Functionalized biochar from waste as a slow-release nutrient source: Application on tomato plants

Licorice processing waste was pyrolyzed at different temperatures (500 and 700 °C) to obtain biochar (BC500 and BC700) for use as a slow-release fertilizer on Solanum lycopersicum. The materials were characterized through BET analysis, SEM, elemental analysis, pHzc, and pyrolysis temperature effect was evaluated. The biochars were functionalized by the impregnation method to enrich them with nitrogen, phosphorus, and potassium (NPK), and desorption tests were performed in aqueous solution at different pHs (5 and 7). The pseudo-second-order model described well the release of all 3 macronutrients tested, BC500 was found to have slower release kinetics due to smaller pore size, reaching adsorption/desorption equilibrium after 14 days, compared with 10 for BC700, Kdes were lower in all 3 cases and NPK content was higher, initial pH did not change the release kinetics. BC500 was selected as an agricultural soil conditioner by testing at both different dosages of BC (0-25 %) and different NPK ratios (3:1:4 and 4:1:3). The treatment significance was evaluated. The best treatment resulted in BC dosage of 25 % nutrient ratio 4:1:3 which increased, compared to the control, total chlorophyll content (+38 %) and carotenoids (+15 %).

Titanium Dioxide Nanoparticles Doped with Iron for Water Treatment via Photocatalysis: A Review

Iron-doped titanium dioxide nanoparticles are widely employed for photocatalytic applications under visible light due to their promising performance. Nevertheless, the manufacturing process, the role of Fe3+ ions within the crystal lattice of titanium dioxide, and their impact on operational parameters are still a subject of controversy. Based on these assumptions, the primary objective of this review is to delineate the role of iron, ascertain the optimal quantity, and elucidate its influence on the main photocatalysis parameters, including nanoparticle size, band gap, surface area, anatase-rutile transition, and point of zero charge. Moreover, an optimized synthesis method based on comprehensive data and insights from the existing literature is proposed, focusing exclusively on iron-doped titanium oxide while excluding other dopant variants.

Removal of Methylene Blue from Wastewater by Waste Roots from the Arsenic-Hyperaccumulator Pteris vittata: Fixed Bed Adsorption Kinetics

Phytoremediation of arsenic-contaminated water was successfully conducted by means of the perennial fern Pteris vittate, which is an arsenic-hyperaccumulator plant able to grow in hydroponic cultures. In order to avoid the costs linked to the disposal of As-contaminated biomass, in this work, Pteris vittata waste roots were tested as a low-cost bio-adsorbent for the removal of methylene blue (MB) from water in a fixed-bed adsorption configuration. As a matter of fact, methylene blue can negatively impact the growth and health of algae and plants by blocking light from reaching them in water, which can alter their normal biological processes. Previous works have already shown the potentiality of such material toward the uptake of methylene blue; however, all the studies conducted were just focused on batch-mode experiments. In this work, column runs were carried out at 20 °C, evaluating the bed void fraction for each test and hence estimating the apparent density of the material (300 g/L). The breakthrough curves collected were fitted by means of a mathematical model based on the linear driving force (LDF) approximation to obtain information on the mass transfer mechanism occurring in the system. A relation for the product between the LDF mass transfer coefficient and the solid specific surface (kLDFas) with respect to the Reynolds (Re) dimensionless number was obtained (kLDFas=0.45Re). The range of validity of such expression was Re<0.025. Its applicability was deeply discussed: in such conditions, the technology is ready to be tested at larger scales.

New Materials and Technologies for Durability and Conservation of Building Heritage

The increase in concrete structures' durability is a milestone to improve the sustainability of buildings and infrastructures. In order to ensure a prolonged service life, it is necessary to detect the deterioration of materials by means of monitoring systems aimed at evaluating not only the penetration of aggressive substances into concrete but also the corrosion of carbon-steel reinforcement. Therefore, proper data collection makes it possible to plan suitable restoration works which can be carried out with traditional or innovative techniques and materials. This work focuses on building heritage and it highlights the most recent findings for the conservation and restoration of reinforced concrete structures and masonry buildings.

Effect of Water-Ethanol Extraction as Pre-Treatment on the Adsorption Properties of Aloe vera Waste

The adsorption properties of Aloe vera (Aloe barbadensis Miller) for the uptake of Methylene Blue (MB) from water were investigated after pre-treating the material with water-ethanol solutions at different ethanol concentrations: 0% v/v (AV0), 25% v/v (AV25), and 50% v/v (AV50). The pre-treated materials were characterized as follows: the pHZC was evaluated to be 6, 5.7, and 7.2 for AV0, AV25, and AV50, respectively; from BET-BJH analysis the mesoporous nature of the material and an increase from 108.2 (AV0) to 331.7 (AV50) m²/kg of its solid surface area was observed; TG analysis revealed a significat increase in volatile compounds from the untreated (5.4%) to the treated materials (8.9%, 10.3%, and 11.3% for AV0, AV25, and AV50, respectively). Adsorption batch tests were then performed to investigate the equilibrium, the kinetics, and the thermodynamics of the process. Results suggested that the Langmuir model was in agreement with the experimental results, and values for q_max of 199 mg/g, 311 mg/g, and 346 mg/g were calculated for AV0, AV25, and AV50, respectively. The kinetic results were used to develop a mathematical model to estimate the effective diffusion coefficient for each type of Aloe adopted. Effective diffusion coefficients of 5.43·10^-7 cm²/min, 3.89·10^-7 cm²/min, and 5.78·10^-7 cm²/min were calculated for AV0, AV25, and AV50, respectively. It was found that pre-treatment, on the one hand, enhances the adsorption capacity of the material and on the other, reduces its affinity toward MB uptake.

Remediation of hexavalent chromium contaminated water through zero-valent iron nanoparticles and effects on tomato plant growth performance

Contaminated water with hexavalent chromium Cr(VI) is a serious environmental problem. This study aimed to evaluate the Cr(VI) removal by zero valent iron nanoparticles (nZVI) reduction process and the impact of Cr(VI), nZVI and combined treatment with nZVI and Cr(VI) on tomato growth performance. To evaluate the Cr(VI) toxic effect on germination capability, seeds were exposed to increasing Cr(VI) concentrations up to 1000 mg L⁻¹. The inhibition of seed germination and the decrease of hypocotyl and root length started from Cr(VI) 5 mg L⁻¹. Under treatment with Cr(VI) + nZVI 5 mg L⁻¹, seed germination, hypocotyl and root length resulted significantly higher compared to Cr(VI) 5 mg L⁻¹ treatment. The impact of only nZVI was investigated on chlorophyll and carotenoid in leaves; iron levels in leaves, roots, fruits and soil; carotenoid, fat-soluble vitamin and nicotianamine in mature fruits. A significant increase of leaf chlorophyll and carotenoids was observed after nZVI 5 mg L⁻¹ treatment compared to controls. No significant variations were observed in carotenoids, fat-soluble vitamins and nicotianamine levels after treatment with nZVI 5 mg L⁻¹ in mature fruits. For their ability to reduce Cr(VI) and to stimulate tomato growth, nZVI might to be considered as alternative for remediation purposes.

Process Intensification Techniques for the Production of Nano- and Submicronic Particles for Food and Medical Applications

BACKGROUND

Nowadays, nanoparticles are of great interest for the industry due to their numerous possible applications in several fields. Research on this topic seeks to develop many procedures to produce nanoparticles, mostly at lab scale, batch-wise and with low yield. These procedures generally do not suit industrial needs of continuous, high capacity production. Moreover, the product characteristics require targeting narrow particle size distributions and high quality, which is difficult to achieve by traditional equipment.

METHODS

Process intensification techniques aim to minimize plant size of continuous, high yield equipment capable to produce specific sized, high quality nanoparticles, combined with an increase in energy efficiency, safety and cost reduction.

DISCUSSION

This paper reviews some adopted Process Intensification (PI) techniques for nanoparticles synthesis processes employed in the food and pharmaceutical sector.

CONCLUSION

By reducing the technology transfer gap, nanotechnologies may become convenient and feasible, allowing both industries to achieve the production of higher quality products with particular characteristics without sensibly increasing additional costs. This will represent in the next future a strategic key feature of industries in the global market.

A physical-based interpretation of mechanism and kinetics of Cr(VI) reduction in aqueous solution by zero-valent iron nanoparticles

The aim of this paper is to show the results obtained by investigating the reduction of hexavalent Chromium [Cr(VI)] by iron nano-particles in aqueous solution, interpreted in light of the particle-grain model. The diffusional and geometric parameters that govern and describe the reacting system were estimated from the evidences deriving from the characterization and the experiments conducted, allowing assumptions based on physical principles. Such procedure rendered the particle-grain model a valid choice for the interpretation of the results obtained. The model, used in its dimensionless form, was tested according to a preliminary procedure aimed at analyzing the sensitivity of the system, by varying within wide ranges the ratio between the reaction rate, the diffusive mass transfer rate, and the particle-grain radius, to show how reliable its potential application may be. Subsequently, a non-linear regression procedure was used to estimate the two main parameters of the model that affect the reduction process: (i) the diffusion coefficient within the solid layer produced along with the reaction, D^p_c (6.02 E-13 m² s^-1), and (ii) the kinetic constant of the surface reaction, k_c (0.21 m s^-1). The values found for the parameters were perfectly in line with theoretical considerations and experimental evidences.

Kinetic Modeling of Cr(VI) Reduction by nZVI in Soil: The Influence of Organic Matter and Manganese Oxide

The effect of soil composition on the reduction of hexavalent chromium (Cr(VI)) by zero valent iron nanoparticles was studied. A model was proposed, to investigate both the effect of manganese oxide and the simultaneous effect of manganese dioxide and soil organic matter on the kinetic of Cr(VI) reduction. Fe(0) nanoparticles consumption by the reaction with dissolved oxygen, water and soluble Cr(VI) was taken into account. The model was validated through experimental tests performed on soil samples collected at an industrial polluted site, and on artificially contaminated samples from the same site, in the presence of selected amount of leonardite.

Binders alternative to Portland cement and waste management for sustainable construction-part 1

This review presents "a state of the art" report on sustainability in construction materials. The authors propose different solutions to make the concrete industry more environmentally friendly in order to reduce greenhouse gases emissions and consumption of non-renewable resources. Part 1-the present paper-focuses on the use of binders alternative to Portland cement, including sulfoaluminate cements, alkali-activated materials, and geopolymers. Part 2 will be dedicated to traditional Portland-free binders and waste management and recycling in mortar and concrete production.

Binders alternative to Portland cement and waste management for sustainable construction - Part 2

The paper represents the "state of the art" on sustainability in construction materials. In Part 1 of the paper, issues related to production, microstructures, chemical nature, engineering properties, and durability of mixtures based on binders alternative to Portland cement were presented. This second part of the paper concerns the use of traditional and innovative Portland-free lime-based mortars in the conservation of cultural heritage, and the recycling and management of wastes to reduce consumption of natural resources in the production of construction materials. The latter is one of the main concerns in terms of sustainability since nowadays more than 75% of wastes are disposed of in landfills.

Nanomaterials application for heavy metals recovery from polluted water: The combination of nano zero-valent iron and carbon nanotubes. Competitive adsorption non-linear modeling

Carbon Nanotubes (CNTs) and nano Zero-Valent Iron (nZVI) particles, as well as two nanocomposites based on these novel nanomaterials, were employed as nano-adsorbents for the removal of hexavalent chromium, selenium and cobalt, from aqueous solutions. Nanomaterials characterization included the determination of their point of zero charge and particle size distribution. CNTs were further analyzed using scanning electron microscopy, thermogravimetric analysis and Raman spectroscopy to determine their morphology and structural properties. Batch experiments were carried out to investigate the removal efficiency and the possible competitive interactions among metal ions. Adsorption was found to be the main removal mechanism, except for Cr(VI) treatment by nZVI, where reduction was the predominant mechanism. The removal efficiency was estimated in decreasing order as CNTs-nZVI > nZVI > CNTs > CNTs-nZVI* independently upon the tested heavy metal. In the case of competitive adsorption, Cr(VI) exhibited the highest affinity for every adsorbent. The preferable Cr(VI) removal was also observed using binary systems of the tested metals by means of the CNTs-nZVI nanocomposite. Single species adsorption was better described by the non-linear Sips model, whilst competitive adsorption followed the modified Langmuir model. The CNTs-nZVI nanocomposite was tested for its reusability, and showed high adsorption efficiency (the q_max values decreased less than 50% with respect to the first use) even after three cycles of use.

Kinetic Study of Nitrate Removal from Aqueous Solutions Using Copper-Coated Iron Nanoparticles

Nitrates are considered hazard compounds for human health due to their tendency to be reduced to nitrites, in particular in reducing environment. Nano zero valent iron (nZVI) represents an efficient and low-cost adsorbent/reductive agent for nitrate removal from groundwater and wastewaters and a little addition of a second metal species (Cu, Pd, Ni, Ag) has proven to increase process effectiveness, by enhancing stability and oxidation resistance of nanoparticles. In this work Cu/Fe nanoparticles were loaded in a NO₃^- solution (100 mg L^-1) and the removal efficiency was tested by monitoring nitrate concentration at selected time intervals. Results showed that the nitrate removal process involves both reduction and adsorption processes: the removal mechanism has been investigated, and the pseudo-first-order and pseudo-second-order-adsorption kinetic models were successfully tested.

Tetrachloroethene recovery and hazard reduction of spent powders from dry cleaning process

Dry cleaning facilities using perchloroethylene produce a solid waste consisting of spent filtering powders with a high content of residual perchloroethylene, together with dyes and non-volatile residues. Untreated spent powders, classified as hazardous waste, cannot be disposed in landfill and incineration represents the only viable alternative. In this study, together with a full characterisation of the waste, the removal and recovery of the residual perchloroethylene by means of different heat treatments was investigated. In particular, tests of distillation and stripping with air and steam were carried out, evaluating the effectiveness of the treatments by quantifying the residual perchloroethylene in the samples treated. The results obtained show that the spent filtering powders contained about 25% wt. of perchloroethylene and that the maximum perchloroethylene recovery was obtained by steam stripping; approximately 98% after only 50 minutes. However, this treatment accounted for the production of a liquid mixture containing perchloroethylene and of a solid waste that required a further washing with boiling water to decrease the residual organic content below the eligibility criteria for landfill disposal.

Environmental effects of using chelating agents in polluted sediment remediation

The results of laboratory scale experimental tests of contaminant extraction from marine sediment slurries are presented and discussed. The objective of this study was to compare the effectiveness of EDTA and rhamnolipid in copper removal from an artificially contaminated sediment. The comparison was made in terms of metal extraction yield, and in the evaluation of its mobilization towards the more exchangeable fractions in the sediment. Results show that, under acidic conditions established during washing, EDTA ensured higher extractions efficiencies of Cu (up to 95 %) than rhamnolipid, although there was less mobilization into bioavailable forms with the use of rhamnolipid. In addition, in the view of a biological treatment of the spent solution, the use of rhamnolipid resulted in a lower decrease of the specific oxygen uptake rate with respect to EDTA. In fact, the low surfactants concentration required, partially compensated the toxic effect of Cu towards biomass.

Influence of indigenous and added iron on copper extraction from soil

Experimental tests of copper leaching from a low permeability soil are presented and discussed. The objective of the experiments was to investigate the influence of indigenous and added iron in the soil towards copper mobilization. Metals' leaching was performed by flushing (column tests) or washing (batch tests) the soil with an aqueous solution of ethylenediaminetetraacetic acid, EDTA. An excess of EDTA was used in flushing tests (up to a EDTA:Cu molar ratio of about 26.2:1), while, in washing tests, the investigated EDTA vs. copper molar ratios were in the range between 1 (equimolar tests) and 8. Copper extraction yield in flushing tests (up to about 85%) was found to depend upon contact time between the soil and the leaching solution and the characteristics of the conditioning solution. The saturation of the soil with a NaNO(3) solution before the treatment, favoured the flushing process reducing the time of percolation, but resulted in a lower metal extraction during the following percolation of EDTA. The indigenous iron was competitive with copper to form EDTA complexes only when it was present in the organic and oxides-hydroxides fractions. Artificial iron addition to the soil resulted in an increase of both the exchangeable iron and the iron bonded to the organic fraction of the soil, thus increasing the overall amount of iron available to extraction. In both batch and continuous tests, the mechanism of copper extraction was found to involve the former dissolution of metal salts, that lead to an initial high concentration of both copper and selected competitive cations (essentially Ca(2+)), and the following EDTA exchange reaction between calcium and copper complexes. The initial metal salts dissolution was found to be pH-dependant.

Effect of modified Fenton treatment on the thermal behavior of contaminated harbor sediments

This study presents the results of experimental Fenton-like treatments conducted on marine sediment slurries (2g sediment vs. 20 ml liquid). The sediment was collected in a harbor situated in a high density industrial area, characterized by a great hydrocarbon C>12 and PAHs contamination. The investigated parameters were: the H(2)O(2) dose, the reagent's pH and the effect of a phosphate salt and ferrous iron addition. To evaluate sediment's characteristics COD, particle size, thermogravimetric and differential thermal analyses were performed under N(2) and O(2) atmosphere while dissolved organic carbon and COD analyses were performed on the filtrate. Results indicate that the treatment was able to change the organic matter to a less hydrophobic state, to destroy part of the organic carbon (up to 78% decrease of the 200-400 degrees C labile organic matter), to lower the COD of the sediment (60% COD removal maximum) and to increase the cumulated distribution undersize. In addition as the treated sediment showed easier-to-handle characteristics, reduced caking and lower aggregation capacity, the modified Fenton treatment could also be considered a pre-treatment of a successive thermal treatment.

Uranium immobilization by sulfate-reducing biofilms grown on hematite, dolomite, and calcite

Biofilms of sulfate-reducing bacteria Desulfovibrio desulfuricans G20 were used to reduce dissolved U(VI) and subsequently immobilize U(IV) in the presence of uranium-complexing carbonates. The biofilms were grown in three identically operated fixed bed reactors, filled with three types of minerals: one noncarbonate-bearing mineral (hematite) and two carbonate-bearing minerals (calcite and dolomite). The source of carbonates in the reactors filled with calcite and dolomite were the minerals, while in the reactor filled with hematite it was a 10 mM carbonate buffer, pH 7.2, which we added to the growth medium. Our five-month study demonstrated that the sulfate-reducing biofilms grown in all reactors were able to immobilize/reduce uranium efficiently, despite the presence of uranium-complexing carbonates.

Production of aggregate from non-metallic automotive shredder residues

In this paper, the results of an experimentation on the production of granules suitable to be used as aggregates in cementitious or asphalt mixes are presented and discussed. The granules were obtained by granulating the non-metallic fraction of automotive shredder residues. In a preliminary separation step the fluff fraction containing mainly inert and non-metallic materials was sieved and analyzed for the metal content. In the following granulation step, the sieved fraction was mixed with binding materials, fly ash and a densifier agent, to produce granules of 5-30 mm of diameter and up to 1400 kg/m3 of specific weight. The granulation was carried out at room temperature in a rotating tank. Concrete samples prepared using as aggregates the produced granules showed a specific weight up to 1800 kg/m3 and a compressive strength up to about 55% of reference samples prepared using a calcareous aggregate, depending on the fluff content of the mixes, and on the nature of the binder and of the other components used.

Experimental in situ chemical peroxidation of atrazine in contaminated soil

Lab-scale experiments of in situ chemical oxidation (ISCO), were performed on soil contaminated with 100 mg kg(-1) of atrazine (CIET). The oxidant used was hydrogen peroxide catalysed by naturally occurring minerals or by soluble Fe(II) sulphate, added in aqueous solution. The oxidation conditions were: CIET:H2O2=1:1100, 2 PV or 3 PV reaction volume, Fe(II):H2O2=0, 1:22, 1:11. Stabilized (with KH2PO4 at a concentration of 16 g l(-1)) or non-stabilized hydrogen peroxide was used. The pH of the reagents was adjusted to pH=1 with sulphuric acid, or was not altered. Results showed that the addition of soluble Fe(II) increased the temperature of the soil slurry and the use of stabilized hydrogen peroxide resulted in a lower heat generation. The treatment reduced the COD of the soil of about 40%, pH was lowered and natural organic matter became less hydrophobic. The highest atrazine conversion (89%) was obtained in the conditions: 3 PV, Fe(II):H2O2=1:11 with stabilized hydrogen peroxide added in two steps. The stabilizer only increased H2O2 life-time significantly when soluble Fe(II) was added. Results indicate as preferential degradation pathway of atrazine in soil dechlorination instead of dealkylation.

Use of a standard system to evaluate the matrix effect on the treatment of a solution from atrazine contaminated soils

The influence of humic substances on the electrochemical treatment of solutions resulting from the remediation of atrazine contaminated soil has been investigated. In particular the effect on the hydrogen peroxide production stage and the effect on the hydroxyl radical oxidation treatment have been separately studied. In order to quickly assess the possible inhibition of the removal, an inorganic system has been adopted as a standard system. The results confirm the validity of electrochemical technologies also for the treatment of a real effluent where a matrix effect is expected since the organic matter content affects only the hydrogen peroxide production.

Treatment of the solution extracted from metal contaminated soils by reverse osmosis and chemical precipitation

In this study a process for the remediation of soils contaminated by lead or copper is proposed, consisting of the operations in sequence: soil flushing, membrane treatment, acidification, and metal precipitation. Pb(II) and Cu(II) extraction from a synthetically contaminated soil using a 0.05 M EDTA aqueous solution were investigated in column. The metal removal efficiencies and the final soil metal concentration were 98.2% and 37.96 mg/g respectively for lead and 95.4% and 59.20 mg/kg for copper. The extracted solutions were concentrated through a membrane treatment to reduce the water content up to the 75% and to obtain a permeate metal concentration in compliance with the Italian Environmental Regulation. The recovery of the used EDTA from the retentate solution, with recovery yield of at least 85.4%, was also obtained through acidification. Metal precipitation from the filtered solution was then performed according two different methods, achieving metal removal yield of more than 99.4%.

Oxidation of phosphorus compounds by Fenton's reagent

In the present work a Fenton's treatment for the oxidation of a phosphorous compounds mixture, simulating a match manufacturing industry wastewater, were studied. Experimental tests were performed on three sample solutions at a phosphorus concentration of 250, 500 and 750 mg/l. In each solution an equal amount of sodium phosphite and sodium hypophosphite was dissolved. The investigation of pH, temperature and reagents ratio on the oxidation rate led to the individuation of the optimal process operating conditions. The results show that Fenton's reagent provides a powerful conversion to phosphate of the phosphorous solution. In particular at pH=3.5 and 20 degrees C a residual concentration of non oxidized phosphorus in compliance with the Italian regulation limits for industrial wastewater disposal. Tests performed on sample solution of 500 mg/l P and 750 mg/l P by adding hydrogen peroxide and bivalent iron in three sequential steps led to similar reaction efficiencies to tests carried out adding both Fenton's reagents in one step, but with a remarkably lower reagents consumption.

Experimental assessment of electrochemical processes in the remediation of atrazine contaminated soils

The electrochemical oxidation of an atrazine solution obtained from a flushing treatment of a contaminated soil was investigated. The influence of ethanol on atrazine oxidation was studied. Results show that the electrogenerated Fenton's reagent provides a complete degradation of atrazine and its main chlorinated by-products via N-dehalkylation and dechlorination. This process therefore presents an effective alternative to the chemical oxidation treatment which necessarily needs a further biological state.

Treatment of industrial landfill leachate by means of evaporation and reverse osmosis

In this paper a process for the treatment of landfill leachate involving evaporation and reverse osmosis was proposed. Experimental tests were performed on an industrial landfill leachate. The leachate was subjected to evaporation so as to obtain a distillate containing a small amount of organic material and a substantial amount of inorganic substances (consisting primarily of metals and ammonium salts). The distillate of the evaporation treatment was then subjected to reverse osmosis. The reverie osmosis tests were performed using two different membranes: the AD membrane (thin two-ply film of polyamide) and the SC membrane (thin three-ply film of polyamide). Tests carried out at different values of pH showed a reduction of organic content of about 88% when AD membranes were used and about 80% with SC membranes independently of pH. As regards ammonium, comparable reductions of over 97% were registered for both types of membrane in the optimal conditions of pH = 6.4 (97.1% for AD membranes and 97.7% for SC).

Mammography with synchrotron radiation: phase-detection techniques

The authors evaluated the effect on mammographic examinations of the use of synchrotron radiation to detect phase-perturbation effects, which are higher than absorption effects for soft tissue in the energy range of 15-25 keV. Detection of phase-perturbation effects was possible because of the high degree of coherence of synchrotron radiation sources. Synchrotron radiation images were obtained of a mammographic phantom and in vitro breast tissue specimens and compared with conventional mammographic studies. On the basis of grades assigned by three reviewers, image quality of the former was considerably higher, and the delivered dose was fully compatible.

Diagnostic imaging and interventional therapy of hepatocellular carcinoma

Diagnostic imaging has many important roles in the management of patients with hepatocellular carcinoma (HCC). In diagnosis, lipiodol CT (LCT) has been shown to be the most sensitive imaging modality (90-97%) for all sizes of lesions; all other modalities have high sensitivities for lesions 1-3 cm but low sensitivities for lesions < 1 cm (ultrasound 33-37%, conventional CT 20-42% and digital subtraction angiography 40-55%). All imaging modalities understage HCC. Once again LCT is the most accurate method of evaluating the extent of tumour, but even this method does not identify all satellite nodules. Ultrasound has been proposed as a screening method, but this cannot be justified on the basis of its results or cost benefit analysis. Both CT and dynamic MRI play useful roles in evaluating the efficacy and follow-up of patients undergoing chemoembolization (TACE) and percutaneous ethanol injection (PEI). Although surgery remains the best treatment of HCC, it is unsuitable in most of the cases which would be better treated with interventional therapy. This article presents a review of the literature regarding the use of TACE, PEI or a combination of both procedures in the treatment of HCC. A multicentric study has shown that patients with monofocal lesions less than 5 cm in diameter are better treated with PEI, which is therefore a good alternative to the surgical treatment; patients with multifocal lesions (maximum of three lesions) show a better survival with TACE. Combined treatment with TACE and PEI proves to be effective in patients with large HCC.

Effects of a dimeric vs a monomeric nonionic contrast medium on renal function in patients with mild to moderate renal insufficiency: a double-blind, randomized clinical trial

The efficacy and safety of nonionic dimeric contrast media in subjects with impaired renal function is largely unknown. The present study was aimed at determining the risk of tubular nephrotoxicity in patients with mild to moderate renal insufficiency who underwent intravenous urography (IVU) with the nonionic dimeric contrast agent iodixanol (Visipaque, Nycomed Imaging, Oslo, Norway). In a double-blind protocol 64 patients (55 males; mean age 68.3 years) with serum creatinine between 135 and 265 micromol/l who were to undergo IVU were randomized to receive iodixanol (a nonionic dimer) or iopromide (a nonionic monomer), 600 mg I/kg b. w. Renal function was evaluated before and 1 h, 6 h, 24 h, 48 h and 7 days after IVU with analysis of serum creatinine, urinary enzymes alanylaminopeptidase and N-acetyl-beta-glucosaminidase, and urinary microproteins alpha-1-microglobulin and albumin. Renal function remained stable in both contrast medium groups during the follow-up period. No statistically significant differences were observed between the monomer and the dimer in terms of urinary enzyme and microprotein excretion or serum creatinine. Transient radiocontrast-induced nephropathy developed in 1 patient who had received iodixanol. The administration of the nonionic dimeric contrast medium iodixanol, or of the nonionic monomer iopromide, entailed a low nephrotoxic potential in patients with mild to moderate renal insufficiency undergoing excretory urography.

A linear array silicon pixel detector: images of a mammographic test object and evaluation of delivered doses

We present images of a mammographic test object obtained using a linear array silicon pixel detector capable of single-photon counting. The detector pixel size was 200 x 300 microns2 and images were acquired by scanning the test object between the laminar detector and the x-ray source with a scanning step of 100 microns. A molybdenum anode tube was used with two different filtrations: 2 mm aluminium and 25 microns molybdenum. Conventional film-screen images were also obtained in order to compare spatial and contrast resolution. In our digital images it is possible to recognize low-contrast details having dimensions smaller than or equal to the dimensions of details visible by means of a clinical mammographic unit. The detection of microcalcifications smaller than 150 microns was possible only when using the Mo filtration. However a copper wire of 50 microns diameter was detectable when embedded in a simulated tissue. We discuss in detail the mean glandular doses (MGDs) delivered during the image acquisition. The MGDs necessary to obtain good-quality images are always smaller than at a conventional mammographic unit. Since MGDs depend on the x-ray spectrum, the dose reduction becomes larger when the applied spectrum is harder than in film-screen acquisition (Al filtration and 35 kVp).

Abdominal contrast tomography in the evaluation of the gall-bladder and biliary tract (with emphasis upon jaundiced patients)

Tomography of the right upper quadrant after the rapid intravenous infusion of a high dose of contrast medium is a valuable method of investigation of hepato-biliary disease. Gall-bladder wall opacification may be normal, but if the wall is thicker than 2 mm and if irregular, it indicates inflammatory or calculous disease. Gall-bladder area greater than 35 cm2 indicates bile duct obstruction. This also causes the ducts to appear as lucent bands within the opacified liver parenchyma. Secondary deposits in the liver may also become visible. Various patterns of these findings are described which suggest specific biliary abnormalities.