Search Results (488)

Drainage solution reuse in soilless strawberry production can reduce nutrient-rich discharge, but adoption requires microbial control, hydraulic reliability, and manageable energy demand. This field study evaluated a photovoltaic (PV) assisted ultraviolet-C (UV-C) treatment loop for substrate derived drainage solution in a 132 m² three-tier natural light greenhouse producing ‘Solhyang’ strawberry in Sokcho-si, Republic of Korea. The system used an 11.25 kWp vertical windbreak-type PV facility and a 650 W treatment loop comprising a 250 W low-pressure mercury UV-C reactor, a 350 W pump, and a 50 W controller. The loop operated for 2.5 h day⁻¹, processed 3.25 m³ day⁻¹ as cumulative reactor throughput, and consumed 1.625 kWh day⁻¹, equal to 4.22% of the measured daily PV alternating current (AC) output (38.5 kWh day⁻¹). The drainage solution had low ultraviolet transmittance at 254 nm (UVT₂₅₄; 25–50%) and moderate turbidity (5–30 NTU), conditions that can attenuate UV radiation and shield microorganisms. Across six post fruit set sampling events, the mean log₁₀ reductions were 1.15 ± 0.09 for culturable molds/fungal propagules and 1.64 ± 0.09 for culturable aerobic bacteria; paired tests on log₁₀ transformed counts were significant (p < 0.001). Total coliform bacteria were not detected after treatment, corresponding to a detection limit-based lower-bound reduction of ≥2.69 ± 0.17 log₁₀. Apparent fluence values were treated as engineering estimates rather than validated delivered dose. The results support UV-C sanitation as a preliminary enabling step for drainage solution reuse, while biodosimetry, untreated circulation controls, multi-stage seasonal sampling, full-season recirculation, and crop response validation remain necessary. Full article

The growing demand for polymer recycling requires effective approaches to improve the performance of recycled materials and expand their practical applications. In this study, electron-beam irradiation was investigated as a method for modifying recycled polyethylene obtained from façade-fastening elements. Virgin PE-80 polyethylene was used as a reference material for comparison. Irradiation was carried out using an ILU-10 electron accelerator (5 MeV) at doses of 95–125 kGy. Structural, morphological, elemental, thermal, crosslinking, and mechanical characteristics were evaluated using FTIR spectroscopy, SEM/EDS analysis, differential scanning calorimetry (DSC), gel fraction determination, and tensile testing according to ISO 527. The results showed that irradiation promotes the formation of a crosslinked network structure in both materials, as confirmed by the increase in gel fraction with increasing dose. For recycled polyethylene, gel fraction values increased from 46.7 to 56.2%, indicating effective radiation-induced crosslinking despite the structural heterogeneity of the material. FTIR analysis revealed the formation of oxygen-containing functional groups associated with radiation-induced oxidation, which was more pronounced in recycled polyethylene due to the presence of pre-existing defects and degradation products. SEM observations revealed increased surface roughness and localized fibrillar features after irradiation, while DSC analysis indicated a decrease in the crystallinity of recycled polyethylene associated with radiation-induced crosslinking and restricted molecular chain rearrangement. Mechanical testing showed an increase in tensile strength and elastic modulus accompanied by a reduction in elongation at break. Among the investigated irradiation doses, 110 kGy provided the most favorable balance between crosslinking efficiency and preservation of structural integrity. These findings demonstrate that electron-beam irradiation is an effective strategy for upgrading recycled polyethylene by improving its mechanical performance while maintaining structural integrity, thereby expanding its potential for reuse in circular economy applications. Full article

Skeletal safety of glucagon-like peptide-1 receptor agonists (GLP-1RAs) remains uncharted, with emerging evidence suggesting a divergence between mono- and dual-agonist therapies. GLP-1RA monotherapy appears bone-neutral, with modest or no adverse effects on bone mineral density (BMD), whilst dual agonists may confer a relatively higher risk of osteoporosis and fractures, plausibly mediated by greater weight loss magnitude and concomitant reductions in lean body mass (LBM) rather than direct osteotoxicity. Intensified surveillance is warranted in susceptible phenotypes, including older adults and postmenopausal women with low baseline BMD under conditions of rapid weight loss. Osteoporosis risk is further amplified by pre-existing osteopenia, nutritional deficiencies, and concomitant exposure to bone-active agents. Given the limitations of serial dual-energy X-ray absorptiometry (DXA), including cumulative radiation exposure and limited sensitivity to early remodeling changes, biochemical markers potentially depict bone turnover more dynamically. Measurement of dynamic bone resorption markers enables early identification of skeletal disturbances, supporting proactive adjustment of therapeutic strategy, dosing, and duration. Specifically, deoxypyridinoline (DPD), a bone-specific collagen crosslink, is a highly sensitive and rapidly responsive urine biomarker of osteoclastic activity. Incorporating DPD urine testing into monitoring frameworks potentially facilitates individualized therapeutic modulation, optimizing the metabolic efficacy of GLP-1RAs while safeguarding skeletal integrity. Full article

Monitoring ultraviolet (UV) radiation dose distribution is crucial in many fields, like medicine and materials science, but traditional point-of-care methods limit the ability to fully assess the spatial extent of the irradiated surface. This paper presents the characterisation of a two-dimensional (2D) dosimetry system based on Pluronic F-127 hydrogel matrix doped with 2,3,5-triphenyltetrazolium chloride (TTC) with respect to exposition to UVA radiation. The hydrogel matrix (25% w/w) provides both high transparency and mechanical stability, while TTC (0.1% w/w) functions as a colour precursor that undergoes irreversible reduction to form water-insoluble red formazan upon UVA exposure. The insolubility of TTC formazan ensures that the resulting colour changes remain spatially stable within the dosimeter. The study included sample preparation in flat PMMA containers and analysis of the effect of radiation field uniformity in a UVP CL-1000 exposure chamber. It was supported by application of Kodak X-Omat 100 NIF UV Film dosimetry. The actual dose distribution in the chamber was shown to be significantly heterogeneous (CV coefficient of variation of approximately 18%), which emphasises the need for 2D dosimeters for precise validation of irradiation devices. The use of flatbed scanning and dedicated image analysis software allowed obtaining precise 2D dose distribution maps. The dosimeter was characterised in the dose range of 0–5000 mJ/cm², showing a reproducible response (R² = 0.9967). A resolution test was conducted to assess the precision of geometric representation. In the final stage of the study, the suitability of the developed dosimetry system was verified under conditions simulating heterogeneous UV radiation dose distribution using patterns printed with Computer-to-Film (CtF) technology. The results showed that optical effects in printed films significantly affect UV transmission, limiting accurate dose recording for black coverage above approximately 40–50%. The results obtained confirm that the TTC-Pluronic F-127 system is an effective, simple and low-cost tool for 2D monitoring of UVA radiation, with potential applications in cosmetology, dermatology, and material ageing tests. Full article

Artificial intelligence (AI) is reshaping the field of diagnostic radiology; however, its applications in interventional radiology and pediatric interventional radiology (PIR) remain limited despite clear clinical needs and the rich multimodal data environment characteristic of pediatric procedural care. In this narrative review, I summarize the current state of AI technologies relevant to PIR and outline future perspectives for their clinical integration. Peer-reviewed literature and position statements identified through MEDLINE/PubMed, Embase, Scopus, and major society publications up to the first quarter of 2026 are synthesized, focusing on AI applications across the PIR care pathway, including dose-sparing image acquisition and reconstruction, automated image interpretation and computer-aided diagnosis, data-driven procedural planning and navigation, and post-procedural risk prediction and monitoring. After briefly introducing core machine learning and deep learning concepts, pediatric-specific challenges are discussed, including radiation sensitivity, growth-related anatomical variability, regulatory constraints, and the scarcity of large, annotated datasets, as well as existing and emerging applications along the PIR care pathway: AI-assisted dose reduction and image reconstruction, automated image interpretation, segmentation, and computer-aided diagnosis; data-driven procedural planning, including three-dimensional modelling, augmented reality, AI-enabled/AI-adjacent robotics, and AI-directed procedural navigation; and post-procedural risk prediction and outcome monitoring. Finally, emerging paradigms, including explainable AI, federated learning, and multimodal integration, are highlighted, and research priorities, collaborative frameworks, and governance principles required to ensure safe, equitable, and effective AI deployment in PIR are outlined. In doing so, this review delineates the current evidence gaps and priority directions for clinically meaningful AI adoption in PIR. Although AI has the potential to improve patient care, it has not yet been specifically designed, validated, or deployed in children. Existing work demonstrates feasibility across the PIR workflow, but most tools remain weakly linked to pediatric clinical endpoints. Full article

Low-dose radiation (LDR) has emerged as a promising therapeutic modality for Alzheimer’s Disease (AD). Although different irradiation protocols have been explored, the optimal parameters for maximizing therapeutic efficacy remain unclear. Radiation energy has been shown to influence radiobiological responses, with more pronounced effects at lower energy ranges. We therefore investigated whether kilovoltage LDR (KLDR) provides superior therapeutic efficacy compared with megavoltage LDR (MLDR) in a murine model of AD(3xTg-AD). To this end, we directly compared the efficacy of MLDR and KLDR in AD model mice to identify an optimal irradiation strategy for LDR treatment with potential relevance to clinical translation in AD. X-rays with 110-kV or 6-MV energy were applied to the brain of AD model mice at an early-stage of disease progression (26–28 weeks age; 0.6 Gy × 5 fractions for 2.5 weeks). After LDR treatment, cognitive function was assessed in AD model mice using passive avoidance (PA) test and novel object recognition (NOR) test. In addition, different molecular markers associated with inflammation, amyloid-beta (Aβ) plaques, tau burden, and neuronal and synaptic degeneration were analyzed in the brain of AD model mice. KLDR (110 kV) significantly inhibited cognitive decline in AD model mice, as demonstrated by both the PA and NOR tests. In addition, KLDR significantly reduced hippocampal levels of GFAP, Iba-1, and pro-inflammatory cytokines (TNF-α, IL-6, and IL-1β), while increasing anti-inflammatory cytokines (TGF-α, TGF-β, and IL-10), and was associated with marked reductions in Aβ and tau levels. Furthermore, the expression levels of Aβ40 and Aβ42 were quantified by ELISA following KLDR and MLDR treatment, revealing a statistically significant reduction in the KLDR group. The degeneration of neurons and synapses was significantly suppressed also at the kilovoltage energy level. Conversely, MLDR (6 MV) exerted minimal effects and did not produce statistically significant improvements. Taken together, our findings demonstrate that radiation energy level is a key determinant of LDR therapeutic efficacy in AD model mice, with KLDR showing significantly greater effectiveness in improving AD-related pathological features than MLDR. Therefore, KLDR may be recommended as a novel radiation protocol for AD treatment. Full article

Cone-beam computed tomography (CBCT) is widely used in dentomaxillofacial imaging, but its expanding use requires cautious appraisal of stochastic risk and dose optimization. This updated structured narrative review summarizes evidence on organ dose, effective dose, modeled cancer-risk estimation, cumulative exposure, diagnostic reference levels, and patient shielding in dental CBCT. PubMed/MEDLINE and Scopus searches were updated to 15 May 2026. Overall, 24 primary studies were synthesized: 9 addressing dose, diagnostic reference levels, cumulative exposure, or cancer-risk modeling, and 15 evaluating shielding or radiation-protection strategies. Dose and modeled risk varied markedly according to scanner type, field of view, exposure parameters, anatomical region, age, sex, and repeat imaging. The salivary glands, oral mucosa, thyroid, and eye lens were the most relevant exposed organs; children, female patients, and patients undergoing repeated imaging represented the most vulnerable groups. Shielding studies reported substantial dose reductions in selected protocols, but the benefit depended on shield design, positioning, field of view, and image-quality impact. Dental CBCT should be prescribed only when three-dimensional information is expected to change management and should be optimized through the smallest adequate field of view, low-dose protocols, cumulative-dose awareness, and selective shielding when diagnostically appropriate. Full article

Background/Objectives: Pediatric group 3 (G3) medulloblastomas (MB) are therapy resistant and have a significantly worse prognosis than the other MB subtypes. Aggressive radiation/chemotherapy improves survival, but potential long-term comorbidities include neurocognitive deficits. In previous work, we demonstrated that low-dose X-ray radiation (LDXR) acts as an immunological adjuvant. Recent studies have demonstrated that galectin-3 (Gal-3) expression in MB tumors accelerates M2 macrophage infiltration and restricts T cell receptor (TCR)-mediated signaling. Immunotherapy with an agonistic anti-4-1BB monoclonal antibody (mAb) activates CD8+ T cells, promoting their survival and acquisition of potent cytolytic properties. Building on these findings, we hypothesized that immune priming via sublethal LDXR, combined with a Gal-3 inhibitor and an anti-4-1BB mAb, would boost anti-tumor effects, resulting in survival benefits. Methods: We tested this hypothesis in vitro in co-cultures of human MB cells and in vivo, in an immunocompetent G3MB mouse model (MP1). Treatment effects were assessed using Western blot, flow cytometry, hematoxylin and eosin (H&E) staining, immunofluorescence imaging, and analysis of cytokine and chemokine expression. Results: Our data demonstrated higher Gal-3 expression in MB patient-derived tumor tissue than in non-tumor tissue. LDXR modulated major histocompatibility complex molecules, and, combined with a Gal-3 inhibitor and an anti-4-1BB mAb, altered T-cell/tumor-cell interactions, enhanced T-cell-mediated MB cell death, and shifted cytokine production to drive microglial polarization toward the M1 subtype. Furthermore, H&E-stained tumor sections showed a ~70% reduction in tumor size compared with untreated controls. Conclusions: These preclinical findings suggest that combining immune priming with sublethal LDXR, Gal-3 inhibition, and 4-1BB activation may be an effective treatment strategy for G3MB. Full article

Digital chest tomosynthesis (DCT) has been clinically validated to offer significant advantages in diagnostic efficiency for pulmonary diseases and radiation dose reduction. Emerging stationary DCT (sDCT) systems can further shorten acquisition time and eliminate motion artifacts caused by X-ray source movement and patient respiration. This work focuses on the development of a multi-beam X-ray source for mobile sDCT systems by specification definition, source design, and experimental validation. The developed X-ray tube integrates 63 focal spots arranged linearly over a length of 816 mm. X-rays are emitted through seven segmented windows, achieving an angular span of 36° at a source image distance (SID) of 120 cm, with full coverage of a detector area of 35.6 cm × 43.2 cm. The tube operates at a maximum anode voltage of 140 kV, maximum anode current of 20 mA, and 24 mAs per scan, with a focal spot size of IEC 0.6. The developed multi-beam X-ray source achieves multiple key performance breakthroughs and provides an alternative source architecture for future sDCT implementation, with the potential to facilitate further system performance optimization and engineering development. Full article

Background and Objectives: Lung ultrasound (LUS) has fundamentally transformed neonatal respiratory diagnostics, offering a radiation-free, bedside-applicable modality capable of guiding surfactant therapy, characterizing pulmonary pathology, and monitoring treatment response in real time. While surfactant replacement therapy is firmly established for neonatal respiratory distress syndrome (RDS), its role in acute complications—specifically pulmonary hemorrhage (PH) and pneumothorax (PTX)—remains uncertain and heterogeneous in clinical practice. This review examines how LUS-based phenotyping can improve the diagnostic precision and therapeutic sequencing of surfactant administration in these high-risk scenarios, and how comorbidities such as hemodynamically significant patent ductus arteriosus, persistent pulmonary hypertension, sepsis, and coagulopathy modulate clinical outcomes. Materials and Methods: We conducted a structured narrative review of studies published from 2020 onward, sourced from PubMed, Web of Science, Semantic Scholar, and Mendeley, using PRISMA-inspired selection principles. The search combined terms including “lung ultrasound,” “neonatal POCUS,” “surfactant therapy,” “pulmonary hemorrhage,” “neonatal pneumothorax,” and “LUS score.” Studies focusing on neonatal populations, clinical LUS applications, and surfactant use in PH and PTX were prioritized. Results: Quantitative LUS scoring systems (range 0–18) predict surfactant need and re-dosing with AUC values of 0.85–0.87, outperforming clinical estimates alone. In PH, LUS reveals dense consolidation with alveolar flooding patterns, guiding the timing of rescue surfactant after hemodynamic stabilization; response monitoring via serial LUS is feasible and informative. In PTX, hallmark signs—absent lung sliding, loss of B-lines, and the pathognomonic lung point—allow diagnosis within seconds, guiding immediate thoracentesis and subsequent surfactant administration if underlying RDS is confirmed. Nationally implemented LUS protocols in neonatal intensive care units have demonstrated significant reductions in radiation exposure without compromising diagnostic accuracy. Conclusions: LUS-guided decision algorithms—integrating ultrasonographic phenotyping, quantitative scoring, and hemodynamic assessment—represent the current best framework for individualizing surfactant therapy in neonatal PH and PTX. Standardization of POCUS training and protocol implementation in neonatal units is essential. Prospective multicenter trials are urgently needed to define optimal indications, timing, and dosing in these vulnerable populations. Full article

Background/Objectives: Chromosome research is essential for advancing our understanding of cytogenetics, gene regulation and numerous aspects of organismal health. Staining chromosomes with 4′,6-diamidino-2-phenylindole (DAPI) and applying Fluorescence Lifetime Imaging Microscopy (FLIM) enables the assessment of structural changes in pericentromeric and heterochromatin-rich region of chromosomes 1, with a shorter fluorescence lifetime (FLT) in the pericentromeric regions compared to the arms. Methods: We used FLIM to optimise sample preparation conditions for more robust imaging and furthermore to measure the impact of low-dose X-ray ionising radiation on chromosome structure when labelled with DAPI. Results: We applied this method to different DNA stains bound to chromosomes where only DAPI led to a clear FLT difference between the chromosome arms (p,q) with 2.98 ± 0.12 ns and 2.65 ± 0.07 ns at the pericentromeric region, while similar stains, such as Hoechst 33258 and NucBlue^TM did not highlight these regions as clearly following FLIM analysis. Our data showed that chromosomes of cells irradiated with 0.1 Gy and 1 Gy did not show a significant change in FLTs (2.94 ± 0.09 ns on the arms and 2.60 ± 0.06 ns on the pericentromeric region) of chromosome 1. Whilst irradiation with 0.5 Gy led to a noticeable and significant reduction in FLT with 2.42 ± 0.13 ns on the arms and 2.12 ± 0.06 ns on the pericentromeric region of HeLa chromosomes. The same pattern could also be seen on X-ray-irradiated T-cell chromosomes. Conclusions: These findings indicate that DAPI FLT may be a useful tool to measure chromosomal structural changes and further suggests that chromosomes undergo distinct structural changes at the pericentromeric region following low-dose irradiation. Full article

The use of intraoperative computerised tomography (CT) to aid surgical management of facial fractures obviates the need for postoperative surgical scans, decreases return to theatre rates, and subsequently decreases overall hospital stay. This allows for better appreciation of a complex operative landscape in almost real time, and may become the gold standard of treatment. As with radiological investigations, decreasing radiation exposure of patients is a key goal. The aim of this study was to examine the effective radiation doses in patients undergoing surgical management of their facial fractures with the aid of a fixed-arm CT. This retrospective study was conducted on patients who underwent surgical fixation of their facial fractures within a hybrid surgical suite equipped with a fixed-arm cone beam CT (CBCT) from July 2023 to November 2024. The CBCT was used to assess adequacy of bony fixation. Data from imaging was collected to assess total effective radiation dose. Data from 30 random patients who underwent standard CT facial bones (CTFB) were collected as control. Data from 24 patients was collected. The majority were male (17/24, 70.8%) with an age range of 20–94 years. The average dose of the effective doses calculated in the CTFB cohort was 0.64 mSv (SD 0.05). This is a more-than-twenty-five-fold reduction in the average effective dose in the CBCT cohort, which was 0.025 mSv (SD 0.01). There was a statistically significant difference between the two cohorts with p < 0.0001 (95% CI 0.60–0.64). This study demonstrates that intraoperative CBCT delivers a significantly lower effective dose to patients compared with postoperative CTFB. Where facilities exist, CBCT offers a safer and more efficient alternative, with future work needed to assess staff dose, wait times, and cost impacts. Full article

Endoscopic spine surgery (ESS)—including full-endoscopic transforaminal and interlaminar techniques, and unilateral biportal endoscopy (UBE)—offers patients smaller incisions, preserved paraspinal muscle, and faster recovery. Because the working corridor is narrow, intraoperative fluoroscopy plays a larger role than in open or microscopic approaches, making radiation exposure worthy of attention for both patients and surgeons. This narrative review aims to be a practical resource for the endoscopic spine surgeon. We synthesize the available literature on typical radiation doses across the main ESS techniques, compare them with minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and open alternatives, review the factors that drive exposure, and walk through the full menu of dose-optimization options—from simple measures such as collimation, pulsed fluoroscopy, and leaded eyewear, through navigation platforms, to robotic guidance. A consistent practical observation is that the simplest, least expensive interventions often deliver the largest dose reductions. Capital-intensive technologies add real value, particularly for endoscopic interbody fusion, and work best alongside rather than in place of these basics. With routine dosimetry and straightforward as-low-as-reasonably-achievable (ALARA) practices, surgeons can continue to build on the already favourable profile of ESS while keeping radiation exposure low. Conclusions are tempered by the largely retrospective and heterogeneous nature of the underlying evidence. Full article

Background: A compact, in-house-developed ultraviolet germicidal irradiation (UVGI) system using eight 36 W Philips low-pressure mercury UV-C lamps with a peak emission at 253.7 nm was developed for effective sterilization of bacteria and fungi using a wireless mode of operation. Methods: Under controlled laboratory conditions, the system was tested against representative biofilm-forming microorganisms, including Bacillus subtilis, Escherichia coli K12, and a multidrug-resistant Candida albicans M-207 isolate. Microbial viability was assessed using colony-forming unit (CFU) enumeration and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, with structural changes analyzed by scanning electron microscopy (SEM). Cultures were exposed to 253.7 nm UV-C radiation at distances of 1–5 m for 15–90 min. Results: UV-C exposure resulted in time- and distance-dependent reductions in viable counts for all tested organisms, as determined by CFU analysis. At 1 m and 15 min exposure, viable counts for all tested organisms were reduced below the limit of detection (LOD) of the CFU assay, indicating substantial microbial inactivation under the tested conditions. Reduced efficacy was observed at increased distances (3 m and 5 m), with log₁₀ reductions varying depending on organism and exposure conditions. Residual metabolic activity detected by the MTT assay suggests the presence of non-proliferating or damaged cells, consistent with the different endpoints measured by the two assays. The SEM analysis further revealed disruption of biofilm architecture and reduction in cell density with increasing UV dose. Conclusions: The UVGI system demonstrated dose-dependent inactivation of biofilm-forming microorganisms under controlled conditions, supporting its proof-of-concept efficacy. Further studies are required to evaluate performance under real-world conditions. Full article

Background and Objectives: Minimally invasive cervical spine surgery (MIS-CSS) relies heavily on intraoperative fluoroscopic imaging, raising concerns about radiation exposure to patients and surgical staff. Unlike lumbar MIS, cervical-specific radiation exposure has not been systematically reviewed, despite distinct anatomical considerations, including proximity to the thyroid gland and lens of the eye. This review aims to quantify intraoperative radiation exposure during MIS cervical spine procedures and evaluate available dose-reduction strategies. Materials and Methods: A systematic literature search was conducted across PubMed/MEDLINE, Scopus, and Google Scholar in April 2026 following PRISMA 2020 guidelines. Studies reporting original quantitative radiation data during minimally invasive cervical spine procedures in adult patients (≥10 patients) were included. Quality was assessed using the MINORS tool and the JBI checklist. Results: Seven studies encompassing 380 patients were included. Procedures comprised ACDF (four studies), minimally invasive posterior cervical laminoforaminotomy (two studies), and CT-navigated cervical instrumentation (one study). Patient effective doses during ACDF ranged from 0.015 to 1.3 mSv, with thyroid doses of 0.194–0.290 mGy. Standalone ACDF reduced patient dose by 36–58% compared to plated ACDF (p < 0.001). Navigation-assisted posterior cervical foraminotomy achieved a median fluoroscopy time of 10 s with negligible staff exposure. Surgeon per-procedure exposure during cervical discectomy (chest 0.122 µSv, lens 3.1 µSv, hands 7.1 µSv) was approximately half that of lumbar discectomy. Conclusions: Radiation doses during individual MIS cervical procedures appear to be within occupational safety limits, though the current evidence is insufficient to establish definitive dose thresholds. Standalone implant designs and intraoperative navigation represent effective, complementary dose-reduction strategies. Standardized prospective research is needed to establish cervical-specific radiation safety benchmarks. Full article