RESUMEN
BACKGROUND: On the elastic profiles of human teeth after radiotherapy for head and neck cancers, generation of dental complications, which may bring several side effects preventing the quality of life, has not well clarified. Thus, we aimed to show the applicability of using 320 MHz Scanning Acoustic Microscopy (SAM) in the evaluation of the tooth damage acoustically at the micrometer level following radiation therapy, and also in the determination of the safe dose limits to impede severe dental damage. METHODS: This prospective study was performed by SAM employed at 320 MHz by an azimuthal resolution of 4.7 µm resolving enamel and dentin. A total of 45 sound human third molar teeth collected between September 2018 and May 2019 were used for the acoustic impedance measurements pre- and post irradiation. Nine samples for each group (control, 2 Gy, 8 Gy, 20 Gy, 30 Gy and 60 Gy) were evaluated to acquire the acoustic images and perform a qualitative analysis. Scanning Electron Microscopy (SEM) images were obtained to establish a relationship between micromechanical and morphological characteristics of the teeth. Statistical analysis was conducted using the Student t-test succeded by Mann-Whitney U investigation (p < .05), while SEM images were assessed qualitatively. RESULTS: The analysis included 45 sound teeth collected from men and women 18 to 50 years old. Post irradiation micromechanical variations of human teeth were significant only in the radiation groups of 30 Gy and 60 Gy compared to pre-irradiation group for enamel (7.24 ± 0.18 MRayl and 6.49 ± 028 MRayl; p < 0.05, respectively). Besides, the teeth subjected to radiation doses of 20, 30 and 60 Gy represented significantly lower acoustic impedance values relative to non-irradiated group for dentin (6.52 ± 0.43 MRayl, 5.71 ± 0.66 MRayl and 4.82 ± 0.53 MRayl p < 0.05), respectively. CONCLUSIONS: These results are evidence for a safe acoustic examination device which may be a useful tool to visualize and follow the safe dose limits to impede severe dental damage through the radiation therapy treatment for head and neck cancers.
Asunto(s)
Elasticidad/efectos de la radiación , Neoplasias de Cabeza y Cuello/radioterapia , Microscopía Acústica/métodos , Calidad de Vida , Traumatismos por Radiación/diagnóstico , Radioterapia de Intensidad Modulada/efectos adversos , Diente/efectos de la radiación , Adolescente , Adulto , Estudios de Casos y Controles , Femenino , Neoplasias de Cabeza y Cuello/patología , Humanos , Masculino , Persona de Mediana Edad , Órganos en Riesgo/efectos de la radiación , Pronóstico , Estudios Prospectivos , Traumatismos por Radiación/diagnóstico por imagen , Traumatismos por Radiación/etiología , Dosificación Radioterapéutica , Planificación de la Radioterapia Asistida por Computador/métodos , Diente/diagnóstico por imagen , Adulto JovenRESUMEN
The purpose of this study is to explore the feasibility of time-dependent acoustic impedance measurement by Scanning Acoustic Microscopy (SAM) for analyzing the sodium diffusion. The purpose is motivated by the fact that sodium monitoring is challenging and still in the area of exploratory analysis despite its biological importance. To our knowledge, this is the first study in which sodium diffusion has been investigated by time-dependent acoustic impedance measurements provided by SAM. We first tested the idea in an agarose phantom as a proof-of-concept. Accordingly, we designed the agarose phantom which initially contains a well of sodium chloride (NaCl) solution moving radially into the phantom. By using NaCl diffusion in the phantom, we obtained two-dimensional (2D) acoustic impedance (Z) maps over time through SAM operating with 80â¯MHz ultrasonic transducer having a lateral resolution of 20⯵m. A linear correlation between the changes in the concentration profile of the phantom and its acoustic impedance was introduced. Analysis of experimental data proved that spatially changing acoustic impedance could be ascribed to the diffusion process and produced a diffusion coefficient in the order of 10-5â¯cm2/s which matches well with the literature. Our results showed that SAM could monitor the time-dependent alterations in acoustic impedance resulting from the diffusion of sodium inside the agarose phantom. With this study, SAM shows a promise as a monitoring tool not only to obtain static images but also to perform dynamic investigations of sodium ions with the advantages of providing images in micrometer resolution with a scanning time no longer than 2â¯min for an image area of 4.8â¯mmâ¯×â¯4.8â¯mm.
Asunto(s)
Microscopía Acústica/métodos , Cloruro de Sodio/química , Difusión , Procesamiento de Imagen Asistido por Computador/métodos , Iones , Fantasmas de Imagen , Sefarosa/químicaRESUMEN
Microcalcification is the precursor of vulnerability of plaques in humans. Visualization of such small structures in vivo with high spatial resolution is an unsolved issue. The goal of this study is to evaluate the potential of scanning acoustic microscopy (SAM) in the determination of atherosclerotic plaques with calcifications by validating this technique with micro-computer tomography (micro-CT), scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS). The fibrocalcific plaques were obtained from 12 different patients and initially examined with micro-CT. The images exhibited calcifications within these plaques. For imaging with SAM, approximately 5 µm thick slices were prepared. Sound speed values within calcified regions were measured to be greater than the ones in collagen-rich regions. These fibrocalcific plaques were also examined with SEM and EDS revealing collagen and calcium deposition within these samples. The consistency of the results obtained by all of the modalities involved in our study is an indication of the potential of SAM as a clinical tool for the diagnosis of vulnerable plaques.
Asunto(s)
Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Microscopía Acústica , Microscopía Electrónica de Rastreo , Placa Aterosclerótica/ultraestructura , Espectrometría por Rayos X , Tomografía Computarizada por Rayos X , Calcinosis/diagnóstico por imagen , Humanos , Placa Aterosclerótica/diagnóstico por imagenRESUMEN
BACKGROUND: Projectile foreign bodies are known to cause chronic heavy metal toxicity due to the release of metal into the bloodstream. However, the local effect around the metallic object has not been investigated and the main goal of our study is to examine the influence of the object in close proximity of the object. CASE PRESENTATION: A 36-year-old Caucasian woman with one metallic pellet close to her sciatic nerve due to a previous shotgun injury at the gluteal area presented with a diagnosis of recurrent lumbar disk herniation at L4-5 level. A physical examination confirmed chronic neuropathy and she underwent a two-stage surgery. The surgery included removal of the foreign body, followed by discectomy and fusion at the involved level. During the removal of the metallic foreign body, a tissue sample around the pellet and another tissue sample from a remote area were obtained. The samples were analyzed by scanning acoustic microscopy, scanning electron microscopy, and energy-dispersive X-ray spectroscopy. Lead, chromium, copper, cadmium, iron, manganese, selenium, and zinc elements in tissue, blood, and serum specimens were detected by inductively coupled plasma optical emission spectroscopy. CONCLUSIONS: An acoustic impedance map of the tissue closer to the metallic body showed higher values indicating further accumulation of elements. Energy-dispersive X-ray spectroscopy results confirmed scanning acoustic microscopy results by measuring a higher concentration of elements closer to the metallic body. Scanning electron microscopy images showed that original structure was not disturbed far away; however, deformation of the structure existed in the tissue closer to the foreign body. Element analysis showed that element levels within blood and serum were more or less within acceptable ranges; on the other hand, element levels within the tissues showed pronounced differences indicating primarily lead intoxication in the proximity of the metallic body. We can state that residues of metallic foreign bodies of gunshot injuries cause chronic metal infiltration to the surrounding tissue and induce significant damage to nearby neural elements; this is supported by the results of scanning acoustic microscopy, scanning electron microscopy, energy-dispersive X-ray spectroscopy, and inductively coupled plasma optical emission spectroscopy.
Asunto(s)
Nalgas/diagnóstico por imagen , Cuerpos Extraños/diagnóstico por imagen , Neuropatía Ciática/diagnóstico por imagen , Heridas por Arma de Fuego/diagnóstico por imagen , Adulto , Nalgas/patología , Discectomía , Femenino , Cuerpos Extraños/complicaciones , Humanos , Vértebras Lumbares , Metales , Microscopía Acústica , Microscopía Electrónica de Rastreo , Neuropatía Ciática/etiología , Neuropatía Ciática/patología , Análisis Espectral , Resultado del Tratamiento , Heridas por Arma de Fuego/complicacionesRESUMEN
Atherosclerotic plaques constitute the primary cause of heart attack and stroke. However, we still lack a clear identification of the plaques. Here, we evaluate the feasibility of scanning acoustic microscopy (SAM) and time-resolved fluorescence spectroscopy (TRFS) in atherosclerotic plaque characterization. We perform dual-modality microscopic imaging of the human carotid atherosclerotic plaques. We first show that the acoustic impedance values are statistically higher in calcified regions compared with the collagen-rich areas. We then use CdTe/CdS quantum dots for imaging the atherosclerotic plaques by TRFS and show that fluorescence lifetime values of the quantum dots in collagen-rich areas are notably different from the ones in calcified areas. In summary, both modalities are successful in differentiating the calcified regions from the collagen-rich areas within the plaques indicating that these techniques are confirmatory and may be combined to characterize atherosclerotic plaques in the future.