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CE-MRI has a good diagnostic performance in the prediction of any myometrial invasion and is superior to T2WI. But its PPV is somewhat suboptimal. For assessing deep myometrial involvement, its NPV appears relative high and negative findings strongly suggest an absence of deep myometrial involvement, which can guide therapeutic decision-making.

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A novel design for a reverse osmosis (RO) desalination system directly integrated with an ultrafiltration (UF) pre-treatment unit was developed. The integration involves direct RO feed from the UF filtrate and UF backwash using the RO concentrate. This alignment reduces overall plant footprint, while the use of RO concentrate for UF backwash allows 100% UF recovery and implementation of flexible backwash strategies. The present system design utilizes a control scheme, whereby RO productivity can be prescribed independently of the UF system which selfadjusts to provide the RO system with its required feed flow rate at the specified RO pump inlet pressure. UF backwash, achieved via direct RO concentrate flow from the RO system provided a continuous flow for sequential UF backwash which was additionally integrated with pulse backwash using a hydraulic accumulator. Seawater desalination field studies with a UF-RO pilot system of 12,000 gallons/day permeate production capacity successfully demonstrated the advantage of RO concentrate UF backwash that was triggered based on a membrane resistance threshold. The above self-adaptive UF backwash strategy significantly extended the projected UF operation period (by a factor of nine) to the threshold of required chemical cleaning.

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