Epigastric electrical impedance for the quantitative determination of the gastric acidity

Electrical impedance measurements have been used by scientists since the 1980s to investigate the gastric function. In this work, these measurements were carried out using the epigastrograph, a device generating alternating current of 32 kHz and injecting it in the gastric area of the human body with surface electrodes, located around the abdominal area. Although the method has been used for about three decades the physiological interpretation of these measurements is still under research. This work states that the electrical impedance measurements from the gastric area depend on the conductivity of the gastric lumen, due mainly to gastric acid secretions and to the conductivity and chemical form of the ingested meal. By choosing the proper test meal the gastric acidity in the empty, healthy stomach was also estimated. The estimated value is in accordance with the literature. The method is non-invasive, relatively inexpensive, simple to medical technologists and subjects, and involves no radiation risk. The method may form the basis for the development of a non-invasive gastric pH meter.

Radioactivity levels of staple foodstuffs and dose estimates for most of the Tanzanian population

Levels of natural radioactivity in staple food products (maize and rice) from various localities of Tanzania have been studied. The average activity concentrations of 40K, 232Th and 238U in maize were 48.79 +/- 0.11, 4.08 +/- 0.01 and 13.23 +/- 0.10 Bq kg(-1), respectively. In rice the concentrations of 40K, 232Th and 238U were 24.67 +/- 0.03, 3.82 +/- 0.02 and 5.02 +/- 0.02 Bq kg(-1), respectively. 137Cs was detected in only one sample collected in Zanzibar. The sample, with activity concentration of 5.57 +/- 0.01 Bq kg(-1), had been imported from Thailand. The relatively high average concentrations of the radionuclides in maize compared to rice may be attributed to the extensive use of phosphate fertilizers in maize production in Tanzania. Total annual committed effective doses due to total 232Th and 238U intakes as a result of consumption of staple foodstuffs for infants, children and adults were 0.16, 0.29 and 0.36 mSv y(-1), respectively, which are lower than the annual dose guideline for the general public.

A high-resolution anthropomorphic voxel-based tomographic phantom for proton therapy of the eye

Proton therapy is increasingly used in medical treatments for cancer patients due to the sharp dose conformity offered by the characteristic Bragg peak. Proton beam interactions with the eye will be simulated using the MCNPX Monte Carlo code and available nuclear cross-section data to calculate the dose distribution in the eye gel and surrounding organs. A high-resolution eye model will be employed using a 3D geometrical voxel-based anthropomorphic head phantom obtained from the Visible Human Project (female data). Manual segmentation of the eye, carried out by the Medical Physics group at the University of Surrey resulted in 15 identified structures. This work emphasizes the use of a realistic phantom for accurately predicting dose deposition by protons.

Lithium-gadolinium-borate as a neutron dosemeter

Lithium-gadolinium-borate (LGB) dispersed as microcrystals within the plastic scintillator BC-490 is a promising material for accurate neutron dosimetry in mixed n/gamma fields. Spectral information > 1 MeV is obtained by capture gating proton recoil events in the plastic scintillator to subsequent capture in (6)Li. Below 1 MeV, isolated capture events in either gadolinium or (6)Li give energy information in this region. Discrimination based on capture gating is used to reject false coincidences due to gamma rays or incorrectly gated neutron events. A detailed Monte Carlo model has been created in MCNPX that predicts the energy response of the LGB spectrometer in the capture-gated mode of operation. X-ray microtomography has been performed on the detector in order to obtain the LGB microcrystal distribution within the plastic scintillator, and this is incorporated into the model. The way in which the calculated response functions can be included in an unfolding procedure is outlined.

Neutron-fluence-to-dose conversion coefficients in an anthropomorphic phantom

A set of fluence-to-effective-dose conversion coefficients has been calculated for neutrons with energies <20 MeV using a high-resolution anthropomorphic phantom (Zubal model) and the MCNPX code. The calculation used 13 monodirectional monoenergetic neutron beams in the energy range 10(-9) to 20 MeV, under three different source irradiation configurations: anterior-posterior, posterior-anterior and left lateral. Dose calculations were performed for 18 selected organs of the body, for which the International Commission on Radiological Protection and the International Commission on Radiological Units and Measurements have set tissue weighting factors for the determination of the effective dose. Another set of neutron-fluence-to-effective-dose conversion coefficients was also calculated with the proposed modification wR from ICRP Publication 92. From comparison between the dose results calculated and the data reported for the MIRD and VIPMAN models, it can be concluded that, although some discrepancies exist between the Zubal model and the two other models, there is good agreement in the left lateral irradiation geometry.

Response of a lithium gadolinium borate scintillator in monoenergetic neutron fields

Accurate estimation of neutron dose requires knowledge of the neutron energy distribution in the working environment. Existing neutron spectrometry systems, Bonner spheres for example, are large and bulky, and require long data acquisition times. A portable system that could indicate the approximate neutron energy spectrum in a short time would be extremely useful in radiation protection. A composite scintillator, consisting of lithium gadolinium borate crystals in a plastic scintillator matrix, produced by Photogenics is being tested for this purpose. A prototype device based on this scintillator and digital pulse processing electronics has been calibrated using quasi-monoenergetic neutron fields at the low-scatter facility of the UK National Physical Laboratory (NPL). Energies selected were 144, 250, 565, 1400, 2500 and 5000 keV, with correction for scattered neutrons being made using the shadow cone technique. Measurements were also made in the NPL thermal neutron field. Pulse distributions collected with the digitiser in capture-gated mode are presented, and detection efficiency and energy resolution derived. For comparison, neutron spectra were also collected using the commercially available Microspec N-Probe from Bubble Technology Industries, which consists of an NE213 scintillator and a 3He proportional counter.

Introduction of a thermal response to the DSTL PADC personal neutron dosemeter

The response of the Defence Science and Technology Laboratory (DSTL) PADC personal neutron dosemeter is strongly dependent upon neutron energy, with a range of 300-500 tracks per cm2 per mSv for energies between 1 and 5 MeV. Below 1 MeV the response drops off sharply. This lack of sensitivity is undesirable when the dosemeter is employed with the softened fission spectra encountered in the workplace. In order to incorporate a thermal response, a polypropylene converter doped with LiF has been placed directly in front of the PADC elements. Tritons produced in the thermal neutron reaction 6Li (n,t)alpha at 2.7 MeV will then penetrate the PADC, leaving a trail of damage. The reaction rate within the converter has been calculated using MCNP for thermal neutrons and a range of higher energies, while transport of the tritons is modelled using the SRIM/TRIM package to determine the resultant track density and depth distribution. The modelling and experimental work have demonstrated that a concentration of 0.2% natural lithium by weight results in a track density in a thermal field comparable with that produced per unit personal dose equivalent by neutrons greater than 1 MeV in the standard dosemeter. Additional MCNP modelling has demonstrated that the dosemeters' albedo response to intermediate energy neutrons can be enhanced considerably by placing a boron-doped shield in front of the converter and increasing its lithium concentration.

Development and testing of an active area neutron dosemeter

This paper describes the design, development and testing of an active area neutron dosemeter (AAND). The classic moderator and central detector is retained but in AAND this arrangement is augmented by small thermal neutron detectors positioned within the moderating body. The outputs from these detectors are combined using an appropriately weighted linear superposition to fit both the ambient dose equivalent and the radiation weighting factor. Experimental verifications of both the modelled detector energy reponses and the overall AAND response are given. In the relatively soft D2O moderated 252Cf spectra, the AAND determined both the H*(10) and mean radiation weighting factor to better than +10%.

Whole body [O-15]water pharmacokinetics measured in blood

A simple pharmacokinetic model to explain the time course of [O-15] water in human whole blood after bolus injection is described. The model has been derived from measurements in twelve healthy volunteers who were measured repeatedly, resulting in 67 datasets, made in the context of PET blood flow studies. In contrast to traditional volume of distribution estimates of total body water (TBW) which rely on measurements after many hours, the model and data provide insights into the fast uptake components in the distribution of water in the body. Data fitting shows that the volume of distribution of fast exchanging tissues is 21 l. TBW was calculated to be 37 l. Monte Carlo simulation showed that the expected inaccuracy of determination of parameters due to unsystematic sources in the measurement data was around 5% for most parameters. Our data show that water extraction to tissue is somewhat higher than would be predicted from the tabulated values, probably because skeletal blood flow is sensitive to physiological status and environmental conditions. The study provides valuable reference data on the distribution and kinetics of water in man. Using the parameters and model from this study, reference input time-activity curves can be calculated, e.g. for the Monte Carlo study of error propagation in PET studies.

Physiological interpretation of electrical impedance epigastrography measurements

Measurement of the electrical impedance of the gastric region is carried out with the epigastrograph. This generates and applies alternating current around the abdominal area and measures the potential difference in order to determine the impedance externally, via electrodes. The change of epigastric impedance for a subject, given a meal after fasting, depends on the conductivity of the meal compared to the stomach and surrounding tissues. Typically a conductive meal has conductivity >7 mS cm(-1), non-conductive <2 mS cm(-1) and neutral about 4.5 mS cm(-1). Half-emptying times (T50s) from gastric emptying studies in volunteers using three test meals of 450 ml volume were obtained and found to be shorter than expected from the literature. The meals were a 10% glucose solution and two milk shakes of energy 1,300 kJ and 2,850 kJ, respectively. These electrical impedance epigastrography (EIE) measurements were carried out with scintigraphy. The T50 values of the latter were significantly longer. The direct comparison of the normalized experimental data obtained by both methods led to the concept that EIE measurements are mainly influenced by gastric secretion. Thus the EIE trace of a 'neutral' meal suggests the hypothesis that the volume of the meal is not the significant factor but is influenced by gastric acid secretions. Physiology of the gastric mucosa during the digestion of a meal and intragastric pH values also suggests this. Gastric function studies using EIE measurements may therefore reflect gastric ionic concentration rather than the volume of the contents of the stomach. In turn this could lead to the development of a non-invasive method for the continuous recording of gastric acid secretions.

Determination of cadmium and zinc in Alzheimer's brain tissue using inductively coupled plasma mass spectrometry

In this work, brain tissue was taken from Alzheimer's Disease (AD) subjects (n=11), 'normal' subjects (n=10) and from subjects with senile involutive cortical changes (SICC) (n=6). Concentrations of Cd and Zn were determined in all samples, using Inductively Coupled Plasma Mass Spectrometry (ICP-MS). The brain tissue was selected and obtained from the Netherlands Brain Bank. Samples were taken in each case, from both hemispheres of the superior frontal gyrus, the superior parietal gyrus, the medial temporal gyrus, the hippocampus and the thalamus of the same brain.Cd which is known to have no essential role in the brain was found to follow, as expected, a lognormal distribution of concentrations in 'normal' subjects (Shapiro-Wilk's test (0.98) (p<0.18)). For the Alzheimer's Disease subjects and SICC subjects, the data tends to follow a lognormal distribution, rather than a normal distribution, but is still significantly different from it (Shapiro-Wilk's test (0.97) (p<0.03); (0.93) (p<0.0067), respectively)). In the case of Zn concentrations, the data tends to follow a normal distribution for the 'normal' subject group, even though the data is significantly different from it (Shapiro-Wilk's test (0.95) (p<0.001)). Whereas in the Alzheimer's Disease and SICC subject groups, the data follows a normal distribution (Shapiro-Wilk's test (0.98) (p<0.21); (0.97) (p<0.2002), respectively)). When comparing age-matched groups, for all regions and both hemispheres, no significant differences (p>0.1) for Cd were found between 'normals' and Alzheimer's Disease subjects and Alzheimer's Disease subjects and SICC but at a low level of significance, lower concentrations of Cd were found in the SICC group compared to the 'normals'. For all regions and both hemispheres, Zn was found to be significantly decreased in the Alzheimer's Disease group, compared to the 'normal' and SICC groups. Zn concentrations were also found to be significantly decreased in the 'normals' compared to the SICC group. It is also of interest that Cd negatively correlates with the scale of tangles in both 'normals' (p<0.001) and Alzheimer's Disease subjects (p<0.01). In the SICC subjects Cd correlates negatively with the tangles but not significantly so (p>0.1).

Variance in parametric images: direct estimation from parametric projections

Recent work has shown that it is possible to apply linear kinetic models to dynamic projection data in PET in order to calculate parameter projections. These can subsequently be back-projected to form parametric images--maps of parameters of physiological interest. Critical to the application of these maps, to test for significant changes between normal and pathophysiology, is an assessment of the statistical uncertainty. In this context, parametric images also include simple integral images from, e.g., [O-15]-water used to calculate statistical parametric maps (SPMs). This paper revisits the concept of parameter projections and presents a more general formulation of the parameter projection derivation as well as a method to estimate parameter variance in projection space, showing which analysis methods (models) can be used. Using simulated pharmacokinetic image data we show that a method based on an analysis in projection space inherently calculates the mathematically rigorous pixel variance. This results in an estimation which is as accurate as either estimating variance in image space during model fitting, or estimation by comparison across sets of parametric images--as might be done between individuals in a group pharmacokinetic PET study. The method based on projections has, however, a higher computational efficiency, and is also shown to be more precise, as reflected in smooth variance distribution images when compared to the other methods.

No effect of glucagon-like peptide-1 on short-term satiety and energy intake in man

Centrally administered glucagon-like peptide-1 (GLP-1) inhibits feeding in fasted rats, but its role in human satiety has been largely unexplored. The present study investigated the effect of peripheral GLP-1 infusion on gastric emptying and satiety in man. Ten non-obese male subjects were infused in a randomized single-blind within-subject crossover study using saline infusion as control. They received either a GLP-1 infusion (1.2 pmol/kg per min) or a saline infusion for 1 h, at 18.00 hours. At 20 min after starting the infusion the gastric emptying of a 400 ml water load was measured. Subjects completed behavioural self-rating scales to assess hunger and satiety. After 40 min subjects were given a buffet meal ad libitum and their food intake was recorded. GLP-1 infusion raised circulating GLP-1 concentrations to approximately twice those seen following a meal. It did not affect circulating insulin levels but caused a small fall in glucose levels. Gastric emptying of the water load was significantly delayed by the GLP-1 infusion. Energy intake from the buffet was unaffected by GLP-1 infusion. Self-assessment of hunger and satiety was similarly unaffected by the infusion before the buffet meal, although subjects tended to be less hungry after the buffet meal following GLP-1 infusion (P < 0.09). GLP-1 infusion delayed gastric emptying but had a minimal effect on food intake and satiety. This study casts doubts on whether GLP-1 is a major satiety factor in man, although a raised circulating plasma glucose level, as would normally occur postprandially, might be necessary for GLP-1 to increase satiety.

Hydrophilic crosslinked copolymers as tissue-equivalent materials for breast cancer detection

Crosslinked hydrophilic copolymers have the potential to be used as breast phantom materials because they can be made to have similar elemental composition to that of body soft tissues. The copolymer, which consists of a combination of hydrophobic monomers (methyl methacrylate [MMA]) and hydrophilic monomers (vinylpyrolidone [VP]), have all the required major elements, such as hydrogen, carbon, nitrogen, and oxygen, found in tissues. Photon attenuation measurements were performed on the crosslinked hydrophilic copolymers in order to ascertain whether they are good representatives of breast tissues in the photon energy range of interest. The results of the measurements of transmission of photons by the hydrophilic copolymers at different discrete energies between 10 and 60 keV are presented.

A comparative study in Alzheimer's and normal brains of trace element distribution using PIXE and INA analyses and glucose metabolism by positron emission tomography

The onset of Alzheimer's disease has been shown to affect trace element concentrations in the brain when compared to "normal" subjects in ex vivo samples. The techniques used to determine trace element concentrations were proton-induced X-ray emission and instrumental neutron activation analysis. With these methods, significant differences are seen between lobes within a hemisphere and between the same lobes of opposing hemispheres for "normal" brains. The change observed in trace element concentrations may indicate a possible alteration in the function of the blood-brain barrier, the effect of which can be investigated in vivo using the imaging technique of positron emission tomography (PET). A PET study was performed on nine female and nine male subjects to determine whether the regional metabolic rate of glucose (rCMRGlu) varied between hemispheres and sex in the Alzheimer diseased brain as was seen in the trace element study. Glucose metabolism was measured using [F-18]-fluorodeoxyglucose (18F-FDG). Hemispherical differences were observed for the frontal, occipital, parietal lobes, and the temporolateral region in both males and females for rCMRGlu. Variation was also seen between sexes, where the frontal lobe had a lower rCMRGlu in females compared to that of males.

Improvements in the determination of radionuclide distribution in the analysis of irradiated samples using double-differentiation method

The spatial response of an 8 x 4 block detector made up of 5.6-mm-wide, 12.9-mm-high, 30-mm-thick individual detector crystals to a collimated line source of 511 keV annihilation photons was examined. The response of each crystal showed a spread around the average positioning values and distributions from adjacent crystals overlapped as the collimated source scanned the individual detectors. This leads to possible errors in the event assignment. The implementation of double differentiation or the second derivative method was proposed for the removal of scattered photons so as to reduce the overlap and, hence, avoid mis-positioning. This method is a mathematical solution implemented when analysing the results. A curve in a spatial spectrum could be considered to be a function f(x), where x is the position. When double differentiation of f(x) is carried out, then the normalized curve d2f(x) appears with some reduction in the wings. It was shown that a reduction of the scattering contribution in the tails without overestimating the contribution of scattered events could be achieved by implementing a double-differentiation process.

Determination of trace elements in porcine brain by inductively coupled plasma-mass spectrometry, electrothermal atomic absorption spectrometry, and instrumental neutron activation analysis

Methods have been developed for the analyses of trace metals in various areas of porcine brains, (temporal, parietal, frontal cortex, both right and left hemispheres). Determinations were carried out using inductively coupled plasma-mass spectrometry (ICP-MS) and electrothermal atomic absorption spectrometry (ETAAS). The elements investigated were Li, Mn, Cu, Zn, Cd, Hg, and Pb by ICP-MS and Cu, Cd, and Mn by ETAAS. For determination by ICP-MS, a method of standard additions calibration coupled with internal standards was used, and for ETAAS, standard additions calibrations were prepared. The accuracy of all methods was determined using NIST and IAEA certified reference material. A small number of pig brains were analyzed by instrumental neutron activation analysis for Cr, Co, Cs, Fe, Rb, Se, Sc, Sb, and Zn using the comparator method of analysis. Four separate NIST standard reference materials have been used to examine the validity of the comparator method.

Elemental composition changes between breast tissue with and without silicone gel sheeting and hypertrophic scar tissue

Hypertrophic scars occur after dermal trauma and are characterized by being elevated above normal skin level as a result of an abundance of collagen. The application of silicone gel sheeting (SGS) has been found to be an effective method of treatment, causing them to regress much quicker than they would do naturally. Normal skin and hypertrophic scar tissue were characterized using proton-induced X-ray emission (PIXE). Skin tissue that had been covered in SGS was also analyzed. For each element and sample type, the concentrations in the epidermis were plotted against the dermis. By considering the concentrations of breast tissue with and without SGS, it could be seen if the SGS changed the compositional structure of the skin. It was found that for the elements P, S, Cl, and K the SGS has no effect on the structure of the skin, as both breast types (with and without SGS) have regression lines that overlap. However, this work shows that there are significant differences for P in the dermis and Cl in the epidermis between the breast tissue with SGS and its control. Therefore, this work shows that the effect the SGS has on concentration occurs similarly for both the epidermis and dermis.

Elemental analysis of blood of Nigerian hypertensive subjects

Proton-induced X-ray emission (PIXE) has been used to obtain the concentrations of 11 elements (P, S, Cl, K, Ca, Fe, Cu, Zn, Br, Rb, and Cd) in whole-blood samples of 16 hypertensive subjects (mean age: 52.5 +/- 0.5 yr) and 18 age-matched controls (mean age: 51.5 +/- 0.5 yr) in a Nigerian population. The results of the study indicate that the hypertensive subjects have significantly higher mean concentration of Cl, Cd, Cu, and Zn when compared with the controls, and the mean concentration of P, K, and Ca was found to be significantly lower in the hypertensive group in comparison to the controls. Furthermore, the Zn:Cd ratio was found to be significantly higher in the controls than in the hypertensives, and the Cu:Zn ratio was significantly higher in the hypertensives.

Electron density of normal and pathological breast tissues using a Compton scattering technique

Compton (incoherently) scattered photons which are directly proportional to the electron density of the scatterer, have been employed in characterising human breast tissues. Gamma ray photons scattered incoherently from normal and pathological breast tissue samples of nine breast cancer patients were measured using a high purity germanium detector and an americium (Am-241) source. The breast tissue samples were obtained from female patients undergoing mastectomy. The samples were examined in freeze dried form and the results were corrected for the reduction in the water content of each tissue type by use of the Mixture Rule. This study is aimed at providing electron density information in support of the introduction of new tissue substitute materials for mammography phantoms.