Almeida, Singh, & Huebner 1997), the water production rates (in molecules/s) related to its perihelion passage of 1997. When associated to the water vaporization theory of Delsemme (1982), these rates allowed the acquisition of the minimum dimension for the effective nuclear radius of the comet. The water production rates were then converted into gas production rates (in g/s) so that, with the help of the strong correlation between gas and dust found for 12 periodic comets and 3 non-period comets (Trevisan Sanzovo 2006), we obtained the dust loss rates (in g/s), its behavior with the heliocentric distance and the dust-to-gas ratios in this physically attractive rendezvous target-comet to Deep Impact spacecraft at a closest approach of 700 km.
Detection of DNA damage in workers exposed to JP-8 jet fuel.
Krieg, Edward F; Mathias, Patricia I; Toennis, Christine A; Clark, John C; Marlow, Kate L; B'hymer, Clayton; Singh, Narendra P; Gibson, Roger L; Butler, Mary Ann
2012-09-18
The genotoxicity of jet propulsion fuel 8 (JP-8) was assessed in the leukocytes of archived blood specimens from U.S. Air Force personnel using the comet assay. No differences in mean comet assay measurements were found between low, moderate, and high exposure groups before or after a 4h work shift. Before the work shift, mean tail DNA and mean tail (Olive) moment increased as the concentration of benzene measured in end-exhaled breath increased, indicating that prior environmental or work-related exposures to benzene produced DNA damage. The number of cells with highly damaged DNA decreased as the pre-shift benzene concentration in breath increased. It is not clear why the decrease is occurring. Mean tail DNA and mean tail (Olive) moment decreased as the concentrations of benzene and naphthalene measured in breath immediately after the work shift increased. These inverse relationships may reflect a slower rate of absorption or a faster rate of expiration of benzene in the lung. The number of cells with highly damaged DNA increased as the concentration of urinary (2-methoxyethoxy)acetic acid (MEAA) increased. This relationship was not seen in urinary MEAA adjusted for creatinine. MEAA is a metabolite of the deicing agent 2-(2-methoxyethoxy)ethanol contained in JP-8. MEAA or a component of JP-8 correlated with MEAA may have a toxic effect on DNA. Published by Elsevier B.V.
Physical observations of comets: Their composition, origin and evolution
NASA Technical Reports Server (NTRS)
Cochran, Anita L.; Barker, Edwin S.; Cochran, William D.
1991-01-01
The composition, origins, and evolution of comets were studied. The composition was studied using spectroscopic observations of primarily brighter comets at moderate and high resolution for the distribution of certain gases in the coma. The origins was addressed through an imaging search for the Kuiper belt of comets. The evolution was addressed by searching for a link between comets and asteroids using an imaging approach to search for an OH coma.
NASA Astrophysics Data System (ADS)
Wooden, D. H.; Woodward, C. E.; Harker, D. E.
2003-05-01
We report on observations and analysis of HIFOGS 10 \\micron \\ spectrophotometry of short period comet 19P/Borrelly on 2003 October 13, 15 UT at the NASA IRTF. 19P/Borrelly is one of two short period comets, comet 4P/Faye being the other, to have a silicate feature detected (Hanner et al. 1996, Icarus, 124, 344). During Borrelly.s perihelion passage in 1994 December, a silicate feature was present with a flux-to-continuum ratio of 0.25. Two apparitions later in 2003 October, the silicate feature is absent. Thermal emission modeling (cf. Harker et al. 2002, ApJ, 580, 579) using amorphous olivine and amorphous carbon shows that a slight increase in grain size accounts for the disappearance of the silicate feature. Analysis of 19P/Borrelly suggests grain size, and not the absence of olivine minerals, may be responsible for the absence of silicate features in most short period comets. 19P/Borrelly is one of the more active short period comets. However, short period comets as a family are less active than long period comets. Short period comets probably originated in the Kuiper Belt and suffered collisions while in residence in the outer solar system. Upon evolution into orbits that take them through the inner solar system, the surfaces of short period comets are exposed to sunlight through their many perihelion passages. This is in contrast to long period comets which probably originated near Jupiter and were expelled to the Oort cloud where they have existed and been exposed to cosmic ray processing. By studying the grain properties in short period comets and comparing to long period comets, we compare the effects on the grain populations of different parent body evolution histories. Upcoming opportunities to study short and long period comets will be advertised. This research is supported in part by an NSF Grant to the University of Minnesota.
Comet Odyssey: Comet Surface Sample Return
NASA Astrophysics Data System (ADS)
Weissman, Paul R.; Bradley, J.; Smythe, W. D.; Brophy, J. R.; Lisano, M. E.; Syvertson, M. L.; Cangahuala, L. A.; Liu, J.; Carlisle, G. L.
2010-10-01
Comet Odyssey is a proposed New Frontiers mission that would return the first samples from the surface of a cometary nucleus. Stardust demonstrated the tremendous power of analysis of returned samples in terrestrial laboratories versus what can be accomplished in situ with robotic missions. But Stardust collected only 1 milligram of coma dust, and the 6.1 km/s flyby speed heated samples up to 2000 K. Comet Odyssey would collect two independent 800 cc samples directly from the surface in a far more benign manner, preserving the primitive composition. Given a minimum surface density of 0.2 g/cm3, this would return two 160 g surface samples to Earth. Comet Odyssey employs solar-electric propulsion to rendezvous with the target comet. After 180 days of reconnaissance and site selection, the spacecraft performs a "touch-and-go” maneuver with surface contact lasting 3 seconds. A brush-wheel sampler on a remote arm collects up to 800 cc of sample. A duplicate second arm and sampler collects the second sample. The samples are placed in a return capsule and maintained at colder than -70 C during the return flight and at colder than -30 C during re-entry and for up to six hours after landing. The entire capsule is then refrigerated and transported to the Astromaterials Curatorial Facility at NASA/JSC for initial inspection and sample analysis by the Comet Odyssey team. Comet Odyssey's planned target was comet 9P/Tempel 1, with launch in December 2017 and comet arrival in June 2022. After a stay of 300 days at the comet, the spacecraft departs and arrives at Earth in May 2027. Comet Odyssey is a forerunner to a flagship Cryogenic Comet Sample Return mission that would return samples from deep below the nucleus surface, including volatile ices. This work was supported by internal funds from the Jet Propulsion Laboratory.
Comet Hartley 2 Gets a Visitor Artist Concept
2010-10-26
This artist concept shows a view of NASA EPOXI mission spacecraft during its Nov. 4, 2010 flyby of comet Hartley 2. The fluffy shell around the comet, called a coma, is made up of gas and dust that blew off the comet core, or nucleus.
Comet Hartley 2 Looms Large in the Sky
2010-11-03
NASA EPOXI mission took this image of comet Hartley 2 on Nov. 2, 2010. The spacecraft will fly by the comet on Nov. 4, 2010. The white blob and the halo around it are the comet outer cloud of gas and dust, called a coma.
Astronomical Resources: A Selected Halley's Comet Reading List.
ERIC Educational Resources Information Center
Fraknoi, Andrew
1985-01-01
Presents annotated lists of: (1) general introductory books about comets and Comet Halley; (2) books about comet history and lore; (3) introductory books for younger children; and (4) books for the serious amateur astronomer. A list of magazine and journal articles is included. (JN)
NASA Technical Reports Server (NTRS)
Weissman, Paul R.
1987-01-01
Studies of Jovian perturbations of the orbits of long-period comets led to the concept of the Oort cloud of 180 billion comets at 50,000-150,000 AU from the sun. Several comets are induced to move toward the sun every million years by the passage of a star at a distance of a few light years. The location of the cloud has since been revised to 20,000-100,000 AU, and comets are now accepted as remnant material fron the proto-solar system epoch. The galactic disk and random, close-passing stars may also cause rare, large perturbations in the orbits of the cloud comets, sending large numbers of comets through the inner solar system. The resulting cometary storm is a candidate cause for the wholesale extinction of dinosaurs in the Cretaceous-Terniary transition due to large number of planetesimals, or one large comet, striking the earth, in a short period of time. The IRAS instruments have detected similar clouds of material around other stars.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weissman, P.R.
1987-03-01
Studies of Jovian perturbations of the orbits of long-period comets led to the concept of the Oort cloud of 180 billion comets at 50,000-150,000 AU from the sun. Several comets are induced to move toward the sun every million years by the passage of a star at a distance of a few light years. The location of the cloud has since been revised to 20,000-100,000 AU, and comets are now accepted as remnant material fron the proto-solar system epoch. The galactic disk and random, close-passing stars may also cause rare, large perturbations in the orbits of the cloud comets, sendingmore » large numbers of comets through the inner solar system. The resulting cometary storm is a candidate cause for the wholesale extinction of dinosaurs in the Cretaceous-Terniary transition due to large number of planetesimals, or one large comet, striking the earth, in a short period of time. The IRAS instruments have detected similar clouds of material around other stars.« less
NASA Technical Reports Server (NTRS)
Espley, Jared R.; Dibraccio, Gina A.; Connerney, John E. P.; Brain, David; Gruesbeck, Jacob; Soobiah, Yasir; Halekas, Jasper S.; Combi, Michael; Luhmann, Janet; Ma, Yingjuan
2015-01-01
The nucleus of comet C/2013 A1 (Siding Spring) passed within 141,000?km of Mars on 19 October 2014. Thus, the cometary coma and the plasma it produces washed over Mars for several hours producing significant effects in the Martian magnetosphere and upper atmosphere. We present observations from Mars Atmosphere and Volatile EvolutioN's (MAVEN's) particles and field's instruments that show the Martian magnetosphere was severely distorted during the comet's passage. We note four specific major effects: (1) a variable induced magnetospheric boundary, (2) a strong rotation of the magnetic field as the comet approached, (3) severely distorted and disordered ionospheric magnetic fields during the comet's closest approach, and (4) unusually strong magnetosheath turbulence lasting hours after the comet left. We argue that the comet produced effects comparable to that of a large solar storm (in terms of incident energy) and that our results are therefore important for future studies of atmospheric escape, MAVEN's primary science objective.
Autonomous Onboard Science Data Analysis for Comet Missions
NASA Technical Reports Server (NTRS)
Thompson, David R.; Tran, Daniel Q.; McLaren, David; Chien, Steve A.; Bergman, Larry; Castano, Rebecca; Doyle, Richard; Estlin, Tara; Lenda, Matthew
2012-01-01
Coming years will bring several comet rendezvous missions. The Rosetta spacecraft arrives at Comet 67P/Churyumov-Gerasimenko in 2014. Subsequent rendezvous might include a mission such as the proposed Comet Hopper with multiple surface landings, as well as Comet Nucleus Sample Return (CNSR) and Coma Rendezvous and Sample Return (CRSR). These encounters will begin to shed light on a population that, despite several previous flybys, remains mysterious and poorly understood. Scientists still have little direct knowledge of interactions between the nucleus and coma, their variation across different comets or their evolution over time. Activity may change on short timescales so it is challenging to characterize with scripted data acquisition. Here we investigate automatic onboard image analysis that could act faster than round-trip light time to capture unexpected outbursts and plume activity. We describe one edge-based method for detect comet nuclei and plumes, and test the approach on an existing catalog of comet images. Finally, we quantify benefits to specific measurement objectives by simulating a basic plume monitoring campaign.
NASA Technical Reports Server (NTRS)
Newburn, Ray L., Jr.; Spinrad, Hyron
1989-01-01
The best possible production figures within the current post-Halley framework and available observations are given for H2O, O(1D), CN, C3, C2 and dust in 25 comets. Of these, the three objects with the smallest mixing ratios of all minor species have moderate to little or no dust and appear 'old'. Comets with large amounts of CN are very dusty, and there is a clear correlation of CN with dust, although comets with little or no dust still have some CN. Thus, CN appears to have at least two sources, dust and one or more parent gases. Also, the C2/CN production ratio changes continuously with heliocentric distance in every comet considered, suggesting that C2 production may be a function of coma density as well as parental abundance. Dust production ranges from essentially zero in Comet Sugano-Saigusa-Fujikawa up to 67,000 kg/s for Halley on March 14, 1986.
Observations of faint comets at McDonald Observatory: 1978-1980
NASA Technical Reports Server (NTRS)
Barker, E. S.; Cochran, A. L.; Rybski, P. M.
1981-01-01
Modern observational techniques, developed for spectroscopy and photometry of faint galaxies and quasars, successfully applied to faint comets on the 2.7 m telescope. The periodic comets Van Biesbrock, Ashbrook-Jackson, Schwassmann-Wachmann 1, Tempel 2, Encke, Forbes, Brooks 2, Stephan-Oterma and the new comets Bradfield (19791), Bowell (1980b), Chernis-Petrauskas (1980k) were observed. The comets ranged in magnitude from 10th to 20th magnitude. For comets fainter than 19th magnitude, reflectance spectra at 100A resolution and area photometry were obtained. On comets of 17th or 18th magnitude, spectrometric scans (6A resolution) of the nucleus or inner coma region. On those comets which are brighter than 16th magnitude spatial spectrophotometric (6A resolution) studies of the inner and extended comae were done. An extensive spatial study of the comae of P/Encke and P/Stephen-Oterma, correlated with heliocentric distance is taking place. The observing process used is described and examples of the results obtained to date are discussed.
The 3.4 micron emission in comets
NASA Technical Reports Server (NTRS)
Brooke, Tim Y.; Knacke, Roger F.; Owen, T. C.; Tokunaga, Alan T.
1989-01-01
Emission features near 3.4 microns were detected in comet Bradfield (1987s) on 17 Nov. 1987 UT, and, marginally, on two earlier dates, with the Cooled Grating Array Spectrometer at the NASA Infrared Radio Telescope Facility (IRTF) (Brooke et al., 1988b). The central wavelength (3.36 microns) and width (approx. 0.15 microns) of the strongest feature coincide with those observed in comet Halley. A weaker emission feature at 3.52 microns and a strong feature extending shortward of 2.9 microns were also detected. This brings the number of comets in which these three features have been seen to three, two new (Bradfield, Wilson) and one old (Halley). It seems almost certain that the 3.4 micron features are emissions by C-H groups in complex molecules. Based on the similarity of the 3.4 micron features in comets Halley and Wilson, the authors suggest that a particular set of organic compounds may be common to all comets (Brooke et al. 1988a). The absence of the feature in some comets could then be due to photodestruction or evaporation of the organics when the comet approaches the sun, in combination with a predominance of thermal emission from non C-H emitting grains. Detection of the 3.4 micron emission feature in comet Bradfield at 4 = 0.9 AU provides support for this argument. Complex organics in comets could have been formed by particle irradiation of parent ices in the nucleus or been incorporated as grains at the time the comets formed. Since the most heavily irradiated layers of Halley would have been lost in its hundreds of perihelion passages, the authors believe the more likely explanation is that the 3.4 micron emitting material was incorporated in comet nuclei at the time of formation. The 3.4 micron comet feature resembles, but is not identical to, the interstellar 3.29 micron (and longer wavelength) emission features and the broad 3.4 micron feature seen in absorption toward the Galactic center. Detailed comparisons of cometary and interstellar organics will require comet spectra with signal-to-noise and spectral resolution comparable to that available in spectra of the interstellar medium. Such observations are currently being planned.
NASA Technical Reports Server (NTRS)
Whipple, Fred L.
1992-01-01
The variations in total brightness of a comet when it is most active, near perihelion, are presently used as the bases of a volatility index (VI) for short-period (SP) and long-period (LP) comets. Volatility does not correlate with period among the LP comets, and thereby shows no 'aging' effect; similarly, the VI measurements are the same for SP and for LP comets and exhibit no correlation with (1) absolute magnitude near perihelion, (2) orbital inclination, or (3) activity index measuring the intrinsic brightness change from great solar distances to the maximum near perihelion. Active comets are shown to be basically alike irrespective of their orbits or 'ages'.
The Physics of Cometary Nuclei
NASA Technical Reports Server (NTRS)
Whipple, Fred L.
1997-01-01
The recent developments in cometary studies suggest rather low mean densities and weak structures for the nuclei. They appear to be accumulations of fairly discrete units loosely bound together, as deduced from the observations of Comet Shoemaker-Levy 9 during its encounter with Jupiter. The compressive strengths deduced from comet splitting by Opik and Sekanina are extremely low. These values are confirmed by theory developed here. assuming that Comet P/Holmes had a companion that collided with it in 1892. There follows a short discussion that suggests that the mean densities of comets should increase with comet dimensions. The place of origin of short-period comets may relate to these properties.
Report of the Comet Science Working Group
NASA Technical Reports Server (NTRS)
1979-01-01
General scientific questions and measurement objectives that can be addressed on a first comet mission relate to: (1) the chemical nature and the physical structure of comet nuclei as well as the changes that occur as functions of time and orbital position; (2) the chemical and physical nature of the atmospheres and ionospheres of comets, the processes which occur in them, and the development of these atmospheres and ionospheres as functions of time and orbital position; and (3) the nature of comet tails, the processes by which they are formed, and the interaction of comets with the solar wind. Capabilities of the various instruments required are discussed.
Disintegration of comet nuclei
NASA Astrophysics Data System (ADS)
Ksanfomality, Leonid V.
2012-02-01
The breaking up of comets into separate pieces, each with its own tail, was seen many times by astronomers of the past. The phenomenon was in sharp contrast to the idea of the eternal and unchangeable celestial firmament and was commonly believed to be an omen of impending disaster, especially for comets with tails stretching across half the sky. It is only now that we have efficient enough space exploration tools to see comet nuclei and even - in the particular case of small comet Hartley-2 in 2010 - to watch their disintegration stage. There are also other suspected candidates for disintegration in the vast family of comet nuclei and other Solar System bodies.
The Uncertain Nature of Cometary Motions
NASA Technical Reports Server (NTRS)
Yeomans, Donald K.
1997-01-01
The number of active short- and long-periodic comets crossing the Earth's orbit each year is less than 10 percent of the corresponding number of asteroids crossing the Earth's orbit. However, the higher relative velocities of comets with respect to the Earth and the uncertainties associated with accurately computing their future trajectories can cause considerable problems when assessing the risks of Earth-crossing objects. Unlike asteroids, the motions of active comets are often affected by so-called nongravitational (outgassing) forces that are imperfectly modeled. In addition, the astrometric optical observations that are used to refine a comet's orbit are often imprecise because a comet's center of mass can be hidden by atmospheric gas and dust. For long-period comets, there is the additional problem of having to base orbital solutions on relatively short observational data intervals. Long-term numerical integrations extending two centuries into the future have been carried out to investigate upcoming Earth-close approaches by known periodic comets. Error analyses and impact probabilities have been computed for those comets that will pass closest to the Earth. Although there are no known comets that will make dangerously close Earth approaches in the next two centuries, there are a few objects that warrant future monitoring.
NASA Technical Reports Server (NTRS)
Palmer, Patrick; De Pater, Imke; Snyder, Lewis E.
1989-01-01
In comparison with Comet Halley, the radio OH emission from Comet Wilson behaved very erratically, changing rapidly in position as well as in velocity, while the emission and brightness distribution from Comet Halley displayed apparent stability. A few months later, nearer perihelion, just the opposite behavior was observed at UV wavelengths. Another difference between the two comets is that the OH emission from Comet Halley seemed confined to a region a few times 100.000 km in size, while the emission from Comet Wilson showed up in sporadic blobs, with variable intensities and velocities, at distances as far as 10 to the 6th km from the nucleus. This behavior in Comet Wilson may be associated with the disintegration of the outer frosting associated with new comets and possibly with the fragmentation and ejection of cometesimals from the nucleus. As part of the data analysis, it is demonstrated that lengthening the integration time and lowering the velocity resolution affects the symmetry of the OH images and spectral-line profiles. As a consequence, asymmetric cometary OH line profiles may be more common than previously thought.
Integration of Anatomic and Pathogenetic Bases for Early Lung Cancer Diagnosis
2007-03-01
transform Y(x; y), the coordinate of every pixel x = (x; y) in a uniform area (x; y) ∈A. η(xk; yk) is the surrounding curve of the area. The distance...is the labeled curve η Area A structuring element Figure 1: A fast algorithm for distance transform Figure 2: Three clustered cells (from left...Design Model”. Academic Radiology. 12(11): 1112-1123, 2006 [5]. Y.Zhang, R.Sankar and W.Qian, “Boundary Delineation in Transrectal Ultrasound
Term Projects on Interstellar Comets
ERIC Educational Resources Information Center
Mack, John E.
1975-01-01
Presents two calculations of the probability of detection of an interstellar comet, under the hypothesis that such comets would escape from comet clouds similar to that believed to surround the sun. Proposes three problems, each of which would be a reasonable term project for a motivated undergraduate. (Author/MLH)
NASA Astrophysics Data System (ADS)
Scott, Serena J.; Prakash, Punit; Salgaonkar, Vasant; Jones, Peter D.; Cam, Richard N.; Han, Misung; Rieke, Viola; Burdette, E. Clif; Diederich, Chris J.
2013-02-01
Preferential heating of bone due to high ultrasound attenuation may enhance thermal ablation performed with cathetercooled interstitial ultrasound applicators in or near bone. At the same time, thermally and acoustically insulating cortical bone may protect sensitive structures nearby. 3D acoustic and biothermal transient finite element models were developed to simulate temperature and thermal dose distributions during catheter-cooled interstitial ultrasound ablation near bone. Experiments in ex vivo tissues and tissue-mimicking phantoms were performed to validate the models and to quantify the temperature profiles and ablated volumes for various distances between the interstitial applicator and the bone surface. 3D patient-specific models selected to bracket the range of clinical usage were developed to investigate what types of tumors could be treated, applicator configurations, insertion paths, safety margins, and other parameters. Experiments show that preferential heating at the bone surface decreases treatment times compared to when bone is absent and that all tissue between an applicator and bone can be ablated when they are up to 2 cm apart. Simulations indicate that a 5-7 mm safety margin of normal bone is needed to protect (thermal dose < 6 CEM43°C and T < 45°C) sensitive structures behind ablated bone. In 3D patient-specific simulations, tumors 1.0-3.8 cm (L) and 1.3-3.0 cm (D) near or within bone were ablated (thermal dose > 240 CEM43°C) within 10 min without damaging the nearby spinal cord, lungs, esophagus, trachea, or major vasculature. Preferential absorption of ultrasound by bone may provide improved localization, faster treatment times, and larger treatment zones in tumors in and near bone compared to other heating modalities.
Development and Testing of Harpoon-Based Approaches for Collecting Comet Samples
NASA Technical Reports Server (NTRS)
Purves, Lloyd (Compiler); Nuth, Joseph (Compiler); Amatucci, Edward (Compiler); Wegel, Donald; Smith, Walter; Church, Joseph; Leary, James; Kee, Lake; Hill, Stuart; Grebenstein, Markus;
2017-01-01
Comets, having bright tails visible to the unassisted human eye, are considered to have been known about since pre-historic times. In fact 3,000-year old written records of comet sightings have been identified. In comparison, asteroids, being so dim that telescopes are required for observation, were not discovered until 1801. Yet, despite their later discovery, a space mission returned the first samples of an asteroid in 2010 and two more asteroid sample return missions have already been launched. By contrast no comet sample return mission has ever been funded, despite the fact that comets in certain ways are far more scientifically interesting than asteroids. Why is this? The basic answer is the greater difficulty, and consequently higher cost, of a comet sample return mission. Comets typically are in highly elliptical heliocentric orbits which require much more time and propulsion for Space Craft (SC) to reach from Earth and then return to Earth as compared to many asteroids which are in Earth-like orbits. It is also harder for a SC to maneuver safely near a comet given the generally longer communications distances and the challenge of navigating in the comet's, when the comet is close to perihelion, which turns out to be one of the most interesting times for a SC to get close to the comet surface. Due to the science value of better understanding the sublimation of volatiles near the comet surface, other contributions to higher cost as desire to get sample material from both the comet surface and a little below, to preserve the stratigraphy of the sample, and to return the sample in a storage state where it does not undergo undesirable alterations, such as aqueous. In response to these challenges of comet sample return missions, the NASA Goddard Space Flight Center (GFSC) has worked for about a decade (2006 to this time) to develop and test approaches for comet sample return that would enable such a mission to be scientifically valuable, while having acceptably low risk and an affordable cost. A harpoon-based approach for gathering comet samples appears to offer the most effective way of accomplishing this goal. As described below, with a decade of development, analysis, testing and refinement, the harpoon approach has evolved from a promising concept to a practical element of a realistic comet sample return mission. Note that the following material includes references to videos, all of which are contained in different sections of the video supplement identified in the references. Each video will be identified as "SS##", where "SS" means the supplement section and "##" will be the number of the section.
The Rotation Temperature of Methanol in Comet 103P/Hartley 2
NASA Technical Reports Server (NTRS)
Chuang, Yo-Ling; Kuan, Yi-Jehng; Milam, Stefanie; Charnley, Steven B.; Coulson, Iain M.
2012-01-01
Considered to be relics from Solar System formation, comets may provide the vital information connecting Solar Nebula and its parent molecular cloud. Study of chemical and physical properties of comets is thus important for our better understanding of the formation of Solar System. In addition, observing organic molecules in comets may provide clues fundamental to our knowledge on the formation of prebiotically important organic molecules in interstellar space, hence, may shed light on the origin of life on the early Earth. Comet 103PIHartley 2 was fIrst discovered in 1986 and had gone through apparitions in 1991, 1997, and 2004 with an orbital period of about 6 years, before its latest return in 2010. 2010 was also a special year for Comet 103PIHartley 2 because of the NASA EPOXI comet-flyby mission.
Bronchoscopic modalities to diagnose sarcoidosis.
Benzaquen, Sadia; Aragaki-Nakahodo, Alejandro Adolfo
2017-09-01
Several studies have investigated different bronchoscopic techniques to obtain tissue diagnosis in patients with suspected sarcoidosis when the diagnosis cannot be based on clinicoradiographic findings alone. In this review, we will describe the most recent and relevant evidence from different bronchoscopic modalities to diagnose sarcoidosis. Despite multiple available bronchoscopic modalities to procure tissue samples to diagnose sarcoidosis, the vast majority of evidence favors endobronchial ultrasound transbronchial needle aspiration to diagnose Scadding stages 1 and 2 sarcoidosis. Transbronchial lung cryobiopsy is a new technique that is mainly used to aid in the diagnosis of undifferentiated interstitial lung disease; however, we will discuss its potential use in sarcoidosis. This review illustrates the limited information about the different bronchoscopic techniques to aid in the diagnosis of pulmonary sarcoidosis. However, it demonstrates that the combination of available bronchoscopic techniques increases the diagnostic yield for suspected sarcoidosis.
Oort spike comets with large perihelion distances
NASA Astrophysics Data System (ADS)
Królikowska, Małgorzata; Dybczyński, Piotr A.
2017-12-01
The complete sample of large-perihelion nearly-parabolic comets discovered during the period 1901-2010 is studied, starting with their orbit determination. Next, an orbital evolution that includes three perihelion passages (previous-observed-next) is investigated in which a full model of Galactic perturbations and perturbations from passing stars is incorporated. We show that the distribution of planetary perturbations suffered by actual large-perihelion comets during their passage through the Solar system has a deep, unexpected minimum around zero, which indicates a lack of 'almost unperturbed' comets. Using a series of simulations we show that this deep well is moderately resistant to some diffusion of the orbital elements of the analysed comets. It seems reasonable to assert that the observed stream of these large-perihelion comets experienced a series of specific planetary configurations when passing through the planetary zone. An analysis of the past dynamics of these comets clearly shows that dynamically new comets can appear only when their original semimajor axes are greater than 20 000 au. On the other hand, dynamically old comets are completely absent for semimajor axes longer than 40 000 au. We demonstrate that the observed 1/aori-distribution exhibits a local minimum separating dynamically new from dynamically old comets. Long-term dynamical studies reveal a wide variety of orbital behaviour. Several interesting examples of the action of passing stars are also described, in particular the impact of Gliese 710, which will pass close to the Sun in the future. However, none of the obtained stellar perturbations is sufficient to change the dynamical status of the analysed comets.
Theories of comets to the age of Laplace
NASA Astrophysics Data System (ADS)
Heidarzadeh, Tofigh
Although the development of ideas about cometary motion has been investigated in several projects, a comprehensive and detailed survey of physical theories of comets has not been conducted. The available works either illustrate relatively short periods in the history of physical cometology or portray a landscape view without adequate details. The present study is an attempt to depict the details of the major physical theories of comets from Aristotle to the age of Laplace. The basic question from which this project originated was simple: how did natural philosophers and astronomers define the nature and place of a new category of celestial objects--the comets--after Brahe's estimation of cometary distances? However, a study starting merely from Brahe without covering classical and medieval thought about comets would be incomplete. Thus, based on the fundamental physical characteristics attributed to comets, the history of cometology may be divided into three periods: from Aristotle to Brahe, in which comets were assumed to be meteorological phenomena; from Brahe to Newton, when comets were admitted as celestial bodies but with unknown trajectories; and from Newton to Laplace, in which they were treated as members of the solar system having more or less the same properties of the planets. By estimating the mass of comets in the 1800s, Laplace diverted cometology into a different direction wherein they were considered among the smallest bodies in the solar system and deprived of the most important properties that had been used to explain their physical constitution during the previous two millennia. Ideas about the astrological aspects of comets are not considered in this study. Also, topics concerning the motion of comets are explained to the extent that is helpful in illustrating their physical properties. The main objective is to demonstrate the foundations of physical theories of comets, and the interaction between observational and mathematical astronomy, and the physical sciences in defining the properties of comets. The number of publications containing ideas about the physical properties of comets shows a radical increase in the third period of our account of cometology. From numerous general astronomy texts or treatises devoted to comets in this period, those were discussed here that either proposed a different theory of comets or criticized the physical aspects of contemporary theories. The survey includes only works published in England and France, and a few in German-speaking countries. Although Laplace's achievement in estimation of cometary masses became the basis of modern cometology, our current ideas about the actual size, mass and composition of comets, and the processes by which the coma and tail are formed have been developed only since the mid twentieth century. Post-Laplacian developments in the study of comets are highlighted in an appendix, which briefly reviews the major achievements in the observational and theoretical study of comets in the nineteenth and the twentieth centuries. Although the present study is mainly focused on the physical theories of comets, its results will be relevant to studies in the history of geology, planetary science, and astrology. On the other hand, those results may initiate new studies about educational practices for physics and astronomy in post- Newtonian Europe, the ways that different parts of Newton's physical, astronomical and cosmological ideas evolved after him, and the influence of cometary studies on the foundation of astrophysics.
Karlsson, Hanna L; Nilsson, Lennart; Möller, Lennart
2005-01-01
Epidemiological studies have shown an association between airborne particles and a wide range of adverse health effects. The mechanisms behind these effects include oxidative stress and inflammation. Even though traffic gives rise to high levels of particles in the urban air, people are exposed to even higher levels in the subway. However, there is a lack of knowledge regarding how particles from different urban subenvironments differ in toxicity. The main aim of the present study was to compare the ability of particles from a subway station and a nearby very busy urban street, respectively, to damage DNA and to induce oxidative stress. Cultured human lung cells (A549) were exposed to particles, DNA damage was analyzed using single cell gel electrophoresis (the comet assay), and the ability to induce oxidative stress was measured as 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodG) formation in lung cell DNA. We found that the subway particles were approximately eight times more genotoxic and four times more likely to cause oxidative stress in the lung cells. When the particles, water extracts from the particles, or particles treated with the metal chelator deferoxamine mesylate were incubated with 2'-deoxyguanosine (dG) and 8-oxodG was analyzed, we found that the oxidative capacity of the subway particles was due to redox active solid metals. Furthermore, analysis of the atomic composition showed that the subway particles to a dominating degree (atomic %) consisted of iron, mainly in the form of magnetite (Fe3O4). By using electron microscopy, the interaction between the particles and the lung cells was shown. The in vitro reactivity of the subway particles in combination with the high particle levels in subway systems give cause of concern due to the high number of people that are exposed to subway particles on a daily basis. To what extent the subway particles cause health effects in humans needs to be further evaluated.
NASA Astrophysics Data System (ADS)
Ramanjooloo, Y.; Jones, G. H.; Coates, A.; Owens, M. J.; Battams, K.
2014-07-01
Since the mid-20th century, comets' plasma (type I) tails have been studied as natural probes of the solar wind [1]. Comets have induced magnetotails, formed through the draping of the heliospheric magnetic field by the velocity shear in the mass-loaded solar wind. These can be easily observed remotely as the comets' plasma tails, which generally point away from the Sun. Local solar-wind conditions directly influence the morphology and dynamics of a comet's plasma tail. During ideal observing geometries, the orientation and structure of the plasma tail can reveal large-scale and small-scale variations in the local solar-wind structure. These variations can be manifested as tail condensations, kinks, and disconnection events. Over 50 % of observed catalogued comets are sungrazing comets [2], fragments of three different parent comets. Since 2011, two bright new comets, C/2011 W3 [3] (from hereon comet Lovejoy) and C/2012 S1 [4] (hereon comet ISON) have experienced extreme solar-wind conditions and insolation of their nucleus during their perihelion passages, approaching to within 8.3×10^5 km (1.19 solar radii) and 1.9×10^6 km (2.79 solar radii) of the solar centre. They each displayed a prominent plasma tail, proving to be exceptions amongst the observed group of sungrazing comets. These bright sungrazers provide unprecedented access to study the solar wind in the heretofore unprobed innermost region of the solar corona. The closest spacecraft in-situ sampling of the solar wind by the Helios probes reached 0.29 au. For this study, we define a sungrazing comet as one with its perihelion within the solar Roche limit (3.70 solar radii). We also extend this study to include C/2011 L4 [5] (comet Pan-STARRS), a comet with a much further perihelion distance of 0.302 au. The technique employed in this study was first established by analysing geocentric amateur observations of comets C/2001 Q4 (NEAT) and C/2004 Q2 (Machholz) [7]. These amateur images, obtained with modern equipment and sensors, rival and sometimes arguably exceed the quality of professional images obtained only 2--3 decades ago. Multiple solar-wind velocity estimates were derived from each image and the results compared to observed and modelled near-Earth solar-wind data. Our unique analysis technique [Ramanjooloo et al., in preparation] allows us to determine the latitudinal variations of the solar wind, heliospheric current-sheet sector boundaries and the boundaries of transient features as a comet with an observable plasma tail probes the inner heliosphere. We present solar-wind velocity measurements derived from multiple observing locations of comets Lovejoy from the 14th -- 19th December 2011, comet Pan-STARRS during 11th -- 16th March 2013 and comet ISON from 12th -- 29th November 2013. Observations were gathered from multiple resources, from the SECCHI heliospheric imagers aboard STEREO A and B [8], the LASCO coronagraphs aboard SOHO [9], as well as ground-based amateur and professional observations coordinated by the CIOC. Overlapping observation sessions from the three spacecraft and ground-based efforts provided the perfect opportunity to use these comets as a diagnostic tool to understand solar-wind variability close to the Sun. We plan to compare our observations to results of suitable simulations [10] of plasma conditions in the corona and inner heliosphere during each of the comets' perihelion passage. The correlation of the solar-wind velocity distribution from different observing locations can provide clues towards the morphology and orientation of the plasma tail. We also attempt to determine the difficult-to-determine non-radial components of the measured solar-wind velocities.
Major pathologic response to alectinib in ALK-rearranged adenocarcinoma of the lung.
Imanishi, Naoko; Yoneda, Kazue; Taira, Akihiro; Ichiki, Yoshinobu; Sato, Naoko; Hisaoka, Masanori; Tanaka, Fumihiro
2018-03-09
Alectinib is a highly selective tyrosine kinase inhibitor of anaplastic lymphoma kinase (ALK) and provided a significantly prolonged progression-free survival compared with chemotherapy in patients with advanced non-small cell lung cancer (NSCLC) harboring rearrangements of the ALK gene. Here, we present the first surgical case of ALK-rearranged lung adenocarcinoma with major pathological response in resected specimens after treatment with alectinib. A 65-year-old female with clinical stage IIIA-N2 ALK-rearranged adenocarcinoma originating from the left lower lobe presented. Involvement of lower para-tracheal node was pathologically confirmed by endobronchial ultrasound-guided biopsy. Alectinib was prescribed, as the patient may not tolerate radiotherapy due to a mental illness. After 3 months' treatment with alectinib, a remarkable radiological and metabolic response was achieved. The patient did not tolerate further continuation of alectinib treatment, and surgery was performed without any morbidity. Only < 10% tumor cells were viable in all resected specimens, indicating major pathological response to alectinib. Salvage surgery after alectinib treatment may be safe and effective for initially unresectable NSCLC harboring ALK-rearrangements.
Razazi, Keyvan; Thille, Arnaud W; Carteaux, Guillaume; Beji, Olfa; Brun-Buisson, Christian; Brochard, Laurent; Mekontso Dessap, Armand
2014-09-01
In mechanically ventilated patients, the effect of draining pleural effusion on oxygenation is controversial. We investigated the effect of large pleural effusion drainage on oxygenation, respiratory function (including lung volumes), and hemodynamics in mechanically ventilated patients after ultrasound-guided drainage. Arterial blood gases, respiratory mechanics (airway, pleural and transpulmonary pressures, end-expiratory lung volume, respiratory system compliance and resistance), and hemodynamics (blood pressure, heart rate, and cardiac output) were recorded before and at 3 and 24 hours (H24) after pleural drainage. The respiratory settings were kept identical during the study period. The mean volume of effusion drained was 1,579 ± 684 ml at H24. Uncomplicated pneumothorax occurred in two patients. Respiratory mechanics significantly improved after drainage, with a decrease in plateau pressure and a large increase in end-expiratory transpulmonary pressure. Respiratory system compliance, end-expiratory lung volume, and PaO2/FiO2 ratio all improved. Hemodynamics were not influenced by drainage. Improvement in the PaO2/FiO2 ratio from baseline to H24 was positively correlated with the increase in end-expiratory lung volume during the same time frame (r = 0.52, P = 0.033), but not with drained volume. A high value of pleural pressure or a highly negative transpulmonary pressure at baseline predicted limited lung expansion following effusion drainage. A lesser improvement in oxygenation occurred in patients with ARDS. Drainage of large (≥500 ml) pleural effusion in mechanically ventilated patients improves oxygenation and end-expiratory lung volume. Oxygenation improvement correlated with an increase in lung volume and a decrease in transpulmonary pressure, but was less so in patients with ARDS.
Singing comet changes its song
NASA Astrophysics Data System (ADS)
Volwerk, M.; Goetz, C.; Delva, M.; Richter, I.; Tsurutani, B. T.; Eriksson, A.; Odelstad, E.; Meier, P.; Nilsson, H.; Glassmeier, K.-H.
2017-09-01
The singing comet was discovered at the beginning of the Rosetta mission around comet 67P/Churyumov-Gerasimenko. Large amplitude compressional waves with frequencies between 10 and 100 mHz were observed. When the comet became more active this signal was no longer measured. During the so-called tail excursion, late in the mission after perihelion, with again a less active comet, the singing was observed again and interestingly, going from 26 March to 27 March 2016 the character of the singing changed.
Geerts, L T; Brand, E J; Theron, G B
1996-06-01
To compare routine midtrimester with selective obstetric ultrasonography concerning the Health Service cost and the effect on perinatal outcome. A randomised controlled trial. Urban area served by Tygerberg Hospital, a tertiary referral centre in South Africa. Pregnant patients without risk factors for congenital anomalies referred for ultrasonography between 18 and 24 weeks of gestation. Between 18 and 24 weeks, a level one ultrasound examination was performed on study patients only. Except for the routine scan, both groups received the same antenatal care and could be referred later for additional scans as judged by their clinicians. Overall adverse perinatal outcome and use of antenatal and neonatal services. The groups did not differ significantly in their use of antenatal and neonatal services except for a greater number of ultrasound scans in the study group. More suspected postdate pregnancies occurred in control patients, as well as more amniocenteses for confirmation of lung maturity. More babies of low birthweight were born in the study group. The incidence of overall or major adverse perinatal outcome was comparable. Routine ultrasonography was accompanied by a considerable increase in costs. Selective use of obstetric ultrasonography did not increase the use of antenatal and neonatal services. Not routinely performing ultrasonography has led to considerable Health Service savings without increasing the risk for adverse perinatal outcome. It saved 75% of selected patients a referral to an ultrasound unit. Specific problems related to inaccurate gestational age determination need to be addressed.
Lung Sliding Identification Is Less Accurate in the Left Hemithorax.
Piette, Eric; Daoust, Raoul; Lambert, Jean; Denault, André
2017-02-01
The aim of our study was to compare the accuracy of lung sliding identification for the left and right hemithoraxes, using prerecorded short US sequences, in a group of physicians with mixed clinical and US training. A total of 140 US sequences of a complete respiratory cycle were recorded in the operating room. Each sequence was divided in two, yielding 140 sequences of present lung sliding and 140 sequences of absent lung sliding. Of these 280 sequences, 40 were randomly repeated to assess intraobserver variability, for a total of 320 sequences. Descriptive data, the mean accuracy of each participant, as well as the rate of correct answers for each of the original 280 sequences were tabulated and compared for different subgroups of clinical and US training. A video with examples of present and absent lung sliding and a lung pulse was shown before testing. Two sessions were planned to facilitate the participation of 75 clinicians. In the first group, the rate of accurate lung sliding identification was lower in the left hemithorax than in the right (67.0% [interquartile range (IQR), 43.0-83.0] versus 80.0% [IQR, 57.0-95.0]; P < .001). In the second group, the rate of accurate lung sliding identification was also lower in the left hemithorax than in the right (76.3% [IQR, 42.9-90.9] versus 88.7% [IQR, 63.1-96.9]; P = .001). Mean accuracy rates were 67.5% (95% confidence interval, 65.7-69.4) in the first group and 73.1% (95% confidence interval, 70.7-75.5) in the second (P < .001). Lung sliding identification seems less accurate in the left hemithorax when using a short US examination. This study was done on recorded US sequences and should be repeated in a live clinical situation to confirm our results. © 2016 by the American Institute of Ultrasound in Medicine.
WE-G-BRF-09: Force- and Image-Adaptive Strategies for Robotised Placement of 4D Ultrasound Probes
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kuhlemann, I; Graduate School for Computing in Life Science, University of Luebeck, Luebeck; Bruder, R
2014-06-15
Purpose: To allow continuous acquisition of high quality 4D ultrasound images for non-invasive live tracking of tumours for IGRT, image- and force-adaptive strategies for robotised placement of 4D ultrasound probes are developed and evaluated. Methods: The developed robotised ultrasound system is based on a 6-axes industrial robot (adept Viper s850) carrying a 4D ultrasound transducer with a mounted force-torque sensor. The force-adaptive placement strategies include probe position control using artificial potential fields and contact pressure regulation by a PD controller strategy. The basis for live target tracking is a continuous minimum contact pressure to ensure good image quality and highmore » patient comfort. This contact pressure can be significantly disturbed by respiratory movements and has to be compensated. All measurements were performed on human subjects under realistic conditions. When performing cardiac ultrasound, rib- and lung shadows are a common source of interference and can disrupt the tracking. To ensure continuous tracking, these artefacts had to be detected to automatically realign the probe. The detection is realised by multiple algorithms based on entropy calculations as well as a determination of the image quality. Results: Through active contact pressure regulation it was possible to reduce the variance of the contact pressure by 89.79% despite respiratory motion of the chest. The results regarding the image processing clearly demonstrate the feasibility to detect image artefacts like rib shadows in real-time. Conclusion: In all cases, it was possible to stabilise the image quality by active contact pressure control and automatically detected image artefacts. This fact enables the possibility to compensate for such interferences by realigning the probe and thus continuously optimising the ultrasound images. This is a huge step towards fully automated transducer positioning and opens the possibility for stable target tracking in ultrasoundguided radiation therapy requiring contact pressure of 5–10 N. This work was supported by the Graduate School for Computing in Medicine and Life Sciences funded by Germany's Excellence Initiative [DFG GSC 235/1].« less
A survey of possible missions to the periodic comets in the interval 1974 - 2010
NASA Technical Reports Server (NTRS)
Bender, D. F.
1974-01-01
Catalogs are developed to survey the mission possibilities for the short period comets. In the first the physical and pertinent orbital characteristics are given for 65 short period comets. The second catalog is one containing the predicted perihelia for each of the 65 comets between 1974 and 2010. Geometry is included to indicate feasibility of Earth-based observation and sighting within 100 days of perihelion. The comets are divided on the basis of size and activity into three groups from the data in the first catalog: primary, secondary and low interest. The perihelia are separated into two groups: satisfactory and not satisfactory on the basis of earth-comet distance.
Automated segmentation of comet assay images using Gaussian filtering and fuzzy clustering.
Sansone, Mario; Zeni, Olga; Esposito, Giovanni
2012-05-01
Comet assay is one of the most popular tests for the detection of DNA damage at single cell level. In this study, an algorithm for comet assay analysis has been proposed, aiming to minimize user interaction and providing reproducible measurements. The algorithm comprises two-steps: (a) comet identification via Gaussian pre-filtering and morphological operators; (b) comet segmentation via fuzzy clustering. The algorithm has been evaluated using comet images from human leukocytes treated with a commonly used DNA damaging agent. A comparison of the proposed approach with a commercial system has been performed. Results show that fuzzy segmentation can increase overall sensitivity, giving benefits in bio-monitoring studies where weak genotoxic effects are expected.
The comet rendezvous asteroid flyby mission to Comet Kopff - Getting there is half the fun
NASA Technical Reports Server (NTRS)
Sweetser, Theodore H.; Kiedron, Krystyna
1990-01-01
The goal of the Comet Rendezvous Asteroid Flyby mission (CRAF) is to fly 'outward to the beginning', to examine closely what are thought to be remnants of the origins of the solar system. In particular, the CRAF spacecraft will use a two-year delta-V-earth-gravity-assist (delta-V-EGA) trajectory to reach a rendezvous point near the aphelion of the Comet Kopff, flying by the asteroid 449 Hamburga on the way. This paper discusses the trajectory used to get to the comet. Topics covered include the launch period, possible additional asteroid flybys, the earth flyby, the Hamburga flyby, and the rendezvous with Comet Kopff.
A population of comets in the main asteroid belt.
Hsieh, Henry H; Jewitt, David
2006-04-28
Comets are icy bodies that sublimate and become active when close to the Sun. They are believed to originate in two cold reservoirs beyond the orbit of Neptune: the Kuiper Belt (equilibrium temperatures of approximately 40 kelvin) and the Oort Cloud (approximately 10 kelvin). We present optical data showing the existence of a population of comets originating in a third reservoir: the main asteroid belt. The main-belt comets are unlike the Kuiper Belt and Oort Cloud comets in that they likely formed where they currently reside and may be collisionally activated. The existence of the main-belt comets lends new support to the idea that main-belt objects could be a major source of terrestrial water.
Book Review: The Origins of Comets
NASA Technical Reports Server (NTRS)
McKay, Christopher P.
1992-01-01
In The Origins of Comets, Bailey, Clube, and Napier propose that the answer to whether the ancient heavens were more interesting is a resounding "yes." The sky, in fact, has changed and is still changing. The authors trace the study of comets back to ancient Babylonian times with a focus on theories of the origins of these enigmatic visitors. The book is really of three distinct parts: the first six chapters provide an excellent and delightfully readable historical account of comet studies up to this century. The next few chapters give a rather detailed treatment of current models for comet origins. The last section treats the authors' own theories about the relationship between giant comets and extinctions on Earth.
Histotripsy and metastasis: Assessment in a renal VX-2 rabbit tumor model
NASA Astrophysics Data System (ADS)
Styn, Nicholas R.; Hall, Timothy L.; Fowlkes, J. Brian; Cain, Charles A.; Roberts, William W.
2012-10-01
Histotripsy is a non-invasive, pulsed ultrasound technology where controlled cavitation is used to homogenize targeted tissue. We sought to assess the possibility that histotripsy may increase metastatic spread of tumor by quantifying the number of lung metastasis apparent after histotripsy treatment of aggressive renal VX-2 tumor compared to nontreated controls. VX-2 tumor was implanted in the left kidneys of 28 New Zealand White rabbits. Twenty rabbits were treated with histotripsy (day 13 after implantation) while 8 served as controls. All rabbits underwent left nephrectomy (day 14) and then were euthanized (day 19). This study was powered to detect a doubling in metastatic rate. Homogenized tumor was seen in all treated nephrectomy specimens. Whole-mount, coronal lung sections were viewed to calculate number and density of metastases. Viable tumor was present in all 28 lungs examined. Histology confirmed fractionation of tumor in all treatment rabbits. There was not a statistical difference in total lung metastases (88.7 vs. 72.5; p=0.29) or metastatic density (8.9 vs. 7.0 mets/cm2; p=0.22) between treated and control rabbits. Further investigation is planned to validate these results in the VX-2 model and to assess metastatic rates in less aggressive tumors treated with histotripsy.
NASA Technical Reports Server (NTRS)
Whipple, F. L.; Huebner, W. F.
1976-01-01
The paper discusses physical processes in comets which involve solar and nuclear radial forces that affect the motions of gases and icy grains, gas-phase chemistry very close to the nuclei of large comets near the sun, sublimation of icy grains, dissociation of parent molecules into radicals and of radicals into atoms, and ionization by sunlight and collisions. The composition and dimensions of nuclei are examined along with variations in intrinsic brightness, the nature of volatiles, gas production rates in the coma, characteristics of icy grains in the coma, and the structure of streamers, ion tails, and dust tails. The structure of the coma is described in detail on the basis of spectroscopic observations of several comets. The origin of comets is briefly reviewed together with the relation of comets to earth, the interplanetary complex, and the interstellar medium. Desirable future observations are noted, especially by space missions to comets.
IUE observations of faint comets
NASA Technical Reports Server (NTRS)
Weaver, H. A.; Feldman, P. D.; Festou, M. C.; Ahearn, M. F.; Keller, H. U.
1981-01-01
Ultraviolet spectra of seven comets taken with the same instrument are given. The comets P/Encke (1980), P/Tuttle (1980 h), P/Stephan-Oterma (1980 g), and Meier (1980 q) were observed in November and December 1980 with the IUE satellite, and comets P/Borrelly (1980 i) and Panther (1980 u) were observed with the IUE on March 6, 1981. The spectra of these comets are compared with one another, as well as with comet Bradfield (1978 X), which was extensively studied earlier in 1980 with the IUE. To simplify the interpretation of the data and to minimize the dependence upon a specific model, the spectra are compared at approximately the same value of heliocentric distance whenever possible. Effects arising from heliocentric velocity, geocentric distance, and optical depth are also discussed. All of the cometary spectra are found to be remarkably similar, suggesting that these comets may have a common composition and origin.
IUE observations of faint comets
NASA Astrophysics Data System (ADS)
Weaver, H. A.; Feldman, P. D.; Festou, M.; A'Hearn, M. F.; Keller, H. U.
1981-09-01
Ultraviolet spectra of seven comets taken with the same instrument are given. The comets P/Encke (1980), P/Tuttle (1980 h), P/Stephan-Oterma (1980 g), and Meier (1980 q) were observed in November and December 1980 with the IUE satellite, and comets P/Borrelly (1980 i) and Panther (1980 u) were observed with the IUE on March 6, 1981. The spectra of these comets are compared with one another, as well as with comet Bradfield (1978 X), which was extensively studied earlier in 1980 with the IUE. To simplify the interpretation of the data and to minimize the dependence upon a specific model, the spectra are compared at approximately the same value of heliocentric distance whenever possible. Effects arising from heliocentric velocity, geocentric distance, and optical depth are also discussed. All of the cometary spectra are found to be remarkably similar, suggesting that these comets may have a common composition and origin.
Search for Dormant Comets in Near-Earth Space
NASA Astrophysics Data System (ADS)
Kim, Yoonyoung
2013-06-01
It is considered that comets have been injected into near-Earth space from outer region (e.g. Kuiper-belt region), providing rich volatile and organic compounds to the earth. Some comets are still active while most of them are dormant with no detectable tails and comae. Here we propose to make a multi-band photometric observation of near-Earth objects (NEOs) with comet-like orbits. We select our targets out of infrared asteroidal catalogs based on AKARI and WISE observations. With a combination of taxonomic types by Subaru observation and albedos by AKARI or WISE, we aim to dig out dormant comet candidates among NEOs. Our results will provide valuable information to figure out the dynamical evolution and fate of comets. We would like to emphasize that this is the first taxonomic survey of dormant comets to utilize the infrared data archive with AKARI and WISE.
Stardust: Catching a Comet and Bringing it Home
NASA Technical Reports Server (NTRS)
Brownlee, Donald E.
2007-01-01
The NASA STARDUST mission collected thousands of particles from Comet Wild 2 that are now being studied by two hundred scientists around the world. The spacecraft captured the samples during a close flyby of the comet in 2004 and returned them to Earth with a dramatic entry into the atmosphere early in 2006. The precious cargo of comet dust is being studied to determine new information about the origin of the Sun and planets. The comet formed at the edge of the solar system, beyond the orbit of Neptune, and is a sample of the material from which the solar system was formed. One of the most dramatic early findings from the mission was that a comet that formed in the coldest place in the solar system contained minerals that formed in the hottest place in the solar system. The comet samples are telling stories of fire and ice and they providing fascinating and unexpected information about our origins.
ERIC Educational Resources Information Center
Berglund, Kay
1997-01-01
Describes a classroom lesson on comets that uses modeling and guided imagery to spark students' curiosity. Comet models are built using chunks of rock salt, polystyrene balls, and tinsel. Abstract ideas are made more concrete with a guided imagery story called Comet Ride! Includes an introduction to the use of parallax to measure the distance of…
Comet Kohoutek, 1973-1974, A Teachers' Guide with Student Activities.
ERIC Educational Resources Information Center
Chapman, Robert D.
This teacher's guide provides background information, curriculum source materials, and suggested class activities for class discussion and study. Information related to the discovery of the comet is presented as well as photographic and schematic pictures showing the sky through which the comet travels. Historical data regarding comets of the past…
NASA Astrophysics Data System (ADS)
Sandford, S. A.; Chabot, N. L.; Dello Russo, N.; Leary, J. C.; Reynolds, E. L.; Weaver, H. A.; Wooden, D. H.
2017-07-01
CORSAIR (COmet Rendezvous, Sample Acquisition, Investigation, and Return) is a mission concept submitted in response to NASA's New Frontiers 4 call. CORSAIR's proposed mission is to return comet nucleus samples to Earth for detailed analysis.
Comets and the origin of the solar system - Reading the Rosetta Stone
NASA Technical Reports Server (NTRS)
Mumma, Michael J.; Weissman, Paul R.; Stern, S. A.
1993-01-01
It is argued that, from the measured volatile abundances, comets formed at temperatures near or below about 60 K and possibly as low as about 25 K. Grains in Comet Halley were found to be of two types: silicates and organics. Isotopic evidence shows that Comet Halley formed from material with the same compositional mix as the rest of the solar system, and is consistent with comets having been a major contributor to the volatile reservoirs on the terrestrial planets. A variety of processes have been shown to modify and reprocess the outer layers of comets both during their long residence time in the Oort cloud and following their entry back into the planetary system. The most likely formation site for comets is in the Uranus-Neptune zone or just beyond, with dynamical ejection by the growing protoplanets to distant orbits to form the Oort cloud. A substantial flux of interstellar comets was likely created by the same process, and may be detectable if cometary formation is common in planetary systems around other stars.
Berger-Kulemann, Vanessa; Berger, Rudolf; Mlczoch, Elisabeth; Sternal, Daniel; Mailath-Pokorny, Mariella; Hachemian, Nilouparak; Prayer, Daniela; Weber, Michael; Salzer-Muhar, Ulrike
2015-08-01
This study assessed whether the presence of tetralogy of Fallot (TOF) affects fetal lung development and whether these fetuses are at risk of pulmonary hypoplasia (PH). Furthermore, we investigated whether the degree of the concomitant pulmonary valve (PV) stenosis or a stenosis in the branch pulmonary arteries correlates with the fetal lung volume. Lung volumetry was performed in 16 fetuses with TOF who underwent MRI between gestational weeks 21 and 35 and in 22 controls. Fetal biometric data and the diameters of the PVs were evaluated by ultrasound. PV and branch pulmonary artery diameters were standardized (z-scores), and fetal lung volume/fetal body weight (FLV/FBW) ratios (ml/g) were calculated. The mean FLV/FBW ratio (0.031 ± 0.009 ml/g) in the TOF group was statistically significantly lower than in the control group (0.041 ± 0.009 ml/g; P = 0.003). None of the fetuses with TOF met the criterion for PH. FLV did not correlate with the degree of PV stenosis, but rather with the presence of a significant stenosis in at least one branch pulmonary artery. The presence of TOF moderately affects fetal lung growth, which is apparently not dependent on the degree of the PV stenosis. However, only an additional stenosis in at least one branch pulmonary artery was associated with a small FLV, but not with PH. Thus, reduced pulmonary blood flow may be offset by additional factors, such as the ability to establish a sufficient collateral system and to alter structural vascular size and, thus, pulmonary vascular resistance.
Meteoroid Streams from Sunskirter Comet Breakup
NASA Astrophysics Data System (ADS)
Jenniskens, P. M.
2012-12-01
In its first year of operations, the CAMS project (Cameras for Allsky Meteor Surveillance) has measured 47,000 meteoroid orbits at Earth, including some that pass the Sun as close as 0.008 AU. The population density increases significantly above perihelion distance q = 0.037 AU. Meteoroid streams are known with q about 0.1 AU. The Sun has a profound effect on comets that pass at 0.04-0.16 AU distance, called the sunskirter comets. SOHO and STEREO see families of small comets called the Marsden and Kracht groups. Sunlight is efficiently scattered by small 10-m sized fragments, making those fragments visible even when far from Earth. These comet groups are associated with meteor showers on Earth, in particular the Daytime Arietids and Delta Aquariids. All are related to 96P/Machholz, a highly inclined short-period (5.2 year) Jupiter family comet that comes to within 0.12 AU from the Sun, the smallest perihelion distance known among numbered comets. The proximity of the Sun speeds up the disintegration process, providing us a unique window on this important decay mechanism of Jupiter family comets and creating meteoroid streams. These are not the only sunskirting comets, however. In this presentation, we will present CAMS observations of the complete low-q meteoroid population at Earth and review their association with known parent bodies.
NASA Technical Reports Server (NTRS)
Colom, P.; Despois, D.; Bockelee-Morvan, D.; Crovisier, J.; Paubert, G.
1990-01-01
Millimeter observations with the IRAM 30 m telescope were conducted in comet P/Brorsen-Metcalf (1989o) on September 1989 and Austin (1989c1) on April and May 1990. The HCN J(1-0) and J(3-2) lines were detected in both comets. The HCN production rate relative to water in P/Brorsen-Metcalf is comparable to that previously measured in comet P/Halley, while that inferred in comet Austin might be smaller by a factor of two. The H2CO(3 sub 12 - 2 sub 11) transition, marginally observed in comet P/Brorsen-Metcalf, was firmly detected in May 1990 in comet Austin. Observations performed at offset positions suggest that the source of H2CO might be distributed. The H2CO abundance is on the order of 0.5 percent that of water for both comets, assuming a scalelength of 10(exp 4) km at 1 AU from the Sun for the distributed source. During the May observing period of comet Austin, two new species were detected for the first time in a comet: hydrogen sulfide (H2S) through its 1(sub 10) - 1(sub 01) ortho line at 169 GHz, and methanol (CH3OH) through J(3-2) delta K = 0 transitions at 145 GHz. Preliminary estimates of their abundances are 1.5 x 10(exp -3) for H2S and 8 x 10(exp -3) for CH3OH.
NASA Astrophysics Data System (ADS)
Wesołowski, M.; Gronkowski, P.
2018-07-01
In the present article, we propose a new method of mass estimation which is ejected from a nucleus of a comet during its outburst of brightness. The phenomena of cometary outburst are often reported for both periodic and parabolic comets. The outburst of a comet brightness is a sudden increase in its brightness greater than one magnitude, average by 2-5 mag. This should not be confused with explosions such as outbreak of a bomb. The essence of the phenomenon is only a sudden brightening of the comet. Long-term observations and studies of this phenomenon lead to the conclusion that the very probable direct cause of the many outbursts is the ejection of the some part of surface layer of a comet's nucleus and an increase in the rate of a sublimation (Hughes (1990), Gronkowski (2007), Gronkowski and Wesołowski (2015)). The purpose of this article is presentation of a new simple method of the estimation of the mass which is ejected from the comet's nucleus during considered phenomenon. To estimate the mass released during an outburst, different probable coefficients of extinction for cometary matter was assumed. The scattering cross-sections of cometary grains were precisely calculated on the basis of Mie's theory. This method was applied to the outburst of a hypothetical comet X/PC belonging to the Jupiter-family comets and to the case of the comet 17P/Holmes outburst in 2007.
On the problem of origin of periodic comets.
NASA Astrophysics Data System (ADS)
Guliev, A. S.
The problem of origin of periodic comets is viewed under various aspects. A steady growth of the fraction of these comets in the overall population of comets is emphasized. The number of discovered periodic comets with small eccentricities and with the Jacobi constant close to 3 is also growing eventually. Comparison of maximum magnitudes of the same comets in different apparitions at the same elongations as well as the analysis of exhausted comets indicate that the age of these objects does not exceed 1000 years. Capture is considered as an efficient mechanism for preserving equilibrium over reasonable time intervals. The analysis of the data given by Everhart and the calculations of the evolution of cometary orbits reveal small efficiency of capture. Comparison of the number of well established capture cases with the corresponding time interval shows that the age of the system of periodic comets must be 17000 years within the framework of this mechanism. This is most unlikely. Secular variations in the distributions of semimajor axes, inclinations, longitudes of perihelia, eccentricities of orbits of periodic comets are analysed. On the average, the eccentricities tend to increase, but this conflicts with the capture mechanism. A conclusion is made that the concept of capture in its classical and modern versions is unable to solve the problem of the origin of periodic comets on the whole. Other, more effective sources and mechanisms seem to be also in operation in enlarging the cometary system.
Gajski, Goran; Garaj-Vrhovac, Vera; Orescanin, Visnja
2008-08-15
To investigate the genotoxic potential of atorvastatin on human lymphocytes in vitro standard comet assay was used in the evaluation of basal DNA damage and to investigate possible oxidative DNA damage produced by reactive oxygen species (ROS) Fpg-modified version of comet assay was also conducted. In addition to these techniques the new criteria for scoring micronucleus test were applied for more complete detection of baseline damage in binuclear lymphocytes exposed to atorvastatin 80 mg/day in different time periods by virtue of measuring the frequency of micronuclei, nucleoplasmic bridges and nuclear buds. All parameters obtained with the standard comet assay and Fpg-modified comet assay were significantly higher in the treated than in control lymphocytes. The Fpg-modified comet assay showed a significantly greater tail length, tail intensity, and tail moment in all treated lymphocytes than did the standard comet assay, which suggests that oxidative stress is likely to be responsible for DNA damage. DNA damage detected by the standard comet assay indicates that some other mechanism is also involved. In addition to the comet assay, a total number of micronuclei, nucleoplasmic bridges and nuclear buds were significantly higher in the exposed than in controlled lymphocytes. Regression analyses showed a positive correlation between the results obtained by the comet (Fpg-modified and standard) and micronucleus assay. Overall, the study demonstrated that atorvastatin in its highest dose is capable of producing damage on the level of DNA molecule and cell.
Testing solar system formation models using Pan-STARRS1 detections of nearly inactive Manx comets
NASA Astrophysics Data System (ADS)
Boe, Benjamin; Jedicke, Robert; Meech, Karen Jean; Morbidelli, Alessandro; Wiegert, Paul
2016-10-01
Newly discovered Manx comets show low levels of sublimation at perihelion indicating significantly lower volatile abundance compared to typical long period comets. The S-class spectrum of Manx comet C/2014 S3 (PANSTARRS) indicates that they may have formed in the inner solar system and were later perturbed to the highly eccentric orbits observed today (Meech et al. 2016). We used the Pan-STARRS1 observation history and its Moving Object Processing System (MOPS) (Denneau et al. 2013) to model Manx detections since Pan-STARRS has been the primary discovery source of Manx comets. A synthetic Manx population was generated according to the Wiegert and Tremaine (1999) model and processed through MOPS to determine the expected Pan-STARRS1 detections and the corresponding detection efficiencies for Manx comets as a function of each orbital parameter and object size. The population of normal long period comets (LPCs) was modeled in the same fashion. Unbiased populations for LPCs and Manx comets were computed by correcting the real comet populations with the detection efficiencies. Finally, the ratio of the bias corrected number of Manx comets to LPCs is compared to the predictions of various solar system formation models.References:Meech, K. J. et al. (2016), Science Advances 2, 4, id. E1600038.Denneau, L. et al. (2013), Publications of the Astronomical Society of the Pacific, 125, 926, 357-395Wiegert, P. and Tremaine, S. (1999), Icarus, 137, 1, 84-121.
Hyperactivity and Dust Composition of Comet 103P/Hartley 2 During the EPOXI Encounter
NASA Astrophysics Data System (ADS)
Harker, David E.; Woodward, Charles E.; Kelley, Michael S. P.; Wooden, Diane H.
2018-05-01
Short-period comet 103P/Hartley 2 (103P) was the flyby target of the Deep Impact eXtended Investigation on 2010 November 4 UT. This comet has a small hyperactive nucleus, i.e., it has a high water production rate for its surface area. The underlying cause of the hyperactivity is unknown; the relative abundances of volatiles in the coma of 103P are not unusual. However, the dust properties of this comet have not been fully explored. We present four epochs of mid-infrared spectra and images of comet 103P observed from Gemini-South +T-ReCS on 2010 November 5, 7, 21 and December 13 UT, near and after the spacecraft encounter. Comet 103P exhibited a weak 10 μm emission feature ≃1.14 ± 0.01 above the underlying local 10 μm continuum. Thermal dust grain modeling of the spectra shows the grain composition (mineralogy) was dominated by amorphous carbon and amorphous pyroxene with evidence for Mg-rich crystalline olivine. The grain size has a peak grain radius range of a peak ∼ 0.5–0.9 μm. On average, the crystalline silicate mass fraction is ≃0.24, fairly typical of other short-period comets. In contrast, the silicate-to-carbon ratio of ≃0.48–0.64 is lower compared to other short-period comets, which indicates that the flux measured in the 10 μm region of 103P was dominated by amorphous carbon grains. We conclude that the hyperactivity in comet 103P is not revealing dust properties similar to the small grains seen with the Deep Impact experiment on comet 9P/Tempel 1 or from comet C/1995 O1 (Hale–Bopp).
Korrelboom, Kees; Marissen, Marlies; van Assendelft, Tanja
2011-01-01
Self-esteem is a major concern in the treatment of patients with personality disorders in general. In patients with borderline personality disorder, low self-esteem is associated with factors contributing to suicidal and self-injurious behaviour. At the moment there are no well-proven interventions that specifically target low self-esteem. Recently, a new approach, Competitive Memory Training or COMET, aimed at the enhancement of retrieving beneficial information from memory, appeared to be successful in addressing low self-esteem in different patient populations. To assess whether COMET for low self-esteem is also an effective intervention for patients with personality disorders. 91 patients with personality disorders who were already in therapy in a regular mental health institution were randomly assigned to either 7 group sessions of COMET in addition to their regular therapy or to 7 weeks of ongoing regular therapy. These latter patients received COMET after their “7 weeks waiting period for COMET”. All patients that completed COMET were contacted 3 months later to assess whether the effects of COMET had remained stable. Compared to the patients who received regular therapy only, patients in the COMET + regular therapy condition improved significantly and with large effect sizes on indices of self-esteem and depression. Significant differential improvements on measures of autonomy and social optimism were also in favour of COMET, but had small to intermediate effect sizes. The therapeutic effects of COMET remained stable after 3 months on three out of the four outcome measures. COMET for low self-esteem seems to be an efficacious trans-diagnostic approach that can rather easily be implemented in the treatment of patients with personality disorders.
NASA Astrophysics Data System (ADS)
Pozuelos, F. J.; Moreno, F.; Aceituno, F.; Casanova, V.; Sota, A.; López-Moreno, J. J.; Castellano, J.; Reina, E.; Climent, A.; Fernández, A.; San Segundo, A.; Häusler, B.; González, C.; Rodriguez, D.; Bryssinck, E.; Cortés, E.; Rodriguez, F. A.; Baldris, F.; García, F.; Gómez, F.; Limón, F.; Tifner, F.; Muler, G.; Almendros, I.; de los Reyes, J. A.; Henríquez, J. A.; Moreno, J. A.; Báez, J.; Bel, J.; Camarasa, J.; Curto, J.; Hernández, J. F.; González, J. J.; Martín, J. J.; Salto, J. L.; Lopesino, J.; Bosch, J. M.; Ruiz, J. M.; Vidal, J. R.; Ruiz, J.; Sánchez, J.; Temprano, J.; Aymamí, J. M.; Lahuerta, L.; Montoro, L.; Campas, M.; García, M. A.; Canales, O.; Benavides, R.; Dymock, R.; García, R.; Ligustri, R.; Naves, R.; Lahuerta, S.; Pastor, S.
2014-11-01
Aims: This paper is a continuation of the first paper in this series, where we presented an extended study of the dust environment of a sample of short-period comets and their dynamical history. On this occasion, we focus on comets 81P/Wild 2 and 103P/Hartley 2, which are of special interest as targets of the spacecraft missions Stardust and EPOXI. Methods: As in the previous study, we used two sets of observational data: a set of images, acquired at Sierra Nevada and Lulin observatories, and the Afρ data as a function of the heliocentric distance provided by the amateur astronomical association Cometas-Obs. The dust environment of comets (dust loss rate, ejection velocities, and size distribution of the particles) was derived from our Monte Carlo dust tail code. To determine their dynamical history we used the numerical integrator Mercury 6.2 to ascertain the time spent by these objects in the Jupiter family Comet region. Results: From the dust analysis, we conclude that both 81P/Wild 2 and 103P/Hartley 2 are dusty comets, with an annual dust production rate of 2.8 × 109 kg yr-1 and (0.4-1.5) × 109 kg yr-1, respectively. From the dynamical analysis, we determined their time spent in the Jupiter family Comet region as ~40 yr in the case of 81P/Wild 2 and ~1000 yr for comet 103P/Hartley 2. These results imply that 81P/Wild 2 is the youngest and the most active comet of the eleven short-period comets studied so far, which tends to favor the correlation between the time spent in JFCs region and the comet activity previously discussed.
NASA Astrophysics Data System (ADS)
Bemporad, Alessandro
Thanks to the launch of SOHO in the end of 1995 and to the continuous monitoring of the white light (WL) corona offered by the LASCO coronagraphs, it was discovered that sungrazing comets are much more common than previously thought. More than 2500 comets have been discovered over about 17 years, hence slightly less than a comet every 2 days is observed by coronagraphs. The white light emission seen by SOHO/LASCO and more recently also by the STEREO/SECCHI instruments provides information not only on the comet orbits (hence on its origin), but also on the dust-tail formation, dust-tail disconnection, occurrence of nucleus fragmentation and nucleus disintegration processes. Very interestingly, a few sungrazing comets have been also observed in the UV spectra by the SOHO UV Coronagraph Spectrometer (UVCS) and the strong emission observed in the H I Lyman-alpha lambda 1216 Å line provided direct information also on the water outgassing rate, tail chemical composition, nucleus size and occurrence of nucleus fragmentations. Moreover, the UV cometary emission provides a new method to estimate physical parameters of the coronal plasma met by the comet (like electron density, proton temperature and solar wind velocity), in a way that these comets can be considered as “local probes” for the solar corona. Unique observations of comets will be provided in the next future by the METIS coronagraph on board the Solar Orbiter mission: METIS will contemporary observe the corona in WL and in UV (HI Lyman-alpha), hence will be a unique instrument to study at the same time the transiting comets and the solar corona being crossed by the comets. Previous results and new possibilities offered by METIS on these topics are summarized and discussed here.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Shou, Y.; Combi, M.; Gombosi, T.
2015-08-20
On 2007 January 12, comet C/2006 P1 (McNaught) passed its perihelion at 0.17 AU. Abundant remote observations offer plenty of information on the neutral composition and neutral velocities within 1 million kilometers of the comet nucleus. In early February, the Ulysses spacecraft made an in situ measurement of the ion composition, plasma velocity, and magnetic field when passing through the distant ion tail and the ambient solar wind. The measurement by Ulysses was made when the comet was at around 0.8 AU. With the constraints provided by remote and in situ observations, we simulated the plasma environment of Comet C/2006more » P1 (McNaught) using a multi-species comet MHD model over a wide range of heliocentric distances from 0.17 to 1.75 AU. The solar wind interaction of the comet at various locations is characterized and typical subsolar standoff distances of the bow shock and contact surface are presented and compared to analytic solutions. We find the variation in the bow shock standoff distances at different heliocentric distances is smaller than the contact surface. In addition, we modified the multi-species model for the case when the comet was at 0.7 AU and achieved comparable water group ion abundances, proton densities, plasma velocities, and plasma temperatures to the Ulysses/SWICS and SWOOPS observations. We discuss the dominating chemical reactions throughout the comet-solar wind interaction region and demonstrate the link between the ion composition near the comet and in the distant tail as measured by Ulysses.« less
Extrasolar comets: The origin of dust in exozodiacal disks?
NASA Astrophysics Data System (ADS)
Marboeuf, U.; Bonsor, A.; Augereau, J.-C.
2016-11-01
Comets have been invoked in numerous studies as a potentially important source of dust and gas around stars, but none has studied the thermo-physical evolution, out-gassing rate, and dust ejection of these objects in such stellar systems. In this paper we investigate the thermo-physical evolution of comets in exo-planetary systems in order to provide valuable theoretical data required to interpret observations of gas and dust. We use a quasi-3D model of cometary nucleus to study the thermo-physical evolution of comets evolving around a single star from 0.1 to 50 AU, whose homogeneous luminosity varies from 0.1 to 70L⊙. This paper provides thermal evolution, physical alteration, mass ejection, lifetimes, and the rate of dust and water gas mass productions for comets as a function of the distance to the star and stellar luminosity. Results show significant physical changes to comets at high stellar luminosities. The mass loss per revolution and the lifetime of comets depend on their initial size, orbital parameters and follow a power law with stellar luminosity. The models are presented in such a manner that they can be readily applied to any planetary system. By considering the examples of the Solar System, Vega and HD 69830, we show that dust grains released from sublimating comets have the potential to create the observed (exo)zodiacal emission. We show that observations can be reproduced by 1 to 2 massive comets or by a large number of comets whose orbits approach close to the star. Our conclusions depend on the stellar luminosity and the uncertain lifetime of the dust grains. We find, as in previous studies, that exozodiacal dust disks can only survive if replenished by a population of typically sized comets renewed from a large and cold reservoir of cometary bodies beyond the water ice line. These comets could reach the inner regions of the planetary system following scattering by a (giant) planet.
NASA Astrophysics Data System (ADS)
Kulyk, I.; Rousselot, P.; Korsun, P. P.; Afanasiev, V. L.; Sergeev, A. V.; Velichko, S. F.
2018-03-01
Context. The systematic investigation of comets in a wide range of heliocentric distances can contribute to a better understanding of the physical mechanisms that trigger activity at large distances from the Sun and reveals possible differences in the composition of outer solar system bodies belonging to various dynamical groups. Aims: We seek to analyze the dust environment of the selected nearly isotropic comets with a perihelion distance between 4.5 and 9.1 au, where sublimation of water ice is considered to be negligible. Methods: We present results of multicolor broadband photometric observations for 14 distant active objects conducted between 2008 and 2015 with various telescopes. Images obtained with broadband filters were used to investigate optical colors of the cometary comae and to quantify physical activity of the comet nuclei. Results: The activity level was estimated with Afρ parameters ranging between 95 ± 10 cm and 9600 ± 300 cm. Three returning comets were less active than the dynamically new comets. Dust production rates of the comet nuclei were estimated between 1 and 100 kg s-1 based on some assumptions about the physical properties of dust particles populating comae. The measured colors point out reddening of the continuum for all the comets. The mean values of a normalized reflectivity gradient within the group of the comets amount to 14 ± 2% per 1000 Å and 3 ± 2% per 1000 Å in the BV and VR spectral domains, respectively. The comae of the dynamically new comets, which were observed on their inbound legs, may be slightly redder in the blue spectral interval than comae of the comets observed after the perihelion passages. The dynamically new comets observed both pre- and post-perihelion, seem to have higher production rates post-perihelion than pre-perihelion for similar heliocentric distances.
Comet Siding Spring Seen Next to Mars
2017-12-08
This composite NASA Hubble Space Telescope Image captures the positions of comet Siding Spring and Mars in a never-before-seen close passage of a comet by the Red Planet, which happened at 2:28 p.m. EDT October 19, 2014. The comet passed by Mars at approximately 87,000 miles (about one-third of the distance between Earth and the Moon). At that time, the comet and Mars were approximately 149 million miles from Earth. The comet image shown here is a composite of Hubble exposures taken between Oct. 18, 8:06 a.m. EDT to Oct. 19, 11:17 p.m. EDT. Hubble took a separate photograph of Mars at 10:37 p.m. EDT on Oct. 18. The Mars and comet images have been added together to create a single picture to illustrate the angular separation, or distance, between the comet and Mars at closest approach. The separation is approximately 1.5 arc minutes, or one-twentieth of the angular diameter of the full Moon. The background starfield in this composite image is synthesized from ground-based telescope data provided by the Palomar Digital Sky Survey, which has been reprocessed to approximate Hubble’s resolution. The solid icy comet nucleus is too small to be resolved in the Hubble picture. The comet’s bright coma, a diffuse cloud of dust enshrouding the nucleus, and a dusty tail, are clearly visible. This is a composite image because a single exposure of the stellar background, comet Siding Spring, and Mars would be problematic. Mars is actually 10,000 times brighter than the comet, and so could not be properly exposed to show detail in the Red Planet. The comet and Mars were also moving with respect to each other and so could not be imaged simultaneously in one exposure without one of the objects being motion blurred. Hubble had to be programmed to track on the comet and Mars separately in two different observations. The images were taken with Hubble’s Wide Field Camera 3. Credit: NASA, ESA, PSI, JHU/APL, STScI/AURA Credit: NASA, ESA, PSI, JHU/APL, STScI/AURA
Mid-infrared observations of sungrazing comet C/2012 S1 (ISON) with the Subaru Telescope
NASA Astrophysics Data System (ADS)
Ootsubo, T.; Usui, F.; Takita, S.; Watanabe, J.; Yanamandra-Fisher, P.; Honda, M.; Kawakita, H.; Furusho, R.
2014-07-01
Comets are the frozen reservoirs of the early solar nebula and are made of ice and dust. The determination of the properties for cometary dust provides us insight into both the early-solar-nebula environment and the formation process of the planetary system. A silicate feature is often observed in comet spectra in the mid-infrared region and may be used for probing the early history of the solar system. In most cases, the feature shows the existence of crystalline silicate (for example, 11.3 microns) together with amorphous silicate [1,2]. Since the crystallization of silicates from amorphous ones generally requires high-temperature annealing above 800 K (e.g., [3,4]), it is believed that the crystalline silicate grains produced at the inner part of the disk were transported to the outer cold regions where the comet nuclei formed. Comet C/2012 S1 (ISON) is a long-period Oort Cloud comet, discovered in September 2012. In particular, comet ISON is a sungrazing comet, which was predicted to pass close by the Sun and the Earth and becoming a bright object. Mid-infrared observations of this new comet and investigation of the 10-micron silicate feature help us understand the formation of crystalline silicate grains in the early solar nebula. We conducted observations of comet ISON in the mid-infrared wavelength region with the Cooled Mid-Infrared Camera and Spectrometer (COMICS) on the Subaru Telescope on Mauna Kea, Hawaii [5,6,7]. The observation of comet ISON was carried out on 2013 October 19 and 21 UT. Since the weather conditions were not so good when we observed, we carried out N-band imaging observations (8.8 and 12.4 microns) and N-band low-resolution spectroscopy. The spectrum of comet ISON can be fit with the 260--265-K blackbody spectrum when we use the regions of 7.8--8.2 and 12.4--13.0 microns as the continuum. The spectrum has only a weak silicate excess feature, which may be able to attribute to small amorphous olivine grains. We could not detect a clear crystalline silicate feature in the spectrum of our observations. We will compare the spectrum with other Oort Cloud comets, such as comets C/2011 L4 (PanSTARRS) and C/2013 R1 (Lovejoy), and discuss the dust properties and the birthplace of comet ISON.
New catalogue of single-apparition comets discovered in the years 1901-1950. Part I
NASA Astrophysics Data System (ADS)
Królikowska, M.; Sitarski, G.; Pittich, E.; Szutowicz, S.; Ziołkowski, K.; Rickman, H.; Gabryszewski, R.; Rickman, B.
2014-07-01
A new catalogue of cometary orbits derived using a completely homogeneous method of data treatment, accurate methods of numerical integration, and modern model of the Solar System is presented. We constructed a sample of near-parabolic comets from the first half of the twentieth century with original reciprocals of semimajor axes less than 0.000130 au^{-1} in the Marsden and Williams Catalogue of Cometary Orbits (2008, hereafter MW08), i.e., comets of original semimajor axes larger than 7700 au. We found 38 such comets in MW08, where 32 have first-quality orbits (class 1A or 1B) and the remaining 6 have second-quality orbits (2A or 2B). We presented satisfactory non-gravitational (hereafter NG) models for thirteen of the investigated comets. The four main features, distinguishing this catalogue of orbits of single- apparition comets discovered in the early twentieth century from other catalogues of orbits of similarly old objects, are the following. 1. Old cometary positional observations require a very careful analysis. For the purpose of this new catalogue, great emphasis has been placed in collecting sets of observations as complete as possible for the investigated comets. Moreover, for many observations, comet-minus-star-type measurements were also available. This type of data was particularly valuable as the most original measurements of comet positions and has allowed us to recalculate new positions of comets using the PPM star catalogue. 2. Old cometary observations were prepared by observers usually as apparent positions in Right Ascension and Declination or as reduced positions for the epoch of the beginning of the year of a given observation. This was a huge advantage of these data, because this allows us to uniformly take into account all necessary corrections associated with the data reduction to the standard epoch. 3. The osculating orbits of single-apparition comets discovered more than sixty years ago have been formerly determined with very different numerical methods and assumptions on the model of the Solar System, including the number of planets taken into account. This new catalogue changes this situation. We offer a new catalogue of cometary orbits derived using completely homogeneous methods of data treatment, accurate methods of numerical integration, and a modern model of the Solar System. 4. The osculating, original, and future sets of orbits are presented for each catalogue comet. In the case of a comet with detectable NG effects, we give both types of orbit: purely gravitational and non- gravitational. We concluded, however, that all thirteen NG orbital solutions given in the catalogue better represent the actual motions of the investigated comets. Surprisingly, the NG effects were detectable in data for five comets of second-quality-class orbits. Among these five are three comets with hyperbolic original, barycentric GR orbits. This publication will be accompanied by an online catalogue available at ssdp.cbk.waw.pl/LPCs, providing entries to orbital elements of considered comets as well as to full swarms of original and future virtual comets that formed the basis for the further analysis of dynamical evolution.
NASA Astrophysics Data System (ADS)
Kohler, Susanna
2016-05-01
On 28 November 2013, comet C/2012 S1 better known as comet ISON should have passed within two solar radii of the Suns surface as it reached perihelion in its orbit. But instead of shining in extreme ultraviolet (EUV) wavelengths as it grazed the solar surface, the comet was never detected by EUV instruments. What happened to comet ISON?Missing EmissionWhen a sungrazing comet passes through the solar corona, it leaves behind a trail of molecules evaporated from its surface. Some of these molecules emit EUV light, which can be detected by instruments on telescopes like the space-based Solar Dynamics Observatory (SDO).Comet ISON, a comet that arrived from deep space and was predicted to graze the Suns corona in November 2013, was expected to cause EUV emission during its close passage. But analysis of the data from multiple telescopes that tracked ISON in EUV including SDO reveals no sign of it at perihelion.In a recent study, Paul Bryans and DeanPesnell, scientists from NCARs High Altitude Observatory and NASA Goddard Space Flight Center, try to determine why ISON didnt display this expected emission.Comparing ISON and LovejoyIn December 2011, another comet dipped into the Suns corona: comet Lovejoy. This image, showingthe orbit Lovejoy took around the Sun, is a composite of SDO images of the pre- and post-perihelion phases of the orbit. Click for a closer look! The dashed part of the curve represents where Lovejoy passed out of view behind the Sun. [Bryans Pesnell 2016]This is not the first time weve watched a sungrazing comet with EUV-detecting telescopes: Comet Lovejoy passed similarly close to the Sun in December 2011. But when Lovejoy grazed the solar corona, it emitted brightly in EUV. So why didnt ISON? Bryans and Pesnell argue that there are two possibilities:the coronal conditions experienced by the two comets were not similar, orthe two comets themselves were not similar.To establish which factor is the most relevant, the authors first demonstrate that both comets experienced very similar radiation fields as they passed perihelion. They also show that the properties of the Suns corona experienced by each comet like its density and magnetic field topology were roughly the same.Bryans and Pesnell argue that, as both comets appear to have encountered similar solar conditions, the most likely explanation for ISONs lack of detectable EUV emission is that it didnt deposit as much material in its orbit as Lovejoy did. They show that this would happen if ISONs nucleus were four times smaller in radius than Lovejoys, spanning a mere 5070 meters in comparison to Lovejoys 200300 meters.This conclusion is consistent with white-light observations of ISON that suggest that, though it might have started out significantly larger than Lovejoy, ISON underwent dramatic mass loss as it approached the Sun. By the time it arrived at perihelion, it was likely no longer large enough to create a strong EUV signal resulting in the non-detection of this elusive comet with SDO and other telescopes.CitationPaul Bryans and W. Dean Pesnell 2016 ApJ 822 77. doi:10.3847/0004-637X/822/2/77
What's Causing the Activity on Comet 67P?
NASA Astrophysics Data System (ADS)
Kohler, Susanna
2015-09-01
Comet 67P/ChuryumovGerasimenko made famous by the explorations of the Rosetta mission has been displaying puzzling activity as it hurtles toward the Sun. However, recent modeling of the comet by a group of scientists from the Cte dAzur University may now explain whats causing 67Ps activity.Shadowed ActivityA model of comet 67P, with the colors indicating the rate of change of the temperature on the comets surface. The most rapid temperature changes are seen at the comets neck, in the same locations as the early activity seen in the Rosetta images. [Al-Lagoa et al. 2015] Between June and September of 2014, Rosetta observed comet 67P displaying early activity in the form of jets of dust emitted from near the neck of the comet (its narrowest point). Such activity is usually driven by the sublimation of volatiles from the comets surface as a result of sun exposure. But the neck of the comet is frequently shadowed as the comet rotates, and it receives significantly less sunlight than the rest of the comet. So why would the early activity originate from the comets neck?The authors of a recent study, led by Victor Al-Lagoa, hypothesize that its precisely because the neck is receiving alternating sunlight/shadows that its displaying activity. They suggest that thermal cracking of the surface of the comet is happening faster in this region, due to the rapid changes in temperature that result from the shadows cast by the surrounding terrain. The cracking exposes subsurface ices in the neck faster than in other regions, and the ensuing sublimation of that ice is what creates the activity were seeing.Temperature Models: To test their hypothesis, the authors study the surface temperatures on comet 67P by means of a thermophysical model a model used to calculate the temperatures on an airless body, both on and below the surface. The model takes into account factors like thermal inertia (how quickly the bodys temperature responds to changes in the incident energy), shadowing, and self-heating between parts of the surface in contact.Plot of the modeled temperature of two typical surfaces on the comet: one from the neck region (solid line) and one from the head region (dashed line). Unlike the head, the neck displays drastic drops in temperature as a result of shadowing. [Al-Lagoa et al. 2015]Using this model, the authors find that the temperatures behaved as they predicted: the shadows falling on the comets neck causes this region to experience very rapid temperature changes relative to the rest of the body. The authors also found a definite correlation between the regions of most rapid temperature variations and the regions of the comet that show signs of activity in Rosetta images. This provides strong evidence that thermal cracking is indeed taking place in the shadowed regions of the neck, gradually eroding away the surface.Should this model prove correct, its a step toward understanding the evolution of comets like 67P. In addition, the results from this study imply that thermal cracking might happen faster than previously estimated in shadowed regions of other atmosphereless bodies, both near Earth and in the asteroid belt.CitationV. Al-Lagoa et al 2015 ApJ 810 L22. doi:10.1088/2041-8205/810/2/L22
2016-03-24
Radar data of comet P/2016 BA14 taken over three days (March 21-23, 2016), when the comet was between 2.5 million miles and 2.2 million miles (4.1 million kilometers and 3.6 million kilometers) from Earth. Radar images from the flyby indicated that the comet is about 3,000 feet (1 kilometer) in diameter.
Infrared Observations of Comets Halley and Wilson and Properties of the Grains
NASA Technical Reports Server (NTRS)
Hanner, Martha S. (Editor)
1988-01-01
The presented papers and discussions at a workshop held at Cornell Univ. are summarized. The infrared observations of Comet Halley and Comet Wilson are reviewed and they are related to optical properties and composition of cometary grains. Relevant laboratory studies are also discussed. Recommendations are made for future infrared comet observations and supporting laboratory investigations.
NASA Technical Reports Server (NTRS)
2005-01-01
Sixty-nine days before it gets up-close-and-personal with a comet, NASA's Deep Impact spacecraft successfully photographed its quarry, comet Tempel 1, at a distance of 39.7 million miles. The image, taken on April 25, 2005, is the first of many comet portraits Deep Impact will take leading up to its historic comet encounter on July 4.To Catch A Comet...Learning From Halley's.
ERIC Educational Resources Information Center
National Aeronautics and Space Administration, Washington, DC.
Comet chronicles and stories extend back over thousands of years. A common theme has been that comets are a major cause of catastrophe and tragedy here on earth. In addition, both Aristotle and Ptolemy believed that comets were phenomena within the earth's atmosphere, and it wasn't until the 16th century, when Danish astronomer Tycho Brache…
Comets, carbonaceous chondrites, and interstellar clouds: Condensation of carbon
NASA Technical Reports Server (NTRS)
Field, G. B.
1979-01-01
Comets, carbonaceous chondrites, and interstellar clouds are discussed in relation to information on interstellar dust. The formation and presence of carbon in stars, comets, and meteorites is investigated. The existence of graphite in the interstellar medium, though it is predicted from thermodynamic calculations, is questioned and the form of carbon contained in comets is considered.
Investigation of the phenomenon of the big comet of 1858
NASA Technical Reports Server (NTRS)
Pape, C. F.
1977-01-01
Various aspects of the large comet of 1858 including the luminosity of the core and the shape, intensity and position of the tail with respect to the sun and stars are described and then compared with the large comet of 1744 described by Heinsius and Halley's comet of 1835. The purpose of these observations is to try to gain a clearer understanding of the nature of the polar force from the sun acting on the comet. This force is said to differ from the usual force of gravity.
The anomalous molecular abundances of Comet P/Wolf-Harrington
NASA Technical Reports Server (NTRS)
Schleicher, David G.; Bus, Schelte J.; Osip, David J.
1993-01-01
Production rates of OH, CN, C2, C3, NH, and NH2 were derived from different data sets for the Comet P/Wolf-Harrington, and a dust production measure was calculated. This comet is found to be depleted by more than an order of magnitude in its pure carbon species compared with OH and CN. The data obtained suggest that a nonnegligible fraction of comets or their constituent components formed at a different temperature and thus at a different location and/or time than the majority of comets.
Orbit of Comet C/1850 Q1 (Bond)
NASA Astrophysics Data System (ADS)
Branham, Richard L., Jr.
Comet C/1850 Q1 (Bond) is one of a number of comets catalogued with parabolic orbits. Given that there are sufficient observations, 104in right ascension and 103in declination, it proves possible to calculate a better orbit. Some of the difficulties of working with 19th century observations, which show considerable scatter, are discussed. Rectangular coordinates, both of the comet and the Sun, are interpolated by a recursive version of Aitken's method, rendering unnecessary the need to specify an order for the interpolation. Comet Bond's orbit is slightly hyperbolic.
8- to 13-micron spectroscopy of Comet Levy 1990 XX
NASA Technical Reports Server (NTRS)
Lynch, David K.; Russell, Ray W.; Hackwell, John A.; Hanner, Martha S.; Hammel, Heidi B.
1992-01-01
The results are reported of IR spectroscopy of Comet Levy 1990 XX over a three-day period when the comet was about 1.54 AU from the sun roughly 70 days before perihelion. Comet Levy 1990 XX was bright, and for at least part of its inbound journey toward perihelion, active. At a distance of 1.54 AU from the sun it showed strong structured silicate emission with peaks or shoulders at 9.8 and 11.2 microns. These features resemble those of Comets P/Halley and Bradfield 1987 XXIX. The comet was variable in brightness. Specifically, the contrast of the silicate features changed by a factor of two relative to the continuum level and showed some evidence for a shape change as well.
Anticipated results from dust experiments on cometary missions
NASA Technical Reports Server (NTRS)
Kissel, J.; Fechtig, H.; Grun, E.
1981-01-01
The major scientific objectives of a mission are: to determine the chemical nature and physical structure of comet nuclei, and to characterize the changes that occur as a function of time orbital position; to characterize the chemical and physical nature of the atmospheres and ionospheres of comets as well as the processes that occur in them, and to characterize the development of the atmospheres and ionospheres as functions of time and orbital position; and to determine the nature of comet tails and processes by which they are formed, and to characterize the interaction of comets with the solar wind. Since dust is a major constituent of a comet, the achievement of these goals requires the intensive study of the paticulate emission from a comet.
Opportunities for ballistic missions to Halley's comet
NASA Technical Reports Server (NTRS)
Farquhar, R. W.; Wooden, W. H., II
1977-01-01
Alternative strategies for ballistic missions to Halley's comet in 1985-86 are described. A large scientific return would be acquired from a ballistic Halley intercept in spite of the high flyby speeds that are associated with this mission mode. The possibility of retargeting the cometary spacecraft to additional comets after the Halley intercept also exists. Two cometary spacecraft of identical design would be used to carry out four separate cometary encounters over a 3 year period. One spacecraft would intercept Halley's comet before its perihelion passage in December 1985 and then go on to comet Borrelly with an encounter in January 1988. The other spacecraft would be targeted for a postperihelion Halley intercept in March 1986 before proceeding toward an encounter with comet Tempel 2 in September 1988.
Methods for computing comet core temperatures
NASA Astrophysics Data System (ADS)
McKay, C. P.; Squyres, S. W.; Reynolds, R. T.
1986-06-01
The temperature profile within the comet nucleus provides the key to an understanding of the history of the volatiles within a comet. Certain difficulties arise in connection with current cometary temperature models. It is shown that the constraint of zero net heat flow can be used to derive general analytical expressions which will allow for the determination of comet core temperature for a spherically symmetric comet, taking into account information about the surface temperature and the thermal conductivity. The obtained results are compared with the expression for comet core temperatures considered by Klinger (1981). Attention is given to analytical results, an example case, and numerical models. The formalization developed makes it possible to determine the core temperature on the basis of the numerical models of the surface temperature.
Lung ultrasound in diagnosing pneumonia in childhood: a systematic review and meta-analysis.
Orso, Daniele; Ban, Alessio; Guglielmo, Nicola
2018-06-21
Pneumonia is the third leading cause of death in children under 5 years of age worldwide. In pediatrics, both the accuracy and safety of diagnostic tools are important. Lung ultrasound (LUS) could be a safe diagnostic tool for this reason. We searched in the literature for diagnostic studies about LUS to predict pneumonia in pediatric patients using systematic review and meta-analysis. The Medline, CINAHL, Cochrane Library, Embase, SPORTDiscus, ScienceDirect, and Web of Science databases from inception to September 2017 were searched. All studies that evaluated the diagnostic accuracy of LUS in determining the presence of pneumonia in patients under 18 years of age were included. 1042 articles were found by systematic search. 76 articles were assessed for eligibility. Seventeen studies were included in the systematic review. We included 2612 pooled cases. The age of the pooled sample population ranged from 0 to about 21 years old. Summary sensitivity, specificity, and AUC were 0.94 (IQR: 0.89-0.97), 0.93 (IQR: 0.86-0.98), and 0.98 (IQR: 0.94-0.99), respectively. No agreement on reference standard was detected: nine studies used chest X-rays, while four studies considered the clinical diagnosis. Only one study used computed tomography. LUS seems to be a promise tool for diagnosing pneumonia in children. However, the high heterogeneity found across the individual studies, and the absence of a reliable reference standard, make the finding questionable. More methodologically rigorous studies are needed.
Endobronchial ultrasound-guided lymph node biopsy with transbronchial needle forceps: a pilot study.
Herth, F J F; Schuler, H; Gompelmann, D; Kahn, N; Gasparini, S; Ernst, A; Schuhmann, M; Eberhardt, R
2012-02-01
One limitation of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the size of the available needles, frequently yielding only cells for cytological examination. The aim of this pilot study was to evaluate the efficacy and safety of newly developed needle forceps to obtain tissue for the histological diagnosis of enlarged mediastinal lymph nodes. Patients with enlarged, positron emission tomography (PET)-positive lymph nodes were included. The transbronchial needle forceps (TBNF), a sampling instrument combining the characteristics of a needle (bevelled tip for penetrating through the bronchial wall) with forceps (two serrated jaws for grasping tissue) was used through the working channel of the EBUS-TBNA scope. Efficacy and safety was assessed. 50 patients (36 males and 14 females; mean age 51 yrs) with enlarged or PET-positive lymph nodes were included in this pilot study. In 48 (96%) patients penetration of the bronchial wall was possible and in 45 patients tissue for histological diagnosis was obtained. In three patients TBNF provided inadequate material. For patients in whom the material was adequate for a histological examination, a specific diagnosis was established in 43 (86%) out of 50 patients (nonsmall cell lung cancer: n=24; small cell lung cancer: n=7; sarcoidosis: n=4; Hodgkin's lymphoma: n=4; tuberculosis: n=2; and non-Hodgkin's lymphoma: n=2).No clinically significant procedure-related complications were encountered. This study demonstrated that EBUS-TBNF is a safe procedure and provides diagnostic histological specimens of mediastinal lymph nodes.
Fluorescence labeled microbubbles for multimodal imaging.
Barrefelt, Åsa; Zhao, Ying; Larsson, Malin K; Egri, Gabriella; Kuiper, Raoul V; Hamm, Jörg; Saghafian, Maryam; Caidahl, Kenneth; Brismar, Torkel B; Aspelin, Peter; Heuchel, Rainer; Muhammed, Mamoun; Dähne, Lars; Hassan, Moustapha
2015-08-28
Air-filled polyvinyl alcohol microbubbles (PVA-MBs) were recently introduced as a contrast agent for ultrasound imaging. In the present study, we explore the possibility of extending their application in multimodal imaging by labeling them with a near infrared (NIR) fluorophore, VivoTag-680. PVA-MBs were injected intravenously into FVB/N female mice and their dynamic biodistribution over 24 h was determined by 3D-fluorescence imaging co-registered with 3D-μCT imaging, to verify the anatomic location. To further confirm the biodistribution results from in vivo imaging, organs were removed and examined histologically using bright field and fluorescence microscopy. Fluorescence imaging detected PVA-MB accumulation in the lungs within the first 30 min post-injection. Redistribution to a low extent was observed in liver and kidneys at 4 h, and to a high extent mainly in the liver and spleen at 24 h. Histology confirmed PVA-MB localization in lung capillaries and macrophages. In the liver, they were associated with Kupffer cells; in the spleen, they were located mostly within the marginal-zone. Occasional MBs were observed in the kidney glomeruli and interstitium. The potential application of PVA-MBs as a contrast agent was also studied using ultrasound (US) imaging in subcutaneous and orthotopic pancreatic cancer mouse models, to visualize blood flow within the tumor mass. In conclusion, this study showed that PVA-MBs are useful as a contrast agent for multimodal imaging. Copyright © 2015 Elsevier Inc. All rights reserved.
Han, Yeji; Kim, Hyun Jung; Kong, Kyoung Ae; Kim, Soo Jung; Lee, Su Hwan; Ryu, Yon Ju; Lee, Jin Hwa; Kim, Yookyoung; Shim, Sung Shine
2018-01-01
Background Advances in bronchoscopy and CT-guided lung biopsy have improved the evaluation of small pulmonary lesions (PLs), leading to an increase in preoperative histological diagnosis. We aimed to evaluate the efficacy and safety of transbronchial lung biopsy using radial endobronchial ultrasound and virtual bronchoscopic navigation (TBLB-rEBUS&VBN) and CT-guided transthoracic needle biopsy (CT-TNB) for tissue diagnosis of small PLs. Methods A systematic search was performed in five electronic databases, including MEDLINE, EMBASE, Cochrane Library Central Register of Controlled Trials, Web of Science, and Scopus, for relevant studies in May 2016; the selected articles were assessed using meta-analysis. The articles were limited to those published after 2000 that studied small PLs ≤ 3 cm in diameter. Results From 7345 records, 9 articles on the bronchoscopic (BR) approach and 15 articles on the percutaneous (PC) approach were selected. The pooled diagnostic yield was 75% (95% confidence interval [CI], 69–80) using the BR approach and 93% (95% CI, 90–96) using the PC approach. For PLs ≤ 2 cm, the PC approach (pooled diagnostic yield: 92%, 95% CI: 88–95) was superior to the BR approach (66%, 95% CI: 55–76). However, for PLs > 2 cm but ≤ 3 cm, the diagnostic yield using the BR approach was improved to 81% (95% CI, 75–85). Complications of pneumothorax and hemorrhage were rare with the BR approach but common with the PC approach. Conclusions CT-TNB was superior to TBLB-rEBUS&VBN for the evaluation of small PLs. However, for lesions greater than 2 cm, the BR approach may be considered considering its diagnostic yield of over 80% and the low risk of procedure-related complications. PMID:29357388
El-Osta, Hazem; Jani, Pushan; Mansour, Ali; Rascoe, Philip; Jafri, Syed
2018-04-23
An accurate assessment of the mediastinal lymph nodes status is essential in the staging and treatment planning of potentially resectable non-small cell lung cancer (NSCLC). We performed this meta-analysis to evaluate the role of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in detecting occult mediastinal disease in NSCLC with no radiologic mediastinal involvement. The PubMed, Embase, and Cochrane libraries were searched for studies describing the role of EBUS-TBNA in lung cancer patients with radiologically negative mediastinum. The individual and pooled sensitivity, prevalence, negative predictive value (NPV), and diagnostic odds ratio (DOR) were calculated using the random effects model. Metaregression analysis, heterogeneity, and publication bias were also assessed. A total of 13 studies that met the inclusion criteria were included in the meta-analysis. The pooled effect size of the different diagnostic parameters were estimated as follows: prevalence, 12.8% (95% CI, 10.4%-15.7%); sensitivity, 49.5% (95% confidence interval [CI], 36.4%-62.6%); NPV, 93.0% (95% CI, 90.3%-95.0%); and log DOR, 5.069 (95% CI, 4.212-5.925). Significant heterogeneity was noticeable for the sensitivity, disease prevalence, and NPV, but not observed for log DOR. Publication bias was detected for sensitivity, NPV and log DOR but not for prevalence. Bivariate meta-regression analysis showed no significant association between the pooled calculated parameters and the type of anesthesia, imaging utilized to define negative mediastinum, rapid on-site test usage, and presence of bias by QUADAS-2 tool. Interestingly, we observed a greater sensitivity, NPV and log DOR for studies published prior to 2010, and for prospective multicenter studies. Among NSCLC patients with a radiologically normal mediastinum, the prevalence of mediastinal disease is 12.8% and the sensitivity of EBUS-TBNA is 49.5%. Despite the low sensitivity, the resulting NPV of 93.0% for EBUS-TBNA suggests that mediastinal metastasis is uncommon in such patients.
The next three decades of the comet assay: a report of the 11th International Comet Assay Workshop.
Koppen, Gudrun; Azqueta, Amaya; Pourrut, Bertrand; Brunborg, Gunnar; Collins, Andrew R; Langie, Sabine A S
2017-05-01
The International Comet Assay Workshops are a series of scientific conferences dealing with practical and theoretical aspects of the Comet Assay (single-cell gel electrophoresis)-a simple method for detecting DNA strand breaks. The first paper describing such an assay was published over 30 years ago in 1984 by Swedish researchers O. Ostling and K. J. Johanson. Appropriately, the theme for the 2015 meeting was looking to the future: 'The Next 3 Decades of the Comet Assay'. The programme included 25 oral and 43 poster presentations depicting the latest advances in technical developments as well as applications of the comet assay in genotoxicity testing (in vitro and in vivo) and biomonitoring of both humans and the environment. Open discussion sessions based on questions from the participants allowed exchange of practical details on current comet assay protocols. This report summarises technical issues of high importance which were discussed during the sessions. We provide information on ways to improve the assay performance, by testing for cytotoxicity, by using reference samples to reduce or allow for inter-experimental variation, and by standardising quantification of the damage, including replicates and scoring enough comets to ensure statistical validity. After 30 years of experimentation with the comet assay, we are in a position to control the important experimental parameters and make the comet assay a truly reliable method with a wealth of possible applications. © The Author 2017. Published by Oxford University Press on behalf of the UK Environmental Mutagen Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
NASA Astrophysics Data System (ADS)
Guliyev, Ayyub; Nabiyev, Shaig
2017-07-01
This paper presents the results of a statistical analysis of the dynamic parameters of 300 comets that have osculating hyperbolic orbits. It is shown that such comets differ from other comets by their large perihelion distances and by a predominance of retrograde motion. It is shown that the values of i, the inclination of the hyperbolic comets, are in comparative excess over the interval 90-120°. The dominance by q, the perihelion distance, renders it difficult to suggest that the excess hyperbolic velocity of these comets can be the result of physical processes that take place in their nuclei. Aspects of the following working hypothesis, that the hyperbolic excess of parameter e might be formed after comets pass through meteoroid streams, are also studied. To evaluate this hypothesis, the distribution of the orbits of hyperbolic comets relative to the plane of motion of 112 established meteoroid streams are analyzed. The number (N) of orbit nodes for hyperbolic comets with respect to the plane of each stream at various distances is calculated. To determine the degree of redundancy of N, a special computing algorithm was applied that provided the expected value nav as well as the standard deviation σ for the number of cometary nodes at the plane of each stream. A comparative analysis of the N and nav values that take σ into account suggests an excess in 40 stream cases. This implies that the passage of comets through meteoroid streams can lead to an acceleration of the comets' heliocentric velocity.
HUBBLE SEES MINI-COMET FRAGMENTS FROM COMET LINEAR
NASA Technical Reports Server (NTRS)
2002-01-01
[lower right] In one stunning Hubble picture the fate of the mysteriously vanished solid nucleus of Comet LINEAR has been settled. The Hubble picture shows that the comet nucleus has been reduced to a shower of glowing 'mini-comets' resembling the fiery fragments from an exploding aerial firework. This is the first time astronomers have ever gotten a close-up look at what may be the smallest building blocks of cometary nuclei, the icy solid pieces called 'cometesimals', which are thought to be less than 100 feet across. The farthest fragment to the left, which is now very faint, may be the remains of the parent nucleus that fragmented into the cluster of smaller pieces to the right. The comet broke apart around July 26, when it made its closest approach to the Sun. The picture was taken with Hubble's Wide Field Planetary Camera 2 on August 5, 2000, when the comet was at a distance of 64 million miles (102 million kilometers) from Earth. Credit: NASA, Harold Weaver (the Johns Hopkins University), and the HST Comet LINEAR Investigation Team [upper left] A ground-based telescopic view (2.2-meter telescope) of Comet LINEAR taken on August 5, at nearly the same time as the Hubble observations. The comet appears as a diffuse elongated cloud of debris without any visible nucleus. Based on these images, some astronomers had concluded that the ices in the nucleus had completely vaporized, leaving behind a loose swarm of dust. Hubble's resolution was needed to pinpoint the remaining nuclei (inset box shows HST field of view as shown in lower right). Credit: University of Hawaii
Ancient Chinese Observations and Modern Cometary Models
NASA Astrophysics Data System (ADS)
Yeomans, D. K.
1995-12-01
Ancient astronomical observations by Chinese, Japanese, and Korean observers represent the only data source for discerning the long-term behavior of comets. The primary source material is derived from Chinese astrologers who kept a vigilant celestial watch in an effort to issue up-to-date astrological forecasts for the reigning emperors. Surprisingly accurate records were kept on cometary apparitions with careful notes being made of an object's position, motion, size, color, and tail length. For comets Halley, Swift-Tuttle, and Tempel-Tuttle, Chinese observations have been used to model their motions over two millennia and to infer their photometric histories. One general result is that active comets must achieve an apparent magnitude of 3.5 or brighter before they become obvious naked-eye objects. For both comets Halley and Swift-Tuttle, their absolute magnitudes and hence their outgassing rates, have remained relatively constant for two millennia. Comet Halley's rocket-like outgassing has consistently delayed the comet's return to perihelion by 4 days so that the comet's spin axis must have remained stable for at least two millennia. Although its outgassing is at nearly the same rate as Halley's, comet Swift-Tuttle's motion has been unaffected by outgassing forces; this comet is likely to be ten times more massive than Halley and hence far more difficult for rocket-like forces to push it around. Although the earliest definite observations of comet Tempel-Tuttle were in 1366, the associated Leonid meteor showers have been identified as early as A.D. 902. The circumstance for each historical meteor shower and storm have been used to guide predictions for the upcoming 1998-1999 Leonid meteor displays.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gajski, Goran; Garaj-Vrhovac, Vera; Orescanin, Visnja
2008-08-15
To investigate the genotoxic potential of atorvastatin on human lymphocytes in vitro standard comet assay was used in the evaluation of basal DNA damage and to investigate possible oxidative DNA damage produced by reactive oxygen species (ROS) Fpg-modified version of comet assay was also conducted. In addition to these techniques the new criteria for scoring micronucleus test were applied for more complete detection of baseline damage in binuclear lymphocytes exposed to atorvastatin 80 mg/day in different time periods by virtue of measuring the frequency of micronuclei, nucleoplasmic bridges and nuclear buds. All parameters obtained with the standard comet assay andmore » Fpg-modified comet assay were significantly higher in the treated than in control lymphocytes. The Fpg-modified comet assay showed a significantly greater tail length, tail intensity, and tail moment in all treated lymphocytes than did the standard comet assay, which suggests that oxidative stress is likely to be responsible for DNA damage. DNA damage detected by the standard comet assay indicates that some other mechanism is also involved. In addition to the comet assay, a total number of micronuclei, nucleoplasmic bridges and nuclear buds were significantly higher in the exposed than in controlled lymphocytes. Regression analyses showed a positive correlation between the results obtained by the comet (Fpg-modified and standard) and micronucleus assay. Overall, the study demonstrated that atorvastatin in its highest dose is capable of producing damage on the level of DNA molecule and cell.« less
Yılmaz, Sezen; Ustundag, Aylin; Cemiloglu Ulker, Ozge; Duydu, Yalcın
2016-01-01
Objective Many studies have been published on the antioxidative effects of boric acid (BA) and sodium borates in in vitro studies. However, the boron (B) concentrations tested in these in vitro studies have not been selected by taking into account the realistic blood B concentrations in humans due to the lack of comprehensive epidemiological studies. The recently published epidemiological studies on B exposure conducted in China and Turkey provided blood B concentrations for both humans in daily life and workers under extreme exposure conditions in occupational setting. The results of these studies have made it possible to test antioxidative effects of BA in in vitro studies within the concentra- tion range relevant to humans. The aim of this study was to investigate the protective ef- fects of BA against oxidative DNA damage in V79 (Chinese hamster lung fibroblast) cells. The concentrations of BA tested for its protective effect was selected by taking the blood B concentrations into account reported in previously published epidemiological studies. Therefore, the concentrations of BA tested in this study represent the exposure levels for humans in both daily life and occupational settings. Materials and Methods In this experimental study, comet assay and neutral red uptake (NRU) assay methods were used to determinacy to toxicity and genotoxicity of BA and hydrogen peroxide (H2O2). Results The results of the NRU assay showed that BA was not cytotoxic within the tested concentrations (3, 10, 30, 100 and 200 µM). These non-cytotoxic concentrations were used for comet assay. BA pre-treatment significantly reduced (P<0.05, one-way ANOVA) the DNA damaging capacity of H2O2 at each tested BA concentrations in V79 cells. Conclusion Consequently, pre-incubation of V79 cells with BA has significantly reduced the H2O2-induced oxidative DNA damage in V79 cells. The protective effect of BA against oxidative DNA damage in V79 cells at 5, 10, 50, 100 and 200 μM (54, 108, 540, 1080, and 2161 ng/ml B equivalents) concentrations was proved in this in vitro study. PMID:26862534
Yılmaz, Sezen; Ustundag, Aylin; Cemiloglu Ulker, Ozge; Duydu, Yalcın
2016-01-01
Many studies have been published on the antioxidative effects of boric acid (BA) and sodium borates in in vitro studies. However, the boron (B) concentrations tested in these in vitro studies have not been selected by taking into account the realistic blood B concentrations in humans due to the lack of comprehensive epidemiological studies. The recently published epidemiological studies on B exposure conducted in China and Turkey provided blood B concentrations for both humans in daily life and workers under extreme exposure conditions in occupational setting. The results of these studies have made it possible to test antioxidative effects of BA in in vitro studies within the concentra- tion range relevant to humans. The aim of this study was to investigate the protective ef- fects of BA against oxidative DNA damage in V79 (Chinese hamster lung fibroblast) cells. The concentrations of BA tested for its protective effect was selected by taking the blood B concentrations into account reported in previously published epidemiological studies. Therefore, the concentrations of BA tested in this study represent the exposure levels for humans in both daily life and occupational settings. In this experimental study, comet assay and neutral red uptake (NRU) assay methods were used to determinacy to toxicity and genotoxicity of BA and hydrogen peroxide (H2O2). The results of the NRU assay showed that BA was not cytotoxic within the tested concentrations (3, 10, 30, 100 and 200 µM). These non-cytotoxic concentrations were used for comet assay. BA pre-treatment significantly reduced (P<0.05, one-way ANOVA) the DNA damaging capacity of H2O2 at each tested BA concentrations in V79 cells. Consequently, pre-incubation of V79 cells with BA has significantly reduced the H2O2-induced oxidative DNA damage in V79 cells. The protective effect of BA against oxidative DNA damage in V79 cells at 5, 10, 50, 100 and 200 μM (54, 108, 540, 1080, and 2161 ng/ml B equivalents) concentrations was proved in this in vitro study.
Comet Impacts as a Source of Methane on Titan
NASA Astrophysics Data System (ADS)
Howard, Michael; Goldman, N.; Vitello, P. A.
2006-12-01
We model comet impacts on Titan as a possible source of atmospheric methane. That is, we study the formation of methane in comet impacts using chemical equilibrium calculations coupled with arbitrary Lagrange-Eulerian (ALE) hydrodynamics. That is, we study the chemical transformation of comet material under high pressure and temperature conditions as it impacts Titan. We assume that the comet is composed of ice, graphite, nitrogen and some hydrocarbons. For certain pressure and temperature regimes, in chemical equilibrium, a significant amount of ice and graphite can be transformed into methane. As a result, we find that a significant amount of methane can be formed in comet collisions on Titan. The methane is formed in the post-impact vapor clouds that form as the comet material expands and cools. We use molecular dynamics to construct an equation of state for the ice surface structures and the comet material. We also study kinetic processes for methane formation during the expansion and cooling phase. We discuss the implication of our results for comets as a possible source of abiotic methane on Titan and its implications on the origin of life. We also discuss the various uncertainties in our model. * This work was performed under the auspices of the U.S. Department of Energy by University of California, Lawrence Livermore National Laboratory under Contract W-7405-Eng-48.
2010-09-09
Dr. Michael A'Hearn, Principal Investigator, EPOXI Comet Encounter Mission, speaks during a symposium commemorating a quarter-century of comet discoveries, Friday, Sept. 10, 2010, in the Knight studio at the Newseum in Washington. The International Sun-Earth Explorer-3 (ISEE-3) spacecraft flew past the comet Giacobini-Zinner on Sept. 11, 1985 which established a foundation of discoveries that continue today. Photo Credit: (NASA/Paul E. Alers)
NASA Technical Reports Server (NTRS)
2005-01-01
This image shows comet Tempel 1 as seen through the clear filter of the medium resolution imager camera on Deep Impact. It was taken on June 26, 2005, when the spacecraft was 7,118,499.4 kilometers (4,423,435 miles) away from the comet. Eight images were combined to create this picture, and a logarithmic stretch was applied to enhance the coma of the comet.Cometary crystalline silicate before and after perihelion passage II
NASA Astrophysics Data System (ADS)
Ootsubo, Takafumi
2014-01-01
Crystalline silicate is often observed in comets as an 11.3-micron resonant emission feature, and may be used for probing the early solar nebula. Because the formation of the crystalline silicate requires high temperature, they are thought to have been born from amorphous silicate at the inner region, and then transported toward the outer regions where comets were born. This transportation can produce the difference in the crystalline fraction in the cometary silicate dust between two dynamical types of comets, Oort-cloud comets (OCs) and Ecliptic comets (ECs), due to the different heliocentric distances of their birth places. The study of peak wavelengths in crystalline features is important to investigate the conditions of the crystalline silicate formation as well. Thus far, we don't have enough observational samples of OCs. Fortunately, we can observe comet C/2012 K1 (PanSTARRS) along with C/2013 A1 (Siding Spring) in this semester. In particular, the comet C/2012 K1 (PanSTARRS) is a bright and good target for this silicate peak feature study. Observations at pre- and post-perihelion provide us precious information on the dust evolution of the comet.
A quantitative comet infection assay for influenza virus
Lindsay, Stephen M.; Timm, Andrea; Yin, John
2011-01-01
Summary The virus comet assay is a cell-based virulence assay used to evaluate an antiviral drug or antibody against a target virus. The comet assay differs from the plaque assay in allowing spontaneous flows in 6-well plates to spread virus. When implemented quantitatively the comet assay has been shown to have an order-of-magnitude greater sensitivity to antivirals than the plaque assay. In this study, a quantitative comet assay for influenza virus is demonstrated, and is shown to have a 13-fold increase in sensitivity to ribavirin. AX4 cells (MDCK cells with increased surface concentration of α2–6 sialic acid, the influenza virus receptor) have reduced the comet size variability relative to MDCK cells, making them a better host cell for use in this assay. Because of enhanced antiviral sensitivity in flow-based assays, less drug is required, which could lead to lower reagent costs, reduced cytotoxicity, and fewer false-negative drug screen results. The comet assay also serves as a readout of flow conditions in the well. Observations from comets formed at varying humidity levels indicate a role for evaporation in the mechanism of spontaneous fluid flow in wells. PMID:22155578
Hussain, Bilal; Sultana, Tayyaba; Sultana, Salma; Al-Ghanim, Khalid Abdullah; Masoud, Muhammad Shahreef; Mahboob, Shahid
2018-04-01
Cirrhinus mrigala, Labeo rohita, and Catla catla are economically important fish for human consumption in Pakistan, but industrial and sewage pollution has drastically reduced their population in the River Chenab. Statistics are an important tool to analyze and interpret comet assay results. The specific aims of the study were to determine the DNA damage in Cirrhinus mrigala, Labeo rohita, and Catla catla due to chemical pollution and to assess the validity of statistical analyses to determine the viability of the comet assay for a possible use with these freshwater fish species as a good indicator of pollution load and habitat degradation. Comet assay results indicated a significant (P < 0.05) degree of DNA fragmentation in Cirrhinus mrigala followed by Labeo rohita and Catla catla in respect to comet head diameter, comet tail length, and % DNA damage. Regression analysis and correlation matrices conducted among the parameters of the comet assay affirmed the precision and the legitimacy of the results. The present study, therefore, strongly recommends that genotoxicological studies conduct appropriate analysis of the various components of comet assays to offer better interpretation of the assay data.
Can 67P/Churyumov-Gerasimenko become the reference for comet research?
NASA Astrophysics Data System (ADS)
Schulz, R.
2014-07-01
After its discovery in 1969, comet 67P/Churyumov-Gerasimenko went almost unnoticed through another five perihelion passages until the year 2003, when it suddenly became the new target of the first comet rendezvous mission, Rosetta. Today, 11 years and 1.5 apparitions later, it has become one of the few Jupiter-family comets that were monitored along its entire orbit, even near aphelion. Huge effort was spent in determining its characteristics. Observations obtained by the largest and most sophisticated telescopes on the Earth and in space were combined with dedicated modelling approaches in order to be best prepared for the space mission. Therefore, at this point time, we have basically determined as much as is achievable for a comet of this brightness without visiting it by spacecraft. A summary of what we already know about 67P/Churyumov-Gerasimenko, hence what we could in principle also determine for the ensemble of Jupiter-family comets, will be provided. The information expected to become available after the comet rendezvous will then be discussed particularly in view of whether and how it can be transferred to other comets for which only remote observations can be collected in the near future.
Wu, Dang; Wang, Lepeng; Yang, Yanhong; Huang, Jin; Hu, Yuhua; Shu, Yongwei; Zhang, Jingyu; Zheng, Jing
2018-03-25
Mitotic arrest deficient-like-1 (MAD2, also known as MAD2L1) is thought to be an important spindle assembly checkpoint protein, which ensures accurate chromosome segregation and is closely associated with poor prognosis in many cancer. As a MAD2 binding protein, p31 comet counteracts the function of MAD2 and leads to mitotic checkpoint silence. In this study, we explore the function of MAD2-p31 comet axis in malignant glioma cells. Our results showed that disruption of MAD2-p31 comet axis by MAD2 knockdown or p31 comet overexpression suppressed cell proliferation, survival and migration of glioma, indicating that MAD2-p31 comet axis is required for maintaining glioma cells malignancy. It is noted that MAD2 depletion or p31 comet overexpression reduced the sensitivity of glioma cells to microtubule-interfering agents paclitaxel and vinblastine, providing clinical guidance for application of such drugs. Taken together, our findings suggest that MAD2-p31 comet axis may serve as a potential therapeutic target for glioma. Copyright © 2018. Published by Elsevier Inc.
Photometric follow-up of sungrazing comet C/2012 S1 ISON from OAdM and other observatories
NASA Astrophysics Data System (ADS)
Trigo-Rodríguez, J. M.; Moyano-Cambero, C. E.; Meech, K. J.; Rodríguez, D.; Sánchez, A.; Lacruz, J.
2013-09-01
Comet C/2012 S1 ISON was discovered on Sept. 21st, 2012 by Russian amateur astronomers Vitaly Nevski and Artyom Novichonok in the framework of a monitoring program called the International Scientific Optical Network (giving the acronym ISON from which the comet has been named). At discovery the comet was at a heliocentric distance of 6.29 A.U. and its magnitude was +18.8, but the computed orbit indicated that the comet was following a nearly parabolic orbit. The current orbit brings C/2012 S1 ISON to an extremely small perihelion distance of about 1 milion km on Nov. 28th, 2013. We have set up a multiband photometric monitoring of this sungrazing comet using 0.8m Telescope Joan Oró of the Montsec Astronomical Observatory (OAdM: www.oadm.cat) and several medium-size amateur telescopes with dedicated experience in cometary photometry [1, 2]. Comet sungrazers are interesting objects as they probably originate from the dynamical evolution of long period comets that typically end their lives colliding with the Sun [3]. They are though to be fragments of primitive ice-rich bodies gravitationally dispersed during the early stages of solar system evolution [4].
On observing comets for nuclear rotation
NASA Astrophysics Data System (ADS)
Whipple, F. L.
1981-10-01
The prevalent non-gravitational motions among comets demonstrate that the sublimination does not reach a maximum at the instant of maximum insolation on the nucleus. The occurrence of halos or "parabolic" envelopes in the comae of some comets and of jets, rays, fans, streamers and similar phenomena very near the nucleus in the brightest comets demonstrates that the sublimation process is not uniform over the nuclei. In other words, the nuclei of many comets contain relatively small active regions which provide much or most of the sublimation when these areas are turned toward the Sun. The period of rotation can be determind by measurement of the diameters of the halos or of the latus recta of the "parabolic" envelopes, if the expansion velocities are averaged from observations as a function of solar distance. Experience from analyses of some 80 well observed comets shows that the nuclei are "spotted" for more than a third of all comets, regardless of the "age" as measured by the original inverse semimajor axis including correction for planetary perturbations.
Cetinkaya, Nurcan; Ercin, Demet; Özvatan, Sümer; Erel, Yakup
2016-02-01
The experiments were conducted for quantification of applied dose for quarantine control in irradiated citrus fruits. Citrus fruits exposed to doses of 0.1 to 1.5 kGy and analyzed by DNA Comet Assay. Observed comets were evaluated by image analysis. The tail length, tail moment and tail DNA% of comets were used for the interpretation of comets. Irradiated citrus fruits showed the separated tails from the head of the comet by increasing applied doses from 0.1 to 1.5 kGy. The mean tail length and mean tail moment% levels of irradiated citrus fruits at all doses are significantly different (p < 0.01) from control even for the lowest dose at 0.1 kGy. Thus, DNA Comet Assay may be a practical quarantine control method for irradiated citrus fruits since it has been possible to estimate the applied low doses as small as 0.1 kGy when it is combined with image analysis. Copyright © 2015 Elsevier Ltd. All rights reserved.
Are comets connected to the origin of life
NASA Technical Reports Server (NTRS)
Delsemme, A. H.
1981-01-01
Possible connections between comets and the origin of life on earth are discussed. The orbital evolution of comets and their origin are considered within a framework for the origin of the solar system, with particular attention given to the origin of the biosphere, and the origin of the Oort cloud. Evidence suggesting that cometary nuclei are undifferentiated throughout is considered, and a model of the average composition of a mean new comet is obtained from observational data which is similar to that of an interstellar frost. The chemistry of the model composition giving rise to the species observed in cometary spectra is considered, as well as the relations of cometary to cosmic abundances of oxygen, carbon and sulfur. The characteristics of possible sites for prebiotic chemistry, including interstellar clouds, the protosolar nebula, comets in the Oort cloud, periodic comets and the primitive earth, are examined, and a possible role of comets in bringing the interstellar prebiotic chemistry to earth is suggested.
Solar Sail Application to Comet Nucleus Sample Return
NASA Technical Reports Server (NTRS)
Taylor, Travis S.; Moton, Tryshanda T.; Robinson, Don; Anding, R. Charles; Matloff, Gregory L.; Garbe, Gregory; Montgomery, Edward
2003-01-01
Many comets have perihelions at distances within 1.0 Astronomical Unit (AU) from the sun. These comets typically are inclined out of the ecliptic. We propose that a solar sail spacecraft could be used to increase the inclination of the orbit to match that of these 1.0 AU comets. The solar sail spacecraft would match the orbit velocity for a short period of time, which would be long enough for a container to be injected into the comet's nucleus. The container would be extended from a long durable tether so that the solar sail would not be required to enter into the potentially degrading environment of the comet s atmosphere. Once the container has been filled with sample material, the tether is retracted. The solar sail would then lower its inclination and fly back to Earth for the sample return. In this paper, we describe the selection of cometary targets, the mission design, and the solar sailcraft design suitable for sail-comet rendezvous as well as possible rendezvous scenarios.
NASA Technical Reports Server (NTRS)
Reme, H.; Mazelle, C.; Sauvaud, J. A.; D'Uston, C.; Froment, F.; Lin, R. P.; Anderson, K. A.; Carlson, C. W.; Larson, D. E.; Korth, A.
1993-01-01
The three-dimensional electron spectrometer of the Reme plasma analyzer-complete positive ion, electron and ram negative ion measurements near comet Halley (RPA-COPERNIC) experiment aboard the Giotto spacecraft, although damaged during the comet Halley encounter in March 1986, has provided very new results during the encounter on July 10, 1992, with the weakly active comet Grigg-Skjellerup (G-S). The main characteristic features of the highly structured interaction region extending from approximately 26,500 km inbound to approximately 37,200 km outbound are presented. These results are compared to the results obtained by the same instrument during the Giotto comet Halley fly-by. Despite the large difference in the size of the interaction regions (approximately 60,000 km for G-S, approximately 2000,000 km for Halley) due to 2 orders of magnitude difference in cometary neutral gas production rate, there are striking similarities in the solar wind interactions with the two comets.
NASA Astrophysics Data System (ADS)
de Almeida, A. A.; Trevisan Sanzovo, D.; Sanzovo, G. C.; Boczko, R.; Miguel Torres, R.
In this work, we make a comparative study of Comet 67P/Churyumov-Gerasimenko, target of Mission Rosetta, with Comets 1P/Halley and Hyakutake(C/1996 B2). Water and gas) release rates are derived from visual magnitudes (mv), determined mostly by amateur astronomers, and listed in several issues of International Comet Quarterly(ICQ). We make a systematic and uniform analysis of continuum fluxes obtained at visual wavelengths and, using the framework of photometric theory of Newburn & Spinrad (1985, 1989), we estimate dust release rates, qd (in g/s), effective particle sizes, a (in micron), and dust-to-gas mass ratios, for this important sample of comets. We also determine the color excess of the dust particles, CE, relative to the Sun at wavelength ranges 477.0-524.0 nm in the 1996 return of Comet 67P/Churyumov-Gerasimenko, and 365.0-484.5 nm for Comets 1P/Halley and C/1996 B2.
Collisional quenching of OH radio emission from comet Hale-Bopp
NASA Technical Reports Server (NTRS)
Schloerb, F. P.; Devries, C. H.; Lovell, A. J.; Irvine, W. M.; Senay, M.; Wootten, H. A.; Ferris, J. P. (Principal Investigator)
1997-01-01
Observations of comets in the 18-cm OH transitions offer a means to probe gas production, kinematics, and OH excitation in comets. We present initial results of OH observations of comet Hale-Bopp obtained with the NRAO 43 m antenna located in Greenbank, WV. Maps of the emission provide strong constraints on the amount of quenching of the inversion of the OH ground state A-doublet in the coma. Analysis of the total radio OH flux and maps of its radial brightness distribution indicate a quenched region on the order of approximately 500,000 km during March and April 1997. This large value is generally consistent with previous observations of radio OH quenching in lower production rate comets when the high production rate of comet Hale-Bopp is considered.
Comet 'Bites the Dust' Around Dead Star
NASA Technical Reports Server (NTRS)
2006-01-01
[figure removed for brevity, see original site] Infrared Spectrometer Graph This artist's concept illustrates a comet being torn to shreds around a dead star, or white dwarf, called G29-38. NASA's Spitzer Space Telescope observed a cloud of dust around this white dwarf that may have been generated from this type of comet disruption. The findings suggest that a host of other comet survivors may still orbit in this long-dead solar system. The white dwarf G29-38 began life as a star that was about three times as massive as our sun. Its death involved the same steps that the sun will ultimately undergo billions of years from now. According to theory, the G29-38 star became brighter and brighter as it aged, until it bloated up into a dying star called a red giant. This red giant was large enough to engulf and evaporate any terrestrial planets like Earth that happened to be in its way. Later, the red giant shed its outer atmosphere, leaving behind a shrunken skeleton of star, called a white dwarf. If the star did host a planetary system, outer planets akin to Jupiter and Neptune and a remote ring of icy comets would remain. The Spitzer observations provide observational evidence for this orbiting outpost of comet survivors. Astronomers speculate that one such comet was knocked into the inner regions of G29-38, possibly by an outer planet. As the comet approached very close to the white dwarf, it may have been torn apart by the star's tidal forces. Eventually, all that would be left of the comet is a disk of dust. This illustration shows a comet in the process of being pulverized: part of it still exists as a chain of small clumps, while the rest has already spread out into a dusty disk. Comet Shoemaker-Levy 9 broke apart in a similar fashion when it plunged into Jupiter in 1994. Evidence for Comets Found in Dead Star's Dust The graph of data, or spectrum, from NASA's Spitzer Space Telescope indicates that a dead star, or white dwarf, called G29-38, is shrouded by a cloud of dust. The data also demonstrate that this dust contains some of the same types of minerals found in comet Hale-Bopp. The findings tell a possible tale of solar system survival. Though the dust seen by Spitzer is likely from a comet that recently perished, its presence suggests that an icy distant ring of comets may still orbit the dead star. These data were collected by Spitzer's infrared spectrometer, an instrument that cracks light open like a geode, revealing its coveted components. In this spectrum, light from the white dwarf is on the left, at ultraviolet and visible wavelengths. The spectrum on the right, at infrared wavelengths longer than about 2 microns, shows much more light than can be explained by a white dwarf alone. The bump seen around a wavelength of 10 microns offers a clue to the source of this excess infrared light. It signifies the presence of silicate minerals, which are found in our own solar system on Earth, in sandy beaches, and in comets and asteroids. These silicate grains appear to be very small like those in comets, so astronomers favor the theory that a comet recently broke apart around the dead star.Albert, Océane; Reintsch, Wolfgang E; Chan, Peter; Robaire, Bernard
2016-05-01
Can we make the comet assay (single-cell gel electrophoresis) for human sperm a more accurate and informative high throughput assay? We developed a standardized automated high throughput comet (HT-COMET) assay for human sperm that improves its accuracy and efficiency, and could be of prognostic value to patients in the fertility clinic. The comet assay involves the collection of data on sperm DNA damage at the level of the single cell, allowing the use of samples from severe oligozoospermic patients. However, this makes comet scoring a low throughput procedure that renders large cohort analyses tedious. Furthermore, the comet assay comes with an inherent vulnerability to variability. Our objective is to develop an automated high throughput comet assay for human sperm that will increase both its accuracy and efficiency. The study comprised two distinct components: a HT-COMET technical optimization section based on control versus DNAse treatment analyses ( ITALIC! n = 3-5), and a cross-sectional study on 123 men presenting to a reproductive center with sperm concentrations categorized as severe oligozoospermia, oligozoospermia or normozoospermia. Sperm chromatin quality was measured using the comet assay: on classic 2-well slides for software comparison; on 96-well slides for HT-COMET optimization; after exposure to various concentrations of a damage-inducing agent, DNAse, using HT-COMET; on 123 subjects with different sperm concentrations using HT-COMET. Data from the 123 subjects were correlated to classic semen quality parameters and plotted as single-cell data in individual DNA damage profiles. We have developed a standard automated HT-COMET procedure for human sperm. It includes automated scoring of comets by a fully integrated high content screening setup that compares well with the most commonly used semi-manual analysis software. Using this method, a cross-sectional study on 123 men showed no significant correlation between sperm concentration and sperm DNA damage, confirming the existence of hidden chromatin damage in men with apparently normal semen characteristics, and a significant correlation between percentage DNA in the tail and percentage of progressively motile spermatozoa. Finally, the use of DNA damage profiles helped to distinguish subjects between and within sperm concentration categories, and allowed a determination of the proportion of highly damaged cells. The main limitations of the HT-COMET are the high, yet indispensable, investment in an automated liquid handling system and heating block to ensure accuracy, and the availability of an automated plate reading microscope and analysis software. This standardized HT-COMET assay offers many advantages, including higher accuracy and evenness due to automation of sensitive steps, a 14.4-fold increase in sample analysis capacity, and an imaging and scoring time of 1 min/well. Overall, HT-COMET offers a decrease in total experimental time of more than 90%. Hence, this assay constitutes a more efficient option to assess sperm chromatin quality, paves the way to using this assay to screen large cohorts, and holds prognostic value for infertile patients. Funded by the CIHR Institute of Human Development, Child and Youth Health (IHDCYH; RHF 100625). O.A. is a fellow supported by the Fonds de la Recherche du Québec - Santé (FRQS) and the CIHR Training Program in Reproduction, Early Development, and the Impact on Health (REDIH). B.R. is a James McGill Professor. The authors declare no conflicts of interest. © The Author 2016. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Comparative study of icy patches on comet nuclei
NASA Astrophysics Data System (ADS)
Oklay, Nilda; Pommerol, Antoine; Barucci, Maria Antonietta; Sunshine, Jessica; Sierks, Holger; Pajola, Maurizio
2016-07-01
Cometary missions Deep Impact, EPOXI and Rosetta investigated the nuclei of comets 9P/Tempel 1, 103P/Hartley 2 and 67P/Churyumov-Gerasimenko respectively. Bright patches were observed on the surfaces of each of these three comets [1-5]. Of these, the surface of 67P is mapped at the highest spatial resolution via narrow angle camera (NAC) of the Optical, Spectroscopic, and Infrared Remote Imaging System (OSIRIS, [6]) on board the Rosetta spacecraft. OSIRIS NAC is equipped with twelve filters covering the wavelength range of 250 nm to 1000 nm. Various filters combinations are used during surface mapping. With high spatial resolution data of comet 67P, three types of bright features were detected on the comet surface: Clustered, isolated and bright boulders [2]. In the visible spectral range, clustered bright features on comet 67P display bluer spectral slopes than the average surface [2, 4] while isolated bright features on comet 67P have flat spectra [4]. Icy patches observed on the surface of comets 9P and 103P display bluer spectral slopes than the average surface [1, 5]. Clustered and isolated bright features are blue in the RGB composites generated by using the images taken in NIR, visible and NUV wavelengths [2, 4]. This is valid for the icy patches observed on comets 9P and 103P [1, 5]. Spectroscopic observations of bright patches on comets 9P and 103P confirmed the existence of water [1, 5]. There were more than a hundred of bright features detected on the northern hemisphere of comet 67P [2]. Analysis of those features from both multispectral data and spectroscopic data is an ongoing work. Water ice is detected in eight of the bright features so far [7]. Additionally, spectroscopic observations of two clustered bright features on the surface of comet 67P revealed the existence of water ice [3]. The spectral properties of one of the icy patches were studied by [4] using OSIRIS NAC images and compared with the spectral properties of the active regions observed on comet 67P. Additionally jets rising from the same clustered bright feature were detected visually [4]. We analyzed bright patches on the surface of comets 9P, 103P and 67P using multispectral data obtained by the high-resolution instrument (HRI), medium- resolution instrument (MRI) and OSIRIS NAC using various spectral analysis techniques. Clustered bright features on comet 67P have similar visible spectra to the bright patches on comets 9P and 103P. The comparison of the bright patches includes the published results of the IR spectra. References: [1] Sunshine et al., 2006, Science, 311, 1453 [2] Pommerol et al., 2015, A&A, 583, A25 [3] Filacchione et al., 2016, Nature, 529, 368-372 [4] Oklay et al., 2016, A&A, 586, A80 [5] Sunshine et al. 2012, ACM [6] Keller et al., 2007, Space Sci. Rev., 128, 433 [7] Barucci et al., 2016, COSPAR, B04
Persistent Pneumonia in an Infant.
Padilla, Kristen; Logan, Latania; Codispoti, Christopher; Jones, Carolyn; Van Opstal, Elizabeth
2015-07-01
A 4-month-old boy with past medical history of eczema presented with fever and cough; a chest radiograph showed lung consolidation, and he was initially treated with amoxicillin for presumed community-acquired pneumonia. After several days, his fever persisted. He was also profoundly anemic. Antibiotic coverage was broadened because of the concern for resistant organisms; he began to improve and was discharged from the hospital. However, at 5 months of age, his fever returned, and he continued to demonstrate lung consolidation on chest radiograph. Additionally, he had lost weight and continued to be anemic. Splenic cysts were noted on abdominal ultrasound. He was diagnosed with an unusual etiology for his pneumonia and improved with the appropriate therapy. An underlying immunodeficiency was suspected, but initial testing was nondiagnostic. At 12 months of age, he presented with another infection, and the final diagnosis was made. Copyright © 2015 by the American Academy of Pediatrics.
Transient right-to-left shunt in massive pulmonary embolism.
Panoutsopoulos, G; Ilias, L; Christakopoulou, I
2000-06-01
A 56-yr-old man, two months after an operation for an acoustic neurinoma, gradually developed dyspnea. Massive pulmonary embolism (MPE), with a significant right-to-left (R-L) shunt, was seen in a perfusion scan of the lungs with Tc-99m MAA. Radioactivity was noted in the thyroid, spleen, kidneys and brain. A cardiac ultrasound study did not reveal intracardiac shunting. A few days later, when the patient's condition improved, another perfusion scan of the lungs did not show the shunt, whereas a subsequent digital subtraction angiographic study confirmed the diagnosis of MPE but failed to reveal the cause of the shunt. In the absence of any possible pathophysiological mechanism, to explain the observed R-L shunt, we deduce that the particles of Tc-99m MAA might have passed through the precapillary pulmonary arteriovenous anastomoses and/or through dilated pulmonary capillaries, as a result of highly increased pulmonary vascular pressure due to MPE.
SOFIA FORCAST Far-IR Photometry of Comet ISON and Constraints on the Coma Grain Size Distribution
NASA Technical Reports Server (NTRS)
Wooden, D. H.; DeBuizer, J. M.; Kelley, M. S.; Woodward, C. E.; Harker, D. E.; Reach, W. T.; Sitko, M. L.; Russell, R. W.; Gehrz, R. D.; dePater, Imke;
2014-01-01
Comet C/2012 S1 (ISON) was unique in that it was a dynamically new comet derived from the nearly isotropic Oort cloud reservoir of comets with a sun-grazing orbit. Infrared (IR) observations were executed on NASA's Stratospheric Observatory For Infrared Astronomy (SOFIA) by the FORCAST instrument on 2013 October 25 UT (r(sub h)=1.18 AU, Delta=1.5AU). Photometry was obtained in FORCAST filters centered at 11.1, 19.7, and 31.5 micron. The observations compliment a large world-wide effort to observe and characterize comet ISON.
Destruction of Sun-Grazing Comet C-2011 N3 (SOHO) Within the Low Solar Corona
NASA Technical Reports Server (NTRS)
Schrijver, C. J.; Brown, J. C.; Battams, K.; Saint-Hilaire, P.; Liu, W.; Hudson, H.; Pesnell, W. D.
2012-01-01
Observations of comets in Sun-grazing orbits that survive solar insolation long enough to penetrate into the Suns inner corona provide information on the solar atmosphere and magnetic field as well as on the makeup of the comet. On 6 July 2011, the Solar Dynamics Observatory (SDO) observed the demise of comet C2011 N3 (SOHO) within the low solar corona in five wavelength bands in the extreme ultraviolet (EUV). The comet penetrated to within 0.146 solarradius (100,000 kilometers) of the solar surface before its EUV signal disappeared.
On the nature of the anti-tail of Comet Kohoutek /1973f/. I - A working model
NASA Technical Reports Server (NTRS)
Sekanina, Z.
1974-01-01
The model derived for the anti-tail of Comet Kohoutek describes it as a flat formation, confined essentially to the comet's orbit plane and composed of relatively heavy particles (mostly in the size range 0.1-1 mm) whose motions are controlled by solar gravity and solar radiation pressure. Almost all the material was produced by the comet before perihelion at a rate about an order of magnitude higher than for Comets Arend-Roland and Bennett. The latent heat of vaporization of the particle material is estimated at 40-45 kcal/mole or higher.
The constitution of cometary nuclei
NASA Technical Reports Server (NTRS)
Whipple, F. L.
1977-01-01
The nongravitational term in the expression for the total force acting on a comet is calculated, and an upper limit is obtained for the product of the radial nongravitational term times the radius times the square root of the albedo. This condition is satisfied for ten periodic comets with q no greater than 1.5 AU, and the activity of these comets is consistent with control by H2O ice. Some of the comets must be spotty to account for their low albedo values. The effect of cosmic rays on comets, leading to frosting of their surface, is discussed.
Migration of comets to the terrestrial planets
NASA Astrophysics Data System (ADS)
Ipatov, Sergei I.; Mather, John C.
2007-05-01
The orbital evolution of 30,000 objects with initial orbits close to those of Jupiter-family comets (JFCs) and also of 15,000 dust particles was integrated [1-3]. For initial orbital elements close to those of Comets 2P, 10P, 44P, and 113P, a few objects got Earth-crossing orbits with semi-major axes a<2 AU and aphelion distances Q<4.2 AU, or even got inner-Earth (Q<0.983 AU), Aten, or typical asteroidal orbits, and moved in such orbits for more than 1 Myr (up to tens or even hundreds of Myrs). Most of former trans-Neptunian objects that have typical near-Earth object (NEO) orbits moved in such orbits for Myrs, so during most of this time they were extinct comets. From a dynamical point of view, the fraction of extinct comets among NEOs can exceed several tens of percent, but, probably, many extinct comets disintegrated into mini-comets and dust during a smaller part of their dynamical lifetimes if these lifetimes were large. The probability of the collision of Comet 10P with the Earth during a dynamical lifetime of the comet was P[E]≈1.4•10-4, but 80% of this mean probability was due only to one object among 2600 considered objects with orbits close to that of Comet 10P. For runs for Comet 2P, P[E]≈(1-5)•10-4. For most other considered JFCs, 10-6 < P[E] < 10-5. For Comets 22P and 39P, P[E]≈ (1-2)•10-6; and for Comets 9P, 28P and 44P, P[E]≈(2-5)•10-6. For all considered JFCs, P[E]>4•10-6. The Bulirsh-Stoer method of integration and a symplectic method gave similar results. In our runs the probability of a collision of one object with the Earth could be greater than the sum of probabilities for thousands of other objects. The ratios of probabilities of collisions of JFCs with Venus and Mars to the mass of a planet usually were not smaller than that for Earth. For dust particles started from comets and asteroids, P[E ]was maximum for diameters d~100 μm. These maximum values of P [E] were usually (exclusive for 2P) greater at least by an order of magnitude than the values for parent comets. [1] Ipatov S.I. and Mather J.C. (2004) Annals of the New York Acad. of Sci., v. 1017, 46-65. [2] Ipatov S.I. et al. (2004) Annals of the New York Acad. of Sci., v. 1017, 66-80. [3] Ipatov S.I. and Mather J.C. (2006) Adv. in Space Res., v. 37, N 1, 126-137.
Endoscopic ultrasound-guided transesophageal thoracentesis for minimal pleural effusion.
Rana, Surinder Singh; Sharma, Ravi; Gupta, Rajesh
2018-06-19
Pleural effusion is a common finding both in patients with benign and malignant diseases of pleura and lung with diagnostic thoracentesis establishing the diagnosis in the majority of cases. The diagnostic thoracentesis can be done either blindly or under the guidance of ultrasound or computed tomography. However, minimal pleural effusion is difficult to sample even under image guidance. Endoscopic ultrasound (EUS) is known to detect smaller volume of pleural effusion and, thus, can help in guiding thoracentesis. To analyze the safety and efficacy of EUS-guided diagnostic thoracentesis in patients with undiagnosed minimal pleural effusion retrospectively. Retrospective analysis of the data of patients with minimal pleural effusion, who underwent EUS-guided transesophageal diagnostic thoracentesis over last 2 years, was performed. Thirteen patients (11 male; mean age 46.7 ± 16.2 years) with undiagnosed minimal pleural effusion underwent successful EUS-guided transesophageal diagnostic thoracentesis using a 22-G needle. Seven (53%) patients had fever on presentation whereas two presented with cough and loss of appetite. Eight to 54 mL fluid was aspirated with an attempt to completely empty the pleural cavity. There were no complications of the procedure. EUS-guided diagnostic thoracentesis is a safe and effective alternative for evaluating patients with minimal pleural effusion.
Sonoporation, drug delivery, and gene therapy.
Liang, H-D; Tang, J; Halliwell, M
2010-01-01
Ultrasound is a very effective modality for drug delivery and gene therapy because energy that is non-invasively transmitted through the skin can be focused deeply into the human body in a specific location and employed to release drugs at that site. Ultrasound cavitation, enhanced by injected microbubbles, perturbs cell membrane structures to cause sonoporation and increases the permeability to bioactive materials. Cavitation events also increase the rate of drug transport in general by augmenting the slow diffusion process with convective transport processes. Drugs and genes can be incorporated into microbubbles, which in turn can target a specific disease site using ligands such as the antibody. Drugs can be released ultrasonically from microbubbles that are sufficiently robust to circulate in the blood and retain their cargo of drugs until they enter an insonated volume of tissue. Local drug delivery ensures sufficient drug concentration at the diseased region while limiting toxicity for healthy tissues. Ultrasound-mediated gene delivery has been applied to heart, blood vessel, lung, kidney, muscle, brain, and tumour with enhanced gene transfection efficiency, which depends on the ultrasonic parameters such as acoustic pressure, pulse length, duty cycle, repetition rate, and exposure duration, as well as microbubble properties such as size, gas species, shell material, interfacial tension, and surface rigidity. Microbubble-augmented sonothrombolysis can be enhanced further by using targeting microbubbles.
Morita, Koji; Sakamoto, Takahiko; Ota, Shuji; Masugi, Hideo; Chikuta, Ikumi; Mashimo, Yamato; Edo, Naoki; Tokairin, Takuo; Seki, Nobuhiko; Ishikawa, Toshio
2017-01-01
It has been shown that metastases to the thyroid from extrathyroidal malignancies occur as solitary or multiple nodules, or may involve the whole thyroid gland diffusely. However, diffuse metastasis of gastric cancer to the thyroid is extremely rare. Here, we report a case of a 74-year-old woman with diffuse infiltration of gastric adenocarcinoma (signet-ring-cell carcinoma/poorly differentiated adenocarcinoma) cells in the thyroid. The pathological diagnosis was made based on upper gastrointestinal endoscopy with biopsy and fine-needle aspiration cytology of the thyroid. An 18F-FDG PET/CT revealed multiple lesions with increased uptake, including the bilateral thyroid gland. On thyroid ultrasound examination, diffuse enlargement with internal heterogeneity and hypoechoic reticular lines was observed. On color Doppler imaging, a blood-flow signal was not detected in these hypoechoic lines. These findings were similar to those of diffuse metastases caused by other primary cancers, such as lung cancer, as reported earlier. Therefore, the presence of hypoechoic reticular lines without blood-flow signals is probably common to diffuse thyroid metastasis from any origin and an important diagnostic finding. This is the first report to show detailed ultrasound findings of diffuse gastric cancer metastasis to the thyroid gland using color Doppler.
A novel platform for electromagnetic navigated ultrasound bronchoscopy (EBUS).
Sorger, Hanne; Hofstad, Erlend Fagertun; Amundsen, Tore; Langø, Thomas; Leira, Håkon Olav
2016-08-01
Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) of mediastinal lymph nodes is essential for lung cancer staging and distinction between curative and palliative treatment. Precise sampling is crucial. Navigation and multimodal imaging may improve the efficiency of EBUS-TBNA. We demonstrate a novel EBUS-TBNA navigation system in a dedicated airway phantom. Using a convex probe EBUS bronchoscope (CP-EBUS) with an integrated sensor for electromagnetic (EM) position tracking, we performed navigated CP-EBUS in a phantom. Preoperative computed tomography (CT) and real-time ultrasound (US) images were integrated into a navigation platform for EM navigated bronchoscopy. The coordinates of targets in CT and US volumes were registered in the navigation system, and the position deviation was calculated. The system visualized all tumor models and displayed their fused CT and US images in correct positions in the navigation system. Navigating the EBUS bronchoscope was fast and easy. Mean error observed between US and CT positions for 11 target lesions (37 measurements) was [Formula: see text] mm, maximum error was 5.9 mm. The feasibility of our novel navigated CP-EBUS system was successfully demonstrated. An EBUS navigation system is needed to meet future requirements of precise mediastinal lymph node mapping, and provides new opportunities for procedure documentation in EBUS-TBNA.
Water-cooled, high-intensity ultrasound surgical applicators with frequency tracking.
Martin, Roy W; Vaezy, Shahram; Proctor, Andrew; Myntti, Terrence; Lee, Janelle B J; Crum, Lawrence A
2003-10-01
High-intensity, focused ultrasound (HIFU) applicators have been developed for arresting bleeding with the ultimate intent of use in surgery. The design uses a tapered titanium component for transmission coupling of the ultrasound energy from a spherically curved transducer to biological tissues. The nominal operating frequency is 5.5 MHz, in a highly resonant mode (quality factor of 327 with water load). Liquid cooling is used to remove energy loss important at net applied power greater than 18 W/cm2 at the surface of the piezoelectric element. A downward resonance frequency shift (>20 kHz) occurs, even with cooling, as the applicator warms with normal operation. A feedback technique is used for maintaining the excitation near optimum resonance. Standing wave ratios of the applied power of 1.6 or less are thus sustained. The system and applicators have been found to be highly robust, effective in achieving hemostasis in the hemorrhaging liver, spleen, lung, or blood vessels in rabbit and pig experiments. One unit has been operated for over 1.7 hours in treating organ hemorrhage in blunt trauma experiments with nine swine with electrical net power of up to 158 W (31 W/cm2 across the transducer) and intensity of 2560 W/cm2 at focus.
Infrared Imaging, Spectroscopic, and Photometric Studies of Comets
NASA Technical Reports Server (NTRS)
Gehrz, Robert D.
1997-01-01
We have continued our program of infrared (IR) photometric, imaging, spectroscopic, and polarimetric temporal observations of comets to study the properties of comet dust and comet nuclei. During the first two years we digitized our IR data base on P/Halley and other recent comets to facilitate further analysis and comparison with other data bases, and found compelling evidence for the emission of a burst of small grains from P/Halley's nucleus at perihelion. We reported imaging and photometric observations of Comets Austin 1990 V and Swift-Tuttle 1992. The Swift-Tuttle 1992t observations included IR photometry, several 7-14 micron long-slit spectra of the coma and a time-sequence of more than 150 10 micron broadband images of the coma. An analysis of near-IR images of the inner coma of P/Halley obtained on three consecutive nights in 1986 March showed sunwardjets. We completed our analysis of IR imaging spectrosco-photometric data on comets. We also obtained observations of Comets Hyakutake 1996 B2 and Hale/Bopp 1995 01. We obtained infrared imaging, photometric, spectroscopic and polarimetric temporal observations of bright comets using a network of five telescopes, with emphasis on simultaneous observations of comets at many wavelengths with different instruments. Our program offers several unique advantages: 1) rapid observational response to new comets with dedicated infrared telescopes; 2) observations within a few degrees of the sun when comets are near perihelion and 3) access to advanced infrared array imagers and spectrometers. In particular, reduction, analysis, publication and archiving of our Jupiter/sl-9 and Comet Hyakutake infrared data received special emphasis. Instrumentation development included installation of the latest version of the innovative FORTH telescope control and a data acquisition system that enables us to control three telescopes remotely by telephone from anywhere in the world for comet observations in broad daylight. We have acquired more than 3000 256x256 images totaling nearly two gigabytes of data detailing the near-IR development of the impact sites of the S-L9 fragments on Jupiter. These data were obtained using the University of Rochester Imaging IR Camera at the cassegrain focus of the 92" at WIRO. The WIRO data set covers 8 days and is, to our knowledge, one of the most extensive observational records of the S-L/Jupiter encounter obtained by any ground-based telescope. This program benefitted from the compilation during these last few months of an upgrade to the data acquisition program at WIRO with support of this NASA contract.
Are There Many Inactive Jupiter-Family Comets among the Near-Earth Asteroid Population?
NASA Astrophysics Data System (ADS)
Fernández, Julio A.; Gallardo, Tabaré; Brunini, Adrián
2002-10-01
We analyze the dynamical evolution of Jupiter-family (JF) comets and near-Earth asteroids (NEAs) with aphelion distances Q>3.5 AU, paying special attention to the problem of mixing of both populations, such that inactive comets may be disguised as NEAs. From numerical integrations for 2×10 6 years we find that the half lifetime (where the lifetime is defined against hyperbolic ejection or collision with the Sun or the planets) of near-Earth JF comets (perihelion distances q<1.3 AU) is about 1.5×10 5 years but that they spend only a small fraction of this time (˜ a few 10 3 years) with q<1.3 AU. From numerical integrations for 5×10 6 years we find that the half lifetime of NEAs in "cometary" orbits (defined as those with aphelion distances Q>4.5 AU, i.e., that approach or cross Jupiter's orbit) is 4.2×10 5 years, i.e., about three times longer than that for near-Earth JF comets. We also analyze the problem of decoupling JF comets from Jupiter to produce Encke-type comets. To this end we simulate the dynamical evolution of the sample of observed JF comets with the inclusion of nongravitational forces. While decoupling occurs very seldom when a purely gravitational motion is considered, the action of nongravitational forces (as strong as or greater than those acting on Encke) can produce a few Enckes. Furthermore, a few JF comets are transferred to low-eccentricity orbits entirely within the main asteroid belt ( Q<4 AU and q>2 AU). The population of NEAs in cometary orbits is found to be adequately replenished with NEAs of smaller Q's diffusing outward, from which we can set an upper limit of ˜20% for the putative component of deactivated JF comets needed to maintain such a population in steady state. From this analysis, the upper limit for the average time that a JF comet in near-Earth orbit can spend as a dormant, asteroid-looking body can be estimated to be about 40% of the time spent as an active comet. More likely, JF comets in near-Earth orbits will disintegrate once (or shortly after) they end their active phases.
Comets: Gases, ices, grains and plasma
NASA Technical Reports Server (NTRS)
Wilkening, L. L.
1981-01-01
The program and abstracts of the 97 papers delivered at the colloquium are presented. Cometary nuclei, comet dust, the coma, ion tails, several comet missions, and cometary origin and evolution were discussed.
History of the dust released by comets
NASA Technical Reports Server (NTRS)
Jambor, B. J.
1976-01-01
The Finson-Brobstein theory is used to examine production and history of dust released from periodic comets and to compare dust size distribution in relation to the Zodiacal cloud. Results eliminate all of the bright new comets from contributors to the Zodiacal cloud. Among the periodic comets, all particles of size much smaller than 10 micrometer are also lost. Only the large particles remain as possible contributors.
Giacobini-Zinner comet: Polarimetric and physical observations
NASA Technical Reports Server (NTRS)
Martel, M. T.; Maines, P.; Grudzinska, S.; Stawikowski, A.
1984-01-01
The results of observations of the Giacobini-Zinner comet on 25 and 31 October 1959 are presented. The magnitude of the comet was measured photoelectrically in two spectral regions. The radius is on the order of one kilometer. The photoelectric measurements of comets 1959b and 1957c were used to measure the abundances of the CN and C2 radicals and of solid particles in the heads.
Comet Wild 2 - Stardust Approach Image
NASA Technical Reports Server (NTRS)
2004-01-01
This image was taken during the close approach phase of Stardust's Jan 2, 2004 flyby of comet Wild 2. It is a distant side view of the roughly spherical comet nucleus. One hemisphere is in sunlight and the other is in shadow analogous to a view of the quarter moon. Several large depressed regions can be seen. Comet Wild 2 is about five kilometers (3.1 miles) in diameter.
NASA Technical Reports Server (NTRS)
2005-01-01
This image shows comet Tempel 1 as seen through the clear filter of the medium resolution imager camera on Deep Impact. It was taken on June 27, 2005, when the spacecraft was 6,229,030.3 kilometers (3,870,719 miles) away from the comet. Three images were combined to create this picture, and a logarithmic stretch was applied to enhance the coma of the comet.NASA Astrophysics Data System (ADS)
Królikowska, Małgorzata; Dybczyński, Piotr A.
2013-10-01
Dynamics of a complete sample of small perihelion distance near-parabolic comets discovered in the years 2006-2010 are studied (i.e. of 22 comets of qosc < 3.1 au). First, osculating orbits are obtained after a very careful positional data inspection and processing, including where appropriate, the method of data partitioning for determination of pre- and post-perihelion orbit for tracking then its dynamical evolution. The non-gravitational acceleration in the motion is detected for 50 per cent of investigated comets, in a few cases for the first time. Different sets of non-gravitational parameters are determined from pre- and post-perihelion data for some of them. The influence of the positional data structure on the possibility of the detection of non-gravitational effects and the overall precision of orbit determination is widely discussed. Secondly, both original and future orbits were derived by means of numerical integration of swarms of virtual comets obtained using a Monte Carlo cloning method. This method allows us to follow the uncertainties of orbital elements at each step of dynamical evolution. The complete statistics of original and future orbits that includes significantly different uncertainties of 1/a-values is presented, also in the light of our results obtained earlier. Basing on 108 comets examined by us so far, we conclude that only one of them, C/2007 W1 Boattini, seems to be a serious candidate for an interstellar comet. We also found that 53 per cent of 108 near-parabolic comets escaping in the future from the Solar system, and the number of comets leaving the Solar system as so called Oort spike comets (i.e. comets suffering very small planetary perturbations) is 14 per cent. A new method for cometary orbit quality assessment is also proposed by means of modifying the original method, introduced by Marsden, Sekanina & Everhart. This new method leads to a better diversification of orbit quality classes for contemporary comets.
The Rosetta Mission to Comet 67P/ Churyumov-Gerasimenko
NASA Astrophysics Data System (ADS)
Buratti, Bonnie J.
2017-06-01
As remnant bodies left over from the formation of the Solar System, comets offer clues to the physical conditions and architecture of the protosolar nebula. The Rosetta spacecraft, which included an orbiter and a lander that were built and managed by the European Space Agency with NASA contributing four instruments and scientific expertise, was the first mission to orbit and study a comet through a perihelion passage. The targeted Jupiter-family comet 67P/ Churyumov-Gerasimenko, is seemingly two distinct planetesimals stuck together. The comet has not melted or been processed substantially, except for its outer layers, which consist of reaccreted dust and a crust of heated, devolatized, and annealed refractory materials and organics. The exceptionally low density (0.53 gm/cc) of 67P/ implies it is a rubble pile. The comet also appears to contain a hierarchy of building blocks: smaller spherically shaped meter-sized bodies can be seen in its interior, and even smaller cm-sized pebbles were imaged by the camera as the spacecraft made a soft crash landing on the comet’s surface on 30 September 2016. The unexpected discovery of molecular oxygen, nitrogen, and hydrogen imply that 67P/ was formed under cold conditions not exceeding 30K. The discovery of many organic compounds, including the amino acid glycine, lends support to the idea that comets, which originate in the Kuiper Belt and the Oort Cloud, brought the building blocks of life to Earth. More laboratory data on organic compounds would help to identify additional organic compounds on the comet. The differences between cometary and terrestrial D/H ratios suggest that comets are not the primary source of terrestrial water, although data on more comets is needed to confirm this result.Besides being primordial objects offering a window into the formation of solar systems, comets are astrophysical laboratories, ejecting dust and charged particles into the plasma comprising the solar wind. Several unusual phenomena were observed, such as magnetic cavities surrounding the comet, and oscillations in its magnetic field, which led 67P/ to be nicknamed the “singing comet”.NASA funding acknowledged.
Observations of the 18-cm lines of the OH radical in comets
NASA Astrophysics Data System (ADS)
Crovisier, J.; Colom, P.; Biver, N.; Bockelée-Morvan, D.
2015-10-01
Since 1973, the 18-cm lines of the OH radical have been systematically observed in selected comets with the 300×40 m radio telescope at Nançay. Up to now, 133 comets have been observed (counting different returns of short-period comets as different comets), totalling about 6000 individual observations (typically one hour per day for each observation).These observations trace the water production rates (through its photodissociation product OH) and the coma expansion velocity. They are precious for statistical investigations of the evolution of the activity of the comets. These observations are also made as a participation to multi-wavelength observing campaigns of dedicated comets and as a support to cometary space missions. The observations are organized in a database which is progressively made publicly available: http://www.lesia.obspm.fr/planeto/ cometes/basecom/ [1]The most recent observations are listed in Table 1. Here are some recent highlights: 103P/Hartley 2 was observed in support to its fly-by by the EPOXI mission and to observations with Herschel. [2] The outbursts of the sungrazing comet C/2012 S1 (ISON), preceding its demise as it approached the Sun at 0.012 AU on 28 November 2013, were observed. [3] Comet C/2013 A1 (Siding Spring) was detected just before it passed at only 0.001 AU from Mars on 19 October 2014, due to enhanced background radiation as the comet was close to the Galactic plane. [4] The Nançay radio telescope actively participated to the multi-wavelength observing campaigns of the bright comets C/2011 L4 (PANSTARRS), C/2012 F6 (Lemmon), C/2012 X1 (LINEAR), C/2013 R1 (Lovejoy) and C/2014 Q2 (Lovejoy) (Fig. 1), especially in coordination with radio observations with IRAM and ALMA. It should be noted that the Rosetta target 67P/Churyumov-Gerasimenko, which was marginally detected at its 1982 passage due to a relatively close approach to Earth (# = 0.39 AU) [1], is unfavourably placed at its present return for observations at Nançay.
What if chondritic porous interplanetary dust particles are not the real McCoy
NASA Astrophysics Data System (ADS)
Rietmeijer, Frans J. M.
To select a target comet for a Comet Nucleus Sample Return Mission (CNSRM) it is necessary to have an experimental data base to evaluate the extent of diversity and similarity of comets. For example, the physical properties (e.g., low density) of chondritic porous (CP) interplanetary dust particles (IDPs) are believed to resemble these properties of cometary dust although it is yet to be demonstrated that the porous structure of CP IDPs is inherent to presolar dust particles stored in comet nuclei. Porous structures of IDPs could conceivably form during sublimation at the surface of active comet nuclei. Porous structures are also obtained during annealing of amorphous Mg-SiO smokes which initially forms porous aggregates of olivine + platey tridymite and which, upon continued annealing, react to fluffy enstatite aggregates. It is therefore uncertain that CP IDPs are entirely composed of unmetamorphosed presolar dust. Conceivably, new minerals and textures may form in situ in nuclei of active comets as a function of their individual thermal history. Unmetamorphosed comet dust is probably structurally amorphous. Thermal annealing of this dust can produce ultra fine-grained minerals and this ultrafine grain size of CP IDPs should be considered in assessments of aqueous alterations that could affect presolar dust in comet nuclei between 200 and 400 K. Devitrification and hydration may occur in situ in ice-dust mixtures and the mantle of active comet nuclei. Devitrification, or uncontrolled crystallization, of amorphous precursor dust can produce a range of chemical compositions of ultrafine-grained minerals and (non-equilibrium) mineral assemblages and textures in dust contained in comet nuclei as a function of period and trajectory of orbit and number of perihelion passages (not considering internal heating). Thus, experimental data on relevant processes and reaction rates between 200 and 400 K are needed in order to evaluate comet selection, penetration depth for sampling device and curation of samples for CNSRM.
What if chondritic porous interplanetary dust particles are not the real McCoy
NASA Technical Reports Server (NTRS)
Rietmeijer, Frans J. M.
1989-01-01
To select a target comet for a Comet Nucleus Sample Return Mission (CNSRM) it is necessary to have an experimental data base to evaluate the extent of diversity and similarity of comets. For example, the physical properties (e.g., low density) of chondritic porous (CP) interplanetary dust particles (IDPs) are believed to resemble these properties of cometary dust although it is yet to be demonstrated that the porous structure of CP IDPs is inherent to presolar dust particles stored in comet nuclei. Porous structures of IDPs could conceivably form during sublimation at the surface of active comet nuclei. Porous structures are also obtained during annealing of amorphous Mg-SiO smokes which initially forms porous aggregates of olivine + platey tridymite and which, upon continued annealing, react to fluffy enstatite aggregates. It is therefore uncertain that CP IDPs are entirely composed of unmetamorphosed presolar dust. Conceivably, new minerals and textures may form in situ in nuclei of active comets as a function of their individual thermal history. Unmetamorphosed comet dust is probably structurally amorphous. Thermal annealing of this dust can produce ultra fine-grained minerals and this ultrafine grain size of CP IDPs should be considered in assessments of aqueous alterations that could affect presolar dust in comet nuclei between 200 and 400 K. Devitrification and hydration may occur in situ in ice-dust mixtures and the mantle of active comet nuclei. Devitrification, or uncontrolled crystallization, of amorphous precursor dust can produce a range of chemical compositions of ultrafine-grained minerals and (non-equilibrium) mineral assemblages and textures in dust contained in comet nuclei as a function of period and trajectory of orbit and number of perihelion passages (not considering internal heating). Thus, experimental data on relevant processes and reaction rates between 200 and 400 K are needed in order to evaluate comet selection, penetration depth for sampling device and curation of samples for CNSRM.
NASA Astrophysics Data System (ADS)
Hansen, Kenneth; Altwegg, Kathrin; Berthelier, Jean-Jacques; Bieler, Andre; Calmonte, Ursina; Combi, Michael; De Keyser, Johan; Fiethe, Björn; Fougere, Nicolas; Fuselier, Stephen; Gombosi, Tamas; Hässig, Myrtha; Huang, Zhenguang; Le Roy, Lena; Rubin, Martin; Tenishev, Valeriy; Toth, Gabor; Tzou, Chia-Yu
2016-04-01
We have previously used results from the AMPS DSMC (Adaptive Mesh Particle Simulator Direct Simulation Monte Carlo) model to create an empirical model of the near comet coma (<400 km) of comet 67P for the pre-equinox orbit of comet 67P/Churyumov-Gerasimenko. In this work we extend the empirical model to the post-equinox, post-perihelion time period. In addition, we extend the coma model to significantly further from the comet (~100,000-1,000,000 km). The empirical model characterizes the neutral coma in a comet centered, sun fixed reference frame as a function of heliocentric distance, radial distance from the comet, local time and declination. Furthermore, we have generalized the model beyond application to 67P by replacing the heliocentric distance parameterizations and mapping them to production rates. Using this method, the model become significantly more general and can be applied to any comet. The model is a significant improvement over simpler empirical models, such as the Haser model. For 67P, the DSMC results are, of course, a more accurate representation of the coma at any given time, but the advantage of a mean state, empirical model is the ease and speed of use. One application of the empirical model is to de-trend the spacecraft motion from the ROSINA COPS and DFMS data (Rosetta Orbiter Spectrometer for Ion and Neutral Analysis, Comet Pressure Sensor, Double Focusing Mass Spectrometer). The ROSINA instrument measures the neutral coma density at a single point and the measured value is influenced by the location of the spacecraft relative to the comet and the comet-sun line. Using the empirical coma model we can correct for the position of the spacecraft and compute a total production rate based on the single point measurement. In this presentation we will present the coma production rate as a function of heliocentric distance both pre- and post-equinox and perihelion.
Atlas of Secular Light Curves of Comets
NASA Astrophysics Data System (ADS)
Ferrin, Ignacio
2007-12-01
We have completed work on the secular light curves of 30 periodic and non-periodic comets. The objectives and approach of this project has been explained in Ferrin (Icarus, 178, 493-516, 2005). Each comet requires 2 plots. The time plot shows the reduced (to Δ = 1 AU) magnitude of the comet as a function of time, thus displaying the brightness history of the object. The log plot is a reflected double log plot. The reflection takes place at R=1 AU, to allow the determination of the absolute magnitude by extrapolation. 22 photometric parameters are measured from the plots, most of them new. The plots have been collected in a document that constitutes "The Atlas". We have defined a photometric age, P-AGE, that attempts to measure the age of a comet based on its activity. P-AGE has been scaled to human ages to help in its interpretation. We find that comets Hale-Bopp and 29P/SW 1, are baby comets (P-AGE < 3 comet years), while 107P, 162P and 169P are methuselah comets (P-AGE > 100 cy). The secular light curve of 9P/Tempel 1 exhibits sublimation due to H2O and due to CO. Comet 67P/Churyumov-Gerasimento to be visited by the Rossetta spacecraft in 2014 exhibits a photometric anomaly. Comet 65P/Gunn exhibits a lag in maximum brightness of LAG = + 254 days after perihelion. We suggest that the pole is pointing to the sun at that time. The secular light curves will be presented and a preliminary interpretation will be advanced. The secular light curves present complexity beyond current understanding. The observations described in this work were carried out at the National Observatory of Venezuela (ONV), managed by the Center for Research in Astronomy (CIDA), for the Ministry of Science and Technology (MinCyT).
Major achievements of the Rosetta mission in connection with the origin of the solar system
NASA Astrophysics Data System (ADS)
Barucci, M. A.; Fulchignoni, M.
2017-10-01
Comets have been studied from a long time and are believed to preserve pristine materials, so they are fundamental to understand the origin of the solar system and life. Starting in the early 1990s, ESA decided to have a more risky and fantastic mission to a comet. As Planetary Cornerstone mission of the ESA Horizon 2000 program, the Rosetta mission was selected with the aim of realizing two asteroid fly-bys, a rendezvous with a comet to deliver a surface science package and to hover around the comet from 4 AU inbound up to perihelion and outbound back to 3.7 AU. The mission was successfully launched on March 2, 2004 with Ariane V that started its 10-year journey toward comet 67P/Churyumov-Gerasimenko. After several planetary gravity assists, Rosetta flew by two asteroids—on September 5, 2008 (Steins) and on July 10, 2010 (Lutetia), respectively, and performed the comet orbit insertion maneuver on August 6, 2014. The onboard instruments characterized the nucleus orbiting the comet at altitudes down to few kilometers. On November 12, 2014, the lander Philae was delivered realizing the first landing ever on a comet surface. Although the exploration of the comet was planned up to the end of 2015, the mission duration was extended for nine more months than the nominal one, to follow the comet on its outbound orbit. To terminate the mission, following a series of very low orbits, a controlled impact of Rosetta spacecraft with the comet was realized on September 30, 2016. The scientific objectives of the mission have been largely achieved. The challenging mission provided the science community with an enormous quantity of data of extraordinary scientific value. In this paper, a detailed description of the mission and the highlights of the obtained scientific results on the exploration of an extraordinary world are presented. The paper also includes lessons learned and directions for the future.
Temporary satellite capture of comets by Jupiter
NASA Astrophysics Data System (ADS)
Emel'yanenko, N. Yu.
2012-05-01
This paper studies the dynamical evolution of 97 Jupiter-family comets over an 800-year time period. More than two hundred encounters with Jupiter are investigated, with the observed comets moving during a certain period of time in an elliptic jovicentric orbit. In most cases this is an ordinary temporary satellite capture of a comet in Everhart's sense, not associated with a transition of the small body into Jupiter's family of satellites. The phenomenon occurs outside the Hill sphere with comets with a high Tisserand constant relative to Jupiter; the comets' orbits have a small inclination to the ecliptic plane. An analysis of 236 encounters has allowed the determination within the planar pair two-body problem of a region of orbits in the plane ( a, e) whose semimajor axes and eccentricities contribute to the phenomenon under study. Comets with orbits belonging to this region experience a temporary satellite capture during some of their encounters; the jovicentric distance function has several minima; and the encounters are characterized by reversions of the line of apsides and some others features of their combination that are intrinsic to comets in this region. Therefore, this region is called a region of comets with specific features in their encounters with Jupiter. Twenty encounters (out of 236), whereby the comet enters an elliptic jovicentric orbit in the Hill sphere, are identified and investigated. The size and shape of the elliptic heliocentric orbits enabling this transition are determined. It is found that in 11 encounters the motion of small bodies in the Hill sphere has features the most important of which is multiple minima of the jovicentric distance function. The study of these 20 encounters has allowed the introduction of the concept of temporary gravitational capture of a small body into the Hill sphere. An analysis of variations in the Tisserand constant in these (20) encounters of the observable comets shows that their motion is unstable in Hill's sense.
Monitoring of comets activity and composition with the TRAPPIST-North telescope
NASA Astrophysics Data System (ADS)
Moulane, Y.; Benkhaldoun, Z.; Jehin, E.; Opitom, C.; Gillon, M.; Daassou, A.
2017-06-01
TRAPPIST-North (TRAnsiting Planets and PlanetesImals Small Telescope) is a 60-cm robotic telescope that was installed in May 2016 at the Oukaimeden Observatory [1]. The project is led by the University of Liège (Belgium) and the Caddi Ayad University of Marrakech (Morocco). This telescope is a twin of the TRAPPIST-South telescope, which was installed at the ESO La Silla Observatory in 2010 [2]. The TRAPPIST telescopes are dedicated to the detection and characterization of planets orbiting stars other than our Sun (exoplanets) and the study of comets and other small bodies in our solar system. For the comets research, these telescopes have very sensitive CCD cameras with complete sets of narrow band filters to measure the production rates of several gases (OH, NH, CN, C3 and C2) and the dust [3]. With TRAPPIST-North we can also observe comets that would not be visible in the southern hemisphere. Therfore, with these two telescopes, we can now observe continuously the comets around their orbit. We project to study individually the evolution of the activity, chemical composition, dust properties, and coma morphology of several comets per year and of different origins (New comets and Jupiter Family comets) over a wide range of heliocentric distances, and on both sides of perihelion. We measure the production rates of each daughter molecules using a Haser model [4], in addition to the Afρ parameter to estimate the dust production in the coma. In this work, we present the first measurements of the production rates of comet C/2013 X1 (PANSTARRS) observed with TN in June 2016, and the measurements of comet C/2013 V5 (Oukaimeden) observed in 2014 with TRAPPIST-South.
Where are the mini Kreutz-family comets?
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ye, Quan-Zhi; Wiegert, Paul A.; Hui, Man-To
The Kreutz family of sungrazing comets contains over 2000 known members, many of which are believed to be under ∼100 m sizes (mini comets) and have only been studied at small heliocentric distances (r {sub H}) with space-based SOHO/STEREO spacecraft. To understand the brightening process of mini Kreutz comets, we conducted a survey using CFHT/MegaCam at moderate r {sub H} guided by SOHO/STEREO observations. We identify two comets that should be in our search area but are not detected, indicating that the comets have either followed a steeper brightening rate within the previously reported rapid brightening stage (the brightening burst),more » or the brightening burst starts earlier than expected. We present a composite analysis of the pre-perihelion light curves of five Kreutz comets that cover to ∼1 AU. We observe significant diversity in the light curves that can be used to grossly classify them into two types: C/Ikeya-Seki and C/SWAN follow the canonical r{sub H}{sup −4} while the others follow r{sub H}{sup −7}. In particular, C/SWAN seems to have undergone an outburst (Δm > 5 mag) or a rapid brightening (n ≳ 11) between r {sub H} = 1.06 AU and 0.52 AU, and shows hints of structural/compositional differences compared to other bright Kreutz comets. We also find evidence that the Kreutz comets as a population lose their mass less efficiently than the dynamically new comet, C/ISON, and are relatively devoid of species that drive C/ISON's activity at large r {sub H}. Concurrent observations of C/STEREO in different wavelengths also suggest that a blueward species such as CN may be the main driver for brightening bursts, instead of sodium as previously thought.« less
Rosetta following a living comet
NASA Astrophysics Data System (ADS)
Accomazzo, Andrea; Ferri, Paolo; Lodiot, Sylvain; Pellon-Bailon, Jose-Luis; Hubault, Armelle; Porta, Roberto; Urbanek, Jakub; Kay, Ritchie; Eiblmaier, Matthias; Francisco, Tiago
2016-09-01
The International Rosetta Mission was launched on 2nd March 2004 on its 10 year journey to rendezvous with comet 67P Churyumov-Gerasimenko. Rosetta performed comet orbit insertion on the 6th of August 2014, after which it characterised the nucleus and orbited it at altitudes as low as a few kilometres. In November 2014 Rosetta delivered the lander Philae to perform the first soft landing ever on the surface of a comet. The critical landing operations have been conducted with remarkable accuracy and will constitute one of the most important achievements in the history of spaceflight. After this critical operation, Rosetta began the escort phase of the comet in its journey in the Solar System heading to the perihelion, reached in August 2015. Throughout this period, the comet environment kept changing with increasing gas and dust emissions. A first phase of bound orbits was followed by a sequence of complex flyby segments which allowed the scientific instruments to perform in depth investigation of the comet environment and nucleus. The unpredictable nature of the comet activity forced the mission control team to implement unplanned changes to the flight plan prepared for this mission phase and to plan the whole mission in a more dynamic way than originally conceived. This paper describes the details of the landing operations and of the main comet escort phase. It also includes the mission status as achieved after perihelion and the findings about the evolution of the comet and its environment from a mission operations point of view. The lessons learned from this unique and complex operations phase and the plans for the next mission phases, which include a mission extension into 2016, are also described.
Recommendations for safety testing with the in vivo comet assay.
Vasquez, Marie Z
2012-08-30
While the in vivo comet assay increases its role in regulatory safety testing, deliberations about the interpretation of comet data continue. Concerns can arise regarding comet assay publications with limited data from non-blind testing of positive control compounds and using protocols (e.g. dose concentrations, sample times, and tissues) known to give an expected effect. There may be a tendency towards bias when the validation or interpretation of comet assay data is based on results generated by widely accepted but non-validated assays. The greatest advantages of the comet assay are its sensitivity and its ability to detect genotoxicity in tissues and at sample times that could not previously be evaluated. Guidelines for its use and interpretation in safety testing should take these factors into account. Guidelines should be derived from objective review of data generated by blind testing of unknown compounds dosed at non-toxic concentrations and evaluated in a true safety-testing environment, where the experimental design and conclusions must be defensible. However, positive in vivo comet findings with such compounds are rarely submitted to regulatory agencies and this data is typically unavailable for publication due to its proprietary nature. To enhance the development of guidelines for safety testing with the comet assay, and with the permission of several sponsors, this paper presents and discusses relevant data from multiple GLP comet studies conducted blind, with unknown pharmaceuticals and consumer products. Based on these data and the lessons we have learned through the course of conducting these studies, I suggest significant adjustments to the current conventions, and I provide recommendations for interpreting in vivo comet assay results in situations where risk must be evaluated in the absence of carcinogenicity or clinical data. Copyright © 2012 Elsevier B.V. All rights reserved.