Displaying publications 41 - 60 of 307 in total

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  1. Teng KH, Kot P, Muradov M, Shaw A, Hashim K, Gkantou M, et al.
    Sensors (Basel), 2019 Jan 28;19(3).
    PMID: 30696110 DOI: 10.3390/s19030547
    : Concrete failure will lead to serious safety concerns in the performance of a building structure. It is one of the biggest challenges for engineers to inspect and maintain the quality of concrete throughout the service years in order to prevent structural deterioration. To date, a lot of research is ongoing to develop different instruments to inspect concrete quality. Detection of moisture ingress is important in the structural monitoring of concrete. This paper presents a novel sensing technique using a smart antenna for the non-destructive evaluation of moisture content and deterioration inspection in concrete blocks. Two different standard concrete samples (United Kingdom and Malaysia) were investigated in this research. An electromagnetic (EM) sensor was designed and embedded inside the concrete to detect the moisture content within the structure. In addition, CST microwave studio was used to validate the theoretical model of the EM sensor against the test data. The results demonstrated that the EM sensor at 2.45 GHz is capable of detecting the moisture content in the concrete with linear regression of R² = 0.9752. Furthermore, identification of different mix ratios of concrete were successfully demonstrated in this paper. In conclusion, the EM sensor is capable of detecting moisture content non-destructively and could be a potential technique for maintenance and quality control of the building performance.
    Matched MeSH terms: Microwaves
  2. Ali I, Jamaluddin MH, Gaya A, Rahim HA
    Sensors (Basel), 2020 Jan 26;20(3).
    PMID: 31991889 DOI: 10.3390/s20030675
    In this paper, a dielectric resonator antenna (DRA) with high gain and wide impedance bandwidth for fifth-generation (5G) wireless communication applications is proposed. The dielectric resonator antenna is designed to operate at higher-order TEδ15x mode to achieve high antenna gain, while a hollow cylinder at the center of the DRA is introduced to improve bandwidth by reducing the quality factor. The DRA is excited by a 50Ω microstrip line with a narrow aperture slot. The reflection coefficient, antenna gain, and radiation pattern of the proposed DRAs are analyzed using the commercially available full-wave electromagnetic simulation tool CST Microwave Studio (CST MWS). In order to verify the simulation results, the proposed antenna structures were fabricated and experimentally validated. Measured results of the fabricated prototypes show a 10-dB return loss impedance bandwidth of 10.7% (14.3-15.9GHz) and 16.1% (14.1-16.5 GHz) for DRA1 and DRA2, respectively, at the operating frequency of 15 GHz. The results show that the designed antenna structure can be used in the Internet of things (IoT) for device-to-device (D2D) communication in 5G systems.
    Matched MeSH terms: Microwaves
  3. Awan D, Bashir S, Khan S, Al-Bawri SS, Dalarsson M
    Sensors (Basel), 2024 Feb 18;24(4).
    PMID: 38400473 DOI: 10.3390/s24041315
    Microwave medical imaging (MMI) is experiencing a surge in research interest, with antenna performance emerging as a key area for improvement. This work addresses this need by enhancing the directivity of a compact UWB antenna using a Yagi-Uda-inspired reflector antenna. The proposed reflector-loaded antenna (RLA) exhibited significant gain and directivity improvements compared to a non-directional reference antenna. When analyzed for MMI applications, the RLA showed a maximum increase of 4 dBi in the realized gain and of 14.26 dB in the transmitted field strength within a human breast model. Moreover, it preserved the shape of time-domain input signals with a high correlation factor of 94.86%. To further validate our approach, another non-directional antenna with proven head imaging capabilities was modified with a reflector, achieving similar directivity enhancements. The combined results demonstrate the feasibility of RLAs for improved performance in MMI systems.
    Matched MeSH terms: Microwaves*
  4. Amiri A, Ahmadi G, Shanbedi M, Savari M, Kazi SN, Chew BT
    Sci Rep, 2015;5:17503.
    PMID: 26643279 DOI: 10.1038/srep17503
    Capacitive deionization (CDI) is a promising procedure for removing various charged ionic species from brackish water. The performance of graphene-based material in capacitive deionization is lower than the expectation of the industry, so highly-crumpled, few-layered graphene (HCG) and highly-crumpled nitrogen-doped graphene (HCNDG) with high surface area have been introduced as promising candidates for CDI electrodes. Thus, HCG and HCNDG were prepared by exfoliation of graphite in the presence of liquid-phase, microwave-assisted methods. An industrially-scalable, cost-effective, and simple approach was employed to synthesize HCG and HCNDG, resulting in few-layered graphene and nitrogen-doped graphene with large specific surface area. Then, HCG and HCNDG were utilized for manufacturing a new class of carbon nanostructure-based electrodes for use in large-scale CDI equipment. The electrosorption results indicated that both the HCG and HCNDG have fairly large specific surface areas, indicating their huge potential for capacitive deionization applications.
    Matched MeSH terms: Microwaves
  5. Nguyen DM, Soci C, Ooi CH
    Sci Rep, 2016;6:21083.
    PMID: 26879520 DOI: 10.1038/srep21083
    Phaseonium is a three-level Λ quantum system, in which a coherent microwave and an optical control (pump) beams can be used to actively modulate the dielectric response. Here we propose a new metamaterial structure comprising of a periodic array of triangular phaseonium metamolecules arranged as a trefoil. We present a computational study of the spatial distribution of magnetic and electric fields of the probe light and the corresponding transmission and reflection, for various parameters of the optical and microwave beams. For specific values of the probing frequencies and control fields, the phaseonium can display either metallic or dielectric optical response. We find that, in the metallic regime, the phaseonium metamaterial structure supports extremely large transmission, with optical amplification at large enough intensity of the microwave thanks to strong surface plasmon coupling; while, in the dielectric regime without microwave excitation, the transmission bandwidth can be tuned by varying the control beam intensity. Implementation of such phaseonium metamaterial structure in solid-state systems, such as patterned crystals doped with rare-earth elements or dielectric matrices embedded with quantum dots, could enable a new class of actively tunable quantum metamaterials.
    Matched MeSH terms: Microwaves
  6. Habib Ullah M, Mahadi WN, Latef TA
    Sci Rep, 2015;5:12868.
    PMID: 26238975 DOI: 10.1038/srep12868
    Polybutylene succinate (PBS) has become a potential candidate, similar to polypropylene (PP) and acrylonitrile butadiene styrene (ABS), for use as an organic plastic material due to its outstanding mechanical properties as well as high thermal deformation characteristics. A new composition of silica aerogel nanoparticles extracted from rice waste with PBS is proposed for use as a dielectric (εr = 4.5) substrate for microwave applications. A microstrip patch antenna was fabricated on the proposed dielectric substrate for multi-resonant ultra-wideband (UWB) applications. The performance characteristics of the proposed biomaterial-based antenna were investigated in a far-field measurement environment. The results indicate that the proposed biocompatible material-based antenna covered a bandwidth of 9.4 (2.3-11.7) GHz with stop bands from 5.5 GHz to 5.8 GHz and 7.0 GHz to 8.3 GHz. Peak gains of 9.82 dBi, 7.59 dBi, 8.0 dBi and 7.68 dBi were measured at resonant frequencies of 2.7 GHz, 4.6 GHz, 6.3 GHz and 9.5 GHz, respectively.
    Matched MeSH terms: Microwaves
  7. Aziz NAM, Yunus R, Hamid HA, Ghassan AAK, Omar R, Rashid U, et al.
    Sci Rep, 2020 11 12;10(1):19652.
    PMID: 33184363 DOI: 10.1038/s41598-020-76775-y
    Microwave-assisted synthesis is known to accelerate the transesterification process and address the issues associated with the conventional thermal process, such as the processing time and the energy input requirement. Herein, the effect of microwave irradiation on the transesterification of palm oil methyl ester (PME) with trimethylolpropane (TMP) was evaluated. The reaction system was investigated through five process parameters, which were reaction temperature, catalyst, time, molar ratio of TMP to PME and vacuum pressure. The yield of TMP triester at 66.9 wt.% and undesirable fatty soap at 17.4% were obtained at 130 °C, 10 mbar, sodium methoxide solution at 0.6 wt.%, 10 min reaction time and molar ratio of TMP to PME at 1:4. The transesterification of palm oil-based methyl ester to trimethylolpropane ester was 3.1 folds faster in the presence of microwave irradiation. The total energy requirement was markedly reduced as compared to the conventional heating method. The findings indicate that microwave-assisted transesterification could probably be an answer to the quest for a cheaper biodegradable biolubricant.
    Matched MeSH terms: Microwaves
  8. Islam MT, Mahmud MZ, Islam MT, Kibria S, Samsuzzaman M
    Sci Rep, 2019 10 29;9(1):15491.
    PMID: 31664056 DOI: 10.1038/s41598-019-51620-z
    Globally, breast cancer is a major reason for female mortality. Due to the limitations of current clinical imaging, the researchers are encouraged to explore alternative and complementary tools to available techniques to detect the breast tumor in an earlier stage. This article outlines a new, portable, and low-cost microwave imaging (MWI) system using an iterative enhancing technique for breast imaging. A compact side slotted tapered slot antenna is designed for microwave imaging. The radiating fins of tapered slot antenna are modified by etching nine rectangular side slots. The irregular slots on the radiating fins enhance the electrical length as well as produce strong directive radiation due to the suppression of induced surface currents that radiate vertically at the outer edges of the radiating arms with end-fire direction. It has remarkable effects on efficiency and gain. With the addition of slots, the side-lobe levels are reduced, the gain of the main-lobe is increased and corrects the squint effects simultaneously, thus improving the characteristics of the radiation. For experimental validation, a heterogeneous breast phantom was developed that contains dielectric properties identical to real breast tissues with the inclusion of tumors. An alternative PC controlled and microcontroller-based mechanical MWI system is designed and developed to collect the antenna scattering signal. The radiated backscattered signals from the targeted area of the human body are analyzed to reveal the changes in dielectric properties in tissues. The dielectric constants of tumorous cells are higher than that of normal tissues due to their higher water content. The remarkable deviation of the scattered field is processed by using newly proposed Iteratively Corrected Delay and Sum (IC-DAS) algorithm and the reconstruction of the image of the phantom interior is done. The developed UWB (Ultra-Wideband) antenna based MWI has been able to perform the detection of tumorous cells in breast phantom that can pave the way to saving lives.
    Matched MeSH terms: Microwaves*
  9. Mustaffa MS, Azis RS, Abdullah NH, Ismail I, Ibrahim IR
    Sci Rep, 2019 Oct 29;9(1):15523.
    PMID: 31664142 DOI: 10.1038/s41598-019-52233-2
    The enhancement of microwave absorbing properties in nickel zinc ferrite (Ni0.5Zn0.5Fe2O4) via multiwall carbon nanotubes (MWCNT) growth is studied in this research work. Ni0.5Zn0.5Fe2O4 was initially synthesized by mechanical alloying followed by sintering at 1200 °C and the microstructural, electromagnetic and microwave characteristics have been scrutinized thoroughly. The sintered powder was then used as a catalyst to grow MWCNT derived from chemical vapor deposition (CVD) method. The sample was mixed with epoxy resin and a hardener for preparation of composites. The composite of multi-walled carbon nanotubes/Ni0.5Zn0.5Fe2O4 shown a maximum reflection loss (RL) of -19.34 dB at the frequency and bandwidth of 8.46 GHz and 1.24 GHz for an absorber thickness of 3 mm for losses less than -10 dB. This acquired result indicates that multi-walled carbon nanotubes/Ni0.5Zn0.5Fe2O4 could be used as a microwave absorber application in X-band.
    Matched MeSH terms: Microwaves
  10. Chua SC, Chong FK, Ul Mustafa MR, Mohamed Kutty SR, Sujarwo W, Abdul Malek M, et al.
    Sci Rep, 2020 03 03;10(1):3959.
    PMID: 32127558 DOI: 10.1038/s41598-020-60119-x
    The importance of graft copolymerization in the field of polymer science is analogous to the importance of alloying in the field of metals. This is attribute to the ability of the grafting method to regulate the properties of polymer 'tailor-made' according to specific needs. This paper described a novel plant-based coagulant, LE-g-DMC that synthesized through grafting of 2-methacryloyloxyethyl trimethyl ammonium chloride (DMC) onto the backbone of the lentil extract. The grafting process was optimized through the response surface methodology (RSM) using three-level Box-Behnken Design (BBD). Under optimum conditions, a promising grafting percentage of 120% was achieved. Besides, characterization study including SEM, zeta potential, TGA, FTIR and EDX were used to confirm the grafting of the DMC monomer chain onto the backbone of lentil extract. The grafted coagulant, LE-g-DMC outperformed lentil extract and alum in turbidity reduction and effective across a wide range of pH from pH 4 to pH 10. Besides, the use of LE-g-DMC as coagulant produced flocs with excellent settling ability (5.09 mL/g) and produced the least amount of sludge. Therefore, from an application and economic point of views, LE-g-DMC was superior to native lentil extract coagulant and commercial chemical coagulant, alum.
    Matched MeSH terms: Microwaves*
  11. Harnois M, Himdi M, Yong WY, Rahim SKA, Tekkouk K, Cheval N
    Sci Rep, 2020 Feb 03;10(1):1714.
    PMID: 32015444 DOI: 10.1038/s41598-020-58657-5
    Manufacturing an array of high-quality metallic pattern layers on a dielectric substrate remains a major challenge in the development of flexible and 3-D frequency selective surfaces (FSS). This paper proposes an improved fabrication solution for the 3-D FSS based on water transfer printing (WTP) technology. The main advantages of the proposed solution are its ability to transform complicated 2-D planar FSS patterns into 3-D structures while improving both manufacturing quality and production costs. WTP technology makes use of water surface tension to keep the thin metallic patterns of the proposed FSS floating flat with the absence of a solid planar substrate. This feature enables these metallic FSS patterns to be transferred onto 3-D structures through a dipping process. To test the effectiveness of the proposed technique, the FSS was designed using computer simulation software Microwave Studio to obtain the numerical performance of the FSS structure. The WTP technology was then used to fabricate the proposed FSS prototype before its performance was tested experimentally. The measurement results agreed well with the numerical results, indicating the proposed manufacturing solution would support the development of complicated 3-D electronics devices, such as conformal antenna arrays and metamaterials.
    Matched MeSH terms: Microwaves
  12. Rahim HA, Abdulmalek M, Soh PJ, Rani KA, Hisham N, Vandenbosch GA
    Sci Rep, 2016 07 20;6:29818.
    PMID: 27436496 DOI: 10.1038/srep29818
    This paper presents the investigation of path loss variation for subject-specific on-body radio propagation channels, considering the effect of metallic spectacles and loop like metallic accessories. Adding metallic items may affect the operability of Body Centric Wireless Communications (BCWC). Measurements were carried out in an RF-shielded room lined with microwave absorbing sheets for strategically placed bodyworn antennas covering the upper front torso and the lower limbs. The path loss of the on-body radio channel was characterized explicitly taking into account the body size of the subjects. For metallic loop-like accessories, the results indicate that for underweight subjects, there was a slightly higher influence, up to 2%, compared to normal and overweight subjects. Our findings indicate that a noticeable effect exists on on-body channels for dynamic movements where the metallic watch acts as a local scatterer that affects the non-line-of-sight (NLOS) signal path between transmitter and receiver for underweight subjects in comparison to normal and overweight subjects. The path loss decreases when the receiving terminal was positioned very close to the metallic item. If a loop-like metallic accessory is not appropriately considered when designing the radio channel on a subject, the reliability of the body-centric wireless system may degrade.
    Matched MeSH terms: Microwaves
  13. Amiri A, Shanbedi M, Ahmadi G, Eshghi H, Kazi SN, Chew BT, et al.
    Sci Rep, 2016 09 08;6:32686.
    PMID: 27604639 DOI: 10.1038/srep32686
    This study reports on a facile and economical method for the scalable synthesis of few-layered graphene sheets by the microwave-assisted functionalization. Herein, single-layered and few-layered graphene sheets were produced by dispersion and exfoliation of functionalized graphite in ethylene glycol. Thermal treatment was used to prepare pure graphene without functional groups, and the pure graphene was labeled as thermally-treated graphene (T-GR). The morphological and statistical studies about the distribution of the number of layers showed that more than 90% of the flakes of T-GR had less than two layers and about 84% of T-GR were single-layered. The microwave-assisted exfoliation approach presents us with a possibility for a mass production of graphene at low cost and great potentials in energy storage applications of graphene-based materials. Owing to unique surface chemistry, the T-GR demonstrates an excellent energy storage performance, and the electrochemical capacitance is much higher than that of the other carbon-based nanostructures. The nanoscopic porous morphology of the T-GR-based electrodes made a significant contribution in increasing the BET surface as well as the specific capacitance of graphene. T-GR, with a capacitance of 354.1 Fg(-1) at 5 mVs(-1) and 264 Fg(-1) at 100 mVs(-1), exhibits excellent performance as a supercapacitor.
    Matched MeSH terms: Microwaves
  14. Islam SS, Faruque MR, Islam MT
    Sci Rep, 2016 09 16;6:33624.
    PMID: 27634456 DOI: 10.1038/srep33624
    A new, metamaterial-based electromagnetic cloaking operation is proposed in this study. The metamaterial exhibits a sharp transmittance in the C-band of the microwave spectrum with negative effective property of permittivity at that frequency. Two metal arms were placed on an FR-4 substrate to construct a double-split-square shape structure. The size of the resonator was maintained to achieve the effective medium property of the metamaterial. Full wave numerical simulation was performed to extract the reflection and transmission coefficients for the unit cell. Later on, a single layer square-shaped cloak was designed using the proposed metamaterial unit cell. The cloak hides a metal cylinder electromagnetically, where the material exhibits epsilon-near-zero (ENZ) property. Cloaking operation was demonstrated adopting the scattering-reduction technique. The measured result was provided to validate the characteristics of the metamaterial and the cloak. Some object size- and shape-based analyses were performed with the cloak, and a common cloaking region was revealed over more than 900 MHz in the C-band for the different objects.
    Matched MeSH terms: Microwaves
  15. Rahman A, Islam MT, Singh MJ, Kibria S, Akhtaruzzaman M
    Sci Rep, 2016 12 23;6:38906.
    PMID: 28008923 DOI: 10.1038/srep38906
    In this paper, we report a compact and ultra-wide band antenna on a flexible substrate using the 5-(4-(perfluorohexyl)phenyl)thiophene-2-carbaldehyde compound for microwave imaging. In contrast to other microwave based imaging systems, such as an array of 16 antennas, we proposed a bi-static radar based imaging system consisting of two omnidirectional antennas, which reduces complexity and the overall dimension. The proposed compact antennas are 20 × 14 mm2 and designed for operating at frequencies from 4 to 6 GHz. To allow for implantation into a bra, the electromagnetic performances of the antennas must be considered in bending conditions. In comparison with the recently reported flexible antennas, we demonstrated both electromagnetic performance and imaging reconstruction for bending conditions. For the proof of concept, the electromagnetic performances both at flat and bending conditions have been verified using a homogeneous multilayer model of the human breast phantom. Our results demonstrate that the antenna, even at bending conditions, exhibits an excellent omni-directional radiation pattern with an average efficiency above 70% and average gain above 1 dBi, within the operational frequency band. The comprehensive aim of the realized antenna is to design a biodegradable and wearable antenna-based bra for early breast cancer detection in the future.
    Matched MeSH terms: Microwaves*
  16. Gholami M, Behkami S, Zain SM, Bakirdere S
    Sci Rep, 2016 11 17;6:37186.
    PMID: 27853264 DOI: 10.1038/srep37186
    The objective of this work is to prepare a cost-effective, low reagent consumption and high performance polytetrafluoroethylene (PTFE) vessel that is capable to work in domestic microwave for digesting food and environmental samples. The designed vessel has a relatively thicker wall compared to that of commercial vessels. In this design, eight vessels are placed in an acrylonitrile butadiene styrene (ABS) holder to keep them safe and stable. This vessel needs only 2.0 mL of HNO3 and 1.0 mL H2O2 to digest 100 mg of biological sample. The performance of this design is then evaluated with an ICP-MS instrument in the analysis of the several NIST standard reference material of milk 1849a, rice flour 1568b, spinach leave 1570a and Peach Leaves 1547 in a domestic microwave oven with inverter technology. Outstanding agreement to (SRM) values are observed by using the suggested power to time microwave program, which simulates the reflux action occurring in this closed vessel. Taking into account the high cost of commercial microwave vessels and the volume of chemicals needed for various experiments (8-10 mL), this simple vessel is cost effective and suitable for digesting food and environmental samples.
    Matched MeSH terms: Microwaves
  17. Rahman MA, Ahamed E, Faruque MRI, Islam MT
    Sci Rep, 2018 Oct 08;8(1):14948.
    PMID: 30297730 DOI: 10.1038/s41598-018-33295-0
    Various techniques are commonly used to produce nano-crystalline NiAl2O4 materials; however, their practical applications in the microwave region remain very limited. In this work, flexible substrates for metamaterials containing two different concentrations of NiAl2O4 (labelled Ni36 and Ni42) have been synthesised using a sol-gel method. The formation of spinel structures in the synthesised materials is confirmed, and their crystalline sizes are determined using scanning electron microscopy, X-ray diffraction, and energy dispersive X-ray techniques. The dielectric properties, conductivities, loss tangents, and other parameters of the NiAl2O4-based substrates are analysed to evaluate their applicability as dielectric materials for the microwave frequency range. The obtained results show that the fabricated Ni36 and Ni42 nickel aluminates possess dielectric constants of 4.94 and 4.97 and loss tangents of 0.01 and 0.007, respectively; in addition, they exhibit high flexibility and light weight, which make them suitable for applications as metamaterial substrates. The synthesised structures are also validated experimentally using a commercially available electromagnetic simulator; as a result, double negative behaviour of the flexible metamaterials has been observed. Furthermore, it is found that the prepared NiAl2O4 substrates can be used in the S-, C-, and X-bands of the microwave frequency region.
    Matched MeSH terms: Microwaves
  18. Ibrahim IR, Matori KA, Ismail I, Awang Z, Rusly SNA, Nazlan R, et al.
    Sci Rep, 2020 Feb 21;10(1):3135.
    PMID: 32081972 DOI: 10.1038/s41598-020-60107-1
    Microwave absorption properties were systematically studied for double-layer carbon black/epoxy resin (CB) and Ni0.6Zn0.4Fe2O4/epoxy resin (F) nanocomposites in the frequency range of 8 to 18 GHz. The Ni0.6Zn0.4Fe2O4 nanoparticles were synthesized via high energy ball milling with subsequent sintering while carbon black was commercially purchased. The materials were later incorporated into epoxy resin to fabricate double-layer composite structures with total thicknesses of 2 and 3 mm. The CB1/F1, in which carbon black as matching and ferrite as absorbing layer with each thickness of 1 mm, showed the highest microwave absorption of more than 99.9%, with minimum reflection loss of -33.8 dB but with an absorption bandwidth of only 2.7 GHz. Double layer absorbers with F1/CB1(ferrite as matching and carbon black as absorbing layer with each thickness of 1 mm) structure showed the best microwave absorption performance in which more than 99% microwave energy were absorbed, with promising minimum reflection loss of -24.0 dB, along with a wider bandwidth of 4.8 GHz and yet with a reduced thickness of only 2 mm.
    Matched MeSH terms: Microwaves
  19. Mohd Bahar AA, Zakaria Z, Md Arshad MK, Isa AAM, Dasril Y, Alahnomi RA
    Sci Rep, 2019 04 02;9(1):5467.
    PMID: 30940843 DOI: 10.1038/s41598-019-41702-3
    In this study, a critical evaluation of analyte dielectric properties in a microvolume was undertaken, using a microwave biochemical sensor based on a circular substrate integrated waveguide (CSIW) topology. These dielectric properties were numerically investigated based on the resonant perturbation method, as this method provides the best sensing performance as a real-time biochemical detector. To validate these findings, shifts of the resonant frequency in the presence of aqueous solvents were compared with an ideal permittivity. The sensor prototype required a 2.5 µL volume of the liquid sample each time, which still offered an overall accuracy of better than 99.06%, with an average error measurement of ±0.44%, compared with the commercial and ideal permittivity values. The unloaded Qu factor of the circular substrate-integrated waveguide (CSIW) sensor achieved more than 400 to ensure a precise measurement. At 4.4 GHz, a good agreement was observed between simulated and measured results within a broad frequency range, from 1 to 6 GHz. The proposed sensor, therefore, offers high sensitivity detection, a simple structural design, a fast-sensing response, and cost-effectiveness. The proposed sensor in this study will facilitate real improvements in any material characterization applications such as pharmaceutical, bio-sensing, and food processing applications.
    Matched MeSH terms: Microwaves
  20. Loh PS, Yeong CH, Masohood NS, Sulaiman N, Zaki RA, Fabell K, et al.
    Sci Rep, 2021 01 27;11(1):2299.
    PMID: 33504909 DOI: 10.1038/s41598-021-81913-1
    Microwave ablation (MWA) is gaining popularity for the treatment of small primary hepatocellular carcinoma and metastatic lesions especially if patients are not candidates for surgical resection. Deep neuromuscular blockade (DMB) is perceived to improve surgical working conditions compared to moderate neuromuscular blockade (MMB) but no studies have examined the same benefits in MWA of liver tumours. This study aimed to compare the clinical outcomes of DMB and MMB in MWA of liver tumours in terms of liver excursion, performance scores by the interventional radiologists and patients, requirements of additional muscle relaxants and complications. 50 patients were recruited and 45 patients (22 in MMB group, 23 in DMB group) completed the study. The mean liver excursion for the MMB group (1.42 ± 1.83 mm) was significantly higher than the DMB group (0.26 ± 0.38 mm) (p = 0.001). The mean Leiden-Surgical Rating Scale (L-SRS) rated by the two interventional radiologists were 4.5 ± 0.59 and 3.6 ± 0.85 for the DMB and MMB groups, respectively (p = 0.01). There was also statistically significant difference on patient satisfaction scores (0-10: Extremely Dissatisfied-Extremely Satisfied) between DMB (8.74 ± 1.1) and MMB (7.86 ± 1.25) groups (p = 0.01). 5 patients from MMB group and none from DMB group required bolus relaxant during the MWA procedure. Adverse events were also noted to be more severe in the MMB group. In conclusion, DMB significantly reduced liver excursion and movement leading to improved accuracy, safety and success in ablating liver tumour.
    Matched MeSH terms: Microwaves*
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