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At least 73 records · Page 4

Ultrasound Imaging of Spine: State of the Art and Utility for Space Flight

Introduction: Ultrasound imaging (sonography) has been increasingly used for both primary diagnosis and monitoring of musculoskeletal injury, including fractures. In certain injuries, sonography has been shown to equal or surpass Magnetic Resonance Imaging in accuracy. Long-term exposure to reduced gravity may be expected to cause physiological and anatomical changes of the musculoskeletal system, which are not fully described or understood. In a limited-resource environment like space flight, sonography will likely remain the only imaging modality; therefore, further attention to its potential is warranted, including its ability to image anatomical deviations as well as irregularities of vertebrae and the spinal column. Methods: A thorough review of literature was conducted on the subject. A multipurpose ultrasound system was used to identify specific vertebrae, intervertebral disks, and other structures of the cervical spine in healthy volunteers, selected to represent various age, gender, and Body Mass Index (BMI) groups. Sonographic views were sought that would parallel radiographic views and signs used in the diagnosis of cervical spine injuries. Results: While using widely accepted radiographic signs of cervical spine injury, this sonographic protocol development effort resulted in successful identification of scanning planes and imaging protocols that could serve as alternatives for radiography. Some of these views are also applicable to diagnosing degenerative disk and bone disease, and other non-traumatic spine pathology. Strong, preliminary correlation has been demonstrated in a number of clinical cases between sonography and other imaging modalities. Conclusion: In the absence of radiography, sonography can be used to diagnose or rule out certain common types of cervical spine conditions including injury. Clinical validation of the findings appears to be realistic and would facilitate establishment of new sonographic protocols for special environments with lacking radiographic capability, such as human space flight.

Sargsyan, Ashot E.↗

Virtual Ultrasound Guidance for Inexperienced Operators

Medical ultrasound or echocardiographic studies are highly operator-dependent and generally require lengthy training and internship to perfect. To obtain quality echocardiographic images in remote environments, such as on-orbit, remote guidance of studies has been employed. This technique involves minimal training for the user, coupled with remote guidance from an expert. When real-time communication or expert guidance is not available, a more autonomous system of guiding an inexperienced operator through an ultrasound study is needed. One example would be missions beyond low Earth orbit, in which the time delay inherent with communication will make remote guidance impractical.

Caine, Timothy↗

Goal-Directed Ultrasound for the Diagnosis of Long-Bone Fractures by Crew Medical Officer Analogs

Current construction activities on-board the International space Station (ISS) may increase fracture incidence in space, and ultrasound (US) is the only tm-board diagnostic imaging capability. The clinical utility of US in identifying long-bone fractures is un1aowe, particularly using non-radiologist operators. We sought to determine the accuracy of US in identifying fractures of the humerus and femur, as performed by emergency medicine physicians and surgeons with minimal experience in ultrasound image acquisition and interpretation, after a standardized taming session.

Marshburn, Thomas H.↗

Exploratory Analysis of Carbon Dioxide Levels, Ultrasound and Optical Coherence Tomography Measures of the Eye During ISS Missions

Carbon dioxide (CO2) levels on board the International Space Station (ISS) have typically averaged 2.3 to 5.3 mmHg, with large fluctuations occurring over periods of hours and days. CO2 has effects on cerebral vascular tone, resulting in vasodilation and alteration of cerebral blood flow (CBF). Increased CBF leads to elevated intracranial pressure (ICP), a factor leading to visual disturbances, headaches, and other central nervous system symptoms. Ultrasound of the optic nerve and optical coherence tomography (OCT) provide surrogate measurements of ICP; in-flight measurements of both were implemented as enhanced screening tools for the Visual Impairment/Intracranial Pressure (VIIP) syndrome. This analysis examines the relationships between ambient CO2 levels on ISS, ultrasound and OCT measures of the eye in an effort to understand how CO2 may possibly be associated with VIIP and to inform future analysis of in-flight VIIP data.

Schaefer, C.↗

A Specialized Ultrasound Protocol for NASA's Renal Stone Surveillance and Clinical Practice

INTRODUCTION Ample evidence exists on the effectiveness of ultrasound in the diagnosis of kidney stones. However, terrestrial practice is mostly concerned with diagnosis of clinically significant urolithiasis. Adapting this non-irradiating, low-cost imaging modality for the asymptomatic astronaut population offers high-sensitivity screening and limits their career radiation dose. METHODS NASA developed a novel ultrasound-based detection and surveillance protocol to identify, categorize, and monitor mineralized renal material (MRM) in astronauts. The term MRM was developed to denote abnormal, presumably calcified, focal material of unknown clinical significance in the kidneys. Sonographic criteria for MRMs include measurable echogenic foci, their detectability in multiple, designated imaging plains, posterior shadowing, and “twinkle” pattern visualized in Color Doppler and/or demonstrated in Spectral Doppler modes. The mere discovery of an MRM does not trigger further imaging or intervention, unless the affected crewmember is mission-assigned, or the MRM meets actionable criteria based on size, location, and sonographic characteristics. If the threshold is met, the crew surgeon is notified, and additional diagnostic imaging and urology consultation are considered. RESULTS In total, 73 individuals have been scanned using our specialized methods, 60 have had more than one study done. As of April 2023, 282 total studies have been performed. So far, over 30 pairs of pre-and postflight studies have been obtained, and the findings are presented elsewhere in this panel. DISCUSSION A surveillance program was initiated nine years ago to screen asymptomatic members of the astronaut corps for renal calcifications, from their initial hiring, through their mission timeframes, and throughout their career. The goal is to reduce the probability that an astronaut will fly with a renal stone that may become symptomatic. This also gives NASA the information it needs to improve screening criteria for future long-duration crewed missions.

H Lyons↗

Interaction of high intensity focused ultrasound with biological materials

This work is motivated by the possible medical application of focused ultrasound in minimally invasive treatment of a variety of disorders including those associated with soft tissue or disk element disruption in the vicinity of the spine causing impingement on the spinal cord.

focused ultrasound HIFU PZFlex↗

Elastic-Poroelastic Simulation of Locally Resonant Ultrasound for Aging Li-Metal Batteries

An elastic-poroelastic simulation of ultrasound inspection for lithium-metal batteries is presented and compared to empirical reflection spectra measured during battery cycling. Simulated reflection spectra were obtained using a two-dimensional (2D) plane strain model, comprised of dozens of individual microns-thick layers within a Li-metal pouch cell. The simulated reflection spectra were then compared to ultrasonic reflection spectra measurements taken intermittently during cell cycling. A sensitivity analysis and parameter calibration were performed for the pristine pouch cell simulation prior to cycling, providing a baseline to account for difficult to measure poroelastic material parameters. Then, the reduction in solid Li anode thickness and corresponding growth into a mossy lithium layer was modeled to represent aging conditions. Results from both simulations and empirical inspections show similar trends in through-thickness resonance frequencies due to cell aging.

Battery↗

Some aspects of using ultrasounds to improve sulfurous mineral flotation technology

The results are discussed which were obtained with a new method of desorption of collector reagents connected with improving the selectivity of the flotation of copper and lead concentrate through the action of ultrasounds. Analysis of the results obtained by treating copper and lead concentrate in an ultraacoustic field indicates an increase in the copper content of the copper concentrate, of the lead content in the lead concentrate and, at the same time, a reduction in the lead of the copper concentrate.

Mihu, V. P.↗

Cracking and reformation of saturated hydrocarbons by ultrasound in the presence of water

The exposure of saturated hydrocarbons to ultrasound (800 kHz, 6 W/sq cm) in the presence of water results in: (1) cleavage of the carbon chain, producing saturated and unsaturated hydrocarbons with a lower number of carbons than the initial hydrocarbon (cracking); and (2) recombination after cleavage, producing saturated and unsaturated hydrocarbons with a higher number of carbons than the initial hydrocarbon (reformation). The addition of argon facilitates these phenomena. The effects are attributed to a homolytic (radical) mechanism occurring within the cavitation bubbles under the effects of microsparks.

Prudhomme, M. R. O.↗

Improvement of electric characteristics of lead accumulators under the action of ultrasounds

Results are given of experiments conducted in order to improve the electric characteristics of lead accumulators by ultrasonic irradiation of their electrolytes. The experimental results discussed complete the research conducted on static Le2, Le3 and D. Quaiser cells whose solutions were irradiated beforehand with ultrasounds of the frequency of 1 MHz. It is demonstrated that the discharge currents and capacitances of the investigated cells keep to higher values even 1 year after ultrasonic irradiation of the electrolyte. The experimental results are discussed.

Mihu, V. P.↗

Influence of ultrasounds on electrolytic polishing

On the basis of study of the electrolytic polishing of metal pieces, the following conclusions can be drawn: (1) Utilization of ultrasonically irradiated electrolytes in the electrolytic polishing of copper and steel pieces leads to enhanced polishing quality. (2) Polishing time for the reference pieces was twice as long as for the test pieces. (3) The chemical attack exerted on the surface of the test pieces in order to get the structure of the respective metal lasted less than half as long and yielded superior qualitative results in the copper as well as in the OT 60-2 steel test pieces polished with ultrasonically irradiated electrolytes. (4) The utilization of higher polishing current densities can be explained by the fact that the cavitational effect that arises in the electrolyte owing to ultrasounds contributes to an increase in the solution's electrical conductivity and elimination of gases from the electrolyte.

Gavrila, I.↗

Influence of moisture content on the velocity of ultrasounds in black poplar wood

Correlations among the longitudinal, radial and tangential velocities of ultrasounds in black poplar on the one hand and among these magnitudes and the wood's moisture content on the other hand are presented. Mathematical equations approximating these correlations are given, and the influence of moisture content on the elastic constants of wood is discussed. The possibility of using ultrasonic methods in automating the wood drying process and in testing the quality and homogeneity of wood is pointed out.

Bucar, V.↗