The aim of this study was to evaluate the accuracy of magnetic resonance imaging in the detection of triangular fibrocartilage complex injury through a meta-analysis. A comprehensive literature search was conducted before 1 April 2014. All studies comparing magnetic resonance imaging results with arthroscopy or open surgery findings were reviewed, and 25 studies that satisfied the eligibility criteria were included. Data were pooled to yield pooled sensitivity and specificity, which were respectively 0.83 and 0.82. In detection of central and peripheral tears, magnetic resonance imaging had respectively a pooled sensitivity of 0.90 and 0.88 and a pooled specificity of 0.97 and 0.97. Six high-quality studies using Ringler's recommended magnetic resonance imaging parameters were selected for analysis to determine whether optimal imaging protocols yielded better results. The pooled sensitivity and specificity of these six studies were 0.92 and 0.82, respectively. The overall accuracy of magnetic resonance imaging was acceptable. For peripheral tears, the pooled data showed a relatively high accuracy. Magnetic resonance imaging with appropriate parameters are an ideal method for diagnosing different types of triangular fibrocartilage complex tears.
Our study explores the use of porous carbon as anode catalyst support to improve borohydride utilization in a direct borohydride fuel cell. Pt catalysts supported by carbon aerogel (CA) and macroporous carbon (MPC) are synthesized by template method. The pores in porous carbon materials catch hydrogen bubbles to regulate the contact of anolyte with catalytic sites, and this leads to the depression of hydrogen evolution during BH 4 -electrooxidation. However, the hydrogen bubbles in the pores simultaneously deteriorate charge carrier transport and thus increase anode polarization. The CA-supported Pt catalyst improves the coulombic efficiency of BH 4 -electrooxidation. However, the MPC-supported Pt catalyst performed better than the CA-supported Pt catalyst. MPC also has a good pore distribution, which improves the coulombic efficiency of BH 4 -electrooxidation without decreasing anode performance.
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