Purpose: Budd-Chiari syndrome is a fairly uncommon disease in Europe. This often leads to its late diagnosis. The syndrome is characterised by portal hypertension and splanchnic congestion due to obstruction of hepatic venous outflow. This paper describes the treatment of three patients with Budd-Chiari syndrome by interventional therapeutic techniques and discusses alternative treatment modalities. Patients and Methods: The first patient presented with veno-occlusive disease and was treated by the placement of a transjugular intrahepatic portosystemic stentshunt. The second patient showed an occlusion of the major hepatic veins. After percutaneous recanalisation, a stent was placed in the right hepatic vein which remained patent. The third patient had a membranous obstruction of the right hepatic vein which was treated by percutaneous balloon dilatation. Results: In all patients the clinical symptoms resolved completely after treatment and no complications were encountered. ...
... endometriosis can be seen is by doing a laparoscopy. A laparoscopy is a surgical procedure used to look at ... of the abdomen using special scopes. During a laparoscopy, the doctor is able to take small samples ...
The article presents measures for the solution of construction-biological problems and for reducing the pollutant load of buildings. (HW) [Deutsch] Der Artikel berichtet ueber Massnahmen ueber Sanierung von baubiologischen Schwachstellen und Schadstoffbelastungen in Gebaeuden. (HW)
Recurrent or primary carcinoma of the breast en cuirasse, which may involve the skin of the entire thorax and abdomen, cannot be controlled by means of surgery or conventional local irradiation. The...Full Text Available
BackgroundAn abdominal aortic aneurysm (AAA) that is identified when the abdomen is imaged for some other reason is known as an incidental AAA. No population-based studies have...Full Text Available
Vesical diverticula frequently result from bladder outlet obstructions. However, giant vesical diverticula which cause acute abdomen or intestinal obstruction are very rare. Our review of the English...Full Text Available
Low kVp settings provide high conspicuity of contrast materials at CT but may result in high image noise, particularly in larger patients. Material decomposition at dual energy CT can differentiate...Full Text Available
A 23-year-old woman presented to our hospital with nonspecific pain in the abdomen. She underwent radiological investigations, which revealed a solid and cystic mass in the tail end of the pancreas....Full Text Available
BackgroundDuring surgery, controlled haemostasis to prevent blood loss is vital for a successful outcome. It can be difficult to ligate vessels located deep in the abdomen. A device...Full Text Available
Chapter 1 reviews the current and projected air pollution abatement measures of the Federal Government. Chapter 2 describes the development, status, and projected measures in industrial plant safety. Chapter 3 lists the points of emphasis of noise abatement; it presents the legal fundamentals and the resulting measures of the Federal Government. Each chapters starts by summarizing the present situation and then gives an outlook on tasks to cope with in the future. (orig.). [Deutsch] Kapitel 1 befasst sich mit dem Bereich der Luftreinhaltung und beschreibt die Massnahmen der Bundesregierung, die sie im Rahmen ihrer Umweltvorsorgepolitik bisher getroffen hat und fuer die Zukunft noch geplant sind. Kapitel 2 beschreibt die Entwicklung, den derzeitigen Stand und die kuenftigen Massnahmen im Bereich der Sicherheit industrieller Anlagen. Kapitel 3 nennt die Schwerpunkte der Laermbekaempfung und stellt die gesetzlichen Grundlagen sowie die daraus ...
Peripheral primitive neuroectodermal tumors (peripheral PNETs) are rare in the abdomen. We report the imaging findings of four peripheral PNETs arising in the abdomen. Three were ill-demarcated tumors and one was a well-demarcated tumor, with extensive local invasion and lymph node metastasis in two cases, respectively. The tumors are of inhomogeneous attenuation and heterogeneous enhancement after intravenous administration of contrast materials. Although their imaging manifestations cannot distinguish them from other sarcomas, recognition of these imaging features may be helpful in suggesting the possibility of peripheral PNETs in some cases.
One part of the RWE measure catalogue in order to guarantee an environmental friendly and competitive electric power generation based on brown coal is to carry out measures improving the efficiency at existing steam turbines in RWE brown coal power plants. Since 1993 a total of 21 steam turbines with a gross capacity of 7,100 MW or net capacity of 6540 MW - this corresponds to approximately 70 % of the installed RWE brown coal power plant capacity - have been improved with an investment of approximately DM 500 million. The net block efficiency has been increased by 1.3 % on average. The planned net capacity increase of approximately 250 MW is still going to be achieved taking into account the pending enhancements. Nuclear power plant turbines have been successfully improved in the same way. Apart from the described retrofit programme measures to improve efficiency are carried out at further steam turbines of brown coal power plants. In the frame of this talk the measures taken are ...
Purpose: calculation of conversion coefficients for the reconstruction of organ doses from entrance doses for abdomen radiographs of 0, 1, 5, 10, 15, and 30-year-old patients in conventional pediatric radiology for the radiographic settings recommended by the German and European guidelines for quality management in diagnostic radiology. Materials und method: using the commercially available personal computer program PCXMC developed by the Finnish Center for Radiation and Nuclear Safety (Saeteilyturvakeskus STUK), conversion coefficients for conventional abdomen radiographs were calculated performing Monte Carlo simulations in mathematical hermaphrodite phantom models describing patients of different ages. The possible clinical variation of beam collimation was taken into consideration by defining optimal and suboptimal radiation fields on the phantoms' surfaces. Results: conversion coefficients for the reconstruction of organ does in ...
Objective: To characterize the protocols with low-dose radiation in survey CT scans for localization. Methods: Eighty standard adult patients, head and body phantoms were recruited. Default protocols provided by operator's manual setting were that all the tube voltage for head, chest, abdomen and lumbar was 120 kV; the tube currents were 20,10,20 and 40 mA, respectively. Values of kV and mA in the low-dose experiments were optimized according to the device options. For chest and abdomen, the tube position were compared between default (0 degree) and 180 degree. Phantoms were scanned with above protocols, and the radiation doses were measured respectively. Paired t-test were used for comparisons of standard deviation in CT value, noise and exposure surface dose (ESD) between group with default protocols and group with optimized protocols. Results: The optimized protocols in low-dose CT survey scans were 80 kV, 10 mA for head, 80 kV, 10 mA for ...
Wider coal lines and larger power plant units necessitate measures for increasing the capacity of the mills without driving up power consumption and installation costs. The result of this development is the modern ALSTOM bowl mill. This paper indicates the stages of development which were necessary for this and the experience which could be accumulated through these measures. The paper also describes in detail the areas of flow in the mills, of design of milling equipment, of mill power supply and of grading in this development. (orig.) [Deutsch] Breitere Kohlebaender und groessere Kraftwerkseinheiten zwingen zu Massnahmen, um die Leistung der Muehlen zu vergroessern, ohne jedoch den Kraftbedarf und die Installationskosten in die Hoehe zu treiben. Das Ergebnis dieser Entwicklung ist die moderne ALSTOM-Schuesselmuehle. Der Beitrag zeigt, welche Entwicklungsschritte hierzu erforderlich waren und welche Erfahrungen mit den Massnahmen gesammelt ...
Progress reports on the European Research Centre for Air Pollution Control Measures project are presented. Topics covered were: assessment and analysis of the impacts of airborne pollutants on forest trees, and distinction from other potential causes of recent forest dieback; research into atmospheric dispersion, conversion and deposition of airborne pollutants; development and optimization of industrial technical processes to reduce or avoid emissions; and providing instruments and making recommendations to the industrial and political sectors.
In a joint study conducted by the University Clinic of Radiology, Graz, and the Medical University Clinic, Innsbruck, the results of computer tomography examinations of the abdomen and pelvis in 23 cases of tumours in children are discussed. In children computer tomography resents special difficulties on account of the very poorly developed fatty layers between the organs and the increased incidence of movement artifacts. The importance of computer tomography for the diagnosis of abdominal and pelvic tumours is discussed.
Primary peritoneal malignant mixed mullerian tumors are very rare. We report the case of a patient presenting with pain in the right upper quadrant of the abdomen and in whom the physical examination demonstrated a peritoneal mass. Computed tomography (CT) confirmed the presence of a mass, with invasion of adjacent organs.
60 patients between 17 and 72 years of age were investigated. First, an enteroclysis was performed in typical manner. The applicated methylcellulosis was blended with positive oral MR contrast media (Magnevist oral, Schering). After enteroclysis, MRI of the abdomen was performed using T1- and T2-weighted breathhold sequences (Flash 2D pre- and postcontrast and TSE) in axial and coronal planes. The length of the affected bowel and the stenosis seen with enteroclysis correlated well with the visible thickening of the small bowel wall and the stenosis seen in MRI. Using MRI, additional findings could be obtained in 28 patients, such as fistulas, abscesses or a hydronephrosis, or a better assessment of the stenosis was possible with MRI, because of the avoidance of overshadowing of the affected bowel loop with MRI. A brilliant MR-tomographic imaging of the small bowel is possible under the condition, that the small bowel contrast is optimal. The main prerequisite is a ...
The paper investigates the yield and the role of the computerized tomography in diagnosing abdominal gunshot wounds, with their rich and varied radiological signs and associated injuries, and subsequently used in the diagnosis. [Italian] Scopo del lavoro e' riportare l'esperienza personale nell'uso della tomografia computerizzata per riconoscere le lesioni da arma da fuoco dell'addome e nelle fasi successive dell'approfondimento diagnostico.
Carcinoma en cuirasse of the breast, which invades the skin via lymphatics and may encase the entire thorax and abdomen, is poorly controlled by surgery, chemotherapy, or conventional irradiation. Palliation of patients with breast carcinoma en cuirasse is a difficult clinical problem which must be effectively managed over extended periods due to the indolent nature of this disease. The management of three cases is reported, and the new technique of rotational subtotal skin electron-beam therapy (SSEBT) is presented. (author).
Purpose: Reconstruction of radiation doses for the thoracoabdominal babygram and the abdomen X-ray from radiographic settings and exposure data acquired at Dr. von Hauner's Kinderspital (children's hospital of the University of Munich, DvHK) between 1976 and 2007; comparison of these dose values with values reported in the literature; recommendation of a reference dose value for the thoracoabdominal babygram. Materials and Methods: The data from all X-ray examinations performed since 1976 at DvHK were stored electronically in a database. After 30 years of data collection, the database now includes 305 107 radiological examinations (radiographs and fluoroscopies), especially 1493 thoracoabdominal babygrams and 3632 abdomen X-rays of newborns and young infants. With the computer program PAeDOS, a specific dose reconstruction algorithm was developed. Results: the entrance dose values of thoracoabdominal babygrams and ...
Purpose: Reconstruction of radiation doses for the thoracoabdominal babygram and the abdomen X-ray from radiographic settings and exposure data acquired at Dr. von Hauner's Kinderspital (children's hospital of the University of Munich, DvHK) between 1976 and 2007; comparison of these dose values with values reported in the literature; recommendation of a reference dose value for the thoracoabdominal babygram. Materials and Methods: The data from all X-ray examinations performed since 1976 at DvHK were stored electronically in a database. After 30 years of data collection, the database now includes 305 107 radiological examinations (radiographs and fluoroscopies), especially 1493 thoracoabdominal babygrams and 3632 abdomen X-rays of newborns and young infants. With the computer program PAeDOS, a specific dose reconstruction algorithm was developed. Results: the entrance dose values of thoracoabdominal babygrams and abdomen ...
The first part of the study goes into the determination of efficient strategies for the reduction of air pollutants. The developed method is not only derived theoretically but is tested with the concrete example of emissions sources of a German state. The second part goes into the question what the government can do in order to attain that air pollution abatement measures recognized as being efficient will be put into practice. As market economy mechanisms have advantages over central state planning in the allocation of economic resources the question arises if not also for environmental protection market economy tools may contribute to an improvement of the efficiency of air pollution abatement. Therefore the suitability of different tools of environmental policy for the realization of efficient air pollution abatement is investigated and evaluated. This is again not done abstractly but with existing emission sources. (orig./HSCH). 32 figs., 12 tabs.
Apart from presenting the marginal legal conditions the research program contains a brief description of current pollution abatement measures, representative heating systems and individually suitable pollution abatement technologies and an account of the determination of the concentration of major pollutants. The comparative evaluation of heating systems assesses their environmental effects, i.e. air pollution caused by heating systems. The determination of the costs of available heat is followed by an overall evaluation of the results obtained with special regard to the costs involved by pollution abatement measures.
This update of a system concept entitled ``Maritime hazard prevention and water protection`` makes full use of the technical room for maneuver while considering that reasonable financial and economic conditions must be provided. The update allows on to continue or start the exploitation of feasible technical, logistic and information-technology development potentials. The same applies to the national maritime traffic safety measures developed for the German waterways. Considering the maritime hazards that have been prevailing in the coastal areas of the German North Sea, the conducted damage risk investigations suggest that a large-scale, disastrous oil contamination of the mud flats ecosystem cannot be excluded or controlled definitely in spite of the numerous measures taken. (orig.) [Deutsch] Mit der vorgelegten Fortschreibung zum Systemkonzept ``Gefahrenabwehr und Gewaesserschutz im Seeverkehr`` werden die technisch realisierten Handlungsspielraeume unter Beachtung der finanziellen ...
In a case study of the River Lahn, Hessen, Germany, the ecological impact of effluents from sewage treatment plants was investigated. These emissions have a significant impact on the receiving water quality with ammonia, nitrite, phosphorus and the eutrophication as most important factors. Current legislation standards seem to be sufficent for the sanitation of the nitrogen load. The potential of phosphorus removal in sewage treatment plants however may not reach the demand for eutrophication abatement. Therefore, integrated and immission oriented strategies are required including in site measures of river restoration. (orig.) [Deutsch] An der hessischen Lahn wurde in einem mehrjaehrigen Forschungsvorhabens die Bedeutung von Abwasserereinleitungen aus Klaeranlagen hinsichtlich ihrer gewaesseroekologischen Relevanz untersucht. Wesentliche Belastungen beziehen sich auf die Parameter Ammonium, Nitrit und Phosphor sowie eutrophierungsbedingte Folgeerscheinungen. Waehrend bei den ...
60 patients between 17 and 72 years of age were investigated. First, an enteroclysis was performed in typical manner. The applicated methylcellulosis was blended with positive oral MR contrast media (Magnevist oral, Schering). After enteroclysis, MRI of the abdomen was performed using T1- and T2-weighted breathhold sequences (Flash 2D pre- and postcontrast and TSE) in axial and coronal planes. The length of the affected bowel and the stenosis seen with enteroclysis correlated well with the visible thickening of the small bowel wall and the stenosis seen in MRI. Using MRI, additional findings could be obtained in 28 patients, such as fistulas, abscesses or a hydronephrosis, or a better assessment of the stenosis was possible with MRI, because of the avoidance of overshadowing of the affected bowel loop with MRI. A brilliant MR-tomographic imaging of the small bowel is possible under the condition, that the small bowel contrast is optimal. The main prerequisite is a ...
Patients with heterotaxy syndrome often have complex cardiac and extracardiac anomalies requiring further detailed diagnostic evaluation. They often present severe cardiac failure early in life. Newer radiological modalities in the form of spiral computed tomography (CT) and three-dimensional reconstruction of spiral CT allow clear definition of the anatomy of these anomalies. A 59-year-old woman was diagnosed with polysplenia and multiple anomalies in an abdominal ultrasonography (US) during a control medical examination due to a trivial dietary mistake. She was then referred to our institution for further examination of these anomalies and an additional thoraco-abdominal computed tomography (CT) examination. The patient was totally asymptomatic at the time of admission. There was no significant past history and no abnormal laboratory data. We performed abdominal, pelvic and thoracic CT examinations using Somatom Siemens Emotion scanner. Non-enhanced sections were obtained with 8 mm ...
Two peptide ligands conjugated adenine, [9-N-(tritylmercapto acetyl diglycyl aminoethyl) adenine, Tr-MAG_2-Ade] and [9-N-(tritylmercapto acetyl triglycyl aminoethyl) adenine, Tr-MAG3-Ade], are synthesized and labeled with "9"9"mTc by directly labeling method. The stability of "9"9"mTc-MAG_2- adenine and "9"9"mTc-MAG_3-adenine in vitro is measured. The uptake radios of tumor to muscle at 3h post-injection are 5.70 and 4.92, respectively. The biodistribution and scintigraphic imaging studies show that the two complexes have high localization in tumor and high contrasted tumor images can be obtained, which suggest their potential utility as tumor imaging agents. But the high radioactivity of abdomen could prevent the tumor imaging in this area. (author)
Abstract In this brief report, we have described the fine-needle aspiration cytology (FNAC) of a hepatosplenic T-cell lymphoma (HSTCL) in a 60-year-old female patient. The patient complained of fever and heaviness of left upper abdomen. Ultrasound-guided FNAC of the spleen showed immature lymphoid cells, and a diagnosis of primary non-Hodgkin lymphoma of spleen was offered. Subsequently, the patient underwent splenectomy and wedge biopsy of liver that confirmed the cytological diagnosis. The lymphoma cells were positive for CD3 immunostain. Primary hepatosplenic T-cell lymphoma is a rare entity and may often pose diagnostic problems on FNAC. Diagn. Cytopathol. 2010. 2010 Wiley-Liss, Inc.
Bowel infarction is a rare and typical condition of the elderly; despite improvements in diagnostic imaging and vascular surgery, bowel infarction remains a major cause of acute abdomen, with mortality rates ranging 70-80%. Diagnosis on often late because clinical sings, laboratory data and radiologic findings are a specific. The authors investigated radiographic and particular CT patterns of intestinal infraction in 56 patients submitted to surgery within 12 hours of admission. We also report the CT findings of 5 of these patients who had reversible mesenteric ischemia. CT is more sensitive than radiography and does not exhibit the limitations of angiography (i.e., invasiveness, radiation exposure an complex organization. Therefore CT can presently be considered the method of choice in patients with suspected bowel infarction.
A century of technical development put steam turbines on a high level regarding efficiency and reliability. This procedure is still ongoing. The technological-commercial point of view - influenced intensively by liberalisation of the energy-market - makes great demands on field services. Well suited concepts in service and modernization are the solutions, as shown in NPP Emsland upgrade. [German] Ein Jahrhundert technischer Entwick lung brachte Dampfturbinen auf ein hohes Niveau bezueglich Effizienz und Zuverlaessigkeit. Dieser Vorgang ist auch in der heutigen Zeit nicht ab geschlossen. Die technologisch-wirtschaftliche Betrachtungs weise '' von der Liberalisierung des Strommarktes intensiv beeinflusst '' stellt dementsprechend hohe Anforderungen auch an den Kraftwerksservice. Massgeschneiderte Modernisierungs- und Servicekonzepte sind die Antwort, wie das Beispiel Kernkraftwerk Emsland zeigt. (orig.)
Burner nozzles were often redesigned in order to improve flow design and manufacturing quality. Maintenance intervals, however, are not satisfactory for the operators of such plants. There is no definitive answer as to whether upgraded design allows to lengthen these intervals or whether additional measures are required. Gas turbines may break down for a large number of reasons. This article shows that many of the causes of operational failure and damage are preventable. Damage management will be successful if manufacturers, operators and independent institutions work together.(orig.) [German] Es wurden in der Vergangenheit mehrfach Veraenderungen an den Brennerduesen vorgenommen. Dabei wurden Verbesserungen in der stroemungstechnischen Auslegung und der Fertigungsqualitaet erzielt. Die derzeit noch gueltigen Wartungsintervalle sind fuer den Betreiber unbefriedigend. Inwieweit diese Intervalle mit der modifizierten Ausruestung verlaengert werden koennen oder ob weitere ...
Since June 1990, the IMA ``CO2 Reduction`` has been working on a German air pollution abatement programme. Four reports were submitted in this period. The contribution presents the fourth of these reports. The measures taken, their state of implementation and the expected effects in 2000 and 2005 are presented in table form. (orig.) [Deutsch] Seit Juni 1990 befasst sich die Interministerielle Arbeitsgruppe ``CO2-Reduktion`` (IMA ``CO2-Reduktion``) mit dem deutschen Klimavorsorgeprogramm und hat seither vier Berichte vorgelegt. Im Folgenden werden neben der Ausgangslage und den Grundlagen fuer den 4.Bericht der IMA ``CO2-Reduktion`` die wesentlichen Inhalte des 4.IMA-Berichts dargelegt. In Tabellenform werden die einzelnen Massnahmen, ihre Art, der Umsetzungsstand sowie der erwartete Effekt in 2000 bzw. 2005 dargestellt.
Volatile organic compounds (VOC) are an important group of pollutants with adverse effects on humans and the environment. Primary air pollution abatement measures aim at prevention or reduction of pollutant production in industrial production processes, e.g. by improved processes but also by other methods (closed cycle processes, different process materials, etc.). If these measures have been implemented and emissions are still too high, an off-air purification unit must be installed. Biological purification is the method of choice for low pollutant concentrations. Biological purification processes are based on the activity of microorganisms which are capable of biochemical oxidation of organic and some inorganic gaseous compounds into non-polluting or non-odorous compounds. These processes have the advantage that they work at ambient conditions and therefore remove relatively low pollutant concentrations at low investment and operating cost. Lately, biological filters and washers have ...
Maintenance of power stations so far operated on the concept of using or extending the expected service life of a machine or plant as far as possible in order to avoid early and costly replacement. This was done by means of time-oriented maintenance, inspection and repair, otherwise called preventive maintenance. A European study on maintenance methods totals the cost of these measures at between 140 to 200 billion DM. One way of reducing these costs is 'predictive maintenance'. Estimated savings are about 8 percent or between 12 and 16 billion DM per year. Predictive maintenance identifies irregulaties of machine parts at an early point in time by means of condition monitoring and can help to cut costs: unplanned repairs can be avoided; repairs can be fitted into production schedules; production will not be disturbed to to unforeseen repairs, optimised spare part warehousing helps to cut costs. Predictive maintenance aims at keeping availability high, give maximum ...
A vessel phantom suitable for evaluation of spatial and contrast resolution of FCRDSA (Fuji Computed Radiography, digital subtraction angiography) has been developed and used for determining resolution. The effects of iodine concentration, low dose exposure, and acryl thickness on the resolution were evaluated in FCRDSA, and FCRDSA images were compared with film substraction with use of this phantom. It has been proven that limitation of resolution of FCRDSA was 5 % 1 mm and about 1/4 dose exposure compared with conventional film exposure was clinically acceptable. Dye dilution method was useful to determine a program of IVDSA with imaging plate. It has been proven that time to appearance and time to peak of time-concentration curve of dye dilution method closely correlate to time to appropriate image of DSA in the neck, the chest, and the abdomen. 106 cases of IVDSA and 130 cases of IADSA using FCR in Tohoku University Hospital from January through December 1984 ...
The dose distribution in a Rando phantom has been measured for typical EMI 5005 CT scans of the head, chest, abdomen and pelvis. These dose distributions have been used to generate quantitative estimates of the somatic and genetic radiation risks associated with these CT examinations and also to measure the total energy imparted during each scan. A comparison has been made between the radiation risk estimates and the energy imparted measurements. The energy imparted measurements are not a good indicator of the somatic and/or genetic risks when one type of CT scan is compared with another. However, for a given type of scan, the energy imparted may be a reasonable indicator of the relative somatic risks associated with different CT examinations. Considerable care should be taken when interpreting and using any measured value of energy imparted in a radiological examination since published values of the risk per unit energy imparted can significantly underestimate the ...
Experiments were conducted to confirm the isotropic spatial resolution of multislice CT with a 0.5 mm slice thickness. Isotropic spatial resolution means that the spatial resolution in the transaxial plane (X-Y plane) and that in the longitudinal direction (Z direction) are equivalent. To obtain point spread function (PSF) values in the X-Y-Z directions, three-dimensional voxel data were obtained by helical scanning of a bead phantom. The modulation transfer function (MTF) values were then obtained by three-dimensional Fourier transform of the PSF. Evaluation of the spatial resolution in the X-Y-Z directions by the MTF values showed that the spatial resolution in the Z direction does not depend on the reconstruction kernel used. It was also found that the spatial resolution in the Z direction, as compared with that in the X-Y plane, is superior with the standard kernel for the abdomen and is inferior with the high-definition kernel for the ears/bones. By performing ...
The survival time of golden hamsters (Mesocricetus auratus) after whole-body "6"0Co-#gamma#-irradiation in the range of 600 to 200 000 rad was investigated. The two plateaus of the dose-survival curve which correspond to bone marrow and gastrointestinal death are similar to those of other species such as mice, rats and mongolian gerbils. A new plateau occurring 40-57 hours after doses of 30 000-60 000 rad, where there is a little reduction in survival time, has been found. It is in addition to the well recognized central nervous system (CNS) syndrome. This plateau is observed only in golden hamsters, presumably because of their relatively high resistance to CNS syndrome. Experiments involving partial body irradiation of the animals indicate that the target is in the cephalic one-third of abdomen. The new segment may well indicate a new type of acute somatic radiation injury different from the well known bone marrow, gastrointestinal and CNS syndromes. (author).
Penetrating liver wounds are related to many causes and rank second after blunt abdominal and liver trauma. In this report are examined the clinical and radiological findings of personal series of patients with penetrating trauma, especially by firearms and stab and cut wounds. It will also tried to define the diagnostic workup of these traumas, which is especially based on CT signs of liver damage and associated changes and which is of basic importance for following treatment, both surgical or conservative. In the last seven years it was retrospectively reviewed 31 cases of penetrating liver trauma. The patients were 19 men and 12 women, ranging in age 18 to 73 (mean 42), with penetrating liver injuries from firearms (16 patients) and stab (9 cases) wounds; 6 patients had injuries from different cases. Abdominal CT was carried out in emergency with the CT Angiography (CTA) technique in all patients. In the patients with suspected chest and abdomen involvement CT ...
To compare the accuracy in the detection and staging of various malignant tumors with high resolution whole-body MRI using parallel imaging with whole-body dual-modality PET-CT. Preliminary results of an interim analysis from a prospective, blinded study are presented, in which 20 patients (mean age 59 years, range 27-77 years) with different oncological diseases underwent whole-body dual modality FDG-PET-CT screening for tumor search or staging in case of confirmed or suspected metastatic disease. All patients also underwent whole-body MRI imaging with the use of parallel imaging (iPAT). High-resolution coronal T1w- and STIR-sequences of 5 body levels with 512 x 512 matrix, axial fast T2w imaging of lung and abdomen (HASTE), contrast-enhanced dynamic and static T1w-sequences of liver, brain, abdomen, and pelvis were performed. Using a 32-channel whole-body MRI scanner (Magnetom Avanto, Siemens Medical Solutions) with a total field of view of ...
Economic and safe operation of nuclear power plants requires reliable steam turbines with high efficiencies. The progress in flow mechanics achieved over the past few years has allowed the use of powerful methods of flow calculation in developments of new blading with greatly enhanced efficiencies. Thanks to the latest manufacturing techniques, the newly developed blading systems can be produced at low cost. Next to progress in flow mechanics, also the broadbased use of advanced finite-element calculations resulted in a more thorough grasp of the many problems associated with structural mechanics assessment of steam turbine components. The theoretical methods have been supplemented by comprehensive efforts in fracture mechanics and experimental materials studies, thus helping to create a reliable knowledge base which will help to avoid the dreaded stress corrosion cracking phenomenon, in components of steam turbines. The measures introduced to improve operational reliability already in ...
The first volume of the report covers the state of implementation of primary and secondary measures for SO{sub 2}- and NO{sub x} control applied in the most important industrial sectors in Germany. Integrated pollution abatement techniques, called primary measures in this report, such as process integrated measures and low emission processes, have gained increased importance in recent years. The end-of-pipe processes, described here as secondary measures, are generally highly effective. They represent mature technologies, which are capable of achieving significant reductions in SO{sub 2}- and NO{sub x} emissions, and which have been used in particular for retrofitting existing plants. At first, an overview is given regarding the development of SO{sub 2}- and NO{sub x} emissions in selected European countries during the last 20 years and in Europe. Current national and European emission limits and emission guidelines on SO{sub 2}- and NO{sub x} emissions from stationary sources are ...
A new emissivity measurement device with inductive sample heating is described. The disc shaped samples can be measured between 800 C and 2000 C in vacuum or in each available gas atmosphere. Two kinds of surface temperature measurement methods are described, one by measuring in a blackbody hole and one by measuring at the surface without additional measures to correct emissivity. Total normal and spectral emissivity at wavelengths between 0,5 {mu}m and 8,3 {mu}m of various high temperature materials like platinum and Pt-Rh-alloys, siliconcarbide and molybdenum disilicide have been measured. From the investigated materials a few have been selected as reference samples for comparative emissivity measurements fullfilling the requirement of stability on air up to 400 C to 1000 C in order to ensure reproducibility of the results at different measurement conditions in air and in vacuum. (orig.) [Deutsch] Der Aufbau einer neuen Messapparatur fuer Emissionsgradmessungen bei Temperaturen ...
This 7th edition reveals the progress in steam engineering and the great future potential of steam engineering applications. Pollution abatement and design experiences gained during the operation of existing plants, and experiences gained in waste incineration are of environmental relevance. Recent materials developments and knowledge, e.g. as regards pipes and fittings, have been making significant contributions to supercritical-steam efficiency improvements. Emphasis is also placed on automation, control engineering, water chemistry etc., and on regulations, licensing procedures, and the training of the staff of plants. (orig./KOW) [Deutsch] Die nunmehr vorliegende 7. Ausgabe zeigt den Fortschritt und das zukuenftig noch erhebliche Potential dieser Technik auf. Erfahrungen mit den nun schon seit Jahren laufenden Anlagen zur Schadstoffminderung, Konstruktion und Auslegung sowie Betriebserfahrungen zur thermischen Abfallverwertung sind Schwerpunkte im Umweltbereich. Neue Erkenntnisse ...
High oleic acid sunflower oils have been commercially available for some years now. Due to their high content of monounsaturated fatty acids these oils have a number of potential applications in the oleochemical industry, especially where technical oleic acids and their derivatives are used. Whereas conventional sunflower oil contains approx. 68% linoleic acid (C{sub 1}8:2), it is now possible through breeding measures to obtain ''new sunflower oils'' (NSb oils) with oleic acid levels of 70-95% oleic acid (C{sub 1}8:1). The oil itself is of interest for technical applications: it is light-coloured, has a neutral odour and is relatively resistant to oxidation. Plant oils, especially those with a low content of polyunsaturated fatty acids, are increasingly gaining interest as ester oils in technical application areas, e.g. as lubricants. However, there are limits to the technical applicability of triglycerides due to their temperature behaviour or ...
Owing to their key function in power production the technology of gas- and steam turbines has a very high importance. Gas turbines in particular have become much more efficient and show higher performance in cogeneration plants. The VDI group on materials engineering puts these issues at the centre of this report whose focus is on measures necessary to increase plant availability: damage analysis, materials optimisation, supervision of construction and repair. The report which looks at applications and practical experience is adressed to operators of gas-, steam-, and water turbine plants, manufacturers of turbines and their components as well as maintenance companies, experts and insurance engineers. (orig.) [German] Aufgrund ihrer Schluesselposition bei der Stromerzeugung kommen den Gas- und Dampfturbinen eine sehr hohe technische Bedeutung zu. Insbesondere die Gasturbine macht in den letzten Jahren eine rasante Entwicklung im Hinblick auf Erhoehung von Wirkungsgrad und Leistung bei ...
For millions of people general noise and especially traffic noise are the main sources of environmental pollution. The increasingly stricter noise pollution abatement limiting values laid down by the law call for motor vehicle noise pollution abatement measures. Within the framework of today`s cost- and performance-oriented automobile and engine development developing engineers are required to reduce noise levels. The present state of the art is described and future possibilities of combustion engine structure-borne noise calculation and optimization are discussed from the point of view of K + P Computerunterstuetzte Strukturanalysen GmbH. (orig.) [Deutsch] Laerm allgemein und dabei speziell wiederum der Verkehrslaerm steht fuer Millionen von Menschen an allererster Stelle der persoenlichen Belastung durch die Umwelt. Zur Minderung der Laermbelastung werden vom Gesetzgeber immer schaerfere Grenzwerte vorgeschrieben, die dazu zwingen, Massnahmen zur ...
Already in 1998, the city of Hanover, the Stadtwerke Hannover and six further cities of the region initiated the funding programme 'Hannover proKlim' for promoting energy-relevant modernization measures in domestic buildings. One year later, the social marketing campaign 'Haus-Partner Hannover / Der (H)Eissbaer'' was started, which addresses building owners in Hanover with the intention to induce them to action. The 'Energiepass Hannover' is another important instrument of the campaign. This report takes stock of the results achieved so far. [German] Beim Klimaschutz im Gebaeudebestand lassen sich in Hannover drei Ansaetze hervorheben, die parallel zueinander entwickelt wurden und die in besonderer Weise dazu beitragen, die CO{sub 2}-Emissionen im Gebaeudebestand zu reduzieren: Bereits 1998 hat die Landeshauptstadt Hannover gemeinsam mit den Stadtwerken Hannover und sechs weiteren Staedten der Region den Klimaschutz-Fonds ...
The advent of multislice spiral CT (MSCT) technique has led to new aspects of dose reduction, especially for the dedicated use of MSCT in children. Optimizing pediatric MSCT protocols according to the clinical problem allows reduction of radiation exposure to a minimum without loss of diagnostic quality. The different parameters that influence the degree of dose reduction, like tube current-time product (mAs), tube voltage (kV), collimation and pitch, are discussed in context with previously published data and our own experience in nearly 200 pediatric CT examinations. In our department, the effective mAs is calculated for a pediatric chest MSCT by multiplication of the body weight in kilogram with a factor of 1 to 1.5 and for a pediatric abdominal MSCT by multiplication with a factor of 2 to 2.5. To calculate the equivalent effective dose for a contrast media-enhanced 80 kV protocol, the effective mAs of the 120 kV protocol can be multiplied by 2.7. A factor less than 2.7 means ...
Objective: To investigate the value ofMSCT in observing the direct findings of hilar cholangiocarcinoma1Methods Multislice helical CT studies were performed on the upper abdomen in 19 consecutive patientswith painless jaundice1 Precontrast and dynamic contrast enhanced (25 s phase and 60 s phase) scanswere conducted, and 3D imageswere reconstructed using enhanced raw data in 15 cases1 The direct CT findings of hilar cholangiocarcinoma were studied by three radiologists respectively in a 32scale strategy1 The morphological features and extension of bile duct involvement by hilar cholangiocarcinoma were analyzed1 All the 19 caseswere pathologically p roved as hilar cholangiocarcinoma by surgery (15 cases) and ERCP ( 4 cases) 1 Results The direct findings and extension of hilar cholangiocarcinoma could be demonstrated in 14 out of 15 3D reconstruction images, 8 out of 19 in 25 s phase, and 7 out of 19 in 60 s phase of contrast enhancement scans, respectively ( P < ...
The purpose of this study was to evaluate time management and workflow for multidetector-row helical CT (MDCT). Time for patient and data handling of at total of 580 patients were evaluated at two different time periods (December 1999, August 2000), each for the following baseline measurements: (a) change of clothes/instruction; (b) patient placement on the CT table/i.v. catheter; (c) CT planning and programming; (d) CT data acquisition; (e) CT data reconstruction; (f) CT data storage/printing. All imaging was performed on a Somatom Volume Zoom (Siemens, Erlangen, Germany). Time measurements summarized for different CT protocols revealed the following: (a) 5:01 min (#+-#2.06 min); (b) 4:36 min (#+-#2.43 min); (c) 4:11 min (#+-#2.55 min); (d) 0:43 min (#+-#0.15 min); (e) 6:59 min (#+-#2.39 min); (f) 09:51 min (#+-#3.51 min). Planning and programming was most time-consuming for CT angiography, whereas chest and abdominal CT needed only 3:26 and 3:30 min, respectively. Reconstruction time ...
To compare the accuracy in the detection and staging of various malignant tumors with high resolution whole-body MRI using parallel imaging with whole-body dual-modality PET-CT. Preliminary results of an interim analysis from a prospective, blinded study are presented, in which 20 patients (mean age 59 years, range 27-77 years) with different oncological diseases underwent whole-body dual modality FDG-PET-CT screening for tumor search or staging in case of confirmed or suspected metastatic disease. All patients also underwent whole-body MRI imaging with the use of parallel imaging (iPAT). High-resolution coronal T1w- and STIR-sequences of 5 body levels with 512 x 512 matrix, axial fast T2w imaging of lung and abdomen (HASTE), contrast-enhanced dynamic and static T1w-sequences of liver, brain, abdomen, and pelvis were performed. Using a 32-channel whole-body MRI scanner (Magnetom Avanto, Siemens Medical Solutions) with a total field of view of ...
Ischemic bowel disease is a rare disorder whose incidence is increasing as the mean age of the population increases. Diagnosis by clinical, laboratory and radiologic means is often difficult, and delay in definitive therapy results in substantial morbidity and mortality. A series of 26 consecutive patients, with proved acute superior mesenteric ischemia, was retrospectively reviewed: the authors reports the diagnostic methods performed preoperatively, the site and the cause of infarction and the time passed between the first radiograph and surgery. Plain abdominal radiographs were performed in 25 of 26 patients, screening abdominal US in 23 cases and CT in 19 cases. All radiological examinations were retrospectively reviewed by the three authors, independently, to recognize the different signs of infarction. On plain abdominal films, the findings warranting a presumptive diagnosis of bowel infarction were air-fluid levels (84% of cases), dilated bowel loops (48%), thickened and ...
Bowel infarction is a rare and typical condition of the elderly; despite improvements in diagnostic imaging and vascular surgery, bowel infarction remains a major cause of acute abdomen, with mortality rates ranging 70-80%. Diagnosis on often late because clinical signs, laboratory data and radiologic findings are a specific. The authors investigated radiographic and particular CT patterns of intestinal infraction in 56 patients submitted to surgery within 12 hours of admission. We also report the CT findings of 5 of these patients who had reversible mesenteric ischemia. CT is more sensitive than radiography and does not exhibit the limitations of angiography (i.e., invasiveness, radiation exposure and complex organization). Therefore CT can presently be considered the method of choice in patients with suspected bowel infarction. [Italian] L'infarto intestinale rappresenta una malattia rara e tipica del soggeto anziano; nonostante il notevole ...
Purpose: To assess the role of CT in the evaluation of traumatic and spontaneous oesophageal perforation. Materials and methods: From March 2001 to May 2003, we studied 12 patients (7 males and 5 females; age range: 25-66 years, mean age: 43.5 years) with suspected oesophageal perforation due to motor-vehicle accidents (4 cases), stab wound (one case), post-intubation (2 cases), foreign body ingestion (2 cases) and spontaneous (3 cases). Five patients underwent standard chest and cervical radiography; two patients with suspected foreign body ingestion also underwent a gastrografin swallow study; all of the 12 patients underwent CT of the neck, chest and abdomen before and after intravenous, and in four cases oral, administration of contrast material. Results: In 5 patients with cervical, thoracic and abdominal trauma, the CT examination showed the presence of pleuroparenchymal injury (pneumothorax, pleural effusion and subcutaneous emphysema) as well as findings ...
Evaluation of severe functional gastrointestinal motility disorders requires an investigation of the entire gastrointestinal tract. This should be possible with a single radionuclide imaging study. The purpose of this study was (1) to define normal values of small-bowel transit in men and women and (2) to assess a possible difference between gender or test meal, since it has been shown that women have slower gastric emptying than men, and gastric emptying of solids is slower than liquids. A standard gastric-emptying test for a solid (technetium-99m sulphur colloids, 230 Kcal) and liquid (indium-111 DTPA water) test meal was performed in 12 healthy male and 12 healthy female volunteers. After 135 min, the volunteer was place in the supine position for static imaging of the abdomen every 15 min for 6 h. Decay and crossover-corrected geometric mean gastric-emptying data were fit to a modified power exponential function to determine the 10% stomach emptying time for ...
AIM: To assess the impact of the introduction of a computed tomography (CT) imaging protocol for multi-trauma patients on the workload, overall diagnostic yield, and effect on detection of cervical spine injury and pneumothorax. METHOD: Between February 1997 and April 2004, all patients presenting acutely to the Emergency Department (ED) with haemodynamically stable trauma (Abbreviated Injury Scale 3 or more) involving more than two body systems were imaged with a comprehensive pre-set helical CT protocol (including non-contrast head, cervical spine: cranio-cervical and cervico-thoracic junctions; and oral and intravenous contrast-enhanced thoracic, abdomen and pelvis) after initial triage and a standard trauma series of radiographs (chest, lateral C-spine and pelvis). Diagnosis of cervical spine fracture and pneumothorax was noted before and after the CT protocol was carried out and findings from all studies were recorded prospectively. RESULTS: Over the 7-year ...
Nickel base superalloys for turbine construction are exposed to maximum thermal and mechanical stresses. owing to a change of materials by one of the project partners, the project only comprised analyses of the alloy CMSX-6. Isothermal tensile and fatigue tests provided basic data on the alloy. Thermomechanical fatigue tests showed that material life and microstructural changes are clearly, and to an extreme extent, dependent on the type of combination of the two stress factors `temperature interval` and `total strain amplitude`, while the damage to the material tends to be a function of the maximum stresses for a given stress path. On the one hand, these results make it possible to obtain information real stresses from the structures of real blades. On the other hand, constructional measures can be taken in order to better adapt the stresses to which alloys are exposed to their characteristic potential. (orig./AKF) [Deutsch] Die im Turbinenbau eingesetzten Nickelbasis-Superlegierungen ...
Penetrating liver wounds are related to many causes and rank second after blunt abdominal and liver trauma. In this report are examined the clinical and radiological findings of personal series of patients with penetrating trauma, especially by firearms and stab and cut wounds. It will also tried to define the diagnostic workup of these traumas, which is especially based on CT signs of liver damage and associated changes and which is of basic importance for following treatment, both surgical or conservative. In the last seven years it was retrospectively reviewed 31 cases of penetrating liver trauma. The patients were 19 men and 12 women, ranging in age 18 to 73 (mean 42), with penetrating liver injuries from firearms (16 patients) and stab (9 cases) wounds; 6 patients had injuries from different cases. Abdominal CT was carried out in emergency with the CT Angiography (CTA) technique in all patients. In the patients with suspected chest and abdomen involvement CT ...
CT is a valuable tool in assessing thoracic gunshot wounds. CT is also the method of choice in emergency, because it permits rapid depiction of bullet damage to the chest and to other body districts. This in turn permits correct assessment of the main thoracic injuries, plus adequate and prompt planning of surgical treatment or support intensive care. It is reported on the role of CT in diagnosing the complex pleuropulmonary, cardiovascular and thoracic wall injuries caused by gunshot wounds, with their specific and acute signs which differ greatly fro those of other types of chest trauma. In the last 4 years, it was observed an amount of 76 cases of gunshot injury, twenty-six of them involved the chest. The patients, 25 men and 1 woman (mean age: 32 years, range: 17-48), were all submitted to emergency CT with iv contrast agent injection and the CT-angiography technique. The reanimator was always presented to monitor the patients' vital functions and shock state. CT of the ...
Rectus sheath hematomas are a frequent but sometimes misdiagnosed disease in patients under anticoagulative drugs, hemodialysis, or simply in the elderly. The most frequent localization is in the lower part of the abdomen: the explanation lies in the anatomy of the abdominal wall, especially in the arcuate line of the rectus sheath. Aim of this work is to explain the reason of the almost constant location correlating the anatomy with the CT features. The rectus abdominis muscle lies between the aponeuroses of the transverse and oblique muscles which form the so called rectus sheath. This arrangement is found from the costal arch to a level approximately between the umbilicus and the pubic symphisis, where the rear layer of the rectus sheath ends with a curved edge, called the arcuate or semicircular line of Douglas. Beneath this line the aponeuroses of the three muscles pass in front of the rectus which is separated from the peritoneum only by the fascia ...
Purpose: To assess the role of CT in the evaluation of traumatic and spontaneous oesophageal perforation. Materials and methods: From March 2001 to May 2003, we studied 12 patients (7 males and 5 females; age range: 25-66 years, mean age: 43.5 years) with suspected oesophageal perforation due to motor-vehicle accidents (4 cases), stab wound (one case), post-intubation (2 cases), foreign body ingestion (2 cases) and spontaneous (3 cases). Five patients underwent standard chest and cervical radiography; two patients with suspected foreign body ingestion also underwent a gastrografin swallow study; all of the 12 patients underwent CT of the neck, chest and abdomen before and after intravenous, and in four cases oral, administration of contrast material. Results: In 5 patients with cervical, thoracic and abdominal trauma, the CT examination showed the presence of pleuroparenchymal injury (pneumothorax, pleural effusion and subcutaneous emphysema) as well as findings ...