Optimisation strategies and justification: an example in uterine artery embolisation for fibroids

Radiation risk has to be justified and optimised. This study discusses the radiation risk of uterine artery embolisation (UAE) for the treatment of fibroids. A total of 70 consecutive UAE dosimetry parameters were assessed. Using Monte Carlo simulation, organ and effective doses and dose conversion coefficients (DCCs) (mSv Gy cm(-2)) were calculated. During UAE optimisation, avoidance of oblique views and use of last-image-hold (LIH) documentation instead of digital subtraction angiography (DSA) were investigated. Mean dose-area product (DAP) was 37.1 Gy cm2 (median 23.7 Gy cm2) and mean fluoroscopy time was 18.4 min (median 16.6 min). Dose values decreased as the study progressed: mean DAP for patients 1-21, 68.5 Gy cm2; patients 22-43, 35.7 Gy cm2; and patients 44-69, 13.0 Gy cm2. Average DCC for DSA image procedures was 0.572, yielding a mean effective dose of 29.6 mSv (median 17.1 mSv). For LIH-only procedures, an average DCC of 0.813 was estimated [using mean effective dose: 10.6 mSv (median 8.1 mSv)].     

Clinical aspects of quality criteria in digital radiography

In clinical radiological practice two main questions regarding image quality have to be looked at: Which degree of image quality is needed? and: How can this image quality be objective? Image quality requirements depend on size, density and contrast of the objects of interest and on the clinical question which has to be answered. In comparison to conventional radiography, the digital radiographic techniques offer additional features concerning optimisation of image quality and dose, like a wider dynamic range, digital fluoroscopic techniques and post-processing. Therefore it is necessary to define new quality criteria for these techniques. In the following, typical examples demonstrate the development of the 'Diagnostic Requirements for Digital Radiographic Procedures'. These examinations include projection radiographs with digital luminiscent radiography, fluoroscopic procedures with digital image intensifier radiography and angiographic procedures with digital subtraction angiography. The clinical question of a radiological examination also forms the background to optimisation strategies considering image quality and radiation dose.     

Mechanical properties improvement related to the isothermal holding time in Si3N4 ceramics sintered with an alternative additive

In the present work, the influence of the isothermal holding time on the physical (relative density and mass loss), chemical (α–β transformation and intergranular phase crystallization) and mechanical (hardness and fracture toughness) properties of Si₃N₄ ceramics with Al₂O₃ and CTR₂O₃ as additives has been studied. CTR₂O₃ is a natural rare earth oxide mixture, produced at DEMAR-FAENQUIL from the mineral xenotime, consisting mainly of Y₂O₃, Yb₂O₃, Er₂O₃ and Dy₂O₃. The increase in hardness and fracture toughness with increasing duration of isothermal sintering is discussed in regard of densification, α–β Si₃N₄ phase transformation and microstructure. The microstructural variations were decisive for the increase of fracture toughness, because larger grains (>4 μm) with higher aspect ratios (>6) developed during increased sinter periods, enhancing crack deflection and crack-bridging mechanism. In this way longer isothermal holding times contribute to the improvement of the physical and mechanical properties of silicon nitride based ceramics.     

Properties of ZrO2–Al2O3 composite as a function of isothermal holding time

Zirconia and alumina based ceramics present interesting properties for their application as implants, such as biocompatibility, good fracture resistance, as well as high fracture toughness and hardness. In this work the influence of sintering time on the properties of a ZrO₂–Al₂O₃ composite material, containing 20 wt% of Al₂O₃, has been investigated. The ceramic composites were obtained by sintering, in air, at 1600 °C for sintering times between 0 and 1440 min. Sintered samples were characterized by microstructure and crystalline phases, as well as by mechanical properties. The grain growth exponents, n, for the ZrO₂ and Al₂O₃ were 2.8 and 4.1, respectively, indicating that different mechanisms are responsible for grain growth of each phase. After sintering at 1600 °C, the material exhibited a dependency of hardness as function of sintering time, with hardness values between 1500 HV (120 min) and 1310 HV (1440 min) and a fracture toughness of 8 MPa m^1/2, which makes it suitable for bioapplications, such as dental implants.     

Modeling and Verifying Graph Transformations in Proof Assistants

This paper takes first steps towards a formalization of graph transformations in a general setting of interactive theorem provers, which will form the basis for proofs of correctness of graph transformation systems. Whereas graph rewriting is usually performed by mapping a pattern graph into a source graph by means of a graph morphism and then carrying out operations on the image node and edge set, this article generalises the notion of pattern graph to path expressions, which are formulae in a fragment of first-order logic. We examine the correspondence with traditional graph rewriting and show that this interpretation is beneficial when formally reasoning about model transformations with the aid of proof assistants.     

DropsBox: the Dresden Open Software Toolbox

The Dresden Open Software Toolbox (DropsBox) is a software modelling toolbox consisting of a set of open source tools developed by the Software Technology Group at TU Dresden. The DropsBox is built on top of the Eclipse Platform and the Eclipse Modeling Framework. The DropsBox contributes to the development and application of domain-specific language changes (DSLs) in model-driven software development. It can be customised by tool and language developers to support various activities of a DSL’s life cycle ranging from language design to language application and evolution. In this paper, we provide an overview of the DSL life cycle, the DropsBox tools, and their interaction on a common example. Furthermore, we discuss our experiences in developing and integrating tools for DropsBox in an academic environment.     

From laboratory- to pilot-scale: moisture monitoring in fluidized bed granulation by a novel microwave sensor using multivariate calibration approaches

Recently, microwave resonance technology (MRT) sensor systems operating at four resonances instead of a single resonance frequency were established as a process analytical technology (PAT) tool for moisture monitoring. The additional resonance frequencies extend the technologies’ possible application range in pharmaceutical production processes remarkably towards higher moisture contents. In the present study, a novel multi-resonance MRT sensor was installed in a bottom-tangential-spray fluidized bed granulator in order to provide a proof-of-concept of the recently introduced technology in industrial pilot-scale equipment. The mounting position within the granulator was optimized to allow faster measurements and thereby even tighter process control. As the amount of data provided by using novel MRT sensor systems has increased manifold by the additional resonance frequencies and the accelerated measurement rate, it permitted to investigate the benefit of more sophisticated evaluation methods instead of the simple linear regression which is used in established single-resonance systems. Therefore, models for moisture prediction based on multiple linear regression (MLR), principal component regression (PCR), and partial least squares regression (PLS) were built and assessed. Correlation was strong (all R²?>?0.988) and predictive abilities were rather acceptable (all RMSE ≤0.5%) for all models over the whole granulation process up to 16% residual moisture. While PCR provided best predictive abilities, MLR proofed as a simple and valuable alternative without the need of chemometric data evaluation.     

In Silico Evaluation of the Binding Site of Fucosyltransferase 8 and First Attempts to Synthesize an Inhibitor with Drug-Like Properties

Core fucosylation of N-glycans is catalyzed by fucosyltransferase 8 and is associated with various types of cancer. Most reported fucosyltransferase inhibitors contain non-drug-like features, such as charged groups. New starting points for the development of inhibitors of fucosyltransferase 8 using a fragment-based strategy are presented. Firstly, we discuss the potential of a new putative binding site of fucosyltransferase 8 that, according to a molecular dynamics (MD) simulation, is made accessible by a significant motion of the SH3 domain. This might enable the design of completely new inhibitor types for fucosyltransferase 8. Secondly, we have performed a docking study targeting the donor binding site of fucosyltransferase 8, and this yielded two fragments that were linked and trimmed in silico. The resulting ligand was synthesized. Saturation transfer difference (STD) NMR confirmed binding of the ligand featuring a pyrazole core that mimics the guanine moiety. This ligand represents the first low-molecular-weight compound for the development of inhibitors of fucosyltransferase 8 with drug-like properties.