To investigate the diagnostic accuracy of acoustic radiation force impulse (ARFI) imaging as a noninvasive method for the assessment of liver fibrosis in chronic hepatitis C (CHC) patients. We performed a prospective blind comparison of ARFI elastography, APRI index and FibroMax in a consecutive series of patients who underwent liver biopsy for CHC in University Hospital Bucharest. Histopathological staging of liver fibrosis according to the METAVIR scoring system served as the reference. A total of 74 patients underwent ARFI elastography, APRI index, FibroMax and successful liver biopsy. The noninvasive tests had a good correlation with the liver biopsy results. The most powerful test in predicting fibrosis was ARFI elastography. The diagnostic accuracy of ARFI elastography, expressed as area under receiver operating characteristic curve (AUROC) had a validity of 90.2% (95% CI AUROC = 0.831-0.972, P < 0.001) for the diagnosis of significant fibrosis (F >or= 2). ARFI sonoelastography predicted even better F3 or F4 fibrosis (AUROC = 0.993, 95% CI = 0.979-1). ARFI elastography had very good accuracy for the assessment of liver fibrosis and was superior to other noninvasive methods (APRI Index, FibroMax) for staging liver fibrosis.
11 October 2017 in Applied Mathematics & Optimization
In the present contribution the sliding mode control (SMC) problem for a phase-field model of Caginalp type is considered. First we prove the well-posedness and some regularity results for the phase-field type state systems modified by the state-feedback control laws. Then, we show that the chosen SMC laws force the system to reach within finite time the sliding manifold (that we chose in order that one of the physical variables or a combination of them remains constant in time). We study three different types of feedback control laws: the first one appears in the internal energy balance and forces a linear combination of the temperature and the phase to reach a given (space dependent) value, while the second and third ones are added in the phase relation and lead the phase onto a prescribed target $\phi^*$. While the control law is nonlocal in space for the first two problems, it is local in the third one, i.e., its value at any point and any time just depends on the value of the state.
1 January 2016 in Mathematical Control and Related Fields
In this paper we study a distributed control problem for a phase field system of Caginalp type with logarithmic potential. The main aim of this work would be to force the location of the diffuse interface to be as close as possible to a prescribed set. However, due to the discontinuous character of the cost functional, we have to approximate it by a regular one and, in this case, we solve the associated control problem and derive the related first order necessary optimality conditions.