António Abrantes

Screening of breast lesions: a comparative study between mammography, B-mode ultrasonography, sonoelastography and histological results *

Objective To compare the capacity of mammography, sonoelastography, B-mode ultrasonography and histological analysis to differentiate benign from malignant breast lesions. Materials and Methods A total of 12 histopathologically confirmed breast lesions were documented. The lesions were assessed by means of mammography, B-mode ultrasonography and sonoelastography, and histopathological analysis was utilized as a gold standard. Sensitivity and specificity were calculated. A receiver operating characteristic (ROC) curve was constructed to evaluate the diagnostic performance of the mentioned techniques. Results Sensitivity and specificity in the differentiation between benign and malignant lesions were respectively 100% and 50% for mammography, 100% and 71% for B-mode ultrasonography, and 67% and 83% for sonoelastography. The area under the ROC curve was calculated for the three imaging modalities and corresponded to 0.792 for mammography, 0.847 for B-mode ultrasonography, and 0.806 for sonoelastography. Conclusion Sonoelastography demonstrated higher specificity and lower sensitivity as compared with mammography and B-mode ultrasonography. On the other hand, B-mode ultrasonography had the largest area under the ROC curve. Sonoelastography has demonstrated to be a promising technique to detect and evaluate breast lesions, and could potentially reduce the number of unnecessary biopsies.

SOLAR-T : Terahertz Photometers to Observe Solar Flare Emission on Stratospheric Balloon Flights

A new solar flare spectral component has been found with intensities increasing for larger sub-THz frequencies, spectrally separated from the well known microwaves component, bringing challenging constraints for interpretation. Higher THz frequencies observations are needed to understand the nature of the mechanisms occurring in flares. A twofrequency THz photometer system was developed to observe outside the terrestrial atmosphere on stratospheric balloons or satellites, or at exceptionally transparent ground stations. 76 mm diameter telescopes were designed to observe the whole solar disk detecting small relative changes in input temperature caused by flares at localized positions at 3 and 7 THz. Golay cell detectors are preceded by low-pass filters to suppress visible and near IR radiation, band-pass filters, and choppers. It can detect temperature variations smaller than 1 K with time resolution of a fraction of a second, corresponding to small burst intensities. The telescopes are being assembled in a thermal controlled box to which a data conditioning and acquisition unit is coupled. While all observations are stored on board, a telemetry system will forward solar activity compact data to the ground station. The experiment is planned to fly on board of long-duration stratospheric balloon flights some time in 2013-2015. One will be coupled to the GRIPS gamma-ray experiment in cooperation with University of California, Berkeley, USA. One engineering flight will be flown in the USA, and a 2 weeks flight is planned over Antarctica in southern hemisphere summer. Another long duration stratospheric balloon flight over Russia (one week) is planned in cooperation with the Lebedev Physics Institute, Moscow, in northern hemisphere summer.

The performance of THz photometers for solar flare observations from space

The performance of the double THz photometers system is presented. It is the first detection device conceived to observed solar flare THz emissions on board of stratospheric balloons. The system, named SOLAR-T, has been built, integrated to data acquisition and telemetry modules developed for this application, and tested. It utilizes two Golay cell detectors preceded by low-pass filters, 3 and 7 THz band-pass filters, and choppers. SOLAR-T photometers can detect relative temperature variations smaller than 1 K with sub second time resolution. It is intended to determine the still unrevealed spectral shape of the mysterious THz solar flares emissions. The experiment is planned to fly on board of two long-duration stratospheric balloon flights over Antarctica and Russia in 2014-2016.

Study of scattered radiation during fluoroscopy in hip surgery

Objective To measure the scattered radiation dose at different positions simulating hip surgery. Materials and Methods We simulated fluoroscopy-assisted hip surgery in order to study the distribution of scattered radiation in the operating room. To simulate the patient, we used a anthropomorphic whole-body phantom, and we used an X-ray-specific detector to quantify the radiation. Radiographs were obtained with a mobile C-arm X-ray system in continuous scan mode, with the tube at 0º (configuration 1) or 90º (configuration 2). The operating parameters employed (voltage, current, and exposure time) were determined by a statistical analysis based on the observation of orthopedic surgical procedures involving the hip. Results For all measurements, higher exposures were observed in configuration 2. In the measurements obtained as a function of height, the maximum dose rates observed were 1.167 (± 0.023) µSv/s and 2.278 (± 0.023) µSv/s in configurations 1 and 2, respectively, corresponding to the chest level of health care professionals within the operating room. Proximal to the patient, the maximum values were recorded in the position occupied by the surgeon. Conclusion We can conclude that, in the scenario under study, health care professionals workers are exposed to low levels of radiation, and that those levels can be reduced through the use of personal protective equipment.