Flexible, photoluminescent 0D Cs4PbX6 (X = Br, Br/I)-PMMA composite films for white LED via water-induced recrystallization.

3D CsPbX3 inorganic perovskite materials have attracted much attention in optoelectronic devices because of their strong absorbance, high photoluminescent quantum yield, tunable band gap, and narrow emission bandwidth. However, their practical usefulness is limited due to their poor stability in ambient conditions. Here, we created photoluminescent 0D Cs4PbX6 (X = Br, Br/I) suspensions in toluene by adding a small amount of water. The photoluminescent 0D Cs4PbX6 perovskite was mixed with polymethylmethacrylate (PMMA) forming 0D Cs4PbX6/PMMA composite films with higher PL, stability, transparency, and transmittance than that of the 3D CsPbX3/PMMA composite films prepared separately. Moreover, the PL intensity maintains 90% of the initial value after 30 days in water, showing excellent water stability. The flexible white-light LED device prepared by the composite films illustrated good luminescence performance with color rendering index 74.77, chromaticity coordinates (0.32, 0.33), and color temperature 6997 K.

PEGylation of NIR Cd0.3Pb0.7S aqueous quantum dots for stabilization and reduction of nonspecific binding to cells.

Cd0.3Pb0.7S (CdPbS) aqueous quantum dots (AQDs) made with 3-mercaptoproprionic acid (MPA) as a ligand have the advantages of emitting near-infrared light, well above 800 nm, that completely circumvents interference from tissue autofluorescence and have significant amounts of ligands for bioconjugation. However, retaining the right amount of MPA became a challenge when using CdPbS AQDs for bioimaging because retaining too much MPA could lead to significant nonspecific staining in cell imaging while insufficient MPA could cause AQDs instability in biological systems. Here we examined PEGylation (i.e. chemically linking amine-functionalized polyethylene glycol (PEG)) to modify MPA on the AQDs surface to improve AQDs stability and reduce nonspecific staining. In addition, for conjugation with antibodies, a bifunctional PEG with a carboxyl functionality was used to permit chemical linkage of a PEG to an antibody on the other end. It was found that performing PEGylation at the thiol concentration where the zeta potential becomes saturated stabilized the CdPbS AQDs suspension and reduced nonspecific binding to cells. Furthermore, with the bifunctional PEG, the CdPbS AQDs were conjugated with antibodies and the AQD-Ab conjugates were shown to stain cancer cells specifically against normal cells with a signal-to-noise ratio of 8.

Cesium lead iodide electrospun fibrous membranes for white light-emitting diodes.

Inorganic perovskite cesium lead iodide nanocrystals (CsPbI3NCs) are good candidates for optoelectronic devices because of their excellent properties of remarkable luminous performance (high luminous efficiency, narrow luminous spectral line), and high photoelectric conversion efficiency by using simple preparation method. But their inherent poor stability greatly limits its practical applications. In this paper, electrospinning is used to grow fibrous membranes with embedded cesium lead iodide perovskite nanocrystals (PNCs) formedin situin a one-step process. It was found that cubicα-CsPbI3PNCs were formed in polymer fibers, showing bright and uniform fluorescence signals. Furthermore, the water wetting angles were increased by the fibrous structure enhancing the hydrophobicity and the stability of the fibrous membranes in water. The electrospun fibrous membrane containing CsPbI3was combined with another membrane containing CsPbBr3under a blue light-emitting diode (LED) to create a white LED (WLED) in air successfully with CIE coordinates (0.3020, 0.3029), and a correlated color temperature of 7527 °K, indicating high purity of WLED. Our approach provides a new way to create highly stable, photoluminescent water-resistant perovskite nanocrystalline films.

Improving Stability of Cesium Lead Iodide Perovskite Nanocrystals by Solution Surface Treatments.

Cesium lead halide perovskite nanocrystals have a narrow emission peak tunable in the visible wavelength range with a high quantum yield. They hold great potential for optoelectronic applications such as light-emitting diodes or electronic displays. However, cesium lead iodide (CsPbI3) is not stable under ambient conditions, limiting its applications. Here, we use a solution surface treatment approach to improve the photostability of CsPbI3 suspensions in toluene. When a CsPbBr3 precursor is used via the method of heterogeneous surface treatment, the photoluminescence (PL) intensity is enhanced but the PL only lasts 2 days. In contrast, when a CsPbI3 precursor is used via the method of homogeneous surface treatment, not only the PL intensity of CsPbI3 suspensions is enhanced but also the stability with the PL lasts for 11 days. It is likely that a better protection on the core CsPbI3 by itself can be achieved because of better matching of the material structure and surface chemistry.

Flexible inorganic CsPbI3 perovskite nanocrystal-PMMA composite films with enhanced stability in air and water for white light-emitting diodes.

Perovskite nanocrystals are a new type of fluorescent material with the advantages of facile preparation process, bright tunable color with high quantum yield. They are ideal candidates for optoelectronic devices such as light-emitting diode (LED) and display. However, for practical applications of iodine-based perovskite nanocrystals, the photostability remains a great challenge because of their sensitivity to environmental factors such as oxygen, humidity etc. In this paper, we improve the photostability of CsPbI3 by introducing the polymethyl methacrylate (PMMA) as a matrix to form flexible perovskite/PMMA composite films. The composite films maintain good photoluminescence quantum yield for 25 d in air and 4 d in water. Furthermore, these films are flexible and can sustain multiple bending and folding while maintaining their photoluminescence properties. This photostability against mechanical deformation allows for the development of flexible devices. As an example, flexible white light-emitting diodes (WLED) were produced with chromaticity coordination (0.31, 0.32), color temperature 6735 K and good stability over time.

Graphene Sandwich Stable Perovskite Quantum-Dot Light-Emissive Ultrasensitive and Ultrafast Broadband Vertical Phototransistors.

Dual-functional devices that can simultaneously detect light and emit light have a tremendous appeal for multiple applications, including displays, sensors, defense, and high-speed optical communication. Despite the tremendous efforts of scientists, the progress of integration of a phototransistor, where the built-in electric field separates the photogenerated excitons, and a light-emitting diode, where the radiative recombination can be enhanced by band offset, into a single device remains a challenge. Combining the superior properties of perovskite quantum dots (PQDs) and graphene, here we report a light-emissive, ultrasensitive, ultrafast, and broadband vertical phototransistor that can simultaneously act as an efficient photodetector and light emitter within a single device. The estimated value of the external quantum efficiency of the vertical phototransistor is ∼1.2 × 1010% with a photoresponsivity of >109 A W-1 and a response time of <50 µs, which exceed all the presently reported vertical phototransistor devices. We also demonstrate that the modulation of the Dirac point of graphene efficiently tunes both amplitude and polarity of the photocurrent. The device exhibits a green emission having a quantum efficiency of 5.6%. The moisture-insensitive and environmentally stable, light-emissive, ultrafast, and ultrasensitive broadband phototransistor creates a useful route for dual-functional optoelectronic devices.

Rapid, label-free genetic detection of enteropathogens in stool without genetic isolation or amplification.

Current genetic detection methods require gene isolation, gene amplification and detection with a fluorescent-tagged probe. They typically require sophisticated equipment and expensive fluorescent probes, rendering them not widely available for rapid acute infection diagnoses at the point of care to ensure timely treatment of the diseases. Here we report a rapid genetic detection method that can detect the bacterial gene directly from patient stools using a piezoelectric plate sensor (PEPS) in conjunction with a continuous flow system with two temperature zones. With stools spiked with sodium dodecyl sulfate (SDS) in situ bacteria lysing and DNA denaturation occurred in the high-temperature zone whereas in situ specific detection of the denatured DNA by the PEPS occurred in the lower-temperature zone. The outcome was a rapid genetic detection method that directly detected bacterial genes from stool in < 40 min without the need of gene isolation, gene amplification, or expensive fluorescent tag but with polymerase chain reaction (PCR) sensitivity. In 40 blinded patient stools, it detected the toxin B gene of Clostridium difficile with 95% sensitivity and 95% specificity. The all-electrical, label-free nature of the detection further supports its potential as a low-cost genetic test that can be used at the point of care.

A model study of 3-dimensional localization of breast tumors using piezoelectric fingers of different probe sizes.

Mammography is the only Food and Drug Administration approved breast cancer screening method. The drawback of the tumor image in a mammogram is the lack of tumor depth information as it is only a 2-dimensional projection of a 3-dimensional (3D) tumor. In this work, we investigated 3D tumor imaging by assessing tumor depth information using a set of piezoelectric fingers (PEFs) with different probe sizes which were known to be capable of eliciting tissue elastic responses to different depths and tested it on model tumor tissues consisted of gelatin with suspended clay inclusions. The locations of the top and bottom surfaces of an inclusion were resolved by solving a simple spring model using the elastic measurements of the PEFs of different probe sizes as the input. The lateral sizes of an inclusion were determined as the full width at half maximum of the Gaussian fit to the measured lateral tumor elastic modulus profile. The obtained lateral inclusion sizes were in close agreement with the actual values, and the deduced depth profiles of an inclusion also agreed with the actual depth profiles so long as the bottom surface of the inclusion was within the depth sensitivity of the PEF with the largest probe size. This work offers a simple non-invasive method to predict the extent of a tumor in all 3 dimensions. The method is also non-radioactive.

In situ, amplification-free double-stranded mutation detection at 60 copies/ml with thousand-fold wild type in urine.

We have investigated amplification-free in situ double-stranded mutation detection in urine in the concentration range 10-19 M - 10-16 M using piezoelectric plate sensors (PEPs). The detection was carried out in a close-loop flow with two temperature zones. The 95 °C high-temperature zone served as the reservoir where the sample was loaded and DNA de-hybridized. The heated urine was cooled flowing through a 1 m long tubing immersed in room-temperature water bath at a flow rate of 4 ml/min to reach the detection cell at the desired temperature for the detection to take place. With hepatitis B virus double mutation (HBVDM) and KRAS G12V point mutation as model double mutations, it is shown that PEPS was able to detect double-stranded HBVDM and KRAS with 70% detection efficiency or better at concentration as low as 10-19 M against single-stranded mutation detection at the same concentrations, which was validated by the following in situ fluorescent reporter microspheres (FRMs) detection as well as microscopic visualization of the FRMs bound to the captured mutant on the PEPS surface. Furthermore, the same double-stranded mutation detection efficacy was demonstrated at 10-19 M - 10-16 M in a background of 250-fold wildtype for HBVDM and 1000-fold wildtype for KRAS. Also demonstrated was detection of KRAS mutation at 10-19 M - 10-16 M of SW480 DNA fragments in urine.

Variable piezoelectricity of electrospun chitin.

Investigations into the piezoelectricity of natural polymers is a continuing area of interest due to their potential role in the complex interplay of mechanical and electrical forces present in biological organisms. Their synthetic counterparts, when electrospun using the air gap electrospinning method, are known to have increased crystallinity and tensile strength as compared to randomly aligned nanofibers composed of the same constituent polymers. Using the air gap electrospinning method with the naturally-occurring, semi-crystalline polymer chitin, the nanofibers were determined to have a 300% increase in tensile strength over randomly collected ones. Additionally, a 400% increase in piezoelectric response in the aligned nanofiber chitin mats was measured. The increased tensile strength and piezoelectricity in aligned chitin nanofibers is a consequence of an increase in α-chitin crystallinity in the nanofibers induced by the air gap collection method.

Piezoelectric Plate Sensor (PEPS) for Analysis of Specific KRAS Point Mutations at Low Copy Number in Urine Without DNA Isolation or Amplification.

We have examined in situ detection of single-nucleotide KRAS mutations in urine using a (Pb(Mg1/3Nb2/3)O3)0.65(PbTiO3)0.35 (PMN-PT) piezoelectric plate sensor (PEPS) coated with a 17-nucleotide (nt) locked nucleic acid (LNA) probe DNA complementary to the KRAS mutation without DNA isolation and amplification. In situ mutant (MT) DNA in urine in a wild type (WT) background was carried out at a flow rate of 4 mL/min and at 63 °C with the PEPS vertically situated at the center of the flow. Both the temperature and the impingement flow force discriminated the wild type. Under these conditions PEPS was shown to specifically detect KRAS MT in situ within 30 min with an analytical sensitivity of 60 copies/mL in a clinically relevant background of WT with concentrations 1000-fold greater than that of MT without DNA isolation, amplification, or labeling. For validation, detection was performed in a mixture of blue MT fluorescent reporter microspheres (FRMs) (MT FRMs) that bound to only the captured MT, and orange WT FRMs that bound to only the captured WT. The captured blue MT FRMs still outnumbered the orange WT FRMs by a factor of 4-1 even though WT was 1000-fold of MT in urine, illustrating the specificity of the point mutation detection.

Charge-Neutral, Stable, Non-Cytotoxic, Near-Infrared SnS Aqueous Quantum Dots for High Signal-to-Noise-Ratio Biomedical Imaging.

We have synthesized charge-neutral, stable, non-cytotoxic, bright, near-infrared (NIR) SnS quantum dots (QDs) by first making Cysteamine-capped SnS QDs in glycerol under acidic conditions followed by lengthening the capping molecule with peptide bonds by reacting the capping molecules with glycine and subsequent heat treatment at 200°C for 4 hours. The obtained stable SnS QDs exhibited a band gap of 1.5 eV and a strong, narrow NIR emission peak at 830 nm with a quantum yield of 4.6%. The suspension could be stable for more than 1 month without aggregation or emission decay. The positively charged SnS QDs were further neutralized by 3-mercaptoproprionic acid (MPA) through electrostatic attraction. The MPA neutralized SnS QDs were shown to be non-cytotoxic at concentrations 6 times the typical QDs concentration for immunostaining. Low-noise, optimal NIR immunofluorescent imaging of vascular endothelial growth factor (VEGF) on 3T3 cells and Tn antigen on HT29 cells was achieved by using streptavidin (SA)-linked MPA-neutralized SnS QDs with a SA:QD molar ratio of 22:1 to bind to biotinylated secondary antibody bound on the primary antibody that was bound on the targeted antigen on the cell membrane with a high signal-to noise ratio (SNR) of 35.

Control of morphology, photoluminescence, and stability of colloidal methylammonium lead bromide nanocrystals by oleylamine capping molecules.

Methylammonium lead bromide (CH3NH3PbBr3) thin films and nanocrystals are useful for solar cells and LED applications. In order to improve stability in ambient environment, CH3NH3PbBr3 nanocrystals have been synthesized using oleylamine as capping molecule. It was found that by increasing the oleylamine to CH3NH3PbBr3 perovskite ratio (OPR), the photoluminescence wavelengths of CH3NH3PbBr3 nanocrystals could be varied from 505nm (green) to 450nm (blue). The change in emission wavelength is associated with a morphology change from nanoplatelets of ∼10nm width at OPR<1 to nanoparticles of ∼3nm diameter at OPR>1. It is suggested that the morphology change of nanocrystals is a result of geometric packing constraint of the sizes of oleylamine and PbBr3 octahedra. The nanocrystals with OPR=0.75 maintain photoluminescence property for more than 6months in ambient condition and can sustain temperature of 150°C for 30min.

Amplification-free in situ KRAS point mutation detection at 60 copies per mL in urine in a background of 1000-fold wild type.

We have examined the in situ detection of a single-nucleotide KRAS mutation in urine using a (Pb(Mg1/3Nb2/3)O3)0.65(PbTiO3)0.35 (PMN-PT) piezoelectric plate sensor (PEPS) coated with a 17-nucleotide (nt) locked nucleic acid (LNA) probe DNA complementary to the KRAS mutation. To enhance the in situ mutant (MT) DNA detection specificity against the wild type (WT), detection was carried out in a flow with a flow rate of 4 mL min(-1) and at 63 °C with the PEPS vertically situated at the center of the flow in which both the temperature and the flow impingement force discriminated the wild type. Under such conditions, PEPS was shown to specifically detect KRAS MT in situ with 60 copies per mL analytical sensitivity in a background of clinically-relevant 1000-fold more WT in 30 min without DNA isolation, amplification, or labeling. For validation, this detection was followed with detection in a mixture of blue MT fluorescent reporter microspheres (FRMs) (MT FRMs) that bound to only the captured MT and orange WT FRMs that bound to only the captured WT. Microscopic examinations showed that the captured blue MT FRMs still outnumbered the orange WT FRMs by a factor of 4 to 1 even though WT was 1000-fold of MT in urine. Finally, multiplexed specific mutation detection was demonstrated using a 6-PEPS array each with a probe DNA targeting one of the 6 codon-12 KRAS mutations.

Development of array piezoelectric fingers towards in vivo breast tumor detection.

We have investigated the development of a handheld 4 × 1 piezoelectric finger (PEF) array breast tumor detector system towards in vivo patient testing, particularly, on how the duration of the DC applied voltage, the depression depth of the handheld unit, and breast density affect the PEF detection sensitivity on 40 patients. The tests were blinded and carried out in four phases: with DC voltage durations 5, 3, 2, to 0.8 s corresponding to scanning a quadrant, a half, a whole breast, and both breasts within 30 min, respectively. The results showed that PEF detection sensitivity was unaffected by shortening the applied voltage duration from 5 to 0.8 s nor was it affected by increasing the depression depth from 2 to 6 mm. Over the 40 patients, PEF detected 46 of the 48 lesions (46/48)-with the smallest lesion detected being 5 mm in size. Of 28 patients (some have more than one lesion) with mammography records, PEF detected 31/33 of all lesions (94%) and 14/15 of malignant lesions (93%), while mammography detected 30/33 of all lesions (91%) and 12/15 of malignant lesions (80%), indicating that PEF could detect malignant lesions not detectable by mammography without significantly increasing false positives. PEF's detection sensitivity is also shown to be independent of breast density, suggesting that PEF could be a potential tool for detecting breast cancer in young women and women with dense breasts.

Specific in situ hepatitis B viral double mutation (HBVDM) detection in urine with 60 copies ml(-1) analytical sensitivity in a background of 250-fold wild type without DNA isolation and amplification.

We have examined in situ detection of hepatitis B virus 1762T/1764A double mutation (HBVDM) in urine using a (Pb(Mg(1/3)Nb(2/3))O3)(0.65)(PbTiO3)(0.35) (PMN-PT) piezoelectric plate sensor (PEPS) coated with a 16-nucleotide (nt) probe DNA (pDNA) complementary to the HBVDM. The in situ mutation (MT) detection was carried out in a flow with the PEPS vertically situated at the center of the flow in a background of wild type (WT). For validation, this detection was followed by detection in the mixture of MT fluorescent reporter microspheres (FRMs) (MT FRMs) and WT FRMs that emitted different fluorescence colours and were designed to specifically bind to MT and WT, respectively. At 30 °C and 4 ml min(-1), a PEPS was shown to specifically detect HBVDM in situ with 60 copies ml(-1) analytical sensitivity in a background of clinically-relevant 250-fold more WT in 30 min without DNA isolation, amplification, or labelling as validated by the visualization of the captured MT FRMs and WT FRMs following FRM detection where the captured MT FRMs outnumbered the WT FRMs by a factor of 5 to 1.

DNA hybridization detection with 100 zM sensitivity using piezoelectric plate sensors with an improved noise-reduction algorithm.

We have examined real-time, in situ hybridization detection of target DNA (tDNA) in a buffer solution and in urine using 8 µm-thick lead magnesium niobate-lead titanate (PMN-PT) piezoelectric plate sensors (PEPSs) about 1.1-1.2 mm long and 0.45 mm wide with improved 3-mercaptopropyltrimethoxysilane (MPS) insulation and a new multiple-parabola (>50) resonance peak position fitting algorithm. With probe DNA (pDNA) immobilized on the PEPS surface and by monitoring the first width extension mode (WEM) resonance frequency shift we detected tDNA in real time at concentration as low as 1 × 10(-19) M in urine (100 zM) with a signal to noise ratio (SNR) of 13 without DNA isolation and amplification at room temperature in 30 min. The present multiple-parabola fitting algorithm increased the detection of SNR by about 10 times compared to those obtained using the raw data and by about 5 times compared to those obtained using single parabola fitting. The detection was validated by in situ follow-up detection and subsequent visualization of fluorescent reporter microspheres (FRMs) coated with reporter DNA complementary to the tDNA but different from the probe pDNA.

Quantitative assessment of Tn antigen in breast tissue micro-arrays using CdSe aqueous quantum dots.

In this study, we examined the use of CdSe aqueous quantum dots (AQDs) each conjugated to three streptavidin as a fluorescent label to image Tn antigen expression in various breast tissues via a sandwich staining procedure where the primary monoclonal anti-Tn antibody was bound to the Tn antigen on the tissue, a biotin-labeled secondary antibody was bound to the primary anti-Tn antibody, and finally the streptavidin-conjugated AQDs were bound to the biotin on the secondary antibody. We evaluated the AQD staining of Tn antigen on tissue microarrays consisting of 395 cores from 115 cases including three tumor cores and one normal-tissue core from each breast cancer case and three tumor cores from each benign case. The results indicated AQD-Tn staining was positive in more than 90% of the cells in the cancer cores but not the cells in the normal-tissue cores and the benign tumor cores. As a result, AQD-Tn staining exhibited 95% sensitivity and 90% specificity in differentiating breast cancer against normal breast tissues and benign breast conditions. These results were better than the 90% sensitivity and 80% specificity exhibited by the corresponding horse radish peroxidase (HRP) staining using the same antibodies on the same tissues and those of previous studies that used different fluorescent labels to image Tn antigen. In addition to sensitivity and specificity, the current AQD-Tn staining with a definitive threshold was quantitative.

High-conjugation-efficiency aqueous CdSe quantum dots.

Quantum dots (QDs) are photoluminescent nanoparticles that can be directly or indirectly coupled with a receptor such as an antibody to specifically image a target biomolecule such as an antigen. Recent studies have shown that QDs can be directly made at room temperature and in an aqueous environment (AQDs) with 3-mercaptopropionic acid (MPA) as the capping ligand without solvent and ligand exchange typically required by QDs made by the organic solvent routes (OQDs). In this study, we have synthesized CdSe AQDs and compared their conjugation efficiency and imaging efficacy with commercial carboxylated OQDs in HT29 colon cancer cells using a primary antibody-biotinylated secondary antibody-streptavidin (SA) sandwich. We showed that the best imaging condition for AQDs occurred when one AQD was bound with 3 ± 0.3 SA with a nominal SA/AQD ratio of 4 corresponding to an SA conjugation efficiency of 75 ± 7.5%. In comparison, for commercial CdSe-ZnS OQDs to achieve 2.7 ± 0.4 bound SAs per OQD for comparable imaging efficacy a nominal SA/OQD ratio of 80 was needed corresponding to an SA conjugation efficiency of 3.4 ± 0.5% for CdSe-ZnS OQDs. The more than 10 times better SA conjugation efficiency of the CdSe AQDs as compared to that of the CdSe-ZnS OQDs was attributed to more capping molecules on the AQD surface as a result of the direct aqueous synthesis. More capping molecules on the AQD surface also allowed the SA-AQD conjugate to be stable in cell culture medium for more than three days without losing their staining capability in a flowing cell culture medium. In contrast, SA-OQD conjugates aggregated in cell culture medium and in phosphate buffer saline solution over time.

Temperature- and flow-enhanced detection specificity of mutated DNA against the wild type with reporter microspheres.

Detection of mutated (MT) deoxyribonucleic acid (DNA) amongst the wild type (WT) requires the probe DNA (pDNA) that is complementary to the MT to discriminate the WT by one or two nucleotide mismatches. Traditionally this is achieved by raising the temperature to above the melting temperature (Tm) of the WT (TWT) but below that of the MT (TMT). However, a raised temperature is also accompanied by a weakened binding of the MT to the pDNA which can reduce the detection sensitivity. In this study, we investigated flow as a way to enhance MT detection specificity at a lower temperature. Gold-coated glass (GCG) slides immobilized with pDNA complementary to the target MT were placed at the center of the flow cell. The detection was done by flowing MT or WT at various concentrations followed by flowing 10(5) ml(-1) fluorescent reporter microspheres (FRMs) that were 6 µm in size and coated with reporter DNA complementary to the MT or WT but different from the pDNA at various flow rates and temperatures. The detection of MT or WT was characterized by counting the FRMs captured on the GCG. Hepatitis B virus 1762/1764 double mutation (HBV DM) was the model MT and the TMT and TWT were 47 °C and 22 °C, respectively. It was shown that at room temperature, flow initially increased the binding of both the MT and WT at lower flow rates but decreased the binding at flow rates ≥4 ml min(-1) due to the increase in the flow-induced impingement force on the FRMs to overcome the binding of the MT and the WT to the GCG at higher flow rates. At ≥30 °C the decrease in binding of the WT with an increasing flow rate was more than that of the MT because 30 °C was above the TWT but still well below the TMT. As a result, the detection of MT at 30 °C with a flow rate of 4 ml min(-1) was more specific than at 35 °C without flow. These results indicate that flow can diminish WT binding at a lower temperature than without flow and allow MT detection to occur at a lower temperature with high specificity.