In this prospective study, the diagnostic value of real-time ultrasound elastography (USE) was evaluated in 51 consecutive patients referred for surgical treatment with single solid thyroid nodules < 10 mm in maximum diameter with an indeterminate result on B-mode and colour Doppler ultrasonography. Ultrasonographic results were compared with histopathological data. Nineteen follicular adenomas and 32 papillary thyroid microcarcinomas (PTMCs) were observed. A real-time USE score of 4 − 5 diagnosed PTMCs with a sensitivity of 90.63%, a specificity of 89.47% and an accuracy of 90.20%. The positive and negative predictive values were 93.55% and 85.00%, respectively. It is concluded that real-time USE is a promising imaging technique that could assist in the differential diagnosis of single solid thyroid nodules < 10 mm in maximum diameter that give indeterminate results on conventional ultrasound.
In this prospective study, AHRF had high possibilities to develop ARDS and death risk, as impacted by ventilation settings and fluid intake in the early treatment, as well as socioeconomic factors, which should be considered for implementation of standard of care in respiratory therapy.
We propose a new tsunami data assimilation approach based on Green's functions to reduce the computation time for tsunami early warning. Green's Function‐based Tsunami Data Assimilation (GFTDA) forecasts the waveforms at points of interest (PoIs) by superposition of Green's functions between observation stations and PoIs. Unlike the previous assimilation approach, GFTDA does not require the calculation of the tsunami wavefield for the whole region during the assimilation process, because the Green's functions have been calculated in advance. The forecasted waveforms can be calculated by a simple matrix manipulation. The application to the tsunami waveforms recorded by the bottom pressure gauges of the Cascadia Initiative from the 2012 Haida Gwaii earthquake reveals that GFTDA achieves the same accuracy as the previous assimilation approach while reducing the time required to issue a valid tsunami warning.
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