LUCAS RAMOS DE PRETTO

LUCAS RAMOS DE PRETTO

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Noninvasive red Laser intervention before radiotherapy of triple-negative breast cancer in a murine model
2023 - SILVA, CAMILA R.; PEREIRA, SAULO T.; SILVA, DANIELA F.T.; PRETTO, LUCAS R. de; FREITAS, ANDERSON Z.; ZEITUNI, CARLOS A.; ROSTELATO, MARIA E.C.M.; RIBEIRO, MARTHA S.
In proton beam treatments, the superposition of several weighted Bragg curves with different incident energies is required to homogeneously irradiate a large tumor volume, creating a spread-out Bragg peak (SOBP). This paper confirms on the suitability of two different methods to create SOBPs – Bortfeld/Jette's and MCMC (Monte Carlo calculations and Matrix Computations), using Monte Carlo simulations performed with TOPAS and MCNP6.1. To generate the SOBPs, algorithms were developed for implementation of the two methods, which enabled to find the weights for thirty variations of SOBPs, categorized according to their width and maximum depths. The MCMC method used weight optimization in designing SOBPs to avoid negative values. In contrast, the Bortfeld/Jette's method yielded the SOBPs according to the variation of a power-law parameter ( ) introduced by the range-energy relationship. Optimal values of , from MCNP and TOPAS, were selected in order to retrieve SOBPs with the best smoothness and then related to those obtained from the literature. In comparing both methods and codes, dose homogeneity parameters ( ) were used to examine the SOBP flatness and gamma analyses were employed to assess the dose deposition along its full extension. The results showed that the SOBPs designed using the MCMC method had better values and computational performance for both codes when compared to the Bortfeld/Jette's method. The gamma analyses highlighted significant differences between the entrance doses comparing the two different methods, for SOBPs with intermediate and high depths and small width. This evaluation was not possible with the values alone, which stresses the relevance of a broad analysis to avoid unintended doses in healthy tissues.
Long-term functioning status of COVID-19 survivors
2022 - BATTISTELLA, LINAMARA R.; IMAMURA, MARTA; DE PRETTO, LUCAS R.; VAN CAUWENBERGH, SIMON K.H.A.A.; RAMOS, VINICIUS D.; UCHIYAMA, SABRINA S.T.; MATHEUS, DENISE; KUHN, FLAVIA; OLIVEIRA, ANA A.A. de; NAVES, GABRIELLA S.; MIRISOLA, ALINE R.; RIBEIRO, FERNANDO de Q.; SUGAWARA, ANDRE T.; CANTARINO, MAURICIO; CAVALCA, RAFAEL A.S.A.; PAGANO, VANESSA; MARQUES, MELINA V.; SILVA, ELIZABETH M. da; GOMES, ALESSANDRA P.; FREGNI, FELIPE
Objectives The study investigated the long-term functional status of hospitalised COVID-19 survivors to explore and document their functional situation. Design This prospective observational study assessed 801 COVID-19 survivors at 3–11 months after hospital discharge. It analyses participants' sociodemographic background, COVID-19 clinical manifestations, and clinical and functional evaluations. Setting Tertiary-level university hospital in São Paulo, Brazil. Participants Study participants are COVID-19 survivors admitted to hospital care for at least 24 hours to treat acute SARS-CoV-2 infection. Outcome measures Epworth Sleepiness Scale, EuroQoL-5 Dimensions-5 Levels, Functional Assessment of Chronic Illness Therapy–Fatigue, Functional Independence Measure, Functional Oral Intake Scale, Handgrip Strength, Insomnia Severity Index, Medical Research Council (MRC) Dyspnea Scale, MRC sum score, Modified Borg Dyspnea Scale, pain Visual Analogue Scale, Post-COVID-19 Functional Status, Timed Up and Go, WHO Disability Assessment Schedule 2.0, 1-Minute Sit to Stand Test. Results Many participants required invasive mechanical ventilation (41.57%, 333 of 801). Mean age was 55.35±14.58 years. With a mean of 6.56 (SD: 1.58; 95% CI: 6.45 to 6.67) months after hospital discharge, 70.86% (567 of 800) reported limited daily activities, which were severe in 5.62% (45 of 800). They also reported pain and discomfort (64.50%, 516 of 800), breathlessness (64.66%, 514 of 795), and anxiety and depression (57.27%, 457 of 798). Daytime sleepiness and insomnia evaluations showed subthreshold results. Most (92.85%, 727 of 783) participants reported unrestricted oral intake. Data indicated no generalised fatigue (mean score: 39.18, SD: 9.77; 95% CI: 38.50 to 39.86). Assessments showed poor handgrip strength (52.20%, 379 of 726) and abnormal Timed Up and Go results (mean 13.07 s, SD: 6.49). The invasive mechanical ventilation group seemed to have a better handgrip strength however. We found no clear trends of change in their functional status during months passed since hospital discharge. Conclusions Muscle weakness, pain, anxiety, depression, breathlessness, reduced mobility, insomnia and daytime sleepiness were the most prevalent long-term conditions identified among previously hospitalised COVID-19 survivors.
Nondestructive evaluation of fused filament fabrication 3D printed structures using optical coherence tomography
2020 - DE PRETTO, LUCAS R.; AMARAL, MARCELO M.; FREITAS, ANDERSON Z. de; RAELE, MARCUS P.
Purpose – The quality of components under fused filament fabrication (FFF) is related to the correct filament spacing and bonding of successively deposited layers and is evaluated mainly by scanning electron microscopy (SEM). However, it is a destructive technique and real-time evaluation is not possible. Optical coherence tomography (OCT), on the other hand, is an optical method that acquires cross-sectional images non-invasively and in real-time. Therefore, this paper aims to propose and validate the use of OCT as a non-destructive quality evaluation tool for FFF using Polylactic Acid (PLA) filaments. Design/methodology/approach – PLA three-dimensional (3D) printed samples were made in a variety of nozzle temperatures and mesh spacing. These samples were fractured in liquid nitrogen and inspected using SEM (as a gold standard) to evaluate dimensions and morphology, then the samples were evaluated by OCT in the same area, allowing the results confrontation. Findings – Our results indicate a good correlation between OCT and SEM for the dimensional assessment of layers. When the filament was extruded in lower temperatures, the OCT images presented sharply defined interfaces between layers, in contrary to higher nozzle temperatures, denoting better fusion between them. However, higher extruding temperatures are incurred in greater deviations from nominal dimensions of the mesh. Finally, we demonstrate the advantage of a full 3D tomographic reconstruction to inspect within a FFF sample, which enabled the inspection of “hidden” information, not visible on a single cross-sectional cut. Originality/value – This paper proposes OCT as a novel and nondestructive evaluation tool for FFF.
Osteoporosis evaluation through full developed speckle imaging
2020 - AMARAL, MARCELLO M.; DEL-VALLE, MATHEUS; RAELE, MARCUS P.; DE PRETTO, LUCAS R.; ANA, PATRICIA A.
Osteoporosis is a disease characterized by bone mineral density reduction, weakening the bone structure. Its diagnosis is performed using ionizing radiation, increasing health risk. Optical techniques are safer, due to non-ionizing radiation use, but limited to the analyses of bone tissue. This limitation may be circumvented in the oral cavity. In this work we explored the use of laser speckle imaging (LSI) to differentiate the sound and osteoporotic maxilla andmandible bones in an in vitro model. Osteoporosis lesions were simulated with acid attack. The samples were evaluated by optical profilometry and LSI, using a custom software. Two image parameters were evaluated, speckle contrast ration and patches ratio. With the speckle contrast ratio, it was possible to differentiate sound from osteoporotic tissue. From speckle patches ratio it was observed a negative correlation with the roughness parameter. LSI is a promissory technique for assessment of osteoporosis lesions on alveolar bone.
Optical coherence tomography for blood glucose monitoring in vitro through spatial and temporal approaches
2016 - PRETTO, LUCAS R. de; YOSHIMURA, TANIA M.; RIBEIRO, MARTHA S.; FREITAS, ANDERSON Z. de
As diabetes causes millions of deaths worldwide every year, new methods for blood glucose monitoring are in demand. Noninvasive approaches may increase patient adherence to treatment while reducing costs, and optical coherence tomography (OCT) may be a feasible alternative to current invasive diagnostics. This study presents two methods for blood sugar monitoring with OCT in vitro. The first, based on spatial statistics, exploits changes in the light total attenuation coefficient caused by different concentrations of glucose in the sample using a 930-nm commercial OCT system. The second, based on temporal analysis, calculates differences in the decorrelation time of the speckle pattern in the OCT signal due to blood viscosity variations with the addition of glucose with data acquired by a custom built Swept Source 1325-nm OCT system. Samples consisted of heparinized mouse blood, phosphate buffer saline, and glucose. Additionally, further samples were prepared by diluting mouse blood with isotonic saline solution to verify the effect of higher multiple scattering components on the ability of the methods to differentiate glucose levels. Our results suggest a direct relationship between glucose concentration and both decorrelation rate and attenuation coefficient, with our systems being able to detect changes of 65 mg∕dL in glucose concentration.
Microfluidic volumetric flow determination using optical coherence tomography specke: An autocorrelation approach
2016 - PRETTO, LUCAS R. de; NOGUEIRA, GESSE E.C.; FREITAS, ANDERSON Z.