Vojtěch Mornstein

Infrared camera assessment of skin surface temperature - Effect of emissivity

Infrared thermoimaging is one of the options for object temperature analysis. Infrared thermoimaging is unique due to the non-contact principle of measurement. So it is often used in medicine and for scientific experimental measurements. The presented work aims to determine whether the measurement results could be influenced by topical treatment of the hand surface by various substances. The authors attempted to determine whether the emissivity can be neglected or not in situations of topical application of substances such as ultrasound gel, ointment, disinfection, etc. The results of experiments showed that the value of surface temperature is more or less distorted by the topically applied substance. Our findings demonstrate the effect of emissivity of applied substances on resulting temperature and showed the necessity to integrate the emissivity into calculation of the final surface temperature. Infrared thermoimaging can be an appropriate method for determining the temperature of organisms, if this is understood as the surface temperature, and the surrounding environment and its temperature is taken into account.

Cavitation-induced risks associated with contrast agents used in ultrasonography

Abstract The risks associated with the introduction of ultrasound contrast agents (UCAs) into the body and the subsequent insonation by diagnostic or therapeutic ultrasound are caused, in addition to microemboli and toxicity, by cavitation-conditioned phenomena. Microbubbles, which enhance ultrasound contrast, provide cavitation nuclei and may cause cavitation in the ultrasound field. Generally, in biological objects, cavitation phenomena can have chemical effects, such as production of free radicals, or can result in cell surface erosion by microjets. Microbubbles, which can travel in body fluids, could nucleate cavitation in a part of the body subjected to subsequent ultrasound or shock wave treatment. Therefore, the use of UCAs, which may cause or enhance cavitation under certain circumstances, should be restricted to cases where they are of proven benefit. Ultrasound or shock wave therapy of body parts in which UCAs can be entrapped should be performed with a sufficient time interval to allow for the elimination of cavitation nuclei.

Biological effects of combined ultrasound and cisplatin treatment on ovarian carcinoma cells

The effects of low-power ultrasound, the anti-cancer drug cisplatin, and their combined application were studied in two lines of human ovarian carcinoma cells, A2780 and A2780cis. Four modes of treatment were used: exposure to ultrasonic field, application of cisplatin, exposure to ultrasound followed by cisplatin, and presence of cisplatin followed by exposure to application ultrasound. Ultrasound was used at intensities of 0.5 W/cm(2) and 1.0 W/cm(2) for 10 min, cisplatin was applied at concentrations of 1 microM and 6 microM per cell suspension treated in A2780 and cisplatin-resistant A2780cis cells, respectively. The results of each experimental treatment were assessed by the resultant cell viability related to the viability of control cells, using a standard MTT test. It was shown that a combined effect of ultrasound and cisplatin was more effective than that of ultrasound or cisplatin alone. It also appeared that the order of application played a role, with the cisplatin-ultrasound treatment lowering cell viability more than the ultrasound-cisplatin treatment. It can be assumed that the exposure of cells to a low-power ultrasonic field has an immediate effect on the structure of cell surfaces and, consequently, on entry of cisplatin into the cell. The study also included observations on changes in the cell cycle associated with the treatments used in both cell lines and their evaluation by flow cytometry.

Effect of ultrasound on DNA synthesis in tumor cells

The objective of this study was to consider the influence of continuous-wave (CW) ultrasound (800 kHz) on DNA synthesis in Ehrlich ascitic tumor cells in vitro. The 10-min irradiation was carried out in rotating polyethylene tubes (5 rpm). Incorporation of 3H-thymidine was employed to detect DNA synthesis. Replication and unscheduled (repair) DNA synthesis were distinguished by means of hydroxyurea treatment before insonation. It was established that the use of 0.5 W/cm2 and 1.0 W/cm2 (ISA) CW ultrasound interfered with DNA synthesis showing up as inhibition. The inhibition became most noticeable when starting insonation in a sample cooled to 5 degrees C. During insonation, the sample temperature was allowed to increase to the ambient (water bath) temperature of 37 degrees C. However, at an ultrasound intensity (SA) of 0.1 W/cm2 such inhibition was not proven, but a moderate stimulation of DNA synthesis was demonstrated. Changes in DNA synthesis after insonation were found to be transient because of a lack of stimulatory and/or inhibitory ultrasound effects after 1-h incubation at 37 degrees C. In our experimental conditions no effects on DNA synthesis due to the effects of the insonated medium on the cells were discernible. No statistically significant changes in unscheduled DNA synthesis were observed. Possible action mechanisms are discussed.

AgCu Bimetallic Nanoparticles under Effect of Low Intensity Ultrasound: The Cell Viability Study In Vitro

The effects of metallic nanoparticles as cytotoxicity or antibacterial activity are widely known. It is also obvious that ultrasound is one of the most widely used therapeutic modalities in medicine. The effect of application of therapeutical ultrasonic field in the presence of metallic nanoparticles AgCu <100 nm modified by phenanthroline or polyvinyl alcohol was examined on human ovarian carcinoma cells A2780. Metallic nanoparticles were characterized by electron microscopy and by measuring of zeta potential. The cell viability was tested by MTT test. The experimental results indicate a significant decrease of cell viability, which was affected by a combined action of ultrasound field and AgCu nanoparticles. The maximum decrease of cells viability was observed for nanoparticles modified by phenanthroline. The effect of metallic nanoparticles on human cell in presence of ultrasound exposure was found—a potential health risk or medical advantage of targeted therapy in the future.

Ultrasound and Cisplatin Combined Treatment of Human Melanoma Cells A375—the Study of Sonodynamic Therapy

Sonodynamic therapy, an effect of low-power ultrasound field and the anticancer drug cisplatin, was studied in vitro on human melanoma cells A375. The viability of cells has been studied by standard 3-(4,5-dimethylthiazol-2-Yl)-2,5-diphenyltetrazolium bromide viability assay according to different modes of treatment: application of cisplatin alone, exposure of ultrasound field alone, exposure to ultrasound followed by cisplatin and application of cisplatin followed by exposure to ultrasound. Ultrasound was used at a therapeutic intensity of 1 W∙cm(-2) for 10 min. Concentration of cisplatin in the cell suspension was always 2.3 μM. The results show that sonodynamic therapy is one of the possibilities of how to intensify standard cytostatic therapy. This conclusion is supported by reducing the viability of studied cells, especially 72 h after the treatment. The time sequence of application of ultrasonic field and cytostatics appears to be a significant factor affecting the changes in cell viability. Maximum suppression of viability has been found when applying the experimental design involving application of cisplatin followed by exposure to ultrasound; the final value of viability of combined affected cells was more than 10% lower than for cisplatin treatment alone.

Infrared thermography as option for evaluating the treatment effect of percutaneous transluminal angioplasty by patients with peripheral arterial disease.

Aim of this study was to evaluate the possible use of infrared thermography as a supplementary method to the ankle-brachial index used in assessing the treatment effect of percutaneous transluminal angioplasty. The study included 21 patients, mean age was 60.22 years. Healthy control group included 20 persons, mean age was 55.60 years. Patients with symptomatic peripheral arterial disease (Fontaine stages I–III) were admitted for endovascular treatment by percutaneous transluminal angioplasty. Thermal images and ankle-brachial index values were obtained before and after treatment by percutaneous transluminal angioplasty. Median temperature change in the treated limb was 0.4℃, for non-treated limb was –0.5℃. The median value of ankle-brachial index in the treated limb increased by 0.17 from 0.81 after the procedure. The median value of ankle-brachial index in the non-treated limb decreased by 0.03 from the value of 1.01. Significant difference between treated limb and non-treated limb in change of ankle-brachial index was found with p value = .0035. The surface temperature obtained by the infrared thermography correlates with ankle-brachial index. We present data showing that the increase of ankle-brachial index is associated with increase of skin temperature in the case of limbs treated by percutaneous transluminal angioplasty. Our results also suggest potential of the use of infrared thermography for monitoring foot temperature as a means of early detection of onset of foot ischemic disorders.

Visualizing and Measuring the Temperature Field Produced by Medical Diagnostic Ultrasound Using Thermography.

The heating of tissues by diagnostic ultrasound can pose a significant hazard particularly in the imaging of the unborn child. The demonstration of the temperature field in tissue is therefore an important objective in the teaching of biomedical physics to healthcare professionals. The temperature field in a soft tissue model was made visible and measured using thermography. Temperature data from the images were used to investigate the dependence of temperature increase within the model on ultrasound exposure time and distance from the transducer. The experiment will be used within a multi-professional biomedical physics teaching laboratory for enhancing learning regarding the principles of thermography and the thermal effects of ultrasound to medical and healthcare students and also for demonstrating the quantitative use of thermographic imaging to students of biophysics, medical physics and medical technology.

Biomedical Device Learning Needs of General Nurses in First Cycle Programs in the Czech Republic

The objective of this study was to assess the bio-medical device learning needs of General Nurses in the Czech Republic so that we could design an updated biomedical physics curriculum for them. The methodology consisted of a postal survey targeting heads of academic and hospital Nursing departments in Czech universities and university hospitals. We were interested in knowing which device groups First Cycle General Nursing students are expected to know about and the level of competence expected for each device group. We were also interested to know whether there is agreement or other-wise between the expectations of hospital based clinical nursing departments and university based academic nursing departments. We present the results of the survey and discuss their relevance to biomedical physics curriculum development in the Czech Republic.

Capsaicin Effects on Human Facial and Neck Temperature

Capsaicin is an alkyl-amide that can be found in chilli peppers as its main irritant component with some analgesic properties. It has also many other properties, so it may help to control peripheral nerve pain as well as can be helpful during chemotherapy and radiotherapy. Capsaicin, as an irritant compound, affects body temperature. This study was aimed to specify what is its effect to facial and neck temperature. To obtain temperature distribution images the Workswell WIC 640 infrared camera was used in order to measure and visualize temperature. Facial and neck temperatures were measured before and after ingestion of about teaspoonful of Jalapeno chilli pepper extract of 6.000–8.000 SHU. Finally, surface body temperature was affected by ingestion of chilli pepper extract. Using the appropriate amount of capsaicin can be helpful in medicine but the individual variability of physiological reactions to this irritant substance must be considered.