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Relatório IPEN-doc 30503

Radioembolização hepática

2024 - POZZO, LORENA; RIBEIRO, MARTHA S.; SHORTO, JULIAN B.; OLIVEIRA, MERCIA L. de; RODRIGUES JUNIOR, ORLANDO; MENEZES, MARIO O. de

Este estudo oferece um parecer institucional sobre a incorporação da técnica de radioembolização hepática com microesferas radioativas de Holmio-166 para o paciente com hepatocarcinoma intermediário e avançado irressecável no contexto do Sistema Único de Saúde brasileiro.

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Relatório IPEN-doc 30502

Monitoramento de horizonte tecnológico

2024 -

Este estudo oferece uma visão abrangente do desenvolvimento atual e futuro das microesferas dopadas com radionuclídeos para a técnica de radioembolização hepática, tanto no contexto interno quanto externo ao Instituto de Pesquisas Energéticas e Nucleares (IPEN). Também aborda sua aplicação e integração nos sistemas de saúde globais.

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Artigo IPEN-doc 30501

Advances in metallic‑based localized surface plasmon sensors for enhanced tropical disease detection

2024 - FAROOQ, SAJID; ZEZELL, DENISE M.

Tropical diseases present significant challenges to global health, particularly in resource-limited regions. Early and accurate detection of these diseases is vital for effective management and control. In recent years, metallic-based LSPR sensors have emerged as promising diagnostic tools for sensitive and rapid detection of tropical diseases. This comprehensive review aims to provide an in-depth analysis of the current state of research on metallic-based LSPR sensors for the detection of various tropical diseases. In this study, we focused on the connection between neglected tropical diseases (NTDs) and its risk using metallic-based LSPR sensors to identify potential inflammatory biomarkers. We conducted a literature search using PubMed, Web of Science, and Google Scholar. Only published materials written in English were considered, resulting in the identification of 220 articles. After a comprehensive evaluation, we selected 35 relevant ones. Our analysis revealed 35 links to neglected tropical diseases, providing valuable insights into their relationship using metallic-based LSPR sensors. Moreover, we explore the potential of metallic-based LSPR sensors in point-of-care testing and their integration with emerging technologies such as microfluidics and smartphone-based diagnostics. This review underscores the need for continued research efforts to develop affordable, sensitive, and user-friendly metallic-based LSPR sensors for early detection and surveillance of tropical diseases.

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Artigo IPEN-doc 30500

Computational evaluation of the bucky components influence on the estimation of normalized glandular dose in digital mammography

2024 - GODELI, J.; CUNHA, D.M.; POTIENS, M.P.A.; POLETTI, M.E.

The mean glandular dose (MGD) is the most suitable dosimetric quantity used in mammography to describe the absorbed dose by the breast, although it cannot be directly acquired. Studies have provided conversion factors widely implemented in international dosimetry protocols to estimate MGD, such as normalized glandular dose (DgN). Over time, the DgN estimation was refined by considering geometric models that approach a real clinical environment, such as new anode/filter combinations, compression plate and breast models. However, there is no detailed study of how the bucky (support plate, antiscatter grid and detector) can affect the DgN estimation. A modified PENELOPE Monte Carlo code was used for DgN estimation. The irradiation geometric model was built as a complete digital mammography system, considering a homogeneous breast and different typical bucky models in commercial mammography units. Simulations were carried out for mono and polyenergetic beams considering different imaging geometries. Studies with monoenergetic beams showed that the bucky presence affected DgN mainly for higher beam energies and thinner breasts. The breast support plate was the bucky component that most affected the DgN, followed by the antis-scatter grid and finally, the image detector. Studies with polyenergetic conventional (low-energy) spectra showed that the bucky exerted a minimal influence on DgN values (less than 1.0%). For high-energy spectra, mainly employed in modalities such as contrast-enhanced digital mammography, the DgN values were more affected by the bucky, increasing by 4.8% the DgN values for a 2 cm thick breast and a W/Cu 50 kV spectrum. Bucky inclusion in computer simulations is highly recommended mainly for thinner breasts and high-energy spectra. To simplify the simulations, we confirm that a homogeneous carbon fibre block support, with thickness between 3.9 and 4.1 mm, can be used as a good substitute for a complete bucky model.