Acute stroke services have been installed in most hospitals in the industrialized world, and dealing with hyperacute stroke has become one of the most frequently performed tasks of the on-call radiologist. Imaging plays a key role in current guidelines for thrombolysis, and knowledge of classic early ischemic signs or depiction of hemorrhage at nonenhanced computed tomography (CT) is necessary (although not sufficient) for a satisfactory imaging study. A modern CT examination must also include perfusion CT and CT angiography. Perfusion CT delineates the ischemic tissue (penumbra) by showing increased mean transit time with decreased cerebral blood flow (CBF) and normal or increased cerebral blood volume (CBV), whereas infarcted tissue manifests with markedly decreased CBF and decreased CBV. CT angiography can depict the occlusion site, help grade collateral blood flow, and help characterize carotid atherosclerotic disease. A complete CT study (nonenhanced CT, perfusion CT, and CT angiography) may be performed and analyzed rapidly and easily by general radiologists using a simple standardized protocol and may even facilitate diagnosis by less experienced radiologists in affected patients.

Abstract. As part of the T-REX project, a number of R&D and prototyping activities have been carried out during the last years to explore the applicability of gaseous Time Projection Chambers (TPCs) with Micromesh Gas Structures (Micromegas) in rare event searches like double beta decay, axion research and low-mass WIMP searches. In both this and its companion paper, we compile the main results of the project and give an outlook of application prospects for this detection technique. While in the companion paper we focus on axions and WIMPs, in this paper we focus on the results regarding the measurement of the double beta decay (DBD) of 136 Xe in a high pressure Xe (HPXe) TPC. Micromegas of the microbulk type have been extensively studied in high pressure Xe and Xe mixtures. Particularly relevant are the results obtained in Xe + trimethylamine (TMA) mixtures, showing very promising results in terms of gain, stability of operation, and energy resolution at high pressures up to 10 bar. The addition of TMA at levels of ∼1% reduces electron diffusion by up to a factor of 10 with respect to pure Xe, improving the quality of the topological pattern, with a positive impact on the discrimination capability. Operation with a medium size prototype of 30 cm diameter and 38 cm of drift (holding about 1 kg of Xe at 10 bar in the fiducial volume, enough to contain high energy electron tracks in the detector volume) has allowed to test the detection concept in realistic experimental conditions. Microbulk Micromegas are able to image the DBD ionization signature with high quality while, at the same time, measuring its energy deposition with a resolution of at least a ∼3% FWHM @ Q ββ . This value was experimentally demonstrated for high-energy extended tracks at 10 bar, and is probably improvable down to the ∼1% FWHM levels as extrapolated from low energy events. In addition, first results on the topological signature information (one straggling track ending in two blobs) show promising background discrimination capabilities out of reach of other experimental implementations. Moreover, microbulk Micromegas have very low levels of intrinsic radioactivity, and offer cost-effective scaling-up options. All these results demonstrate that Micromegas-read HPXe TPC remains a very competitive technique for the next generation DBD experiments.

Micromesh gas amplification structures (Micromegas) can be used as readout of Time Projection Chambers in the field of Rare Event searches dealing with dark matter, double beta decay or solar axions. The topological information of events offered by these gaseous detectors is a very powerful tool for signal identification and background rejection. However, in this kind of experiments the radiopurity of the detector components and surrounding materials must be thoroughly controlled in addition in order to keep the experimental background as low as possible.A screening program based mainly on gamma-ray spectrometry using an ultra-low background HPGe detector in the Canfranc Underground Laboratory is being developed for several years, with the aim to measure the activity levels of materials used in the Micromegas planes and also in other components involved in a plausible experimental set-up: gas vessel, field cage, electronic boards, calibration system or shielding.

Polyacrylate polyalcohol copolymer can be used to treat vesicoureteral reflux with comparable efficacy to other substances currently used, with a low rate of complications.