A ação do instrumento endodôntico nas paredes do canal leva à formação de debris dentinários. Sua remoção é principalmente função das manobras de irrigação. Entretanto, a ação do instrumento pode facilitar ou não o acúmulo dos debris dentinários, principalmente em função da sua cinemática. O sistema Twisted File (TF) Adaptive (SybronEndo, Orange, CA) combina o movimento rotatório contínuo e reciprocante e o sistema Reciproc (VDW, Munique, Alemanha) realiza o preparo do canal radicular pelo movimento reciprocante puro. Os objetivos deste estudo foram, utilizando a microtomografia computadorizada (micro-CT): avaliar, ex vivo, o preparo (aumento de volume e superficies não preparadas) e quantificar o acúmulo de debris dentinários em canais ovais longos comparando os sistemas TF Adaptive e Reciproc; avaliar o efeito da irrigação ultrassônica ativada intermitente (IUAT) após o preparo químico-cirúrgico com os sistemas propostos, na redução de debris dentinários; e relacionar a presença de debris dentinários com o magma dentinário avaliado por meio do microscópio eletrônico de varredura. Canais distais de trinta e oito molares inferiores foram selecionados e divididos em dois grupos: G1 - TFA (n=19) e G2 - RC (n=19). Cada espécime foi submetido a três escaneamentos: prée pós-operatório e pós-irrigação ultrassônica passiva final. Após a reconstrução das imagens resultantes dos três escaneamentos, foi feito o corregistro das mesmas com o programa DataViewer. Os programas CTAn e CTvol foram utilizados para binarização dos objetos de interesse, avaliações morfométricas e reconstrução dos modelos tridimensionais. Foram mensurados o aumento de volume do canal, as superfícies não preparadas e os debris dentinários após o preparo químico-cirúrgico. Após a irrigação final, cinco raízes de cada grupo foram clivadas longitudinalmente ao meio no terço apical e analisadas no microscópio eletrônico de varredura (MEV) quanto à presença de magma dentinário. O sistema de pontuação utilizado foi o de Hülsmann et al. (1997). Os resultados foram analisados pelo programa Bioestat e mostraram uma distribuição não-paramétrica pelo teste D\'Agostino. Por esta razão, para a análise dois a dois entre os grupos foi utilizado o teste de Mann-Whitney. Na análise intra-grupo, o teste de Kruskal-Wallis foi o escolhido, com complementação do teste de Dunn quando necessário. Os dados obtidos mostraram que o sistema TF Adaptive removeu mais dentina quando todo canal foi considerado (p<0,05). Entretanto, não houve diferença estatisticamente significante quanto à porcentagem de superfície não preparada em ambos os sistemas (p>0.05). Em relação ao acúmulo de debris dentinários e redução de debris dentinários pós-irrigação ultrassônica passiva, também não houve diferença entre os grupos (p>0.05). A IUAI promoveu redução significativa de debris dentinários, à exceção do terço apical. Qualitativamente, no MEV, observou-se magma dentinário não-homogêneo cobrindo a parede do canal, especialmente no grupo Reciproc. Conclui-se que nenhum sistema conseguiu preparar completamente as paredes de canal radicular oval longo e que a IUAI reduz os debris dentinários na ordem de 60-70%. Na análise do MEV, pode-se observar que não houve correlação entre a redução de debris dentinários e o magma dentinário. / The action of the endodontic instrument leads to hard-tissue debris. The main goal of the irrigation procedures is its removal. Nevertheless, depending on its kinematics the rotary file can contribute to the removal of hard-tissue debris. The TF Adaptive system (SybronEndo, Orange, CA) combines the rotary and reciprocating movement and the Reciproc system (VDW< Munique, Alemanha) with pure reciprocating movement, removes significant quantities of dentin of the canal wall with more difficulties of pulling out hard-tissue debris. The aims of this study were, using microcomputed tomography: evaluate preparation and quantify hard-tissue debris reduction in long-oval canals comparing TF Adaptive and Reciproc systems; evaluate the effect of passive ultrassonic irrigation (PUI) after preparation with the proposed groups in the accumulation of hard-tissue debris; and correlate the presence of hardtissue debris with smear layer evaluated by scanning eléctron microscope (SEM). Distal canals of thirty-eight lower molars were selected and divided in two groups: G1 - TFA (n=19) and G2 - RC (n=19). Each specimen was scanned three times: preand post-instrumentation of the root canal; and post-passive ultrassonic irrigation. After reconstruction of the scanned images, a co-registration was done with DataViewer. The softwares CTan and CTvol were used for binarization of the objects of interest, morphometrics alterations and reconstruction of tridimensional models and hard-tissue debris models. Volume increasing, non-prepared surfaces and hardtissue debris after instrumentation were measured. After final irrigation, the root canals were clived in halves at the apical third and analyzed by scanning eléctron microscope related to smear layer. The score system described by Hülsmann et al. (1997) was used. The results showed a non-parametric distribution by D\'Agostino test. For that reason, Mann-Whitney test was used to compare the experimental groups and the Kruskall-Wallis test to compare intra-group performance. Dunn test determined which sample was different. Data shows that TF Adaptive removed more dentin in the whole root canal (p<0,05). There was no significant statistic difference comparing non-prepared surfaces between the systems (p>0,05). Related to hardtissue debris and reduction of hard-tissue debris after passive ultrassonic irrigation, there was no significant difference between TF Adaptive and Reciproc. The PUI reduced significantly hard-tissue debris, except for the apical third. The scanning electron microscope (SEM) showed a non-homogeneous smear layer covering the canal dentin walls, specially the Reciproc group. It was concluded that no system completely prepared the dentin walls of long-oval root canals and the passive ultrassonic irrigation decreased hard-tissue debris about 60-70% in the evaluated systems. SEM analysis reported no correlation between hard-tissue reduction and smear layer.

A ação do instrumento endodôntico nas paredes do canal leva à formação de debris dentinários. Sua remoção é principalmente função das manobras de irrigação. Entretanto, a ação do instrumento pode facilitar ou não o acúmulo dos debris dentinários, principalmente em função da sua cinemática. O sistema Twisted File (TF) Adaptive (SybronEndo, Orange, CA) combina o movimento rotatório contínuo e reciprocante e o sistema Reciproc (VDW, Munique, Alemanha) realiza o preparo do canal radicular pelo movimento reciprocante puro. Os objetivos deste estudo foram, utilizando a microtomografia computadorizada (micro-CT): avaliar, ex vivo, o preparo (aumento de volume e superficies não preparadas) e quantificar o acúmulo de debris dentinários em canais ovais longos comparando os sistemas TF Adaptive e Reciproc; avaliar o efeito da irrigação ultrassônica ativada intermitente (IUAT) após o preparo químico-cirúrgico com os sistemas propostos, na redução de debris dentinários; e relacionar a presença de debris dentinários com o magma dentinário avaliado por meio do microscópio eletrônico de varredura. Canais distais de trinta e oito molares inferiores foram selecionados e divididos em dois grupos: G1 - TFA (n=19) e G2 - RC (n=19). Cada espécime foi submetido a três escaneamentos: prée pós-operatório e pós-irrigação ultrassônica passiva final. Após a reconstrução das imagens resultantes dos três escaneamentos, foi feito o corregistro das mesmas com o programa DataViewer. Os programas CTAn e CTvol foram utilizados para binarização dos objetos de interesse, avaliações morfométricas e reconstrução dos modelos tridimensionais. Foram mensurados o aumento de volume do canal, as superfícies não preparadas e os debris dentinários após o preparo químico-cirúrgico. Após a irrigação final, cinco raízes de cada grupo foram clivadas longitudinalmente ao meio no terço apical e analisadas no microscópio eletrônico de varredura (MEV) quanto à presença de magma dentinário. O sistema de pontuação utilizado foi o de Hülsmann et al. (1997). Os resultados foram analisados pelo programa Bioestat e mostraram uma distribuição não-paramétrica pelo teste D\'Agostino. Por esta razão, para a análise dois a dois entre os grupos foi utilizado o teste de Mann-Whitney. Na análise intra-grupo, o teste de Kruskal-Wallis foi o escolhido, com complementação do teste de Dunn quando necessário. Os dados obtidos mostraram que o sistema TF Adaptive removeu mais dentina quando todo canal foi considerado (p<0,05). Entretanto, não houve diferença estatisticamente significante quanto à porcentagem de superfície não preparada em ambos os sistemas (p>0.05). Em relação ao acúmulo de debris dentinários e redução de debris dentinários pós-irrigação ultrassônica passiva, também não houve diferença entre os grupos (p>0.05). A IUAI promoveu redução significativa de debris dentinários, à exceção do terço apical. Qualitativamente, no MEV, observou-se magma dentinário não-homogêneo cobrindo a parede do canal, especialmente no grupo Reciproc. Conclui-se que nenhum sistema conseguiu preparar completamente as paredes de canal radicular oval longo e que a IUAI reduz os debris dentinários na ordem de 60-70%. Na análise do MEV, pode-se observar que não houve correlação entre a redução de debris dentinários e o magma dentinário. / The action of the endodontic instrument leads to hard-tissue debris. The main goal of the irrigation procedures is its removal. Nevertheless, depending on its kinematics the rotary file can contribute to the removal of hard-tissue debris. The TF Adaptive system (SybronEndo, Orange, CA) combines the rotary and reciprocating movement and the Reciproc system (VDW< Munique, Alemanha) with pure reciprocating movement, removes significant quantities of dentin of the canal wall with more difficulties of pulling out hard-tissue debris. The aims of this study were, using microcomputed tomography: evaluate preparation and quantify hard-tissue debris reduction in long-oval canals comparing TF Adaptive and Reciproc systems; evaluate the effect of passive ultrassonic irrigation (PUI) after preparation with the proposed groups in the accumulation of hard-tissue debris; and correlate the presence of hardtissue debris with smear layer evaluated by scanning eléctron microscope (SEM). Distal canals of thirty-eight lower molars were selected and divided in two groups: G1 - TFA (n=19) and G2 - RC (n=19). Each specimen was scanned three times: preand post-instrumentation of the root canal; and post-passive ultrassonic irrigation. After reconstruction of the scanned images, a co-registration was done with DataViewer. The softwares CTan and CTvol were used for binarization of the objects of interest, morphometrics alterations and reconstruction of tridimensional models and hard-tissue debris models. Volume increasing, non-prepared surfaces and hardtissue debris after instrumentation were measured. After final irrigation, the root canals were clived in halves at the apical third and analyzed by scanning eléctron microscope related to smear layer. The score system described by Hülsmann et al. (1997) was used. The results showed a non-parametric distribution by D\'Agostino test. For that reason, Mann-Whitney test was used to compare the experimental groups and the Kruskall-Wallis test to compare intra-group performance. Dunn test determined which sample was different. Data shows that TF Adaptive removed more dentin in the whole root canal (p<0,05). There was no significant statistic difference comparing non-prepared surfaces between the systems (p>0,05). Related to hardtissue debris and reduction of hard-tissue debris after passive ultrassonic irrigation, there was no significant difference between TF Adaptive and Reciproc. The PUI reduced significantly hard-tissue debris, except for the apical third. The scanning electron microscope (SEM) showed a non-homogeneous smear layer covering the canal dentin walls, specially the Reciproc group. It was concluded that no system completely prepared the dentin walls of long-oval root canals and the passive ultrassonic irrigation decreased hard-tissue debris about 60-70% in the evaluated systems. SEM analysis reported no correlation between hard-tissue reduction and smear layer.

A carcinogênese é um processo longo que envolve múltiplas etapas na transformação das células normais em malignas. Duas hipóteses têm sido propostas para explicar o potencial heterogêneo de células neoplásicas e o processo de desenvolvimento de neoplasias: o modelo estocástico, em que uma população distinta de células neoplásicas adquire um conjunto de mutações somáticas e desenvolve capacidade metastática e o modelo hierárquico, no qual neoplasias primárias e suas metástases são iniciadas por um número pequeno de células, conhecidas \"cancer stem cells\" (CSC). Assim, o HCC poder ser originado de células tronco/progenitoras hepáticas ou células ovais e hepatócitos. Aventou-se a hipótese neste trabalho que a BI reduz o número de células ovais hepáticas, regulando proteínas (CK19, &#946;-catenina e ALDH1A1) que possam estar relacionadas ao papel destas células na hepatocarcinogênese. Ratos Wistar foram submetidos ao modelo de hepatocarcinogênese do \"Hepatócito Resistente\" e receberam durante 4 semanas consecutivas: 16mg/100g p.c. de &#946;-ionona (BI) ou somente 0,25mL/100g p.c. de óleo de milho (grupo controle - OM). Estes animais foram distribuídos em 4 pontos de eutanásia (P0, P1, P2 e P3 - 7, 14, 21 e 35 dias após a HP respectivamente), para avaliação da cinética das células ovais hepáticas. Foi observado que o tratamento com BI diminuiu a presença de células ovais GST-P positivas e reduziu o percentual de LPN positivas para ALDH1A1, &#946;-catenina e CK19 quando comparado ao do respectivo grupo controle OM. Em conclusão, o tratamento com BI reduziu o número das células ovais, bem como os níveis de proteínas a elas relacionadas e que conferem ao HCC mau prognóstico e maior agressividade. / Carcinogenesis is a long process that involves multiple phases in the transformation of normal cells into malignant. Two hypotheses have been proposed to explain the heterogeneous potential of neoplastic cells and the process of carcinogenesis: a stochastic model in which a distinct population of neoplastic cells acquires a set of somatic mutations and develops metastatic capacity and hierarchical model in which the primary tumors and their metastases are initiated by a small number of cells, known \"cancer stem cells\" (CSC). Therefore, the HCC can be originate from stem/progenitor cells or hepatic oval cells and hepatocytes. Ventured the hypothesis in this work that &#946;-ionone (BI) reduces the number of hepatic oval cells, regulating proteins (CK19, &#946;-catenin and ALDH1A1) that may be related to the role of these cells in hepatocarcinogenesis. Wistar rats were submitted to hepatocarcinogenesis model of \"Resistant Hepatocyte\" and received for 4 consecutive weeks: 16mg/100g body weight of BI or 0,25 mL/100g body weight of corn oil (control group - CO). These animals were euthanized at 4 points (P0, P1, P2 and P3 - 7, 14, 21 and 35 days after PH, respectively) to evaluate the kinetics of hepatic oval cells. It was observed that the treatment of BI decreased the presence of GST-P oval cells positive and reduced the percentage of positive ALDH1A1 LPN, &#946;-catenin and CK19 compared to the respective control group OM. In conclusion, the treatment with BI reduced the number of oval cells as well as the levels of proteins related to them and gives a poor prognosis in HCC and increased aggressiveness.

Electron density irregularities influence Global Navigation Satellite System (GNSS) signals, manifesting as ionospheric scintillation. Scintillation poses a service risk to safety-critical GNSS applications at high latitudes. It is difficult to predict, as ionospheric instability processes are not yet fully characterised. This research combines the fields of ionospheric imaging and scintillation monitoring, to investigate the causes of scintillation in the Antarctic and Arctic. Results revealed a plasma patch structure above Antarctica, in response to the impact of a solar wind shock front. Measurements from a network of Global Positioning System scintillation receivers across the continent revealed moderate levels of phase scintillation associated with Total Electron Content (TEC) gradients at the patch break-off point. Scintillation was also driven by solar particle precipitation at E and F region altitudes, verified with in situ spectrometers on polar-orbiting satellites. The current receiver coverage in the region provided the Multi-Instrument Data Analysis Software (MIDAS) tomography tool with sufficient data to track the lifetime of the plasma patch without a convection model. A second experiment was performed at the South Pole, using a collocated GPS scintillation receiver and auroral imager. This allowed simultaneous line-of-sight tracking of GPS signals through the optical auroral emissions. Results showed the first statistical evidence that auroral emissions can be used a proxy for ionospheric irregularities causing GPS scintillation. The relationship was strongest during the presence of discrete auroral arcs. Correlation levels of up to 74% were found over periods of 2-3 hours. The use of multiple emission wavelengths provided basic altitude discrimination. Current capability of ionospheric TEC mapping in the Arctic was tested, where GPS receiver distribution is extensive compared to present Antarctic coverage. Analysis of the ionosphere’s response to a storm event revealed a sequential picture of polar cap patch activity, without the aid of plasma convection modelling. The electron density enhancements of the auroral oval were imaged in completeness for the first time using GPS tomography. Reconstructions were verified using ultraviolet auroral imagery from polar-orbit satellites, and vertical profiles from an incoherent scatter radar.

The TRUShape 3D Conforming File (TRUShape), a novel, S-shaped nickel-titanium (NiTi) rotary file, was developed to facilitate cleaning and shaping of irregular-shaped root canals. The purpose of this study was to evaluate the shaping ability of TRUShape compared to Vortex Blue (VB) when used in non-round, oval-shaped root canals by micro-computed tomography (MCT). Thirty single-rooted human mandibular premolar teeth with radiographically similar root canal size and curvature were randomly allocated to two groups (N=15), and mechanically prepared with TRUShape or VB. Each tooth was submitted to MCT at 20 μm resolution at three time intervals: before shaping, and after shaping to an intermediate apical size 30 and a final apical size 40. Three-dimensional data sets were superimposed and evaluated for root canal volume, surface area, and treated surface. Matched axial slices in the apical, middle, and coronal root thirds were evaluated for area, roundness, and canal transportation expressed as center of mass shift (CMS). Data were statistically analyzed using parametric and non-parametric tests. Root canal volumes increased similarly and significantly overall (p< 0.001; from an initial volume of 7.3±3.5 mm3 to an intermediate volume of 8.7±3.1 mm3 and a final volume of 9.9±3.0 mm3). Treated canal surface was significantly larger in the TRUShape group at both apical sizes 30 and 40 with 72±15% vs. 55±23% and 85±12% vs. 71±20% non-static voxels for TRUShape and VB, respectively (p< 0.05). Canal transportation was less than 100 μm in all but 8 out of 90 cross sections and was not significantly different between groups. This MCT study demonstrated the TRUShape 3D Conforming File to be effective in the mechanical preparation, specifically, the surface treatment, of single-rooted premolars with non-round, oval-shaped root canals. Funding was provided by the American Association of Endodontists (AAE) Foundation and the Department of Endodontics at the University of Iowa, College of Dentistry.

Ovaldrehen ist eine alte Drechseltechnik.<br/>Sie wurde seit einigen Jahren durch neue Ovaldrehmaschinen wiederbelebt. Diese Maschinen und ihr Zubehör sowie ihr Gebrauch werden beschrieben. Die Grundlagen bilden getriebetechnische und geometrische Analysen. <br/>Eine Galerie ovalgedrehter Gebrauchsgegenstände zeigt die Vielfalt der Anwendungsmöglichkeiten.<br/>Am Schluss steht ein Verzeichnis relevanter Literatur, Videos und Adressen im Internet und von Ovaldreh-Praxen.

Ovalturning is an ancient woodturning art, recently revived by new ovalturning lathes designed and tested by the author. These lathe, their accessories and their usage and application are described in detail. The fundaments are kinematical mechanism analysis and the ellipse geometry. A gallery of oval turned items for usage shows partially the variety of ovalturning application. At the end is given a list of relevant literature, videos and addresses in the internet and of ovalturning practioners and schools. Second edition

A carcinogênese é um processo longo que envolve múltiplas etapas na transformação das células normais em malignas. Duas hipóteses têm sido propostas para explicar o potencial heterogêneo de células neoplásicas e o processo de desenvolvimento de neoplasias: o modelo estocástico, em que uma população distinta de células neoplásicas adquire um conjunto de mutações somáticas e desenvolve capacidade metastática e o modelo hierárquico, no qual neoplasias primárias e suas metástases são iniciadas por um número pequeno de células, conhecidas \"cancer stem cells\" (CSC). Assim, o HCC poder ser originado de células tronco/progenitoras hepáticas ou células ovais e hepatócitos. Aventou-se a hipótese neste trabalho que a BI reduz o número de células ovais hepáticas, regulando proteínas (CK19, &#946;-catenina e ALDH1A1) que possam estar relacionadas ao papel destas células na hepatocarcinogênese. Ratos Wistar foram submetidos ao modelo de hepatocarcinogênese do \"Hepatócito Resistente\" e receberam durante 4 semanas consecutivas: 16mg/100g p.c. de &#946;-ionona (BI) ou somente 0,25mL/100g p.c. de óleo de milho (grupo controle - OM). Estes animais foram distribuídos em 4 pontos de eutanásia (P0, P1, P2 e P3 - 7, 14, 21 e 35 dias após a HP respectivamente), para avaliação da cinética das células ovais hepáticas. Foi observado que o tratamento com BI diminuiu a presença de células ovais GST-P positivas e reduziu o percentual de LPN positivas para ALDH1A1, &#946;-catenina e CK19 quando comparado ao do respectivo grupo controle OM. Em conclusão, o tratamento com BI reduziu o número das células ovais, bem como os níveis de proteínas a elas relacionadas e que conferem ao HCC mau prognóstico e maior agressividade. / Carcinogenesis is a long process that involves multiple phases in the transformation of normal cells into malignant. Two hypotheses have been proposed to explain the heterogeneous potential of neoplastic cells and the process of carcinogenesis: a stochastic model in which a distinct population of neoplastic cells acquires a set of somatic mutations and develops metastatic capacity and hierarchical model in which the primary tumors and their metastases are initiated by a small number of cells, known \"cancer stem cells\" (CSC). Therefore, the HCC can be originate from stem/progenitor cells or hepatic oval cells and hepatocytes. Ventured the hypothesis in this work that &#946;-ionone (BI) reduces the number of hepatic oval cells, regulating proteins (CK19, &#946;-catenin and ALDH1A1) that may be related to the role of these cells in hepatocarcinogenesis. Wistar rats were submitted to hepatocarcinogenesis model of \"Resistant Hepatocyte\" and received for 4 consecutive weeks: 16mg/100g body weight of BI or 0,25 mL/100g body weight of corn oil (control group - CO). These animals were euthanized at 4 points (P0, P1, P2 and P3 - 7, 14, 21 and 35 days after PH, respectively) to evaluate the kinetics of hepatic oval cells. It was observed that the treatment of BI decreased the presence of GST-P oval cells positive and reduced the percentage of positive ALDH1A1 LPN, &#946;-catenin and CK19 compared to the respective control group OM. In conclusion, the treatment with BI reduced the number of oval cells as well as the levels of proteins related to them and gives a poor prognosis in HCC and increased aggressiveness.

This thesis project is dealing with the phenomenon of brownfields, which nowadays are a part of every city. For the site at Brno - Ponava the proposal suggests TEMPORARY USE as one of the possible strategic approaches for handling this issue and introduces a process-oriented urban development strategy. The main theme of the design is called ZERO URBANISM. The goal is that with a minimal investment, short construction time and fulfillment of overall principals of sustainability, it is possible to change the former football stadium into a platform for social life. With cooperation from the public and the city this can become a place with various activities and have the potential for economic growth. The expected effect is that the site becomes a CATALYST and INCUBATOR for future development of the undervalued neighborhood, having a cultural and economic impact on the site as well as within the surrounding city context.

Introdução:O Forame Oval Patente (FOP) é a comunicação direita-esquerda (CDE) ou shunt direita-esquerda (SDE) mais comum e frequentemente encontrada em adultos jovens com Acidente Vascular Cerebral (AVC) relacionado ao mecanismo de embolia paradoxal. A Ecocardiografia Transesofágia (ETE) é considerada o padrão para visualização direta do FOP. O Doppler Transcraniano com o teste de microbolhas é frequentemente usado para detectar CDE com boa correlação com o ETE para o diagnóstico de FOP. Mais recentemente, a Ultrassonografia Transcraniana Colorida (TCCS) com inclusão do modo-B e fluxo de cor tem superado o DTC (que é realizado \"as cegas\") em muitas aplicações clínicas mas a acurácia do TCCS para a detecção de CDE e FOP não tem sido sistematicamente avaliada. Objetivo: Determinar se o TCCS é uma ferramenta acurada para identificar tanto FOP quanto CDE. Métodos: Foram recrutados 106 pacientes prospectivamente com Acidente Vascular Cerebral Isquêmico menores de 55 anos admitidos na Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (HCFMRP). Os pacientes foram submetidos aos exames de ETE, DTC e TCCS e todos os exames incluíram a técnica do teste de microbolhas. Os examinadores foram cegos para os resultados desses exames e foi calculado a concordância Kappa de Cohen inter-examinadores para o TCCS e DTC. A acurácia para o TCCS foi calculada em comparação ao ETE. Resultados: Foram detectados CDE em 54 (50.9%) dos pacientes (idade média 43.9 ± 8.2 anos) com Kappa de Cohen de 0.92 (IC 95% 0.78-1.0) quando realizados TCCS e TCD. TEE e TCSS foram positivos em 23/98 (23.4%) e ETE negative em 20/98 (20.4%). Em 30 (28.3%) o ETE revelou FOP. O TCSS teve uma sensibilidade de 88.4%(IC 95% 0.68-0.97) e especificidade de 72.2%(IC 95% 0.60-0.81) e uma razão de verossimilhança positive de 3.18 (IC 95% 2.14-4.73) para o diagnóstico de FOP. Conclusão: TCCS e DTC tiveram excelente concordância. TCCS tem uma boa acurácia para a detecção de FOP e CDE em pacientes jovens com Acidente Vascular Isquêmico / Introduction: Patent Foramen Ovale (PFO) is the most common right-to-left shunt (RLS) and is often found in young patients with stroke related to paradoxical embolism. ContrastEnhanced Transesophageal Echocardiography (TEE) is considered a gold standard to visualize PFO. Transcranial Doppler (TCD) with bubble test is often used to detect RLS with good correlation to TEE for the diagnostic of PFO. More recently, Transcranial Color Coded Sonography (TCCS) which included B-mode and color coded imaging has overcome blind TCD in many clinical applications but the accuracy of TCCS for detection of RLS and PFO has not been systematically evaluated. Hypothesis: To determine if the TCCS is an accurate tool to identify both PFO and RLS. Methods: We investigate 106 patients with ischemic stroke under 55 years-old admitted from 2012 to 2014 in a tertiary academic hospital. Patients were evaluated with TEE, TCD and TCCS, and all exams included a saline bubble test. The examiners were blinded for the other tests results. Kappa agreement was calculated inter-examiners for TCCS and TCD. Accuracy of TCCS was calculated in comparison to TEE. Results: We detected a RLS in 54 (50.9%) patients (age mean 43.9 ± 8.2) with kappa agreement 0.92 (95%CI 0.78-1.0) when performed TCCS and TCD. TEE and TCSS were positive in 23/98 (23.4%) and TEE did not reveal contrast in 20/98 (20.4%). In 30 (28.3%) patients only TEE revealed a PFO. TCSS had a sensitivity of 88.4% (95%CI 0.68-0.97), specificity of 72.2% (95%CI 0.60-0.81) and positive likelihood ratio of 3.18 (2.14-4.73) of the diagnosis of PFO. Conclusion: TCCS and TCD had an excellent agreement. TCCS has a good accuracy for the detection of PFO and RLS in young patients with stroke