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Sample records for hemangioma computerized tomography

  1. Computerized tomography

    Rubashov, I.B.

    1985-01-01

    Operating principle is described for the devices of computerized tomography used in medicine for diagnosis of brain diseases. Computerized tomography is considered as a part of computerized diagnosis, as a part of information science. It is shown that computerized tomography is a real existed field of investigations in medicine and industrial production

  2. Computerized tomography

    1980-01-01

    Improvements in the design of computerized tomographic X-ray equipment are described which lead to improvements in the mechanical properties, speed and size of scanning areas. The method envisages the body being scanned as a two-dimensional matrix of elements arising from a plurality of concentric rings. The concentric centre need not coincide with the axis of rotation. The procedures for rotation of the X-ray beam and detectors around the patient and for translating the measured information into attenuation coefficients for each matrix element of the body are described in detail. Explicit derivations are given for the mathematical formulae used. (U.K.)

  3. Computerized tomography

    Caille, J.M.; Salamon, G.

    1980-01-01

    As X-ray Ct becomes more commonplace, other techniques of investigation using roughly comparable hardware and software have appeared. Positron-Emission Tomography already provides indispensable physiological and physio-pathological information. Similarly, in the histo-chemical field, Nuclear Magnetic Resonance seems very promising. Some of these new techniques will no doubt shortly be considered as essential as CT in establishing accurate diagnoses non-invasively. (orig./VJ) [de

  4. Celebral computerized tomography

    Lofteroed, B.; Sortland, O.

    1985-01-01

    Indications for cerebral computerized tomography (CT) and the diagnostic results from this examination are evaluated in 127 children. Pathological changes were found in 31 children, mostly based on such indications as increasing head size, suspicion of brain tumor, cerebral paresis, delayed psychomotor development and epileptic seizures. A list of indications for CT in children is given

  5. Highly resolving computerized tomography

    Kurtz, B.; Petersen, D.; Walter, E.

    1984-01-01

    With the development of highly-resolving devices for computerized tomography, CT diagnosis of the lumbar vertebral column has gained increasing importance. As an ambulatory, non-invasive method it has proved in comparative studies to be at least equivalent to myelography in the detection of dislocations of inter-vertebral disks (4,6,7,15). Because with modern devices not alone the bones, but especially the spinal soft part structures are clearly and precisely presented with a resolution of distinctly below 1 mm, a further improvement of the results is expected as experience will increase. The authors report on the diagnosis of the lumbar vertebral column with the aid of a modern device for computerized tomography and wish to draw particular attention to the possibility of doing this investigation as a routine, and to the diagnostic value of secondary reconstructions. (BWU) [de

  6. Highly resolving computerized tomography

    Kurtz, B.; Petersen, D.; Walter, E.

    1984-01-01

    With the development of highly-resolving devices for computerized tomography, CT diagnosis of the lumbar vertebral column has gained increasing importance. As an ambulatory, non-invasive method it has proved in comparative studies to be at least equivalent to myelography in the detection of dislocations of inter-vertebral disks (4,6,7,15). Because with modern devices not alone the bones, but especially the spinal soft part structures are clearly and precisely presented with a resolution of distinctly below 1 mm, a further improvement of the results is expected as experience will increase. The authors report on the diagnosis of the lumbar vertebral column with the aid of a modern device for computerized tomography and wish to draw particular attention to the possibility of doing this investigation as a routine, and to the diagnostic value of secondary reconstructions.

  7. Computerized tomography in myotonic dystrophy

    Gellerich, I.; Mueller, D.; Koch, R.D.

    1986-01-01

    Besides clinical symptoms, progress and electromyography computerized tomography improves the diagnostics of myotonic dystrophy. Even small changes in muscular structure are detectable and especially the musculus soleus exhibits early and pronounced alterations. By means of density distribution pattern an improved characterization of the disease is possible. Additional information is obtained by cerebral computerized tomography. Atrophy of brain tissue is to be expected in all patients with myotonic dystrophy. (author)

  8. Optical Coherence Tomography Angiography of Retinal Cavernous Hemangioma.

    Pierro, Luisa; Marchese, Alessandro; Gagliardi, Marco; Bandello, Francesco

    2017-08-01

    Retinal cavernous hemangioma is a rare, benign, retinal tumor characterized by angiomatous proliferation of vessels within the inner retina or the optic disc.1 Here we report a case of retinal cavernous hemangioma on the margin of the optic disc in the right eye of a 61-year-old asymptomatic female. The lesion was studied with multimodal imaging which included structural optical coherence tomography, fluorescein angiography, blue fundus auto-fluorescence, optical coherence tomography angiography (OCTA) (DRI OCT Triton; Topcon, Tokyo, Japan) and visual field examination. Blood circulation inside retinal cavernous hemangioma lesion is typically low-stagnant.2 However, OCTA demonstrated blood flow inside the lesion, illustrating its vascular circulation.3 Visual field was within the normal limits, except from a slight enlargement of the blind spot. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:684-685.]. Copyright 2017, SLACK Incorporated.

  9. Hepatic hemangiomas as diagnosed by ultrasonography and computed tomography

    Sachse, M.

    1987-01-01

    A total of 62 cases where the clinical diagnosis of hepatic hemangioma had been established during the period between 1981 and 1983 on the basis of computed tomography and sonography were subjected to retrospective analysis with the aim of evaluating the diagnostic reliability of these two methods. In 29 patients a typical distribution pattern of the contrast medium gave irrefutable evidence of the disease. Hemangiomas were predicted from the results of computed tomography for a further 5 patients with less revealing distribution patterns, although in 4 among these the preliminary diagnosis of hemangioma was disproved by additional diagnostic procedures (scintigraphy, laparoscopy, surgery and biopsy). Out of 16 patients, in which the hemangiomas were diagnosed from the typical patterns created by the contrast medium on the CT scans, 11 showed sonographic findings to confirm the presence of such tumours. This retrospective analysis showed that a correct and positive diagnosis could be established in no more than 7 patients on the basis of sonography alone, while 6 such diagnoses were definitely proven to be false-positive. As regards diagnostic accuracy, sonography clearly compares unfavourably with computed tomography. It may offer some advantages inasmuch as it requires no radiation exposure, is non-invasive and, last not least, less costly. (ECB) [de

  10. Computerized industrial tomography

    Ashraf, M.M.

    1999-01-01

    Computerized Tomographic (CT) has been used for a number of applications in the field of medicine and industry. For the last couple of years, the technique has been applied for the material characterization and detection of defects and flaws inside the industrial components of nuclear, aerospace and missile industries. A CT scanner of first generation was developed at the institute. The scanner has been used to demonstrate couple of applications of CT in the field of non destructive testing of materials. The data acquired by placing the test objects at various angles and scanning the object through a source detector assembly has been processed on a Pentium computer for image reconstruction using a filtered back projection method. The technique has been developed which can be modified and improved to study various other applications in materials science and a modern computerized tomographic facility can be established. (author)

  11. Quantitative inspection by computerized tomography

    Lopes, R.T.; Assis, J.T. de; Jesus, E.F.O. de

    1989-01-01

    The computerized Tomography (CT) is a method of nondestructive testing, that furnish quantitative information, that permit the detection and accurate localization of defects, internal dimension measurement, and, measurement and chart of the density distribution. The CT technology is much versatile, not presenting restriction in relation to form, size or composition of the object. A tomographic system, projected and constructed in our laboratory is presented. The applications and limitation of this system, illustrated by tomographyc images, are shown. (V.R.B.)

  12. Algorithmic fundamentals of computerized tomography and of transverse analogue tomography

    Heckmann, K.

    1981-01-01

    Computerized tomography and transverse analogue tomography are two different approaches to the same goal, namely, transverse tomography. The algorithm is discussed and compared. Transverse tomography appears capable of further development, judging by this comparison. (orig.) [de

  13. Computerized tomography of orbital lesions

    Kuroiwa, Mayumi

    1981-01-01

    Two different types of computerized tomography scanners (CT scanner), i.e. a whole-body CT scanner (GE-CT/T8800) and a cerebral CT scanner (EMI-1010), were compared in the assessment and diagnosis of various orbital lesions. The whole-body CT scanner was found to be advantageous over the cerebral CT scanner for the following reasons: (1) CT images were more informative due to thinner slices associated with smaller-sized and larger-numbered matrices; (2) less artifacts derived from motion of the head or eyeball were produced because of the shorter scanning time; (3) with a devised gantry, coronal dissections were available whenever demanded. (author)

  14. Optical Coherence Tomography Angiography Features of Iris Racemose Hemangioma in 4 Cases.

    Chien, Jason L; Sioufi, Kareem; Ferenczy, Sandor; Say, Emil Anthony T; Shields, Carol L

    2017-10-01

    Optical coherence tomography angiography (OCTA) allows visualization of iris racemose hemangioma course and its relation to the normal iris microvasculature. To describe OCTA features of iris racemose hemangioma. Descriptive, noncomparative case series at a tertiary referral center (Ocular Oncology Service of Wills Eye Hospital). Patients diagnosed with unilateral iris racemose hemangioma were included in the study. Features of iris racemose hemangioma on OCTA. Four eyes of 4 patients with unilateral iris racemose hemangioma were included in the study. Mean patient age was 50 years, all patients were white, and Snellen visual acuity was 20/20 in each case. All eyes had sectoral iris racemose hemangioma without associated iris or ciliary body solid tumor on clinical examination and ultrasound biomicroscopy. By anterior segment OCT, the racemose hemangioma was partially visualized in all cases. By OCTA, the hemangioma was clearly visualized as a uniform large-caliber vascular tortuous loop with intense flow characteristics superimposed over small-caliber radial iris vessels against a background of low-signal iris stroma. The vascular course on OCTA resembled a light bulb filament (filament sign), arising from the peripheral iris (base of light bulb) and forming a tortuous loop on reaching its peak (midfilament) near the pupil (n = 3) or midzonal iris (n = 1), before returning to the peripheral iris (base of light bulb). Intravenous fluorescein angiography performed in 1 eye depicted the iris hemangioma; however, small-caliber radial iris vessels were more distinct on OCTA than intravenous fluorescein angiography. Optical coherence tomography angiography is a noninvasive vascular imaging modality that clearly depicts the looping course of iris racemose hemangioma. Optical coherence tomography angiography depicted fine details of radial iris vessels, not distinct on intravenous fluorescein angiography.

  15. Computed tomography and magnetic resonance imaging findings of nasal cavity hemangiomas according to histological type

    Kim, Jun Ho; Park, Sun Won; Lim, Myung Kwan; Kim, Yeo Ju; Lee, Ha Young [Dept. of Radiology, Inha University School of Medicine, Incheon (Korea, Republic of); Kim, Soo Jin [Dept. of Radiology, Seoul National University College of Medicine, Seoul (Korea, Republic of); Jang, Tae Young [Dept. of Otolaryngology-Head and Neck Surgery, Inha University School of Medicine, Incheon (Korea, Republic of); Kang, Young Hye [Dept. of Radiology, nha University Hospital, Incheon (Korea, Republic of)

    2015-06-15

    To compare computed tomography (CT) and magnetic resonance imaging (MRI) findings between two histological types of nasal hemangiomas (cavernous hemangioma and capillary or lobular capillary hemangioma). CT (n = 20; six pre-contrast; 20 post-enhancement) and MRI (n = 7) images from 23 patients (16 men and seven women; mean age, 43 years; range, 13-73 years) with a pathologically diagnosed nasal cavity hemangioma (17 capillary and lobular capillary hemangiomas and six cavernous hemangiomas) were reviewed, focusing on lesion location, size, origin, contour, enhancement pattern, attenuation or signal intensity (SI), and bony changes. The 17 capillary and lobular hemangiomas averaged 13 mm (range, 4-37 mm) in size, and most (n = 13) were round. Fourteen capillary hemangiomas had marked or moderate early phase enhancement on CT, which dissipated during the delayed phase. Four capillary hemangiomas on MRI showed marked enhancement. Bony changes were usually not seen on CT or MRI (seen on five cases, 29.4%). Half of the lesions (2/4) had low SI on T1-weighted MRI images and heterogeneously high SI with signal voids on T2-weighted images. The six cavernous hemangiomas were larger than the capillary type (mean, 20.5 mm; range, 10-39 mm) and most had lobulating contours (n = 4), with characteristic enhancement patterns (three centripetal and three multifocal nodular), bony remodeling (n = 4, 66.7%), and mild to moderate heterogeneous enhancement during the early and delayed phases. CT and MRI findings are different between the two histological types of nasal hemangiomas, particularly in the enhancement pattern and size, which can assist in preoperative diagnosis and planning of surgical tumor excision.

  16. Gd-EOB-DTPA-enhanced magnetic resonance imaging features of hepatic hemangioma compared with enhanced computed tomography

    Tateyama, Akihiro; Fukukura, Yoshihiko; Takumi, Koji; Shindo, Toshikazu; Kumagae, Yuichi; Kamimura, Kiyohisa; Nakajo, Masayuki

    2012-01-01

    AIM: To clarify features of hepatic hemangiomas on gadolinium-ethoxybenzyl-diethylenetriaminpentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) compared with enhanced computed tomography (CT).

  17. Evaluation of brain scintigraphy and computerized tomography

    Cavailloles, F.; Dairou, R.; Desbleds, M.T.; Benoit, C.; Larmande, P.; Bok, B.; Alperovitch, A.

    1983-01-01

    In order to assess the clinical usefulness of brain computerized tomography and radionuclide scan, a prospective study was performed on a series of 554 patients. The detection rate was assessed as well as the identification rate of lesions. In addition, the usefulness of both tests was appreciated subjectively by two neurologists reviewing the patients' files. Both give reasonably similar results: computerized tomography is superior to radionuclide scan in the diagnosis of tumors and intracerebral hematomas, the radionuclide scan being slightly superior in the diagnosis of purely ischemic CVA and subdural hematomas. The superiority which was subjectively conceded to computerized tomography was greater than that objectively demonstrated. However, clinical usefulness of computerized tomography was judged important in only 50% of the cases. Moreover, to request both computerized tomography and radionuclide scan appeared as having no interest in 83% of the cases. In that series, the diagnostic hypotheses were in agreement with the final diagnosis in 88% of the cases. Bias encountered in this type of studies are discussed [fr

  18. Computerized tomography in orthopaedics and traumatology

    Boettger, E.; Heckl, R.; Rehabilitations-Krankenhaus Langensteinbach, Karlsbad

    1981-01-01

    Computerized tomography in traumatology is the selected method for the indications mentioned, so that angiographic investigations are only necessary in exceptional cases. Computerized tomography is also better than other methods when diagnozing soft part tumours, however, angiography is still indicated preoperatively for individual cases. CT is only good as additional help to conventional diagnostics with bone tumours. The differential diagnosis cysts-tumour is possible using contrast medium injections. The frequently large soft part share of tumours is recognizable with osteolytic tumours so that a better irradiation and operation planning can be effected. Diseases in the spinal canal can only be assessed with reservation using modern equipment. Lumbar dislocations of the disk can mostly not be sufficiently determined. Perivertebral abscesses can be certainly detected using computerized tomography. This is particularly so for abscesses prior to calcification. (orig.) [de

  19. Computerized tomography in the diagnosis of hyperparathyroidism

    Sobota, J.; Girl, J.; Sotornik, I.; Kocandrle, V.

    1990-01-01

    Long-term experience in the application of computerized tomography to the diagnosis of hyperparathyroidism is summarized. Based on a large number of examinations (164) of parathyroid glands associated with the possibility of verification and comparison with the results of ultrasonography and other imaging methods, the potential of computerized tomography in the diagnosis of hyperparathyroidism and its advantages and limitations are summarized. It is concluded that owing to its high diagnostic precision, this technique can be regarded reliable in detecting enlarged parathyroid glands. (author). 11 figs., 1 tab., 19 refs

  20. The limited angle problem in computerized tomography

    Louis, A.K.

    1984-01-01

    Fast reconstruction formulae in X-ray computerized tomography demand the directions, in which the measurements are taken, to be equally distributed over the whole circle. In many applications data can only be provided in a restricted range. Here the intrinsic difficulties are studied by giving a singular value decomposition of the Radon transform in a restricted range. Practical limitations are deduced. (orig.)

  1. Single photon emission computerized tomography

    Hooge, P. de.

    1983-01-01

    In this thesis two single-photon emission tomographic techniques are presented: (a) longitudinal tomography with a rotating slanting-hole collimator, and (b) transversal tomography with a rotating gamma camera. These methods overcome the disadvantages of conventional scintigraphy. Both detection systems and the image construction methods are explained and comparisons with conventional scintigraphy are drawn. One chapter is dedicated to the determination of system parameters like spatial resolution, contrast, detector uniformity, and size of the object, by phantom studies. In separate chapters the results are presented of detection of tumors and metastases in the liver and the liver hilus; skeletal diseases; various pathological aberrations of the brain; and myocardial perfusion. The possible use of these two ect's for other organs and body areas is discussed in the last chapter. (Auth.)

  2. Computerized tomography in atypical Pott's disease

    Cabrera, M.N.B.; Wang, E.H.M.

    1993-01-01

    Classical Pott's disease is described as a two-vertebrae disease with the destruction of the intervening invertebral disc. Computerized tomography has been used in the differential diagnosis of spine infections and neoplasms. We reviewed CT scans of patients seen at the Philippine General Hospital over a two-year period with atypical presentations of atypical tuberculous spondylitis. We used the computerized tomography findings described as characteristic of classical Pott's disease as criteria in evaluating the CT scans of patients diagnosed to have Atypical Pott's Disease. Although the number of patients prevented sensitivity and specificity studies to be done, our results strongly suggest that the same CT criteria used to diagnose Classical Pott's Disease may also be used to diagnose Pott's disease in its atypical form. (Author.). 13 refs

  3. 10 years of computerized tomography reviewed

    Duemmling, K.

    1984-01-01

    The history and some highlights of computerized tomography are reviewed. The various technologies employed in the course of CT development are described along with the limitations that led to their disappearance. The problems still to be solved in medicine, the increasing influence of nuclear magnetic resonance, and some scientific aspects have opened up new lines of development which are briefly mentioned. (orig./WU) [de

  4. Computerized tomography of gall bladder cancer

    Todua, F.I.; Karmazanovskij, G.G.

    1989-01-01

    The authors have summed up the experience in the use of computerized tomography (CT) in diagnosis of gall bladder cancer. The investigation of 17 patients with cancer of this site showed a high informative value of the method. A retrospective comparative study of the results of CT and surgical interventions was carried out. It has been concluded that CT makes it possible not only to diagnose malignant lesions of the bile ducts but also to assess a possible scope of a forthcoming operation

  5. Increased intracranial pressure: evaluation by computerized tomography

    Lightfoote, W.E.; Pressman, B.D.

    1975-01-01

    Computerized tomography is clearly very useful in the evaluation of patients with increased intracranial pressure and suspected pseudotumor cerebri. It provides an index of ventricular size and configuration and has the capability of demonstrating intracranial lesions. Moreover, this new technique is rapid and non-invasive, and is without attendant risks. Examinations may be performed serially as the clinical process evolves, thereby giving roentgenographic correlation to the clinical features. (U.S.)

  6. Computerized tomography in radiodiagnosis of pneumonia

    Degtyareva, I.A.; Mamaev, V.V.; Savchenko, A.P.

    1989-01-01

    Experience in the use of computerized tomography (CT) in combined radiodiagnosis of pneumonia was analysed. It has been concluded that CT objectively reflects morphological inflammatory changes and permits their all-round assessment over time. The diagnosis of pneumonia in CT is based on classical x-ray symptoms. As compared to survery radiography CT reveals symptoms of pneumonia to the full at earlier stages. CT is an important additional method of investigation of inflammatory pulmonary diseases but it should not be used separately without survey radiography. In a majority of cases when CT is performed there is no need in x-ray tomography

  7. Staging of bronchogenic carcinoma by computerized tomography

    Sommer, B.; Bauer, W.M.; Rath, M.; Fenzl, G.; Stelter, W.J.; Lissner, J.

    1981-01-01

    It was possible to check the information obtained by CT scanning in 36 patients out of 49 who had been subjected to computerized tomography, in respect of the extension of the primary tumour (T stage), and in 25 patients in respect of the degree of mediastinal lymphatic node involvement (N stage). In all 49 patients, the presence of bronchogenic carcinoma had been safely established. In 97% of the cases, assessment of the extension of the primary tumour was found to be correct. Assessment of the N stage, however, is more problematic, since detection of mediastinal lymphatic nodes by computerized tomography does not necessarily tell us something about their metastatic involvement. If all recognizable lymphatic nodes are interpreted as potential metastases, we have no false negative but 61% false positive results because of the frequency of postinflammatory or anthracotic lymphatic nodes. In case of exclusive assessment of lymphatic node enlargement above 1 cm diameter, the rate of metastatic nodes increases considerably (83%). Computerized tomography is definitely superior to all roentgenological methods in assessing the stage of a bronchogenic carcinoma; hence, it could occupy a key position in determining the diagnostic and therapeutic approach in patients with this disease. (orig.) [de

  8. Case of neurosarcoidosis monitored by computerized tomography

    Kubota, T; Kimura, M; Komai, T; Yamamoto, S; Yamamura, I [Kanazawa Univ. (Japan). School of Medicine

    1979-12-01

    A 21-year-old man complaining of impaired visual acuity was admitted to the hospital. Physical examinations showed asymptomatic bilateral hilar lymphadenopathy and cardiomyopathy. Neurological findings disclosed left blindness and right temporal hemianopsia. Computerized tomography, pneumoencephalography and carotid angiography revealed a suprasellar mass. After the admission, the following symptoms deteriorated rapidly: diabetes insipidus, anterior pituitary dysfunction, visual loss of the right eye and hepatomegaly, subsequently consciousness disorder developed during a month though he was given steroids. The more deteriorated the clinical course, the larger the suprasellar mass with expanding hydrocephalus in repeated computerized tomographies. After the ventriculo-peritoneal shunt operation, consciousness improved. Diabetes insipidus also improved after Diabenese administration. On the operation, adhesive arachnoiditis over all the frontotemporal cortex and swollen purplishly red optic chiasm were exposed. Microscopically the specimen from the optic chiasm evidenced a sarcoid granuloma which composed of epitheroid cells, lymphocytes and multi-nucleated giant cells with numerous hemosiderin droplets. The specimen from the surface of the left frontal lobe showed thick fibrosis in the subarachnoid space. By steroids therapy, diabetes insipidus and hepatomegaly disappeared five months after the admission, whereas blindness never recovered. He died of developed status epilepticus eleven months after the admission. The authors reviewed neuroradiological findings of neurocarcoidosis based on pathological findings in the literature, and emphasized that computerized tomography was the most useful for diagnosis and treatment of neurosarcoidosis.

  9. Direct coronary and sagittal computerized tomography of the pelvis

    Maier, W.; Bargon, G.

    1981-01-01

    Whereas quite a number of reports have been published on direct coronary and sagittal computed tomography of the cranium, no extensive experience has been collected on multidimensional computerized tomography of the pelvis. In this article, the authors report on their preliminary experiences in direct approximately sagittal and coronary computerized tomography of the pelvis in a group of 76 patients. (orig.) [de

  10. Patient surface doses in computerized tomography examinations

    Vekic, B; Kovacevic, S.; Ranogajec-Komor, M.; Duvnjak, N.; Marusic, P.; Anic, P.; Dolencic, P.

    1996-01-01

    The diagnostic value of computerized tomography has increased due to very rapid technical advances in both equipment and techniques. When the CT scanners were introduced, a significant problem for the specification of the radiation dose imparted to the patient undergoing CT examination has been created. In CT, the conditions of exposure are quite different from those in conventional X-ray imaging. CT procedure involves the continuous tomography of thin layers. Some of these layers touch each other while others overlap. The radiation doses received by patients can vary considerably. In addition to the radiation from the collimated primary beam, patients are exposed to significant scattered doses in unpredictable amounts. Every effort should be made to keep these doses to a reasonable minimum, without sacrificing the image quality. The aims of this work were to determine the surface doses delivered to various organs of patients during various computerized tomography examinations (head, thorax, kidney, abdomen and pelvis). Particular attention was directed to the precise determination of doses received by the eyes (during CT of head) and gonads (during CT of pelvis and lower abdomen) since these organs can be near or even in the primary X-ray beam

  11. Computerized abdominal tomography in Wilson's disease

    Tsuchikura, Keiko; Ogawa, Teruyuki; Nakajima, Akihisa; Ono, Yasuhiko

    1986-05-01

    Cranial and abdominal computerized tomography (CT) was performed in a 10-year-old boy with Wilson's disease complicated by liver cirrhosis. Abdominal CT showed diffuse high density areas over the whole part of the liver propably due to copper sediments, although there was no abnormal cranial CT findings. Decreased high density area of the liver was seen 60 days after the administration of D-penicillamine, suggesting the excretion of copper from the liver. Abdominal CT, as well as cranial CT, may be of help to diagnose Wilson's disease and evaluate therapeutic effects. (Namekawa, K.).

  12. Single photon emission computerized tomography (SPECT)

    Ganatra, R.D.

    1992-01-01

    Tomography in nuclear medicine did not originate after the introduction of X-ray computerized tomography (CT). Even in the days of rectilinear scanner, tomography was attempted with multiple detector heads rotating around the patient, but the counts at each plane were never very high to obtain a satisfactory image. A high resolution focusing collimator can look at different depths but taking several slices in one projection was a time consuming process. Rectilinear scanners lose lot of counts in the collimator to look at one point, at on time, in one plane. It is true that attempts to do tomography with gamma camera really got a boost after the success of CT. By that time, algorithms for doing reconstruction of images also were highly refined and for advanced. Clinical application of SPECT has become widespread now, because of the development of suitable radiopharmaceuticals and improvement in instrumentation. The SPECT provides a direct measure of regional organ function and is performed with nuclides such as 123 I and 99 Tc m that emit a mono-image photon during their decay. SPECT is far less expensive than positron emission tomography

  13. Single photon emission computerized tomography (SPECT)

    Ganatra, R D

    1993-12-31

    Tomography in nuclear medicine did not originate after the introduction of X-ray computerized tomography (CT). Even in the days of rectilinear scanner, tomography was attempted with multiple detector heads rotating around the patient, but the counts at each plane were never very high to obtain a satisfactory image. A high resolution focusing collimator can look at different depths but taking several slices in one projection was a time consuming process. Rectilinear scanners lose lot of counts in the collimator to look at one point, at on time, in one plane. It is true that attempts to do tomography with gamma camera really got a boost after the success of CT. By that time, algorithms for doing reconstruction of images also were highly refined and for advanced. Clinical application of SPECT has become widespread now, because of the development of suitable radiopharmaceuticals and improvement in instrumentation. The SPECT provides a direct measure of regional organ function and is performed with nuclides such as {sup 123}I and {sup 99}Tc{sup m} that emit a mono-image photon during their decay. SPECT is far less expensive than positron emission tomography

  14. Angiographic optical coherence tomography imaging of hemangiomas and port wine birthmarks.

    Waibel, Jill S; Holmes, Jon; Rudnick, Ashley; Woods, Daniel; Kelly, Kristen M

    2018-03-22

    A current therapeutic challenge of vascular lesions is that they do not always respond effectively to laser treatment. Information on targeted vessels could potentially be used to guide laser treatments. Optical coherence tomography (OCT) is a useful tool for the non-invasive imaging of tissues, including skin hemangiomas and port wine birthmarks. Dynamic OCT is able to rapidly characterize cutaneous blood vessels. The primary goal of this study was to demonstrate the ability of bedside OCT to image (i) overall vessel pattern; (ii) individual vessel morphology, diameter and depth; and (iii) total vessel density as a function of depth in infantile hemangiomas and port wine birthmarks (PWB). This IRB approved, observational clinical trial was performed among healthy volunteers ages 3 months-73 years old. All patients presented for laser treatment of either infantile hemangiomas or PWB with skin types ranging from Fitzpatrick I-V. OCT imaging of 49 hemangioma and PWB scans were performed pre- and post-treatment. The diameter and depth of the blood vessels making up the vascular lesions were measured. In addition, normal skin was scanned for comparison. Five datasets for infantile hemangiomas and five for PWB that were without motion artifacts were analyzed. Scanned lesions exhibited variable and highly heterogeneous blood vessel patterns with vessel diameters ranging from 20 to 160 μm, suggesting that the laser treatment with single pulse durations may not be optimal. The largest blood vessel diameter observed (160 μm) may not be adequately treated by commonly used pulsed dye laser pulse durations. OCT allowed rapid, non-invasive characterization of the diameter and depth of blood vessels in individual vascular lesions. Imaged lesions consisted of a heterogeneous population of vessel sizes, morphologies, and depth. Future studies could utilize this information to assist development of individualized treatment protocols in an effort to improve vascular birthmark

  15. Computerized tomography in evaluation of the pulmonary hilum

    Secaf, M.; Ferreira, J.L.N.; Secaf, E.

    1987-01-01

    The use of computerized tomography as a method for evaluating the pulmonary hilum and its application in the diagnosis of endobronchial lesions, hilar masss, contiguous involvement of the mediastinum by hilar mass, and vascular hilar lesions are discussed. A comparative evaluation between conventional tomograms and computerized tomography is presented. (M.A.C.) [pt

  16. Patient radiation exposure in computerized tomography

    Pavlov, V [Meditsinska Akademiya, Sofia (Bulgaria)

    1980-01-01

    Radiation exposure to patients undergoing axial computerized tomography as a tool of neurological X-ray diagnostics was studied. Doses thereby delivered were compared with those from routine head films at X-ray tube parameters 200 W, 70 kV, and 70 cm target-to-patient distance. Radiation exposures were analyzed with a view to improving shielding and procedural techniques. Comparisons were made using LiF TLD measurements with an Alderson phantom (standard for axial computer tomography). Skin and intracranial space doses were compared using two computers, Siretom I and Siretom 2000, for various positionings: frontal, fronto-lateral, temporal, temporo-occipital, and occipital. In addition, patient body doses with or without shielding and doses to subjects attending sick children or restless adults were examined. Achievable protection was estimated for lead shields of 0.5 mm lead equivalent. It was concluded that radiation doses delivered to neurologic patients undergoing axial computer tomography are smaller than those resulting from conventional X-ray examinations.

  17. Computerized tomography findings in nasolacrimal dysfunction

    Ishida, Toshio; Nakamura, Yasuhisa; Kumagai, Michiasa

    1985-01-01

    We examined 17 cases (22 lesions) with stenosis or obstruction in the lacrimal drainage system with the use of computerized tomography (CT). In idio pathic cases, the site of obstruction was located either in the upper nasolacrimal duct or at the junction of the lacrimal sac and the nasolacrimal duct. In post-traumatic cases, it was located in the lower nasolacrimal duct. The obstructed areas appeared as homogenous in CT image with CT values ranging between +60 and +80. These findings were suggestive of granulation tissue. The stenosed areas appeared, on the other hand, as areas of unequal density. Lacrimal passage appeared to be maintained through the low-density portion. The CT values of the lacrimal sac was around +40 in dacryocystitis and around +20 to +30 other cases. (author)

  18. Organ doses from computerized tomography examinations

    Janeczek, J.

    1995-12-31

    Estimates of mean organs doses from five typical computerized tomography (CT) examinations were obtained. Measurements were done using Rando-Alderson anthropomorphic phantom and thermoluminescent dosemeters (TLD). Radiation dose distributions within a phantom has been measured for each examination and results were used for organ dose calculation. Doses to organs specified by ICPR 60 Recommendations were measured for five CT scanners (CT/T8800, CT 9800, CT MAX - made by General Electric; CT 1200 SX - made by Picker; SOMATOM 2 - made by Siemens). Dose distributions from scattered radiation were measured and indicate that scattered radiation dose to thyroid and eye lens can be reduced by proper examination limits setting. The lowest mean organ doses were obtained from CT/T8800 scanner. More advanced scanners using high intensity continuous radiation were giving higher organ doses. (author). 23 refs, 6 figs, 13 tabs.

  19. Computerized axial tomography in traumatic cervical lesions

    Koyama, Tsunemaro

    1982-01-01

    Although plain computerized axial tomography cannot routinely demonstrate the spinal cord, it does provide excellent visualization of the bony outline of the spinal canal and vertebral column. So it should be reasonable to use this technique in cases of cervical traumatic disorders. In this paper we presented 10 cases of cervical traumatic lesions; 3 atlanto-axial dislocation, 2 cervical canal stenosis, 3 OPLL, 1 intramedullary hematoma and 1 C 2 -neurinoma. In some patients neurologic deficits were induced by cervical trauma. Bony lesions appeared more adequately deliniated than intraspinal lesions, however, in some cases intramedullary changes could also be demonstrated. The use of metrizamide with high resolution CT-scanner could improve the usefullness of this technique. (author)

  20. Organ doses from computerized tomography examinations

    Janeczek, J.

    1995-01-01

    Estimates of mean organs doses from five typical computerized tomography (CT) examinations were obtained. Measurements were done using Rando-Alderson anthropomorphic phantom and thermoluminescent dosemeters (TLD). Radiation dose distributions within a phantom has been measured for each examination and results were used for organ dose calculation. Doses to organs specified by ICPR 60 Recommendations were measured for five CT scanners (CT/T8800, CT 9800, CT MAX - made by General Electric; CT 1200 SX - made by Picker; SOMATOM 2 - made by Siemens). Dose distributions from scattered radiation were measured and indicate that scattered radiation dose to thyroid and eye lens can be reduced by proper examination limits setting. The lowest mean organ doses were obtained from CT/T8800 scanner. More advanced scanners using high intensity continuous radiation were giving higher organ doses. (author). 23 refs, 6 figs, 13 tabs

  1. Dose evaluation in diagnostic for computerized tomography

    Flores, W.; Borges, J.C.; Mota, H.

    1998-01-01

    The patients which are subjected to computerized tomography tests are exposed to relatively high doses given as result doses on organs that are not matter to test. It was realized a dose levels raising in patients subjected to tests by T C, utilizing to measure this magnitude, TLD-100 thermoluminescent dosemeters which were put directly on the patient, in eye regions, thyroid, breast and navel; founding doses fluctuating between 29.10-49.39 mGy in organs examined and dose values between 0.21-29.10 mGy for organs that no matter to test. The applications of ionizing radiations in medicine do not have dose limits, but paying attention to the radiological protection optimization principle, it is recommended the use of clothes to anti-rays protection for zones not examined, getting with this to reduce the level doses as low as possible, without this to diminish the test quality. (Author)

  2. Normal anatomical measurements in cervical computerized tomography

    Zaunbauer, W.; Daepp, S.; Haertel, M.

    1985-01-01

    Radiodiagnostically relevant normal values and variations for measurements of the cervical region, the arithmetical average and the standard deviation were determined from adequate computer tomograms on 60 healthy women and men, aged 20 to 83 years. The sagittal diameter of the prevertebral soft tissue and the lumina of the upper respiratory tract were evaluated at exactly defined levels between the hyoid bone and the incisura jugularis sterni. - The thickness of the aryepiglottic folds, the maximal sagittal and transverse diameters of the thyroid gland and the calibre of the great cervical vessels were defined. - To assess information about laryngeal function in computerized tomography, measurements of distances between the cervical spine and anatomical fixed points of the larynx and hypopharynx were made as well as of the degree of vocal cord movement during normal respiration and phonation. (orig.) [de

  3. Diagnostics of neuromuscular diseases with the aid of computerized tomography

    Visser, M de; Verbeeten, Jr, B J

    1988-06-04

    In this article the diagnosis of neuromuscular diseases with the aid of computerized tomography is treated. Computerized tomography of skeletal muscles give no information which is pathognomonic for particular diseases. But the technique can be used in the following aspects: to choose a muscle for a biopsy; when it is not possible to examine the function of a muscle, a CT scan can visualize morphological deviations; in the differentiation of muscle hypertrophy and pseudo-hypertrophy. For some cases as Becker-type muscular dystrophy, facioscapulohumeral dystrophy and Kugelberg-Welander type spinal muscular atrophy computerized tomography gives characteristic images. 10 refs.; 6 figs.

  4. Diagnostics of neuromuscular diseases with the aid of computerized tomography

    Visser, M. de; Verbeeten, B.J. Jr.

    1988-01-01

    In this article the diagnosis of neuromuscular diseases with the aid of computerized tomography is treated. Computerized tomography of skeletal muscles give no information which is pathognomonic for particular diseases. But the technique can be used in the following aspects: to choose a muscle for a biopsy; when it is not possible to examine the function of a muscle, a CT scan can visualize morphological deviations; in the differentiation of muscle hypertrophy and pseudo-hypertrophy. For some cases as Becker-type muscular dystrophy, facioscapulohumeral dystrophy and Kugelberg-Welander type spinal muscular atrophy computerized tomography gives characteristic images. 10 refs.; 6 figs

  5. Results of CT brain examinations in cerebrovascular emergency. [computerized tomography

    Pinta, Z; Dolansky, J; Sorfova, J; Jerie, T

    1987-07-01

    Experience is briefly reported with CT (computerized tomography) diagnosis of cerebrovascular emergencies. It is pointed out that the introduction of computerized tomography greatly improved and made more accurate the diagnosis of focal ischemias and revealed significant differences in the foci of ischemia in hypertension patients and atherosclerosis patients without hypertension, and showed a higher incidence of intracerebral and subarachnoidal hemorrhages than previously thought. It is believed that knowledge gained thanks to CT (computerized tomography) will be of benefit to the primary and secondary prevention of cerebrovascular ischemias. (L.O.). 1 fig., 5 refs.

  6. Radiographic analysis of body composition by computerized axial tomography

    Heymsfield, S.B.

    1986-01-01

    Radiographic methods of evaluating body composition have been applied for over five decades. A marked improvement in this approach occurred in the mid-nineteen-seventies with the introduction of computerized axial tomography. High image contrast, cross-sectional imaging and rapid computerized data processing make this technique a sophisticated clinically applicable tool. (author)

  7. Cranial computerized tomography in children suffering from acute leukemia

    Metz, O.

    1981-01-01

    Cranial computerized (axial) tomography permits a more complete neurologic supervision of children with acute leukemia and a better knowledge of the frequency and varieties of cerebral complications in leukemia. Endocranial complications in acute leukemia are essentially infiltrative, hemorrhagic, infectious or iatrogenic. Cranial computerized tomography can demonstrate cerebral changes in meningeal leukemia, hemorrhages, calcifications, brain atrophy or leukencephalopathy. The preliminary results of cranial computerized tomography in childhood leukemia suggest that the iatrogenic main lesion of the brain due to combined radiation-chemotherapy is atrophy whereas that of the intrathecal cytostatic therapy is demyelination. Accurate diagnostics and control of possible cerebral complications in therapy of leukemia is essentially for appropriate therapeutic management. For that cranial computerized tomography is the best method to a effective supervision of the brain. (author)

  8. Computerized Tomography and its Applications : a Guided Tour

    Roerdink, J.B.T.M.

    1992-01-01

    We present a review of the mathematical principles of computerized tomography. Topics treated include the role of the Radon transform and related transforms, inversion formulas, uniqueness, ill-posedness and stability, practical reconstruction algorithms, and various generalizations such as

  9. Quality criteria for abdominal computerized tomography

    Huebener, K.H.; Kurtz, B.; Metzger, H.O.F.

    1985-01-01

    Quality, not only in obdominal computerized tomography, is determined by the measurable technical parameters and, to an important extent, also bei individual factors, among which the diagnostic skill and experience of the examiner is one of the most decisive. These individual factors and the part they play with regard to the quality of CT-assisted diagnosis may well equal the technical parameters, as they significantly influence the course of examinations, resulting indications for contrast medium application, and the sensitivity of the diagnosis. The authors are convinced that especially for abdominal CT, standardized examination techniques inevitably would bring down the diagnostic quality. The technical parameters are of equal significance to achieving the diagnostic optimum, and to these parameters one has to count equipment characteristics as well as the data given by the examiner. Exposure time, spatial resolution and density differentiation are given by the equipment specifications but have to be adapted to and optimised to the clinical problems involved in every case. Another important task is that of routine imaging of given anatomic structures, for adequate evaluation of individual conditions. (orig./MG) [de

  10. Study on forefoot by computerized tomography

    Machida, Eiichi (Nihon Univ., Tokyo. School of Medicine)

    1983-10-01

    Computerized tomography (CT) was used to study coronary sections of the forefoot in both normal and abnormal human feet. CT images of the transverse arches at the metatarsal head, middle and base of the shaft were classified into five patterns. In the pattern most commonly found in normal feet, the second metatarsus appeared elevated above the other metatarsal bones at all points, and there was a gradual and even reduction in elevation from the second to the fifth metatarsal. In cases of hallux valgus, however, a variety of deformities were noted in the arc of the second to fifth metatarsals, particularly at the head. The rotation of the first metatarsus and shift of the sesamoids were measured from CT images at the head of the first metatarsus. In hallux valgus, both the rotation and the sesamoid shift appeared to have a wider angle than in the case of normal feet. In normal feet, the differences between the rotation of the first metatarsus and shift of the sesamoids were relatively small, whereas in hallux valgus there was a much greater degree of variation. Furthermore, while normal feet the variation in rotation of the first metatarsus and sesamoid shift both tended to be either great or small, in hallux valgus a large degree of sesamoid shift was sometimes found in combination with a small degree of rotation of the first metatarsus.

  11. Study on forefoot by computerized tomography

    Machida, Eiichi

    1983-01-01

    Computerized tomography (CT) was used to study coronary sections of the forefoot in both normal and abnormal human feet. CT images of the transverse arches at the metatarsal head, middle and base of the shaft were classified into five patterns. In the pattern most commonly found in normal feet, the second metatarsus appeared elevated above the other metatarsal bones at all points, and there was a gradual and even reduction in elevation from the second to the fifth metatarsal. In cases of hallux valgus, however, a variety of deformities were noted in the arc of the second to fifth metatarsals, particularly at the head. The rotation of the first metatarsus and shift of the sesamoids were measured from CT images at the head of the first metatarsus. In hallux valgus, both the rotation and the sesamoid shift appeared to have a wider angle than in the case of normal feet. In normal feet, the differences between the rotation of the first metatarsus and shift of the sesamoids were relatively small, whereas in hallux valgus there was a much greater degree of variation. Furthermore, while normal feet the variation in rotation of the first metatarsus and sesamoid shift both tended to be either great or small, in hallux valgus a large degree of sesamoid shift was sometimes found in combination with a small degree of rotatin of the first metatarsus. (author)

  12. Coupling two iteratives algorithms for density measurements by computerized tomography

    Silva, L.E.M.C.; Santos, C.A.C.; Borges, J.C.; Frenkel, A.D.B.; Rocha, G.M.

    1986-01-01

    This work develops a study for coupling two iteratives algotithms for density measurements by computerized tomography. Tomographies have been obtained with an automatized prototype, controled by a microcomputer, projected and assembled in the Nuclear Instrumentation Laboratory, at COPPE/UFRJ. Results show a good performance of the tomographic system, and demonstrate the validity of the method of calculus adopted. (Author) [pt

  13. Evaluation of the absorbed dose in odontological computerized tomography

    Legnani, Adriano; Schelin, Hugo R.; Rocha, Anna Silvia P.S. da; Khoury, Helen J.

    2011-01-01

    This paper evaluated the absorbed dose at the surface entry known as 'cone beam computed tomography' (CBCT) in odontological computerized tomography. Examination were simulated with CBCT for measurements of dose. A phantom were filled with water, becoming scatter object of radiation. Thermoluminescent dosemeters were positioned on points correspondent to eyes and salivary glands

  14. Liver Hemangioma

    Liver hemangioma Overview A liver hemangioma (he-man-jee-O-muh) is a noncancerous (benign) mass in the liver. A liver hemangioma is made up of a tangle of blood vessels. Other terms for a liver hemangioma are hepatic hemangioma and cavernous hemangioma. Most ...

  15. Impact of Multidetector Computerized Tomography (MDCT) On The General Population

    Leite, B.B.; Ribeiro, N.C. [Servico de Radiologia, Hospital de Curry Cabral, Rua da Beneficencia, 8, 1069-166 Lisboa (Portugal)

    2009-05-15

    Multidetector computerized tomography (MDCT) appeared in the early 1990s, as a technological evolution of computerized tomography. As one would expect, the evolution continues and, each year, more powerful equipments appear, with new medical applications. However, the general use of this technique has lead to the dramatic increase on the general population irradiation. Special concern is required regarding the most vulnerable groups, like the pediatric population, the pregnant and the young female. Due to a larger awareness of this irradiation risks, some initiatives have been developed, coming from different areas, aiming to maximize the benefit to risk ratio of MDCT. (author)

  16. Recurrent lymph node metastases after craniocervical tumours: Computerized tomography

    Helmberger, H.; Lenz, M.; Kersting-Sommerhoff, B.; Bautz, W.; Kretz, S.

    1992-01-01

    A total of 544 CT examinations of the craniocervical region carried out in 231 patients were analyzed on a retrospective basis in order to assess the clinical value of contrast-enhanced computerized tomography, being carried out either for comparison with or in combination with clinical control examinations, in the post-therapeutic surveillance of patients treated for craniocervical tumours. The diagnostic accuracy attained with computerized tomography in the detection of recurrent lymph node metastases was 95% and thus superior to that determined for clinical control examinations (80%). (orig./GDG) [de

  17. Geometrical efficiency in computerized tomography: generalized model

    Costa, P.R.; Robilotta, C.C.

    1992-01-01

    A simplified model for producing sensitivity and exposure profiles in computerized tomographic system was recently developed allowing the forecast of profiles behaviour in the rotation center of the system. The generalization of this model for some point of the image plane was described, and the geometrical efficiency could be evaluated. (C.G.C.)

  18. Dosimetry of computerized tomography in the evaluation of hip dysplasia

    Guyer, B.; Bassano, D.A.; Levinsohn, E.M.; Smith, D.S.; Cady, R.B.

    1984-07-01

    The usefulness of computerized tomography (CT) in the assessment of hip dysplasia has recently been given attention in the literature and concern regarding radiation dose has been raised. This study was undertaken to measure the radiation dose, both in and out of plaster, for plain films, arthrography, tomography, and CT. A method is suggested to reduce dosage by 80% without compromising diagnostic information. Our experience with 25 scans of patients aged 4 months to 39 years is presented.

  19. Computerized tomography in the examination of the orbit

    Ammerich, H.; Wackenheim, A.; Golabek, R.

    1980-01-01

    The importance of computerized tomography in the ophtalmological diagnosis is discussed. A great value of the information obtained by this not cumbersome method is stressed. The findings achieved this method in the most frequent diseases of the eyeball, orbit and neighbouring anatomical structures are described. (author)

  20. Contribution of computerized tomography to orbit fracture diagnosis

    Nemeth, T.; Sobota, J.

    1984-01-01

    Suitability and specificity of examinations using computerized tomography are discussed for diagnoses fractures of the orbit including accurate anatomical localization of traumatic changes. The possibility of accurate assessment of the drop of the floor of the orbit which is essential for determination of the thickness of the bone or cartilaginous graft under the eyeball is also important

  1. Emission computerized-tomography and determination of local brain function

    Kuhl, D.E.; Alavi, A.; Reivich, M.; Edwards, R.Q.; Fenton, C.A.; Zimmerman, R.A.

    1975-01-01

    Methods for the three dimensional reconstruction of /sup 99m/Tc brain scans are described. The diagnostic advantages of computerized tomography in the localization of brain tumors and in measurements of local cerebral blood flow are discussed. (U.S.)

  2. Cranial Computerized Tomography In The Evaluation Of Stroke ...

    206 patients clinically diagnosed as stroke / cerebrovascular accidents (CVA) were investigated using computerized tomography (CT) scan. 19 patients (9%) had normal scan. While 20(9.7%) had other lesions including atrophy and tumours. Of the 167 (18. %) patients proven to have suffered a cerebro- vascular accident ...

  3. Significance of computerized tomography and nasal cytology in the ...

    Ehab

    assessment of sinus disease in asthmatic children. Rhinosinusitis is a common asthma comorbidity. Nasal eosinophil or neutrophil score >0.5 provides a better predictive value for rhinosinusitis compared to total serum IgE. Keywords: computerized tomography, nasal sinus, asthma, sinusitis, allergic rhinitis, children.

  4. Radiation exposure of the gonads in infant brain computerized tomography

    Berndt, L.; Rosenkranz, G.; Tellkamp, H.

    1988-01-01

    In 61 babies and infants the gonadal dose due to brain computerized tomography was determined over the symphysis by thermoluminescent dosimetry. The average radiation dose was 43 mGy corresponding with data reported. Shielding of the testes in infants is an additional burden and worth discussing because of the low absolute gonadal dose

  5. Use of computerized tomography and magnetic resonance imaging

    Tjoerstad, K.

    1992-01-01

    This is a neurologist's opinion on how computerized tomography and magnetic resonance imaging have improved the doctor's diagnostic possibilities, changed patient/doctor relationship and increased the patients' expectations from diagnostic tests. How should the often conflicting interests of patients, society and doctors be handled? 15 refs., 1 fig., 1 tab

  6. Radio astronomical interferometry and x-ray's computerized tomography

    Rodriguez, L F [Universidad Nacional Autonoma de Mexico, Mexico City. Inst. de Astronomia

    1982-01-01

    Radio astronomical interferometry and computerized tomography are techniques of great importance for astronomy and medicine, respectively. In this paper we emphasize that both techniques are based on the same mathematical principles, and present them as an example of interaction between basic and applied science.

  7. Computerized tomography in diagnosis of cerebrocranial injury

    Kornienko, V.N.; Vasin, N.Ya.; Kuz'menko, V.A.

    1987-01-01

    The method of computerized tomographical examination are presented. Th KT-characters of concussion of the brain, its contusion of different severity, compressions in case of traumatic intracranial hematomas, contusion injuries, brain edema and different aftereffects of cerebrocranial injury are given. On the basis of comparison of the data of clinical and KT examination the dynamics of intracranial traumatic injuries in the course of treatment is described. The problems of therapeutic and surgical tactics depending on the degree and form of intracranial structure injuries and the phase of clinical course of posttraumatic process are discussed

  8. Morphological analysis of the vestibular aqueduct by computerized tomography images

    Marques, Sergio Ricardo; Smith, Ricardo Luiz; Isotani, Sadao; Alonso, Luis Garcia; Anadao, Carlos Augusto; Prates, Jose Carlos; Lederman, Henrique Manoel

    2007-01-01

    Objective: In the last two decades, advances in the computerized tomography (CT) field revise the internal and medium ear evaluation. Therefore, the aim of this study is to analyze the morphology and morphometric aspects of the vestibular aqueduct on the basis of computerized tomography images (CTI). Material and method: Computerized tomography images of vestibular aqueducts were acquired from patients (n = 110) with an age range of 1-92 years. Thereafter, from the vestibular aqueducts images a morphometric analysis was performed. Through a computerized image processing system, the vestibular aqueduct measurements comprised of its area, external opening, length and the distance from the vestibular aqueduct to the internal acoustic meatus. Results: The morphology of the vestibular aqueduct may be funnel-shaped, filiform or tubular and the respective proportions were found to be at 44%, 33% and 22% in children and 21.7%, 53.3% and 25% in adults. The morphometric data showed to be of 4.86 mm 2 of area, 2.24 mm of the external opening, 4.73 mm of length and 11.88 mm of the distance from the vestibular aqueduct to the internal acoustic meatus, in children, and in adults it was of 4.93 mm 2 , 2.09 mm, 4.44 mm, and 11.35 mm, respectively. Conclusions: Computerized tomography showed that the vestibular aqueduct presents high morphological variability. The morphometric analysis showed that the differences found between groups of children and adults or between groups of both genders were not statistically significant

  9. Computerized tomography of unipapillary kidney - case report

    Bauab Junior, T.; Crosera, P.C.; Zerati Filho, M.

    1988-01-01

    A case of unipapillary kidney which was evaluated by computed tomography is reported. A review of the literature shows 14 previously reported cases, but none evaluated by CT. The authors also emphasize the lesions that course along with the unipapillary kidney. (author)

  10. Anti-3-[(18)F]FACBC positron emission tomography-computerized tomography and (111)In-capromab pendetide single photon emission computerized tomography-computerized tomography for recurrent prostate carcinoma: results of a prospective clinical trial.

    Schuster, David M; Nieh, Peter T; Jani, Ashesh B; Amzat, Rianot; Bowman, F Dubois; Halkar, Raghuveer K; Master, Viraj A; Nye, Jonathon A; Odewole, Oluwaseun A; Osunkoya, Adeboye O; Savir-Baruch, Bital; Alaei-Taleghani, Pooneh; Goodman, Mark M

    2014-05-01

    We prospectively evaluated the amino acid analogue positron emission tomography radiotracer anti-3-[(18)F]FACBC compared to ProstaScint® ((111)In-capromab pendetide) single photon emission computerized tomography-computerized tomography to detect recurrent prostate carcinoma. A total of 93 patients met study inclusion criteria who underwent anti-3-[(18)F]FACBC positron emission tomography-computerized tomography plus (111)In-capromab pendetide single photon emission computerized tomography-computerized tomography for suspected recurrent prostate carcinoma within 90 days. Reference standards were applied by a multidisciplinary board. We calculated diagnostic performance for detecting disease. In the 91 of 93 patients with sufficient data for a consensus on the presence or absence of prostate/bed disease anti-3-[(18)F]FACBC had 90.2% sensitivity, 40.0% specificity, 73.6% accuracy, 75.3% positive predictive value and 66.7% negative predictive value compared to (111)In-capromab pendetide with 67.2%, 56.7%, 63.7%, 75.9% and 45.9%, respectively. In the 70 of 93 patients with a consensus on the presence or absence of extraprostatic disease anti-3-[(18)F]FACBC had 55.0% sensitivity, 96.7% specificity, 72.9% accuracy, 95.7% positive predictive value and 61.7% negative predictive value compared to (111)In-capromab pendetide with 10.0%, 86.7%, 42.9%, 50.0% and 41.9%, respectively. Of 77 index lesions used to prove positivity histological proof was obtained in 74 (96.1%). Anti-3-[(18)F]FACBC identified 14 more positive prostate bed recurrences (55 vs 41) and 18 more patients with extraprostatic involvement (22 vs 4). Anti-3-[(18)F]FACBC positron emission tomography-computerized tomography correctly up-staged 18 of 70 cases (25.7%) in which there was a consensus on the presence or absence of extraprostatic involvement. Better diagnostic performance was noted for anti-3-[(18)F]FACBC positron emission tomography-computerized tomography than for (111)In-capromab pendetide single

  11. Quality criteria in computerized tomography of the chest

    Doehring, W.

    1985-01-01

    The quality of thoracical computerized tomography (CT) - like any other CT examination - depends from the quality of the equipment used, from the skill of the examinor and the properties of the patient. Concerning computerized chest tomograms, rapid scan equipment should be used only and slow translation - rotation systems should not be used any more. Whereas the quality of computerized tomograms may be influenced by the patient in the scanning process only, the examining physician will decisively influence the possible informative value of the examination also in the reconstruction of the CT value matrix, in single demonstration of CT values and, possibly, in additional measurement value processing as well as in the interpretation of findings. Use of equipment should always consider the technical potential provided by the equipment to be oriented to the clinical issue, and the conditions preset by the patient. (orig.) [de

  12. Diffuse nesidioblastosis diagnosed on a Ga-68 DOTATATE positron emission tomography/computerized tomography

    Arun, Sasikumar; Mittal, Bhagwant Rai; Shukla, Jaya; Bhattacharya, Anish; Kumar, Praveen

    2013-01-01

    The authors describe a 50 days old pre-term infant with persistent hyperinsulinemic hypoglycemia of infancy in whom 68 Ga DOTATATE positron emission tomography/computerized tomography scan showed diffusely increased tracer uptake in the entire pancreas with no abnormal tracer uptake anywhere else in the body, suggestive of a diffuse variant of nesidioblastosis. (author)

  13. Computerized tomography in diffuse diseases of the liver. Pt. 2

    Helmberger, H.; Vogel, U.; Bautz, W.

    1993-01-01

    Computerized tomography is a first-line method of imaging to confirm diffuse disorders of the liver suggested by preliminary clinical and biochemical findings. If the disease is caused by an obstructed vessel, this is reliably detected. For most types of thesaurismosis as well as hepatic steatosis and cirrhosis of the liver approaches to quantitative determinations of the spread of disease have been described in theory but so far failed to show great merits in practice. The transition from hepatic fibrosis to cirrhosis as the final developmental stage common to all those disorders has typical features on computerized tomography. This explains why the use of this method in diffuse hepatic disease offers particular advantages as regards the detection of complications occurring at an advanced stage ot the diagnosis of changes developing into malignancies. (orig.) [de

  14. Computerized axial tomography : the tool in osseointegrated dental implants

    Fernandez-Lopez, Otton

    2002-01-01

    Failure rates in rehabilitations with osseointegrated implants are handled through appropriate radiographic preoperative planning. The appropriate length of the implant without running the risk of a perforation of vital structures, has been determined by a radiographic diagnosis. Computerized and conventional axial tomography have proved to be invaluable elements for pre-surgical evaluation. A radiologic guidance is elaborated to perform a computerized axial tomography (CT) of maxillary bones in totally edentulous patients. Surgical guides are constructed from a wax-up emanated from the information of the CT. The CT has proven to be an radiographic indispensable element to achieve the surgical-prosthetic success in osseointegrated dental implants. The CT has allowed the realization of a precise wax-up for making of surgical guide and a precise temporary prostheses in positioning of osseointegrated implants, with the consequent saving time and money for the rehabilitator and patient [es

  15. Prognosis of the computerized tomography in the severe head injury

    Garcia-Nieto, J.J.; Lorenzo Dominguez, M.T.; Martin Sanchez, M.J.; Sanchez Gonzalez, E.

    1991-01-01

    A prospective study is made with sixty five people affected of severe head injury, that is to say, with eight or less points in the Glasgow Coma Scale (GCS), when they get to the hospital. They are studied by computerized tomography at the income, but also, three and seven days after arriving. In this way, we appraise the type of the lesion the intensity and the possible effect-wass, considering in the last case, three features: a) ventricular collapse; b) the mean line structure s shift; c) perimesencefalic cisterns affectation. The findings of this study, are parametized and we were able to introduce them into a computer, getting. The relations between these findings ands the end-results. These last ones appraised throungh the Glasgow Outcome Scale (GOS). We could confirm, that certain findings in the computerized tomography have and unavoidable prognosis, where as others have a better prognosis. (Author)

  16. Method of evaluation of diagnostics reference levels in computerized tomography

    Vega, Walter Flores

    1999-04-01

    Computerized tomography is a complex technique with several selectable exposition parameters delivering high doses to the patient. In this work it was developed a simple methodology to evaluate diagnostic reference levels in computerized tomography, using the concept of Multiple Scan Average Dose (MSAD), recently adopted by the Health Ministry. For evaluation of the MSAD, a dose distribution was obtained through a measured dose profile on the axial axis of a water phantom with thermoluminescence dosemeters, TLD-100, for different exam technique. The MSAD was evaluated hrough two distinct methods. First, it was evaluated by the integration of the dose profile of a single slice and, second, obtained by the integration on central slice of the profile of several slices. The latter is in of accordance with the ionization chamber method, suggesting to be the most practical method of dose evaluation to be applied in the diagnostic reference level assessment routine for CT, using TLDs. (author)

  17. Preoperative localization of parathyroid tumor by computerized tomography

    Kan, Seiji; Hiraishi, Koji; Nakamura, Shoichiro; Yamamoto, Schuzo; Odachi, Motoaki; Yamashita, Toshiyuki.

    1984-01-01

    Five patients of primary hyperparathyroidism with urolithiasis underwent CT-scanning for the preoperative localization of parathyroid tumor. The tumor was identified in all patients but one, who had a multiple adenomatous goiter. In this case, postoperative observation of the CT-scan revealed the parathyroid tumor. It appears that if the size of the parathyroid tumor is about 1cm in diameter, there is a high possibility of preoperative localization by computerized tomography. (author)

  18. Computerized tomography of the mandibular joints and masticatory muscles

    Huels, A.B.

    1981-01-01

    A methodology for computerized tomography of the mandibular joints was developed and applied in 80 test persons. Imaging of the mandibular joints is possible with a tomographic technique with 5 mm-overlap, full utilisation of the enlargement capacity of the imaging device, and combined use of transversal and coronary tomography. The method yields full latero-medial, cranio-caudal and anterior-posterior views of the condyle and fossa contours, free of interferences and of distortions caused by the projection. Positional diagnoses are thus possible as well as diagnoses of pathological structural changes. (orig./MG) [de

  19. Computerized tomography of kidneys in long-term dialysis patients

    Srp, A.; Merta, M.; Sulkova, S.

    1990-01-01

    A cohort is presented of 21 patients with irreversible kidney failure who were examined by computerized tomography in 1986-1987. The mean period of dialysis programme was 5.7 years, chronic glomerulonephritis and interstitial nephritis were the basic conditions. According to the results of computerized tomography, the patients were divided into four groups: 1. the presence of cysts or tumors was not established, 2. multiplecysts were found in bilateral location, 3. less than 3 cysts were found, 4. kidney tumor was diagnosed. The factor causing the development of the cysts was not identified. It is presumed that the disease is caused by a biologically active substance which is not efficiently dialyzed. The examination of the kidneys is recommended in patients in the stage of chronic kidney insufficiency and particularly in patients on dialysis for a long period of time. The recommended examination uses computerized tomography, and attention should be given to the possible occurence of acquired cystic disease or kidney tumors. (author). 6 figs., 8 refs

  20. A case of neurosarcoidosis monitored by computerized tomography

    Kubota, Toshihiko; Kimura, Makoto; Komai, Toshio; Yamamoto, Shinjiro; Yamamura, Itaru

    1979-01-01

    A 21-year-old man complaining of impaired visual acuity was admitted to the hospital. Physical examinations showed asymptomatic bilateral hilar lymphadenopathy and cardiomyopathy. Neurological findings disclosed left blindness and right temporal hemianopsia. Computerized tomography, pneumoencephalography and carotid angiography revealed a suprasellar mass. After the admission, the following symptoms deteriorated rapidly: diabetes insipidus, anterior pituitary dysfunction, visual loss of the right eye and hepatomegaly, subsequently consciousness disorder developed during a month though he was given steroids. The more deteriorated the clinical course, the larger the suprasellar mass with expanding hydrocephalus in repeated computerized tomographies. After the ventriculo-peritoneal shunt operation, consciousness improved. Diabetes insipidus also improved after Diabenese administration. On the operation, adhesive arachnoiditis over all the frontotemporal cortex and swollen purplishly red optic chiasm were exposed. Microscopically the specimen from the optic chiasm evidenced a sarcoid granuloma which composed of epitheroid cells, lymphocytes and multi-nucleated giant cells with numerous hemosiderin droplets. The specimen from the surface of the left frontal lobe showed thick fibrosis in the subarachnoid space. By steroids therapy, diabetes insipidus and hepatomegaly disappeared five months after the admission, whereas blindness never recovered. He died of developed status epilepticus eleven months after the admission. The authors reviewed neuroradiological findings of neurocarcoidosis based on pathological findings in the literature, and emphasized that computerized tomography was the most useful for diagnosis and treatment of neurosarcoidosis. (author)

  1. Computerized tomography and staging of bladder tumors

    Wozniak, A.; Luongo, A.; Nogueira, A.

    1982-01-01

    Computed Tomography (CT) has been employed in 13 patients with bladder tumors; 8 of them subsequently underwent surgery. Concordance between CT and pathological staging ranged in 90% of accurate results. Our data are discussed and compared to those of other authors in the literature. Staging was carried out according to the International Union Against Cancer. CT proved to be very accurate in the assessment of local and regional spread of tumor, limphatic progression and early detection of ureteral obstruction, as well as diagnosis of distant metastasis in selected patients. In poor candidates for surgery CT provided invaluable data to be used for localizing fields of radiation therapy. CT is a very well tolerated procedure, it is therefore suitable in subsequent treatment control. (Author) [pt

  2. Patient surface doses in computerized tomography examinations

    Vekic, B.; Kovacevic, S.; Ranogajec Komor, M.; Duvnjak, N.; Marusic, P.; Anic, P.; Dolencic, P.

    1996-01-01

    Computed tomography (CT) has become a major source of the population exposure to diagnostic x-rays, and acknowledge of the doses delivered by the CT equipment has become very important. Considerable efforts should be made to keep these doses to a reasonable minimum, without sacrificing the image quality. The conditions of exposure in CT are quite different from dose in conventional x-ray imaging. This has required the development of specific techniques for assessing patient dose from CT. The aims of this work were to determine the dose delivered to various organs of patients undergoing computed tomography of abdomen, thorax, pelvis and kidney as measured on the surface of the body and to estimate the risk to the patients. Dosimetric measurements were performed at two different CT scanners (Siemens SOMATOM DR-H ver. HC-1 and Shimadzu SCT-4500TE). The dose absorbed by different organs (gonads, chest, thyroid and eye lens) and by the examined part of the body of 95 patients of various sex and age were measured with TLD-700. The doses absorbed by different organs during the diagnostic CT examination of the body depend on the technical parameters, such as the number of scan, mAs, the thickness of scans, scanning times, tube voltage and other characteristics, some of each depend on the type and severity of illness. Clinical parameters, such as patient size and composition, and patient cooperation with regard to the control and motion, also influence the dose and the image quality. The highest dose measured in this study (89.19 mGy) was delivered to kidney during CT examination of this organ. (author)

  3. Filtered Bessel functions in computerized tomography

    Rathore, R.K.S.; Munshi, P.; Bhatia, V.K.; Pandimani, S.

    1988-01-01

    Computer Aided Tomography (CAT) is widely used in the medical imaging area for the detection of cancerous tissues. It has also proved to be a good technique for measuring point-density (void-fraction) in two-phase flow systems. The present day CAT-scanners employ alogorithms which are essentially a discrete implementation of the Radon Inversion Formulae. These methods of reconstructing density distributions are fast and easy to implement. The present work is an attempt to simplify (and consequently to speed-up) the existing algorithms for the cases of radially symmetric density distribution. The method uses Radon Inversion Formulae and involves Bessels's Function of Fourier frequency. The algorithm was tested on some known distributions and the reconstruction is excellent. Data for bubbly-flow was also processed to obtain a point density distribution. The range of investigation was 0.6 ≤ ≤ 0.9 g/cm 3 , where ' ' denotes average cross-sectional value. The values of CT > are within ±0.03 g/cm 3 of the true values , for the data sets considered. The results are comparable with another simple method involving radial polynominals. It is observed that the simplified Radon Inversion Formulae for the radially symmetric case gives good results and can be implemented with ease. (orig.)

  4. Study of computerized tomography using neutron beam

    Pereira, W.W.

    1991-05-01

    This paper aims to demonstrate the advantages, shortcomings and complementaries of a tomography development using neutrons over the one employing gamma rays in the context of their applications to non destructive essays. A simulated experimental study was performed in order to compare the two aforementioned tomographic procedures as applied to some materials. These materials were chosen for their clear advantages and complementaries as, for instance, aluminium, iron, plastic and aluminium hydroxide. In this work two tomographic systems, are employed both with parallel beams. The first with a gamma radiation source (Caesium-137), with an energy of 662 KeV and an activity of 3,9 x 10 9 Bq (100 mCi) and the second one employing a neutron source, the Argonaut Reactor of the Instituto de Engenharia Nuclear, IEN/CNEN, from where the thermal neutron beam of about 10 5 n/(cm.s) was obtained. It is possible to conclude from the simulated and experimental results, by means of image analysis and distortion measurements, that for a given material the adequate radiation and its energy may be chosen so as to better characterize it. (author)

  5. Strategies of reconstruction algorithms for computerized tomography

    Garderet, P.

    1984-10-01

    Image reconstruction from projections has progressively spread out over all fields of medical imaging. As the mathematical aspects of the problem become more and more comprehensively explored a great variety of numerical solutions have been developed best suited to such-and-such imaging medical application and taking into account the physical phenomena related to data collection (a priori properties for signal and noise). The purpose of that survey is to present the general mathematical frame and the fundamental assumptions of various strategies; Fourier methods approximate explicit deterministic inversion formula for the Radon transform. Algebraic reconstruction techniques set up an a priori discrete model through a series expansion approach of the solution. The numerical system to be solved is huge when a fine grid of pixels is to be reconstructed; iterative solutions may then be found. Recently some least square procedures have been shown to be tractable which avoid the use of iterative methods. Finally maximum like hood approach incorporates accurately the Poisson nature of photon noise and are well adapted to emission computed tomography. The various strategies will be analysed from both aspects of theoretical assumptions needed for suitable use and of computing facilities, actual performance and cost. In the end we take a glimpse of the extension of the algorithms from two dimensional imaging to fully three dimensional volume analysis in preparation of the future medical imaging technologies

  6. Nasal Lobular Capillary Hemangioma

    Prashant Patil

    2013-01-01

    Full Text Available Nasal lobular capillary hemangioma is a rare benign tumor of the paranasal sinuses. This lesion is believed to grow rapidly in size over time. The exact etiopathogenesis is still a dilemma. We discuss a case of nasal lobular capillary hemangioma presenting with a history of epistaxis. Contrast enhanced computed tomography of paranasal sinuses revealed an intensely enhancing soft-tissue mass in the left nasal cavity and left middle and inferior meati with no obvious bony remodeling or destruction. We present imaging and pathologic features of nasal lobular capillary hemangioma and differentiate it from other entities like nasal angiofibroma.

  7. Dose assessment in pediatric computerized tomography

    Vilarinho, Luisa Maria Auredine Lima

    2004-01-01

    The objective of this work was the evaluation of radiation doses in paediatric computed tomography scans, considering the high doses usually involved and the absence of any previous evaluation in Brazil. Dose values were determined for skull and abdomen examinations, for different age ranges, by using the radiographic techniques routinely used in the clinical centers investigated. Measurements were done using pencil shape ionization chambers inserted in polymethylmethacrylate (PMMA) phantoms. These were compact phantoms of different diameters were specially designed and constructed for this work, which simulate different age ranges. Comparison of results with published values showed that doses were lower than the diagnostic reference levels established to adults exams by the European Commission. Nevertheless, doses in paediatric phantoms were higher than those obtained in adult phantoms. The paediatric dose values obtained in Hospitals A and B were lower than the reference level (DRL) adopted by SHIMPTON for different age ranges. In the range 0 - 0.5 year (neonatal), the values of DLP in Hospital B were 94 por cent superior to the DRL For the 10 years old children the values of CTDI w obtained were inferior in 89 por cent for skull and 83 por cent for abdomen examinations, compared to the values published by SHRIMPTON and WALL. Our measured CTDI w values were inferior to the values presented for SHRIMPTON and HUDA, for all the age ranges and types of examinations. It was observed that the normalized dose descriptors values in children in the neonatal range were always superior to the values of doses for the adult patient. In abdomen examinations, the difference was approximately 90% for the effective dose (E) and of 57%.for CTDI w . (author)

  8. The industrial computerized tomography applied to the rock analysis

    Tetzner, Guaraciaba de Campos

    2008-01-01

    This work is a study of the possibilities of the technical applications of Computerized Tomography (CT) by using a device developed in the Radiation Technology Center (CTR), Institute for Energy and Nuclear Research (IPEN-CNEN/SP). The equipment consists of a gamma radiation source ( 60 Co), a scintillation detector of sodium iodide doped with thallium (NaI (Tl)), a mechanical system to move the object (rotation and translation) and a computer system. This operating system has been designed and developed by the CTR-IPEN-CNEN/SP team using national resources and technology. The first validation test of the equipment was carried out using a cylindrical sample of polypropylene (phantom) with two cylindrical cavities (holes) of 5 x 25 cm (diameter and length). In these tests, the holes were filled with materials of different density (air, oil and metal), whose attenuation coefficients are well known. The goal of this first test was to assess the response quality of the equipment. The present report is a study comparing computerized tomography equipment CTR-IPEN-CNEN/SP which uses a source of gamma radiation ( 60 Co) and other equipment provided by the Department of Geosciences in the University of Texas (CTUT), which uses an X-ray source (450 kV and 3.2 mA). As a result, the images obtained and the comprehensive study of the usefulness of the equipment developed here strengthened the proposition that the development of industrial computerized tomography is an important step toward consolidating the national technology. (author)

  9. Contribution of computerized tomography to diagnosis of primary hyperaldosteronism

    Hrabaneova, J.; Stribrna, J.; Bultasova, H.; Karasova, L.; Placer, Z.; Pinsker, P.

    1987-01-01

    Two cases are reported of computerized tomography (CT) examination for proof of suspect primary hyperaldosteronism caused by adenoma of the adrenals. The findings were then confirmed surgically and histologically. CT was again found to be an invaluable tool for differential diagnosis of this condition, which spared the patients demanding invasive examinations and clearly differentiated primary hyperaldosteronism from adrenal cortex hyperplasia. This is mainly important for the fact that adenoma or more rarely carcinoma causing primary hyperaldosteronism can surgically be removed. (L.O.). 2 figs., 2 tabs., 6 refs

  10. Diagnostic perspectives of mobile x-ray computerized tomography

    Portnoj, L.M.; Dibirov, M.P.; Denisova, L.B.

    1992-01-01

    Mobile x-ray computerized tomography (CT) and an organization and methodological scheme of its application were assessed. CT is realized in special hospitals of large regions, where the patients with the optimal indications for CT are assembled. Over 15000 examinations were carried out with the use of the suggested CT program over 4 years, that resulted in detection of 1295 brain tumors, 804 cases with neoplastic involvement of the abdominal cavity and the retroperitoneal space. Wide application of mobile CT devices according to the program will help to decide the problem of unavailability of such examinations. One mobile device may replace 3 permanent CT devices

  11. Computerized tomography anatomy of the kidneys and retroperitoneal space

    Savchenko, A.P.; Mamaev, V.V.; Pkhakadze, Eh.G.

    1989-01-01

    The authors described the anatomy of the kidneys and retroperitoneal space in health on the basis of computerized tomography (CT) of 90 patients. Five typical levels in CT (ensuring all necessary data on roentgenomorphological trains of the kidneys and retroperitoneal space in the kidney area) were singled out. Some roentgenometric data on kidney cross-sections as well as the quantitative densitometric characterization of the parenchyma of the kidneys, renal sinus and adjacent tissues were presented. X-ray anatomy of the renal fiscia, pararenal space and perirenal fatty space of the kidney with different parts of the tetroperitoneal space was described

  12. Development and prospects of X-ray computerized tomography. I

    Dobes, V.

    1985-01-01

    The history and developmental trends are described of X-ray computerized tomography (CT) as are its applications in clinical practise. Suitable criteria and economic aspects are proposed for the choice of CT systems. The types are listed and described of X-ray CT systems, including brain, whole-body, mobile and special systems. A table is given showing available specifications (types of detectors, X-ray source, resolution, configuration, scan angles, scan fields, image reconstruction, etc.) for machines by different companies. (M.D.)

  13. Some aspects of evaluation of image quality in computerized tomography

    Travassos, Paulo Cesar Baptista; Peixoto, Jose Guilherme; Almeida, Carlos Eduardo Veloso de; Campos, Luciana Tourinho; Magalhaes, Luis Alexandre

    2016-01-01

    The evaluation of CT scanners image quality includes measuring the Hounsfield values, HU, using a table with the limit values. This table does not consider that different devices have different effective energies, which may cause some false results. The evaluation of 90 computerized tomography, by the American College Radiology methodology, showed that some failed devices in the evaluation showed excellent linear fit between the values of the linear attenuation coefficients calculated for the actual energy used, according to the HU values. The analysis of the coefficient of determination suggests that 10 of these devices could have been approved. (author)

  14. Preoperative irradiation of an extracerebral cavernous hemangioma in the middle fossa. Follow-up study with computed tomography

    Shibata, S; Kurihara, M; Mori, K [Nagasaki Univ. (Japan). School of Medicine; Amamoto, Y

    1981-02-01

    This is a report of case with the extracerebral cavernous hemangioma in the middle fossa in which total removal was carried out after radiotherapy. Follow-up study with computed tomography during and after irradiation are presented. A 44-year-old house-wife complained of a decreased vision of the both eyes and paresis of the left upper and lower limbs. CT scan revealed a slightly high density area in the right middle cranial fossa which was markedly enhanced with contrast media. Right carotid angio-graphy demonstrated a large avascular mass in the right middle fossa and no feeding artery or draining vein was visualized except a faint irregular stain in the venous phase. An attempt to total removal of the tumor had failed to succeed because of extensive hemorrhage from the tumor. Histological examination revealed a cavernous hemangioma. Irradiation with a total dose of 5000 rads was delivered. After irradiation CT scan revealed a marked decrease of size and EMI number of the tumor. At this stage, hypervascular mass lesion with feeding arteries was noted in conventional angiography. Tumor stain in prolonged injection angiography was also visualized. In the second operation, removal of the tumor was performed without any difficulty and hemorrhage was controlled easily by electrocoagulation. Histology revealed a marked narrowing of vessels with an increase in the connective tissues. In the central part of specimen, there noted findings of coagulation necrosis, intraluminal thrombus formations and so on, which were attributed to the influence of radiation. It is concluded that in case of an extracerebral cavernous hemangioma with massive hemorrhage, radiation of up to 3000 - 5000 rads was a method of choice. The treatment results in an increase of probability of total removal of the tumor.

  15. Computerized tomography of the vertebral column following traumatic lesion

    Taenzer, B.; Gmelin, E.; Burmester, E.; Babaian, E.; Weiss, H.D.; Hohlbach, G.

    1984-01-01

    In 58 patients with lesions of the vertebral column in the thoracal and lumbar section established by conventional X-ray, the informative power of computerized tomography was tested. Axial projection with the superimposition-free presentation of bone and soft-tissue structures in the motional segment clears up the diagnostically decisive question of the extent of the lesion and form of fracture, and thus provides information on the stability or instability of the fracture relevant for the therapeutic action taken. All patients had compression fractures of vertebrae, with a fragment of the front edge broken away in 50 cases and one of the back edge broken away in 17 cases. In 30 cases the intervertebral disks were damaged. 43 fractures were stable, 25 were unstable. The instability of 13 fractures was only recognized by CT. In essence, the diagnostic action to be taken begins with a grand-survey X-ray in two planes as a screening, with computerized tomography following in the positive case. Conventional tomograms are not necessary. (BWU) [de

  16. Findings of psychopathology and computerized tomography in neuropsychiatric diseases

    Gross, G.; Huber, G.; Schuettler, R.

    1982-01-01

    1978-1980 we examined 451 patients of the Psychiatric University Clinic of Bonn by computerized tomography. From 260 patients with characterized diseases of the brain and brain damages 78 patients had neuropsychiatric diseases of old age, i.e. cerebro-vascular processes (average age of 63.7 years) and 9 patients had primary degenerative processes of the brain (average age of 62.1 years). Patients with diseases of the cerebral vessels showed irreversible psychopathological syndromes in 87%. The rate of pathological findings in CT increases in relation to degree of severity of the chronic (irreversible) organic psychosyndromes from 76% in pseudoneurasthenics syndromes to 93% in patients with organic changes of personality and to 100% in patients with dementia. The ambiguity of the conception of the multi-infarct-dementia is discussed. Only 19% of the sample with irreversible psychopathological changes showed localized neurological deficits and infarctions in CT, but none of them more than one. In all patients with dementia a cortical atrophy was found. There is a significant positive correlation between cerebral atrophy in CT and irreversible organic psychosyndrome. These findings with computerized tomography demonstrate in accordance with earlier pneumoencephalographic findings that distinct types of irreversible psychosyndromes can be correlated to distinct types of cerebral atrophy. But these statistical correlations between the degree of the severity of the loss of psychic functions and the reduction of cerebral tissue are not necessarily valid for any single case. (orig.) [de

  17. Density evaluation by computerized tomography in plain soils over different manipulation systems

    Pedrotti, Alceu

    1996-08-01

    The objective of this paper is the evaluation of a plain soil density in different culture systems determined by X ray computerized tomography.It was observed a larger variation in densities in soils profiles analysed. The identification of layers is better utilising computerized tomography than others technic

  18. Radiation conditions for computerized tomography: determination and comparison

    Andrade, Lucio das Chagas de

    2016-01-01

    Radiology is the practice in which radiation beams, usually radiation X are used to produce an image of the human body in order to obtain a diagnosis, for example, to evaluate a pathological condition by computerized tomography (CT). Although the computerized tomography diagnostic potential is unquestionable, caution must be taken because the doses are almost always higher than the observed in conventional radiology procedures. The ionization chamber used for dosimetry in CT is a unsealed cylindrical chamber with 10 cm and 15 cm of sensitive length. A typical characteristics of this camera is its uniform response to radiation incident at all angles around its axis. The revised edition of IEC 61267 (2005) brought as an innovation the radiation conditions for computed tomography, RQT, that simulate non-attenuated beam and are used in special CT applications. This study aims to establish the necessary conditions to obtain radiation pattern beam computed tomography, RQT, and a calibration laboratory implementation for pencil ionization chambers used in the beam dosimetry produced by these scanners in the Metrology National Laboratory of Ionizing Radiation (LNMRI). In the implementation of RQT conditions we were found that the ratio of kerma rates in the air, with or without additional filtration equivalent to the first HVL (half-value layer), are in accordance with IEC 61267 (2005), which provides a range between 48.5% and 51.5% for each quality. The LNMRI characterized the radiation conditions of RQT series (IEC, 2005), obtaining a percentage of 49.6% for the RQT 8, 50% for the RQT 9 and 50,4% for the RQT 10. With the substitution of the total additional filtration RQT qualities, composed by Al + Cu and by a total filtration composed by copper (Cu) only, it can be seen the emergence of a similar RQT quality named Quality Copper Tomography - QCT. The results of the calibration, the RQT and QCT qualities, had expanded uncertainties with a confidence level 95.45%, less

  19. Assessment of computerized tomography devices in Minas Gerais state, Brazil

    Oliveira, Paulo Marcio C.; Horta, Mara Alice Avelar Saraiva; Santana, Priscila do Carmo; Magalhaes, Marcos Juliano

    2011-01-01

    Computed Tomography (CT) is the diagnostic imaging method most commonly performed today. It is a device that is undergoing a technological evolution and their quality control is sorely needed. The image quality evaluation process allow a better diagnosis and control of the patient dose received during image acquisition. The CT doses are higher than other X-ray examination techniques, like a conventional X-ray. Performance evaluation of computed tomography in Minas Gerais is not significant. Therefore, this work aims to analyze 20 CT equipment in Minas Gerais, with parameters according to the national regulatory agency (ANVISA - Agencia Nacional de Vigilancia Sanitaria) in twelve quality control tests. Sixty five percent (65%) of CT equipment evaluated showed excellent results and were not disapproved in any of the tests performed and 30% had failed in only one of the twelve tests performed. The worst result was found in the CT scanners in the test that evaluates the low contrast resolution, where 20% of CT showed non-compliance, followed by the test that evaluates the x-rays collimation beam, where 15% had failed. The tests allowed us to observe that the twenty computerized tomography equipment achieved a great pass rate. Considering that the evaluated CTs performed the quality control tests for the first time, it is concluded that the equipment used in clinics and hospitals are of good quality image and low radiation doses. (author)

  20. Cone beam computerized tomography of face. Technological assessment report

    Saint-Pierre, Francoise; Fanelli, Gaelle; Mosnegutu, Lavinia; Devaux, Frederique

    2009-12-01

    Cone beam computerized tomography is an imagery technique notably used for the maxillofacial complex or a complete or limited exploration of maxillo-mandibular and dento-alveolar structures. Typically, this technique is implemented with devices which are different from scanners in various respects (performance of several linear cuts, use of an open cone beam). Based on a literature survey, this document reports an assessment which aimed at determining technical and dosimetric performances of the device, potential benefits in terms of diagnosis and therapy with respect to existing imagery techniques, specifications and role of this technique in odonto-stomatology, maxillofacial surgery, and even in ENT, and operation conditions and training to perform this act

  1. Radiation protection in computerized tomography diagnostics; Strahlenschutz in der Computertomografie

    Grust, Andreas [Radiologie am Hauptbahnhof, Duesseldorf (Germany)

    2012-11-01

    The essential advantage of computerized tomography (CT) compared to projecting radiographic techniques is the display of organs free of superposition using a 3D data set and additional enhanced contrast resolution. CT is a mostly objective and examination-independent technique that has developed towards an indispensable tool for tumor diagnostics and traumatology. With respect to the total amount of X-ray diagnostic examinations CT is a rather seldom used technique, nevertheless causing a disproportionately high amount of the collective effective dose of the German population. This disadvantage triggers the necessity to work on a radiation dose reduction. The author discusses the issues X-ray tube current reduction, layer thickness, pitch factor, scan length, dose modulation, adaptive collimation, and iterative reconstruction.

  2. Computerized tomography in evaluation of decreased acetabular and femoral anteversion

    Toennis, D.; Skamel, H.J.

    2003-01-01

    Computerized tomography has received a new importance. It has been shown that decreased anteversion of femur and acetabulum, when both have decreased angles, are causing pain and osteoarthritis of the hip joint. Operative treatment should be performed before osteoarthritis develops. Exact measurements therefore are necessary. The investigation should be performed in prone position to have the pelvis lying in a defined and normal position. Femoral torsion is measured between the transverse axis of the knee and the femoral neck. The transverse axis for measurement of the femoral anteversion is defined by a rectangular line to the sagittal plane. For evaluation of the femoral anteversion in total the angle of the condyles has to be added to the femoral neck angle when the knee is found in internal rotation. Acetabular anteversion should be measured at the level where the femoral head is still in full contact and congruence with the anterior margin of the acetabulum. (orig.) [de

  3. Computerized tomography in diagnosis of parasitic hepatic lesions

    Filimonov, G.P.; Garibashvili, R.N.; Tumol'skaya, N.I.

    1984-01-01

    An attempt has been made to estimate the diagnostic importance of computerized tomography (CT) in cases of hepatic echinococcosis and alveococcosis to outline the semiotics of these lesions and to establish an order of using CT in a general diagnostic complex. 73 patients at the age of 15-70 (49 with echinococcosis, 24-alveococcosis) have been supervised. The analysis of the results of clinical CT application in cases of parasitic hepatic lesions has shown that CT permits not only to reveal parasitic nodes up to 2 cm size in the liver and other organs but give also their topographoanatomic characteristic. By means of CT one can determine interrelations of parasitic formation with vessels and hepatic bileducts, vena cava inferior, other organs. One can judge at the same time on their compression and germination, remote echinococcosis residues, other complications

  4. Importance of computerized tomography for surgical treatment of intracranial hematomas

    Diemath, H.E.

    1982-01-01

    The improved treatment by using computerized tomography (CT) located operating theater and intensive care unit is reported in comparison of 3,382 patients with severe head injuries. By preoperative use of CT the frequency of diagnosed hermatomas was about the same (29.5% before CT; 27.0% with CT) but the preoperative diagnosed multiple hematomas were much more frequent (14.0% resp. 27.0%). The most important advantage however is the saving of time by CT in this localisation by which the chance of survival has increased from 54% to 69%. Without any doubt everywhere in neurotraumatology the CT should be situated as near as possible to the intensive care unit and to the operating theater and should be available 24 hours a day. (Author) [de

  5. Contribution of computerized tomography to diagnosis of congenital toxoplasmosis

    Kouba, K.; Kalvach, P.; Nevarilova, A.; Stankova, M.

    1986-01-01

    Computerized tomography (CT) of the brain in 20 patients (age 6 to 20 years) with the ocular form of toxoplasmosis and various damage of the CNS revealed that in 8 patients intracranial calcifications were present while no calcifications were found on the X-ray of the skull. On the CT also other pathological findings were detected in the brain apart from calcifications. (Similarly as in 25% of the AIDS syndrome where affections of the CNS are not yet known.) Based on the authors'experience and data from abroad, CT examination of the brain can be recommended as very useful for the confirmation of the diagnosis of congenital toxoplasmosis also with regard to the prognosis of further psychomotoric development of the child. (author). 2 tabs., 7 refs

  6. Computerized tomography using water to render the gastrointestinal tract opaque

    Gaa, J.; Deininger, H.K.; Georgi, M.

    1993-01-01

    An account is given of the technical procedure and results of computerized tomography in the examination of various gastrointestinal disorders using water as an oral and rectal contrast medium. The experience gained so far points to the fact that water as a contrast medium is mainly suitable in the preoperative staging of malignant gastric and colorectal tumours. The rectal injection of water further appears to be favourable in investigations for recidivation following deep anterior resection without impairment of the excretory functions. Our own results were contrary to the findings of other authors in that we had no difficulty in visualizing distal sections of the small intestine in patients suffering from Crohn's disease. The use of water as a contrast medium can, however, not be recommended in the presence of intra-abdominal abscesses, ascites or cystic tumours, as such changes cannot clearly be differentiated from intestinal loops filled with water. (orig./MG) [de

  7. Computerized axial tomography in the detection of brain damage

    Cala, L.A.; Mastaglia, F.L.

    1980-01-01

    The cranial computerized axial tomography (CAT) findings in groups of patients with epilepsy, migraine, hypertension, and other general medical disorders have been reviewed to assess the frequency and patterns of focal and diffuse brain damage. In addition to demonstrating focal lesions in a proportion of patients with seizures and in patients presenting with a stroke, the CAT scan showed a premature degree of cerebral atrophy in an appreciable proportion of patients with long-standing epilepsy, hypertension and diabetes, and in some patients with migraine, valvular and ischaemic heart disease, chronic obstructive airways disease, and chronic renal failure. The value of CAT as a means of screening for brain damage in groups of individuals at risk is discussed

  8. Motion Estimation and Compensation Strategies in Dynamic Computerized Tomography

    Hahn, Bernadette N.

    2017-12-01

    A main challenge in computerized tomography consists in imaging moving objects. Temporal changes during the measuring process lead to inconsistent data sets, and applying standard reconstruction techniques causes motion artefacts which can severely impose a reliable diagnostics. Therefore, novel reconstruction techniques are required which compensate for the dynamic behavior. This article builds on recent results from a microlocal analysis of the dynamic setting, which enable us to formulate efficient analytic motion compensation algorithms for contour extraction. Since these methods require information about the dynamic behavior, we further introduce a motion estimation approach which determines parameters of affine and certain non-affine deformations directly from measured motion-corrupted Radon-data. Our methods are illustrated with numerical examples for both types of motion.

  9. Computerized tomography-guided neurolytic splanchnic nerve block

    Henriquet, Franco; De Martini, Giuseppe; Roy, Maria Teresa; Pretrolesi, Fabio; Martinoli, Carlo; Cariati, Maurizio; Fiorentini, Franco.

    1997-01-01

    Computerized tomography-guided neurolytic splanchnic nerve block is a technique for relieving abdominal cancer pain; the goal is the alcoholic neurolytic interruption of the sensitive structures in retroperitoneal space. Computerized tomography yields accurate anatomical detailing and the course for needle placement and alcohol spread. January, 1993, to July, 1996, twenty-one bilateral splanchnic nerve blocks were performed through the posterior access. Forty-eight hours after alcoholism. 14 patients (66%) had complete pain regression; 52% of the patients needed no analgesics for 6 to 54 days and only 9 patients (42%) needed another low opioid therapy. Complications included hypotension and diarrhea in all cases. One had a cardiac arrest and diet 8 days after the procedure. There were no other complications. The whole procedure usually lasted 60 min (range: 45 to 90 min). Splanchnic nerve neurolysis is a useful treatment in the patients with severe chronic abdominal pain. It is used as a second line treatment when large lesions change celia anatomy and complicate the percutaneous block of the celiac plexus. Endosulfan, Malathion and Methyl parathion, on the metabolic rate of the estuarine clam, Villorita cyprinoides var. cochinensis, have been investigated. The animals exposed to the lower sublethal concentrations of Endosulfan, Malthion and Methyl parathion consumed oxygen at the rate of 1.60, 1.98 and 2.09 ml. 0 2 g - 1 h -1 respectively, while at the higher concentrations of the pesticides, consumption of oxygen by the animal dropped to nearly half the control value. When compared to Malathion and Methyl parathion. Endosulfan induced animals recorded a greater reduction in her percentage deviation (from control) of oxygen consumption, possibly due to hypoxia induced by the pollutants

  10. Role of computerized tomography in diagnosis of atypical gall bladder and common bile duct stones

    El-Husseni, Tareq K.; Al-Shebrein, Ibrahim A.

    2001-01-01

    Objective was to assess the value of computerized tomography as an adjuvant to ultrasound in the diagnosis of atypical gallbladder and common duct stone disease. Real time ultrasound scanning for the gallbladder and common duct was performed in the routine manner. High resolution computerized tomography images were subsequently obtained for the region of interest. Computerized tomography resolved undetermined results as follows: 1. Non shadowing gallbladder debris (6 points), 2. Focal gallbladder wall thickening (2 points), 3. Stone obscured by calcified gallbladder wall (3 points), 4. Non visualized gallbladder double arc shadow (4 points), 5 and 6. Impacted gallbladder neck and common duct stones (18 points), computerized tomography gave false positive diagnosis in (2 points). Computerized tomography provided an effective and reliable means for the diagnosis of atypical gallbladder calculi when ultrasound was imprecise or the findings contradicted the clinical presentation. Finally if gallbladder neck or common duct stones are suspected, in addition to computerized tomography other imaging techniques such as magnetic resonance cholangio pancreatography or endoscopic retrograde cholangiopancreatography in addition to computerized tomography may be needed to avoid false positive diagnosis prior to surgery. (author)

  11. Prospective study of ultrasound with perflutrene contrast compared to magnetic resonance imaging in the diagnosis of hepatic hemangiomas

    Joel Schmillevitch

    2011-06-01

    Full Text Available CONTEXT:The incidence of hepatic hemangiomas ranges from 0.4% to 20% in the general population. Conventional ultrasound is usually the first diagnostic method to identify these hemangiomas, typically as an incidental finding. Ultrasonography with second generation contrast materials is being used in various areas of hepatology, yielding similar results to those obtained with computerized tomography and magnetic resonance imaging in the diagnosis of hepatic hemangiomas. OBJECTIVE: To evaluate the agreement between ultrasound with perflutrene contrast and magnetic resonance imaging in the diagnosis of hepatic hemangiomas. METHODS: A total of 37 patients were prospectively examined between January 2006 and August 2008. A total of 57 hepatic nodules were documented in this group as incidental findings on routine ultrasound exams. The 37 patients were administered perflutrene contrast without adverse reactions, and were all submitted to magnetic resonance exams. RESULTS: Conventional ultrasound identified 15 patients with nodules typical of hemangiomas and 22 patients with other nodules. In 35 patients, the contrast characteristics were consistent with hepatic hemangiomas. CONCLUSION: Agreement between the data obtained from ultrasound with contrast and magnetic resonance was 94.5%. In discordant cases, the magnetic resonance diagnosis prevailed. In the case which presented indeterminate findings on contrast ultrasonography, magnetic resonance was repeated after 3 months, confirming the diagnosis of a hepatic hemangioma. A biopsy was performed on the suspected malignant nodule which also confirmed the presence of a hepatic hemangioma. Ultrasonography with contrast has the advantages of being more accessible to the public at large and lower cost than magnetic resonance. The results of our study highlight the need for a new protocol in hepatic nodules incidentally identified on conventional ultrasonography. In the case of typical hemangiomas

  12. Analysis of concrete material through gamma ray computerized tomography

    Oliveira Junior, J.M. de

    2004-01-01

    Computerized Tomography (CT) refers to the cross sectional imaging of an object from both transmission or reflection data collected by illuminating the object from many different directions. The most important contribution of CT is to greatly improve abilities to distinguish regions with different gamma ray transmittance and to separate over-lying structures. The mathematical problem of the CT imaging is that of estimating an image from its projections. These projections can represent, for example, the linear attenuation coefficient of γ-rays along the path of the ray. In this work we will present some new results obtained by using tomographic techniques to analyze column samples of concrete to check the distribution of various materials and structural problems. These concrete samples were made using different proportions of stone, sand and cement. Another set of samples with different proportions of sand and cement were also used to verify the outcome from the CT analysis and the differences between them. Those samples were prepared at the Material Laboratory of Faculdade de Engenharia de Sorocaba, following the same procedures used in real case of concrete tests. The projections used in this work was obtained by Mini Computerized Tomograph of Uniso (MTCU), located at the Experimental Nuclear Physics Laboratory at University of Sorocaba. This tomograph operates with a gamma ray source of 241 Am (photons of 60 keV and 100 mCi of intensity) and a NaI(Tl) solid state detector. The system features translation and rotation scanning modes, a 100 mm effective field of view, and 1 mm spatial resolution. The image reconstruction problem is solved using Discrete Filtered Backprojection (FBP). (author)

  13. Computerized tomography and its diagnostic value in the imaging of limbs

    Myllylae, V.; Tervonen, O.; Paeivaensalo, M.; Jalovaara, P.; Merikanto, J.; Maekaeraeinen, H.; Oulu Univ.

    1987-01-01

    The application of computerized tomography in skeletal diagnostics has many advantages over plain film radiography. Its use as a supplementary technique in traumatology and oncology is strongly advised. (orig.) [de

  14. Anatomic radiological study of transverse diameter of abdominal aorta by computerized tomography

    Ures, S.

    1984-01-01

    The transverse diameter of abdominal aorta by computerized tomography is studied. The purpose is establish the frequent standard diameters and then diagnose early pathologies, mainly aneurisms. (M.A.C.) [pt

  15. Two cases of posterior scleritis and findings of computerized tomography and ultrasonography

    Ohara, Takakazu; Uji, Yukitaka; Fujioka, Chieko; Mori, Kazuma

    1982-01-01

    Two cases of unilateral posterior scleritis, seen in 56-year-old and 68-year-old females, are reported. Computerized tomography showed characteristic findings, as follows: 1) Thickening of the posterior sclera and surrounding tissue. 2) Irregularity of the posterior wall of the eyeball. 3) Increased radiographic density in the posterior wall of the eyeball. Ultrasonography also suggested thickening of the posterior sclera. Computerized tomography and ultrasonography are considered useful in the diagnosis of posterior scleritis. (author)

  16. Difficult preoperative diagnosis of a patient with sclerosing splenic hemangioma

    Edoute, Y.; Ben-Haim, S.A.; Ben-Arie, Y.; Fishman, A.; Barzilai, D.

    1989-01-01

    We present a young asymptomatic woman with splenomegaly and a large isolated splenic mass demonstrated by ultrasonography, 99m Tc sulfur colloid, and gallium scintigraphy studies. Computerized tomography (CT) and three-phase 99mTc-labeled red blood cell imaging suggested a malignant lesion. Repeated sonographically guided fine needle aspiration (FNA) obtained only blood, suggesting the possible vascular nature of the tumor. Splenectomy established the diagnosis of splenic hemangioma (SH) with marked sclerotic changes. We conclude from this case that (1) the sclerotic and cystic changes in the SH and the abdominal lymphadenopathy could explain why the three-phase red blood cell and CT scanning, respectively, suggested that the lesion was malignant rather than benign; (2) guided FNA of a splenic mass suspected to be hemangioma may be an additional safe and useful diagnostic procedure. Multiple aspirations yielding blood alone suggest hemangioma and may prevent an unnecessary operation. To the best of our knowledge, this is the first reported case in the literature of FNA of splenic hemangioma

  17. Computerized tomography of the traumatic hematoma in the corpus callosum

    Ogura, Koichiro; Yamamoto, Isao; Hara, Makoto; Suzuki, Yoshio; Nakane, Toshichi; Watanabe, Masao.

    1982-01-01

    The value of the computerized tomography (CT) in the diagnosis of the intracerebral hematoma has been well documented. However, there is little report about the CT findings of the hematoma of the corpus callosum. This report presents two cases of the traumatic hematoma in the corpus callosum and is discussed about their CT findings. Two patients, 52 year-old male and 40 year-old male, respectively, are the cases of blunt mechanical head trauma which were accompanied neither by skull fracture nor by scalp injury. In all these cases, the findings that hematoma occupied from the genu to the body of the corpus callosum were verified by surgery and the axial CT revealed the following two similar findings. First; the hematoma in the genu of the corpus callosum was shown as a cresent-shaped high density mass. This finding seems to be due to the following anatomical structure, that is, the genu of the corpus callosum is located just in front of the anterior horn of the lateral ventricles in the shape of the convex towards posteriorly. Second; as the midportion of the body of the corpus callosum tends to be appeared narrow in width between both lateral ventricles, the hematoma which extended from the genu towards the body of the corpus callosum was shown as a dumbbell-shaped high density mass. (author)

  18. Computerized tomography of renal parenchymal disturbance following nephrolithotomy

    Fukuoka, Hiroshi; Ishizuka, Eiichi; Fukushima, Shuji.

    1983-01-01

    Staghorn calculi were removed by nephrolithotomy with the one-layer interrupted parenchymal suture method designed by Taguchi and renal parenchymal disturbance following the operation were evaluated by computerized tomography. Twenty kidneys in 17 cases were examined pre and postoperatively for changes in the incised and sutured part of the renal parenchyma. The postoperative CT scanning demonstrated the low density areas following enhancement and depression of the parenchyma. These changes were classified into the following 3 patterns: Type I-no changes were observed in the parenchyma, or a linear low density area was found (5 kidneys, 25.0%); type II-a long, narrow strip of low density area was found in accord with the excised and sutured part (5 kidneys, 25.0%); and type III-a wedge-shaped low density area or depression of the parenchyma was found (10 kidneys, 50.0%). The length of the parenchymal incision was analysed with reference to these patterns. The length of type I was significantly shorter than that of type II or III (p<0.05). Th e clamping time of the renal pedicle in type I was also shorter than that in type II and III, but the differences did not reach a statistically significant level. Type II pattern frequently was found shortly after the operation. It is, however, undeniable that type II may tramsform to type III. (J.P.N.)

  19. Possible application of computerized tomography and ultrasonography in diagnosing hyperparathyroidism

    Sotornik, I.; Sobota, J.; Kocandrle, V.; Drab, K.; Klima, J.; Zastava, V.; Mrhova, O.

    1985-01-01

    Initial experience is reported with the application of computerized tomography (CT) in the diagnosis of enlarged parathyroid glands in 19 patients with chronic renal failure who developed renal osteopathy in the course of hemodialysis treatment; in one patient an adenoma of the parathyroid associated with primary hyperparathyroidism was revealed. In the group of patients CT revealed enlarged parathyroid glands 14 times including 7 patients subjected to surgery of the parathyroid where the CT finding was confirmed in all instances. In patients with CT confirmed enlargement of the parathyroid glands, significantly higher levels of the bone isoenzyme ALP (p<0.05), total ACP (p<0.01), OH-proline in the blood (p<0.01) and C-terminal PTH (p<0.01) were found along with an advanced X-ray finding of hyperparathyroidism, as compared with patients with negative CT result. CT examination is a valuable noninvasive method which, together with the mentioned biochemical and X-ray findings, contributes in a fundamental way to the decision on whether surgery of the parathyroid glands should be undertaken. It is believed that at present it is difficult to provide evidence of enlarged parathyroids by means of sonographic examinations and the method calls for further investigation. (author)

  20. Percutaneous nephrolithotomy in pediatric patients: is computerized tomography a must?

    Gedik, Abdullah; Tutus, Ali; Kayan, Devrim; Yılmaz, Yakup; Bircan, Kamuran

    2011-02-01

    The aim of this study was to retrospectively evaluate the results of pediatric percutaneous nephrolithotomy (PNL) cases, and discuss the results and necessity of non-contrast computerized tomography (CT) in these cases. In all, 48 pediatric patients who underwent PNL were retrospectively evaluated. Before PNL, either intravenous urography or CT was performed. In all patients, we evaluated the PNL time, scopy time with stone burden, and complications. During the PNL procedure, we switched to open surgery in two cases: in one because of renal pelvis perforation and in the other because of transcolonic access. In one patient who was scheduled to undergo PNL, we performed open surgery, primarily because we detected a retrorenal colon with CT. The stone burden in 45 patients who underwent PNL was 445 ± 225 mm(2), the PNL time was 51 ± 23 min, and the scopy time was 6.1 ± 2.7 min. We removed nephrostomy tubes 1-4 days after the procedure. In two patients, 24 h after removal of nephrostomy tubes, we inserted double J stents because of prolonged urine extravasation from the tract. In all, 34 of the 45 patients were stone-free, 5 patients had clinically insignificant stone fragments, and 6 patients had residual stones. PNL is a safe and effective method in the treatment of pediatric patients with kidney stones. Clinical experience is the most important factor in obtaining stone-free results. CT should be performed in all pediatric patients in order to prevent colon perforation.

  1. Image reconstruction in computerized tomography using the convolution method

    Oliveira Rebelo, A.M. de.

    1984-03-01

    In the present work an algoritin was derived, using the analytical convolution method (filtered back-projection) for two-dimensional or three-dimensional image reconstruction in computerized tomography applied to non-destructive testing and to the medical use. This mathematical model is based on the analytical Fourier transform method for image reconstruction. This model consists of a discontinuous system formed by an NxN array of cells (pixels). The attenuation in the object under study of a colimated gamma ray beam has been determined for various positions and incidence angles (projections) in terms of the interaction of the beam with the intercepted pixels. The contribution of each pixel to beam attenuation was determined using the weight function W ij which was used for simulated tests. Simulated tests using standard objects with attenuation coefficients in the range of 0,2 to 0,7 cm -1 were carried out using cell arrays of up to 25x25. One application was carried out in the medical area simulating image reconstruction of an arm phantom with attenuation coefficients in the range of 0,2 to 0,5 cm -1 using cell arrays of 41x41. The simulated results show that, in objects with a great number of interfaces and great variations of attenuation coefficients at these interfaces, a good reconstruction is obtained with the number of projections equal to the reconstruction matrix dimension. A good reconstruction is otherwise obtained with fewer projections. (author) [pt

  2. Study of Pelvicaliceal Anatomy by Helical Computerized Tomography

    Al-Qahtani, Fahd N.; Ali, Gaber A.; Kamal, Baher A.; Taha, Saud A.

    2003-01-01

    To evaluate the role of 3-dimensional images produced by computerized tomography (CT), using intravenous contrast, to study pelvicaliceal anatomy.This might be of help in endourological procedure. The study was conducted in the King Fahd Hospital of the University, King Faisal University. Dammam,Kingdom of Saudi Arabia. The study took place from July 2002 through to October 2002 .Helical CT was carried for patients who were investigated using excretory urography for any reason. A CT was carried out to the kidneys only within 10 minutes ( between 5 and 15 minute films of excretory urography).Images were reprocessed by 3-dimension construction after subtracting all structures except for the palvicaliceal system. Thity-six normal kidneys were studied. The upper pole was drained by a single caliceal infundibulum in all 36(100%) kidneys.the middle segement of the kidney was drained by 2 infundibula in 32 (89%) kidneys. Four (11%) kidneys have no middle caliceal infudibula. The lower pole was drained by 2 caliceal infundibula in 23 (64%) and a single infundibulum in 13 (36%) kidneys. The minor calices draining each renal segment were seen clearly. Three-dimensional images derived by helical CT are feasible for evaluating the anatomy of palvicaliceal system,and, can be of help in endourological procedures. (author)/

  3. Evaluation of the soil-seed environment through computerized tomography

    Modolo, Alcir Jose; Fernandes, Haroldo Carlos; Schaefer, Carlos Ernesto G.R.; Santos, Nerilson Terra; Silveira, Joao Cleber Modernel da

    2008-01-01

    The physical conditioning of the soil around seeds is of great importance for an adequate initial development of a crop, ensuring a healthy plant population. A suitable soil-seed contact is a prerequisite for a fast crop germination and good establishment. In this study, computerized tomography of millimeter resolution was used to determine the soil-seed environment in a no tillage system, immediately after soybean planting. A split plot design was used, in which the plots consisted of three contents of soil water, corresponding to 0.27; 0,31 and 0.36 kg kg -1 , respectively, and the split plots of four load levels applied by the compaction wheel, corresponding to 0, 50, 90 and 140 N, respectively. It was used a random block design, with four replications. The medium soil density in the seed area and the medium density profile in the sowing furrow were evaluated. According to the results, it may be concluded that: the loads applied by the compaction wheel increased soil density at the vertical planting level beneath planting depth as compared with values obtained before planting, and; the combination of wheel loads and soil water contents did not influence the mean soil density in the seed area. (author)

  4. Computerized tomography and prognosis in paediatric head injury

    Tomberg, T.; Rink, U.; Pikkoja, E.; Tikk, A.

    1996-01-01

    The authors have analysed the computerized tomography (CT) findings and their correlation with the clinical state, early and late outcome in children and adolescents with head injuries (HI). This study represents clinical and CT data of 82 consecutive HI patients under 18 years of age. Among them 51 (62%) were boys and 31 (38 %) girls. The application of CT to the evaluation of the morphologic manifestations of HI in children has shown some differences in forms and mechanisms of injury and in outcome compared to adults. In the paediatric HI the most frequent finding was diffuse brain swelling with CT evidence of ventricular and cisternal compression or obliteration. Prognostically the most unfavourable findings were shearing injury, intracerebral and subdural haematomas combined with brain swelling and parenchymal damage. According to the Lidcombe impairment scale, outcome from severe paediatric HI was determined in the 3rd and 6th months, one year and 2 years after the injury. The outcome two years after severe HI varied to a great extent and was better in children than in adults. Although there was long-term disruption of the patient's quality of life, our data show that as there are no predictors of individual outcomes in child HI, no child should be excluded from early and long-term rehabilitation. (author)

  5. Comparison of computerized tomography to sonography, applied in diseases of the pancreas

    Kluge, K.

    1982-01-01

    The examination results of 418 patients whose epigastria had been examined both by computerized tomography and sonography over 1 week in the time from beginning January 1978 until and of July 1979 were compared with regard to the imaging of the pancreas, reliability, and the specificity and sensitivity in establishing the diagnosis. For the sonographic examination, a compound and a real-time unit were used; the computerized tomography was carried out by means of an equipment of the 3rd generation with a scan time of 4 sec. The screening of the pancreas was significantly better using computerized tomography (99.3% US. 84% with US). As for accuracy, computerized tomography had 92.5% exact diagnoses versus 79.9% obtained by sonography. If, however, we look at the cases in which the pancreas could be screened with both methods the accuracy was almost the same (93.7 CT and 93.3% US). Specificity was almost of the same quality, however, the method of computerized tomography with 0.963 was slightly better than ultrasound with 0.943. As for sensitivity, sonography with 0.838 was better than CT with 0.721. The reason for that is the fact that a big part of the chronic pancreatites (30.3%) were not recognized by means of computerized tomography. (orig.) [de

  6. An interesting case of angiogenesis in cavernous hemangioma

    Dipankar Das

    2016-01-01

    Full Text Available Cavernous hemangioma is the most common orbital tumor in adult. There is lot of literatures for clinicopathological features of this tumor. These tumors had been studied for the model of angiogenesis in many of the experimental setups. We present a case of 34-year-old male with this tumor in the left eye with computerized tomography evidence. Postsurgical laboratory findings gave interesting evidence of tumor angiogenesis with tumor endothelial cells and sprouting of the small vessels endothelial cells. Podosome rosette could be conceptualized from the characteristic patterns seen in the tumor.

  7. Computerized tomography findings of acute traumatic epidural hematoma

    Kobayashi, Shiro; Nakazawa, Shozo; Yokota, Hiroyuki; Yajima, Kouzo; Yano, Masami; Otsuka, Toshibumi

    1984-01-01

    During four year period from April, 1977 to March, 1981, 53 cases with acute traumatic epidural hematoma had been encountered out of 430 acute head injured patients examined by computerized tomography (CT) within 24 hours after incurring the trauma. Besides the initial CT, the authors performed contrast enhanced CT (41 cases) and serial CT scanning (31 cases). There were 49 cases of epidural hematoma existing in the supratentorial region, Two cases infratentorial region and 2 cases in the both regions. Two cases of vertex epidural hematoma had been encountered, one of them required vertical scan technique. In 22 (41%) of the 53 patients, the initial CT showed evidence of other cerebral lesions. The most frequent lesion was pneumocephalus (11 cases), 3 cases of them existed in the epidural hematoma. There were also intracerebral hematoma (6 cases), subdural hematoma (4 cases), cerebral contusion (2 cases), intraventricular hemorrhage (2 cases) and 2 cases of them demonstrated ''diffuse traumatic cerebral injury''. During contrast enhanced CT, 11 cases out of 41 cases indicated several enhancement pattern. There were total enhancement of epidural hematoma (2 cases), partial enhancement of hematoma (2 cases) and enhancement of internal margin of hematoma (2 cases). Serial CT scans was performed in 36 out of the 53 patients. Common findings on the serial CT scans were decreased density collection in the subdural space such as subdural effusions or chronic subdural hematomas (8 cases) and enlargement of small epidural hematomas (3 cases). After evacuation of epidural hematoma, there were some cases showing the so-called ''delayed traumatic intracerebral hematoma'' (4 cases), appearance of other epidural hematoma (1 case) and development of small cerebral infarction in the basal ganglia. There was one case indicating appearance of a new epidural hematoma contra lateral to the side of evacuation of subdural hematoma. (J.P.N.)

  8. Clinical value of computerized tomography scanning in severe head injury

    Kobayashi, Shiro; Yano, Masami; Otsuka, Toshibumi; Nakazawa, Shozo

    1982-01-01

    Serial computerized tomography (SCT) was performed on 138 patients suffering from severe head injuries (8 or less on the Glasgow Coma Scale). Standard practice called for scans to be done upon admission (within hours of the injury), and after 1, 3, 7 days and 1 month. Subsequent CT's depended on the patient's condition. Clinical results at the time of discharge were graded according to the Glasgow Outcome Scale. Patients who died, were in a persistent vegetative state, or were severely disabled were considered to have a ''bad outcome''. On the other hand, patients who were somewhat disabled or made good recoveries were considered to have a ''good outcome''. During the serial CT scan, there were new findings (not visualized on the initial CT but appearing on subsequent ones) in 91 of the 138 patients. These new findings were classified as follows; 1) decreased density collection in the subdural space (DDC), 2) ventricular dilation (VD), 3) intracerebral hematoma (ICH), 4) intraventricular hemorrhage (IVH), 5) extracerebral hematoma (ECH), 6) edema (E), 7) infarction (I). We defined ICH, IVH, ECH, E and I as new lesions. Of the 60 patients with new lesions 12 had good outcomes and 48 had poor outcomes. There were 78 patients who did not have any new lesions, 60 with good outcomes and 18 with poor outcomes. A significant correlation was found between good outcomes and the absence of new lesions, and between bad outcomes and the development of new lesions (p 2 = 44.038). We conclude that SCT can help predict the outcome with severe head injury patients and may be very important in their examination and care. (J.P.N.)

  9. Efficacy of virtual computerized tomography laparoscopy for retroperitoneoscopic nephrectomy

    Shigeta, Masanobu; Kadonishi, Yuichi; Yasumoto, Hiroaki; Mita, Koji; Usui, Tsuguru; Marukawa, Kazushi

    2004-01-01

    Retroperitoneoscopic nephrectomy is less invasive than open nephrectomy, and is an alternative surgical procedure for renal tumors and upper urothelial tumors. We evaluated the efficacy of virtual computerized tomography laparoscopy (VCTL) as a navigator for retroperitoneoscopic nephrectomy to ascertain the correct anatomy of the renal hilum pre-operatively under the retroperitoneoscopic view. Seventy-three kidneys with localized renal tumors (n=44), upper urothelial tumors (n=23), or benign renal disease (n=6) underwent multidetector-row CT. VCTL was carried out by the volume-rendered technique. The findings were compared with those of real retroperitoneoscopy. After the operation, each operator scored 1 to 5 in evaluating the usefulness of virtual retroperitoneoscopy (score 5 indicated very useful). The percentages of renal arteries depicted by VCTL compared with those noted during real surgery were 93% for kidneys with renal tumors, 100% for upper urothelial tumors and 83% for benign renal disease. Two renal arteries of 2 kidneys were not detected by virtual imaging. These were about 1 mm in diameter and directly branched from the aorta, however retroperitoneoscopic nephrectomy was performed uneventfully. VCTL depicted all the renal veins. The anatomy of the renal hilum seen on VCTL and real retroperitoneoscopy was identical, without the minor angle deviation caused by drawing the kidney during the operation. The average score for the usefulness of VCTL was 4.1, ranging from 3 to 5. The accurate surgical anatomy of the renal hilum could be predicted in almost all patients pre-operatively. VCTL is an excellent navigator for retroperitoneoscopic nephrectomy. (author)

  10. What does the psychiatrist expect as to computerized tomography

    Huber, G.

    1980-01-01

    The computerized tomography (CT) can be applied also in psychiatry as an instrument of basic research. The problem of normative data as visualized by CT-scanning is up to now not yet satisfactory solved. Faulty appreciations especially on the cebral cortex in the sense of false-positive findings with possible serious social consequences are frequently. For judging of brain cortex as to atrophy primarily more basically situated sulci in various slices are taken into consideration, while the sulci of upper slices near the vertex just as the representations of cisterns, the interhemispheric fissure and Pacchionian granulations should not to be evaluated. On a new revision of the subject cerebral atrophy and irreversible psychosyndrome it is necessary and useful to compare the results of CT-scanning with those of pneumoencephalographic studies. The favourable possibilities which the CT offers also for diagnostic and research in psychiatry are to be used by critical appreciation of already existing experiences. The indication fpr TC requires complete psychiatric-neurological investigation. The interpretation of findings and the attempts to correlate them with the clinical data must take place in close cooperation with the clinical psychiatry. The neuroradiological evidence of cerebral atrophy can give hints concerning the diagnosis and prognosis only in connection with all clinical data. Findings of cerebral atrophy, combined cortical and subcortical, exclusively subcortical of preferably on the 3rd ventricle are non-specific and not characteristic of a certain disease. There are only correlations between certain types of cerebral atrophy and certain types of irreversible psychopathological syndromes. (orig.) [de

  11. Computerized tomography used in non-destructive testing of welded pipes

    Iovea, M; Rizescu, C; Georgescu, G; Marinescu, A; Chitescu, P; Sava, T; Neagu, M; Avram, D [Institute of Research and Design for Electrical Engineering, ICPE - Electrostatica Splaiul Unirii 313, Sect. 3, R-74204 Bucharest (Romania)

    1997-12-31

    High quality standards in operation of National Power System is ensured by the use of high performance techniques and systems for Non-Destructive Testing (NDT). In recent years a number of new developments of the non-conventional technologies in the field of NDT have been achieved. In our laboratory there have been developed two computerized technologies using {gamma}-ray computed tomography and ultrasonic imaging methods. The standard techniques for imaging from projection data is computerized tomography. The industrial computerized tomography methods consist in the measurement of thin X - or {gamma}-ray beam attenuation when passing through some selected surface of the tested object, along several directions, so that by means of an adequate mathematical algorithm, a map of linear attenuation coefficients for the scanned surface is obtained. In fact, this map gives the density of materials occurring in the surface plane. Computerized tomography equipment, in various constructive versions, are intended for the following applications: (1) NDT in those fields requiring strict control of product quality, as for instance the nuclear energy, military industry, aeronautics, transportation fields, etc., (2) research in field of materials technology, machine engineering, metallurgy, welding, etc. This paper presents the applications of Computerized Tomography in NDT, by showing the results obtained on welded pipes, as well as the facilities offered by this method. In the final part, the paper presents the concept of a mobile tomography system for industrial pipes testing. (author). 2 figs., 7 refs.

  12. Computerized tomography used in non-destructive testing of welded pipes

    Iovea, M.; Rizescu, C.; Georgescu, G.; Marinescu, A.; Chitescu, P.; Sava, T.; Neagu, M.; Avram, D.

    1996-01-01

    High quality standards in operation of National Power System is ensured by the use of high performance techniques and systems for Non-Destructive Testing (NDT). In recent years a number of new developments of the non-conventional technologies in the field of NDT have been achieved. In our laboratory there have been developed two computerized technologies using γ-ray computed tomography and ultrasonic imaging methods. The standard techniques for imaging from projection data is computerized tomography. The industrial computerized tomography methods consist in the measurement of thin X - or γ-ray beam attenuation when passing through some selected surface of the tested object, along several directions, so that by means of an adequate mathematical algorithm, a map of linear attenuation coefficients for the scanned surface is obtained. In fact, this map gives the density of materials occurring in the surface plane. Computerized tomography equipment, in various constructive versions, are intended for the following applications: 1) NDT in those fields requiring strict control of product quality, as for instance the nuclear energy, military industry, aeronautics, transportation fields, etc., 2) research in field of materials technology, machine engineering, metallurgy, welding, etc. This paper presents the applications of Computerized Tomography in NDT, by showing the results obtained on welded pipes, as well as the facilities offered by this method. In the final part, the paper presents the concept of a mobile tomography system for industrial pipes testing. (author). 2 figs., 7 refs

  13. Dynamic enhanced computed tomographic findings of a perirenal capillary hemangioma

    Lee, Jung Min; Kim, Sang Won; Kim, Hyun Cheol; Yang, Dal Mo; Ryu, Jung Kyu; Lim, Sung Jig [Kyung Hee University Hospital at Gangdong, Seoul (Korea, Republic of)

    2016-05-15

    Hemangiomas are benign mesenchymal neoplasms that rarely occur in the kidney and perirenal space. Perirenal hemangiomas can mimic the appearance of exophytic renal cell carcinoma or various retroperitoneal tumors. We report a case of perirenal hemangioma detected by dynamic enhanced computed tomography in a 43-year-old female.

  14. Efficiency of computerized tomography in comparison with other neuroradiological investigation methods

    Kretzschmar, H.

    1979-01-01

    Computerized tomography is considered to be a decisive and the most reliable investigation method for the diagnosis of cerebral tumors. The rate of detection of intracranial blastomas is over 90%. Supratentorial growths are more easy to prove than tumors at the posterior cranial fossa. In the group of patients examined, 97.3% of the cerebral tumors were confirmed by computerized tomography: 98.7% of these were located above the tentorium and 89.3% under the tentorium. But the diagnostic value of computerized tomography is not only due to the high growth detection rate but also to its informative power as regards the position of growths in relation to vital centres, the type of the blastomas and their space-occupying effect. Thus this investigation method permits to evaluate the complex ''space occupation'' at one glance. By the angiographic method cerebral growths are confirmed in 86% of the cases; 88.6% of these are located above the tentorium. (orig.) [de

  15. Acute renal failure following contrast injection for head computerized tomography in two patients with diabetic nephropathy

    Matsunaga, Hiroshi; Sando, Hiroyuki; Nunokawa, Tomoo; Murakami, Tooru; Miyakawa, Yuzo

    1981-01-01

    Two cases of diabetes mellitus with renal and retinal involvement developed acute renal failure after undergoing head computerized tomography. The first case was a 62-year-old male who had been diagnosed as having diabetes 25 years before. He had diabetic retinopathy of Scott IIIb. Before head computerized tomography, the serum BUN was 37 mg/dl, and creatinine was 4.1 mg/dl. Oliguria began immediately after the scanning and confinued for 48 hr. The serum levels of BUN and creatinine rose to 106 and 7.7 mg/dl, respectively. Case 2 was a 49-year-old male who had been diagnosed as having diabetes 15 years before. He showed Scott IIb and IV retinopathy. The BUN and creatinine levels in the serum were 32 and 2.3 mg/dl, respectively. After receiving head computerized tomography, he developed oliguria and remained oliguric for 48 hr. During that period, the serum levels of BUN and creatinin were elevated to 112 and 7.5 mg/dl, respectively. Fortunately, both of these patients recovered from the oliguria without resorting to hemodialysis. The iodine contrast medium routinely used for contrast enhancement in the head computerized tomography was implicated in the acute renal failure of these patients. Only elevn cases have so far been reported in the literature who developed acute renal failure following computerized tomography. In view of the three or four times greater dosis of iodine contrast medium employed in computerized tomography compared to intravenous pyelography, the acute incidence of such complications might be much higher. Among the thirteen cases including the two reported here, as many as eight were diabetic. It is well recongnized that the incidence of acute renal failure after intravenous pyelography is particularly high in cases of diabetic nephropathy. (author)

  16. Positron emission computerized tomography: a potential tool for in vivo quantitation of the distribution of radiopharmaceuticals

    Huebner, K.F.; King, P.; Gibbs, W.D.; Washburn, L.C.; Hayes, R.L.

    1981-01-01

    The principles and some of the difficulties in quantitative positron emission computerized tomography have been discussed. We have shown that randoms and scattered events are a major cause of noise and counting errors in positron emission computerized tomography. The noise has been identified as a convoluting process and a mathematical solution has been presented. Examples of phantom studies and in vivo measurements have demonstrated that the distribution of positron emitting radiopharmaceuticals can be quantitated with much improved accuracy using the deconvolution equation to remove undesired noise

  17. Computerized tomography of adrenal glands in the investigation of Cushing's syn

    Abucham Filho, J.; Albertotti, C.; Kater, C.E.; Vieira, J.G.H.; Chacra, A.R.

    1983-01-01

    Computerized tomography of the adrenal glands was performed in 10 patients with Cushing's syndrome using a G.E. 8800 CT/T Body Scanner. The tomographic findings of unilateral adrenal masses in 4 patients were confirmed by surgery. In the remaining 6 patients, computerized tomography did not identify any masses, and both glands were well visualized and showed normal shape. In these patients, measurement of the adrenal glands revealed both normal (n=1) and enlarged glands (n=5). The findings of adrenalectomy (n=4) or transphenoidal surgery and follow-up (n=2) established the diagnosis of adrenal phyperplasia in all patients. (Author) [pt

  18. Contrast Dose and Radiation Dose Reduction in Abdominal Enhanced Computerized Tomography Scans with Single-phase Dual-energy Spectral Computerized Tomography Mode for Children with Solid Tumors

    Tong Yu; Jun Gao; Zhi-Min Liu; Qi-Feng Zhang; Yong Liu; Ling Jiang; Yun Peng

    2017-01-01

    Background: Contrast dose and radiation dose reduction in computerized tomography (CT) scan for adult has been explored successfully, but there have been few studies on the application of low-concentration contrast in pediatric abdominal CT examinations. This was a feasibility study on the use of dual-energy spectral imaging and adaptive statistical iterative reconstruction (ASiR) for the reduction of radiation dose and iodine contrast dose in pediatric abdominal CT patients with solid tumors...

  19. Evaluation and management of Periocular Capillary Hemangioma: A review

    Al-Motowa, Saeed A.; Chaudhry, Imtiaz A.

    2006-01-01

    To review the salient features of periocular capillary hemangioma, provide the ophthalmologist with clinical, diagnostic and histological features characteristic of the tumor and discuss various methods of management. Methods were literature review of periocular capillary hemangioma, diagnostic evaluation with emphasis on treatment through the presentation of illustrative clinical cases. Capillary hemangioma is the most common benign vascular tumor found on the head and neck area including eyelids and orbit. The lesion typically manifests within the first few weeks of life, grows rapidly in the first year during the proliferative phase, then invariably and slowly regresses over the next 4 to 5 years during the involutional phase. The lesion may resolve without leaving any significant cosmetic sequelae in vast majority of patients, however, the functional defects in the form of amblyopia, squint, facial disfigurement and rarely optic atrophy may persist long after complete resolution of the tumor. The diagnosis of the capillary hemangioma requires a combination of clinical and imaging studies such as ultrasonography, computerized tomography, magnetic resonance imaging and angiography in selected cases. With the advent of less invasive diagnostic techniques, the need for biopsy in capillary hemangioma has decreased. Nevertheless, it should be differentiated from other periocular tumors such as rhabdomyosarcoma, lymphangioma, chloroma, neuroblastoma, orbital cyst, and orbital cellulites. Treatment is indicated to prevent amblyopia or cosmetic disfigurement. If indicated, intra-lesional corticosteroids may be used to enhance resolution of the tumor. Other forms of treatment tried with variable success include systematic and topical corticosteroids, radiation, surgical excision and intravenous embolization of the tumor. Indecent years, laser ablation of the tumor has been found effective in some cases. Interferon-u has been utilized effectively in cases of capillary

  20. Verrucous hemangioma

    M J Cyriac

    1990-01-01

    Full Text Available A 45 years old male had a warty growth on the thigh diagnosed as verrucous hemangioma histopathologically. Earlier he had received treatment under the clinical diagnoses of verruca vulgaris and tuberculosis verrucosa cutis. The lesion was treated with surgical excision and grafting.

  1. 'High resolution' computerized tomography in spinal narrow and spinal column diagnosis

    Koester, O.

    1985-01-01

    Bearing in mind that direct comparison is lacking, high resolution computerized tomography in spinal column diagnosis can be said to supply considerably increased information when dealing with the issues of a cervical prolapse and bony changes of any origin. Its advantages appear to be reduced when assessing lumbar prolapse, intraspinal masses and paravertebral soft-tissue processes. (orig.) [de

  2. Diagnostic Yield of Transbronchial Biopsy in Comparison to High Resolution Computerized Tomography in Sarcoidosis Cases

    Akten, H Serpil; Kilic, Hatice; Celik, Bulent; Erbas, Gonca; Isikdogan, Zeynep; Turktas, Haluk; Kokturk, Nurdan

    2018-04-25

    This study aimed to evaluate the diagnostic yield of fiberoptic bronchoscopic (FOB) transbronchial biopsy and its relation with quantitative findings of high resolution computerized tomography (HRCT). A total of 83 patients, 19 males and 64 females with a mean age of 45.1 years diagnosed with sarcoidosis with complete records of high resolution computerized tomography were retrospectively recruited during the time period from Feb 2005 to Jan 2015. High resolution computerized tomography scans were retrospectively assessed in random order by an experienced observer without knowledge of the bronchoscopic results or lung function tests. According to the radiological staging with HRCT, 2.4% of the patients (n=2) were stage 0, 19.3% (n=16) were stage 1, 72.3% (n=60) were stage 2 and 6.0% (n=5) were stage 3. This study showed that transbronchial lung biopsy showed positive results in 39.7% of the stage I or II sarcoidosis patients who were diagnosed by bronchoscopy. Different high resolution computerized tomography patterns and different scores of involvement did make a difference in the diagnostic accuracy of transbronchial biopsy (p=0.007). Creative Commons Attribution License

  3. Regional aspects of cerebral cysticercosis. Incidence and evaluation by computerized tomography in 1000 consecutive studies

    Jozzolino, D.A. (Instituto de Tomografia Axial Computadorizada de Londrina (Brazil))

    One thousand consecutive studies of the entire brain were performed and 122 patients with tomographic diagnosis of cysticercosis were found. The high incidence of this disease is discussed and its endemic characteristics as well. Various forms and types are described, the most frequent being the presence of calcifications; other tests performed at the time of computerized tomography are mentioned.

  4. Dose profile measurement in computerized axial tomography equipment using thermoluminescent dosemeters

    Azorin V, J.C.; Falcony, C.; Azorin N, J.

    2000-01-01

    In this work are presented the results about measuring the radiation dose profile in two equipment of computerized axial tomography (Tac). Thermoluminescent dosemeters (Dtl) of LiF, Mg, Cu, P + Ptfe in form of disks were used which were developed and made in Mexico. The results showed that Dtl are appropriated for these type of studies. (Author)

  5. Contribution to differential diagnosis of lumbar spine disc hernia by computerized tomography

    Dolansky, J.

    1989-01-01

    The significance is discussed of computerized tomography in differential diagnosis of disc hernias of the lumbar spine. A simple technique is described that allows to differentiate disc hernias from epidural vein varices. It mostly includes repeat imaging of the same body section and/or the application of a contrast medium. (L.O.). 2 figs., 4 refs

  6. Status of routine post-mortem computerized tomography in Odense, Denmark

    Leth, Peter Mygind

    2008-01-01

    rarely is a substitute for autopsy, but may contribute with important new information in many cases such as identifications (including mass-disasters), battered child, gunshot wounds, traffic accidents and air embolism. Computerized tomography provides documentation in digital form - easily stored...

  7. Computerized transverse tomography of vascular lesions of the brain. II. Aneurysms

    Pressman, B.D.; Gilbert, G.E.; Davis, D.O.

    1975-01-01

    Computerized transverse tomography (CTT) is an excellent screening examination for intracerebral disease. Unfortunately, the detection rate of small aneurysms by this procedure is not high. Nevertheless, CTT may be useful in aneurysm cases since it may indicate the need for further evaluation in patients with associated hematomas, encephalomalacia, or ventricular dilatation, even if the aneurysm itself is not delineated. (U.S.)

  8. Can duplex Doppler ultrasound replace computerized tomography in staging patients with renal cell carcinoma?

    Bos, SD; Mensink, HJA

    The purpose of this study was to evaluate the accuracy and reliability of duplex Doppler ultrasound (US) and computerized tomography (CT) in staging patients with renal cell carcinoma (RCC). Sixty-six patients were evaluated pre-operatively with duplex Doppler ultrasound and CT. The results were

  9. Computerized tomography in Community of Madrid. Reference dosimetric measurements

    Ruiz Sanz, S.; Calzado, A.; Melchor, M.; Marco, M.

    1994-01-01

    A total of about 43 computed tomography scanners were operating in the Autonomous Community of Madrid during 1991. A sample of 14 facilities was selected to perform dosimetric measurements in order to obtain characteristic dose profiles. From these, some quantities as the computed tomography dose index and the enhancement factor were calculated and analysed for the most common technique settings. Relations were established between the dosimetric results and technical characteristics of the scanners. (Author)

  10. Sonography and computerized tomography in a comparison in renal mass diseases

    Brommer, M.

    1981-01-01

    One hundred and thirteen patients with renal mass processes were examined sonographically and by computized tomography. The diagnosis was assured in 32 cases histologically, in 40 cases angiographically clinically and by the course and in 41 cases only clinically and by the course resp. by sonographic and computerized tomography control studies. The accuracy of a hit in sonography is smaller compared with computerized tomography with fast image formation. However, due to its relative safety, it is judged as the most useful technique for a first diagnossis of renal masses after ureographic diagnostic of excreta. A diagnostic procedure is proposed in which the number of necessary angiographies and diagnostic sampling surgery can be considerably reduced. (orig.) [de

  11. Computerized tomography in the diagnosis of mechanical jaundice

    Grushin, Yu.V.; Manasov, T.Zh.; Raskolenko, A.A.; Nazyrova, N.K.; Dzhumashev, E.Z.

    1987-01-01

    A total of 51 patients with suspected mechanical jaundice were examined using the 3rd generation computerized tomograph. A correct conclusion as to the level and mechanism of obstruction was made in 77% of cases. The most serious problems arose in analysis of extrahepatic biliary ducts. The dilatation of the biliary passages was not always combined with their obturation. In cases which were difficult for interpretation, additional information could be obtained by using thin tomographic layers, i.v. contrast enhancement, and retrograde endoscopic cholangiography

  12. 2D histomorphometric quantification from 3D computerized tomography

    Lima, Inaya; Oliveira, Luis Fernando de; Lopes, Ricardo T.; Jesus, Edgar Francisco O. de; Alves, Jose Marcos

    2002-01-01

    In the present article, preliminary results are presented showing the application of the tridimensional computerized microtomographic technique (3D-μCT) to bone tissue characterization, through histomorphometric quantification which are based on stereologic concepts. Two samples of human bone were correctly prepared to be submitted to the tomographic system. The system used to realize that process were a radiographic system with a microfocus X-ray tube. Through these three processes, acquisition, reconstruction and quantification, it was possible to get the good results and coherent to the literature data. From this point, it is intended to compare these results with the information due the conventional method, that is, conventional histomorphometry. (author)

  13. Renal hemangioma

    Theodorico F. da Costa Neto

    2004-06-01

    Full Text Available INTRODUCTION: Renal hemangioma is a relatively rare benign tumor, seldom diagnosed as a cause of hematuria. CASE REPORT: A female 40-year old patient presented with continuous gross hematuria, anemia and episodic right lumbar pain, with onset about 3 months previously. The patient underwent multiple blood transfusions during her hospital stay and extensive imaging propedeutics was performed. Semi-rigid ureterorenoscopy evidenced a bleeding focus in the upper calix of the right kidney, with endoscopic treatment being unfeasible. The patient underwent right upper pole nephrectomy and presented a favorable outcome. Histopathological analysis of the surgical specimen showed that it was a renal hemangioma. COMMENTS: Imaging methods usually employed for diagnostic investigation of hematuria do not have good sensitivity for renal hemangioma. However, they are important to exclude the most frequent differential diagnoses. The ureterorenoscopy is the diagnostic method of choice and endoscopic treatment can be feasible when the lesion is accessible and electrocautery or laser are available. We emphasize the open surgical treatment as a therapeutic option upon failure of less invasive methods.

  14. Primary muscular hydatid: preoperative diagnosis Throught computerized tomography and ultrasonography

    Macho Fernandez, J.M.; Marin Cardenas, M.A.; Mazas Artasona, L.; Lample Lacasa, C.; Otero Sierra, C.; Hernandez Navarrete, M.J.; Gomez-Pereda, R.

    1995-01-01

    Primary muscular hydatid disease, is extremely rare,- but not exceptional-, comparatively with other atypical localization. In this article the authors revised 474 patients with hydatid disease over a ten years period. Three cases of primary muscular localization were found. The ultrasonography and computed tomography facilitates the preoperative diagnosis. (Author) 40 refs

  15. Health physics aspects of the EMI computerized tomography brain scanner

    Villafana, T.; Scouras, J.; Kirkland, L.; McElroy, N.; Paras, P.

    1978-01-01

    The EMI computerized tomographic cranial scanner is one of the first radiological systems incorporating an on-line computer. The result is an increase in the ability to visualize such tissues as grey matter and white matter as well as blood pools and tumor volumes. This advance has already begun to revolutionize radiological practice. Because of the totally different configuration of this unit, concern has been expressed over the dosages received by the patient, consequently the health physics aspects of this unit have been studied. Specifically, doses received by the surface of head and interior brain points as well as by the lens of the eye and gonads are reported here. X-ray output, beam half-value layers and barrier shielding requirements are also reported and discussed. (author)

  16. Mixed Capillary Venous Retroperitoneal Hemangioma

    Mohit Godar

    2013-01-01

    Full Text Available We report a case of mixed capillary venous hemangioma of the retroperitoneum in a 61-year-old man. Abdominal ultrasonography showed a mass to be hypoechoic with increased flow in color Doppler imaging. Dynamic contrast-enhanced computed tomography revealed a centripetal filling-in of the mass, located anterior to the left psoas muscle at the level of sacroiliac joint. On the basis of imaging features, preoperative diagnosis of hemangioma was considered and the mass was excised by laparoscopic method. Immunohistochemical studies were strongly positive for CD31 and CD34, and negative for calretinin, EMA, WT1, HMB45, Ki67, synaptophysin, and lymphatic endothelial cell marker D2–40. Histologically, the neoplasm was diagnosed as mixed capillary venous hemangioma.

  17. Computerized tomography data on CNS affection in systemic lupus erythematosus

    Ivanova, M.M.; Bliznyuk, O.I.; Todua, F.I.; Tumanova, A.A.

    1989-01-01

    Computed tomography (CT) of the brain was employed in 40 patients with systemic lupus erythematosus (SLE). Clinical cerebral pathology was obvious in 30 and absent in 10 patients. By CT cerebral symptoms were divided of 4 groups. Clinical symptom complexes of CNS defects and SLE were reflected on definite CT images correlated with focal damage to the brain. CT picture of enlarged subarachnoid space, ventricles and basal cisterns can be observed in SLE patients without neurological symptoms. This indicated likely subclinical cerebral affection

  18. Computerized tomography and conventional radiography: A comparison from the standpoint of X-ray physics and technology

    Pfeiler, M; Linke, G [Siemens A.G., Erlangen (Germany, F.R.). Unternehmensbereich Medizinische Technik

    1979-08-01

    After a short explantation of the technical foundations of computerized tomography (CT) from terms used in conventional X-ray technique and CT the differences (dose distribution, image character) and similarities (quantum noise, beam quality) of both methods are discussed. Finally possible methods of quantitative evaluation of CT images and computation of longitudinal layers from a series of computerized tomograms are described. (author).

  19. A case of multiple intracranial tuberculoma followed by serial computerized tomography

    Kummer, R. von; Storch, B.; Krause, K.H.; Rauch, H.

    1981-01-01

    This is the case report of an Indian living in Europe who suffered from multiple cerebral tuberculomes in connexion with extrapulmonal tuberculosis. The retrogression of the inflammatory granulomes and the surrounding cerebral edema by treatment with tuberculostatics and Dexamethasone was observed by means of computerized tomography (CT) over a period of 8 months. The value of CT in the diagnosis and treatment of cerebral tuberculomes is discussed. The diagnosis of cerebral tuberculomes is difficult as neither the clinical picture nor additional neuroradiological tests ensure safe delimitation against other intracranial growths. In how far this situation has changed by the introduction of CT into diagnostics is discussed by the example of serial computerized tomography on a patient with multiple cerebral tuberculomes. (orig.) [de

  20. Gamma graphic findings in giant hepatic hemangioma

    Cano, R.; Morales, R.; Mendoza, P.; Ramirez, E.; Aguilar, C.

    1994-01-01

    The aim of the present work is to describe gamma graphic findings in patients with giant hepatic hemangiomas, when evaluated with 99m Tc red blood cell (RBC) imaging. Three patients with clinical suspicion of giant hepatic hemangiomas, who had had, ultrasound and computed tomography were studied with RBC using in vivo labelling with pyrophosphate. All cases had dynamic and static views. All cases showed hypoperfusion in dynamics views and over perfusion in delayed studies. Surgery confirmed diagnosis in two cases. 99m Tc RBC is a good method for diagnosis of giant hepatic hemangioma, which generally needs surgical treatment. (Authors). 24 refs., 2 figs

  1. Rupture of Ovarian Mature Cystic Teratoma: Computerized Tomography Findings

    Sebastia, C.; Sarrias, M.; Sanchez-Aliaga, E.; Quiroga, S.; Boye, R.; Alvarez-Castells, A.

    2004-01-01

    We present computed tomography findings of three cases of intraperitoneal rupture of ovarian mature cystic teratoma. Acute-phase radiological findings include presence of intraabdominal liquid, infiltration of mesenteric fat and calcified pelvic mass which also showed interior fatty content. Chronic-phase findings include infiltration of peritoneal fat, as well as increase in the size of adjacent ganglion due to chronic inflammatory response to histologically verified foreign bodies. Differential diagnoses between chronic and acute intraperitoneal ruptures of mature teratoma have been reviewed. (Author)

  2. Computerized tomography in diagnosis of mammary gland cancer

    Ternovoj, S.K.; Shishmareva, N.F.

    1987-01-01

    A total of 103 women with suspected malignant breast tumors were examined using combined methods including computed tomography (CT). Cancer was diagnosed in 81 patients benign breast tumors in 22. The authors obtained data concerning CT superiority in the diagnosis of tumors localized in the retromammary space, as well as infinitrative-edematous forms of cancer and breast cancer recurrences. A high reliability of the method in the detection of metastatic involvement of the axillary lymph nodes made it possible to give up transmission axillography

  3. Evaluation of Biomaterials Using Micro-Computerized Tomography

    Torris, A. T. Arun; Columbus, K. C. Soumya; Saaj, U. S.; Krishnan, Kalliyana V.; Nair, Manitha B.

    2008-01-01

    Micro-computed tomography or Micro-CT is a high resolution, non-invasive, x-ray scanning technique that allows precise three-dimensional imaging and quantification of micro-architectural and structural parameters of objects. Tomographic reconstruction is based on a cone-beam convolution-back-projection algorithm. Micro-architectural and structural parameters such as porosity, surface area to volume ratio, interconnectivity, pore size, wall thickness, anisotropy and cross-section area of biomaterials and bio-specimens such as trabecular bone, polymer scaffold, bio-ceramics and dental restorative were evaluated through imaging and computer aided manipulation of the object scan data sets.

  4. The use of computerized tomography in patients showing tardive dyskinesia

    Themelis, I.

    1983-01-01

    29 patients showing moderate to markedly pronounced tardive dyskinesia (TD) and a further 29 control patients (C) under a similar long-term medication with neuroleptics that had been so chosen as to match the age and sex distributions of the former group were subjected to computered tomography, neurological examination and psychological testing. The results did not point to any correlations between the structural changes and duration of treatment and the clinical signs or symptoms of extrapyramidal disorder. This was taken as further evidence in support of the theory that the initial damage in tardive dyskinesia mainly is at the level of the basal ganglia. (orig./MG) [de

  5. Cranial computerized tomography aspects of neuro-cysticercosis in infancy

    Guerreiro, M.M.; Facure, N.O.; Guerreiro, C.A.M.

    1989-01-01

    The analysis of 27 computed tomography scans (CT) is presented. Eighteen children were divided in three groups according to clinical and tomographic criteria. Group 1 was characterized mainly by epilepsy and calcifications. Group 2 was characterized by intracranial hypertension and several tomographic aspects: edema, cysts and nodules were seen in three patients; hydrocephaly and calcifications were seen in two patients and CT was normal is one patient. Group 3 had patients with epilepsy or headache and variable tomographic patterns. The results are discussed based on the available literature. (author)

  6. Computerized tomography in the diagnosis of early and late complications after lung surgery

    Jeschke, W.; Linder, M.; Weiss, A.; Kihm, W.D.; Kempmann, G.

    1980-01-01

    The advantages of computerized tomography over conventional radiography for correctly interpreting doubtful findings after lung surgery are illustrated by 4 cases histories. In the immediate post-operative period the technique generally succeeds in identifying the nature of the abnormal findings and in differentiating between effusion, infiltration, abscess and empyema. Leakage from the bronchial stump can be clearly demonstrated without inconveniencing the patient. (orig.) [de

  7. A numerical solution of the equation of the computerized tomography and its application in astrophysics

    Krastev, A.; Nedialkov, J.

    1983-01-01

    A method for numerical solving the equation of the computerized tomography is proposed. The method, is based on the Cormack's formulae and is applied for studying media with central symmetry. The generalization for the nonsymmetric case does not lead to complications. The method is applied for the investigation of the density distribution of the Earth, the other planets and the Sun by means of neutrino experiments

  8. Testing objects in Computerized Axial Tomography. Contributions to the Spanish Protocol on quality control in radiodiagnostics

    Villaescusa, J.I.; Campayo, J.M.

    1995-01-01

    In the provisional version of the Spanish Protocol about the technical aspects of Quality Control in Radiodiagnostic,SEFM-SEPR 1993, it is dedicated a section to Computerized Axial tomography, establishing a total of eleven technical parameters of the equipment for examination. The present work describes the practical use of the Protocol using various types of Test Object. The authors also propose new tests that should be considered in the final version of the Spanish Protocol. (Author)

  9. Computerized transverse tomography of vascular lesions of the brain. I. Arteriovenous malformations

    Pressman, B.D.; Kirkwood, J.R.; Davis, D.O.

    1975-01-01

    Computerized transverse tomography (CTT) of the brain is a recently developed method which allows non-invasive roentgenologic evaluation of intracranial disease. Since its inception, major attention has been given to the diagnosis and evaluation of tumors, clots, infarcts, venticular size, and orbital lesions. The purpose of this report is to discuss the application of CTT to the diagnosis and evaluation of intracerebral arteriovenous malformations. (U.S.)

  10. Dose profile study on computerized tomography scanning of skull with simulator object

    Mourao, A.P.

    2011-01-01

    This work presents a comparison among the dose profiles in scanning of computerized tomography of a simulator object of PMMA in its periphery region. To obtain the deposited dose at the PMMA thermoluminescent dosemeters were used positioned at the interior of PMMA simulated object longitudinal to periphery and at the center of cylinder (positions denominated North, South, East, West and Center). Eight scanning were performed of simulator object using the routine protocol for skull in eight different services of radiodiagnostic by TC

  11. Extension of the Gladstone-Dale equation for flame flow field diagnosis by optical computerized tomography

    Chen Yunyun; Li Zhenhua; Song Yang; He Anzhi

    2009-01-01

    An extended model of the original Gladstone-Dale (G-D) equation is proposed for optical computerized tomography (OCT) diagnosis of flame flow fields. For the purpose of verifying the newly established model, propane combustion is used as a practical example for experiment, and moire deflection tomography is introduced with the probe wavelength 808 nm. The results indicate that the temperature based on the extended model is more accurate than that based on the original G-D equation. In a word, the extended model can be suitable for all kinds of flame flow fields whatever the components, temperature, and ionization are.

  12. Single-Photon Emission Computerized Tomography (SPECT in Neuropsychiatry: A Review

    B. K. Puri

    1992-01-01

    Full Text Available Cranial single-photon emission computerized tomography (SPECT or SPET can now give regional cerebral blood flow images with a resolution approaching that of positron emission tomography (PET. In this paper, the use of high resolution SPECT neuroimaging in neuropsychiatric disorders, including Alzheimer's disease, multi-infarct dementia, Pick's disease, progressive supranuclear palsy, Korsakoff's psychosis, Creutzfeld-Jakob disease, Parkinson's disease, Huntington's disease, schizophrenia, mood disorders, obsessive–compulsive disorder, HIV infection and AIDS is reviewed. Finally, further potential research and clinical uses, based on ligand studies, are outlined.

  13. Dosimetric characterization of computerized tomography of 64 channels

    Gimeno-Fernandez, V.; Sotil-Baylos, J.; Garcia-Pazos, M.; Garcia-Pena, P.

    2006-01-01

    As a first step in the evaluation of effective dose to patients in Computed Tomography (CT) examinations, the purpose of this work was the assessment of the dose delivered by a new multislice scanner of 64 channels (Philips Brilliance 64c). This was done through the measurement of the CT Dose Index free in air, normalized to the unit of applied charge, using different beam collimations and tube voltages. Fitting nonlinear models to the observed data, kilo voltage and over beaming (penumbra) parameters have been elicited. The kilo voltage exponent of the relationship between CT dose index and kilo voltage varies from 2,84 to 2,88. The obtained penumbra with was 2,04 nm. Finally, corrections factors that must be applied to the measured dose indexes as a function of the applied collimation have been established from the estimated analytical relationships. (Author)

  14. Computerized axial tomography and diagnosis of multiple sclerosis

    Paulo R.M. Bittencourt

    1983-06-01

    Full Text Available Computed axial tomography (C.T. findings are illustrated in 3 patients who presented with C.T. changes suggesting respectively chronic M.S., acute M.S., and an appearance simulating a malignant tumour. Review of the literature shows that the chronic form with cerebral atrophy and low density lesions in the hemispheres is common in patients with a long history and is unlikely to cause diagnostic difficulty. The acute presentation is less common and could be confused with a variety of causes of multiple low density enhancing lesions. The C.T. diagnosis of M.S. is more difficult in rare cases in which plaques cause mass effect and show ring enhancement; all 3 such cases in the literature were subjected to cerebral biopsy.

  15. Clinical manifestations in patients with computerized tomography diagnosis of neurocysticercosis

    Pfuetzenreiter, Marcia Regina; Avila-Pires, Fernando Dias de

    1999-01-01

    A survey was conducted in the urban area of Lages using patients who had been submitted to a computed tomography of the skull in the period of March-December, 1996, for different reasons. Forty-two patients with a provisional diagnosis of neurocysticercosis, and 57 negatives were personally interviewed by one of the authors (Pfuetzenreiter), using a semi-structured procedure. More individuals with a provisional diagnostic of neurocysticercosis reported clinical manifestations related to this infection than those found negative. this difference is more marked among women, except in relation to convulsions, more frequently reported by men (19.05%) than by women (7.14%). The greater percentage of inactive forms (83.33%0 and a longer history of perceived symptoms among those positives suggest that the condition is not new. (author)

  16. A computerized tomography system for transcranial ultrasound imaging.

    Tang, Sai Chun; Clement, Gregory T

    Hardware for tomographic imaging presents both challenge and opportunity for simplification when compared with traditional pulse-echo imaging systems. Specifically, point diffraction tomography does not require simultaneous powering of elements, in theory allowing just a single transmit channel and a single receive channel to be coupled with a switching or multiplexing network. In our ongoing work on transcranial imaging, we have developed a 512-channel system designed to transmit and/or receive a high voltage signal from/to arbitrary elements of an imaging array. The overall design follows a hierarchy of modules including a software interface, microcontroller, pulse generator, pulse amplifier, high-voltage power converter, switching mother board, switching daughter board, receiver amplifier, analog-to-digital converter, peak detector, memory, and USB communication. Two pulse amplifiers are included, each capable of producing up to 400Vpp via power MOSFETS. Switching is based around mechanical relays that allow passage of 200V, while still achieving switching times of under 2ms, with an operating frequency ranging from below 100kHz to 10MHz. The system is demonstrated through ex vivo human skulls using 1MHz transducers. The overall system design is applicable to planned human studies in transcranial image acquisition, and may have additional tomographic applications for other materials necessitating a high signal output.

  17. Analysis of the of bones through 3D computerized tomography

    Lima, I.; Lopes, R.T.; Oliveira, L.F.; Alves, J.M.

    2009-01-01

    This work shows the analysis of the internal structure of the bones samples through 3D micro tomography technique (3D-μTC). The comprehension of the bone structure is particularly important when related to osteoporosis diagnosis because this implies in a deterioration of the trabecular bone architecture, which increases the fragility and the possibility to have bone fractures. Two bone samples (human calcaneous and Wistar rat femur) were used, and the method was a radiographic system in real time with an X Ray microfocus tube. The quantifications parameters are based on stereological principles and they are five: a bone volume fraction, trabecular number, the ratio between surface and bone volume, the trabecular thickness and the trabecular separation. The quantifications were done with a program developed especially for this purpose in Nuclear Instrumentation Laboratory - COPPE/UFRJ. This program uses as input the 3D reconstructions images and generates a table with the quantifications. The results of the human calcaneous quantifications are presented in tables 1 and 2, and the 3D reconstructions are illustrated in Figure 5. The Figure 6 illustrate the 2D reconstructed image and the Figure 7 the 3D visualization respectively of the Wistar femur sample. The obtained results show that the 3D-μTC is a powerful technique that can be used to analyze bone microstructures. (author)

  18. Computerized tomography of chest in emphysema and interstitial diseases diagnosis

    Souto Bayarri, M.; Malagari, K.; Ibarburen, C.; Arenas, G.; Correa Pombo, J.; Garcia Tahoces, P.; Tucker, D.; Barnes, G.T.; Luna, R.; Zerhouni, E.A.; Fraser, R.G.; Vidal Carrerira, J.J.

    1994-01-01

    To study the effect of increasing the spatial resolution on thin section (1.5 mm) computed tomography (CT) of the chest, we compared images reconstructed with the standard algorithm (SA) to three other images obtained with 1) a high spatial frequency algorithm, 2) retrospective targeting to a small field of view (FOV) reconstructed with the high spatial frequency algorithm, and 3) the same high spatial frequency algorithm with images acquired with the small (0.6 mm) rather the large (0.9 mm) focal spot. Examinations were performed on a phantom, on normal subjects, and on patients with emphysema and other diffuse lung diseases. Modulation transfer function (MTF) calculations revealed that higher resolution was achieved on the small focal spot and high spatial frequency algorithm than on the standard algorithm. Evaluation of the four images from 25 normal subjects, 16 patients with emphysema and 9 with interstitial disease was performed by means of an ROC study. Results from the areas under the ROC curves, sensitivity and specificity have shown that images reconstructed with the high spatial frequency algorithm were preferred. We conclude that the use of a high spatial frequency algorithm increases spatial resolution and improves visibility of lung parenchyma. Although more evaluation is needed, the potential of increasing spatial resolution further by using a smaller focal spot is currently limited by the mas Available per slice and the associated increased level of quantum noise. (Author)

  19. Use of SMT phototransistors for dosimetry in computerized tomography

    Magalhaes, C.M.S. de; Silva, J.O. da; Antonio Filho, J.; Santos, L.A.P. dos

    2007-01-01

    A dosimetry system using commercially available SMT (Surface-Mount Technology) phototransistors is evaluated for dose measurements in X-ray computed tomography. First, the phototransistors were characterized at the laboratory using a Pantak X-ray in the standard radiation quality RQR9 from IEC61267. The following tests were realized: energy dependence, response with dose rate and repetitiveness. The phototransistors yielded a real-time readout and a 6430 Sub-femto-ammeter Keithley was used to obtain their electrical current. This methodology allowed the correlating of their results with a standard ionisation chamber, a NE2571 ionization chamber coupled to a NE2670 electrometer that measured the applied dose at the detector position. After the characterization of the phototransistors, free-in-air and in head phantom dose measurements were carried out with the dosimetry system at the Hospital. Phototransistors were used to determine the dose profile measurements along the axis of rotation undergoing CT head examination. A Flip-Flop electrometer was used to obtain these measurements. The results indicated that the current values were reliable when compared with the results of doses of CT ionization chamber under the same conditions. The loss of radiation sensitivity, postirradiation, with time is not significant and the SMT phototransistor brings some features to CT dosimetry including high sensitivity, small size, real-time measurements and linearity. (author)

  20. Clinical features and computerized tomography in chronic schizophrenia

    Shimada, Hitoshi; Nagayama, Motowo; Hori, Akira

    1990-01-01

    Computed tomography (CT) scans and clinical manifestations were compared in severe (53) and mild (42) schizophrenic patients. Severe patients were defined as having been hospitalized during the previous 3 years or more, and mild patients as having lived at home. Regarding psychiatric symptoms, behavior, dosage of antipsychotic agents, and admission duration or disease duration, there were significant differences between the severe and mild groups. Both Hasegawa's and Moriya's dementia rating scales were significantly lower in the severe group than the mild group. Cranial CT scans were analyzed for the Sylvian fissure, third ventricle, body of the lateral ventricle, frontal lobe, and parietofrontal cortex. There were significant differences in CT scans for the Sylvian fissure, third ventricle, and body of the lateral ventricle between the severe and mild groups. For the other two sites, no significant differences were observed. The Sylvian fissure was significantly dilatated in the severe group. Dilatation of the Sylvian fissure was well correlated with clinical manifestations, such as language, feeling expression, decreased will, strange behavior, and disease recognition, reflecting clinical severity. (N.K.)

  1. VARIABILITY OF MANUAL AND COMPUTERIZED METHODS FOR MEASURING CORONAL VERTEBRAL INCLINATION IN COMPUTED TOMOGRAPHY IMAGES

    Tomaž Vrtovec

    2015-06-01

    Full Text Available Objective measurement of coronal vertebral inclination (CVI is of significant importance for evaluating spinal deformities in the coronal plane. The purpose of this study is to systematically analyze and compare manual and computerized measurements of CVI in cross-sectional and volumetric computed tomography (CT images. Three observers independently measured CVI in 14 CT images of normal and 14 CT images of scoliotic vertebrae by using six manual and two computerized measurements. Manual measurements were obtained in coronal cross-sections by manually identifying the vertebral body corners, which served to measure CVI according to the superior and inferior tangents, left and right tangents, and mid-endplate and mid-wall lines. Computerized measurements were obtained in two dimensions (2D and in three dimensions (3D by manually initializing an automated method in vertebral centroids and then searching for the planes of maximal symmetry of vertebral anatomical structures. The mid-endplate lines were the most reproducible and reliable manual measurements (intra- and inter-observer variability of 0.7° and 1.2° standard deviation, SD, respectively. The computerized measurements in 3D were more reproducible and reliable (intra- and inter-observer variability of 0.5° and 0.7° SD, respectively, but were most consistent with the mid-wall lines (2.0° SD and 1.4° mean absolute difference. The manual CVI measurements based on mid-endplate lines and the computerized CVI measurements in 3D resulted in the lowest intra-observer and inter-observer variability, however, computerized CVI measurements reduce observer interaction.

  2. Three dimensional fracture aperture and porosity distribution using computerized tomography

    Wenning, Q.; Madonna, C.; Joss, L.; Pini, R.

    2017-12-01

    A wide range of geologic processes and geo-engineered applications are governed by coupled hydromechanical properties in the subsurface. In geothermal energy reservoirs, quantifying the rate of heat transfer is directly linked with the transport properties of fractures, underscoring the importance of fracture aperture characterization for achieving optimal heat production. In this context, coupled core-flooding experiments with non-invasive imaging techniques (e.g., X-Ray Computed Tomography - X-Ray CT) provide a powerful method to make observations of these properties under representative geologic conditions. This study focuses on quantifying fracture aperture distribution in a fractured westerly granite core by using a recently developed calibration-free method [Huo et al., 2016]. Porosity is also estimated with the X-ray saturation technique using helium and krypton gases as saturating fluids, chosen for their high transmissibility and high CT contrast [e.g., Vega et al., 2014]. The westerly granite sample (diameter: 5 cm, length: 10 cm) with a single through-going rough-walled fracture was mounted in a high-pressure aluminum core-holder and placed inside a medical CT scanner for imaging. During scanning the pore fluid pressure was undrained and constant, and the confining pressure was regulated to have the desired effective pressure (0.5, 5, 7 and 10 MPa) under loading and unloading conditions. 3D reconstructions of the sample have been prepared in terms of fracture aperture and porosity at a maximum resolution of (0.24×0.24×1) mm3. Fracture aperture maps obtained independently using helium and krypton for the whole core depict a similar heterogeneous aperture field, which is also dependent on confining pressure. Estimates of the average hydraulic aperture from CT scans are in quantitative agreement with results from fluid flow experiments. However, the latter lack of the level of observational detail achieved through imaging, which further evidence the

  3. Evaluation of the absorbed dose in odontological computerized tomography; Avaliacao da dose absorvida em tomografia computadorizada odontologica

    Legnani, Adriano; Schelin, Hugo R.; Rocha, Anna Silvia P.S. da, E-mail: schelin@utfpr.edu.b, E-mail: anna@utfpr.edu.b [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Khoury, Helen J., E-mail: khoury@ufpe.b [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil)

    2011-10-26

    This paper evaluated the absorbed dose at the surface entry known as 'cone beam computed tomography' (CBCT) in odontological computerized tomography. Examination were simulated with CBCT for measurements of dose. A phantom were filled with water, becoming scatter object of radiation. Thermoluminescent dosemeters were positioned on points correspondent to eyes and salivary glands

  4. Evaluation of the absorbed dose in odontological computerized tomography; Avaliacao da dose absorvida em tomografia computadorizada odontologica

    Legnani, Adriano; Schelin, Hugo R; Rocha, Anna Silvia P.S. da, E-mail: schelin@utfpr.edu.b, E-mail: anna@utfpr.edu.b [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Khoury, Helen J., E-mail: khoury@ufpe.b [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil)

    2011-10-26

    This paper evaluated the absorbed dose at the surface entry known as 'cone beam computed tomography' (CBCT) in odontological computerized tomography. Examination were simulated with CBCT for measurements of dose. A phantom were filled with water, becoming scatter object of radiation. Thermoluminescent dosemeters were positioned on points correspondent to eyes and salivary glands

  5. Prediction of traumatic avascular necrosis of the femoral head by single photon emission computerized tomography and computerized tomography: an experimental study in dogs

    SHEN Feng

    2012-02-01

    Full Text Available 【Abstract】 Objective: To evaluate the femoral head perfusion and to predict the traumatic avascular necrosis (AVN of the femoral head by single photon emission computerized tomography and computerized tomography (SPECT/CT. Methods: Totally 18 adult beagle dogs were divided randomly into three equal-sized (n=6 groups. Subsequently different degrees of ischemia model were developed by destroying blood vessels of the femoral head. The left hip received sham operation as normal control and the right hip underwent blood interruption. In Group A, the ligamentum teres was cut off. In Group B, the marrow cavity of the right femoral neck was destroyed while in Group C, the soft tissues at the base of the femoral neck were stripped in addition to the resection of the ligamentum teres and destruction of the marrow cavity. Three hours after surgery, SPECT/CT was performed. Laser Doppler Flowmetry (LDF measurements were also obtained at three different time points (before operation, immediately and three hours after operation in order to assess the change process of blood supply to the femoral head. Results: SPECT/CT showed no significant difference in the radionuclide uptake between the right and left femoral heads in Group A (t=-0.09, P=0.94 and Group B (t= 0.52, P=0.62. However, in Group C, it was 261±62 for the right femoral head, only 12% of that in the left femoral head. LDF measurements indicated that the femoral head perfusion was decreased from (45.0±3.3 PU to (39.1±3.7 PU in Group A, from (44.0±2.7 PU to (34.3±2.6 PU in Group B, and from (47.3±2.1 PU to (4.96±0.6 PU in Group C immediately after operation. However, the perfusion was restored and returned to normal values three hours after operation except in Group C. Conclusion: SPECT/CT could assess the perfusion of the femoral head semiquantitatively, which might be useful in predicting the development of traumatic AVN. Key words: Femur head necrosis; Femoral head; Tomography, emission

  6. Computerized tomography with X-rays: an instrument in the analysis physico-chemical between formations and drilling fluids interactions

    Coelho, Marcus Vinicius Cavalcante

    1998-01-01

    In this study it is demonstrated the applicability of the Computerized Tomography technique with x-rays to evaluate the reactivity degree between various drilling fluids and argillaceous sediments (Shales and Sandstones). The research has been conducted in the Rock-Fluid Interaction Pressure Simulator (RFIPS), where the possible physico-chemical alterations can be observed through successive tomography images, which are obtained during the flow of the fluid through the samples. In addition, it was noticed the formation of mud cake in Berea Sandstones samples in the RFIPS, though the Computerized Tomography with X-rays, when utilizing drilling fluids weighted with the baryte. (author)

  7. Computerized tomography of the lumbar vertebral column after intervertebral disk operation. Pt. 1

    Schindler, G.; Klott, K.

    1984-01-01

    Problems after intervertebral disk operations are to be expected in about 25-40% of the patients operated. Progressive degnerative alterations at the disks, the vertebrae and the intervertebral joints entail chronic mechanical pain resulting from the sensitive innervation of the structures mentioned, or lead in severe cases to the alteration of the epidural space respectively the spinal nerves with corresponding peripheral neurological symptoms. As post-surgical complications spondylodiscitis, spondylitis, haematomae, liquor fistulae, and split-off bone fragments can be the cause of complaints, for which computerized tomography is a better diagnostical method than myelography. (BWU) [de

  8. Effect of The Measuring Parameters on The Reconstructed Images by Computerized Tomography

    Ali, A.M.; Ali, A.M.; Megahid, R.M.

    2011-01-01

    In this paper, the potential of computerized tomography by neutrons and gamma rays as a main precise technique for nondestructive assay of materials and components of prime importance in nuclear and general industries are given and discussed. Both Fast Fourier Transform (FFT) and convolution techniques are introduced. Shepp and Logan human head phantom is used for theoretical testing and studying the effect of translation value for both techniques. Moreover, the effect of the projection number discussed. Comparison between the two reconstruction techniques wasper formed for the examined object. In addition, some of the experimentally scanned images using slit beam of gamma rays emitt ed from the ETRR- 1 reactor are presented and discussed.

  9. Use of computerized tomography in the Multibrauch Research and Technology Complex ''Eye microsurgery''

    Fedorov, S.N.; Ivashina, A.I.; Anisimov, S.I.; Prokopenko, L.N.; Moskvichev, A.L.

    1989-01-01

    The paper is devoted to analysis of the results of computerized tomography (CT) in 1000 patients examined in te Multibranch Research and Technology Complex ''Eye Microsurgery''. The specific feature of CT in this institution is that 52% of all investigations of ophthalmological patients fall to the share of eyeball abnormality and 40% - to a study of the other parts of the organ of vision. CT indications are extended for low tension glaucoma, complicated high myopia, and for monitoring the position of microsurgical implants. The use of CT is such a highly specialized medical institution as the MRTC ''Eye Microsurgery'' is considered indispensable

  10. Intoxication for methyl alcohol: computerized tomography and finding in the necrosis

    Abaitua Ibanez, J.M.; Garcia Monco, J.C.; Gallardo Rebollan, S.; Hernando Aguado, G.; Alcaraz, R.; Lopez-Ruiz, J.A.

    1994-01-01

    We present a case of voluntary intake of methyl alcohol studied by means of computerized tomography (CT) in a previously healthy patient. The classical findings of bilateral putaminal necrosis are corroborated and cerebral white matter lesions are detected in frontal and occipital zones, signs that are unusual in this disorder. CT can be of diagnostic interest in certain comas of metabolic origin such as methanol intoxication, revealing antemortem lesions of both putamens and white matter. Finally, a correlation between the CT and necropsy findings is established. (Author) 11 refs

  11. Study of the human encephalon morphology by computerized axial tomography in neurological diseases

    Loynaz Fernandez, Clara Silvia; Milan Companioni, Daile; Gomez Padron, Ivo; Alvarez Leon, Oladys; Espinosa Quiros, Desiderio

    2001-01-01

    Since the middle of the last century, the study of the human encephalon morphology has been of great interest for the researchers. With the introduction of the computerized axial tomography in 1974, it was possible to expand the knowledge about this area and at the same time provide information on the structural lesions that are pathologies of great psychosocial repercussion like epilepsy and Parkinsonism. This paper used 90 tomographic studies on people aged 20-80 years. A series of linear measurements were made and statistically processed. The results showed variations in linear measurements among control, epileptic and Parkinsonian subjects

  12. Detection of drugs and explosives using neutron computerized tomography and artificial intelligence techniques

    Ferreira, F.J.O. [Instituto de Engenharia Nuclear, Cidade Universitaria, Rio de Janeiro, CEP 21945-970, Caixa Postal 68550 (Brazil)], E-mail: fferreira@ien.gov.br; Crispim, V.R.; Silva, A.X. [DNC/Poli, PEN COPPE CT, UFRJ Universidade Federal do Rio de Janeiro, CEP 21941-972, Caixa Postal 68509, Rio de Janeiro (Brazil)

    2010-06-15

    In this study the development of a methodology to detect illicit drugs and plastic explosives is described with the objective of being applied in the realm of public security. For this end, non-destructive assay with neutrons was used and the technique applied was the real time neutron radiography together with computerized tomography. The system is endowed with automatic responses based upon the application of an artificial intelligence technique. In previous tests using real samples, the system proved capable of identifying 97% of the inspected materials.

  13. Emission computerized axial tomography from multiple gamma-camera views using frequency filtering.

    Pelletier, J L; Milan, C; Touzery, C; Coitoux, P; Gailliard, P; Budinger, T F

    1980-01-01

    Emission computerized axial tomography is achievable in any nuclear medicine department from multiple gamma camera views. Data are collected by rotating the patient in front of the camera. A simple fast algorithm is implemented, known as the convolution technique: first the projection data are Fourier transformed and then an original filter designed for optimizing resolution and noise suppression is applied; finally the inverse transform of the latter operation is back-projected. This program, which can also take into account the attenuation for single photon events, was executed with good results on phantoms and patients. We think that it can be easily implemented for specific diagnostic problems.

  14. Study on beam geometry and image reconstruction algorithm in fast neutron computerized tomography at NECTAR facility

    Guo, J.; Bücherl, T.; Zou, Y.; Guo, Z.

    2011-09-01

    Investigations on the fast neutron beam geometry for the NECTAR facility are presented. The results of MCNP simulations and experimental measurements of the beam distributions at NECTAR are compared. Boltzmann functions are used to describe the beam profile in the detection plane assuming the area source to be set up of large number of single neutron point sources. An iterative algebraic reconstruction algorithm is developed, realized and verified by both simulated and measured projection data. The feasibility for improved reconstruction in fast neutron computerized tomography at the NECTAR facility is demonstrated.

  15. Study on beam geometry and image reconstruction algorithm in fast neutron computerized tomography at NECTAR facility

    Guo, J.; Buecherl, T.; Zou, Y.; Guo, Z.

    2011-01-01

    Investigations on the fast neutron beam geometry for the NECTAR facility are presented. The results of MCNP simulations and experimental measurements of the beam distributions at NECTAR are compared. Boltzmann functions are used to describe the beam profile in the detection plane assuming the area source to be set up of large number of single neutron point sources. An iterative algebraic reconstruction algorithm is developed, realized and verified by both simulated and measured projection data. The feasibility for improved reconstruction in fast neutron computerized tomography at the NECTAR facility is demonstrated.

  16. Study on beam geometry and image reconstruction algorithm in fast neutron computerized tomography at NECTAR facility

    Guo, J. [State Key Laboratory of Nuclear Physics and Technology and School of Physics, Peking University, 5 Yiheyuan Lu, Beijing 100871 (China); Lehrstuhl fuer Radiochemie, Technische Universitaet Muenchen, Garching 80748 (Germany); Buecherl, T. [Lehrstuhl fuer Radiochemie, Technische Universitaet Muenchen, Garching 80748 (Germany); Zou, Y., E-mail: zouyubin@pku.edu.cn [State Key Laboratory of Nuclear Physics and Technology and School of Physics, Peking University, 5 Yiheyuan Lu, Beijing 100871 (China); Guo, Z. [State Key Laboratory of Nuclear Physics and Technology and School of Physics, Peking University, 5 Yiheyuan Lu, Beijing 100871 (China)

    2011-09-21

    Investigations on the fast neutron beam geometry for the NECTAR facility are presented. The results of MCNP simulations and experimental measurements of the beam distributions at NECTAR are compared. Boltzmann functions are used to describe the beam profile in the detection plane assuming the area source to be set up of large number of single neutron point sources. An iterative algebraic reconstruction algorithm is developed, realized and verified by both simulated and measured projection data. The feasibility for improved reconstruction in fast neutron computerized tomography at the NECTAR facility is demonstrated.

  17. Effect of quantization and interpolation of projections on the sensitivity of computerized tomography

    Vajnberg, Eh.I.; Fajngojz, M.L.

    1984-01-01

    The sources and forms of manifestation of errors in quantization and interpolation of projections in case of X-ray computerized tomography are considered and quantitative criteria of their evaluation are formulated. The dominating role of the interaction of two successive quantizations of projections - one-dimensional and two-dimensional ones is revealed. The necessity of joint optimization of the two-dimensional quantization range, expansion and form of interpolation function, quantized convolution nucleus is substantiated. The experimental results at aspect ratio of tomograms 256x256 and 480 projections are presented

  18. Detection of drugs and explosives using neutron computerized tomography and artificial intelligence techniques

    Ferreira, F.J.O.; Crispim, V.R.; Silva, A.X.

    2010-01-01

    In this study the development of a methodology to detect illicit drugs and plastic explosives is described with the objective of being applied in the realm of public security. For this end, non-destructive assay with neutrons was used and the technique applied was the real time neutron radiography together with computerized tomography. The system is endowed with automatic responses based upon the application of an artificial intelligence technique. In previous tests using real samples, the system proved capable of identifying 97% of the inspected materials.

  19. Non-Conventional Applications of Computerized Tomography: Analysis of Solid Dosage Forms Produced by Pharmaceutical Industry

    Martins de Oliveira, Jose Jr.; Germano Martins, Antonio Cesar

    2010-01-01

    X-ray computed tomography (CT) refers to the cross-sectional imaging of an object measuring the transmitted radiation at different directions. In this work, we describe a non-conventional application of computerized tomography: visualization and improvements in the understanding of some internal structural features of solid dosage forms. A micro-CT X-ray scanner, with a minimum resolution of 30 μm was used to characterize some pharmaceutical tablets, granules, controlled-release osmotic tablet and liquid-filled soft-gelatin capsules. The analysis presented in this work are essentially qualitative, but quantitative parameters, such as porosity, density distribution, tablets dimensions, etc. could also be obtained using the related CT techniques.

  20. Computerized detection of acute ischemic stroke in brain computed tomography images

    Nagashima, Hiroyuki; Shiraishi, Akihisa; Harakawa, Tetsumi; Shiraishi, Junji; Doi, Kunio; Sunaga, Shinichi

    2009-01-01

    The interpretation of acute ischemic stroke (AIS) in computed tomography (CT) images is a very difficult challenge for radiologists. To assist radiologists in CT image interpretation, we have developed a computerized method for the detection of AIS using 100 training cases and 60 testing cases. In our computerized method, the inclination of the isotropic brain CT volume data is corrected by rotation and shifting. The subtraction data for the contralateral volume is then derived by subtraction from the mirrored (right-left reversed) volume data. Initial candidates suspected to have experienced AIS were identified using multiple-thresholding and filtering techniques. Twenty-one image features of these candidates were extracted and applied to a rule-based test to identify final candidates for AIS. The detection sensitivity values for the training cases and for the testing cases were 95.0% with 3.1 false positives per case and 85.7% with 3.4 false positives per case, respectively. Our computerized method showed good performance in the detection of AIS by CT and is expected to be useful in decision-making by radiologists. (author)

  1. Can carotid stenosis be operated without arteriography? Contribution of magnetic resonance and helical computerized tomography angiography

    Auffrau-Calvier, E.; Kersaint-Gilly, A. de; Desal, H.A.; Viarouge, M.P.; Havet, T.

    1996-01-01

    The aim of this work is to ascertain the role of the magnetic resonance angiography (MRA) and to compare it with the Doppler effect, the X-ray angiography and the new method of helical computerized tomography. Seventy one carotid bifurcations in 37 patients with suspected cerebral vascular events has been evaluated with the MRA and digitalized angiography, the reference method. The obtained data corroborate the good results proposed by other authors reporting in the literature and allow to propose this examination as a new means of investigating carotid bifurcations. Work with the helical computerized tomography appears to be promising too but there are few reported series. Therefore, there appears to be two interesting points: the reliability of distinguishing between very severe stenosis and occlusion, and the fine-tuned analysis of the plaque with detection of ulcerations. When a consistent approach is used to the evaluation of the carotid bifurcation, the Willis circle and the cerebral parenchyma, the MRA can complete the Doppler echo data and the preoperative arteriography can only be used in patients when the MRA and the Doppler echo results disagree. (authors)

  2. The application of computerized tomography in the diagnosis of renal diseases

    Rzymski, K.

    1980-01-01

    The purpose of the report is presentation of the experiences collected in the diagnosis of renal changes obtained by means of computerized tomography after application of this method in 800 examinations of the abdominal cavity. In 88 cases the examination was performed because of diagnosed or supposed renal disease. The examination was done using an EMI Medical CT 5005/2 whole-body scanner. In the group of 88 cases in 22 unilateral or bilateral hydronephros was diagnosed, in 16 cases single cysts were demonstrated in the kidneys, in 5 polycystic renal disease, in 9 malignant neoplasms and in 11 nephrosclerosis were found. Besides that, atrophic kidneys were recognized and patients were examined after nepherctomy carried out for neoplasm. The final diagnosis was based on surgical, autopsy, angiographic and clinical findings. Computerized tomography of the kidneys is important mainly as a method supplementing traditional methods of examination of the kidneys. The main indication to the use of this method as the first radiological examination of the kidneys is in search for the cause of morphological renal failure, so called ''dumb kidney'' in urography, and in search for retroperitoneal metastases and recurrences after operations of renal neoplasms. In all other circumstances it should be accepted as a rule to begin renal examination with plain-film taking and intravenous urography, which methods together with other classic radiological methods make possible recognition of the causes of renal diseases in most cases. (author)

  3. Spontaneous intracerebral haematomas - the influence of computerized tomography on the results of surgery

    Kolodziejczyk, D.

    1981-01-01

    The report covers 30 patients of 10 to 74 years of age who has hard spontaneous intracerebral haematomas in the time from 1975 to 1980 and had been operated on after diagnosing by means of computerized tomography. The total mortality rate was 40% and was not significantly different from the total operative result obtained by other authors in the CT-period, but it compares poor to the pre-CT-aera. This deterioration despite improved diagnoses might be an effect of computerized tomography on the operating surgeon. Out of 18 survivors, 8 were completely healed. 4 patients kept some neurological symptoms, but could manage everyday life on their own. 6 patients kept serious neurological defects needing care. The influence of neurological-clinical parameters on the final operation result hasn't lost its importance in the CT-aera. The value of CT for the therapy of intracerebral haematomas lies in course control which often justifies a conservative proceeding with good absorption tendency taking into consideration the clinical-neurological picture, despite the persistence of growing and displacing processes. (orig./MG) [de

  4. Hemangioma colorretal Colon rectal hemangioma

    João Batista Pinheiro Barreto

    2007-06-01

    Full Text Available O hemangioma colorretal (HCR é uma lesão vascular benigna rara, com manifestação clínica geralmente entre 5 e 25 anos de idade. Faz parte do diagnóstico diferencial das causas de hemorragia digestiva baixa, sendo confundido, na maioria das vezes, com entidades mais comuns, como hemorróidas e doenças inflamatórias intestinais. O retardo do diagnóstico ocorre freqüentemente devido ao desconhecimento da doença, com taxas de mortalidade alcançando 40 a 50% na presença de sangramento importante. O caso relatado é de uma paciente de 17 anos de idade, admitida no Serviço de Colo-proctologia do Hospital Universitário - HUUFMA, em setembro de 2005, com anemia e sangramento retal, desde a infância, de forma intermitente e não dolorosa. Apresentado sua história clínica e propedêutica diagnóstica, realizada por meio de exames laboratoriais, endoscopia digestiva alta, colonoscopia e arteriografia de mesentéricas e ilíacas internas. O tratamento cirúrgico realizado foi retossigmoidectomia convencional com anastomose colorretal baixa, com boa evolução pós-operatória, tendo o exame histopatológico da peça cirúrgica ressecada, confirmado o diagnostico.The colon and rectum hemangioma is a rare benign vascular lesion, with clinical features usually between 5 and 25 years of age. It is included in the differential diagnose of the lower digestive bleeding causes, and has been frequently misdiagnosed with other more common entities, like hemorrhoids and bowel inflammatory disease. The late diagnose occurs usually because of the rarity of the disease, with mortality rates reaching 40 to 50% in presence of severe bleeding. We report a case of a 17 years old girl who was admitted at the Coloproctology Service of the Academic Hospital - HUUFMA, in September 2005, with anemia and intermittent rectal bleeding since childhood. Laboratorial findings included laboratorial exams, GI endoscopy, colonoscopy and arteriography of mesenteric and

  5. Density evaluation by computerized tomography in plain soils over different manipulation systems; Avaliacao da densidade pelo metodo da tomografia computadorizada de um planossolo sob diferentes sistemas de manejo

    Pedrotti, Alceu [Lavras Univ., MG (Brazil). Dept. de Ciencia do Solo; Pauletto, Eloy Antonio [Pelotas Univ., RS (Brazil). Dept. de Solos; Crestana, Silvio [Empresa Brasileira de Pesquisa Agropecuaria (EMBRAPA), Sao Carlos, SP (Brazil). Centro Nacional de Pesquisa e Desenvolvimento de Instrumentacao Agropecuaria (CNPDIA)

    1996-08-01

    The objective of this paper is the evaluation of a plain soil density in different culture systems determined by X ray computerized tomography.It was observed a larger variation in densities in soils profiles analysed. The identification of layers is better utilising computerized tomography than others technic 1 fig.

  6. Value of conventional tomography and computerized tomography in therapy resistant affections of the nasal sinuses

    Rieden, K.; Frey, M.; Mayer, B.

    1986-01-01

    The informational value of conventional tomography as primary diagnostic method is pointed out in diseases of nasal sinuses resistant to therapy. 5 cases demonstrate the additional information gained by CT-differentiation of soft tissue structures, intraorbital and intracranial expansion. In 78.4% of the examined group of 51 patients conventional tomography allowed the diagnosis of a process limited to the nasal sinuses, further evidence by CT could be omitted. In 11 patients examined by CT additionally, the expansion of the process was defined more precisely and the assumed intraorbital and intracranial growth confirmed. (orig.) [de

  7. Accurately Diagnosing Uric Acid Stones from Conventional Computerized Tomography Imaging: Development and Preliminary Assessment of a Pixel Mapping Software.

    Ganesan, Vishnu; De, Shubha; Shkumat, Nicholas; Marchini, Giovanni; Monga, Manoj

    2018-02-01

    Preoperative determination of uric acid stones from computerized tomography imaging would be of tremendous clinical use. We sought to design a software algorithm that could apply data from noncontrast computerized tomography to predict the presence of uric acid stones. Patients with pure uric acid and calcium oxalate stones were identified from our stone registry. Only stones greater than 4 mm which were clearly traceable from initial computerized tomography to final composition were included in analysis. A semiautomated computer algorithm was used to process image data. Average and maximum HU, eccentricity (deviation from a circle) and kurtosis (peakedness vs flatness) were automatically generated. These parameters were examined in several mathematical models to predict the presence of uric acid stones. A total of 100 patients, of whom 52 had calcium oxalate and 48 had uric acid stones, were included in the final analysis. Uric acid stones were significantly larger (12.2 vs 9.0 mm, p = 0.03) but calcium oxalate stones had higher mean attenuation (457 vs 315 HU, p = 0.001) and maximum attenuation (918 vs 553 HU, p uric acid stones. A combination of stone size, attenuation intensity and attenuation pattern from conventional computerized tomography can distinguish uric acid stones from calcium oxalate stones with high sensitivity and specificity. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  8. Computerized tomography of the brain and associated risk factors in 240 patients iwth reversible cerebral ischemic attacks (RIAs)

    Bozzao, L.; Fantozzi, L.M.; Carolei, A.; Pappata, S.; Vesentini, G.; Allori, L.; Rasura, M.; Fieschi, C.

    1985-01-01

    The frequency and distribution of focal low density cerebral ischemic lesions in RIA patients with regard to factors as age at onset, number and temporal profile of the reversible cerebral ischemic events on admission, presence of associated medical conditions such as hypertension and diabetes mellitus, have been investigated with computerized tomography of the brain. (author). 7 refs.; 1 tab

  9. Alterations found with computerized tomography in newly diagnosed type 2 diabetics

    Bruna, J.

    1989-01-01

    In 28 newly diagnosed type 2 diabetic patients (insulin-independent), computerized tomography (CT) was used to determine the density of the pancreas and the kidneys, densities of the liver, spleen and blood in the abdominal aorta, and to investigate pathological changes in the tissues mentioned above. The results were correlated with laboratory findings. The following changes were found: decreased density of the pancreas (29.4 H) and the liver (49.1 H) and increased density of the spleen (56.3 H) and blood in the abdominal aorta (43.7 H). The decreased density of the pancreas appears to be connected with disorders of lipoprotein metabolism. The decreased liver density was related to increased energy intake by food and to overweight evaluated by Broc's index. Other CT findings in the newly diagnosed type 2 diabetics (changes in the size of the pancreas, and kidneys, kidney cysts, nephrolithiasis, sclerotic plaques on aorta) were not significant. (author). 2 tabs., 11 refs

  10. Intellectual function, activities of daily living and computerized tomography of the brain in geriatric demented patients

    Omura, Fumiaki; Ogura, Chikara; Kishimoto, Akira; Okubo, Masayo; Imamoto, Atsushi [Tottori Univ., Yonago (Japan). School of Medicine; Tsuchie, Harutaka; Sugihara, Kanichiro; Fujii, Shozo

    1984-09-01

    Thirty eight patients of geriatric dementia (mean age 74.9 years) were examined by computerized tomography (CT) and their intellectual functions and activities of daily living (ADL) were evaluated. CT was evaluated by both visual assessment method and direct measuring method. Intellectual function was evaluated by Jikei University dementia rating scale. ADL was evaluated by both Hasegawa's rating scale and Sengoku's rating scale. Results were as follows: significant influence by age was observed in intellectual functions and ADL of subjects above 75 years old. There were good correlations between the higher intellectual function, the better grooming and hygiene, and less needs of nursing care. The severe brain atrophy evaluated by the visual assessment method was correlated with the depressed level of intellectual function. When brain atrophy is mild despite high degree of dementia, reexamination should be made to explore somatic diseases inducing depression of mental activity. It also should be noted that sex and age difference is important in studying geriatric patients.

  11. Computerized axial tomography of the chest for visualization of ''absent'' pulmonary arteries

    Sondheimer, H.M.; Oliphant, M.; Schneider, B.; Kavey, R.E.W.; Blackman, M.S.; Parker, F.B. Jr.

    1982-01-01

    To expand the search for central pulmonary arteries in six patients with absence of cardiac-pulmonary continuity, computerized axial tomography (CAT) of the chest was performed. The CAT scans were compared with previous arteriograms and pulmonary vein wedge angiograms. Three patients with type IV truncus arteriosus were studied, and none had a central, right or left pulmonary artery on CAT scan. However, two patients with tetralogy of Fallot with pulmonary atresia and a patent ductus arteriosus to the right lung demonstrated the presence of a left pulmonary artery. In addition, one child with truncus arteriosus with ''absent'' left pulmonary artery demonstrated a left pulmonary artery on the CAT scan. The CAT scan may therefore enhance our ability to search for disconnected pulmonary arteries in children with complex cyanotic congenital heart disease

  12. Proposal for dose measurement in the crystalline lens and thyroid in computerized tomography of paranasal sinuses

    Mello, Ana Caroline; Machado Neto, Vicente

    2014-01-01

    With the evolution of diagnostic imaging equipment, a computerized tomography (CT) has become one of the most used tests to assess pathologies affecting the paranasal sinuses. This work aims at presenting a method of obtaining measurements of dose in the eye lenses and thyroid, from the execution of CT of the paranasal sinuses protocol. Experimental procedure will be used in an object simulator (phantom) head and neck made with accessible materials and thermoluminescent dosimeters (TLDs) of LiF: Mg,Ti for the absorbed dose in the regions of interest, when exposed to radiation in a CT scanner 16 channels. After the dosimetric evaluation with phantom use, this methodology will be applied in vivo, or in patients with medical request for the examination and approval by the Ethics Committee. Thus, at the end of this survey protocols and actions aimed at reducing the absorbed dose in the eye lenses and thyroid without impairing the diagnostic image quality can be proposed. (author)

  13. Epiploic appendicitis and omental infarction. Findings in the ultrasonography and computerized tomography

    Migule, A.; Ripolles, T.; Martinez, M. J.; Morote, V.; Ruiz, A.

    2001-01-01

    Describe the findings in the ultrasonography and computerized tomography (CT) of the omental infarction and epiploic appendicitis. The clinical and radiological findings of the patients diagnosed in our hospital with epiploic appendicitis or omental infarctions between August 1994 and March 2001 were assessed retrospectively. We found a high incidence (42 cases) of these two diseases: 30 patients with diagnosis of epiploic appendicitis and 12 with the diagnosis of omental infarction. Four patients were treated surgically, while the remaining 38 were conservatively, without posterior complications. The ultrasonography and CT images is characteristics. making it possible to make a diagnosis of epiploic appendicitis or omental infarction with certainty. It is not necessary to make a differential diagnosis between the two entities because their prognosis and treatment are similar. Their incidence is much more frequent than that previously published. (Author) 19 refs

  14. Materials testing by computerized tomography with neutrons and gamma-rays

    El-Ghobary, A M; Bakkoush, F A; Megahid, R M [Reactor and Neutron Physics Department, Nuclear Research Center, A.E.A., Cairo (Egypt)

    1997-12-31

    The method of computerized tomography by fast neutrons and gamma-rays are used for inspecting and testing of materials by non-destructive technique. The transmission technique was applied using narrow collimated beams of reactor neutrons and gamma-ray. The neutron and gamma-rays transmitted through the object inspection were measured by means of a neutron gamma detector with Ne - 213 liquid organic scintillator. The undesired pulses of neutrons or gamma-rays are rejected from the transmitted beam by a discrimination technique based on the difference in the decay part of light pulse produced by recoil electrons or recoil protons. The transmitted neutrons or gamma-rays for different projections used to get the image of the section through the object investigated using the method of filtered back projection (FBP) algorithm. 8 figs.

  15. Characterization of filters and filtration process using X-ray computerized tomography

    Maschio, Celio; Arruda, Antonio Celso Fonseca de

    1999-01-01

    The objective of this work is to present the potential of X-Ray computerized tomography as a tool for internal characterization of filters used in the solid-liquid separation, mainly the water filters. Cartridge filters (for industrial and domestic applications) contaminated with glass beads were used. The scanning process was carried out both with and without contaminant in the filter to compare the attenuation coefficient of the clean filter and the contaminated filter. The images showed that is possible the mapping the internal structure of the filters and the distribution of the contaminant, permitting a local analysis, that is not possible through the standard tests used by the manufactures. These standard tests reveal only global characteristics of the filter media. The possibility of application for manufacturing process control was also shown, because the non invasive nature is a important advantage of the technique, which also permitted damage detection in filters submitted to severe operational conditions. (author)

  16. Dose evaluation in diagnostic for computerized tomography; Evaluacion de dosis en diagnostico por tomografia computarizada

    Flores, W.; Borges, J.C.; Mota, H. [Universidad Federal de Rio de Janeiro, PEN/COPPE/UFRJ. Caixa Postal 68509. 21945-970 Rio de Janeiro (Brazil)

    1998-12-31

    The patients which are subjected to computerized tomography tests are exposed to relatively high doses given as result doses on organs that are not matter to test. It was realized a dose levels raising in patients subjected to tests by T C, utilizing to measure this magnitude, TLD-100 thermoluminescent dosemeters which were put directly on the patient, in eye regions, thyroid, breast and navel; founding doses fluctuating between 29.10-49.39 mGy in organs examined and dose values between 0.21-29.10 mGy for organs that no matter to test. The applications of ionizing radiations in medicine do not have dose limits, but paying attention to the radiological protection optimization principle, it is recommended the use of clothes to anti-rays protection for zones not examined, getting with this to reduce the level doses as low as possible, without this to diminish the test quality. (Author)

  17. Development of direct observation aparatus of coal carbonization process by x-ray computerized tomography method

    Sakawa, Mitsuhiro; Shiraishi, Katsuhiko; Sakurai, Yoshihisa; Shimomura, Yasuto

    1987-01-01

    Coke production by chamber ovens has a long history and efforts are being continued to make the manufacturing process efficient and to preserve the environment. In this production by this method, however, it is hardly possible to obtain direct information during coal carbonization. Since the elements that compose coal and coke are carbon, hydrogen, oxygen, etc. and are similar to those of the human body, authors has developed a coke oven that permits the direct observation of the coal carbonization process using a soft X-ray computerized tomography (CT) apparatus used in medical treatment. The following phenomena can be observed as images by the coke oven for the CT method : 1) Changes in the bulk density of charge coal (including the difference in the water content), 2) Width of the plastic layer and movement of the plastic layer in the coke oven chamber, 3) Expansion and shrinkage of the charge in the coke oven chamber, 4) Initiation and growth of cracks. (author)

  18. Clinical, endocrinological, and computerized tomography scans for symmetrical calcification of the basal ganglia

    Goldscheider, H.G.; Lischewski, R.; Claus, D.; Streibl, W.; Waiblinger, G.; Ulm Univ., Schwendi/Dietenbronn; Ulm Univ.

    1980-01-01

    Symmetrical calcification of the basal ganglia was found in 2 promille of 8000 computerized tomography (CT) scans. Of 19 cases, only 2 were detectable on conventional skull films. The less prominent calcifications were most often found in the region of the pallidum, the knee of the internal capsule. Also, the lesions were generally symmetrical. Thus these factors must be considered basic morphological characteristics of the pathophysiological process. Additional neurological disorders were present in 6 patients. Neurological symptoms in the remaining 13, when present, depended on the extent of the lesion. The most common finding was tremor, although disturbances of fine motor control, transient lateralizing signs, and seizures were also noted. No particular constellation of symptoms or signs permitted accurate clinical localization of the lesions. (orig./AJ) [de

  19. Computerized tomography diagnosis of cartilage destruction in carcinoma of the larynx

    Kawashima, Osamu; Tomizawa, Yoshio; Yasuoka, Yoshihito; Kamei, Tamio

    1991-01-01

    In 20 cases of laryngeal carcinoma, the pre-operative computerized tomography (CT) films were correlated with the macroscopic appearance of specimens obtained at the time of surgery. A correct diagnosis of cartilage destruction was made by pre-operative CT in 75% of cases in which the thyroid cartilage was involved and in about 79% of those with either arytenoid or cricoid cartilage involvement. A comparison between the pathological findings and the pre-operative CT findings in 9 cases of laryngeal carcinoma with destruction of the thyroid cartilage revealed several pathological changes which may lead to an incorrect CT diagnosis. These changes include microscopic infiltration; destruction of cartilage at the anterior commisure; tumor advance to sites of ossification, especially infiltration into ossifying cartilage located between two areas of non-ossifying cartilage; and infiltration of the tumor within the cartilage with preservation of the perichondrium. (author)

  20. Value of intravenous injection of contrast media for computerized tomography of the thorax

    Beyer-Enke, S.A.; Goerich, J.; Mueller, M.; Kaick, G. van; Tuengerthal, S.

    1988-01-01

    107 patients with thoracal or mediastinal growths underwent computerized tomography of the thorax both in normal condition and after receiving intravenous applications of non-ionic X-ray contrast media. The additional information obtained by use of contrast media was established in relation to the histological findings. The method led to enhanced demarcation of the tumor of the mediastinum or hilus in 40% of the patients. Tumor perfusion was helpful in 20% of the cases for differential diagnosis. Vessel infiltrations or abnormal conditions were found in about 30% of patients. 24% of the tests yielded no additional information. Analysing CT as compared to the histological examination of lymph nodes proved CT under normal conditions to be a sensitive method in 29% of cases if the hilus was the site of the tumor; contrast media raised this sensitivity to 43%. In the mediastinal area, sensitivity was 44% without and 56% with contrast media. (orig.) [de

  1. Value of the computerized axial tomography for early diagnosis of cranio cerebral trauma

    Rodriguez Cheong, Maricel; Dosouto Infante, Vivian; Rosales Fargie, Yamile

    2010-01-01

    A descriptive and cross-sectional study was conducted in 62 patients with cranio cerebral trauma admitted to 'Saturnino Lora' Provincial Teaching Hospital of Santiago de Cuba, from January 2005 to May 2006, in whom computerized axial tomography indicated at the emergency room was performed with the purpose of evaluating the effectiveness of this radiographic technique for early diagnosis of the injury. In the case material there was neither association between the source and imaging results, nor between the age and sex. The main clinical manifestations were vomiting, headache and motor deficit as well as frontal location, intraparenchymatous hematoma (the latter as the most common image finding) and the hyperdense area as tomographic pattern. The survival was of 91,9%

  2. Analysis of risk in computerized tomography and other diagnostic radiology procedures

    Mossman, K.L.

    1982-01-01

    Medical practice entails continuous risks to the patient taken in good faith by the physician for the benefit of the patient. Risk of radiation induced cancer death approximates 10(-4) per cGy (rad). Assuming an average whole body dose of 0.1 cGy for many diagnostic X-ray procedures, the probability of radiation-induced cancer death is about 10(-5). The purpose of this paper is to compare the risks of common diagnostic X-ray procedures including computerized tomography (CT) with risks of smoking or automobile travel. Such comparisons should be constructive in putting radiation in perspective and facilitating explanation of risk/benefit to patients

  3. Computerized tomography. Fundamentals, equipment, image quality, applications. 2. rev. and enl. ed.

    Kalender, W.A.

    2006-01-01

    The book provides a clear and user-oriented outline of the theoretical and technical fundamentals of computerized tomography for a wide range of readers, from conventional CT to volume CT with conical beams. Image quality, its relevant influencing parameters and the performance factors to be observed for clinical application are discussed in detail, as are dose requirements, dose metering and dose reduction measures in CT. The second, revised edition contains updated information and also presents new technologies. A CD-ROM with attractive exemplary appications, animations and interactive exercises in image interpretation and manipulation is included. The book addresses everyone concerned with CT, either in their daily routine or even only every now and then, i.e. physicians, medical assistants, engineers, technicians and physicists. The book also contains a glossary of technical terms. (orig.)

  4. 3D observation of the solidified structures by x-ray micro computerized tomography

    Yasuda, Hideyuki; Ohnaka, Itsuo; Tsuchiyama, Akira; Nakano, Tsukasa; Uesugi, Kentaro

    2003-01-01

    The high flux density of the monochromatized and well-collimated X-ray and the high-resolution detector provide a new 3D observation tool for microstructures of metallic alloys and ceramics. The X-ray micro computerized tomography in BL47XU of SPring-8 (SP-μCT) was applied to observe microstructures produced through the eutectic reaction for Sn-based alloys and an Al 2 O 3 -Y 2 O 3 oxide system. The constituent phases in the eutectic structures were three-dimensionally identified, in which the lamellar spacing ranged from several to 10 μm. Since the 3D structure of the unidirectionally solidified specimens contains history of the eutectic structure formation, the 3D structure obtained by SP-μCT gives useful information to consider the microstructure evolution. (author)

  5. Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries

    Firooznia, H.; Rafii, M.; Golimbu, C.; Sokolow, J.

    1983-01-01

    Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiography detected four cases of pelvic osteomyelitis. CT detected eight additional cases of pelvic osteomyelitis, as well as eight clinically unsuspected peripelvic and intrapelvic abscesses. Technetium-99m bone scanning was not very helpful because of localization in chronic proliferative changes of bone and widespread foci of myositis ossificans, as well as in osteomyelitis. Gallium-67 scanning detected only one of six abscesses. It was not very helpful because of confusion of abscess and osteomyelitis with intense soft tissue swelling and cellulitis, which are often associated with pressure sores in patients with chronic SCI. CT was found to be, by far, the modality of choice for detection of pelvic osteomyelitis and abscess in patients with SCI

  6. Quantitative computerized tomography for staging and follow up of patients with prostatic cancer

    Golimbu, C.; Golimbu, M.; Firooznia, H.; Rafii, M.; Morales, P.

    1987-01-01

    Prostate carcinoma has propensity to metastasize to skeleton, most frequently affecting the lumbar spine. The isotope bone scan and serum prostatic acid phosphatase (PAP) have been considered most reliable in documenting cancer spread. However, the former has been shown to have low specificity, and the latter was found to be increased in patients with localized disease or normal in patients with proven metastases. In a previous study of a group of patients at risk of having metastatic bone involvement, albeit not revealed by standard methods, the authors demonstrated the ability of quantitative computerized tomography (QCT) to depict early stages of bone metastases (Golimbu et. al., 1986). They also demonstrated its usefulness in assessing the response to treatment. The authors extended their study to further evaluate the accuracy of QCT in comparison with Tc99m bone scan and serum PAP for early detection of bone metastases and for quantitation of metastatic bone lesions response to therapy

  7. Muscle area and muscle density of osteoarthritis of the knee joint studied by computerized tomography

    Suzuki, Nobuharu; Onosawa, Toshihiro; Shibata, Minoru; Yamashita, Izumi; Yoshimura, Shinichiro; Muraoka, Shunichi; Asano, Akira

    1985-01-01

    In order to investigate the etiology and pathology of osteoarthritis of the knee joints (OA), the areas and density of the muscle 10 cm above the knee were compared using computerized tomography (CT) in 26 knees from 19 normal persons, 30 knees from 17 patients with OA, and 14 knees from 7 patients with rheumatoid arthritis. The areas of the quadriceps musculi of thigh were remarkably decreased and the areas of the flexor musculi were comparatively maintained in the patients with OA. Muscle density was markedly lowered in the musculi semimembranosus and biceps femoris long head. Fatty tissues were seen in the whole area of the venter on CT in some of the patients with OA. These findings are considered to be of major importance when studying the etiology of OA. (Namekawa, K.)

  8. Renal calyceal anatomy characterization with 3-dimensional in vivo computerized tomography imaging.

    Miller, Joe; Durack, Jeremy C; Sorensen, Mathew D; Wang, James H; Stoller, Marshall L

    2013-02-01

    Calyceal selection for percutaneous renal access is critical for safe, effective performance of percutaneous nephrolithotomy. Available anatomical evidence is contradictory and incomplete. We present detailed renal calyceal anatomy obtained from in vivo 3-dimentional computerized tomography renderings. A total of 60 computerized tomography urograms were randomly selected. The renal collecting system was isolated and 3-dimensional renderings were constructed. The primary plane of each calyceal group of 100 kidneys was determined. A coronal maximum intensity projection was used for simulated percutaneous access. The most inferior calyx was designated calyx 1. Moving superiorly, the subsequent calyces were designated calyx 2 and, when present, calyx 3. The surface rendering was rotated to assess the primary plane of the calyceal group and the orientation of the select calyx. The primary plane of the upper pole calyceal group was mediolateral in 95% of kidneys and the primary plane of the lower pole calyceal group was anteroposterior in 95%. Calyx 2 was chosen in 90 of 97 simulations and it was appropriate in 92%. Calyx 3 was chosen in 7 simulations but it was appropriate in only 57%. Calyx 1 was not selected in any simulation and it was anteriorly oriented in 75% of kidneys. Appropriate lower pole calyceal access can be reliably accomplished with an understanding of the anatomical relationship between individual calyceal orientation and the primary plane of the calyceal group. Calyx 2 is most often appropriate for accessing the anteroposterior primary plane of the lower pole. Calyx 1 is most commonly oriented anterior. Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  9. Evaluation of the normal thoracic and abdominal aorta diameters by computerized tomography

    Lucarelli, Claudio Luiz

    1995-01-01

    The study was undertaken to evaluate, through computerized tomography, the diameters of the normal thoracic and abdominal aorta, as well as they are connected to gender, age and body surface area; and the ratio between measurements obtained at the ascending and descending limbs of the thoracic aorta, and between the abdominal aortic diameters. For that reason, we measured the widest anteroposterior diameters of the thoracic aortas at the levels of the arch, the root, the pulmonary artery, and the thoracic-abdominal transition, as well as the level of the emergence of the superior mesenteric artery, of the renal hila and just cephalad to the bifurcation of the abdominal aortas of 350 patients without cardiovascular diseases who had undergone computerized tomography of the thorax and/or abdomen for any other reasons. Observation and statistic analyses led us to conclude that: 1) both the thoracic and abdominal aortic diameters are reduced from their proximal to their distal portions; 2) the body surface influences the size of the aorta, although only extreme variations alter the vessel's caliber; 3) vessel diameter was observed to gradually increase with age; 4) men were found to have larger diameters than age matched women; 5) the ratio between the ascending and descending aortic diameters varies according to gender and age; 6) the relations between abdominal aortic diameters measured at the level of renal hila and cephalad to the bifurcation are independent from gender and age. But the relation between those measured at the level of the superior mesenteric artery and cephalad to the bifurcation are linked to gender, but not to age. (author)

  10. Contrast Dose and Radiation Dose Reduction in Abdominal Enhanced Computerized Tomography Scans with Single-phase Dual-energy Spectral Computerized Tomography Mode for Children with Solid Tumors.

    Yu, Tong; Gao, Jun; Liu, Zhi-Min; Zhang, Qi-Feng; Liu, Yong; Jiang, Ling; Peng, Yun

    2017-04-05

    Contrast dose and radiation dose reduction in computerized tomography (CT) scan for adult has been explored successfully, but there have been few studies on the application of low-concentration contrast in pediatric abdominal CT examinations. This was a feasibility study on the use of dual-energy spectral imaging and adaptive statistical iterative reconstruction (ASiR) for the reduction of radiation dose and iodine contrast dose in pediatric abdominal CT patients with solid tumors. Forty-five patients with solid tumors who had initial CT (Group B) and follow-up CT (Group A) after chemotherapy were enrolled. The initial diagnostic CT scan (Group B) was performed using the standard two-phase enhanced CT with 320 mgI/ml concentration contrast, and the follow-up scan (Group A) was performed using a single-phase enhanced CT at 45 s after the beginning of the 270 mgI/ml contrast injection using spectral mode. Forty percent ASiR was used for the images in Group B and monochromatic images with energy levels ≥60 keV in Group A. In addition, filtered back-projection (FBP) reconstruction was used for monochromatic images hounsfield unit (HU). The abdominal organs of Groups A and B had similar degrees of absolute and relative enhancement (t = 0.36 and -1.716 for liver, -0.153 and -1.546 for pancreas, and 2.427 and 0.866 for renal cortex, all P> 0.05). Signal-to-noise ratio of the abdominal organs was significantly lower in Group A than in Group B (t = -8.11 for liver, -7.83 for pancreas, and -5.38 for renal cortex, all P 3, indicating clinically acceptable image quality. Single-phase, dual-energy spectral CT used for children with solid abdominal tumors can reduce contrast dose and radiation dose and can also maintain clinically acceptable image quality.

  11. Intracerebral Capillary Hemangioma: A Case Report

    Youn, In Young; Kim, Jae Kyun; Byun, Jun Soo [Dept. of Radiology, Chung Ang University Medical Center, Chung Ang University College of Medicine, Seoul (Korea, Republic of); Park, Eon Sub [Dept. of Radiology, Chung Ang University Medical Center, Chung Ang University College of Medicine, Seoul (Korea, Republic of)

    2012-01-15

    Intracerebral capillary hemangiomas are very rare benign vascular tumors that mostly occur during infancy. We described a 69-year-old man with generalized tonic-clonic seizures who was diagnosed with an intracranial mass. Multidetector computed tomography, magnetic resonance imaging and digital subtraction angiography studies were performed for evaluation of brain, and there was a well-enhancing mass found in the right temporal lobe without a definite feeding vessel. The patient underwent surgery and the pathologic examination demonstrated marked proliferation of small vessels with a lobular pattern in the brain parenchyma, which was confirmed to be capillary hemangioma.

  12. Detection of lymph node metastasis in patients with nodal prostate cancer relapse using (18)F/(11)C-choline positron emission tomography/computerized tomography.

    Jilg, Cordula A; Schultze-Seemann, Wolfgang; Drendel, Vanessa; Vach, Werner; Wieser, Gesche; Krauss, Tobias; Jandausch, Anett; Hölz, Stefanie; Henne, Karl; Reske, Sven N; Grosu, Anca-L; Weber, Wolfgang A; Rischke, H Christian

    2014-07-01

    We evaluated the diagnostic accuracy of choline positron emission tomography/computerized tomography for nodal relapse of prostate cancer according to topographical site and tumor infiltration size in lymph nodes. A total of 72 patients with nodal prostate cancer relapse after primary therapy underwent pelvic and/or retroperitoneal salvage lymph node dissection. Salvage was done after whole body positron emission tomography/computerized tomography with (11)C-choline or (18)F-fluoroethylcholine showed positron emission tomography positive lymph nodes but no other detectable metastasis. Diagnostic accuracy was evaluated in 160 dissected lymph node regions (pelvic left/right and retroperitoneal), 498 subregions (common, external and internal iliac, obturator, presacral, aortic bifurcation, aortal, vena caval and interaortocaval) and 2,122 lymph nodes. Lymph node metastasis was present in 32% of resected lymph nodes (681 of 2,122), resulting in 238 positive subregions and 111 positive regions. Positron emission tomography/computerized tomography was positive for 110 regions and 209 subregions. Sensitivity, specificity, positive and negative predictive values, and accuracy were 91.9%, 83.7%, 92.7%, 82.0% and 89.4% (region based), 80.7%, 93.5%, 91.9%, 84.1% and 87.3% (subregion based), and 57.0%, 98.4%, 94.5%, 82.6% and 84.9% (lesion based), respectively. Of 393 positive lymph node metastases detected by this method 278 (70.7%) were in lymph nodes with a less than 10 mm short axis diameter. Imaging sensitivity was 13.3%, 57.4% and 82.8% for a tumor infiltration depth of 2 or greater to less than 3 mm, 5 or greater to less than 6 mm and 10 or greater to less than 11 mm, respectively. Lymph node metastasis site and the radiotracer ((11)C-choline/(18)F-fluoroethylcholine) had no substantial impact on diagnostic accuracy. Choline positron emission tomography/computerized tomography detects affected lymph node regions (pelvic left/right and retroperitoneal) in patients with

  13. Analysis of the percentage voids of test and field specimens using computerized tomography

    Braz, D.; Lopes, R.T.; Motta, L.M.G. da

    1999-01-01

    Computerized tomography has been an excellent tool of analysis of asphaltics mixtures, because it allows comparison of the quality and integrity of test and field specimens. It was required to detect and follow the evolution of cracks, when these mixtures were submitted to fatigue tests, and also helping to interpret the distribution of tensions and deformations which occur in the several types of solicitations imposed to the mixtures. Comparing the medium values of percentage voids obtained from tomographic images with the project's values, it can be observed that the values of test and field specimens for the wearing course are closer to the ones of the project than the ones of the binder. It can be verified that the wearing course specimens always present a distribution of the aggregate, and voids quite homogeneously in the whole profile of the sample, while the binder specimens show an accentuated differentiation of the same factors in the several heights of the sample. Therefore, when choosing a slice for tomography, these considerations should be taken into account

  14. Computerized tomography using high resolution X-ray imaging system with a microfocus source

    Zaprazny, Z.; Korytar, D.; Konopka, P.; Ac, V.; Bielecki, J.

    2011-01-01

    In recent years there is an effort to image an internal structure of an object by using not only conventional 2D X-ray radiography but also using high resolution 3D tomography which is based on reconstruction of multiple 2D projections at various angular positions of the object. We have previously reported [1] the development and basic parameters of a high resolution x-ray imaging system with a microfocus source. We report the recent progress using this high resolution X-ray laboratory system in this work. These first findings show that our system is particularly suitable for light weight and nonmetallic objects such as biological objects, plastics, wood, paper, etc. where phase contrast helps to increase the visibility of the finest structures of the object. Phase-contrast X-ray Computerized Tomography is of our special interest because it is an emerging imaging technique that can be implemented at third generation synchrotron radiation sources and also in laboratory conditions using a microfocus X-ray tube or beam conditioning optics. (authors)

  15. Determination of the initial energy in computerized tomography with proton beams

    Rocha, Rodrigo Luis da

    2007-01-01

    In earliest works devoted to proton computed tomography it was shown that the advantage of pCT image reconstruction appears when the energy is close to the Bragg peak region, since the proton passes the object. This effect provided by the Bragg peak makes the computerized tomography with protons possible. However, when decreasing the initial proton energy, with the increase of the irradiation dose, there are two effects that work simultaneously in opposite ways. First, the energy loss of a proton in an object becomes bigger at small initial energy. At the same time decreasing of the proton energy results in the increase of the energy straggling, requiring a larger number of protons. In this work the radiation dose dependence on the proton initial energy was studied using analytical formulas and computer simulations. The investigation determined that the radiation dose practically does not depend on the initial energy, except in the energy region very close to the minimum energy necessary to pass the object. (author)

  16. Diagnostic radiology for head and neck neoplasms with emphasis on computerized tomography

    Weber, A.L.; Manzione, J.V.

    1986-01-01

    The radiologic evaluation of head and neck neoplasms constitutes an important part in their diagnosis and treatment. The introduction of computerized tomography (CT) and the further development of this modality since 1972 have contributed significantly to the staging of these neoplasms. CT not only demonstrates soft tissue densities, but also bony structures, muscles, fascial planes, opacified vascular structures, and enlarged lymph nodes. CT, however, fails to differentiate the various histologic types of lesions in the majority of cases. Features such as size of the lesion, marginal definition, lytic bone destruction, sclerotic bony reaction, bony expansion, calcific densities, fat content, and obliteration of fascial planes are utilized to delimit the spectrum of diagnostic possibilities. Conventional films including tomography are also indicated as preliminary examinations in the investigation of head and neck neoplasms. They provide a survey of the abnormality in question and form the basis for special studies such as CT and angiography. They are often the first examination to demonstrate a lesion that may be suspected from the history and clinical examination. 13 refs.; 11 figs

  17. Evaluation of dosimetric techniques in positrons emission tomography and computerized tomography (PET/CT)

    Pinto, Gabriella Montezano

    2014-01-01

    Among diagnostic techniques PET/CT is one of those with the highest dose delivery to the patient as a cause of external exposure to X-rays, and the use of a radiopharmaceutical that results in a high energy gamma emission. The dosimetry of these two components becomes important in order to optimize and justify the technique. Various dosimetric techniques are found in literature without a consensus of the best to use. With the advances in technological and consequent equipment configuration changes, upgrades and variation in methodologies, particularly in computed tomography, a standardization of these techniques is required. Previous studies show that CT is responsible for 70 % of the dose delivered to the patient in PET/CT examinations. Thus, many researchers have been focused on CT dose optimization protocols studies. This work analyzes the doses involved in a PET/CT oncology protocol by using an Alderson female anthropomorphic phantom in a public hospital of Rio de Janeiro city. The dose estimate for PET examination resulting from the use of 18 F - FDG radiopharmaceutical was conducted through dose factors published in ICRP 106; the dose for CT was estimated and compared by calculation of the absorbed doses to patients according to four methods: thermoluminescent dosimetry (TL0100) distributed in critical organs of the Alderson phantom; measurements of CTOI according to AAPM number 96; correction factor for effective diameter SSOE (AAPM Number 204); and simulation by ImPACT program For CT, the results in terms of effective dose presented (TLO, CTOI and ImPACT) ± 5 % maximum variations between methodologies. Considering medium absorbed dose (TLO, SSOE and ImPACT) the results differed in ± 7 % from each other. These findings demonstrate that parameters provided by the manufacturer on the console can be used to have a primary approach of both, absorbed and effective doses to the patient since that a quality assurance program of these parameters are adopted in

  18. Novel Application of Micro-Computerized Tomography for Morphologic Characterization of the Murine Penis.

    O'Neill, Marisol; Huang, Gene O; Lamb, Dolores J

    2017-12-01

    The murine penis model has enriched our understanding of anomalous penile development. The morphologic characterization of the murine penis using conventional serial sectioning methods is labor intensive and prone to errors. To develop a novel application of micro-computerized tomography (micro-CT) with iodine staining for rapid, non-destructive morphologic study of murine penis structure. Penises were dissected from 10 adult wild-type mice and imaged using micro-CT with iodine staining. Images were acquired at 5-μm spatial resolution on a Bruker SkyScan 1272 micro-CT system. After images were acquired, the specimens were washed of any remaining iodine and embedded in paraffin for conventional histologic examination. Histologic and micro-CT measurements for all specimens were made by 2 independent observers. Measurements of penile structures were made on virtual micro-CT sections and histologic slides. The Lin concordance correlation coefficient demonstrated almost perfect strength of agreement for interobserver variability for histologic section (0.9995, 95% CI = 0.9990-0.9997) and micro-CT section (0.9982, 95% CI = 0.9963-0.9991) measurements. Bland-Altman analysis for agreement between the 2 modalities of measurement demonstrated mean differences of -0.029, 0.022, and -0.068 mm for male urogenital mating protuberance, baculum, and penile glans length, respectively. There did not appear to be a bias for overestimation or underestimation of measured lengths and limits of agreement were narrow. The enhanced ability offered by micro-CT to phenotype the murine penis has the potential to improve translational studies examining the molecular pathways contributing to anomalous penile development. The present study describes the first reported use of micro-CT with iodine staining for imaging the murine penis. Producing repeated histologic sections of identical orientation was limited by inherent imperfections in mounting and tissue sectioning, but this was

  19. Breast hemangioma mimicking metastasis at PET-CT

    Vieira, Sabas Carlos [Universidade Federal do Piaui (UFPI), Teresina, PI (Brazil). Fac. de Medicina; Silva, Jucelia Saraiva e [MedImagem, Teresina, PI (Brazil). Clinica Medica; Madeira, Eveline Brandao; Franca, Julio Cesar Queiroz de; Martins Filho, Sebastiao Nunes [Universidade Federal do Piaui (UFPI), Teresina, PI (Brazil)

    2011-11-15

    Breast hemangioma is a rare benign tumor that presents either absent or low {sup 18}F-fluoro-2-deoxy-D-glucose (FDG) uptake at positron emission tomography (PET). The authors report the case of a breast nodule pathologically compatible with hemangioma in a woman whose PET-scan has demonstrated increased FDG uptake (simulating a malignant tumor). A brief review of factors leading to false positive and false negative PET results is also undertaken. (author)

  20. Value of computerized tomography in the diagnosis of bone and musculoskeletal system tumors of the pelvis and extremities

    Langer, R.; Langer, M.

    1983-01-01

    49 cases of tumors of the musculoskeletal system of the pelvis and the extremities have been investigated by computerized tomography. The CT was performed only after conventional radiologic methods. The results are discussed and compared with those described in the literature. The advantages and disadvantages of CT of musculoskeletal disorders are discussed. We consider the CT to be of value in disorders of the musculoskeletal system, specially, if operative- or radiotherapy is planned. (orig.) [de

  1. Comparative evaluations of the results of common X-ray examinations and computerized tomography in patients with exogenous allergic alveolitis

    Khomenko, A.G.; Dmitrieva, L.I.; Khikkel', Kh.G.; Myuller, S.

    1989-01-01

    A correlative study of the results of x-ray examination using routine methods and computerized tomography (CT) was conducted to specify the roentgenomorphological substrate of changes in patients with exogenous allergic alveolitis. The established complex of routine methods is informative enough to interpret the revealed changes. However, at early stages CT helps to specify semiotics and permits obtaining additional information, particularly on quantitative, i.e. densitometric changes. In diffuse and disseminated pulmonary lesions CT can be used as an additional method

  2. Value of computerized tomography in the diagnosis of primary and recurrent pituitary gland tumors

    Imhof, H.; Kuester, W.; Eslami-Nejad, S.

    1979-01-01

    The results of cranial computerized tomography (CCT) of 33 patients with questionable space-occupying lesions in the sella-region are compared with clinical, radiological and surgical reports. Five pituitary gland tumors could be detected for the first time. Four of them are verified by surgery. In eight cases recurrent pituitary glant tumors are suspected. Surprisingly these tumors could be found by surgery only in three cases, while in the remaining five cases only scar-tissue was demonstrable. The high accuracy of CCT in the detection of pituitary gland tumors and the possibility to save the patient expensive and high invasive examinations as well, makes CCT in the presence of corresponding clinical signs to a diagnostic 'must'. It is undecided whether in the cases with possible recurrent tumors, there are real recurrent tumors, which could not be detected by surgery, or only scar tissue. In the latter case scar tissue and recurrent pituitary gland tumors are very similar with CCT. (orig.) 891 MG/orig. 892 CKA [de

  3. Measurement on the density resolution of industrial computerized tomography by using disc specimen with holes

    Tian, Y.; Gao, D.; Zhang, W.; Xia, Z.; Yang, C.

    2004-01-01

    Several ways mainly used for measuring the density resolution of industrial computerized tomography (ICT) are briefly introduced. Based on the equivalent conversion between volume variation and density variation, a kind of disc specimen with holes is designed to measure the density resolution of ICT. In this experiment, a kind of high quality polymethyl methacylate (PMMA) is selected to make specimens with diameter of 250mm, in which six sets of holes with diameter separately 0.5mm, 1.0mm, 1.5mm, 2.0mm, 2.5mm, and 3.0mm are distributed in the radial directions with interval of 60 o between two neighboring sets, and in the same set, the distances of holes departing the center of the specimen are respectively 20mm, 40mm, 60mm, 80mm, and 100mm. The experiment shows that the method is sensitive, simple, flexible, and practical. About 0.2% density resolution of region of interest (ROI) with diameter 20mm can be verified, the relationship between CT value of ROI and its position can be obtained, and at the same time the spatial resolution of ICT can be measured in high quality. (author)

  4. Indirect computerized tomography sign of chronic subdural hematoma demonstrated in the posterior fossa

    Machi, Takao; Fukui, Masashi; Maeyama, Ryutaro; Takaki, Tosuke; Yoshiura, Shogo; Kamoi, Itsuma

    1985-03-01

    In cases of chronic subdural hematoma (CSH), brain computerized tomography (CT) scans frequently disclose a low density band in the posterior fossa (LDBP) between the lateral margin of the cerebellum and the adjacent petrous bone/tentorium cerebelli. Out of 121 cases of CSH, 56 (46%) showed the LDBP. The LDBP was mostly ipsilateral to the side of the CSH or bilateral. The frequency of the LDBP had no correlation with the severity of the cerebral midline shift or the thickness of the hematoma. As normal controls, CT scans of 257 cases in which no organic lesions were detected were used. Also 30 cases with dementing diseases, 2 cases with spinocerebellar degeneration and 428 cases of other neurological diseases such as head trauma other than CSH, brain tumor, cerebrovascular disease etc. were studied as disease controls. The incidence of the LDBP in both controls was significantly lower than in CSH. Therefore, the LDBP in cases of CSH was considered to be a significant associated finding of CT scans. The mechanism of the LDBP is discussed.

  5. Computerized tomography of the otic capsule and otoliths in the oyster toadfish, Opsanus tau.

    Edds-Walton, Peggy L; Arruda, Julie; Fay, Richard R; Ketten, Darlene R

    2015-02-01

    The neurocranium of the toadfish (Opsanus tau) exhibits a distinct translucent region in the otic capsule (OC) that may have functional significance for the auditory pathway. This study used ultrahigh resolution computerized tomography (100 µm voxels) to compare the relative density of three sites along the OC (dorsolateral, midlateral, and ventromedial) and two reference sites (dorsal: supraoccipital crest; ventral: parasphenoid bone) in the neurocranium. Higher attenuation occurs where structural density is greater; thus, we compared the X-ray attenuations measured, which provided a measure of relative density. The maximum attenuation value was recorded for each of the five sites (x and y) on consecutive sections throughout the OC and for each of the three calcareous otoliths associated with the sensory maculae (lagena, saccule, and utricle) in the OC. All three otoliths had higher attenuations than any sites in the neurocranium. Both dorsal and ventral reference sites (supraoccipital crest and parasphenoid bone, respectively) had attenuation levels consistent with calcified bone and had relatively small, irregular variations along the length of the OC in all individuals. The lowest relative attenuations (lowest densities) occurred consistently at the three sites along the OC. In addition, the lowest attenuations measured along the OC occurred at the ventromedial site around the saccular otolith for all seven fish. The decrease in bone density along the OC is consistent with the hypothesis that there is a low-density channel in the skull to facilitate transmission of acoustic stimuli to the auditory endorgans of the ear. © 2014 Wiley Periodicals, Inc.

  6. Correlations between computerized tomography of the head and motor developmental disturbances of children with cerebral palsy

    Chen, Yu-Herng

    1981-01-01

    Two hundred and eighty-two children with cerebral palsy (C.P.) and thirty-seven normal children were studied by computerized tomography (C.T.) of the head for finding out the correlations between the organic damage of the brain and the motor developmental disturbance. The abnormal findings of C.T. were: enlargement of the ventricular system, high density area, low density area and porencephalus, enlargement of the sulcus and anomaly of the medial structure. Enlargement of the ventricular system seemed to have correlation with spasticity; the portion and the extent of the enlargement corresponded to the affected extremities and the severity of the spasticity. Children of other types also showed various abnormal C.T. findings but, in general, less than that of spastic types. The prognosis of the motor development of C.P. children cannot be predicted by serial C.T. examinations strictly, because early treatment could cause improvement to that of these children. However, it is of worthy notice that C.T. is an effective method of helping to diagnose the motor developmental disturbance in earlier childhood. (author)

  7. Pathogenesis of traumatic intracerebral hematoma with a sequential study of computerized tomography

    Ohmori, H; Miyazaki, S; Munekata, K; Fukushima, H [Hitachi General Hospital, Hitachi, Ibaraki (Japan); Shohji, A

    1981-04-01

    A sequential study with computerized tomography (CT scan) of two cases of traumatic intracerebral hematoma is reported. Case 1 was a 69-year-old man who had a head injury. The initial CT scan, taken 1 hour after his injury, showed a left temporal salt-and-pepper appearance, which proved to be a cerebral contusion. The CT scan 4.5 hours after his injury showed a left temporal high density area instead. An operation was performed, and a massive intracerebral hematoma was observed. Case 2 was a 61-year-old man who was also admitted because of a head injury. The initial CT scan, taken 1 hour after his injury, revealed several bifrontal intracerebral hemorrhagic spots in the low-density areas, suggesting contusion. A secondary CT scan (23 hours) demonstrated that the traumatic intracerebral hematoma had developed into a posttraumatic cerebral contusion. The operation disclosed a hematoma surrounded by contusion. These cases prove that traumatic intracerebral hematoma is often caused by cerebral contusion.

  8. Contribution of computerized tomography and nuclear magnetic resonance to the diagnosis of vascular dementia

    Gallois, P; Pruvo, J P

    1987-06-18

    Nuclear magnetic resonance (NMR) and computerized tomography (CT) have become indispensable to the exploration of patients with vascular dementia. NMR is remarkable for its innocuity, its anatomical accuracy, its sensitivity and the three-dimensional approach it offers. CT is less sensitive, but the examinations are shorter and less costly. These two techniques seem to be about equally effective in visualizing multiple infarcts, although NMR gives a better contrast. In dementia due to multiple infarcts, the bilateral cortical and subcortical lesions coexist with moderate cortical atrophy. The cerebral lacunae of lacunar dementia are better visualized by NMR; they are distributed on both sides, predominate in the frontal lobes and only produce slight cortical atrophy, less pronounced than ventricular dilatation. The main advantage of NMR is its high sensitivity in detecting early changes in the white matter, changes which are particularly perceptible in juxta- and peri-ventricular areas in arteriosclerous subcortical leucoencephalopathy. NMR, not very specific here, does not readily separate these lesions from those of other types of leucoencephalopathy. The finding of hypodense areas at CT or hypersignals at NMR (T2) around the ventricles may help in differentiating between vascular dementia, irrespective of its mechanism, and primary dementia.

  9. Evaluation for computerized axial tomography to three anthropomorphic methods to estimate the thigh muscle area

    Fernandez Vieitez, Jorge Alberto; Alvarez Cuesta, Jose Alberto; Williams Wilson, Luis

    2001-01-01

    Three anthropometric methods to estimate the thigh muscle area (TMA, cm) were evaluated. Seventeen young males were taken as a sample. The TMA was estimated by using the formulas of Gurney-Jellife, Jones-Pearson, Housh, and others. In the same place where the measurements of circumferences and skinfolds were made, the TAM was determined by computerized axial tomography. It was used as a reference criterion with which the anthropometric values were compared. The methods of Gurney-Jellife and Jones-Pearson significantly overestimated the TAM obtained by CAT (9.0 + - 12.8 cm 2 [4.4 %]; p = 0.01 and 22.0 + - 14.9 cm 2 [10.9 %]; p = 1.6 . 10-5, respectively), whereas that of Housh and others underestimated the values of CAT (-48.8 + - 11.7 cm 2 [24.1 %]; p = 9.4 . 10-12). The Gurney-Jellife equation was the only one that proved to be interchangeable with CAT, on obtaining a coefficient of correlation (r) and a slope of regression (b) for the difference and the average between both methods that were not statistically significant (r 0,421; b = 0,21 + - 0.12, p = 0.09). It was concluded that of the 3 studied anthropometric methods, the Gurney-Jellife method offers the most accurate TAM values

  10. Imagenological characterization by Computerized Axial Tomography of the primary intracranial tumors

    Sosa Rivera, Manuel; Quintas Santana, Maria

    2009-01-01

    A descriptive observational study to 56 patients with imagenological diagnosis of primary intracranial neoplasia attended in the service of imagenology of the Provincial Docent Hospital 'Dr. Antonio Luaces Iraola' was carried out from March 1st 2006 to February 1st 2008, with the aim of characterizing these injuries by Computerized Axial Tomography and establishing an evaluation with the histological diagnosis. A questionnaire with the following variables was applied: sex, presuntive age, clinic, topographical characteristics (location, size, tumoral density, changes with administration of the resistance, calcifications, effect of mass and evaluation of the imagenological diagnosis with the histological diagnosis. Masculine sex and the group of ages of 60 are more predominated. The more frequent clinical manifestations were migraine, convulsions, difficulty to walk and vertigo. The size of the injury that prevailed was of 5, 9 and 2, 1 cm with supratentorial location. The majority of primary intracranial neoplasms were hypodense, and enhancement of the injuries with the administration of the resistance was observed. The mass effect bears a close relation with the location and size of the injury. The imagenological diagnosis fitted in with the histological one, being the gliomas the more frequent histological type

  11. On the pathogenesis of traumatic intracerebral hematoma with a sequential study of computerized tomography

    Ohmori, Hidetoshi; Miyazaki, Shinichiro; Munekata, Katsuharu; Fukushima, Hiromi; Shohji, Akira.

    1981-01-01

    A sequential study with computerized tomography (CT scan) of two cases of traumatic intracerebral hematoma is reported. Case 1 was a 69-year-old man who had a head injury. The initial CT scan, taken 1 hour after his injury, showed a left temporal salt-and-pepper appearance, which proved to be a cerebral contusion. The CT scan 4.5 hours after his injury showed a left temporal high density area instead. An operation was performed, and a massive intracerebral hematoma was observed. Case 2 was a 61-year-old man who was also admitted because of a head injury. The initial CT scan, taken 1 hour after his injury, revealed several bifrontal intracerebral hemorrhagic spots in the low-density areas, suggesting contusion. A secondary CT scan (23 hours) demonstrated that the traumatic intracerebral hematoma had developed into a posttraumatic cerebral contusion. The operation disclosed a hematoma surrounded by contusion. These cases prove that traumatic intracerebral hematoma is often caused by cerebral contusion. (author)

  12. The radiologic finding in pneumomediastinum. Value of conventional radiography and comparison with computerized tomography

    Martin, M.F.; Hlawatsch, A.; Heussel, C.P.; Schweden, F.; Kauczor, H.U.

    1997-01-01

    Pneumomediastinum, or mediastinal emphysema, may be difficult to demonstrate and is not always easy to differentiate from pneumothorax and pneumopericardium by conventional radiography, especially in severely ill patients. In this article, we evaluate the sensitivity of plain films in detecting pneumomediastinum, and describe the conventional radiography and computerized tomography (CT) findings associated with this entity. The etiology and CT findings in 24 patients who had been diagnosed as having pneumomediastinum by CT were reviewed. Conventional radiographs were available for review in 19 of these cases. Radiographic and CT findings were retrospectively compared, using CT as reference technique. We looked for abnormal mediastinal air collections and their location, as well as pathologic findings such as pneumothorax or pneumopericardium. Classical radiographic signs were also evaluated. Conventional radiography showed mediastinal air in 17 patients (89,5%) and classical radiographic signs were observed in 13 (68,4%). The results of the comparative study of plain films and CT revealed the following sites of mediastinal air: superior mediastinum (9/15), anterior mediastinum (14/19), middle mediastinum (7/12) and posterior mediastinum (4/14). The incidences of pneumothorax (7/12) and pneumopericardium (1/4) were also recorded. The comparative study of conventional radiography and CT demonstrated that Ct is a more reliable technique for determining the diagnosis, location and extent of pneumomediastinum and differentiating it from pneumothorax and pneumopericardium, especially in severely ill patients. Therefore, CT is recommended in patients with evident clinical suspicion of pneumomediastinum. (Author) 23 refs

  13. Dental status of three Egyptian mummies: radiological investigation by multislice computerized tomography.

    Gerloni, Alessandro; Cavalli, Fabio; Costantinides, Fulvio; Costantinides, Fulvia; Bonetti, Stefano; Paganelli, Corrado

    2009-06-01

    The aim of the study was to provide a paleopathologic and radiologic overview of the jaws and teeth of 3 Egyptian mummies preserved in the Civic Museum of History and Art in Trieste. Computerized tomography (CT) imaging and postprocessing techniques were used to examine the oral structures. A 16-slice CT scanner was used (Aquilion 16; Toshiba Medical Systems Europe, Zoetermeer, The Netherlands). Scans were obtained at high resolution. Orthogonal-plane and 3-dimensional (3D) reconstructions were created along with curved reconstructions of the lower and upper jaws. Determination of decayed/missing teeth (DMT) and decayed/missing/tooth surfaces (DMTs) were made with 3D images. Analyses revealed differences in the embalming techniques and state of preservation of the bodies. Marked wear of the occlusal surfaces was a characteristic finding in all of the mummies. The DMT and DMTs were low compared with values for contemporary populations. Two mummies had fully erupted third molars. All mummies exhibited bone changes consistent with periodontitis. The CT evaluations of the oral structures of the mummies provided insight into the dental status and oral diseases of these ancient Egyptians. The low DMT and DMTs values and indications of periodontitis may be associated with the lifestyle of these Egyptians. The fully erupted and well aligned third molars may represent a morphologic adaptation of the arches to the muscular activity associated with grinding tough foods.

  14. Intellectual function, activities of daily living and computerized tomography of the brain in geriatric demented patients

    Omura, Fumiaki; Ogura, Chikara; Kishimoto, Akira; Okubo, Masayo; Imamoto, Atsushi; Tsuchie, Harutaka; Sugihara, Kanichiro; Fujii, Shozo.

    1984-01-01

    Thirty eight patients of geriatric dementia (mean age 74.9 years) were examined by computerized tomography (CT) and their intellectual functions and activities of daily living (ADL) were evaluated. CT was evaluated by both visual assessment method and direct measuring method. Intellectual function was evaluated by Jikei University dementia rating scale. ADL was evaluated by both Hasegawa's rating scale and Sengoku's rating scale. Results were as follows: significant influence by age was observed in intellectual functions and ADL of subjects above 75 years old. There were good correlations between the higher intellectual function, the better grooming and hygiene, and less needs of nursing care. The severe brain atrophy evaluated by the visual assessment method was correlated with the depressed level of intellectual function. When brain atrophy is mild despite high degree of dementia, reexamination should be made to explore somatic diseases inducing depression of mental activity. It also should be noted that sex and age difference is important in studying geriatric patients. (author)

  15. A Computerized Tomography Study of Vocal Tract Setting in Hyperfunctional Dysphonia and in Belting.

    Saldias, Marcelo; Guzman, Marco; Miranda, Gonzalo; Laukkanen, Anne-Maria

    2018-04-03

    Vocal tract setting in hyperfunctional patients is characterized by a high larynx and narrowing of the epilaryngeal and pharyngeal region. Similar observations have been made for various singing styles, eg, belting. The voice quality in belting has been described to be loud, speech like, and high pitched. It is also often described as sounding "pressed" or "tense". The above mentioned has led to the hypothesis that belting may be strenuous to the vocal folds. However, singers and teachers of belting do not regard belting as particularly strenuous. This study investigates possible similarities and differences between hyperfunctional voice production and belting. This study concerns vocal tract setting. Four male patients with hyperfunctional dysphonia and one male contemporary commercial music singer were registered with computerized tomography while phonating on [a:] in their habitual speaking pitch. Additionally, the singer used the pitch G4 in belting. The scannings were studied in sagittal and transversal dimensions by measuring lengths, widths, and areas. Various similarities were found between belting and hyperfunction: high vertical larynx position, small hypopharyngeal width, and epilaryngeal outlet. On the other hand, belting differed from dysphonia (in addition to higher pitch) by a wider lip and jaw opening, and larger volumes of the oral cavity. Belting takes advantage of "megaphone shape" of the vocal tract. Future studies should focus on modeling and simulation to address sound energy transfer. Also, they should consider aerodynamic variables and vocal fold vibration to evaluate the "price of decibels" in these phonation types. Copyright © 2018. Published by Elsevier Inc.

  16. A high-speed computerized tomography image reconstruction using direct two-dimensional Fourier transform method

    Niki, Noboru; Mizutani, Toshio; Takahashi, Yoshizo; Inouye, Tamon.

    1983-01-01

    The nescessity for developing real-time computerized tomography (CT) aiming at the dynamic observation of organs such as hearts has lately been advocated. It is necessary for its realization to reconstruct the images which are markedly faster than present CTs. Although various reconstructing methods have been proposed so far, the method practically employed at present is the filtered backprojection (FBP) method only, which can give high quality image reconstruction, but takes much computing time. In the past, the two-dimensional Fourier transform (TFT) method was regarded as unsuitable to practical use because the quality of images obtained was not good, in spite of the promising method for high speed reconstruction because of its less computing time. However, since it was revealed that the image quality by TFT method depended greatly on interpolation accuracy in two-dimensional Fourier space, the authors have developed a high-speed calculation algorithm that can obtain high quality images by pursuing the relationship between the image quality and the interpolation method. In this case, radial data sampling points in Fourier space are increased to β-th power of 2 times, and the linear or spline interpolation is used. Comparison of this method with the present FBP method resulted in the conclusion that the image quality is almost the same in practical image matrix, the computational time by TFT method becomes about 1/10 of FBP method, and the memory capacity also reduces by about 20 %. (Wakatsuki, Y.)

  17. Preoperative evaluation of hilar vessel anatomy with 3-D computerized tomography in living kidney donors.

    Tombul, S T; Aki, F T; Gunay, M; Inci, K; Hazirolan, T; Karcaaltincaba, M; Erkan, I; Bakkaloglu, A; Yasavul, U; Bakkaloglu, M

    2008-01-01

    Digital subtract angiography is the gold standard for anatomic assessment of renal vasculature for living renal donors. However, multidetector-row computerized tomography (MDCT) is less invasive than digital subtract angiography and provides information of kidney stones and other intra-abdominal organs. In this study, preoperative MDCT angiography results were compared with the peroperative findings to evaluate the accuracy of MDCT for the evaluation of renal anatomy. From December 2002 to May 2007, all 60 consecutive living kidney donors were evaluated with MDCT angiography preoperatively. We reported the number and origin of renal arteries, presence of early branching arteries, and any intrinsic renal artery disease. Renal venous anatomy was evaluated for the presence of accessory, retroaortic, and circumaortic veins using venous phase axial images. The calyces and ureters were assessed with delayed topograms. The results of the MDCT angiography were compared with the peroperative findings. A total of 67 renal arteries were seen peroperatively in 60 renal units. Preoperative MDCT angiography detected 64 of them. The two arteries not detected by MDCT had diameters less than 3 mm. Anatomic variations were present in nine veins, five of which were detected by CT angiography. Sensitivity of MDCT angiography for arteries and veins was 95% and 93%, respectively. Positive predictive values were 100% for both arteries and veins. MDCT angiography offers a less invasive, rapid, and accurate preoperative investigation modality for vascular anatomy in living kidney donors. It also provides sufficient information about extrarenal anatomy important for donor surgery.

  18. Computerized tomography and pulmonary diffusing capacity in highly trained athletes after performing a triathlon.

    Caillaud, C; Serre-Cousiné, O; Anselme, F; Capdevilla, X; Préfaut, C

    1995-10-01

    We investigated the computerized tomographies (CTs) of the thorax and the pulmonary diffusing capacity for CO (DLCO) in eight male athletes before and after a triathlon. DLCO and alveolar volume (VA) were simultaneously measured during 9 s of breath holding. The transfer coefficient (KCO = DLCO/VA) was then calculated. CT scanning was performed during breath holding with the subjects in the supine position. Scanner analysis was done by 1) counting the linear and polygonal opacities (index of interstitial fluid accumulation) and 2) calculating the physical mean lung density and the mean slice mass. Results showed a significant reduction in DLCO (44.9 +/- 2.3 vs. 42.9 +/- 1.7 ml.min-1.mmHg-1; P triathlon and an increase in mean lung density (0.21 +/- 0.009 vs. 0.25 +/- 0.01 g/cm3; P long-distance race and showed a concomitant increase in CT lung density and in the number of opacities.

  19. A modified conjugate gradient method based on the Tikhonov system for computerized tomography (CT).

    Wang, Qi; Wang, Huaxiang

    2011-04-01

    During the past few decades, computerized tomography (CT) was widely used for non-destructive testing (NDT) and non-destructive examination (NDE) in the industrial area because of its characteristics of non-invasiveness and visibility. Recently, CT technology has been applied to multi-phase flow measurement. Using the principle of radiation attenuation measurements along different directions through the investigated object with a special reconstruction algorithm, cross-sectional information of the scanned object can be worked out. It is a typical inverse problem and has always been a challenge for its nonlinearity and ill-conditions. The Tikhonov regulation method is widely used for similar ill-posed problems. However, the conventional Tikhonov method does not provide reconstructions with qualities good enough, the relative errors between the reconstructed images and the real distribution should be further reduced. In this paper, a modified conjugate gradient (CG) method is applied to a Tikhonov system (MCGT method) for reconstructing CT images. The computational load is dominated by the number of independent measurements m, and a preconditioner is imported to lower the condition number of the Tikhonov system. Both simulation and experiment results indicate that the proposed method can reduce the computational time and improve the quality of image reconstruction. Copyright © 2010 ISA. Published by Elsevier Ltd. All rights reserved.

  20. Basilar expansion of the human sphenoidal sinus: an integrated anatomical and computerized tomography study

    Haetinger, Rainer G.; Navarro, Joao A.C.; Liberti, Edson A.

    2006-01-01

    Basilar expansion of the sphenoidal sinus (BESS) was studied in order to demonstrate its critical relevance in endoscopic or microscopic endonasal surgical interventions, including access to the sphenoidal sinus itself or in transsphenoidal pituitary approaches. Direct evaluation of anatomical specimens (25 dry skulls and 25 formalin-fixed hemi heads) and the use of computerized tomography (CT) (50 dry skulls and 750 patients) showed a high BESS frequency (69%). The authors considered BESS to be critical when the posterior wall of the clivus was 2-mm thick and found a high incidence of this important anatomical variation (44%). This study also evaluated the relationship between the sinonasal septa, the clivus, and the internal carotid arteries, and a considerable regularity in the location of these structures was seen. The septa were anatomically related to the internal carotid arteries in 55% and to the clivus in 33% of the cases. In conclusion, the high frequency of critical BESS here described is relevant to endoscopic or microscopic endonasal surgical interventions, including access to the sphenoidal sinus itself or in transsphenoidal pituitary approaches. (orig.)

  1. Regional myocardial perfusion assessed by N-13 labeled ammonia and positron emission computerized axial tomography

    Schelbert, H.R.; Phelps, M.E.; Hoffman, E.J.; Huang, S.C.; Selin, C.E.; Kuhl, D.E.

    1978-01-01

    The usefulness of 13 NH 3 as an indicator of regional myocardial perfusion suitable for positron emission computerized axial tomography (PCT) has been suggested. However, the relationship between myocardial blood flow and uptake of 13 NH 3 has not been examined quantitatively. It was therefore the purpose of the current investigation to quantitate the relationship of myocardial 13 NH 3 tissue concentration to myocardial blood flow and to examine its suitability for PCT imaging. Twelve open chest dogs were studied. In 8 of the dogs 25 imaging procedures with 13 NH 3 and PCT were performed. In the remaining four dogs the relationship between flow and myocardial 13 NH 3 tissue concentration was assessed by in vitro techniques. The PCT technique provided high quality cross-sectional images of the distribution of 13 NH 3 in left ventricular myocardium. No significant redistribution of 13 NH 3 in myocardium occurred with time. Alterations in regional myocardial blood flow resulted in changes of the regional distribution of 13 NH 3 that were readily appreciated on the PCT images

  2. Multidetector computerized tomography enema versus magnetic resonance enema in the diagnosis of rectosigmoid endometriosis

    Biscaldi, Ennio, E-mail: ennio.biscaldi@gmail.com [Department of Radiology, Galliera Hospital, via Mura delle Capuccine 14, 16128 Genoa (Italy); Ferrero, Simone, E-mail: simone.ferrero@unige.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Leone Roberti Maggiore, Umberto, E-mail: ulrm@libero.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Remorgida, Valentino, E-mail: vremorgida@yahoo.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Venturini, Pier Luigi, E-mail: venturini@unige.it [Department of Obstetrics and Gynecology, San Martino Hospital and National Institute for Cancer Research, University of Genoa, Largo Rosanna Benzi, 1, 16132 Genoa (Italy); Rollandi, Gian Andrea, E-mail: rollandi@galliera.it [Department of Radiology, Galliera Hospital, via Mura delle Capuccine 14, 16128 Genoa (Italy)

    2014-02-15

    Purpose: To compare the accuracy of multidetector computerized tomography enema (MDCT-e) and magnetic resonance enema (MRI-e) in determining the presence of sigmoid and rectal endometriotic nodules. Materials and methods: 260 women (32.6 ± 4.3 years) with symptoms suggestive of rectosigmoid endometriosis underwent MDCT-e and MRI-e prior to laparoscopy. After retrograde colonic distention and injection of intravenous contrast medium, patients were scanned on a 64-row MDCT scanner. MRI-e was performed on a 1.5 T magnet using an 8 channels phased array coil; intestinal distention was achieved by introducing in the rectum 250–300 ml of ultrasonographic gel diluted with saline solution. Radiological findings were compared with surgical and histological results. Results: 176 women had rectosigmoid endometriosis at surgery. There was no significant difference in the accuracy of MDCT-e (98.5%) and MRI-e (96.9%) in the diagnosis of sigmoid and rectal endometriosis (p = 0.248). The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of MDCT-e and MRI-e were respectively 98.3%, 98.8%, 99.4%, 96.5%, 81.59, 0.02 and 97.2%, 96.4%, 98.3%, 94.1%, 26.89, 0.03. Conclusions: Both MDCT-e and MRI-e are accurate in the diagnosis of rectal and sigmoid endometriosis.

  3. Multidetector computerized tomography enema versus magnetic resonance enema in the diagnosis of rectosigmoid endometriosis

    Biscaldi, Ennio; Ferrero, Simone; Leone Roberti Maggiore, Umberto; Remorgida, Valentino; Venturini, Pier Luigi; Rollandi, Gian Andrea

    2014-01-01

    Purpose: To compare the accuracy of multidetector computerized tomography enema (MDCT-e) and magnetic resonance enema (MRI-e) in determining the presence of sigmoid and rectal endometriotic nodules. Materials and methods: 260 women (32.6 ± 4.3 years) with symptoms suggestive of rectosigmoid endometriosis underwent MDCT-e and MRI-e prior to laparoscopy. After retrograde colonic distention and injection of intravenous contrast medium, patients were scanned on a 64-row MDCT scanner. MRI-e was performed on a 1.5 T magnet using an 8 channels phased array coil; intestinal distention was achieved by introducing in the rectum 250–300 ml of ultrasonographic gel diluted with saline solution. Radiological findings were compared with surgical and histological results. Results: 176 women had rectosigmoid endometriosis at surgery. There was no significant difference in the accuracy of MDCT-e (98.5%) and MRI-e (96.9%) in the diagnosis of sigmoid and rectal endometriosis (p = 0.248). The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of MDCT-e and MRI-e were respectively 98.3%, 98.8%, 99.4%, 96.5%, 81.59, 0.02 and 97.2%, 96.4%, 98.3%, 94.1%, 26.89, 0.03. Conclusions: Both MDCT-e and MRI-e are accurate in the diagnosis of rectal and sigmoid endometriosis

  4. Guide to Understanding Hemangiomas

    ... chemical oxyhemoglobin in the red blood cells. The blood heats up, causing the vessels to either burst or ... into a thick hemangioma to damage the abnormal blood vessels with heat, with variable results. Otolaryngologists (ear, nose and throat ...

  5. The diagnostic value of cranial computerized tomography in exogenous psychoses and mental disorders associated with organic diseases

    Strobl, G.; Reisner, Th.; Zeiler, K.; Vienna Univ.

    1980-01-01

    205 patients hospitalized in a psychiatric department were subjected to cranial computerized tomography. The diagnosis on discharge according to the ICD key in each case was ''psychoses or mental disorders associated with physical conditions''. Pathological findings were obtained in 67.8% of the patients. In the case of space-occupying lesions the connection between psychiatric symptoms and syndromes and the underlying organic disease is obvious. Moreover, with inflammatory, vascular or traumatic diseases, a relationship to focal lesions found on the computer tomography appears likely if backed by appropriate neurological indications in the history or an clinical examinations. However, when alterations signifying diffuse brain atrophy are obtained on computer tomography any connections with psychiatric features should be very critically evaluated and, in individual cases, such connections had better not be looked for at all. Especially in cases of psychoses or mental disorders associated with physical conditions cranial computerized tomography is of high diagnostic value and the indications for its implementation in these cases should be judged very leniently. (author)

  6. Non-destructive analysis and detection of internal characteristics of spruce logs through X computerized tomography

    Longuetaud, F.

    2005-10-01

    Computerized tomography allows a direct access to internal features of scanned logs on the basis of density and moisture content variations. The objective of this work is to assess the feasibility of an automatic detection of internal characteristics with the final aim of conducting scientific analyses. The database is constituted by CT images of 24 spruces obtained with a medical CT scanner. Studied trees are representative of several social status and are coming from four stands located in North-Eastern France, themselves are representative of several age, density and fertility classes. The automatic processing developed are the following. First, pith detection in logs dealing with the problem of knot presence and ring eccentricity. The accuracy of the localisation was less than one mm. Secondly, the detection of the sapwood/heart-wood limit in logs dealing with the problem of knot presence (main source of difficulty). The error on the diameter was 1.8 mm which corresponds to a relative error of 1.3 per cent. Thirdly, the detection of the whorls location and comparison with an optical method. Fourthly the detection of individualized knots. This process allows to count knots and to locate them in a log (longitudinal position and azimuth); however, the validation of the method and extraction of branch diameter and inclination are still to be developed. An application of this work was a variability analysis of the sapwood content in the trunk: at the within-tree level, the sapwood width was found to be constant under the living crown; at the between-tree level, a strong correlation was found with the amount of living branches. A great number of analyses are possible from our work results, among others: architectural analysis with the pith tracking and the apex death occurrence; analysis of radial variations of the heart-wood shape; analysis of the knot distribution in logs. (author)

  7. Time to Computerized Tomography Scan, Age, and Mortality in Acute Stroke.

    Myint, Phyo Kyaw; Kidd, Andrew C; Kwok, Chun Shing; Musgrave, Stanley D; Redmayne, Oliver; Metcalf, Anthony K; Ngeh, Joseph; Nicolson, Anne; Owusu-Agyei, Peter; Shekhar, Raj; Walsh, Kevin; Day, Diana J; Warburton, Elizabeth A; Bachmann, Max O; Potter, John F

    2016-12-01

    Time to computerized tomography (CT) is important to institute appropriate and timely hyperacute management in stroke. We aimed to evaluate mortality outcomes in relation to age and time to CT scan. We used routinely collected data in 8 National Health Service trusts in East of England between September 2008 and April 2011. Stroke cases were prospectively identified and confirmed. Odds ratios (ORs) for unadjusted and adjusted models for age categories (24 hours) and in-hospital and early (<7 days) mortality outcomes were calculated. Of the 7693 patients (mean age 76.1 years, 50% male) included, 1151 (16%) died as inpatients and 336 (4%) died within 7 days. Older patients and those admitted from care home had a significantly longer time from admission until CT (P < .001). Patients who had earlier CT scans were admitted to stroke units more frequently (P < .001) but had higher in-patient (P < .001) and 7-day mortality (P < .001). Whereas older age was associated with increased odds of mortality outcomes, longer time to CT was associated with significantly reduced mortality within 7 days (corresponding ORs for the above time periods were 1.00, .61 [95% confidence interval {CI}: .39-.95], .39 [.24-.64], and .16 [.08-.33]) and in-hospital mortality (ORs 1.00, .86 [.64-1.15], .57 [.42-.78] and .71 [.52-.98]). Older age was associated with a significantly longer time to CT. However, using CT scan time as a benchmarking tool in stroke may have inherent limitations and does not appear to be a suitable quality marker. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  8. Computerized tomography attenuation values can be used to differentiate hydronephrosis from pyonephrosis.

    Yuruk, Emrah; Tuken, Murat; Sulejman, Suhejb; Colakerol, Aykut; Serefoglu, Ege Can; Sarica, Kemal; Muslumanoglu, Ahmet Yaser

    2017-03-01

    To determine the diagnostic value of computerized tomography (CT) in differentiating pyonephrosis from hydronephrosis on the basis of attenuation values (Hounsfield unit-HU). Data of the patients with grades 1-3 hydronephrosis on abdominopelvic CT, who underwent nephrostomy tube placement for decompression of the collecting system, were retrospectively analyzed. Patient demographics and CT findings were recorded along with the first access urine culture results. Three physicians calculated the surface areas and the attenuation values of the dilated collecting systems using the system software. Mean HU of pyonephrosis and hydronephrosis cases was compared. A total of 105 patients with the mean age of 47.7 ± 15.5 (range 20-80) were included. The interclass correlation coefficient of three physicians was 0.981 for HU measurement and 0.999 for calculation of collecting system surface area. Of the patients, 47 (44.8 %) had pyonephrosis. Mean surface areas of the collecting system were similar in patients with pyonephrosis and hydronephrosis (1481.13 ± 1562.94 vs. 1612.94 ± 2261.4 mm 2 , p = 0.735). Urine cultures were positive in all patients with pyonephrosis, whereas 12.7 % of hydronephrosis cases had bacterial in first access urine culture. The HU of the patients with pyonephrosis was significantly higher that that of patients with hydronephrosis (13.51 ± 13.29 vs. 4.67 ± 5.37, p = 0.0001). Having a HU of 9.21 or over diagnosed pyonephrosis accurately with 65.96 % sensitivity and 87.93 % specificity. Measuring attenuation values of the collecting system may be useful to differentiate pyonephrosis from hydronephrosis. Diagnosing pyonephrosis accurately may avoid septic complications.

  9. New applications to computerized tomography: analysis of solid dosage forms produced by pharmaceutical industry

    Oliveira Junior, Jose Martins de; Martins, Antonio Cesar Germano

    2009-01-01

    Full text: In recent years, computerized tomography (CT) has been used as a new probe to study solid dosage forms (tablets) produced by pharmaceutical industry. This new approach to study tablet and powder, or granulation, properties used in pharmaceutical industry is very suitable. First because CT can generate information that traditional technologies used in this kind of analysis can not, such as, density distribution of internal structures and tablet dimensions, pore size distribution, particle shape information, and also investigation of official and unofficial (counterfeit) copies of solid dosage forms. Second because CT is a nondestructive technique, allowing the use of tablets or granules in others analysis. In this work we discus how CT can be used to acquire and reconstruct internal microstructure of tablets and granules. CT is a technique that is based on attenuation of X-rays passing through matter. Attenuation depends on the density and atomic number of the material that is scanned. In this work, a micro-CT X-ray scanner (manufactured by the group of Applied Nuclear Physics at University of Sorocaba) was used to obtain three-dimensional images of the tablets and granules for nondestructive analysis. These images showed a non uniform density distribution of material inside some tablets, the morphology of some granules analyzed, the integrity of the liquid-filled soft-gelatin capsule and so on. It could also be observed that the distribution of different constituents presents an osmotic controlled-release dosage form. The present work shows that it is possible to use X-ray microtomography to obtain useful qualitative and quantitative information on the structure of pharmaceutical dosage forms. (author)

  10. Cerebral perfusion computerized tomography: influence of reference vessels, regions of interest and interobserver variability

    Soustiel, Jean F.; Mor, Nadav; Zaaroor, Menashe; Goldsher, Dorith

    2006-01-01

    There are still no standardized guidelines for perfusion computerized tomography (PCT) analysis. A total of 61 PCT studies were analyzed using either the anterior cerebral artery (ACA) or the middle cerebral artery (MCA) as the arterial reference, and the superior sagittal sinus (SSS) or the vein of Galen (VG) as the venous reference. The sizes of regions of interest (ROI) were investigated comparing PCT results obtained using a hemispheric ROI combined with vascular pixel elimination with those obtained using five smaller ROIs located over the cortex and basal ganglia. In addition, interobserver variations were explored using a standardized protocol. MCA-based measurements of cerebral blood flow (CBF) and blood volume (CBV) were in accordance with those obtained with the ACA except in 16 patients with ischemic stroke, in whom CBF was overestimated by the ipsilateral MCA. Venous maximal intensity was significantly lower with the VG when compared with the SSS, resulting in overestimation of CBF and CBV. However, in 13.3% of patients the VG ROI yielded higher maximal intensities than the SSS ROI. There was no difference in PCT results between hemispheric ROI and averaged separate ROI when vascular pixel elimination was used. Finally, interobserver variations were as high as 11% for CBF and 12% for CBV. The present results suggest that pathological rather than anatomical considerations should dictate the choice of the arterial ROI. For venous ROI, although SSS seems to be adequate in most instances, deep cerebral veins may occasionally generate higher maximal intensities and should therefore be selected. Importantly, significant user-dependency should be taken into account. (orig.)

  11. Ultrasonographic Findings of Hepatic Hemangioma : Analysis of Echo-Patterns According to Tumor Size

    Lee, Kang Hoon; Lee, Hae Giu; Choi, Byung Gil; Jung, Jung Im; Lee, Sung Yong; Yim, Jung Ik; Shinn, Kyung Sub

    1995-01-01

    We performed a retrospective analysis of ultrasonographic features of hepatic hemangiomas according to tumor size. After an initial ultrasonographic examination, 5l hepatic hemangiomas in 4l patients were confirmed by one or combined examinations of 99mTc RBC SPECT, computed tomography, magnetic resonance imaging. angiography or ultrasonographic follow up. Definition of margin, internal echogenicity,peripheral rim and posterior enhancement were evaluated by two radiologists. Forty seven cases(92%) of 51 hemangiomas appeared to be well defined. Of 29 hemangiomas with less than 3cm in diameter. 25 cases (86%)showed homogeneous internal echogenicity. Of 22 hemangiomas with above 3 cm in diameter, 16 cases (73%) showed inhomogeneous echogenicity. Of 12 hemangiomas (24%) with peripheral rim, nine cases revealed hyperechoic rim and two hypoechoic rim. The remaining one case showed hyperechoic rim and hypoechoic rim alternately. Hemangiomas with greater than 3cm in diameter had higher incidence of inhomogeneous echogenicity, peripheral rim and posterior enhancement than those less than 3 cm(P<0.05). The majority of small hepatic hemangiomas are well defined homogeneous hyperechoic masses. On the other hand, large hemangiomas tended to have higher incidence of inhomogeneous internal echogenicity, posterior enhancement and a peripheral hyperechoic rim. A hyperechoic mass with a hypoechoic rim should also be considered as a candidate for hepatic hemangioma

  12. Comparison of micro-computerized tomography and cone-beam computerized tomography in the detection of accessory canals in primary molars

    Acar, Buket; Kamburo?lu, K?van?; Tatar, ?lkan; Ar?kan, Volkan; ?elik, Hakan Hamdi; Y?ksel, Selcen; ?zen, Tuncer

    2015-01-01

    Purpose This study was performed to compare the accuracy of micro-computed tomography (CT) and cone-beam computed tomography (CBCT) in detecting accessory canals in primary molars. Materials and Methods Forty-one extracted human primary first and second molars were embedded in wax blocks and scanned using micro-CT and CBCT. After the images were taken, the samples were processed using a clearing technique and examined under a stereomicroscope in order to establish the gold standard for this s...

  13. Calculating the number of shock waves, expulsion time, and optimum stone parameters based on noncontrast computerized tomography characteristics.

    Foda, Khaled; Abdeldaeim, Hussein; Youssif, Mohamed; Assem, Akram

    2013-11-01

    To define the parameters that accompanied a successful extracorporeal shock wave lithotripsy (ESWL), namely the number of shock waves (SWs), expulsion time (ET), mean stone density (MSD), and the skin-to-stone distance (SSD). A total of 368 patients diagnosed with renal calculi using noncontrast computerized tomography had their MSD, diameter, and SSD recorded. All patients were treated using a Siemens lithotripter. ESWL success meant a stone-free status or presence of residual fragments 934 HUs and SSD >99 mm. The required number of SWs and the expected ET can be anticipated. Copyright © 2013 Elsevier Inc. All rights reserved.

  14. X-ray exposure dose for the gonadal gland by the examination of computerized tomography and its protection

    Moriuchi, Iwao; Kaiya, Hisanori; Hirata, Toshifumi; Asada, Shuichi

    1978-01-01

    Computerized tomography (CT) is very useful for neuroradiological examination, and so it may possibly be used for screening tests. But x-ray exposure dose by a examination of CT is considerable, especially for the male gonadal gland. This study showed that the dose from a complete CT examination of 10 - 15 scans for a male gonadal gland was about 1,800 times more than a single plain neuroradiography. But by only a 0.07 mm lead equivalent protecter, the exposure dose resulting from CT for a gonadal gland could be reduced to 0.0 mrad. (auth.)

  15. Significance of cranial computerized tomography for diagnosis and therapy of inflammatory diseases of the brain and meninges in children

    Kotlarek, F; Hauke, P; Zeumer, H [Technische Hochschule Aachen (Germany, F.R.). Abt. Kinderheilkunde; Technische Hochschule Aachen (Germany, F.R.). Abt. Neurologie)

    1979-01-01

    The significance of cranial computerized tomography (CCT) for the diagnosis and therapy of inflammatory diseases of the central nervous system in children is discussed in connection with five characteristic case studies. CCT is shown to be superior to classical neuroradiological approaches, and to allow important diagnostic insights: 1. the early recognition of diffuse brain edema and the resulting possibility of an early begin of therapy - 2. the pathological expansions of the cerebral ventricles of various etiology before a pathological enlargement of the head can be detected, and the size of the ventricles after neurosurgical therapy can be measured - 3. the early recognition of space-occupying inflammatory complications.

  16. Prediction of differential creatinine clearance in chronically obstructed kidneys by non-contrast helical computerized tomography

    Ng, Cheuk Fan; Chan, L.W.; Cheng, C.W.; Yu, S.C.H.; Wong, W.S.; Wong, K.T.

    2004-01-01

    Purpose: We investigate the use of non-contrast helical computerized tomography (NCHCT) in the measurement of differential renal parenchymal volume as a surrogate for differential creatinine clearance (Cr Cl) for unilateral chronically obstructed kidney. Materials And Methods: Patients with unilateral chronically obstructed kidneys with normal contralateral kidneys were enrolled. Ultrasonography (USG) of the kidneys was first done with the cortical thickness of the site with the most renal substance in the upper pole, mid-kidney, and lower pole of both kidneys were measured, and the mean cortical thickness of each kidney was calculated. NCHCT was subsequently performed for each patient. The CT images were individually reviewed with the area of renal parenchyma measured for each kidney. Then the volume of the slices was summated to give the renal parenchymal volume of both the obstructed and normal kidneys. Finally, a percutaneous nephrostomy (PCN) was inserted to the obstructed kidney, and Cr Cl of both the obstructed kidney (PCN urine) and the normal side (voided urine) were measured two 2 after the relief of obstruction. Results: From March 1999 to February 2001, thirty patients were enrolled into the study. Ninety percent of them had ureteral calculi. The differential Cr Cl of the obstructed kidney (%CrCl) was defined as the percentage of Cr Cl of the obstructed kidney as of the total Cr Cl, measured 2 weeks after relief of obstruction. The differential renal parenchymal volume of the obstructed kidney (%CTvol) was the percentage of renal parenchymal volume as of the total parenchymal volume. The differential USG cortical thickness of the obstructed kidney (%USGcort) was the percentage of mean cortical thickness as of the total mean cortical thickness. The Pearson's correlation coefficient (r) between %CTvol and %CrCl and that between %USGcort and %CrCl were 0.756 and 0.543 respectively. The regression line was %CrCl = (1.00) x %CTvol - 14.27. The %CTvol

  17. Sequential computerized tomography changes and related final outcome in severe head injury patients

    Lobato, R.D.; Gomez, P.A.; Alday, R.

    1997-01-01

    The authors analyzed the serial computerized tomography (CT) findings in a large series of severely head injured patients in order to assess the variability in gross intracranial pathology through the acute posttraumatic period and determine the most common patterns of CT change. A second aim was to compare the prognostic significance of the different CT diagnostic categories used in the study (Traumatic Coma Data Bank CT pathological classification) when gleaned either from the initial (postadmission) or the control CT scans, and determine the extent to which having a second CT scan provides more prognostic information than only one scan. 92 patients (13.3 % of the total population) died soon after injury. Of the 587 who survived long enough to have at least one control CT scan 23.6 % developed new diffuse brain swelling, and 20.9 % new focal mass lesions most of which had to be evacuated. The relative risk for requiring a delayed operation as related to the diagnostic category established by using the initial CT scans was by decreasing order: diffuse injury IV (30.7 %), diffuse injury III (30.5 %), non evacuated mass (20 %), evacuated mass (20.2 %), diffuse injury II (12.1 %), and diffuse injury I (8.6 %). Overall, 51.2 % of the patients developed significant CT changes (for worse or better) occurring either spontaneously or following surgery, and their final outcomes were more closely related to the control than to the initial CT diagnoses. In fact, the final outcome was more accurately predicted by using the control CT scans (81.2 % of the cases) than by using the initial CT scans (71.5 % of the cases only). Since the majority of relevant CT changes developed within 48 hours after injury a pathological categorization made by using an early control CT scan seems to be most useful for prognostic purposes. Prognosis associated with the CT pathological categories used in the study was similar independently of the moment of the acute posttraumatic period at which

  18. Prediction of differential creatinine clearance in chronically obstructed kidneys by non-contrast helical computerized tomography

    Ng C.F.

    2004-01-01

    Full Text Available PURPOSE: We investigate the use of non-contrast helical computerized tomography (NCHCT in the measurement of differential renal parenchymal volume as a surrogate for differential creatinine clearance (CrCl for unilateral chronically obstructed kidney. MATERIALS AND METHODS: Patients with unilateral chronically obstructed kidneys with normal contralateral kidneys were enrolled. Ultrasonography (USG of the kidneys was first done with the cortical thickness of the site with the most renal substance in the upper pole, mid-kidney, and lower pole of both kidneys were measured, and the mean cortical thickness of each kidney was calculated. NCHCT was subsequently performed for each patient. The CT images were individually reviewed with the area of renal parenchyma measured for each kidney. Then the volume of the slices was summated to give the renal parenchymal volume of both the obstructed and normal kidneys. Finally, a percutaneous nephrostomy (PCN was inserted to the obstructed kidney, and CrCl of both the obstructed kidney (PCN urine and the normal side (voided urine were measured two 2 after the relief of obstruction. RESULTS: From March 1999 to February 2001, thirty patients were enrolled into the study. Ninety percent of them had ureteral calculi. The differential CrCl of the obstructed kidney (%CrCl was defined as the percentage of CrCl of the obstructed kidney as of the total CrCl, measured 2 weeks after relief of obstruction. The differential renal parenchymal volume of the obstructed kidney (%CTvol was the percentage of renal parenchymal volume as of the total parenchymal volume. The differential USG cortical thickness of the obstructed kidney (%USGcort was the percentage of mean cortical thickness as of the total mean cortical thickness. The Pearson's correlation coefficient (r between %CTvol and %CrCl and that between %USGcort and %CrCl were 0.756 and 0.543 respectively. The regression line was %CrCl = (1.00 x %CTvol - 14.27. The %CTvol

  19. Knowledge of doses from radiumtherapy for skin hemangioma in childhood

    Shamsaldin, A.; Diallo, I.; Ligot, L.; Chavaudra, J.; De-Vathaire, F.

    1997-01-01

    Before 1974 about 5000 children were irradiated at the Institut Gustave-Roussy for a skin hemangioma of whom 20% were treated with radium applicators. To evaluate the absorbed doses to these patients at any site, we have developed a software program which permits simulation of the actual patient and treatment conditions. Part of this software is devoted to constructing an Individual Computerized Tomography Anatomy (ICTA) based on real human transverse slices and auxological tables. From the generated phantom, 160 anatomical sites of epidemiological interest are defined and localized according to a Cartesian co-ordinate system. The gamma doses at all sites from Ra-226 applicators are calculated by an algorithm which permits separation of the radiation paths in air, tissue, and lungs. It includes a correction for attenuation and scatters in infinite and semi-infinite mediums. To evaluate the factor φ(r) for these corrections at any distance or position from the applicator, we have modelled the results from several Monte Carlo simulations. In the range of 1 to 10 cm, the φ(r) values obtained from our model showed good agreement with those obtained by published methods. For several cases, the absorbed doses at points in water and patients from radium applicators estimated by this software, were compared to those measured and estimated at the Karolinska Hospital. The results showed good agreement. (author)

  20. Adrenal Hemangioma: A Case of Retroperitoneal Tumor

    Genta Iwamoto

    2018-01-01

    Full Text Available Introduction. Adrenal hemangioma is a rare disease, with only some 60 cases reported previously. Due to the difficulty of the preoperative diagnosis of adrenal hemangioma, almost all of the cases were diagnosed by a histopathological analysis of surgical specimens. Case Presentation. A 52-year-old man was referred to our department for further examination of his left retroperitoneal tumor. He had received hemodialysis due to chronic renal failure resulting from membranous nephropathy. Computed tomography revealed a mass around his left hilum. Magnetic resonance imaging (MRI and positron-emission tomography (PET-CT were unable to confirm or deny malignancy, and tumor markers, including CEA and CA19-9, showed slight elevation. His tumor grew from 38 mm to 54 mm in diameter in 7 months of follow-up. We therefore planned retroperitoneal tumor resection with left nephrectomy. Histopathologically, hyperplastic small vessels with hemorrhaging and denaturation were seen. The endothelial cells showed no variants or division of the nucleus. Based on this diagnosis, no further therapy was performed. He has had no recurrence in the eight months since the surgery. Conclusion. We herein report a rare case of adrenal hemangioma.

  1. Ultrasonic computerized tomography (CT) for temperature measurements with limited projection data based on extrapolated filtered back projection (FBP) method

    Zhu Ning; Jiang Yong; Kato, Seizo

    2005-01-01

    This study uses ultrasound in combination with tomography to obtain three-dimensional temperature measurements using projection data obtained from limited projection angle. The main feature of the new computerized tomography (CT) reconstruction algorithm is to employ extrapolation scheme to make up for the incomplete projection data, it is based on the conventional filtered back projection (FBP) method while on top of that taking into account the correlation between the projection data and Fourier transform-based extrapolation. Computer simulation is conducted to verify the above algorithm. An experimental 3D temperature distribution measurement is also carried out to validate the proposed algorithm. The simulation and experimental results demonstrate that the extrapolated FBP CT algorithm is highly effective in dealing with projection data from limited projection angle

  2. Measuring irradiated lung and heart area in breast tangential fields using a simulator-based computerized tomography device

    Mallik, Raj; Fowler, Allan; Hunt, Peter

    1995-01-15

    Purpose: To illustrate the use of a simulator based computerized tomography system (SIMCT) in the simulation and planning of tangential breast fields. Methods and Materials: Forty-five consecutive patients underwent treatment planning using a radiotherapy simulator with computerized tomography attachment. One to three scans were obtained for each patient, calculations were made on the central axis scan. Due to the wide aperture of this system all patients were able to be scanned in the desired treatment position with arm abducted 90 deg. . Using available software tools the area of lung and/or heart included within the tangential fields was calculated. The greatest perpendicular distance (GPD) from the chest wall to posterior field edge was also measured. Results: The mean GPD for the group was 25.40 mm with 71% of patients having GPDs of {<=} 30 mm. The mean area of irradiated lung was 1780 sq mm which represented 18.0% of the total ipsilateral lung area seen in the central axis. Seven of the patients with left sided tumors had an average 1314 sq mm heart irradiated in the central axis. This represented 11.9% of total heart area in these patients. Conclusion: Measurements of irradiated lung and heart area can be easily and accurately made using a SIMCT device. Such measurements may help identify those patients potentially at risk for lung or heart toxicity as a consequence of their treatment. A major advantage of this device is the ability to scan patients in the actual treatment position.

  3. Measuring irradiated lung and heart area in breast tangential fields using a simulator-based computerized tomography device

    Mallik, Raj; Fowler, Allan; Hunt, Peter

    1995-01-01

    Purpose: To illustrate the use of a simulator based computerized tomography system (SIMCT) in the simulation and planning of tangential breast fields. Methods and Materials: Forty-five consecutive patients underwent treatment planning using a radiotherapy simulator with computerized tomography attachment. One to three scans were obtained for each patient, calculations were made on the central axis scan. Due to the wide aperture of this system all patients were able to be scanned in the desired treatment position with arm abducted 90 deg. . Using available software tools the area of lung and/or heart included within the tangential fields was calculated. The greatest perpendicular distance (GPD) from the chest wall to posterior field edge was also measured. Results: The mean GPD for the group was 25.40 mm with 71% of patients having GPDs of ≤ 30 mm. The mean area of irradiated lung was 1780 sq mm which represented 18.0% of the total ipsilateral lung area seen in the central axis. Seven of the patients with left sided tumors had an average 1314 sq mm heart irradiated in the central axis. This represented 11.9% of total heart area in these patients. Conclusion: Measurements of irradiated lung and heart area can be easily and accurately made using a SIMCT device. Such measurements may help identify those patients potentially at risk for lung or heart toxicity as a consequence of their treatment. A major advantage of this device is the ability to scan patients in the actual treatment position

  4. Comparison of micro-computerized tomography and cone-beam computerized tomography in the detection of accessory canals in primary molars.

    Acar, Buket; Kamburoğlu, Kıvanç; Tatar, İlkan; Arıkan, Volkan; Çelik, Hakan Hamdi; Yüksel, Selcen; Özen, Tuncer

    2015-12-01

    This study was performed to compare the accuracy of micro-computed tomography (CT) and cone-beam computed tomography (CBCT) in detecting accessory canals in primary molars. Forty-one extracted human primary first and second molars were embedded in wax blocks and scanned using micro-CT and CBCT. After the images were taken, the samples were processed using a clearing technique and examined under a stereomicroscope in order to establish the gold standard for this study. The specimens were classified into three groups: maxillary molars, mandibular molars with three canals, and mandibular molars with four canals. Differences between the gold standard and the observations made using the imaging methods were calculated using Spearman's rho correlation coefficient test. The presence of accessory canals in micro-CT images of maxillary and mandibular root canals showed a statistically significant correlation with the stereomicroscopic images used as a gold standard. No statistically significant correlation was found between the CBCT findings and the stereomicroscopic images. Although micro-CT is not suitable for clinical use, it provides more detailed information about minor anatomical structures. However, CBCT is convenient for clinical use but may not be capable of adequately analyzing the internal anatomy of primary teeth.

  5. Comparison of micro-computerized tomography and cone-beam computerized tomography in the detection of accessory canals in primary molars

    Acar, Buket; Kamburoglu, Kivanc [Dept. of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara (Turkmenistan); Tatar, Ilkan [Dept. of Anatomy, Faculty of Medicine, Hacettepe University, Ankara (Turkmenistan); Arikan, Volkan [Dept. of Anatomy, Faculty of Medicine, Hacettepe University, Ankara (Turkmenistan); Celik, Hakan Hamid [Dept. of Pediatric Dentistry, Faculty of Dentistry, Kirikkale Unversity, Ankara (Turkmenistan); Yuksel, Selcen [Dept. of Biostatistics, Faculty of Medicine, Yildirim Beyazit University, Ankara (Turkmenistan); Ozen, Tuncer [Dept. of Dentomaxillofacial Radiology, Gulhane Military Hospital, Dental Clinics, Ankara (Turkmenistan)

    2015-12-15

    This study was performed to compare the accuracy of micro-computed tomography (CT) and cone-beam computed tomography (CBCT) in detecting accessory canals in primary molars. Forty-one extracted human primary first and second molars were embedded in wax blocks and scanned using micro-CT and CBCT. After the images were taken, the samples were processed using a clearing technique and examined under a stereomicroscope in order to establish the gold standard for this study. The specimens were classified into three groups: maxillary molars, mandibular molars with three canals, and mandibular molars with four canals. Differences between the gold standard and the observations made using the imaging methods were calculated using Spearman's rho correlation coefficient test. The presence of accessory canals in micro-CT images of maxillary and mandibular root canals showed a statistically significant correlation with the stereomicroscopic images used as a gold standard. No statistically significant correlation was found between the CBCT findings and the stereomicroscopic images.Although micro-CT is not suitable for clinical use, it provides more detailed information about minor anatomical structures. However, CBCT is convenient for clinical use but may not be capable of adequately analyzing the internal anatomy of primary teeth.

  6. Comparison of micro-computerized tomography and cone-beam computerized tomography in the detection of accessory canals in primary molars

    Acar, Buket; Kamburoglu, Kivanc; Tatar, Ilkan; Arikan, Volkan; Celik, Hakan Hamid; Yuksel, Selcen; Ozen, Tuncer

    2015-01-01

    This study was performed to compare the accuracy of micro-computed tomography (CT) and cone-beam computed tomography (CBCT) in detecting accessory canals in primary molars. Forty-one extracted human primary first and second molars were embedded in wax blocks and scanned using micro-CT and CBCT. After the images were taken, the samples were processed using a clearing technique and examined under a stereomicroscope in order to establish the gold standard for this study. The specimens were classified into three groups: maxillary molars, mandibular molars with three canals, and mandibular molars with four canals. Differences between the gold standard and the observations made using the imaging methods were calculated using Spearman's rho correlation coefficient test. The presence of accessory canals in micro-CT images of maxillary and mandibular root canals showed a statistically significant correlation with the stereomicroscopic images used as a gold standard. No statistically significant correlation was found between the CBCT findings and the stereomicroscopic images.Although micro-CT is not suitable for clinical use, it provides more detailed information about minor anatomical structures. However, CBCT is convenient for clinical use but may not be capable of adequately analyzing the internal anatomy of primary teeth

  7. Using three-dimensional-computerized tomography as a diagnostic tool for temporo-mandibular joint ankylosis: a case report.

    Kao, S Y; Chou, J; Lo, J; Yang, J; Chou, A P; Joe, C J; Chang, R C

    1999-04-01

    Roentgenographic examination has long been a useful diagnostic tool for temporo-mandibular joint (TMJ) disease. The methods include TMJ tomography, panoramic radiography and computerized tomography (CT) scan with or without injection of contrast media. Recently, three-dimensional CT (3D-CT), reconstructed from the two-dimensional image of a CT scan to simulate the soft tissue or bony structure of the real target, was proposed. In this report, a case of TMJ ankylosis due to traumatic injury is presented. 3D-CT was employed as one of the presurgical roentgenographic diagnostic tools. The conventional radiographic examination including panoramic radiography and tomography showed lesions in both sides of the mandible. CT scanning further suggested that the right-sided lesion was more severe than that on the left. With 3D-CT image reconstruction the size and extent of the lesions were clearly observable. The decision was made to proceed with an initial surgical approach on the right side. With condylectomy and condylar replacement using an autogenous costochondral graft on the right side, the range of mouth opening improved significantly. In this case report, 3D-CT demonstrates its advantages as a tool for the correct and precise diagnosis of TMJ ankylosis.

  8. Investigating the correlation between computerized tomography changes and quantitative consciousness disturbances in stroke patients

    Toneva, Yu.; Manchev, I.; Tsolova, M.

    1997-01-01

    One-hundred and nine patients undergo computerized tomographic (CT) and clinical investigations. The correlation between CT finding and quantitative consciousness disturbances has been studied. The somatic, neurologic and mental states are evaluated, and the changes in consciousness are classified according to a 4-degree rating system adopted in this country, namely: obnubilation, somnolence, sopor and coma. For the purpose a computerized tomograph CE 10000 is used. Cerebral infarctions in the right middle cerebral artery pool predominate. Here the disturbances are of a milder degree - obnubilation and somnolence. In stroke syndrome cases the states of sopor and coma are more frequent which may be explained with the rather severely manifested brain edema. In either form of cerebrovascular disease the quantitative disorders of consciousness are not dependent on the location of the accident in the dominant hemisphere. They are directly related to the CT documented size of pathological focus

  9. Diffuse lung neoplasms. Correlation between high resolution computerized tomography and anatomopathology; Neoplasias pulmonares difusas: correlacao da tomografia computadorizada de alta resolucao com a anatomopatologia

    Marchiori, Edson [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Radiologia; Irion, Klaus L. [Complexo Hospitalar Santa Casa de Porto Alegre, RS (Brazil). Servico de Radiologia do Pavilhao Pereira Filho; Souza Junior, Arthur Soares [Faculdade de Medicina de Sao Jose do Rio Preto, SP (Brazil)]. E-mail: edmarchiori@zipmail.com.br

    2002-08-01

    A short comparative evaluation study between high resolution computerized tomography and anatomopathologic findings is presented. The association of these two diagnostic techniques is discussed as a factor to enhance the accuracy of diffuse lung diseases, such as carcinomatous lymphangitis, Kaposi's Sarcoma, lymphomas, hematogenic metastases, bronchiole-alveolar carcinoma and leukemia. (MAC)

  10. Penile cavernous hemangioma

    Abdelmoughit ECHCHAOUI

    2015-06-01

    Full Text Available Hemangiomas are benign lesions that occur in any part of the body in newborns or in young patients, they are typically capillary or cavernous. Cavernous hemangioma of the penis is extremely rare; and its etiology is not completely understood. Treatment options (surgical excision, laser therapy or sclerotherapy… are controversial and are required if pain, cosmetic defect and/or bleeding during intercourse.                                                  We report a case of a 26 years old man presented with a five years history of a painless lesion on his penis. Physical examination showed an ovoid, solid, 1 x 2 mm in size on the dorsum of penis (Panel A and two elevated irregular lesions on the ventral side (Panel B. The lesions were compressive, nonpulsatile and bluish-red in color with strawberry like appearance. Biopsy and histopathological examination of the lesion revealed a gaping and communicating vessels proliferated in the superficial and medium dermis which is pathognomonic for cavernous hemangioma (Panel C and D. Given the small size, the large number of the lesions, the young age, and the ulceration risk during intercourse if skin graft after excision, Neodymium: YAG laser coagulation was recommended to get a good cosmetic results and sexual function satisfaction.

  11. Pathologic assessment of computerized tomography accuracy for the evaluation of the laryngeal cartilagineous framework in laryngopharyngeal carcinomas

    Sulfaro, S.; Volpe, R.; Carbone, A.; Barzan, L.; Comoretto, R.

    1989-01-01

    Syxty-six whole-organ sectioned laryngopharyngectomy specimens removed for cancer during a seven-year period were uniformly examined to determine the accuracy of preoperative high resolution computerized tomography (CT) for detection of cartilaginous involvement. Results achived indicate that CT has a high overall specificity (88.2%) but a low sensitivity (47.1%); high false negative rate (26.5%) and a fairly low false-positive rate (5.9%) are observed. Massive cartilage destruction was easily assessed by CT, whereas both small macroscopic and microscopic neoplastic foci of cartilaginous invasion were missed on CT scans. Moreover, false-positive cases were mainly due to proximity of the tumor to the cartilage. Clinical implications of these results are discussed

  12. Computerized axial tomography of the chest for visualization of ''absent'' pulmonary arteries

    Sondheimer, H.M. (Upstate Medical Center, Syracuse, NY); Oliphant, M.; Schneider, B.; Kavey, R.E.W.; Blackman, M.S.; Parker, F.B. Jr.

    1982-05-01

    To expand the search for central pulmonary arteries in six patients with absence of cardiac-pulmonary continuity, computerized axial tomography (CAT) of the chest was performed. The CAT scans were compared with previous arteriograms and pulmonary vein wedge angiograms. Three patients with type IV truncus arteriosus were studied, and none had a central, right or left pulmonary artery on CAT scan. However, two patients with tetralogy of Fallot with pulmonary atresia and a patent ductus arteriosus to the right lung demonstrated the presence of a left pulmonary artery. In addition, one child with truncus arteriosus with ''absent'' left pulmonary artery demonstrated a left pulmonary artery on the CAT scan. The CAT scan may therefore enhance our ability to search for disconnected pulmonary arteries in children with complex cyanotic congenital heart disease.

  13. Effective radiation dose of ProMax 3D cone-beam computerized tomography scanner with different dental protocols.

    Qu, Xing-min; Li, Gang; Ludlow, John B; Zhang, Zu-yan; Ma, Xu-chen

    2010-12-01

    The aim of this study was to compare effective doses resulting from different scan protocols for cone-beam computerized tomography (CBCT) using International Commission on Radiological Protection (ICRP) 1990 and 2007 calculations of dose. Average tissue-absorbed dose, equivalent dose, and effective dose for a ProMax 3D CBCT with different dental protocols were calculated using thermoluminescent dosimeter chips in a human equivalent phantom. Effective doses were derived using ICRP 1990 and the superseding 2007 recommendations. Effective doses (ICRP 2007) for default patient sizes from small to large ranged from 102 to 298 μSv. The coefficient of determination (R(2)) between tube current and effective dose (ICRP 2007) was 0.90. When scanning with lower resolution settings, the effective doses were reduced significantly (P radiation dose levels. Reduction in radiation dose can be achieved when using lower settings of exposure parameters. Copyright © 2010 Mosby, Inc. All rights reserved.

  14. Contrast-enhanced multidetector computerized tomography for odontogenic cysts and cystic-appearing tumors of the jaws: is it useful?

    Kakimoto, Naoya; Chindasombatjaroen, Jira; Tomita, Seiki; Shimamoto, Hiroaki; Uchiyama, Yuka; Hasegawa, Yoko; Kishino, Mitsunobu; Murakami, Shumei; Furukawa, Souhei

    2013-01-01

    The purpose of this study was to investigate the usefulness of computerized tomography (CT), particularly contrast-enhanced CT, in differentiation of jaw cysts and cystic-appearing tumors. We retrospectively analyzed contrast-enhanced CT images of 90 patients with odontogenic jaw cysts or cystic-appearing tumors. The lesion size and CT values were measured and the short axis to long axis (S/L) ratio, contrast enhancement (CE) ratio, and standard deviation ratio were calculated. The lesion size and the S/L ratio of keratocystic odontogenic tumors were significantly different from those of radicular cysts and follicular cysts. There were no significant differences in the CE ratio among the lesions. Multidetector CT provided diagnostic information about the size of odontogenic cysts and cystic-appearing tumors of the jaws that was related to the lesion type, but showed no relation between CE ratio and the type of these lesions. Copyright © 2013 Elsevier Inc. All rights reserved.

  15. Interstitial lung illness: Discoveries in x-ray of the thorax vs computerized tomography of high resolution

    Patino O, Maria Olga; Gomez Ramirez, Rafael

    1993-01-01

    This study wants to prove the advantages of the computerized axial tomography (TAC) of high resolution on the conventional radiography and the follow-up of the patients with interstitial pulmonary disease (IPD). 29 patients were studied with conventional RX and TAC with 17. $ % of high resolution which had normal radiography with clear abnormalities in the TAC of high resolution, the type of interstitial pulmonary disease (IPD). In the 68,9% of the cases it showed abnormality as well in TAC as in conventional RX. In the fact, that the TAC does not allow a specific etiologic diagnosis of the IPD type, as it is done in the biopsy. It allows identifying abnormality in those patients apparently normal by the radiography of the thorax and when it already exists the histopathologic diagnosis it allows the follow-up in a no invasive way

  16. Repeatability of Computerized Tomography-Based Anthropomorphic Measurements of Frailty in Patients With Pulmonary Fibrosis Undergoing Lung Transplantation.

    McClellan, Taylor; Allen, Brian C; Kappus, Matthew; Bhatti, Lubna; Dafalla, Randa A; Snyder, Laurie D; Bashir, Mustafa R

    To determine interreader and intrareader repeatability and correlations among measurements of computerized tomography-based anthropomorphic measurements in patients with pulmonary fibrosis undergoing lung transplantation. This was an institutional review board-approved, Health Insurance Portability and Accountability Act-compliant retrospective study of 23 randomly selected subjects (19 male and 4 female; median age = 69 years; range: 66-77 years) with idiopathic pulmonary fibrosis undergoing pulmonary transplantation, who had also undergone preoperative thoracoabdominal computerized tomography. Five readers of varying imaging experience independently performed the following cross-sectional area measurements at the inferior endplate of the L3 vertebral body: right and left psoas muscles, right and left paraspinal muscles, total abdominal musculature, and visceral and subcutaneous fat. The following measurements were obtained at the inferior endplate of T6: right and left paraspinal muscles with and without including the trapezius muscles and subcutaneous fat. Three readers repeated all measurements to assess intrareader repeatability. Intrareader repeatability was nearly perfect (interclass correlation coefficients = 0.99, P < 0.001). Interreader agreement was excellent across all 5 readers (interclass correlation coefficients: 0.71-0.99, P < 0.001). Coefficients of variance between measures ranged from 3.2%-6.8% for abdominal measurements, but were higher for thoracic measurements, up to 23.9%. Correlation between total paraspinal and total psoas muscle area was strong (r 2 = 0.67, P < 0.001). Thoracic and abdominal musculature had a weaker correlation (r 2 = 0.35-0.38, P < 0.001). Measures of thoracic and abdominal muscle and fat area are highly repeatable in patients with pulmonary fibrosis undergoing lung transplantation. Measures of muscle area are strongly correlated among abdominal locations, but inversely correlated between abdominal and thoracic locations

  17. Three-dimensional computerized tomography. Clinical value in the case of skeletal diseases

    Lang, P.; Genant, H.K.

    1988-01-07

    Three-dimensional computed tomography (3-D CT) was performed in 157 patients with disorders of the musculoskeletal system. 3-D CT facilitated the understanding of complex abnormalities of osseous structures. 3-D CT was particularly useful in evaluating trauma, bone tumors and the postoperative spine. Three-dimensional imaging is a useful adjunct imaging method supplementing conventional computed tomography. 3-D CT facilitates preoperative planning and intraoperative localization. The combination of three-dimensional computed tomography, computer assisted design and computer assisted modelling (CAD/CAM) allows the generation of plastic models for preoperative surgical planning and simulation as well as the generation of custom-molded prostheses.

  18. Optimization of special heart disease diagnosis by combined computerized tomography, echocardiography and intracardiac scintiscanning

    Freitag, J.; Schmidt, H.; Otto, H.J.; Punrich, R.; Gunkel, H.; Mann, D.; Freitag, G.; Waigand, J.; Eger, H.; Zentralklinik fuer Herz- u. Lungenkrankheiten, Bad Berka; Akademie der Wissenschaften der DDR, Berlin-Buch. Zentralinstitut fuer Herz-Kreislaufforschung)

    1986-01-01

    Cardiac computer tomography, echocardiography and radionuclide heart diagnosis are growing more and more important in cardiologic diagnostics. The value of the procedures was tested in 74 patients by combined application. Concordant morphologic findings could be obtained with echocardiography and cardiac computer tomography in the cases of chronic ischemic heart disease, cardiomyopathy and valvular heart diseases. Localized kinetic disturbances could be registered echocardiographically and by scintiscanning. The passableness of an aortocoronary bypass can be controlled first of all non-invasively by cardiac computer tomography. (author)

  19. Determination of the dose index in computerized tomography using thermoluminescent dosemeters

    Azorin, J.C.; Calderon, A.; Azorin, J.

    2004-01-01

    In this work the obtained results of the determination of the dose index are presented in thorax studies in computed tomography and helical tomography carried out in Mexico using thermoluminescent dosemeters of LiF: Mg,Cu,P + Ptfe developed and manufactured in our country. The results showed that under similar conditions of irradiation and operation (pitch = 1), significant differences don't exist among the doses absorbed measures in the phantom due to the two types of used tomographs. (Author)

  20. Computerized mini-tomography scanner for X-ray and gamma-ray for multipurpose applications

    Cruvinel, P.E.

    1987-01-01

    The main results of this thesis is the development, implementation and use of an X-ray and γ-ray computerized minitomography scanner with possible applications in multidisciplinary fields particularly in soil physics. The hardware is basically a mechanical table with two step motors, one for rotation and another for translation motions, radioactive source, collimators, radiation detector with NaI(Tl) crystal, electronic pulse handling system and microcomputer with two floppy disk-units (5 1/4''), video with high resolution and graphic printer.(author)

  1. Complaints of the lumbar spine: The value of myelography and computerized tomography

    Rittmeyer, K.; Dralle, A.

    1988-01-01

    In the radiological examination of the lumbar spine and vertebral canal there are currently two methods of choice, computer tomography and myelography. Comparing the advantages of one method over another reveals that computer tomography is particularly useful in especially diagnosing a lateral process of the intervertebral disk, whereas myelography is especially applicable in the case of an intervertebrals disk prolapse within the narrow confines of the spinal canal proper. Myelography also has the additional advantage of visualizing a number of segments at once, although repeated use increases the risk of arachnitis despite the high tolerance of current contrast medium. However, myelography should be performed, if there is clinical evidence of nerve root compression even though the computer tomography was negative. The reverse is also true. Myelography is also useful initially, due to the lower radiation dosis, if the clinical symptoms don't allow a specific localisation of the process. (orig.) [de

  2. Transection of the pituitary stalk: evaluation of two cases by computerized tomography and magnetic resonance

    Amaral, L.L.F. do; Mendonca, R.A.; Natal, M.R.C.

    1992-01-01

    The authors present two cases of pituitary dwarfism where the study by high resolution computed tomography and by magnetic resonance imaging show transection of the pituitary stalk as the cause of the endocrine disturb. The importance of these methods on the investigation of disturbs of the hypothalamus-hypophyseal axis is stressed. (author)

  3. Computerized tomography magnified bone windows are superior to standard soft tissue windows for accurate measurement of stone size: an in vitro and clinical study.

    Eisner, Brian H; Kambadakone, Avinash; Monga, Manoj; Anderson, James K; Thoreson, Andrew A; Lee, Hang; Dretler, Stephen P; Sahani, Dushyant V

    2009-04-01

    We determined the most accurate method of measuring urinary stones on computerized tomography. For the in vitro portion of the study 24 calculi, including 12 calcium oxalate monohydrate and 12 uric acid stones, that had been previously collected at our clinic were measured manually with hand calipers as the gold standard measurement. The calculi were then embedded into human kidney-sized potatoes and scanned using 64-slice multidetector computerized tomography. Computerized tomography measurements were performed at 4 window settings, including standard soft tissue windows (window width-320 and window length-50), standard bone windows (window width-1120 and window length-300), 5.13x magnified soft tissue windows and 5.13x magnified bone windows. Maximum stone dimensions were recorded. For the in vivo portion of the study 41 patients with distal ureteral stones who underwent noncontrast computerized tomography and subsequently spontaneously passed the stones were analyzed. All analyzed stones were 100% calcium oxalate monohydrate or mixed, calcium based stones. Stones were prospectively collected at the clinic and the largest diameter was measured with digital calipers as the gold standard. This was compared to computerized tomography measurements using 4.0x magnified soft tissue windows and 4.0x magnified bone windows. Statistical comparisons were performed using Pearson's correlation and paired t test. In the in vitro portion of the study the most accurate measurements were obtained using 5.13x magnified bone windows with a mean 0.13 mm difference from caliper measurement (p = 0.6). Measurements performed in the soft tissue window with and without magnification, and in the bone window without magnification were significantly different from hand caliper measurements (mean difference 1.2, 1.9 and 1.4 mm, p = 0.003, window settings with magnification. For uric acid calculi the measurement error was observed only in standard soft tissue window settings. In vivo 4.0x

  4. Chronic Expanding Hematoma of the Adrenal Gland Mimicking a Hemangioma: A Case Report

    Lee, Hyun Jung; Kim, Min Jeong; Ha, Hong Il; Lee, In Jae; Lee, Kwan Seop; Seo, Jin Won [Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang (Korea, Republic of); Yeo, Seung Gu [Dept. of Radiation Oncology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan (Korea, Republic of)

    2013-04-15

    We report a rare case of unilateral chronic expanding hematoma in the left adrenal gland, mimicking a hemangioma on multiphase computed tomography (CT). On CT, the mass showed several enhancing foci of irregular and frond-like shape in the periphery at the hepatic arterial phase and gradual fill-in pattern at the portal venous phase, which was similar with the enhancement pattern of hemangioma.

  5. Radiotherapy of vertebral hemangiomas

    Sakata, Kohichi; Hareyama, Masato; Oouchi, Atushi; Sido, Mitsuo; Nagakura, Hisayasu; Tamakawa, Mituharu; Akiba, Hidenari; Morita, Kazuo

    1997-01-01

    Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. Radiological imaging is indispensable for the diagnosis of vertebral hemangiomas but does not appear to be useful for evaluating the effects of radiotherapy. (orig.)

  6. Assessment of liver volume with spiral computerized tomography scanning: predicting liver volume by age and height

    Madhu Sharma; Abhishek Singh; Shewtank Goel; Setu Satani; Kavita Mudgil

    2016-01-01

    Background: Estimation of liver size has critical clinical implication. Precise knowledge of liver dimensions and volume is prerequisite for clinical assessment of liver disorders. Liver span as measured by palpation and USG is prone to inter-observer variability and poor repeatability. The aim was to assess the normal liver volume of healthy adults using spiral computed tomography scans and to observe its relationship with various body indices. Methods: In this prospective study, all the...

  7. Radiation condition in computerized tomography (CT): determination and calibration of dosemeters

    Adrade, L.C.; Peixoto, J.G.P.

    2016-01-01

    RQT is the standard for radiation conditions in computed tomography . It simulates a beam unrelieved of a CT scanner . The camera pencil ionization dosimeter is used in CT. The LNMRI become known characterization of RQT radiation conditions and the secondary standard calibration for type pencil ionisation chambers in its lab. The obtained beam has the characteristics required by IEC 61267. The results of the calibration presented combined uncertainty expanded to 95.45% from 2.22% . (author)

  8. Evaluation of parapharyngeal space by computerized tomography and magnetic resonance. Part 1: anatomy

    Souza, Ricardo Pires de; Rapoport, Abrao

    1994-01-01

    The authors, through a comprehensive review of the literature, intend to establish an anatomical concept of the parapharyngeal space and its surroundings spaces in the supra-hyoid neck, based on its division by the fascial planes. The correlation between the anatomically defined parapharyngeal space and the findings of the sectional imaging procedures (computed tomography and magnetic resonance) is established, evidencing clear anatomic-radiologic correspondence. (author)

  9. Prognosis of the computerized tomography in the severe head injury. Valor pronostico de la tomografia axial computada (TC) en los traumatismos craneoencefalicos severos

    Garcia-Nieto, J.J.; Lorenzo Dominguez, M.T.; Martin Sanchez, M.J.; Sanchez Gonzalez, E.

    1991-01-01

    A prospective study is made with sixty five people affected of severe head injury, that is to say, with eight or less points in the Glasgow Coma Scale (GCS), when they get to the hospital. They are studied by computerized tomography at admission, and three and seven days after arrival. In this way, we appraise the type of the lesion, its intensity and the possible prognosis, considering in the last case three features: a) ventricular collapse; b) the mean line structure s shift; and c) effects on perimesencephalic cistern. The findings were parametized and we were able to introduce into the computer program relationships between these findings and the end results. These last ones were appraised through the Glasgow Outcome Scale (GOS). We could show that certain findings in computerized tomography scans have an unavoidable prognosis while as others have a more favorable prognosis. (Author)

  10. Method of evaluation of diagnostics reference levels in computerized tomography; Metodo de avaliacao de niveis de referencia de radiodiagnostico em tomografia computadorizada

    Vega, Walter Flores

    1999-04-01

    Computerized tomography is a complex technique with several selectable exposition parameters delivering high doses to the patient. In this work it was developed a simple methodology to evaluate diagnostic reference levels in computerized tomography, using the concept of Multiple Scan Average Dose (MSAD), recently adopted by the Health Ministry. For evaluation of the MSAD, a dose distribution was obtained through a measured dose profile on the axial axis of a water phantom with thermoluminescence dosemeters, TLD-100, for different exam technique. The MSAD was evaluated hrough two distinct methods. First, it was evaluated by the integration of the dose profile of a single slice and, second, obtained by the integration on central slice of the profile of several slices. The latter is in of accordance with the ionization chamber method, suggesting to be the most practical method of dose evaluation to be applied in the diagnostic reference level assessment routine for CT, using TLDs. (author)

  11. Computerized tomography of the painting 'The first mass in Brazil' (Vitor Meireles)

    Oliveira, Davi F.; Calza, Cristiane; Rocha, Henrique S.; Lopes, Ricardo T.

    2007-01-01

    In this work it was performed the radiographic analysis of the painting 'The First Mass in Brazil' ('Primeira Missa no Brasil) executed by Vitor Meireles, in 1860. Radiographic techniques have been used in museums to the study of cultural heritage objects in order to reveal internal details that would otherwise be invisible. This work used Computerized Radiography with an Imaging Plate detector (IP). It consists of a thin layer of photostimulable phosphor crystals (BaFBr:Eu 2+ ) deposited on a flexible polyester support film. When the IP is exposed to an x-ray source, part of the energy is stored as a latent image in the phosphor. Analyzing the radiographic images it is possible to observe the canvas weave, including stretching marks generated when the fabric was fixed on the wooden support. Several regions with detachment and cracking of painting were also revealed. When occurred losses of fabric, the holes were filled with mortar before the retouching; these areas, with higher density than the original painting support, can be clearly observed at the radiographs. The knowledge of all changes and its location is very important to the restoration process, especially in the first stage when the old reinforcement of the fabric will be replaced, in order to avoid the remove of painting pieces together to the reinforcement. (author)

  12. Absorbed dose to the patient by computerized whole body X-ray tomography

    Krauss, O.; Schuhmacher, H.

    1977-01-01

    The absorbed dose to the patient was measured for several medical investigations by computerized whole body scanning. An Alderson-phantom mounted with LiF-TLD was irradiated with a Delta-Scan (Ohio-Nuclear, 120 kV, 30 mA). The integral dose to the brain during a full examination (6 scans, filtration 3 mm Al) was measured to 5x10 -2 J. The maximum absorbed dose at the entrance was found to be 3.2 rd and at the exit 0.6 rd. The dose to the eyes is 0.7 rd and to the thyroid gland 0.03 rd. The integral dose to the trunk (5 scans in the region of liver and kidneys, filtration 6 mm Al) was measured to 5x10 -2 J. The maximum absorbed dose at the entrance was found to be 2.4 rd and at the exit 0.25 rd. The dose to the gonads is less than 2 and 4 mrd if the distance between the last scan and the gonads is more than 15 cm

  13. Evaluation of supra- and infratentorial brain atrophy by computerized tomography in spinocerebellar degeneration

    Yamamoto, Hiroko; Asano, Yasuhiko; Watanabe, Takatoshi; Hirao, Yoshitaka; Mizuno, Yasushi; Sobue, Itsuro

    1986-01-01

    Measurement of various parameters of supra- and infratentorial brain atrophy in computerized tomographs of 142 cases of spinocerebellar degeneration (SCD) and 100 age and sex matched controls was carried out in order to investigate whether these parameters would correspond to the subtypes of this disease and differing grades of various clinical manifestations. One supra- and all infratentorial parameters of SCD showed statistically significant atrophy with a risk of P < 0.005. Among the subtypes, OPCA had a more severely atrophied pons than LCCA (P < 0.005), Menzel (P < 0.05) and SSP (P < 0.01). There was a correlation between the distribution of symptoms like gait, speech, ataxia of extremities and ocular movement disorders, and distribution and degree of infratentorial atrophy with statistical significance (P < 0.05 ∼ P < 0.005). The degree of atrophy of the pons and the width of the IV ventricle were directly proportional to the duration of the illness in cases of less than 10 years, but not to those of over 10 years. Follow-up CT scan was done for 24 patients, 12 within 3 years, 12 after the lapse of 3 years. The latter group showed statistically significant atrophy between the 1st and 2nd scans in several parameters, but there was no significance between those of the former group. (author)

  14. Evaluation of supra- and infratentorial brain atrophy by computerized tomography in spinocerebellar degeneration

    Yamamoto, Hiroko; Asano, Yasuhiko; Watanabe, Takatoshi; Hirao, Yoshitaka; Mizuno, Yasushi; Sobue, Itsuro

    1986-08-01

    Measurement of various parameters of supra- and infratentorial brain atrophy in computerized tomographs of 142 cases of spinocerebellar degeneration (SCD) and 100 age and sex matched controls was carried out in order to investigate whether these parameters would correspond to the subtypes of this disease and differing grades of various clinical manifestations. One supra- and all infratentorial parameters of SCD showed statistically significant atrophy with a risk of P < 0.005. Among the subtypes, OPCA had a more severely atrophied pons than LCCA (P < 0.005), Menzel (P < 0.05) and SSP (P < 0.01). There was a correlation between the distribution of symptoms like gait, speech, ataxia of extremities and ocular movement disorders, and distribution and degree of infratentorial atrophy with statistical significance (P < 0.05 -- P < 0.005). The degree of atrophy of the pons and the width of the IV ventricle were directly proportional to the duration of the illness in cases of less than 10 years, but not to those of over 10 years. Follow-up CT scan was done for 24 patients, 12 within 3 years, 12 after the lapse of 3 years. The latter group showed statistically significant atrophy between the 1st and 2nd scans in several parameters, but there was no significance between those of the former group.

  15. Dosimetry in computerized tomography and evaluation of doses in organs in thorax scanning

    Alonso, Thêssa Cristina

    2016-01-01

    Computed tomography has promoted improvement of the diagnostic process by producing anatomical cut images with high quality and contrast between soft tissues which have very similar absorption of the X-ray beams. The objective of this study is to evaluate the technological park of CT in Brazil correlated with the wide world, and carry out studies of experimental dosimetry to understand the dose distribution feature using phantoms and different methods of measurement of kerma index, as well as perform measures of local doses in sensitive organs. To study the scanner geographic distribution and supply of computed tomography tests in Brazil, a comparison has been made with results found with the specified reference by Brazilian law (Ordinance GM / MS No. 1101, 2002; Resolution RE nº1016, 2006). For dosimetry studies, It was used a standard chest phantom and the anthropomorphic phantom. For image quality evaluation, it was used the CATPHAN-600 phantom. Scans were performed in a GE scanner, Discovery model with 64 channels. Dose measurements have been performed by using a pencil ionization chamber, thermoluminescent dosimeters and radiochromic film strips. Sensitive organ shielding devices were evaluated in order to verify their efficiency in organ dose reduction and its influence in the quality of image. Considering Brazilian population, the scanner park showed a greater amount than the minimum parameter recommended by Brazilian law. Dose measurements using three different methods showed the correct procedure of metrological reliability of the measurement system. The findings and conclusions of this study may contribute to the improvement of local practices in Computed Tomography tests, inserted in context of radiological protection in order to define reference levels for optimized diagnosis, and image quality control. (author)

  16. Quality of computerized tomography exams proposed by a quality certification program

    Carlos, Marcia Terezinha

    1999-01-01

    Brazilian College of Radiologists (CBR) is concerned about the quality of radiological practices in the country. Actions in direction of accreditation programmes and standardization of the performance in imaging modalities have been implemented. The first accreditation programme was in mammography. In Brazil, computed tomography spread all over the country. Due high radiation dose to the patient and the continuous technological development, an accreditation programme in CT practice is necessary. A pilot programme has been carried out in the area of Rio de Janeiro with the participation of 11 CT facilities with 12 CT units. The background information follows Document EUR 16262 E uropean Guidelines of Quality Criteria for Computed Tomography . Initially practice data were collected through structured interviews using a standardized questionnaire. In regard to the assessment of clinical image quality, two examinations were selected: brain general and abdomen general. Three radiologists specialized in computed tomography evaluated the image quality criteria from a sample of examinations from the participant facilities. Other aspects selected to the assessment of the overall performance are: technical parameters of the examinations; image physical parameters (noise, spatial resolution, sensitivity profile) and radiation dose. Radiation dose and image quality criteria were fulfilled by 7 of 12 brain general examinations analyzed and only 5 of 10 abdomen general examinations analyzed. At the moment, it was not possible to get a conclusion about image quality based on measurements of physical parameters. Other factors affecting overall image quality were: technical limitation of CT units and practitioners are not able to fully handle the technical parameters of the examination. Dose and image quality criteria shall be the basis of an accreditation programme in CT and Brazilian College of Radiology has to use the experience of this work to implement a programme at national

  17. Evaluation of multiple scan average dose (MSAD) levels in computerized tomography in Minas Gerais state, Brazil

    Alonso, Thessa C.; Vieira, Leandro de A.; Barbosa, Nayra V.; Oliveira, Jeyselaine R. de; Cesar, Adriana C.Z.; Silva, Teogenes A. da

    2014-01-01

    Computed Tomography (CT) grows every year and is a diagnostic method that has revolutionized radiology with advances in procedures for obtaining image. However, the indiscriminate use of this method generates relatively high doses in patients. The diagnostic reference levels (DRLs) is a practical tool to promote the evaluation of existing protocols. The optimization and the periodic review of the protocols are important to balance the risk of radiation. The present study aims to conduct a survey of levels of MSAD of Minas Gerais following the procedures recommended by current Brazilian law. (author)

  18. Bronchial asthma: correlation of high resolution computerized tomography findings with clinical data

    Mogami, Roberto; Marchiori, Edson; Kirk, Kennedy; Capone, Domenico; Daltro, Pedro

    1999-01-01

    In this work we did a sectional study of 31 asthmatic patients with several levels of disease severity, which were submitted to high resolution computed tomography of the thorax and spirometry, between the months of July, 1995 and August, 1997. The tomographic findings were correlated with the clinical classification of the patients and the most frequent tomographic findings were bronchial wall thickening, bronchial dilatation, air trapping, centrilobular opacities, cicatricial linear shadows, mucoid impaction, emphysema and atelectasis. In asthmatic patients of long duration we observed small airway disease and irreversible lesions as the predominant findings. In smoking patients there was no high frequency of emphysema. (author)

  19. Findings of cranial computerized tomography in chronic schizophrenics with and without tardive dyskinesias

    Neumann, N.U.

    1985-11-25

    Findings of cranial computed tomography in 20 chronic schizophrenics with clinical distinct, long-dated hyperkinesias (tardive dyskinesias) are compared with those of a similar group of schizophrenics without hyperkinesias. Both groups had a long-term neuroleptic treatment. The tomograms of those patients with tardive dyskinesias showed only in two cases mild, pathological alterations. Also the tomograms of the comparative group showed no severe atrophies, defects of substance or pathological calcifications. It is concluded that there is no correlation between tardive dyskinesias in long-term neuroleptic treated schizophrenics and gross morphological alterations of the brain. Furthermore the problem of tardive dyskinesia in a general aspect is discussed. (orig.).

  20. Pseudomeningocele in communication with the facet joint: demonstration by computerized tomography-arthrography

    Ganiyusufoglu, Kursat; Ozturk, Cagatay; Sirvanci, Mustafa; Aksu, Neslihan; Hamzaoglu, Azmi

    2008-01-01

    Pseudomeningocele is an uncommon but well-known complication of lumbar spine operations. Although it is mostly asymptomatic and managed conservatively in most cases, it is claimed as a causative factor of failed back surgery syndrome and requires surgery in some cases. Usually, its diagnosis is confidently done with imaging modalities such as magnetic resonance imaging, computed tomography and myelography. In this report, we describe a case of pseudomeningocele that communicated with a facet joint. The diagnostic approach for this unusual lesion and its probable causes are discussed. (orig.)

  1. Pseudomeningocele in communication with the facet joint: demonstration by computerized tomography-arthrography

    Ganiyusufoglu, Kursat; Ozturk, Cagatay; Sirvanci, Mustafa; Aksu, Neslihan; Hamzaoglu, Azmi [Florence Nightingale Hospital, Istanbul Bilim University, Istanbul Spine Center, Istanbul (Turkey)

    2008-08-15

    Pseudomeningocele is an uncommon but well-known complication of lumbar spine operations. Although it is mostly asymptomatic and managed conservatively in most cases, it is claimed as a causative factor of failed back surgery syndrome and requires surgery in some cases. Usually, its diagnosis is confidently done with imaging modalities such as magnetic resonance imaging, computed tomography and myelography. In this report, we describe a case of pseudomeningocele that communicated with a facet joint. The diagnostic approach for this unusual lesion and its probable causes are discussed. (orig.)

  2. The usefulness of computerized tomography in the evaluation of cardio phrenic angle lesion

    Marins, J.L.; Cazerta, N.M.G.; Prando, A.; Pereira, R.M.

    1988-01-01

    The usefulness of computed tomography (CT) in categorizing lesions of the cardio phrenic angles is showed. Twenty five patients with abnormalities in these sites were studied by CT. These abnormalities included ten cases of lymphomatous adenopathy, two cases of metastatic adenopathy, four cases of pericardial cyst, four cases of loculated pleural effusion, and five cases of prominent epicardial fat. A correct evaluation of all cases was possible by utilizing the CT densities numbers and the topographic characteristics of the lesions. CT showed high sensitivity in detecting paracardiac adenopathy which may affect the staging and treatment of neoplasia. (author)

  3. A study of root canal morphology of human primary incisors and molars using cone beam computerized tomography: An in vitro study

    Vivek Gaurav; Nikhil Srivastava; Vivek Rana; Vivek Kumar Adlakha

    2013-01-01

    Background: Variations in morphology of root canals in primary teeth usually leads to complications during and after endodontic therapy. To improve the success in endodontics, a thorough knowledge of the root canal morphology is essential. Aim: The aim of this study was to assess the variation in number and morphology of the root canals of primary incisors and molars and to study the applicability of cone beam computerized tomography (CBCT) in assessing the same. Settings and Design: A total ...

  4. Dose profile study on computerized tomography scanning of skull with simulator object; Estudo do perfil de dose em varreduras de TC de cranio com objeto simulador

    Mourao, A.P., E-mail: aprata@des.cefetmg.b [Centro Federal de Educacao Tecnologica de Minas Gerais (CEFET/MG), Belo Horizonte, MG (Brazil). Nucleo de Engenharia Hospitalar; Alonso, Thessa C.; Silva, Teogenes A. da, E-mail: alonso@cdtn.b, E-mail: silvata@@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2011-10-26

    This work presents a comparison among the dose profiles in scanning of computerized tomography of a simulator object of PMMA in its periphery region. To obtain the deposited dose at the PMMA thermoluminescent dosemeters were used positioned at the interior of PMMA simulated object longitudinal to periphery and at the center of cylinder (positions denominated North, South, East, West and Center). Eight scanning were performed of simulator object using the routine protocol for skull in eight different services of radiodiagnostic by TC

  5. Brain metastasis of small cell lung carcinoma. Comparison of Gd-DTPA enhanced magnetic resonance imaging and enhanced computerized tomography

    Nomoto, Yasushi; Yamaguchi, Yutaka; Miyamoto, Tadaaki.

    1994-01-01

    Small cell carcinoma of the lung (SCLC) frequently metastasizes into the brain, resulting in serious influences upon prognosis. Delayed brain damage caused by prophylactic cranial irradiation (PCI) is also problematic. Gadolinium diethylene triamine pentaacetic acid (Gd-DTPA) enhanced magnetic resonance imaging (MRI) was performed to detect early brain metastasis from SCLC, and its usefulness was compared with contrast computerized tomography (CT). Among 25 SCLC patients, brain metastasis was detected in 11 by MRI and in 10 by CT, although six of them were completely asymptomatic. In the 11 patients, 6.3 and 2.4 lesions were respectively detected on average by MRI and CT. The ability of MRI to detect metastatic lesions of ≥15 mm diameter did not differ from that of CT, but became different as lesions became smaller (P<0.002), and MRI had a decided advantage over CT because as many as 30 lesions of ≤5 mm diameter were detected by MRI, whereas such lesions visualized on CT numbered only one (P<0.0001). MRI was incomparably superior to CT (P<0.0004) for subtentorial lesions since 18 lesions were detected on MRI, but only three, measuring ≥25 mm in diameter, were demonstrated on CT. Gd-DTPA enhanced MRI was determined to be extremely useful in the early diagnosis of SCLC brain metastasis. MRI was thought to reduce delayed brain damage caused by PCI if performed according to an adequate schedule. (author)

  6. Staging of pharyngeal cancer by computerized tomography during phonation. Comparison of CT findings with endoscopy and pharyngography

    Warmuth-Metz, M.; Feyerabend, T.; Schmitt, R.; Richter, E.

    1989-01-01

    46 patients with histologically proven carcinoma of the oro- and/or hypopharynx underwent clinical and endoscopic examination as well as double-contrast-pharyngography and computerized tomography (CT). The results of the different diagnostic procedures according to the TNM-classification (UICC) were compared with each other. Additional information by CT was obtained in 40% of cases. In 30%, the TNM-classification had to be changed up to one or even up to two T-categories. Major improvement of the CT-evaluation of carcinoma of the pharynx can be achieved by the additional use of CT during phonation: in our study 50% of pharyngeal cancers were thus better delimited in their extent and relations to the surrounding anatomical structures. Especially for the evaluation of the base of the tongue, the hypopharynx and the epiglottis CT during phonation (similar to the use of the double-contrast technique in pharyngography) is superior to CT at rest because the anatomy of the pharynx and therefore the extent of a mass is much better demonstrated. (orig.) [de

  7. Temporal evolution of hypoxic-ischiaemic brain lesions in asphyxiated full-term newborns as assessed by computerized tomography

    Lipp-Zwahlen, A.E.; Zurich Univ.; Deonna, T.; Micheli, J.L.; Calame, A.; Chrzanowski, R.

    1985-01-01

    Hypoxic-ischaemic brain lesions may be detected as low density (LD) areas by means of computerized tomography (CT), but the clinical significance of such LD areas has been controversial. Since timing might be a critical factor, we studied the temporal evolution of LD areas in 9 asphyxiated term babies who had two or more CT, and compared the changes to the neurodevelopmental outcome. Scans were classified according to the elapsed time after asphyxia as early (day 1-7, n=6), intermediate (week 2-4, n=7; week 4-7, n=3) and late CT (3 months or more, n=7). In early scans, no, or only ill defined, LD areas were seen in the periventricular region. In intermediate CT's, LD-zones were further diminshed in those babies who later were normal. Sharply accentuated LD areas, however appeared in those who later suffered from neurodevelopmental disorders. These LD areas, probably representing hypoxic-ischaemic lesions, were located periventricularly, extending into the subcortical white matter and the cortex. They began to disappear at 4 to 7 weaks in some regions. LD persisting more than 4-7 weeks tended to transform into cyst-like lesions, or marked atrophy. We conclude (1) that hypoxic-ischaemic lesions appear as zones of low density on CT scans performed after the first week and (2) that the extent of such lesions can best be assessed between 9 to 23 days after asphyxia. (orig./GSH)

  8. Temporal evolution of hypoxic-ischiaemic brain lesions in asphyxiated full-term newborns as assessed by computerized tomography

    Lipp-Zwahlen, A.E.; Deonna, T.; Micheli, J.L.; Calame, A.; Chrzanowski, R.

    1985-03-01

    Hypoxic-ischemic brain lesions may be detected as low density (LD) areas by means of computerized tomography (CT), but the clinical significance of such LD areas has been controversial. Since timing might be a critical factor, the temporal evolution of LD areas was studied in 9 asphyxiated term babies who had two or more CT, and the changes were compared to the neurodevelopmental outcome. Scans were classified according to the elapsed time after asphyxia as early (day 1-7, n=6), intermediate (week 2-4, n=7; week 4-7, n=3) and late CT (3 months or more, n=7). In early scans, no, or only ill defined, LD areas were seen in the periventricular region. In intermediate CT's, LD-zones were further diminshed in those babies who later were normal. Sharply accentuated LD areas, however appeared in those who later suffered from neurodevelopmental disorders. These LD areas, probably representing hypoxic-ischemic lesions, were located periventricularly, extending into the subcortical white matter and the cortex. They began to disappear at 4 to 7 weaks in some regions. LD persisting more than 4-7 weeks tended to transform into cyst-like lesions, or marked atrophy. The authors conclude (1) that hypoxic-ischemic lesions appear as zones of low density on CT scans performed after the first week and (2) that the extent of such lesions can best be assessed between 9 to 23 days after asphyxia.

  9. Computerized tomography findings in Fahr's syndrome Achados da tomografia computadorizada na síndrome de Fahr

    Andréia V. Faria

    2004-09-01

    Full Text Available We analyzed computerized tomography (CT findings in six patients with Fahr's syndrome. They presented calcifications in basal ganglia, dentate nucleus, subcortical region and semioval center, due to alteration in calcium metabolism or due to senile relative hypoxemic state. The image pattern was not strictly related with etiology, although some differences in dystrophic senile calcifications (the only one present in semioval center and absent in subcortical region. CT is an easy exam, has maximum sensitivity and allows diagnosis, contributing to early treatment of many etiologies of Fahr's syndrome.Analisamos os achados de tomografia computadorizada (TC de seis pacientes com síndrome de Fahr. Eles apresentaram calcificações nos gânglios da base, núcleo denteado, região subcortical e centro semi-oval, devidas a distúrbios no metabolismo do cálcio ou a estado de hipóxia relativa, por senilidade. O padrão de imagem não apresenta relação clara com a etiologia, apesar de algumas diferenças no caso das calcificações distróficas senis (as únicas presentes nos centros semi-ovais e ausentes na região subcortical. TC é um exame de fácil realização, máxima sensibilidade e permite o diagnóstico, contribuindo para o tratamento precoce de muitas das etiologias da síndrome de Fahr.

  10. Non-contrast computerized tomography (NCCT) and dynamic renal scintigraphy (DRS) in the patients with refractory renal colic

    Kravchick, Sergey; Stepnov, Eugeny; Lebedev, Valery; Linov, Lina; Leibovici, Octavian; Ben-Horin, Clara L. Dosoretz; Trejo, Leonardo; Peled, Ronit; Cytron, Shmuel

    2006-01-01

    Objectives: To assess the importance of combined use of non-contrast computerized tomography (NCCT) and dynamic renal scintigraphy (DRS) in evaluation of patients with refractory flank pain in the emergency department. Methods: The study involved 64 consecutive patients with refractory renal colic. All patients were evaluated with plain abdominal films kidneys, ureters and bladder (KUB), NCCT and DRS. We assessed the accuracy of different diagnostic procedures and their combinations; in addition, we determined their importance for different steps of evaluation. Results: Urololithiasis was diagnosed in 76.6% (n = 49) of the patients. Twenty-nine percent of calculi were >4 mm. Surgical intervention were performed in 20 patients (40.8%). A combination of NCCT plus DRS yielded the greatest sensitivity (96%) in establishing final diagnosis, however clinical, laboratory and KUB data in combination with DRS, yielded greater specificity (93%) and PPV (97%). Sex (male), WBC (mean 10.2 x 10 3 ± 3.1) and KUB (calculus > 4 mm) were chosen in the three-step multi-variant analysis, while only male sex was found to be the strongest predictor (p 3 and calculi > 4 mm on the KUB

  11. Computerized tomography with 3-dimensional reconstruction for the evaluation of renal size and arterial anatomy in the living kidney donor.

    Janoff, Daniel M; Davol, Patrick; Hazzard, James; Lemmers, Michael J; Paduch, Darius A; Barry, John M

    2004-01-01

    Computerized tomography (CT) with 3-dimensional (3-D) reconstruction has gained acceptance as an imaging study to evaluate living renal donors. We report our experience with this technique in 199 consecutive patients to validate its predictions of arterial anatomy and kidney volumes. Between January 1997 and March 2002, 199 living donor nephrectomies were performed at our institution using an open technique. During the operation arterial anatomy was recorded as well as kidney weight in 98 patients and displacement volume in 27. Each donor had been evaluated preoperatively by CT angiography with 3-D reconstruction. Arterial anatomy described by a staff radiologist was compared with intraoperative findings. CT estimated volumes were reported. Linear correlation graphs were generated to assess the reliability of CT volume predictions. The accuracy of CT angiography for predicting arterial anatomy was 90.5%. However, as the number of renal arteries increased, predictive accuracy decreased. The ability of CT to predict multiple arteries remained high with a positive predictive value of 95.2%. Calculated CT volume and kidney weight significantly correlated (0.654). However, the coefficient of variation index (how much average CT volume differed from measured intraoperative volume) was 17.8%. CT angiography with 3-D reconstruction accurately predicts arterial vasculature in more than 90% of patients and it can be used to compare renal volumes. However, accuracy decreases with multiple renal arteries and volume comparisons may be inaccurate when the difference in kidney volumes is within 17.8%.

  12. Mapping local cerebral blood flow by means of computerized tomography with a short inhalation of low-dose stable xenon

    Nakagawara, Jyoji; Karasawa, Jun; Tasawa, Toshiaki; Touho, Hajime; Nakauchi, Mikio; Kagawa, Masa-aki; Asai, Masa-aki; Kuriyama, Yoshihiro; Kikuchi, Haruhiko.

    1986-01-01

    A non-invasive technique has been developed for mapping the local blood-brain partition coefficient (λi), the local build-up rate constant (κi), and the local cerebral blood flow (l-CBF) by means of xenon-enhanced computerized tomography (CT) using a YMS CT 9000 scanner. After denitrogenation for 10 minutes, a 30 % xenon/oxygen mixture is inhaled for 4 - 8 minutes through a rubber face-mask and a delivery system of stable xenon. The time course of local cerebral CT enhancement is utilized in order to calculate, the λi, κi, and l-CBF values. The CT enhancement data during the washin-washout phase are fitted to the mathematical functions, based on Kety's formula, using least-squares curve-fitting analysis. Several case studies of patients with cerebral vascular accidents are presented to demonstrate the characterization of the λi and l-CBF patterns in various tissues; the results are of sufficient quality for the management of patients. The theoretical assumptions underlying stable xenon CT CBF measurements are discussed. (author)

  13. Dose optimization in adult patients exams in a computerized tomography service

    Pimentel, Juliana; Finatto, Jerusa D.; Silva, Ana Maria Marques da; Froner, Ana Paula P.

    2013-01-01

    This paper presents a study of dose optimization in computed tomography X-ray of skull, chest and abdomen of adult patients, performed in a diagnostic imaging service in a large hospital. Images of a simulated dose phantom were acquired and the kVp, mAs, pitch, thickness and CTDI vol were collected directly from the equipment. Using the PACS system, regions of interest were delineated, where the mean and standard deviation of CT numbers for each protocol were been calculated. The optimization took into account the maintenance of the CT number and noise from images acquired with clinical protocols. It was observed that the protocols used in the service, in general, exhibit a low dose, despite the great variability among the different professional shifts. In examinations of the chest, skull and abdomen, changes in the values of mAs and pitch were suggested, allowing dose reductions (60%, 17% and 19%, respectively), without compromising the image diagnostic quality. (author)

  14. Cranial computerized tomography. A synoptical atlas. Kranielle Computertomographie. Ein synoptischer Atlas

    Nadjmi, M; Piepgras, U; Vogelsang, H

    1981-01-01

    The introductory chapters of the book cover, insofar as they differ from conventional radiology, the physico-technical fundamentals, the investigative procedure, as well as the anatomy and pathology. The anatomic pathology and classic neuroradiology of the individual groups are described in each chapter. These descriptions form the basis for interpreting the results obtained with computed tomography. This synoptical presentation makes it possible for non-neuroradiologists to obtain an overall impression on an often heterogeneous subject. The chapter on tumors also covers tumors in infants and children. The chapters on inflammatory diseases, traumatology and orbita include coverage of all age groups. The chapter of neuropediatrics deals mainly with the aspects of birth trauma and abnormal development. The legends to the illustrations comprise clinical data insofar as they contribute to a didactically important synthesis between syndrome, diagnosis and therapy.

  15. Classification of lymph nodes in computerized tomography scans using extracting tools

    Alves, Allan F.F.; Pina, Diana R. de; Altemani, Joao M.C.

    2016-01-01

    Lymph node changes in the neck region may be originated by both inflammatory and tumor causes. Diagnostic imaging method such as computed tomography are used to distinguish between these two main causes of lymph nodes alterations. In this work we used feature extracting tools I CT scans such as the average value of pixels, wavelet entropy, skewness and kurtosis to assist the radiologist in diagnosing lymph nodes alterations. The wavelet entropy proved to be the best image characteristic parameter to differentiate between the two groups of patients evaluated in this study. The study of cervical lymph nodes changes by features extraction methods may prove to be an excellent tool to assist in differentiating between infectious / inflammatory and tumor causes in CT scans. (author)

  16. Proposal of recommendations for quality control in computerized tomography, with emphasis in new technologies

    Rodrigues, Marlon da Silva Brandao; Neves, Camila Nascimento das

    2016-01-01

    The use of computed tomography (CT) has continuously grown over the years and expanding its applications in different medical procedures. As a result, there was an increase of frequency and in collective dose. One of the strategies to maximize the benefits of this important imaging modality is the implementation of optimization of protection programs. As part of this process, a quality control should be established to ensure the correct performance of the scanner. Quality control protocols can be very useful to carry out all tests in a standard methodology and well-established tolerance values. However, to keep up with the constant advances in technology, these protocols must be constantly reviewed and updated to allow its application in different existing models. The objective of this work is to develop a quality control protocol based on international recommendations and in national standards. (author)

  17. Computerized tomography in the Community of Madrid. Techniques used in the studies

    Ruiz Sanz, S.; Calzado, S.; Rodriguez, R.; Melchor, M.

    1994-01-01

    The main object of the present work was the knowledge of technique and geometrical factors most frequently used to perform computed tomography (CT) examinations in health centres of the Community of Madrid. A sample of actual examinations to patient in several CT rooms was taken. In this way up to about 1500 individual values of technique factors data (kVp, mAs, slice thickness, couch increment and number of slices) were recorded. Mean values and ranges of such parameters are given for each examination type. Mean values for each scanner are analysed and the average mAs are compared to those recommended by the manufacturer for two types of examination (head and abdomen). The number of ''series of slices'' used to perform the examination was also analysed. (Author) 4 refs

  18. Assessment of extracranial-intracranial bypass patency with 64-slice multidetector computerized tomography angiography

    Thines, Laurent [Lille University Hospital, Department of Neurosurgery, Lille (France); Toronto Western Hospital, Division of Neurosurgery and Department of Surgery, Toronto, ON (Canada); Toronto Western Hospital, University of Toronto Brain Vascular Malformation Study Group, Toronto, ON (Canada); Agid, Ronit; Da Costa, Leodante; Terbrugge, Karel G. [Toronto Western Hospital, Division of Neuroradiology, Department of Medical Imaging, Toronto, ON (Canada); Toronto Western Hospital, University of Toronto Brain Vascular Malformation Study Group, Toronto, ON (Canada); Dehdashti, Amir R.; Wallace, M.C.; Tymianski, Michael [Toronto Western Hospital, Division of Neurosurgery and Department of Surgery, Toronto, ON (Canada); Toronto Western Hospital, University of Toronto Brain Vascular Malformation Study Group, Toronto, ON (Canada)

    2009-08-15

    Extracranial-intracranial (EC/IC) bypass is a useful procedure for the treatment of cerebral vascular insufficiency or complex aneurysms. We explored the role of multidetector computed tomography angiography (MDCTA), instead of digital subtraction angiography (DSA), for the postoperative assessment of EC/IC bypass patency. We retrospectively analyzed a consecutive series of 21 MDCTAs from 17 patients that underwent 25 direct or indirect EC/IC bypass procedures between April 2003 and November 2007. Conventional DSA was available for comparison in 13 cases. MDCTA used a 64-slice MDCT scanner (Aquilion 64, Toshiba). The proximal and distal patencies were analyzed independently on MDCTA and DSA by a neuroradiologist and a neurosurgeon. The bypass was considered patent when the entire donor vessel was opacified without discontinuity from proximal to distal ends and was visibly in contact with the recipient vessel. MDCTA depicted the patency status in every patient. Bypasses were patent in 22 cases, stenosed in one, and occluded in two. DSA always confirmed the results of the MDCTA (sensitivity = 100%, 95% CI = 0.655-1.0; specificity 100%, 95% CI = 0.05-1.0). MDCTA is a non-invasive and accurate exam to assess the postoperative EC/IC bypass patency and is a promising technique in routine follow-up. (orig.)

  19. Evaluation of a new pencil-type ionization chamber for dosimetry in computerized tomography beams

    Castro, Maysa C. de; Neves, Lucio P.; Silva, Natalia F. da; Santos, William de S.; Caldas, Linda V.E.

    2014-01-01

    For performing dosimetry in computed tomography beams (CT), use is made of a pencil-type ionization chamber, since this has a uniform response to this type of beam. The common commercial chambers in Brazil have a sensitive volume length of 10 cm. Several studies of prototypes of this type of ionization chamber have been conducted, using different materials and geometric configurations, in the Calibration Laboratory Instruments of the Institute of Nuclear and Energy Research (LCI) and these showed results within internationally acceptable limits. These ion chambers of 10 cm are widely used nowadays, however studies have revealed that they have underestimated the dose values. In order to solve this problem, we developed a chamber with sensitive volume length of 30 cm. As these are not yet very common and no study has yet been performed on LCI conditions on their behavior, is important that the characteristics of these dosemeters are known, and the influence of its various components. For your review, we will use the Monte Carlo code Penelope, freely distributed by the IAEA. This method has revealed results consistent with other codes. The results for this new prototype can be used in dosimetry of the CT of the hospitals and calibration laboratories as the LCI

  20. Development of a pediatric chest phantom for dosimetry in computerized tomography

    Aburjaile, W.N.; Mourão, A.P.; Oliveira, F.A.

    2017-01-01

    Computed Tomography (CT) has promoted a significant increase in the dose absorbed by patients due to the diagnosis. Therefore, it is indispensable to improve protocols, using smaller doses, without impairing the diagnostic quality of the image. The risks of stochastic effects are greater for children due to tissue radiosensitivity coupled with longer life expectancy. In the work, a cylindrical simulator was used, representing an adult thorax, made of polymethylmethacrylate, and a second simulator object of the same material was developed in oblong format including the axillary regions based on the dimensions of the pediatric patient's 8-year-old chest. A comparative study was performed between chest scans performed on two CT equipment in different radiodiagnostic services. The central slice of the two simulating objects was irradiated successively and, using a pencil-type ionization chamber, the absorbed dose was measured at five different points of each simulating object. From the measurements, weighted Dose and Volumetric Dose Index (CK, PMMA, vol) values were obtained for the 10 cm sweep of the central region of the object, in helical mode. The scans were performed using the chest acquisition protocols used by radiodiagnostic services, both for a supply voltage of the 120 kV X-ray tube. The study allowed to compare the variation of absorbed dose between patients with distinct chest volumes and the patient dose variation between two devices when used for the generation of images with the same diagnostic objective

  1. Preliminary tests in skull pediatric phantom for dosimetry in computerized tomography

    Martins, Elaine Wirney; Potiens, Maria da Penha de A.

    2014-01-01

    Computed tomography (CT) is one of the techniques in the field of radiology with striking technological advance in recent years. One reason for this was the increased number of channels associated with the increased power of the X-ray tube. These conditions allowed the equipment high speed in the acquisition of the cuts, reducing the patient exposure time essential characteristic for the increase of its use in pediatric patients. In this context, were developed a new pediatric skull simulator to analyze the results of measurements performed in laboratory and clinic beams with the objective of creation and use of diagnostic reference levels observing risks stochastic effects and assessing the reduction of absorbed doses in patients undergoing growing. Preliminary tests performed in clinical beams showed C w values: 2.525 ± 0.212 mGy for the developed simulator quoted and 3.362 ± 0.282 mGy for a simulator developed by IPEN called standard, both being between uncertainty values of 8.4% and 14.4% suggested by TRS number 457

  2. Optimization of protocol in computerized tomography scans of children's chest

    Lima, L.T.A.; Roberto, W. dos S.; Mourão Filho, A.P.

    2017-01-01

    The diffusion of the Computed Tomography (CT) has promoted a significant increase of the dose absorbed by patients. This technique showed a high growth as a result of clinical cases of medical emergencies, neoplasia and pediatric traumas. The risks of stochastic effects are greater for children due to tissue radiosensitivity coupled with longer life expectancy. In the present work, a cylindrical simulator was used, representing an adult thorax made of polymethylmethacrylate (PMMA), and a second simulator object of the same material was developed in oblong format including the axillary regions, based on the dimensions of the patient's thorax one-year-old pediatric population. The scanning on the adult simulator object was performed with the chest radiograph diagnostic service with a 120 kV supply voltage and in the pediatric simulator object were performed optimized scans with 120, 100 and 80 kV. This work compared the dose variation absorbed by the pediatric simulator object mentioned by the change in the tube supply voltage

  3. Utility of mobile devices in the computerized tomography evaluation of intracranial hemorrhage

    Panughpath, Sridhar G; Kumar, Savith; Kalyanpur, Arjun

    2013-01-01

    To evaluate the utility of a mobile device to detect and assess intracranial hemorrhage (ICH) on head computed tomographys (CT) performed in the emergency setting. 100 head CT scans were randomly selected from our emergency radiology database and anonymized for patient demographics and clinical history. The studies were independently interpreted by two experienced radiologists in a blinded manner, initially on a mobile device (iPad, Apple computers) and subsequently, at an interval of one week, on a regular desktop workstation. Evaluation was directed towards detection, localization and characterization of hemorrhage. The results were assessed for accuracy, sensitivity, specificity and positive predictive value. Statistical significance was ascertained using Fisher's exact test. 27 of the examinations were positive for ICH, of which 11 had multiple hemorrhages. Of these there were 17 subdural, 18 intraparenchymal, 8 subarachnoid, 4 intraventricular and 2 extradural hemorrhages. In 96 of the studies there was complete concurrence between the iPad and desktop interpretations for both radiologists. Of 49 hemorrhages, 48 were accurately detected on the iPad by one of the radiologists. In the remaining case, a tiny intraventricular hemorrhage was missed by both radiologists on the iPad as well as on the workstation, indicating that the miss was more likely related to the very small size of the hemorrhage than the viewer used. We conclude that in the emergency setting, a mobile device with appropriate web-based pictue archiving and communication system (PACS) is effective in the detection of intracranial hemorrhage present on head CT

  4. Clinical performance of dual-source computerized tomography (DSCT) in primary diagnostics of coronary heart diseases

    Brunner, H.; Froehner, S.; Wagner, M.; Schmitt, R.; Brunn, J.; Gietzen, F.H.; Kerber, S.

    2008-01-01

    Dual-source-CT-technology (DSCT) improves temporal resolution of cardiac computed tomography to 83 ms per heart-phase. In this study, the clinical performance of this new method is evaluated. Materials and Methods: In fifty patients (33 male, 17 female; age 50±13 years) with suspected coronary heart disease, CT angiography (slice thickness 0,75 mm, contrast-agent 60-80 ml iomeprol) was performed with a Somatom Definition scanner. Based on the coronary 15-segment-model of the AHA, scores for image quality and lumen reduction were established to enable the observer, to give recommendations for further therapy. Results: Out of 750 possible AHA-segments, 655 were depicted (87,3%). 591 segments (90,2%) were assessed without any limitation of quality, 49 (7,5%) segments showed moderate, and 15 (2,3%) segments severe limitation in image quality. 508 (77,6%) segments were without pathological findings, 92 (14,0%) segments had minimal atherosclerotic lesions, 42 (6,4%) segments suffered from stenoses with lumen reduction less than 70%, and 13 (2,0%) showed significant stenoses of more than 70%. In 31 patients (62%), coronary heart disease was ruled out by CT angiography without any need for further non-invasive or invasive diagnostics. 8 patients (16%) underwent stress-testing for ischemia. In 11 (22%) patients coronary angiography was recommended, and DSCT findings were confirmed in 10 cases. Only one LCx stenosis was overestimated in DSCT. Conclusion: Contrast-enhanced DSCT is a powerful tool in diagnosis of coronary heart disease. 98% of coronary segments could be assessed in diagnostic quality, and at least 90% of haemodynamically significant coronary stenoses were detected. (orig.)

  5. Interfraction Prostate Rotation Determined from In-Room Computerized Tomography Images

    Owen, Rebecca; Kron, Tomas; Foroudi, Farshad; Milner, Alvin; Cox, Jennifer; Duchesne, Gillian

    2011-01-01

    Fiducial markers (FMs) are commonly used as a correction technique for interfraction translations of the prostate. The aim of this investigation was to determine the magnitude of prostate rotations using 2 methods: FM coordinates and the anatomical border of the prostate and rectum. Daily computed tomography (CT) scans (n = 346) of 10 prostate cancer patients with 3 implanted FMs were acquired using the CT on rails. FM coordinates were used to determine rotation in the sagittal, transverse, and coronal planes, and CT contours of the prostate and rectum were used to determine rotation along the sagittal plane. An adaptive technique based on a subset of images (n = 6; planning and first 5 treatment CTs) to reduce systematic rotation errors in the sagittal plane was tested. The standard deviation (SD) of systematic rotation from FM coordinates was 7.6 o , 7.7 o , and 5.0 o in the sagittal, transverse and coronal planes. The corresponding SD of random error was 10.2 o , 15.8 o , and 6.5 o . Errors in the sagittal plane, determined from prostate and rectal contours, were 10.1 o (systematic) and 7.7 o (random). These results did not correlate with rotation computed from FM coordinates (r = -0.017; p = 0.753, n = 337). The systematic error could be reduced by 43% to 5.6 o when the mean prostate position was estimated from 6 CT scans. Prostate rotation is a significant source of error that appears to be more accurately determined using the anatomical border of the prostate and rectum rather than FMs, thus highlighting the utility of CT image guidance.

  6. Utility of mobile devices in the computerized tomography evaluation of intracranial hemorrhage

    Sridhar G Panughpath

    2013-01-01

    Full Text Available Aim: To evaluate the utility of a mobile device to detect and assess intracranial hemorrhage (ICH on head computed tomographys (CT performed in the emergency setting. Materials and Methods: 100 head CT scans were randomly selected from our emergency radiology database and anonymized for patient demographics and clinical history. The studies were independently interpreted by two experienced radiologists in a blinded manner, initially on a mobile device (iPad, Apple computers and subsequently, at an interval of one week, on a regular desktop workstation. Evaluation was directed towards detection, localization and characterization of hemorrhage. The results were assessed for accuracy, sensitivity, specificity and positive predictive value. Statistical significance was ascertained using Fisher′s exact test. Results: 27 of the examinations were positive for ICH, of which 11 had multiple hemorrhages. Of these there were 17 subdural, 18 intraparenchymal, 8 subarachnoid, 4 intraventricular and 2 extradural hemorrhages. In 96 of the studies there was complete concurrence between the iPad and desktop interpretations for both radiologists. Of 49 hemorrhages, 48 were accurately detected on the iPad by one of the radiologists. In the remaining case, a tiny intraventricular hemorrhage was missed by both radiologists on the iPad as well as on the workstation, indicating that the miss was more likely related to the very small size of the hemorrhage than the viewer used. Conclusion: We conclude that in the emergency setting, a mobile device with appropriate web-based pictue archiving and communication system (PACS is effective in the detection of intracranial hemorrhage present on head CT.

  7. Analysis of absorbed dose in cervical spine scanning by computerized tomography using simulator objects

    Lyra, Maria Henriqueta Freire

    2015-01-01

    The Computed tomography (CT) has become an important diagnostic tool after the continued development of Multidetector CT (MDCT), which allows faster acquisition of images with better quality than the previous technology. However, there is an increased radiation exposure, especially in examinations that require more than one acquisition, as dynamic exams and enhancement studies in order to discriminate low contrast soft tissue injury from normal tissue. Cervical spine MDCT examinations are used for diagnosis of soft tissue and vascular changes, fractures, dysplasia and other diseases with instability, which guide the patient treatment and rehabilitation. This study aims at checking the absorbed dose range in the thyroid and other organs during MDCT scan of cervical spine, with and without bismuth thyroid shield. In this experiment a cervical spine MDCT scan was performed on anthropomorphic phantoms, from the occipital to the first thoracic vertebra, using a 64 and a 16 – channel CT scanners. Thermoluminescent dosimeters were used to obtain the absorbed dose in thyroid, lenses, magnum foramen and breasts of the phantom. The results show that the thyroid received the highest dose, 60.0 mGy, in the female phantom, according to the incidence of the primary X-ray beam. The absorbed doses in these tests showed significant differences in the evaluated organs, p value < 0.005, except for the magnum foramen and breasts. With the bismuth thyroid shield applied on the female phantom, the doses in the thyroid and in the lenses were reduced by 27% and 52%, respectively. On the other hand, a reduction of 23.3% in the thyroid and increasing of 49.0% in the lens were measured on the male phantom. (author)

  8. Dose assessment in pediatric computerized tomography; Avaliacao de doses em tomografia computadorizada pediatrica

    Vilarinho, Luisa Maria Auredine Lima

    2004-07-01

    The objective of this work was the evaluation of radiation doses in paediatric computed tomography scans, considering the high doses usually involved and the absence of any previous evaluation in Brazil. Dose values were determined for skull and abdomen examinations, for different age ranges, by using the radiographic techniques routinely used in the clinical centers investigated. Measurements were done using pencil shape ionization chambers inserted in polymethylmethacrylate (PMMA) phantoms. These were compact phantoms of different diameters were specially designed and constructed for this work, which simulate different age ranges. Comparison of results with published values showed that doses were lower than the diagnostic reference levels established to adults exams by the European Commission. Nevertheless, doses in paediatric phantoms were higher than those obtained in adult phantoms. The paediatric dose values obtained in Hospitals A and B were lower than the reference level (DRL) adopted by SHIMPTON for different age ranges. In the range 0 - 0.5 year (neonatal), the values of DLP in Hospital B were 94 por cent superior to the DRL For the 10 years old children the values of CTDI{sub w} obtained were inferior in 89 por cent for skull and 83 por cent for abdomen examinations, compared to the values published by SHRIMPTON and WALL. Our measured CTDI{sub w} values were inferior to the values presented for SHRIMPTON and HUDA, for all the age ranges and types of examinations. It was observed that the normalized dose descriptors values in children in the neonatal range were always superior to the values of doses for the adult patient. In abdomen examinations, the difference was approximately 90% for the effective dose (E) and of 57%.for CTDI{sub w} . (author)

  9. Optimization of recommendations for abdomen computerized tomography based on reconstruction filters, voltage and tube current

    Silveira, Vinicius da Costa

    2015-01-01

    The use of computed tomography has increased significantly over the past decades. In Brazil the use increased more than twofold from 2008 to 2014, in the meantime the abdomen procedures have tripled. The high frequency of this procedure combined by the increasing collective radiation dose in medical exposures, has resulted development tools to maximize the benefit in CT images. This work aimed to establish protocols optimized in abdominal CT through acquisitions parameters and reconstructions techniques based on filters kernels. A sample of patients undergoing abdominal CT in a diagnostic center of Rio de Janeiro was assessed. Had been collected patients information and acquisitions parameters. The phantoms CT image acquisitions were performed by using different voltage values by adjusting the tube current (mAs) to obtain the same value from CTDI vol patients with normal BMI. Afterwards, the CTDIvol values were reduced by 30%, 50% and 60%. All images were reconstructed with low-contrast filters (A) and standard filters (B). The CTDIvol values for patients with normal BMI were 7% higher than in patients with underweight BMI and 30%, 50% and 60% lower than the overweight, obese I and III patients, respectively. The evaluations of image quality showed that variation of the current (mA) and the reconstruction filters did not affect the Hounsfield values. When the contrast-to-noise ratio (CNR) was normalized to CTDIvol, the protocols acquired with 60% reduction of CTDIvol with 140 kV and 80 kV showed CNR 6% lower than the routine. Modifications of the acquisition parameters did not affect spatial resolution, but the post-processing with B filters reduced the spatial frequency by 16%. With reduced the dose of 30%, lesions in the spleen had the CNR higher than 10% routine protocols with 140 kV acquired and post-processed to filter A. The image post-processing with a filter A with a 80kV voltage provided CNR values equal to the routine for the liver lesions with a 30

  10. A study on the clinical utilization of cranial computerized tomography: reasons and costs

    Oliveira, A.T.R. de

    1992-01-01

    It was reviewed a series of 2860 cerebral computed tomography (CCT) in order to compare the main reasons at referral to investigation with the CCT results and the costs with normal and abnormal CCT. It was also studied the age and sex of the patients. Data were collected from one out of three diagnostic centers in Salvador, Brasil, for a three years period. The 2860 CCT exclude all investigation carried out for the follow-up of a previously diagnosed abnormality. CCT abnormalities were detected in 1152 (40.3%). The following reasons showed the highest proportion of abnormal CCT, for males and females respectively: demential syndrome (91.7 and 83.3%); cerebrovascular accidents (85.1 and 73.6%); infectious and parasital diseases (76.5 and 78.6%); tumors (65.8 and 55.4%); and head injuries, 63.6% for males. In the female group, 65.0% of the CCT were normal, in a range of 65.0 to 80.0% for the age groups under 54 years old. In the male group, the highest proportion of normal CCT was found in the age groups: 25-34 (68.4%), <15 (62.9%) and 35-44 (62.7%). The most common reasons for normal CCT for males and females were: headache (81.3 and 87.5%); dizziness/vertigo (79.3 and 78.6%); seizures (67.3 and 70.0%); psycho motor deficiency (72.0 and 67.7%) and endocrine disorders, 75.0% for each sex. The highest proportion of normal CCT (65.3%) was requested by medical 'convenios'. The cost with normal CCT reached US$ 565,225 and with the abnormal ones, US$ 381,247. Cost with normal CCT were 2,2 higher for medical convenios as compared to those of the National Institute of Security requests and 2.8 more than those of private medicine. (author)

  11. Findings of bedside swallowing assessment and brain computerized tomography in patients with chronic cerebral infarction, and their outcome

    Iwamoto, Toshihiko; Koshibu, Junko; Kikawada, Masayuki; Yoneda, Youichi; Uno, Masanobu; Takasaki, Masaru [Tokyo Medical Coll. (Japan); Imamura, Toshiharu

    2001-09-01

    To estimate the usefulness of the bedside swallowing assessment proposed by Smithard et al and neuroimaging findings characteristic for dysphagia, we studied the outcome of 102 patients with chronic cerebral infarction after assessment of swallowing by this test with brain computerized tomography (CT). All patients had a variety of motor disturbance and were admitted on a long-term medicare basis. They were divided into two groups according to the findings: the positive group (n=33), who showed any of the listed types of difficulty in swallowing water, and the negative group (n=69). Followed up to 2.2 years, their outcomes were studied. CT findings were studied on type of infarction, number and laterality of infarction, grade of periventricular lucency (PVL), presence of ventricular dilatation (VD), and severity of cortical atrophy (CA). The mean age was 76.4 years at registration and 61 were men. The frequency of severe dementia and disturbed ADL were significantly higher in the positive group. Eighteen patients died during the observation period and 15 of those were in the positive group, indicating higher, annual death rate (29.9% vs 2.2% in the negative group). All of the 15 patients in the positive group died of pneumonia. CT findings showed high incidence of multiple infarction, bilateral hemispheric lesion, severe PVL, VD, and severe CA in the positive group. These findings indicated that this evaluation method was useful in screening swallow function for patients with cerebral infarction in the chronic phase. Furthermore, CT findings suggested that severe white matter lesion, VD, and severe CA as well as multiple infarction seen in bilateral hemisphere was related to dysphagia, probably due to multiple factors involving pyramidal- and extrapyramidal-tracts with higher brain function. (author)

  12. Hyperplanar Morphological Clustering of a Hippocampus by Using Volumetric Computerized Tomography in Early Alzheimer’s Disease

    Sarawut Suksuphew

    2017-11-01

    Full Text Available Background: On diagnosing Alzheimer’s disease (AD, most existing imaging-based schemes have relied on analyzing the hippocampus and its peripheral structures. Recent studies have confirmed that volumetric variations are one of the primary indicators in differentiating symptomatic AD from healthy aging. In this study, we focused on deriving discriminative shape-based parameters that could effectively identify early AD from volumetric computerized tomography (VCT delineation, which was previously almost intangible. Methods: Participants were 63 volunteers of Thai nationality, whose ages were between 40 and 90 years old. Thirty subjects (age 68.51 ± 5.5 were diagnosed with early AD, by using Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV criteria and the National Institute of Neurological and Communicative Disorders and the Stroke and the Alzheimer’s disease and Related Disorders Association (NINCDS-ADRDA criteria, while the remaining 33 were in the healthy control group (age 67.93 ± 5.5. The structural imaging study was conducted by using VCT. Three uninformed readers were asked to draw left and right hippocampal outlines on a coronal section. The resultant shapes were aligned and then analyzed with statistical shape analysis to obtain the first few dominant variational parameters, residing in hyperplanes. A supervised machine learning, i.e., support vector machine (SVM was then employed to elucidate the proposed scheme. Results: Provided trivial delineations, relatively as low as 5 to 7 implicit model parameters could be extracted and used as discriminants. Clinical verification showed that the model could differentiate early AD from aging, with high sensitivity, specificity, accuracy and F-measure of 0.970, 0.968, 0.983 and 0.983, respectively, with no apparent effect of left-right asymmetry. Thanks to a less laborious task required, yet high discriminating capability, the proposed scheme is expected to be applicable in a

  13. Findings of bedside swallowing assessment and brain computerized tomography in patients with chronic cerebral infarction, and their outcome

    Iwamoto, Toshihiko; Koshibu, Junko; Kikawada, Masayuki; Yoneda, Youichi; Uno, Masanobu; Takasaki, Masaru; Imamura, Toshiharu

    2001-01-01

    To estimate the usefulness of the bedside swallowing assessment proposed by Smithard et al and neuroimaging findings characteristic for dysphagia, we studied the outcome of 102 patients with chronic cerebral infarction after assessment of swallowing by this test with brain computerized tomography (CT). All patients had a variety of motor disturbance and were admitted on a long-term medicare basis. They were divided into two groups according to the findings: the positive group (n=33), who showed any of the listed types of difficulty in swallowing water, and the negative group (n=69). Followed up to 2.2 years, their outcomes were studied. CT findings were studied on type of infarction, number and laterality of infarction, grade of periventricular lucency (PVL), presence of ventricular dilatation (VD), and severity of cortical atrophy (CA). The mean age was 76.4 years at registration and 61 were men. The frequency of severe dementia and disturbed ADL were significantly higher in the positive group. Eighteen patients died during the observation period and 15 of those were in the positive group, indicating higher, annual death rate (29.9% vs 2.2% in the negative group). All of the 15 patients in the positive group died of pneumonia. CT findings showed high incidence of multiple infarction, bilateral hemispheric lesion, severe PVL, VD, and severe CA in the positive group. These findings indicated that this evaluation method was useful in screening swallow function for patients with cerebral infarction in the chronic phase. Furthermore, CT findings suggested that severe white matter lesion, VD, and severe CA as well as multiple infarction seen in bilateral hemisphere was related to dysphagia, probably due to multiple factors involving pyramidal- and extrapyramidal-tracts with higher brain function. (author)

  14. Clinical diagnosis of bone metastases of cervical cancer by sup(99m)Tc scintigraphy and computerized tomography

    Doi, S; Okamura, S; Ueki, M; Sugimoto, O [Osaka Medical Coll., Takatsuki (Japan)

    1980-05-01

    Early diagnosis of recurrence after treatment of cervical cancer has large influence on the prognosis. Local recurrence can be easily discovered by speculum inspection and palpation and also by association with cytodiagnosis and colposcopy. However, remote metastases, especially bone metastasis, though not highly frequent, have been difficult to diagnose. Therefore, we attempted the combination of computerized tomography and bone scintigraphy using sup(99m)Tc-labeled phosphate in 79 cases treated for cervical cancer at stage I to III. As a result, bone metastases was found in 16.7% of the 79 patients. Out of these 79 cases, bone metastases was considered as positive by bone scintigraphy in 15 cases (20.0%), as false positive in 9 cases (11.4%) and as negative, in 55 cases (69.6%). In 24 cases consisting of 15 positive and 9 false-negative cases of bone scintigraphy, CT was performed; 13 cases were proved positive and 11 cases, negative. Thirteen cases, proved positive by both bone scintigraphy and CT were diagnosed to surely have bone metastases. Metastases was found most frequently in the vertebral column (42.1%), and the ribs (26.3%). It was found also in the pelvis and in the femur in some cases. In the cases confirmed in operation to have metastases into the lymphatic glands, the incidence of bone metastases was higher (22.5%) than in the cases without. Metastases were discovered in many cases within 1 year after operation. From the above results, it was found that bone scintigraphy was useful for early discovery of bone metastases after treatment of cervical cancer, and that the additional application with CT would be very valuable in raising the success rate for discovery.

  15. Elementary representative sizes of soil attributes via attenuation of gamma rays and computerized tomography

    Borges, Jaqueline Aparecida Ribaski

    2015-01-01

    In this study, the Computed Tomography (CT) and gamma-ray attenuation (GRA) techniques were used in the investigation of representative sample sizes for attributes related to soil structure. First of all, the representative elementary length (REL) for experimental measurements of soil mass attenuation coefficient (μes), of samples from a sandy and a clayey soil, was analyzed. The study was conducted with two radioactive sources ( 241 Am and 137 Cs), three collimators (2 - 4 mm diameters), and 14 thickness (x) samples (2-5 cm). From these analyzes, it was possible to identify an ideal thickness range for each of the studied sources (2-4 cm and 12-15 cm for the sources of 241 Am and 137 Cs, respectively). The application of such results in representative elementary area evaluations, in clayey soil clods via CT, indicated that experimental soil mass attenuation coefficient average values obtained for x>4 cm and source 241 Am might induce the use of samples which are not large enough for soil bulk density evaluations. Subsequently, μCT images with a total volume of 39×39×33 mm 3 and spatial resolution of 60 μm were used for macroporous system morphological characterization of a Rhodic Ferralsol with clayey texture, under no-till (NT) and conventional till (CT) systems. Attributes as macroporosity (MAP), number of macropores (NMAP), tortuosity (τ) and connectivity (C) of the pores were assessed. The C degree was estimated based on the Euler-Poincare characteristic (EPC). Once 3D images enable the study of these attributes in different sample volumes, the proposed study is ideal for the analysis of representative elementary volume (REV). Usually, the selection of subvolumes for REV analysis occurs concentrically to a small volume or in adjacent positions. Here, we introduced a new method for selecting the positions of subvolumes, which are randomly chosen within the total image volume (random selection). It was observed that higher fluctuations in amplitude of each

  16. Benign mass in tonsil- cavernous hemangioma.

    Joseph, Sumitha; Prakash, M; Mohammed, Hafida K; Govar, Aberna

    2013-10-01

    Cavernous hemangioma is also called as 'ANGIOMA CAVERNOSUM' or 'CAVERNOMA' as benign lesion of blood vessels. They are similar to strawberry hemangioma but deeply situated. Although most often associated with skin it is also sometimes found in mucous membrane, brain and the viscera. The diagnosis of hemangiomas is mainly based on clinical evaluation . Isolated hemangiomas in the tonsillar tissue is a rare occurance. In this we report had a case of adult tonsillar hemangioma of left side associated with recurrent tonsillitis . He was effectively managed surgically without any complications.

  17. Detection of small size hepatic hemangioma with SPECT

    Mana, O.; Zatta, G.; Boccolari, S.; Gallazzi, M.; Tarolo, G.L.; Pisani, A.

    1985-01-01

    A case of a patient with hepatic hemangioma was studied by non-invasive methods. Ultrasonography (US) and computed tomography (CT) studies were able to detect some lesions, but not ascertain the diagnosis. Planar scintigraphy both with 99m Tc-sulfur colloid and with in vivo labelled RBC's did not show the lesions, while single-photon emission tomography (blood pool and sulfur colloid) pointed out their presence and allowed to achieve a correct diagnosis for the biggest lesion (2.5 cm in diameter)

  18. Strut fracture and disc embolization of a Björk-Shiley mitral valve prosthesis: localization of embolized disc by computerized axial tomography.

    Larrieu, A J; Puglia, E; Allen, P

    1982-08-01

    The case of a patient who survived strut fracture and embolization of a Björk-Shiley mitral prosthetic disc is presented. Prompt surgical treatment was directly responsible for survival. In addition, computerized axial tomography of the abdomen aided in localizing and retrieving the embolized disc, which was lodged at the origin of the superior mesenteric artery. A review of similar case reports from the literature supports our conclusions that the development of acute heart failure and absent or muffled prosthetic heart sounds in a patient with a Björk-Shiley prosthetic heart valve inserted prior to 1978 should raise the possibility of valve dysfunction and lead to early reoperation.

  19. Clinical evaluation of 99mTc-CPI myocardial perfusion single photon emission computerized tomography in the diagnosis of coronary heart disease

    Peng Changping

    1991-01-01

    Two normal subjects, 5 patients with old myocardial infarction (OMI) and 4 patients with angina pectoris were examined by rest single photon emission computerized tomography revealed that the right ventricular was not imaged, the left ventricular was well exposed in the normal subjects. All the 9 patients had defects in the left ventricle. comparison of SPECT with 99m Tc-CPI with selective coronary arteriography (SCA), echocardiography (UCG), dynamic electrocardiography (DCG) and electrocardiographic (ECG)-exercise test in the diagnosis of myocardial ischemia or necrosis has demonstrated the former to be more significantly sensitive than the latter four. Good agreement between SPECT and SCA has been confirmed

  20. Post transplant urinary tract infection in Autosomal dominant polycystic kidney disease a perpetual diagnostic dilema - 18-fluorodeoxyglucose - Positron emission computerized tomography - A valuable tool

    Sainaresh, VV; Jain, SH; Patel, HV; Shah, PR; Vanikar, AV; Trivedi, HL

    2011-01-01

    Urinary tract infection (UTI) is the most common infection contracted by renal allograft recipients. In patients of autosomal dominant polycystic kidney disease (ADPKD), cyst infection presents a complex diagnostic and therapeutic challenge especially in the post transplant period. Accurate diagnosis forms the cornerstone in salvaging the graft from potentially catastrophic outcome. We describe a case of xanthogranulomatous pyelonephritis (XPN) in the native kidney in a patient of post transplant ADPKD which presented as frequently relapsing UTI with graft dysfunction where in accurate diagnosis was made possible with the aid of 18-fluorodeoxyglucose (FDG) - Positron emission computerized tomography (PET/CT)

  1. Cost-effectiveness analysis of 3-D computerized tomography colonography versus optical colonoscopy for imaging symptomatic gastroenterology patients.

    Gomes, Manuel; Aldridge, Robert W; Wylie, Peter; Bell, James; Epstein, Owen

    2013-04-01

    When symptomatic gastroenterology patients have an indication for colonic imaging, clinicians have a choice between optical colonoscopy (OC) and computerized tomography colonography with three-dimensional reconstruction (3-D CTC). 3-D CTC provides a minimally invasive and rapid evaluation of the entire colon, and it can be an efficient modality for diagnosing symptoms. It allows for a more targeted use of OC, which is associated with a higher risk of major adverse events and higher procedural costs. A case can be made for 3-D CTC as a primary test for colonic imaging followed if necessary by targeted therapeutic OC; however, the relative long-term costs and benefits of introducing 3-D CTC as a first-line investigation are unknown. The aim of this study was to assess the cost effectiveness of 3-D CTC versus OC for colonic imaging of symptomatic gastroenterology patients in the UK NHS. We used a Markov model to follow a cohort of 100,000 symptomatic gastroenterology patients, aged 50 years or older, and estimate the expected lifetime outcomes, life years (LYs) and quality-adjusted life years (QALYs), and costs (£, 2010-2011) associated with 3-D CTC and OC. Sensitivity analyses were performed to assess the robustness of the base-case cost-effectiveness results to variation in input parameters and methodological assumptions. 3D-CTC provided a similar number of LYs (7.737 vs 7.739) and QALYs (7.013 vs 7.018) per individual compared with OC, and it was associated with substantially lower mean costs per patient (£467 vs £583), leading to a positive incremental net benefit. After accounting for the overall uncertainty, the probability of 3-D CTC being cost effective was around 60 %, at typical willingness-to-pay values of £20,000-£30,000 per QALY gained. 3-D CTC is a cost-saving and cost-effective option for colonic imaging of symptomatic gastroenterology patients compared with OC.

  2. Quantification of Soil Physical Properties by Using X-Ray Computerized Tomography (CT) and Standard Laboratory (STD) Methods

    Sanchez, Maria Ambert [Iowa State Univ., Ames, IA (United States)

    2003-12-12

    The implementation of x-ray computerized tomography (CT) on agricultural soils has been used in this research to quantify soil physical properties to be compared with standard laboratory (STD) methods. The overall research objective was to more accurately quantify soil physical properties for long-term management systems. Two field studies were conducted at Iowa State University's Northeast Research and Demonstration Farm near Nashua, IA using two different soil management strategies. The first field study was conducted in 1999 using continuous corn crop rotation for soil under chisel plow with no-till treatments. The second study was conducted in 2001 and on soybean crop rotation for the same soil but under chisel plow and no-till practices with wheel track and no-wheel track compaction treatments induced by a tractor-manure wagon. In addition, saturated hydraulic (K{sub s}) conductivity and the convection-dispersion (CDE) model were also applied using long-term soil management systems only during 2001. The results obtained for the 1999 field study revealed no significant differences between treatments and laboratory methods, but significant differences were found at deeper depths of the soil column for tillage treatments. The results for standard laboratory procedure versus CT method showed significant differences at deeper depths for the chisel plow treatment and at the second lower depth for no-till treatment for both laboratory methods. The macroporosity distribution experiment showed significant differences at the two lower depths between tillage practices. Bulk density and percent porosity had significant differences at the two lower depths of the soil column. The results obtained for the 2001 field study showed no significant differences between tillage practices and compaction practices for both laboratory methods, but significant differences between tillage practices with wheel track and no-wheel compaction treatments were found along the soil

  3. Computerized tomography system

    Hellstrom, M.; Kutlik, E.; Perlin, A.

    1980-01-01

    A method for non-mechanically linking the motions of an x-ray source with an x-ray receptor during a tomographic procedure to produce a tomograph of a section of an object under examination comprising the steps of: effecting motion of said source and receptor to respective reference positions; thereafter during a tomographic procedural mode generating from at least one fixed frequency signal source first and second pulse trains, adapted to drive respective stepper motors, for effecting motion of said source and receptor, said pulse trains having a predetermined mathematical relationship dependent upon the desired fulcrum height of the tomographic section to be produced; and applying said first and second pulse trains to the respective stepper motors for a predetermined number of pulse counts to effect motion with respect to said respective reference positions and effecting a tomographic sweep thereby

  4. Computerized tomography in endocrinology

    Kurtz, B.; Schmiedl, U.; Huebener, K.H.

    1987-01-05

    The role of CT in the evaluation of endocrinologic disorders is discussed and typical CT-findings in disease of the hypophysis, the thyroid, the parathyroid, the thymus and the pancreas are shown. Special interest is laid on adrenal disorders. This survey informs the clinician about the diagnostic value of CT in endocrinology.

  5. Computerized tomography in endocrinology

    Kurtz, B.; Schmiedl, U.; Huebener, K.H.

    1987-01-01

    The role of CT in the evaluation of endocrinologic disorders is discussed and typical CT-findings in disease of the hypophysis, the thyroid, the parathyroid, the thymus and the pancreas are shown. Special interest is laid on adrenal disorders. This survey informs the clinician about the diagnostic value of CT in endocrinology. (orig.) [de

  6. Intracranial capillary hemangioma mimicking a dissociative disorder

    Alexander Lacasse

    2012-01-01

    Full Text Available Capillary hemangiomas, hamartomatous proliferation of vascular endothelial cells, are rare in the central nervous system (CNS. Intracranial capillary hemangiomas presenting with reversible behavioral abnormalities and focal neurological deficits have rarely been reported. We report a case of CNS capillary hemangioma presenting with transient focal neurological deficits and behavioral abnormalities mimicking Ganser’s syndrome. Patient underwent total excision of the vascular malformation, resulting in complete resolution of his symptoms.

  7. Review: Pre- and postinterventional control of stent grafts by means of single and multislice spiral computerized tomography

    Gebauer, B.; Knollmann, F.; Steinkamp, H.; Felix, R.

    2003-01-01

    Purpose. Could contrast enhanced computed tomography replace conventional catheter angiography in the preoperative evaluation of aortic aneurysms before stentgraft implantation? Does multi slice computed tomography have advantages comparing to single slice computed tomography? Methods. We compared 15 single slice with 13 multi slice computed tomography studies and reconstructions according to their ability to replace conventional catheter angiography in the preoperative evaluation. In the postoperative follow-up 60 single slice computed tomography studies were compared to 60 multi slice studies. Results. By using appropriate reconstructions the spiral computed tomography studies could deliver all information necessary for implantation. In our study no advantage of multi slice computed tomography could be detected. In the postoperative evaluation of stengrafts our computed tomography scan protocol could detect all relevant complications in single and multi slice computed tomography. No significant advantage of multi slice computed tomography could be detected. Conclusion. Contrast enhanced computed tomography is equal to conventional catheter angiography in the pre- and postoperative evaluation of stentgrafts. No significant advantage of multi slice versus single slice could be detected. (orig.) [de

  8. Nasopharyngeal Hemangioma in Adult: A Case Report

    Khil, Eun Kyung; Hong, Hyun Sook; Park, Ji Sang; Chang, Kee Hyun; Kim, Hee Kyung; Byun, Jang Yul [Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon (Korea, Republic of)

    2013-03-15

    Nasopharyngeal masses are usually malignant, and benign nasopharyngeal tumors such as hemangioma are unusual. In adults, hemangiomas do not involute spontaneously, but progress. Imaging modalities are useful to rule out other malignancies and vascular lesions and to evaluate the lesion. Most hemangiomas require no therapy, but certain factors such as age of the patient and location and size of the lesion may make treatment necessary. We report a case of an unusual nasopharyngeal hemangioma treated with endoscopic excision in an adult who complained of hearing loss.

  9. Successful management of airway hemangioma with propranolol.

    Mendiratta, Vibhu; Varghese, Bincy; Chander, Ram; Parakh, Ankit; Solanki, Ravi S

    2013-06-01

    Airway hemangiomas can be difficult to manage and cause anxiety in both the parents and the treating physician. Propranolol, a nonselective beta-blocker, has recently been used for treating proliferating infantile hemangiomas. We report successful management of a proliferating, large, mixed infantile hemangioma with subglottic extension in an Indian infant using oral propranolol in a dose of 2mg/kg/day without any side effects. Induction of early involution and freedom from the side effects of steroid therapy seem encouraging for using propranolol as a first line treatment modality in the management of troublesome hemangiomas. © 2013 The International Society of Dermatology.

  10. Evaluation of symphysis pubis and sacroiliac joint distances in skeletally immature patients: A computerized tomography study of 1020 individuals.

    Kalenderer, Önder; Turgut, Ali; Bacaksız, Tayfun; Bilgin, Emre; Kumbaracı, Mert; Akkan, Hasan Ali

    2017-03-01

    The aim of this study was to create a reference about normal pubic symphysis and sacroiliac joint widths of children and adolescents. A total of 1020 computerized tomography axial scans of patients without pelvic injury between 2 and 18 year-old were studied. The narrowest width of pubic symphysis and bilateral sacroiliac joints were measured. The average pubic symphyseal width at 2 years old boys was 6.35 ± 1.06 mm (4.88-9.13 mm). The average of right and left sacroiliac joints' widths at 2 years old boys was 4.56 ± 0.65 mm (3.59-6.07 mm) and 4.58 ± 0.66 mm (3.44-5.74 mm), respectively. The average pubic symphyseal width of 2 years old girls was 5.85 ± 1.14 mm (4.06-8.20 mm). The average of right and left sacroiliac joints' widths at 2 years old girls was found 4.36 ± 0.56 mm (3.50-5.37 mm) and 4.42 ± 0.59 mm (3.58-5.73 mm), respectively. The average pubic symphyseal width at 18 years old boys was found 3.68 ± 1.30 mm (1.90-5.79 mm). The average of right and left sacroiliac joints' widths at 18 years old boys was found 1.97 ± 0.21 mm (1.73-2.41 mm) and 2.04 ± 0.30 mm (1.70-2.65 mm), respectively. The average pubic symphyseal width at 18 years old girls was 3.92 ± 0.52 mm (2.97-4.76 mm). The average of right and left sacroiliac joints' widths at 18 years old girls was found 2.34 ± 0.40 mm (1.58-3.34 mm) and 2.33 ± 0.37 mm (1.58-3.10 mm), respectively. Our results suggest that one should be suspicious about pelvic injury if the width of pubic symphysis is over 10 mm and width of sacroiliac joint is over 8 mm especially in patients younger than 10 years-old. Level III Diagnostic study. Copyright © 2017 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

  11. Regional cerebral blood flow during rest and skilled hand movements by xenon-133 inhalation and emission computerized tomography

    Lauritzen, M; Henriksen, L; Lassen, N A

    1981-01-01

    Regional cerebral blood flow (CBF) was studied in 16 normal adult volunteers during rest and in 10 the study was repeated during skilled hand movements. A fast-rotating ("dynamic"), single-photon emission computerized tomograph (ECT) with four detector heads was used. Xenon-133 was inhaled over a 1...... motor area on both sides by 34 +/- 15% (p less than 0.025)....

  12. Giant cavernous hemangioma coexistent with diffuse hepatic hemangiomatosis presenting as portal vein thrombosis and hepatic lobar atrophy

    Bo Reum Yoo

    2014-01-01

    Full Text Available

    A combination of giant hepatic hemangioma and diffuse hemangiomatosis is extremely rare in adults. Even when they are large, hemangiomas are soft and rarely compress adjacent structures. A 78-year-old man presented with abdominal pain and distension. Ultrasonography, computed tomography, and magnetic resonance imaging demonstrated a large expansile mass replacing the medial segment and caudate lobe with diffusely scattered nodules in the entire liver. The large hilar mass contained a central nonenhancing area and had a mass effect, leading to left portal vein occlusion. The image findings also revealed two unprecedented findings: left lateral segmental atrophy of the liver and recent portomesenteric vein thrombosis. The hepatic lesions were confirmed with hemangiomas by ultrasonography-guided biopsy. We diagnosed intrahepatic portal vein obstruction caused by a mass effect of giant hepatic hemangioma coexistent with diffuse hemangiomatosis, resulting in hepatic segmental atrophy and extrahepatic portal vein thrombosis.

  13. Giant cavernous hemangioma coexistent with diffuse hepatic hemangiomatosis presenting as portal vein thrombosis and hepatic lobar atrophy

    Yoo, Bo Reum; Han, Hyun Young; Choi, So Young; Kim, Joo Heun [Eulji University Hospital, Daejeon(Korea, Republic of)

    2014-03-15

    A combination of giant hepatic hemangioma and diffuse hemangiomatosis is extremely rare in adults. Even when they are large, hemangiomas are soft and rarely compress adjacent structures. A 78-year-old man presented with abdominal pain and distension. Ultrasonography, computed tomography, and magnetic resonance imaging demonstrated a large expansile mass replacing the medial segment and caudate lobe with diffusely scattered nodules in the entire liver. The large hilar mass contained a central nonenhancing area and had a mass effect, leading to left portal vein occlusion. The image findings also revealed two unprecedented findings: left lateral segmental atrophy of the liver and recent portomesenteric vein thrombosis. The hepatic lesions were confirmed with hemangiomas by ultrasonography-guided biopsy. We diagnosed intrahepatic portal vein obstruction caused by a mass effect of giant hepatic hemangioma coexistent with diffuse hemangiomatosis, resulting in hepatic segmental atrophy and extrahepatic portal vein thrombosis.

  14. Verrucous Hemangioma Treated with Electrocautery

    Mohammad Fatani

    2016-05-01

    Full Text Available Verrucous hemangioma is a rare vascular malformation consisting of a proliferation of dilated blood vessels of different sizes that occupy the dermis and hypodermis. The epidermis of the affected area shows a strong proliferative reaction that presents as a warty appearance. Here, we report the case of a 17-year-old male who presented with an asymptomatic warty growth above the lateral malleolus on the right leg, which healed after electrocautery.

  15. Intraosseous hemangioma of the orbit.

    Choi, June Seok; Bae, Yong Chan; Kang, Gyu Bin; Choi, Kyung-Un

    2018-03-01

    Intraosseous hemangioma is an extremely rare tumor that accounts for 1% or fewer of all osseous tumors. The most common sites of its occurrence are the vertebral column and calvaria. Occurrence in a facial bone is very rare. The authors aim to report a case of the surgical treatment of intraosseous hemangioma occurring in the periorbital region, which is a very rare site of occurrence and to introduce our own experiences with the diagnosis and treatment of this condition along with a literature review. A 73-year-old male patient visited our hospital with the chief complaint of a mass touching the left orbital rim. A biopsy was performed by applying a direct incision after local anesthesia. Eventually, intraosseous hemangioma was diagnosed histologically. To fully resect the mass, the orbital floor and zygoma were exposed through a subciliary incision under general anesthesia, and then the tumor was completely eliminated. Bony defect was reconstructed by performing a seventh rib bone graft. Follow-up observation has so far been conducted for 10 months after surgery without recurrence or symptoms.

  16. Examinations with computerized cranial axial tomography carried out on patients with epileptic seizures, taking into consideration the EEG and the clinical picture

    Geiser, R.

    1982-01-01

    204 patients suffering from epileptic seizures were examined with the help of computerized cranial X-ray tomography; the results were compared with anamnestic, clinical, and EEC-findings. In good agreement with results published in literature, in 54% of the patients pathologic CT's such as tumours, attack scars, changes in ventricles and arachnoid spaces etc. were found. A pathological CT is very likely to appear in male patients who are 30 or even 50 years of age, having partial attacks with elementary symptoms, focal diagnosis in the EEG and a neurological unilateral finding. Especially noteworthy is the tumour detecting rate achieved by CT and the fact that in nearly 5% of the cases CT detected a cerebral lesion which has not been suspected, neither clinically nor in the EEG (4 tumours). This shows clearly that CT represents a heighly valuable diagnostic help, especially for patients with epileptic seizures. (orig./MG) [de

  17. Thirteen-Year Evaluation of Highly Cross-Linked Polyethylene Articulating With Either 28-mm or 36-mm Femoral Heads Using Radiostereometric Analysis and Computerized Tomography

    Nebergall, Audrey K; Greene, Meridith E; Rubash, Harry E

    2016-01-01

    BACKGROUND: The objective of this 13-year prospective evaluation of highly cross-linked ultra high molecular weight polyethylene (HXLPE) was to (1) assess the long-term wear of HXLPE articulating with 2 femoral head sizes using radiostereometric analysis (RSA) and to (2) determine if osteolysis...... is a concern with this material through the use of plain radiographs and computerized tomography (CT). METHODS: All patients received a Longevity HXLPE liner with tantalum beads and either a 28-mm or 36-mm femoral head. Twelve patients (6 in each head size group) agreed to return for 13-year RSA, plain...... scan revealed areas of remodeling of this graft. One patient's 13-year plain radiographs showed evidence of cup loosening and linear radiolucencies in zones 2 and 3. CONCLUSION: There was no evidence of significant wear over time using RSA. The CT scans did not show evidence of osteolysis due to wear...

  18. Epiploic appendicitis and omental infarction. Findings in the ultrasonography and computerized tomography; Apendicitis epiploica e infarto omental. Hallazgos en ecografia y tomografia computarizada

    Migule, A.; Ripolles, T.; Martinez, M. J.; Morote, V.; Ruiz, A. [Hospital Universitario Dr. Peset. Valencia (Spain)

    2001-07-01

    Describe the findings in the ultrasonography and computerized tomography (CT) of the omental infarction and epiploic appendicitis. The clinical and radiological findings of the patients diagnosed in our hospital with epiploic appendicitis or omental infarctions between August 1994 and March 2001 were assessed retrospectively. We found a high incidence (42 cases) of these two diseases: 30 patients with diagnosis of epiploic appendicitis and 12 with the diagnosis of omental infarction. Four patients were treated surgically, while the remaining 38 were conservatively, without posterior complications. The ultrasonography and CT images is characteristics. making it possible to make a diagnosis of epiploic appendicitis or omental infarction with certainty. It is not necessary to make a differential diagnosis between the two entities because their prognosis and treatment are similar. Their incidence is much more frequent than that previously published. (Author) 19 refs.

  19. Evaluation of the normal thoracic and abdominal aorta diameters by computerized tomography; Avaliacao dos diametros normais da aorta toracica e abdominal pela tomografia computadorizada

    Lucarelli, Claudio Luiz

    1995-07-01

    The study was undertaken to evaluate, through computerized tomography, the diameters of the normal thoracic and abdominal aorta, as well as they are connected to gender, age and body surface area; and the ratio between measurements obtained at the ascending and descending limbs of the thoracic aorta, and between the abdominal aortic diameters. For that reason, we measured the widest anteroposterior diameters of the thoracic aortas at the levels of the arch, the root, the pulmonary artery, and the thoracic-abdominal transition, as well as the level of the emergence of the superior mesenteric artery, of the renal hila and just cephalad to the bifurcation of the abdominal aortas of 350 patients without cardiovascular diseases who had undergone computerized tomography of the thorax and/or abdomen for any other reasons. Observation and statistic analyses led us to conclude that: 1) both the thoracic and abdominal aortic diameters are reduced from their proximal to their distal portions; 2) the body surface influences the size of the aorta, although only extreme variations alter the vessel's caliber; 3) vessel diameter was observed to gradually increase with age; 4) men were found to have larger diameters than age matched women; 5) the ratio between the ascending and descending aortic diameters varies according to gender and age; 6) the relations between abdominal aortic diameters measured at the level of renal hila and cephalad to the bifurcation are independent from gender and age. But the relation between those measured at the level of the superior mesenteric artery and cephalad to the bifurcation are linked to gender, but not to age. (author)

  20. Evaluation of the normal thoracic and abdominal aorta diameters by computerized tomography; Avaliacao dos diametros normais da aorta toracica e abdominal pela tomografia computadorizada

    Lucarelli, Claudio Luiz

    1995-07-01

    The study was undertaken to evaluate, through computerized tomography, the diameters of the normal thoracic and abdominal aorta, as well as they are connected to gender, age and body surface area; and the ratio between measurements obtained at the ascending and descending limbs of the thoracic aorta, and between the abdominal aortic diameters. For that reason, we measured the widest anteroposterior diameters of the thoracic aortas at the levels of the arch, the root, the pulmonary artery, and the thoracic-abdominal transition, as well as the level of the emergence of the superior mesenteric artery, of the renal hila and just cephalad to the bifurcation of the abdominal aortas of 350 patients without cardiovascular diseases who had undergone computerized tomography of the thorax and/or abdomen for any other reasons. Observation and statistic analyses led us to conclude that: 1) both the thoracic and abdominal aortic diameters are reduced from their proximal to their distal portions; 2) the body surface influences the size of the aorta, although only extreme variations alter the vessel's caliber; 3) vessel diameter was observed to gradually increase with age; 4) men were found to have larger diameters than age matched women; 5) the ratio between the ascending and descending aortic diameters varies according to gender and age; 6) the relations between abdominal aortic diameters measured at the level of renal hila and cephalad to the bifurcation are independent from gender and age. But the relation between those measured at the level of the superior mesenteric artery and cephalad to the bifurcation are linked to gender, but not to age. (author)

  1. Micro-radiography and micro-computerized tomography with absorption and phase contrast for materials characterization; Mikro-Radiografie und Mikro-Computertomografie mit Absorptions- und Phasenkontrast fuer die Materialcharakterisierung

    Kastner, Johann [FH Oberoesterreich, Wels (Austria)

    2017-08-01

    The contribution describes modern techniques in micro-radiography and micro-computerized tomography for materials characterization using absorption and phase contrast. Using micro- and nano-focus tubes and adequate high.-resolution detectors it is possible to reach resolutions significantly below 1 micron. The CT technology allows in-situ deformation testing to study the damaging mechanism of materials. The application of the Talbot-Lau interferometer with CT a differential phase contrast tomography is available. Dark-field tomography is used to study individual carbon fiber bundles in carbon fiber reinforced laminates.

  2. Cavernous hemangioma presenting marked hyperostosis

    Kobata, Hitoshi; Miyake, Hiroji; Kitamura, Junji; Kajikawa, Hiroshi; Ohta, Tomio

    1988-01-01

    The authors report here a case of hemangioma of the left parietal bone which presented headache and papilledema. This patient is a 37-year-old female who had, prior to admission, complained of increasing headache for one year and blurred vision for three months. She had no history of head injury. Local physical examinations revealed a slight bulging in her left parietal region which was insensitive to palpation and not adherent to the overlying scalp. Neurological examinations revealed bilateral papilledema and an incongruous bitemporal upper quadrant defect in the visual field. All the other neurological and laboratory data were normal. A plain skull roentogenogram showed a 9 x 9 cm osteolytic and characteristic honeycomb lesion in the parietal region. Systemic bone survey revealed a similar lesion in the right tibia which was not histologically examined. A marked accumulation of isotopes was detected on the bone scintigrams at both lesions. Selective external carotid angiograms demonstrated a tumor stain fed by the superficial temporal, occipital, and middle meningial arteries. CT scans of the brain and skull clearly showed a local thickening of and structural changes in the skull bone and also a mass effect on the brain and lateral ventricle. The lesioned bone was removed en bloc and replaced by an artificial bone. It was highly vascular, but not adherent to the overlying dura. The post-operative course was uneventful, and the headache and papilledema disappeared. Hemangioma of the skull presenting marked hyperostosis, as reported above, seems to be rare. In addition, in this case, skeletal angioma without any clinical manifestation was detected. Clinical and radiological pictures of the hemangioma of the skull and other bones were briefly discussed. (author)

  3. Diffuse hemangioma of the colon

    Reis, J.; Caseiro-Alves, F.; Cruz, L.; Moreira, A.; Rebelo, O.

    1995-01-01

    We report two cases of diffuse hemangioma of the colon in adolescent patients. One patient had multiple phleboliths at the lower pelvis identified with plain radiographs of the abdomen. Several aspects were seen on double-contrast enema: luminal narrowing, colonic-wall thickening and submucosal colonic masses that changed in appearance with the degree of colonic distension. Angiography was inconclusive in one case. Use of CT and MR provided relevant information regarding the true extent of the disease, but MR was superior in demonstrating unequivocally the vascular nature of the lesions. (orig.)

  4. Prognostic value of technetium-99m-labeled single-photon emission computerized tomography in the follow-up of patients after their first myocardial revascularization surgery

    Márcia Maria Sales dos Santos

    2003-01-01

    Full Text Available OBJECTIVE: To assess the prognostic value of Technetium-99m-labeled single-photon emission computerized tomography (SPECT in the follow-up of patients who had undergone their first myocardial revascularization. METHODS: We carried out a retrospective study of 280 revascularized patients undergoing myocardial scintigraphy under stress (exercise or pharmacological stress with dipyridamole and at rest according to a 2-day protocol. A set of clinical, stress electrocardiographic and scintigraphic variables was assessed. Cardiac events were classified as "major" (death, infarction, unstable angina and "any" (major event or coronary angioplasty or new myocardial revascularization surgery. RESULTS: Thirty-six major events occurred as follows: 3 deaths, 11 infarctions, and 22 unstable anginas. In regard to any event, 22 angioplasties and 7 new surgeries occurred in addition to major events, resulting a total of 65 events. The sensitivity of scintigraphy in prognosticating a major event or any event was, respectively, 55% and 58%, showing a negative predictive value of 90% and 83%, respectively. Diabetes mellitus, inconclusive stress electrocardiography, and a scintigraphic visualization of left ventricular enlargement were significant variables for the occurrence of a major event. On multivariate analysis, abnormal myocardial scintigraphy was a predictor of any event. CONCLUSION: Myocardial perfusion tomography with Technetium-99m may be used to identify high-risk patients after their first myocardial revascularization surgery.

  5. Determination of the initial energy in computerized tomography with proton beams; Determinacao da energia inicial em tomografia computadorizada com feixe de protons

    Rocha, Rodrigo Luis da

    2007-07-01

    In earliest works devoted to proton computed tomography it was shown that the advantage of pCT image reconstruction appears when the energy is close to the Bragg peak region, since the proton passes the object. This effect provided by the Bragg peak makes the computerized tomography with protons possible. However, when decreasing the initial proton energy, with the increase of the irradiation dose, there are two effects that work simultaneously in opposite ways. First, the energy loss of a proton in an object becomes bigger at small initial energy. At the same time decreasing of the proton energy results in the increase of the energy straggling, requiring a larger number of protons. In this work the radiation dose dependence on the proton initial energy was studied using analytical formulas and computer simulations. The investigation determined that the radiation dose practically does not depend on the initial energy, except in the energy region very close to the minimum energy necessary to pass the object. (author)

  6. MR of head and neck hemangiomas

    Bilaniuk, L.T.; Zimmerman, R.A.; Gusnard, D.A.

    1990-01-01

    This paper defines the MR characteristics of head and neck hemangiomas and to evaluate the role of MR in their diagnosis and management. Eighteen pediatric and young adult patients with head and neck hemangiomas (six neck, six face, three eyelid, two scalp, and one parotid) underwent high-field-strength 1.5-T MR imaging. Conventional spin-echo sequences with T1 and T2 weighting were performed. In addition, one-third of patients underwent MR angiography and gadolinium enhancement. The hemangiomas were isointense to muscle on T1-weighted images and hyperintense on proton-density and T2-weighted images

  7. Laboratory of computerized tomography and X-ray of Centro Federal de Educacao Tecnologica (CEFET) from Parana State, Brazil

    Schelin, Hugo R.; Paschuk, Sergei A.; Jakubiak, Rosangela J.; David, Denise E.H.; Gomes, Cintia L.; Soboll, Daniel S.; Ruehle, Gustavo; Carvalho, Arnolfo

    1996-01-01

    The development of X-ray laboratory at CEFET-PR (Brazil) is considered. The advancement and hospital practice application of an Image Quality Program for X-ray and tomography scanning is studied. A project regarding to the modernization of installed X-ray equipment, particularly X-ray detector, software and hardware is reported

  8. The usefulness of ultrasound colour-Doppler twinkling artefact for detecting urolithiasis compared with low dose nonenhanced computerized tomography

    Winkel, Rikke Rass; Kalhauge, Anna; Fredfeldt, Knud-Erik

    2012-01-01

    This prospective study evaluates the usefulness of the twinkling artefact (TA) seen on colour-Doppler ultrasound (US) in diagnosing urolithiasis. US and standard computed tomography (CT) were performed blinded on 105 patients. B-mode US and colour-Doppler used separately and in combination showed...

  9. Lobular Capillary Hemangioma of the Nasal Cavity: A Retrospective Study of 15 Cases in Taiwan

    Tzu-Hang Chi Chi

    2014-03-01

    Full Text Available Background: Lobular capillary hemangioma of the nasal cavity is an uncommon benign vascular tumor of unknown etiology. There have been only very few case reports in Taiwan. Aims: This study aimed to analyze the clinical features, radiological findings, treatment modalities, and outcome of lobular capillary hemangioma treated at a teaching hospital in Taiwan during a period of 10 years. Study Design: Descriptive study. Methods: Retrospective chart reviews were performed on patients who were diagnosed with lobular capillary hemangioma of the nasal cavity at Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, from January 2003 to December 2012. Data retrieved included age, gender, clinical symptoms, computed tomography (CT findings, treatment modalities, and outcome for further analysis. Results: Of the 15 patients identified, there were five males and ten females ranging from 17 to 86 years of age, with a mean age of 43.8±20.2. Epistaxis was the most common presenting symptom. All patients presented a unilateral nasal lobular capillary hemangioma. The most commonly affected site was the anterior nasal septum, followed by the inferior turbinate, vestibule, middle turbinate, and posterior nasal septum. All lesions presented as soft tissue density without bony erosions under CT examination. Endoscopic excisional surgery (n=12 or classical local excision (n=3 was performed for complete removal of the hemangioma. No evidence of recurrence was observed with 6 to 75 months of follow-up. Conclusion: Lobular capillary hemangioma of the nasal cavity was usually found to occur in anterior septum with epistaxis. Complete excision with endoscopic surgery or classical local excision was recommended and recurrence can be prevented.

  10. Radiation therapy of hemangiomas, 1909-1959

    Fuerst, C.J.; Lundell, M.; Holm, L.E.; Karolinska Sjukhuset, Stockholm

    1987-01-01

    Radium and roentgen therapies for hemangiomas of the skin (mainly strawberry hemangiomas) were used between 1909 and 1959 at Radiumhemmet, Stockholm. The total number of admitted patients with hemangioma of the skin during this period was 20012. About 90% were treated with irradiation and radium therapy was the most commonly used modality. Needles, tubes and flat applicators containing radium were used. Roentgen therapy was given by using standard machines available at the time. A small number of patients were treated with 32 P plaques. Most hemangiomas were located in the head-neck region (47%) and 30% were located on the thorax and upper part of the abdomen. The median age at the first treatment was 6 months and 90% of all patients were younger than 2 years of age at the time of treatment. The purpose of the investigation was to define a cohort, useful for studies on possible late effects following exposure to ionizing radiation in childhood. (orig.)

  11. Vulvar Lobular Capillary Hemangioma (Pyogenic Granuloma

    Kian-Mei Chong

    2005-03-01

    Conclusion: Pyogenic granuloma is considered a reactive hyperproliferative vascular response to trauma or other stimuli. The name “pyogenic granuloma” is a misnomer since the condition is not associated with pus and does not represent a granuloma histologically. There are a few cases of lobular capillary hemangioma of the glans penis but it is rare on the female genitalia. We present this case to help physicians become aware that lobular capillary hemangiomas may occur at this site.

  12. Intra-muscular hemangioma: A review

    Shruti Nayak

    2014-01-01

    Full Text Available Intra-muscular hemangiomas (IMH are relatively uncommon benign vascular tumors, which account for less than 1% of all hemangiomas. IMH may be presented as a perceived sporting injury. Diagnosis of this lesion is important not only because of its rarity, but also due to dangers posed by misdiagnosis and mismanagement. They must be considered in the differential diagnosis of unexplained pain and swelling in muscles. IMH occurring in the oral cavity is reviewed below.

  13. Epitheloid hemangioma: A report of two cases

    Basanti Devi

    2014-01-01

    Full Text Available We report two cases of epitheloid hemangioma presented with multiple nodular lesions over head and neck region. One of them gave history of bleeding on minor trauma. Pyogenic granuloma was considered as a differential diagnosis from the morphological appearance and history of bleeding. Nodular leprosy, sarcoidosis, and secondary syphilis were also considered. Histopathological examination of both was typical of epitheloid hemangioma, an entity commonly overlooked clinically due to its rarity.

  14. Impact of renal anatomy on shock wave lithotripsy outcomes for lower pole kidney stones: results of a prospective multifactorial analysis controlled by computerized tomography.

    Torricelli, Fabio C M; Marchini, Giovanni S; Yamauchi, Fernando I; Danilovic, Alexandre; Vicentini, Fabio C; Srougi, Miguel; Monga, Manoj; Mazzucchi, Eduardo

    2015-06-01

    We evaluated which variables impact fragmentation and clearance of lower pole calculi after shock wave lithotripsy. We prospectively evaluated patients undergoing shock wave lithotripsy for a solitary 5 to 20 mm lower pole kidney stone between June 2012 and August 2014. Patient body mass index and abdominal waist circumference were recorded. One radiologist blinded to shock wave lithotripsy outcomes measured stone size, area and density, stone-to-skin distance, infundibular length, width and height, and infundibulopelvic angle based on baseline noncontrast computerized tomography. Fragmentation, success (defined as residual fragments less than 4 mm in asymptomatic patients) and the stone-free rate were evaluated by noncontrast computerized tomography 12 weeks postoperatively. Univariate and multivariate analysis was performed. A total of 100 patients were enrolled in the study. Mean stone size was 9.1 mm. Overall fragmentation, success and stone-free rates were 76%, 54% and 37%, respectively. On logistic regression body mass index (OR 1.27, 95% CI 1.11-1.49, p = 0.004) and stone density (OR 1.0026, 95% CI 1.0008-1.0046, p = 0.005) significantly impacted fragmentation. Stone size (OR 1.24, 95% CI 1.07-1.48, p = 0.039) and stone density (OR 1.0021, 95% CI 1.0007-1.0037, p = 0.012) impacted the success rate while stone size (OR 1.24, 95% CI 1.04-1.50, p = 0.029), stone density (OR 1.0015, 95% CI 1.0001-1.0032, p = 0.046) and infundibular length (OR 1.1035, 95% CI 1.015-1.217, p = 0.015) impacted the stone-free rate. The best outcomes were found in patients with a body mass index of 30 kg/m(2) or less, stones 10 mm or less and 900 HU or less, and an infundibular length of 25 mm or less. The coexistence of significant unfavorable variables led to a stone-free rate of less than 20%. Obese patients with higher than 10 mm density stones (greater than 900 HU) in the lower pole of the kidney with an infundibular length of greater than 25 mm should be discouraged from

  15. Improved algorithm for computerized detection and quantification of pulmonary emphysema at high-resolution computed tomography (HRCT)

    Tylen, Ulf; Friman, Ola; Borga, Magnus; Angelhed, Jan-Erik

    2001-05-01

    Emphysema is characterized by destruction of lung tissue with development of small or large holes within the lung. These areas will have Hounsfield values (HU) approaching -1000. It is possible to detect and quantificate such areas using simple density mask technique. The edge enhancement reconstruction algorithm, gravity and motion of the heart and vessels during scanning causes artefacts, however. The purpose of our work was to construct an algorithm that detects such image artefacts and corrects them. The first step is to apply inverse filtering to the image removing much of the effect of the edge enhancement reconstruction algorithm. The next step implies computation of the antero-posterior density gradient caused by gravity and correction for that. Motion artefacts are in a third step corrected for by use of normalized averaging, thresholding and region growing. Twenty healthy volunteers were investigated, 10 with slight emphysema and 10 without. Using simple density mask technique it was not possible to separate persons with disease from those without. Our algorithm improved separation of the two groups considerably. Our algorithm needs further refinement, but may form a basis for further development of methods for computerized diagnosis and quantification of emphysema by HRCT.

  16. Regional cerebral blood flow during rest and skilled hand movements by xenon-133 inhalation and emission computerized tomography

    Lauritzen, M.; Henriksen, L.; Lassen, N.A.

    1981-01-01

    Regional cerebral blood flow (CBF) was studied in 16 normal adult volunteers during rest and in 10 the study was repeated during skilled hand movements. A fast-rotating (''dynamic''), single-photon emission computerized tomograph (ECT) with four detector heads was used. Xenon-133 was inhaled over a 1-min period at a concentration of 10 mCi/L. The arrival and washout of the radioisotope was recorded during four 1-min periods. Two slices, 2 cm thick, 7 and 12 cm above the orbitomeatal line were obtained in every study. CBF averaged 60 ml/100 g/min (SD +/- 11) in the lower slice and 51 ml/100 g/min (SD +/- 13) in the upper slice. A symmetric pattern comparing right to left sides was found in both slices. Finger tapping and writing with the right hand increased CBF in specific areas of the upper slice: in the contralateral hand area by 35 +/- 15% (p less than 0.025), and in the supplementary motor area on both sides by 34 +/- 15%

  17. Laser treatment of infantile hemangiomas

    Michelle Si Ying Ng

    2017-01-01

    Full Text Available Infantile hemangiomas (IHs are the most common benign soft tissue tumor of infancy and childhood. Many patients seek early treatment to halt progression of tumor growth and accelerate regression to achieve quick resolution with good cosmetic outcomes. We reviewed literature through PubMed search on the treatment strategies for IH and share our experience in the field of laser treatment of IH. Treatment strategies for IH include both pharmacological, laser, and surgical interventions depending on the stage and severity of the lesion. Various laser beams have been attempted with varying effects and effectiveness. The 595-nm pulsed dye laser therapy has been most widely utilized owing to its great efficacy but minimal adverse effects. It works by targeting oxyhemoglobin chromophore in blood vessels located within the dermis, causing photothermal damage of these target vessels stimulating quick involution without damaging surrounding healthy skin. It is especially useful in treating ulcerated superficial facial hemangiomas that necessitate rapid healing to avoid unsightly scarring. It has a good safety profile but small risk of epidermal burn, blistering, postinflammatory pigment changes, and scarring remains in those with darker skin types treated with higher fluences and short-pulsed duration. Combination treatment with 1064 nm neodymium-doped yttrium aluminum garnet laser, oral propranolol, and even corticosteroids remains an option, especially in treatment of deep, large, and functionally threatening IH. Careful consideration in consultation with the child's parents given the complexities and potential complications surrounding treatment should always be considered. Laser treatment remains an appropriate treatment for rapidly growing IH in exposed locations at early presentation.

  18. Tomografía axial computarizada en pacientes con enfermedades cerebrovasculares hemorrágicas Computerized axial tomography in patients with hemorrhagic cerebrovascular diseases

    Solángel Bolaños Vaillant

    2009-10-01

    Full Text Available Se efectuó un estudio descriptivo y transversal de 196 pacientes con enfermedad cerebrovascular hemorrágica, que abarcó desde enero del 2004 hasta igual mes del 2005 en el Hospital Provincial Docente “Saturnino Lora” de Santiago de Cuba, a los cuales se indicó una tomografía axial computarizada. Al relacionar las imágenes tomográficas con los síntomas y signos presentados por los enfermos, se halló lenguaje tropeloso en todos ellos; predominio de hematomas intraparenquimatosos, generalmente en ganglios basales y región temporal, así como primacía de la hipertensión arterial entre los antecedentes patológicos más importantes. Se concluyó que la tomografía axial computarizada es un medio para diagnóstico certero en las urgencias médicas por esa grave afección.A descriptive and cross sectional study of 196 patients with cerebrovascular hemorrhagic disease was carried out from January, 2004 to the same month of 2005 in "Saturnino Lora" Teaching Provincial Hospital from Santiago de Cuba, to whom a computerized axial tomography was indicated. When relating the tomographic images with the symptoms and signs which they presented, trouble speaking was detected in all of them; prevalence of intraparenchymatous hematomas, generally in basal ganglia and temporal region, as well as prevalence of hypertension among the most important pathological history. It was concluded that computarized axial tomography is a mean for precise diagnosis in medical emergencies due to that serious disorder.

  19. A Micro-Scale Investigation on the Behaviors of Asphalt Mixtures under Freeze-Thaw Cycles Using Entropy Theory and a Computerized Tomography Scanning Technique

    Huining Xu

    2018-01-01

    Full Text Available The thermodynamic behavior of asphalt mixtures is critical to the engineers since it directly relates to the damage in asphalt mixtures. However, most of the current research of the freeze-thaw damage of asphalt mixtures is focused on the bulk body from the macroscale and lacks a fundamental understanding of the thermodynamic behaviors of asphalt mixtures from the microscale perspective. In this paper, to identify the important thermodynamic behaviors of asphalt mixtures under freeze-thaw loading cycle, the information entropy theory, an X-ray computerized tomography (CT scanner and digital image processing technology are employed. The voids, the average size of the voids, the connected porosity, and the void number are extracted according to the scanned images. Based on the experiments and the CT scanned images, the information entropy evolution of the asphalt mixtures under different freeze-thaw cycles is calculated and the relationship between the change of information entropy and the pore structure characteristics is established. Then, the influences of different freezing and thawing conditions on the thermodynamic behaviors of asphalt mixtures are compared. The combination of information entropy theory and CT scanning technique proposed in this paper provides an innovative approach to investigate the thermodynamics behaviors of asphalt mixtures and a new way to analyze the freeze-thaw damage in asphalt mixtures.

  20. Sensitivity of computer assisted radionuclide angiography in transient ischemic attack and prolonged reversible ischemic neurological deficit. Comparison with findings in radiographic angiography and transmission computerized axial tomography

    Buell, U.; Scheid, K.F.; Lanksch, W.; Kleinhans, E.; Ulbert, V.; Reger, U.; Rath, M.; Moser, E.A.

    1981-01-01

    Computer assisted radionuclide angiography (CARNA) with 99mTc-DTPA was employed to study 143 patients with transient ischemic attacks (TIA) and 79 patients with prolonged reversible ischemic neurologic deficit (PRIND). The results of CARNA were compared with findings from radiographic angiography (RGA) in 173 patients and with findings in transmission computerized axial tomography (T-CAT) in 154 patients. In patients with TIA, CARNA showed a hemispherical perfusion deficit in 74.8%, and with PRIND 87.3%. This deficit, determined as the relative difference between the involved and the non-involved hemisphere, was significantly (p less than 0.0025) greater in PRIND (minus 23%) than in TIA (minus 17%). Sensitivity of CARNA was independent of the interval from ictus to examination for more than 4 months. RGA in TIA revealed true positives in 82.0%, in PRIND it was 89.5%. T-CAT was positive in TIA in only 16.8% but in PRIND it was 64.4%. Combined sensitivities in TIA (92.4%) and in PRIND (94.0%) were highest with the combination of CARNA and RGA. However, in PRIND the combination of non-invasive methods (CARNA and T-CAT) revealed 93.2% positive findings. Combinations of these evaluation methods may be used to detect cerebrovascular disease in patients with such dysfunction

  1. Utilization of special computerized tomography and nuclear medicine techniques for quality control and for the optimization of combined precision chemotherapy and precision radiation therapy

    Wiley, A.L. Jr.; Wirtanen, G.W.; Chien, I.-C.

    1984-01-01

    A combination of precision (selective, intra-arterial) chemotherapy and precision radiotherapy can be used for advanced pancreatic, biliary tract, and sarcomatous malignancies. There were some remarkable responses, but also a few poor responses and even some morbidity. Accordingly, methods are developed of pre-selecting those patients whose tumors are likely to respond to such therapy, as well as methods for improving the therapeutic ratio by the rational optimization of combined therapy. Specifically, clinical tumor blood flow characteristics (monitored with nuclear medicine techniques) may provide useful criteria for such selection. The authors also evaluate qualitatively the drug distribution or exposure space with specialized color-coded computerized tomography images, which demonstrate spatially dependent enhancement of intra-arterial contrast in tumor and in adjacent normal tissues. Such clinical data can improve the quality control aspects of intra-arterial chemotherapy administration, as well as the possibility of achievement of a significant therapeutic ratio by the integration of precision chemotherapy and precision radiation therapy. (Auth.)

  2. A study of root canal morphology of human primary incisors and molars using cone beam computerized tomography: an in vitro study.

    Gaurav, Vivek; Srivastava, Nikhil; Rana, Vivek; Adlakha, Vivek Kumar

    2013-01-01

    Variations in morphology of root canals in primary teeth usually leads to complications during and after endodontic therapy. To improve the success in endodontics, a thorough knowledge of the root canal morphology is essential. The aim of this study was to assess the variation in number and morphology of the root canals of primary incisors and molars and to study the applicability of cone beam computerized tomography (CBCT) in assessing the same. A total of 60 primary molars and incisors with full root length were collected and various parameters such as the number of roots, number of canals, diameter of root canal at cementoenamel junction and middle-third, length and angulations of roots of primary molars and incisors were studied using CBCT. The observations were put to descriptive statistics to find out the frequency, mean, standard deviation and range for all four subgroups. Further, unpaired t-test was used to compare these parameters between subgroups and analysis of variance test was implemented to evaluate the parameters within the subgroups. The CBCT showed the presence of bifurcation of root canal at middle third in 13% of mandibular incisors while 20% of mandibular molars had two canals in distal root. The diameter of distobuccal root canal of maxillary molars and mesiolingual canal of mandibular molars was found to be minimum. CBCT is a relatively new and effective technology, which provides an auxiliary imaging modality to supplement conventional radiography for assessing the variation in root canal morphology of primary teeth.

  3. Clinical significance of bone scintigraphy and computerized tomography (CT scan) in the evaluation of renal osteodystrophy in haemodialysed and non-haemodialysed patients

    Yatsuboshi, Motohiko

    1978-01-01

    For the evaluation of renal osteodystophy in both haemodialysed and non-haemodialysed patients, bone scintigraphy and computerized tomography (CT) scan were performed. Twenty-six patients with chronic renal failure were objectives of the study. For the control study of CT scan, patients with brain tumor without renal disease were selected. Bone scan was performed approximately 3 hours after sup(99m) Tc-EHDP (ethane-1-hydroxy-1, 1-diphosphonate) administration. The numericals which were printed out from CT scanner were analyzed in the area of frontal bone. The number of positive group was 9 and that of negative was 17. Positive group in non-haemodialysed patients showed lower serum calcium level and creatinine clearance and higher serum levels of inorganic phosphate and BUN compared with those of negative group. Positive scan group showed longer duration of dialysis and higher serum levels of parathyroid hormone and alkaline phosphatase than those of negative group. Frequency of abnormal findings detected by bone scan was higher than that elicited by roentgenographic examination. CT number of positive scan group was lower than that of negative group or control group. CT number in patients with subperiosteal resorption of phalanx and abnormal findings of calvarium was lower than that of patients without such roentgenographic abnormalities. These findings indicate that bone scan is useful in detecting bone changes of secondary hyperparathyroidism in chronic renal failure. CT scan could also help to estimate the decrease of bone density of calvarium in chronic renal failure. (author)

  4. Experimental study of mechanisms of sand production using X-ray computerized tomography; Estudo experimental dos mecanismos da producao de areia empregando tomografia computadorizada de raios X

    Santos, Janaina B.; Vargas Junior, Euripedes [Pontificia Univ. Catolica do Rio de Janeiro (PUC-Rio), RJ (Brazil). Dept. de Engenharia Civil; Barroso, Emilio V. [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Dept. de Geologia; Campos, Elisabete; Goncalves, Clemente; Tavares, Andre [PETROBRAS, Rio de Janeiro, RJ (Brazil). Centro de Pesquisas (CENPES)

    2004-07-01

    During productive phase of the well, many times there is simultaneous production of the solid particles detached from matrix of the reservoir rock. This phenomenon receives the name of the sand production. In this case stress and flow conditions around of the well are fundamental factors for deflagration of the process. Stress concentration in the wall of the well lead to the loss of cohesion between grains arising, consequently, a granular material region susceptible for dragging by seepage forces derived from fluid flow. The objective of this work was to perform sand production tests in Rio Bonito and synthetic sandstone samples using real-time X-Ray Computerized Tomography. The tests investigated the initial and the evolution of failure at the cavity wall of samples. These are initial stages of the sand production process. The analysis of the CT-scans obtained during tests allowed the visualization of breakouts and collapses of the wells. From studies more details were possible estimate the sand production and produce 3-D images of the propagation of the failure. (author)

  5. Quantitation of size of myocardial infarctions by computerized transmission tomography. Comparison with hot-spot and cold-spot radionuclide scans

    Gerber, K.H.; Higgins, C.B.

    1983-01-01

    The current study evaluated the ability to quantitate the volume of myocardial infarctions when they are outlined by intravenously administered contrast media in the myocardial perfusion phase and in the phase of delayed contrast enhancement of the infarct. Quantitation by contrast media was assessed from computerized transmission tomography (CTT) scans of the ex situ heart and compared with quantitation by technetium-99m (/sup 99m/Tc)pyrophosphate (/sup 99m/Tc PYP) and thallium-201 (201Tl) scans of the same ex situ hearts. True volume was defined by histochemical morphometry. CTT during the contrast perfusion phase uniformly underestimated infarct size but had a good correlation with true volume. CTT during enhancement phase correlated closely with true volume (r . 0.98) and most precisely measured true size (y . 1.06 X 0.23). The /sup 99m/Tc PYP scan overestimated infarct volume (predictive overestimation of 6 to 199%) but had a good correlation with true volume. 201Tl underestimated infarct volume but correlated well with true volume. Thus, quantitation of infarct volume from CTT scans performed during either the perfusion or infarct enhancement phase after intravenous contrast media provides a good estimate of true infarct volume. Delineation of the infarct by contrast media in the ex situ heart is more precise during the phase of delayed enhancement of the infarct

  6. Diagnosis of cranial hemangioma: Comparison between logistic regression analysis and neuronal network

    Arana, E.; Marti-Bonmati, L.; Bautista, D.; Paredes, R.

    1998-01-01

    To study the utility of logistic regression and the neuronal network in the diagnosis of cranial hemangiomas. Fifteen patients presenting hemangiomas were selected form a total of 167 patients with cranial lesions. All were evaluated by plain radiography and computed tomography (CT). Nineteen variables in their medical records were reviewed. Logistic regression and neuronal network models were constructed and validated by the jackknife (leave-one-out) approach. The yields of the two models were compared by means of ROC curves, using the area under the curve as parameter. Seven men and 8 women presented hemangiomas. The mean age of these patients was 38.4 (15.4 years (mea ± standard deviation). Logistic regression identified as significant variables the shape, soft tissue mass and periosteal reaction. The neuronal network lent more importance to the existence of ossified matrix, ruptured cortical vein and the mixed calcified-blastic (trabeculated) pattern. The neuronal network showed a greater yield than logistic regression (Az, 0.9409) (0.004 versus 0.7211± 0.075; p<0.001). The neuronal network discloses hidden interactions among the variables, providing a higher yield in the characterization of cranial hemangiomas and constituting a medical diagnostic acid. (Author)29 refs

  7. Evaluation of hepatic hemangioma by Tc-99 m red blood cell hepatic blood pool scan

    Sohn, Myung Hee

    2005-01-01

    Hemangioma is the most common benign tumor of the liver, with a prevalence estimated as high as 7%. Tc-99m red blood cell (RBC) hepatic blood pool scan with single photon emission computed tomography (SPECT) imaging is extremely useful for the confirmation or exclusion of hepatic hemangiomas. The classic finding of absent or decreased perfusion and increased blood pooling ('perfusion/blood pool mismatch') is the key diagnostic element in the diagnosis of hemangiomas. The combination of early arterial flow and delayed blood pooling ('perfusion/blood pool match') is shown uncommonly. In giant hemangioma, filling with radioactivity appears first in the periphery, with progressive central fill-in on sequential RBC blood pool scan. However, the reverse filling pattern, which begins first in the center with progressive peripheral filling, is also rarely seen. Studies with false-positive blood pooling have been reported infrequently in nonhemangiomas, including hemangiosarcoma, hepatocellular carcinoma, hepatic adenoma, and metastatic carcinomas (adenocarcinma of the colon, small cell carcinoma of the lung, neruroendocrine carcinoma). False-negative results have been also reported rarely except for small hemagniomas that are below the limits of spatial resolution of gamma camera

  8. Hemangiomas

    ... to 18 months, and then slowly shrink. Port wine stains and other true birthmarks are fully formed ... left alone, but as medicine has progressed the benefits to early treatment are outweighing the risks more ...

  9. Hemangioma rubi no couro cabeludo Cherry hemangioma in the scalp

    José Marcos Pereira

    2004-02-01

    Full Text Available O hemangioma rubi (HR é dermatose de origem vascular extremamente freqüente, acometendo mais de 75% da população acima de 70 anos de idade. Em geral compõe-se de lesões múltiplas,localizadas predominantemente no alto do tronco e braços. Clinicamente é caracterizado por lesões que variam desde máculas puntiformes até lesões papulosas com cinco milímetros de diâmetro. As mais novas são vermelhas, em tons vivos, e as mais antigas podem ser azuladas. O HR é de etiologia desconhecida. Histologicamente chama atenção uma neoformação de vasos capilares, que se tornam dilatados e com fenestrações em suas paredes. A membrana basal está muito espessada e existe abundante estroma de colágeno entre os vasos. O presente trabalho demonstra a alta incidência do HR no couro cabeludo Em amostra de 171 pacientes, sendo 85 homens e 86 mulheres, o autor observou que 123 deles (72% tinham HR no couro cabeludo, localização em que o HR nunca foi descrito na literatura.Cherry hemangioma (CH is an extremely frequent dermatosis with vascular origin involving more than 75% of the population over 70 years of age. Normally they are multiplex spots and focus predominantly on the upper trunk and arms. Clinically they are characterized by pinpoint maculae and papules with up to 5 millimeters in diameter. The most recent lesions can be a strong red color while the older ones are bluish. The etiology of CH is still unknown. From the histologic standpoint, the neoformation of the capillary tube draws attention: they are very dilated and with fenestration along the wall. The basement membranes are thickened and there is abundant collagen stroma between the veins. This work demonstrates the high frequency of CH in the scalp. In a sample of 171 patients (85 men and 86 women the author noted that 123 (72% had CH in the scalp. However, according to the literature, CH in the scalp has never been described.

  10. Dosimetric characterization of computerized tomography of 64 channels; Sobre la caracterizacion dosimetrica de un tomografo computarizado de 64 cortes

    Gimeno-Fernandez, V.; Sotil-Baylos, J.; Garcia-Pazos, M.; Garcia-Pena, P.

    2006-07-01

    As a first step in the evaluation of effective dose to patients in Computed Tomography (CT) examinations, the purpose of this work was the assessment of the dose delivered by a new multislice scanner of 64 channels (Philips Brilliance 64c). This was done through the measurement of the CT Dose Index free in air, normalized to the unit of applied charge, using different beam collimations and tube voltages. Fitting nonlinear models to the observed data, kilo voltage and over beaming (penumbra) parameters have been elicited. The kilo voltage exponent of the relationship between CT dose index and kilo voltage varies from 2,84 to 2,88. The obtained penumbra with was 2,04 nm. Finally, corrections factors that must be applied to the measured dose indexes as a function of the applied collimation have been established from the estimated analytical relationships. (Author)

  11. Dosimetry in phantom of newborn head for computerized tomography signs with voltages of 80, 100 and 120 KV

    Oliveira, G.A.P.; Mourão, A.P.

    2017-01-01

    Computed Tomography is the radiodiagnostic method that most contributes to the dose deposition in population. Therefore, the dose reductions used in these tests are very important, especially for pediatric patients who have a life expectancy greater than the rest of the population. This study purpose to compare the doses generated from newborns (NB) with different voltages in a 64-channel multichannel CT equipment of the GE brand. One head phantom in a cylindrical shape made in PMMA were used to newborn patient dimensions. 100 mA.s of charge of the X-ray tube were standardized, alternating the voltages between 80, 100, 120 kV in the axial acquisition. The absorbed dose measurements were performed with a pencil-type ionization chamber positioned within the five apertures in the phantom. The phantom was developed with the cephalic percentile of male NB of 14 and female of 28 days, respectively. The doses obtained in the head phantom of NB were compared with the voltages of 80, 100 and 120 kV. The volumetric dose index, C VOL , generated in the 120 kV protocol was 25.10 mGy, for 100 kV of 19,06 mGy and not for 80 kV 15,81 mGy. The results allow to evaluate that for the generation of images with 120 kV, the dose was 37.0% higher when compared to the voltage of 80 kV. The study shows that the increase in tension in the tomography protocols also makes it possible to increase the dose for the NB patient. (author)

  12. Dosimetry in phantom of newborn head for computerized tomography signs with voltages of 80, 100 and 120 KV

    Oliveira, G.A.P.; Mourão, A.P., E-mail: giovanni.paiva@pbh.gov.br, E-mail: apratabhz@gmail.com [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Dept. de Engenharia Nuclear

    2017-07-01

    Computed Tomography is the radiodiagnostic method that most contributes to the dose deposition in population. Therefore, the dose reductions used in these tests are very important, especially for pediatric patients who have a life expectancy greater than the rest of the population. This study purpose to compare the doses generated from newborns (NB) with different voltages in a 64-channel multichannel CT equipment of the GE brand. One head phantom in a cylindrical shape made in PMMA were used to newborn patient dimensions. 100 mA.s of charge of the X-ray tube were standardized, alternating the voltages between 80, 100, 120 kV in the axial acquisition. The absorbed dose measurements were performed with a pencil-type ionization chamber positioned within the five apertures in the phantom. The phantom was developed with the cephalic percentile of male NB of 14 and female of 28 days, respectively. The doses obtained in the head phantom of NB were compared with the voltages of 80, 100 and 120 kV. The volumetric dose index, C{sub VOL}, generated in the 120 kV protocol was 25.10 mGy, for 100 kV of 19,06 mGy and not for 80 kV 15,81 mGy. The results allow to evaluate that for the generation of images with 120 kV, the dose was 37.0% higher when compared to the voltage of 80 kV. The study shows that the increase in tension in the tomography protocols also makes it possible to increase the dose for the NB patient. (author)

  13. The Role of Fine Needle Aspiration in the Diagnosis of Parotid Gland Tumors: Correlation With Preoperative Computerized Tomography Tumor Size.

    Ghantous, Yasmine; Naddaf, Raja; Barak, Michal; Abd-Elraziq, Murad; Abu Eln-Naaj, Imad

    2016-03-01

    The role of fine needle aspiration cytology (FNAC) in the diagnosis of parotid gland masses is still controversial, regarding its sensitivity and specificity that vary between 41% and 100% and between 86% and 100% respectively.The aim of this study was to identify the specificity and sensitivity of FNAC of parotid gland tumors in relation to the tumor size as characterized preoperatively by computer tomography. The medical files of 79 patients whom were referred to the MaxilloFacila Surgery Department, Rambam medical center, over a 10.5-year period (2000-2010) were analyzed retrospectively.The extensity of the operation was determined by the location of the tumor as presented in computed tomography (CT) radiography, and preoperative FNAC examination.The majority of the masses were located in the superficial lobe (88.52%), and only 11.48% of the patients were located in the deep lobe (8:1 ratio). FNAC results were nondiagnostic in 7 patients (8.86%), 62 patients were diagnosed as inflammatory and benign lesion in (78.48%), malignant tumors were diagnosed in 10 patients (12.65%).The sensitivity in our study was 90%, the specificity was 98%, positive predictive value was 90%, negative predictive value was 98%, and diagnostic accuracy was 88%. The positive predictive value was 90%, the negative predictive value was 98%.Analyzing the effect of the preoperative CT size upon the accuracy of the FNAC diagnosis, we found that lesion with preoperative CT size greater than 24 mm has a more accurate FNAC result (P = 0.034).

  14. Children with Rare Chronic Skin Diseases: Hemangiomas and Epidermolysis Bullosa.

    Jones, Sheila Dove; Miller, Cynthia Dieterich

    The paper reports on studies involving children having the rare chronic skin diseases of hemangiomas and epidermolysis bullosa (characterized by easy blistering). One study compared the self-concept and psychosocial development of young (mean age 46 months) children (N=19) with hemangiomas with 19 children without hemangiomas. Findings indicated…

  15. Different Clinical Features of Acral Abortive Hemangiomas

    N. Vega Mata

    2017-01-01

    Full Text Available Some infantile hemangiomas called in literature “minimal or arrested growth hemangiomas” or “abortive hemangiomas” are present at birth and have a proliferative component equaling less than 25% of its total surface area. Often, they are mistaken for vascular malformation. We present five patients (three girls and two boys with abortive hemangiomas diagnosed between January 2010 and December 2015 localized in acral part of the extremities. They were congenital lesions resembling precursor of hemangiomas but did not show proliferation phase. Immunohistochemical Glut-1 was performed in all of them as a way to confirm the abortive hemangioma diagnosis. The most common appearance was a reticulated erythematous patch with multiple fine telangiectasias on the surface. We remark that one of them presented a segmental patch with two different morphologies and evolutions. The proximal part showed pebbled patches of bright-red hemangioma and presented proliferation and the distal part with a reticulated network-like telangiectasia morphology remained unchanged. We detected lower half of the body preference and dorsal region involvement preference without ventral involvement. The ulceration occurred in three patients with two different degrees of severity.

  16. Small hepatocellular carcinoma versus small cavernous hemangioma

    Choi, B.I.; Park, H.W.; Kim, S.H.; Han, M.C.; Kim, C.W.

    1989-01-01

    To determine the optimal pulse sequence for detection and differential diagnosis of small hepatocellular carcinomas and cavernous hemangiomas less than 5 cm in diameter, the authors have analyzed spin-echo (SE) images of 15 small hepatocellular carcinomas and 31 small cavernous hemangiomas obtained at 2.0 T. Pulse sequences used included repetition times (TRs) of 500 and 2,000 msec and echo times (TEs) of 30,60,90,120,150, and 180 msec. Mean tumor-liver contrast-to-noise ratios on the SE 2,000/60 (TR msec/TE msec) sequence were 23.90 ± 16.33 and 62.10 ± 25.94 for small hepatocellular carcinomas and hemangiomas, respectively, and were significantly greater than for all other pulse sequences. Mean tumor-liver signal intensity ratios on the SE 2,000/150 sequence were 2.34 ± 1.72 and 6.04 ± 2.72 for small hepatocellular carcinomas and hemangiomas, respectively, and were significantly greater than for all other pulse sequences in hemangiomas

  17. Vocal cord hemangioma in an adult

    Muzaffer Kanlıkama

    2011-03-01

    Full Text Available Hemangioma is one of the most common benign tumorsin the head and neck region. Laryngeal hemangiomasare benign vascular tumors of unknown etiology thatarise from subglottic region with stridor in infants. Thistype also known as congenital laryngeal hemangioma, isthe more common. Congenital hemangiomas occur usuallyin subglottic region and more frequent in girls. Laryngealhemangioma in adults is a very rare conditionand main symptom is hoarseness and breathing difficulties.Adult hemangiomas can be seen in different locationssuch as the epiglottis, aryepiglottic folds, arytenoidsand false and true vocal cords. They are more oftenof cavernous form and cause hoarseness. In this reportwe present an adult patient with hemangioma ofthe left vocal fold and review the literature. Diagnosticinvestigation revealed a pink-purple mass which was extendedfrom the anterior comissure to the posterior partof true vocal cord and false vocal cord, filling the ventriculeand extending to supraglottic region. Directlaryngoscopy was performed, but the lesion was not excisedbecause of its widespread extension in the larynx. JClin Exp Invest 2010; 2(1: 91-94

  18. The evaluation of the angles of Eustachian tubes in the patients with chronic otitis media on the temporal computerized tomography.

    Aksoy, S; Sayin, I; Yazici, Z M; Kayhan, F T; Karahasanoglu, A; Hocaoglu, E; Inci, E

    2016-01-01

    Chronic otitis media (COM), affecting all over the world and in a wide range of age groups in Turkey, is an important cause of ear discharge and hearing loss. The main clinical manifestations are tympanic membrane perforation, ear, nose and throat problems. On the tympanic membrane perforation becomes persistent and cholesteatoma development, there are a lot of opinions today. Especially in the pathology associated with otitis media with effusion eustachian tube, it is known that COM and cholesteatoma develop. In our study, we interpreted 210 patients' temporal computed tomography (CT). Seventy of these 210 patients had otitis media with cholesteatoma, 70 patients had only otitis media without cholesteatoma, and 70 patients had no otitis media. The eustachian tubes were evaluated using temporal CT multiplanar reconstruction method. Angles with the horizontal plane of the eustachian tube and Reid and tubotympanic angles were measured. The angles between eustachian tube and horizontally oriented Reid plane of the patients with cholesteatoma were found to be significantly lower than the patients with otitis media without cholesteatoma and the patients with no history of otitis media. For the tubotympanic angle, no statistically significant differences were observed between the groups. These results suggest that the decrease in the angle with the horizontal plane of Reid in the eustachian tube in adults may play a significant role in the etiology of cholesteatoma.

  19. Analysis of the of bones through 3D computerized tomography; Analise de estrutura ossea atraves de microtomografia computadorizada 3D

    Lima, I.; Lopes, R.T. [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE), Rio de Janeiro, RJ (Brazil). Lab. de Instrumentacao Nuclear; Oliveira, L.F. [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). Inst. de Fisica. Dept. de Fisica Aplicada e Termodinamica; Alves, J.M. [Universidade de Sao Paulo (USP), Sao Carlos, SP (Brazil). Escola de Engenharia

    2009-03-15

    This work shows the analysis of the internal structure of the bones samples through 3D micro tomography technique (3D-{mu}TC). The comprehension of the bone structure is particularly important when related to osteoporosis diagnosis because this implies in a deterioration of the trabecular bone architecture, which increases the fragility and the possibility to have bone fractures. Two bone samples (human calcaneous and Wistar rat femur) were used, and the method was a radiographic system in real time with an X Ray microfocus tube. The quantifications parameters are based on stereological principles and they are five: a bone volume fraction, trabecular number, the ratio between surface and bone volume, the trabecular thickness and the trabecular separation. The quantifications were done with a program developed especially for this purpose in Nuclear Instrumentation Laboratory - COPPE/UFRJ. This program uses as input the 3D reconstructions images and generates a table with the quantifications. The results of the human calcaneous quantifications are presented in tables 1 and 2, and the 3D reconstructions are illustrated in Figure 5. The Figure 6 illustrate the 2D reconstructed image and the Figure 7 the 3D visualization respectively of the Wistar femur sample. The obtained results show that the 3D-{mu}TC is a powerful technique that can be used to analyze bone microstructures. (author)

  20. On-line course as tools for radiation protection training in patients. A practical case in computerized tomography

    Medina Campos, J.; Fernandez Tallon, J.; Busca Suau, J.; Baro Casanovas, J.

    2006-01-01

    The rise in ionizing radiation applications within the field of diagnostics, with the corresponding increase in both number and doses received by patients, requires adequate resources for education and training in radiological protection. In is quite difficult to assemble professionals at a specific place to carry out training. However, the use of Information and Communication Technologies (IT) makes it possible to carry out training. However, the use of Information and Communication Technologies (IT) makes it possible to carry out training through Internet in an effective, easy and amusing way (e-learning). An on-line course of patient radiological protection and quality control in computer tomography has been developed aimed at professionals that use these diagnostic techniques. The course has been run twice in the period 2005-2006. The course is found on an Internet-accessible Virtual Campus, which allows access to multimedia contents, communication between students and instructors and follow-up of students performance. Final evaluation is done on-line and successfully passing the course counts for 8.9 credits in the Continuous Education Programme of Spanish Health Systems. (Author)

  1. Influence of ASIR (Adaptative Statistical Iterative Reconstruction) variation in the image noise of computerized tomography for high voltage

    Mendes, L.M.M.; Pereira, W.B.R.; Vieira, J.G.; Lamounier, C.S.; Gonçalves, D.A.; Carvalho, G.N.P.; Santana, P.C.; Oliveira, P.M.C.; Reis, L.P.

    2017-01-01

    Computed tomography had great advances in the equipment used in the diagnostic practice, directly influencing the levels of radiation for the patient. It is essential to optimize techniques that must be employed to comply with the ALARA (As Low As Reasonably Achievable) principle of radioprotection. The relationship of ASIR (Adaptive Statistical Iterative Reconstruction) with image noise was studied. Central images of a homogeneous water simulator were obtained in a 20 mm scan using a 64-channel Lightspeed VCT tomograph of General Electric in helical acquisitions with a rotation time of 0.5 seconds, Pitch 0.984: 1, and thickness of cut 0.625 mm. All these constant parameters varying the voltage in two distinct values: 120 and 140 kV with use of the automatic current by the CAE (Automatic Exposure Control), ranging from 50 to 675 mA (120 kV) and from 50 to 610 mA (140kV), minimum and maximum values, respectively allowed for each voltage. Image noise was determined through ImageJ free software. The analysis of the obtained data compared the percentage variation of the noise in the image based on the ASIR value of 10%, concluding that there is a variation of approximately 50% when compared to the values of ASIR (100%) in both tensions. Dose evaluation is required in future studies to better utilize the relationship between dose and image quality

  2. Angiographic features of rapidly involuting congenital hemangioma (RICH)

    Konez, Orhan; Burrows, Patricia E. [Department of Radiology, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States); Mulliken, John B. [Division of Plastic Surgery, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States); Fishman, Steven J. [Department of Pediatric Surgery, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States); Kozakewich, Harry P.W. [Department of Pathology, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States)

    2003-01-01

    Rapidly involuting congenital hemangioma (RICH) is a recently recognized entity in which the vascular tumor is fully developed at birth and undergoes rapid involution. Angiographic findings in two infants with congenital hemangioma are reported and compared with a more common postnatal infantile hemangioma and a congenital infantile fibrosarcoma. Congenital hemangiomas differed from infantile hemangiomas angiographically by inhomogeneous parenchymal staining, large and irregular feeding arteries in disorganized patterns, arterial aneurysms, direct arteriovenous shunts, and intravascular thrombi. Both infants had clinical evidence of a high-output cardiac failure and intralesional bleeding. This congenital high-flow vascular tumor is difficult to distinguish angiographically from arteriovenous malformation and congenital infantile fibrosarcoma. (orig.)

  3. A Comparison of In-Room Computerized Tomography Options for Detection of Fiducial Markers in Prostate Cancer Radiotherapy

    Owen, Rebecca; Foroudi, Farshad; Kron, Tomas; Milner, Alvin; Cox, Jennifer; Cramb, Jim; Zhu Li; Duchesne, Gillian

    2010-01-01

    Purpose: To compare volumetric in-room computed tomography (CT) and kilovoltage (kV) cone-beam CT (CBCT) to planar imaging with respect to their ability to localize fiducial markers (FMs) for radiotherapy of prostate cancer. Methods and Materials: Image guidance options from two linear accelerators were compared in terms of identifying the center of gravity (COG) of FMs from the isocenter: a Siemens Primatom, where the couch is rotated 180 degrees from the treatment isocenter to the in-room CT vs. electronic portal imaging (EPI); and a Varian OBI system, where kV CBCT, EPI, and planar kV radiographs were compared. In all, 387 image pairs (CBCT = 133; CT = 254) from 18 patients were analyzed. A clinical tolerance of 3 mm was predefined as the acceptable threshold for agreement. Results: COG location on in-room CT and EPI was in agreement 96.9%, 85.8%, and 89.0% of the time in the left-right (LR), superior-inferior (SI), and anterior-posterior (AP) directions, respectively, vs. 99.2%, 91.7%, and 93.2% for the CBCT and EPI analysis. The CBCT vs. kV radiographs were in agreement 100% (LR), 85.4% (SI), and 88.5% (AP), and EPI vs. kV radiographs were in agreement 100% (LR), 94.6% (SI), and 91.5% (AP) of the time. Conclusion: Identification of FMs on volumetric or planar images was found to be not equivalent (±3 mm) using either linear accelerator. Intrafraction prostate motion, interpretation of FM location, and spatial properties of images are contributing factors. Although in-room CT has superior image quality, the process of realigning the treatment couch to acquire a CT introduces an error, highlighting the benefits of a single isocentric system.

  4. Intramedullary cavernous hemangiomas, magnetic resonance studies in four patients

    Barrena, M.R.; Guelbenzu, S.; Garcia, S.; Bertrol, V.

    1998-01-01

    Intramedullary cavernous hemangiomas are vascular malformations that can be located throughout the entire central nervous system. They are more frequently found in brain than in spinal cord, where it is only possible to diagnose them by magnetic resonance (RM): We present four cases of intramedullary spinal cord cavernoma, three of which were located in the thoracic spine and one in cervical spine. Computed tomography was ineffective in their diagnosis. However, MR disclosed there presence of well-defined tumors producing a thickening of the spinal cord. The signal was heterogeneous in both T1 and T2-weighted images. There were low signal areas due to the presence of calcium and hemosiderin and high intensity signals provoked by methemoglobin within the lesions, which were scarcely enhanced by intravenous gadolinium administration. One of the lesions presented in the form of a large intramedullary hematoma. (Author) 8 refs

  5. Facial nerve hemangioma: a rare case involving the vertical segment.

    Ahmadi, Neda; Newkirk, Kenneth; Kim, H Jeffrey

    2013-02-01

    This case report and literature review reports on a rare case of facial nerve hemangioma (FNH) involving the vertical facial nerve (FN) segment, and discusses the clinical presentation, imaging, pathogenesis, and management of these rare lesions. A 53-year-old male presented with a 10-year history of right hemifacial twitching and progressive facial paresis (House-Brackmann grading score V/VI). The computed tomography and magnetic resonance imaging studies confirmed an expansile lesion along the vertical FN segment. Excision and histopathologic examination demonstrated FNH. FNHs involving the vertical FN segment are extremely rare. Despite being rare lesions, we believe that familiarity with the presentation and management of FNHs are imperative. Laryngoscope, 2012. Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.

  6. MR imaging of hemangiomas in oral cavity

    Toyoda, Keiko; Kobayashi, Masao; Tada, Shimpei.

    1995-01-01

    Eleven patients with hemangioma in the oral cavity were studied by MR imaging using spin-echo T 1 - and fast SE T 2 -weighted sequences. The hemangioma was iso-intense to muscles on T 1 -weighted images, and markedly hyperintense on T 2 -weighted images. The lesions were lobulated in margin. Four lesions showed internal spotty and/or curvilinear structures of low signal intensity. After administration of Gd-DTPA, three of seven lesions showed uniform contrast enhancement, three lesions showed partial or marginal enhancement, and remaining one lesion did not show enhancement effect. We conclude that MR imaging of oral hemangiomas is useful in delineating extent of the lesion. (author)

  7. Ultrasonographic classification of Atypical hepatic hemangiomas

    Bae, Sang Jin; Kim, Pyo Nyun; Ha, Hyun Kwon; Lee, Moon Gyu; Auh, Yong Ho; Yoon, Kwon Ha

    2000-01-01

    Cavernous hemangioma is the most common benign hepatic tumor. Typically, the most common features revealed by ultrasound (US) include its small size (4 cm or less in diameter), uniform hyperechogenicity, well defined margins, position in the subcapsular region of the right lobe of the liver, and some posterior echo enhancement. In addition, follow-up scanning may reveal changes in size, though this is rare. The US findings of hepatic hemangiomas may vary, however, especially when lesions are large and/or multiple. For that reason, differential diagnosis between this condition and hepatocellular carcinomas, metastatic lesions, lymphomas and other tumors is difficult. An understanding of the various sonographic findings of hepatic hemangioma can facilitate the early detection of the condition. (author)

  8. Evaluation of standard and use tendency of image diagnosis exams in Brazil with emphasis in pediatric computerized tomography

    Dovales, Ana Cristina Murta

    2016-01-01

    There is little information on developing countries about the use of diagnostic imaging procedures and the doses associated with radiological examinations. This study assessed the pattern and trend of diagnostic imaging usage in outpatients of the Brazilian Unified Health System (SUS) by modality and examined body part. Emphasis was given to computed tomography (CT) scans for which the analysis was extended to the private health care sector and included the evaluation of age at examination distribution, and dose estimation for children and young adults. Information on the use of diagnostic imaging procedures among SUS outpatients was obtained from the Outpatient Information System (SIA) of the Department of Information Technology of SUS (DATASUS). Data on the use of CT in the private health care sector were extracted from the Radiological Information Systems (RIS) of 25 private radiology services in 8 Brazilian cities. Effective doses and absorbed doses on organs of interest were estimated individually for 4,497 patients younger than 20 years of age using CT scan technical parameters and Monte Carlo simulations of radiation transport. Between 2002 and 2012 it was observed that conventional radiology was the most frequent modality of diagnostic imaging in SUS outpatients, but more sophisticated modalities, such as CT and magnetic resonance imaging, had the highest growth rates over the study period. The most frequent CT scan in SUS outpatients between 2001 and 2011 was the head/neck exam, but abdomen/pelvis examinations were the ones that grew the most. Patients up to 20 years of age made approximately 13% and 9% of the CT examinations between 2008 and 2014 in the public and private health care systems, respectively. About one-third of the private-sector patients had more than one CT scan in this period. There was great variation in doses, even for the same type of procedure in patients of the same age group. The highest mean effective dose was 13.5 mSv estimated

  9. Quantification of the extent and severity of myocardial ischemia in single-vessel disease using stress-redistribution thallium-201 single-photon emission computerized tomography

    Prigent, F.; Maddahi, J.; Garcia, E.; VanTrain, K.; Friedman, J.; Bietendorf, J.; Swan, H.J.C.; Waxman, A.; Berman, D.

    1984-01-01

    Single-vessel coronary artery (CA) disease (SVD) is not uniformly benign: long-term prognosis is likely to be related to the extent (E) and severity (S) of myocardial ischemia (isch). To assess the ability of stress thalium-201 (Tl) single photon emission computerized tomography (SPECT) to quantify E and S of isch, the authors studied 15 patients (pts) without myocardial infarction who had SVD (8 LAD, 4 RCA, and 3 LCX). SPECT cuts were analyzed using maximum count circumferential profiles (CPs) which were compared with previously established normal (nl) limits derived from 20 nl pts. E of isch was defined as the % of the CP points falling below nl, S and depth (D) of ischemia respectively expressed the total and the mean % by which the abnormal points fell below normal limits. Although all pts had SVD, the range of E, S and D of isch was wide (0 to 48% and 0 to 38% and 0 to 20% respectively). CA scores (CS) were derived using a 15-point system accounting for the distribution of the diseased CA, location, and degree of stenosis, and collateral supply. CS varied from 1.2 to 8. E and S significantly correlated with CS (r=.74,p=.001, and r=.78, p=.000, respectively). The 6 pts with a D less than or equal to .1 had 75% CA stenosis whereas 5 of the 9 pts with D <.1 had only 50-75% stenosis. Thus, the authors conclude that: 1) pts with SVD have highly differing degrees of isch; 2) E, S and D scores from Tl SPECT correlate favorably with the angiographic extent and severity of disease; and 3) SPECT offers potential for quantification of the magnitude of isch and may become a useful, noninvasive prognostic indicator.

  10. A study of root canal morphology of human primary incisors and molars using cone beam computerized tomography: An in vitro study

    Vivek Gaurav

    2013-01-01

    Full Text Available Background: Variations in morphology of root canals in primary teeth usually leads to complications during and after endodontic therapy. To improve the success in endodontics, a thorough knowledge of the root canal morphology is essential. Aim: The aim of this study was to assess the variation in number and morphology of the root canals of primary incisors and molars and to study the applicability of cone beam computerized tomography (CBCT in assessing the same. Settings and Design: A total of 60 primary molars and incisors with full root length were collected and various parameters such as the number of roots, number of canals, diameter of root canal at cementoenamel junction and middle-third, length and angulations of roots of primary molars and incisors were studied using CBCT. Statistical analysis used: The observations were put to descriptive statistics to find out the frequency, mean, standard deviation and range for all four subgroups. Further, unpaired t-test was used to compare these parameters between subgroups and analysis of variance test was implemented to evaluate the parameters within the subgroups. Results and Conclusion: The CBCT showed the presence of bifurcation of root canal at middle third in 13% of mandibular incisors while 20% of mandibular molars had two canals in distal root. The diameter of distobuccal root canal of maxillary molars and mesiolingual canal of mandibular molars was found to be minimum. CBCT is a relatively new and effective technology, which provides an auxiliary imaging modality to supplement conventional radiography for assessing the variation in root canal morphology of primary teeth.

  11. Clinical outcomes of prospectively treated 140 women with early stage breast cancer using accelerated partial breast irradiation with 3 dimensional computerized tomography based brachytherapy

    Budrukkar, Ashwini; Gurram, Lavanya; Upreti, Ritu Raj; Munshi, Anusheel; Jalali, Rakesh; Badwe, Rajendra; Parmar, Vani; Shet, Tanuja; Gupta, Sudeep; Wadasadawala, Tabassum; Sarin, Rajiv

    2015-01-01

    Purpose: To study the clinical outcomes of women with early breast cancer (EBC) treated with accelerated partial breast irradiation (APBI) with multicatheter interstitial brachytherapy (MIB) using 3 dimensional computerized tomography (3DCT) based planning. Materials and methods: During August 2005 to January 2013, 140 women with EBC were treated prospectively with APBI using high dose rate (HDR) MIB. After 3DCT based planning patients were treated to a dose of 34 Gy/10 #/1 week with bid regimen. Results: Median age was 57 years and tumor size 2 cm (range: 0.6–3.2 cm). Infiltrating duct carcinoma (IDC) was the most common histology; grade III tumors were seen in 82%. Median dose homogeneity index (DHI) was 0.76 (range: 0.49–0.85). The median coverage index (CI) of the cavity was 90% (61.4–100) and 80.5% (53.6–97.4) for planning target volume (PTV). Median follow up was 60 months (1–102 months). The 5 and 7 year local control rates (LC) were 97% and 92% respectively. Her2 positivity was the only prognostic factor which had an adverse impact on LC (p = 0.01). Five and 7 year disease free survival (DFS) and overall survival (OAS) were 93%, 84%, 97.5% and 89% respectively. Good to excellent cosmetic outcomes at last follow up were seen in 87 (77%) women. Conclusions: 3DCT based MIB results in excellent long term outcomes and good to excellent cosmesis. Her2 positivity has an adverse impact on LC rates

  12. Low osmolar (non-ionic) contrast media versus high osmolar (ionic) contrast media in intravenous urography and enhanced computerized tomography: a cost-effectiveness analysis.

    Wangsuphachart, S

    1991-12-01

    The cost-effectiveness of three alternative policies for the use of intravenous contrast media for urography and enhanced computerized tomography (CT) are analyzed. Alternative #1 is to use high osmolar contrast media (HOCM) in all patients, the historical policy. Alternative #2 is to replace it with low osmolar contrast media (LOCM) in all patients. Alternative #3 is to use LOCM only in the high risk patients. Data on the 6,242 patients who underwent intravenous urography and enhanced CT at the Department of Radiology, Chulalongkorn Hospital in 1989 were used. Both societal and hospital viewpoints were analyzed. The incremental cost-effectiveness (ICE) between #2 and #1 was 26,739 Baht (US$1,070) per healthy day saved (HDS), while the ICE between #3 and #1 was 12,057 Baht (US$482) per HDS. For fatal cases only, ICE between #2 and #1 was 35,111 Baht (US$1,404) per HDS, while the ICE between #3 and #1 was 18,266 Baht (US$731) per HDS. The incremental cost (IC) per patient was 2,341 Baht (US$94) and 681 Baht (US$27) respectively. For the hospital viewpoint the ICE between #2 and #1 was 13,744 (US$550) and between #3 and #1 was 6,127 Baht (US$245) per HDS. The IC per patient was 1,203 Baht (US$48) and 346 Baht (US$14), respectively. From the sensitivity analysis, #3 should be used if the LOCM price is reduced more than 75% (equal to 626 Baht or less) and more than 80% of the patients are able to pay for the contrast media.

  13. Spinal epidural hemangioma related to pregnancy

    Shapiro, G.S.; Millett, P.J. [Dept. of Orthopaedics, Hospital for Special Surgery, New York, NY (United States); DiCarlo, E.F. [Dept. of Pathology, Hospital for Special Surgery, New York, NY (United States); Mintz, D.N. [Dept. of Radiology, Hospital for Special Surgery, New York, NY (United States); Dept. of Radiology, New York Presbyterian Hospital, NY (United States); Gamache, F.W. [Department of Surgery, Hospital for Special Surgery, New York, NY (United States); Dept. of Surgery, New York Presbyterian Hospital, NY (United States); Rawlins, B.A. [Dept. of Orthopaedics, Hospital for Special Surgery, New York, NY (United States); Weill Medical College of Cornell Univ., New York (United States)

    2001-05-01

    We report the case of a 39-year-old woman with adolescent idiopathic scoliosis presenting with myelopathy secondary to a spinal epidural hemangioma. MRI showed an epidural soft tissue mass within the spinal canal between T5 and T9 with severe spinal cord compression. Symptoms had a temporal relationship to her pregnancy. Surgical removal of the epidural hemangioma rapidly relieved her symptoms and neurologic deficits. Follow-up examination 2 years later demonstrated normal motor and sensory function, without any neurologic sequelae or progression of deformity. (orig.)

  14. Hemangioma de úvula: relato de um caso

    G. Sobrinho Fernando P.

    2003-01-01

    Full Text Available O hemangioma é o mais comum tumor de origem vascular, benigno, freqüentemente diagnosticado em crianças, e com predileção pela cabeça e pescoço, mas que raramente tem origem na úvula. Neste órgão, apresenta risco de traumatismo local e sangramento. Este artigo relato um caso de hemangioma de úvula num adulto jovem com disfagia orofaríngea progressiva e sensação de corpo estranho na garganta, tratado com sucesso por ressecção cirúrgica do tumor com bisturi de radiofreqüência.

  15. TESTICULAR CAPILLARY HEMANGIOMA: DESCRIPTION OF A CASE

    A. S. Markova

    2012-01-01

    Full Text Available The paper describes a clinical case of testicular capillary hemangioma in a 24-year-old man undergone a partial resection of the testis with the intraoperative morphological examination. Testicular capillary hemangioma is a rare benign tumor of a vascular origin, which can be similar to malignant testicular tumors on the clinical presentation, as well as on the imaging methods, in particular to seminoma. The intraoperative histological study can assist in avoiding organ-removing surgical interventions in diagnostically ambiguous cases if a benign testicular tumor is diagnosed.

  16. Computerized tomography with X-rays: an instrument in the analysis physico-chemical between formations and drilling fluids interactions; Tomografia computadorizada com raios-X: uma ferramenta na analise das interacoes fisico-quimicas entre as formacoes rochosas e fluidos de perfuracao

    Coelho, Marcus Vinicius Cavalcante

    1998-12-31

    In this study it is demonstrated the applicability of the Computerized Tomography technique with x-rays to evaluate the reactivity degree between various drilling fluids and argillaceous sediments (Shales and Sandstones). The research has been conducted in the Rock-Fluid Interaction Pressure Simulator (RFIPS), where the possible physico-chemical alterations can be observed through successive tomography images, which are obtained during the flow of the fluid through the samples. In addition, it was noticed the formation of mud cake in Berea Sandstones samples in the RFIPS, though the Computerized Tomography with X-rays, when utilizing drilling fluids weighted with the baryte. (author) 35 refs., 38 figs., 5 tabs.

  17. Computerized tomography with X-rays: an instrument in the analysis physico-chemical between formations and drilling fluids interactions; Tomografia computadorizada com raios-X: uma ferramenta na analise das interacoes fisico-quimicas entre as formacoes rochosas e fluidos de perfuracao

    Coelho, Marcus Vinicius Cavalcante

    1999-12-31

    In this study it is demonstrated the applicability of the Computerized Tomography technique with x-rays to evaluate the reactivity degree between various drilling fluids and argillaceous sediments (Shales and Sandstones). The research has been conducted in the Rock-Fluid Interaction Pressure Simulator (RFIPS), where the possible physico-chemical alterations can be observed through successive tomography images, which are obtained during the flow of the fluid through the samples. In addition, it was noticed the formation of mud cake in Berea Sandstones samples in the RFIPS, though the Computerized Tomography with X-rays, when utilizing drilling fluids weighted with the baryte. (author) 35 refs., 38 figs., 5 tabs.

  18. Is 18F-fluorocholine-positron emission tomography/computerized tomography a new imaging tool for detecting hyperfunctioning parathyroid glands in primary or secondary hyperparathyroidism?

    Michaud, Laure; Burgess, Alice; Huchet, Virginie; Lefèvre, Marine; Tassart, Marc; Ohnona, Jessica; Kerrou, Khaldoun; Balogova, Sona; Talbot, Jean-Noël; Périé, Sophie

    2014-12-01

    Preoperative ultrasonography and scintigraphy using (99m)Tc-sestamibi are commonly used to localize abnormal parathyroid glands. In cases of discrepant results between scintigraphy and ultrasonography, it is important to rely on another diagnostic imaging modality. (18)F-fluorodeoxyglucose (FDG) and (11)C-methionine positron emission tomography (PET) have been studied, but are imperfect to detect abnormal parathyroid glands. Recently, first cases of abnormal parathyroid glands taking-up radiolabelled choline were discovered incidentally in men referred to (11)C-choline or (18)F-fluorocholine (FCH)-PET/CT for prostate cancer. We checked if FCH uptake was a general feature of adenomatous or hyperplastic parathyroid glands. FCH-PET/CT was performed in 12 patients with primary (n = 8) or secondary hyperparathyroidism (1 dialyzed, 3 grafted) and with discordant or equivocal results on preoperative ultrasonography (US) and/or (123)I/(99m)Tc-sestamibi dual-phase scintigraphy. The results of the FCH-PET/CT were evaluated, with surgical exploration and histopathologic examination as the standard of truth. On a per-patient level, the detection rate of FCH-PET/CT (at least one FCH focus corresponding to an abnormal parathyroid gland in a given patient) was 11/12 = 92%. FCH-PET/CT detected 18 foci interpreted as parathyroid glands and correctly localized 17 abnormal parathyroid glands (7 adenomas and 10 hyperplasias). On a per-lesion level, FCH-PET/CT results were 17 TP, 2 false negative ie, a lesion-based sensitivity of 89%, and 1 false positive. As the main result of this pilot study, we show that in patients with hyperparathyroidism and with discordant or equivocal results on scintigraphy or on ultrasonography, adenomatous or hyperplastic parathyroid glands can be localized by FCH-PET/CT with good accuracy. Furthermore, FCH-PET/CT can solve discrepant results between preoperative ultrasonography and scintigraphy and has thus a potential as a functional imaging modality in

  19. Centrifugal (inside-out) enhancement of liver hemangiomas: A possible atypical appearance on contrast-enhanced US

    Bartolotta, Tommaso Vincenzo; Taibbi, Adele; Galia, Massimo; Lo Re, Giuseppe; La Grutta, Ludovico; Grassi, Roberto; Midiri, Massimo

    2007-01-01

    Objective: To report the prevalence and to describe the atypical centrifugal (inside-out) appearance of contrast-enhancement of liver hemangiomas on contrast-enhanced sonography. Materials and methods: Baseline and SonoVue-enhanced ultrasonography of 92 patients with 158 liver hemangiomas - considered atypical at grey-scale examination and confirmed by computed tomography, magnetic resonance imaging and ultrasound follow-up - were reviewed in consensus by two experienced radiologists, who evaluated baseline echogenicity and the dynamic enhancement pattern of each lesion looking for the presence of central enhancing foci in the arterial phase followed by a centrifugal (inside-out) enhancement in the portal-venous and late phases. Results: After administration of SonoVue, 12/158 hemangiomas (7.6%) (size range: 1-7 cm; mean: 3.2 cm) in seven patients (5 women, 2 men; age range: 34-71 years, mean: 50.8 years) showed a central enhancing focus in the arterial phase followed by a centrifugal enhancement in the portal-venous and late phases. In all cases centrifugal enhancement was incomplete at contrast-enhanced sonography, whereas computed tomography and/or magnetic resonance imaging were able to depict a complete and homogeneous fill-in. Conclusion: Radiologist should be aware that centrifugal (inside-out) appearance on contrast-enhanced sonography is a rare but possible feature of liver hemangioma

  20. Centrifugal (inside-out) enhancement of liver hemangiomas: A possible atypical appearance on contrast-enhanced US

    Bartolotta, Tommaso Vincenzo [Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo (Italy)], E-mail: tv.bartolotta@unipa.it; Taibbi, Adele [Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo (Italy)], E-mail: taibbi_adele@yahoo.it; Galia, Massimo [Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo (Italy)], E-mail: mgalia@yahoo.com; Lo Re, Giuseppe [Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo (Italy)], E-mail: giuseppe.lore12@tin.it; La Grutta, Ludovico [Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo (Italy)], E-mail: lagrutta@mbox.infcom.it; Grassi, Roberto [Institute of Radiology, Second University of Naples, Piazza Miraglia, 80138 Naples (Italy)], E-mail: roberto.grassi@libero.it; Midiri, Massimo [Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo (Italy)], E-mail: mmidiri@hotmail.com

    2007-12-15

    Objective: To report the prevalence and to describe the atypical centrifugal (inside-out) appearance of contrast-enhancement of liver hemangiomas on contrast-enhanced sonography. Materials and methods: Baseline and SonoVue-enhanced ultrasonography of 92 patients with 158 liver hemangiomas - considered atypical at grey-scale examination and confirmed by computed tomography, magnetic resonance imaging and ultrasound follow-up - were reviewed in consensus by two experienced radiologists, who evaluated baseline echogenicity and the dynamic enhancement pattern of each lesion looking for the presence of central enhancing foci in the arterial phase followed by a centrifugal (inside-out) enhancement in the portal-venous and late phases. Results: After administration of SonoVue, 12/158 hemangiomas (7.6%) (size range: 1-7 cm; mean: 3.2 cm) in seven patients (5 women, 2 men; age range: 34-71 years, mean: 50.8 years) showed a central enhancing focus in the arterial phase followed by a centrifugal enhancement in the portal-venous and late phases. In all cases centrifugal enhancement was incomplete at contrast-enhanced sonography, whereas computed tomography and/or magnetic resonance imaging were able to depict a complete and homogeneous fill-in. Conclusion: Radiologist should be aware that centrifugal (inside-out) appearance on contrast-enhanced sonography is a rare but possible feature of liver hemangioma.

  1. A rapidly enlarging cutaneous hemangioma in pregnancy.

    Ma'ayeh, Marwan

    2014-06-18

    This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient\\'s thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.

  2. Vertebral Hemangiomas - Aggressive Forms | Allali | African Journal ...

    Medical imaging allows both diagnosis and evaluation of their aggressivity. Objective To assess the role of radiology, embolisation, percutaneous vertebroplasty, radiotherapy and surgery in the diagnosis and treatment of vertebral hemangiomas. Methods We report our experience of five patients who had an average age of ...

  3. Massive training artificial neural network (MTANN) for reduction of false positives in computerized detection of lung nodules in low-dose computed tomography

    Suzuki, Kenji; Armato, Samuel G. III; Li, Feng; Sone, Shusuke; Doi, Kunio

    2003-01-01

    In this study, we investigated a pattern-recognition technique based on an artificial neural network (ANN), which is called a massive training artificial neural network (MTANN), for reduction of false positives in computerized detection of lung nodules in low-dose computed tomography (CT) images. The MTANN consists of a modified multilayer ANN, which is capable of operating on image data directly. The MTANN is trained by use of a large number of subregions extracted from input images together with the teacher images containing the distribution for the 'likelihood of being a nodule'. The output image is obtained by scanning an input image with the MTANN. The distinction between a nodule and a non-nodule is made by use of a score which is defined from the output image of the trained MTANN. In order to eliminate various types of non-nodules, we extended the capability of a single MTANN, and developed a multiple MTANN (Multi-MTANN). The Multi-MTANN consists of plural MTANNs that are arranged in parallel. Each MTANN is trained by using the same nodules, but with a different type of non-nodule. Each MTANN acts as an expert for a specific type of non-nodule, e.g., five different MTANNs were trained to distinguish nodules from various-sized vessels; four other MTANNs were applied to eliminate some other opacities. The outputs of the MTANNs were combined by using the logical AND operation such that each of the trained MTANNs eliminated none of the nodules, but removed the specific type of non-nodule with which the MTANN was trained, and thus removed various types of non-nodules. The Multi-MTANN consisting of nine MTANNs was trained with 10 typical nodules and 10 non-nodules representing each of nine different non-nodule types (90 training non-nodules overall) in a training set. The trained Multi-MTANN was applied to the reduction of false positives reported by our current computerized scheme for lung nodule detection based on a database of 63 low-dose CT scans (1765

  4. Technetium-99m-HMPAO labeled leukocyte single photon emission computerized tomography (SPECT) for assessing Crohn's disease extent and intestinal infiltration.

    Biancone, L; Schillaci, O; Capoccetti, F; Bozzi, R M; Fina, D; Petruzziello, C; Geremia, A; Simonetti, G; Pallone, F

    2005-02-01

    Scintigraphy using radiolabeled leukocytes is a useful technique for assessing intestinal infiltration in Crohn's disease (CD). However, limits of planar images include overlapping activity in other organs and low specificity. To investigate the usefulness of (99m)Tc-HMPAO (hexametyl propylene amine oxime) labeled leukocyte single photon emission computerized tomography (SPECT) for assessing CD lesions, in comparison with planar images. Twenty-two inflammatory bowel disease patients (19 CD; 2 ulcerative colitis, UC; 1 ileal pouch) assessed by conventional endoscopy or radiology were enrolled. Leukocytes were labeled with (99m)Tc-HMPAO. SPECT images were acquired at 2 h and planar images at 30 min and 2 h. Bowel uptake was quantitated in nine regions (score 0-3). Both SPECT and planar images detected a negative scintigraphy (score 0) in the UC patient with no pouchitis and a positive scintigraphy (score 1-3) in the 21 patients showing active inflammation by conventional techniques. SPECT showed a higher global score than planar images (0.71 +/- 0.09 vs 0.30 +/- 0.05; p < 0.001), and in particular in the right iliac fossa (p= 0.003), right and left flank (p < 0.001; p= 0.02), hypogastrium (p= 0.002), and mesogastrium (p < 0.001). SPECT provided a better visualization and a higher uptake than planar images in patients with ileal and ileocolonic CD (6.45 +/- 0.82 vs 2.8 +/- 0.55, p < 0.001; 5.5 +/- 1.6 vs 2.6 +/- 0.7, p= 0.03), and with perianal CD (6.6 +/- 1.6 vs 3.4 +/- 1.2; p= 0.03). (99m)Tc-HMPAO labeled leukocyte SPECT provides a more detailed visualization of CD lesions than planar images. This technique may better discriminate between intestinal and bone marrow uptake, thus being useful for assessing CD lesions within the pelvis, including perianal disease.

  5. Fentanyl Iontophoretic Transdermal System (IONSYS(®)) can be Safely used in the Hospital Environment with X-Rays, Computerized Tomography and Radiofrequency Identification Devices.

    Lemke, John; Sardariani, Edmond; Phipps, Joseph Bradley; Patel, Niki; Itri, Loretta M; Caravelli, James; Viscusi, Eugene R

    2016-09-01

    Fentanyl iontophoretic transdermal system (fentanyl ITS, IONSYS(®)) is a patient-controlled analgesia system used for the management of acute postoperative pain, designed to be utilized in a hospital setting. The objective of the two studies was to determine if fentanyl ITS could be safely used with X-rays, computerized tomography (CT) scans and radiofrequency identification (RFID) devices. The ITS system has two components: controller and drug unit; the studies utilized ITS systems without fentanyl, referred to as the ITS Placebo system. The first study evaluated the effect of X-radiation on the operation of an ITS Placebo system. Five ITS Placebo systems were exposed to X-rays (20 and 200 mSv total radiation dose-the 200 mSv radiation dose represents a tenfold higher exposure than in clinical practice) while operating in the Ready Mode and five were exposed while operating in the Dose Mode. The second study evaluated the effect of RFID (worst-case scenario of direct contact with an RFID transmitter) on the operation of an ITS Placebo system. During these tests, observations of the user interface and measurements of output voltage confirmed proper function throughout all operational modes (Ready Mode, Dose Mode, End-of-Use Mode, and End-of-Life Mode). The ITS Placebo system met all specifications and no functional anomalies were observed during and following X-ray exposure at two radiation dose levels or exposure at six different combinations of RFID frequencies and field strengths. The performance of the ITS system was unaffected by X-ray exposure levels well beyond those associated with diagnostic X-rays and CT scans, and by exposure to radiofrequency field strengths typically generated by RFID devices. These results provide added confidence to clinicians that the fentanyl ITS system does not need to be removed during diagnostic X-rays and CT scans and can also be utilized in close proximity to RFID devices. The studies and writing of this manuscript were

  6. Computerized tomography in multiple sclerosis

    Delouvrier, J.J.; Tritschler, J.L.; Desbleds, M.T.; Cambier, J.; Nahum, H.

    1980-01-01

    The double scan CT method was applied to a homogeneous population of 50 multiple sclerosis patients and the following features were studied: well defined low-density areas, localized contrast enhancements, cerebral atrophy and white matter homogeneity. The analyses of the variance of the white matter (centrum ovale) can disclose those lesions which individually do not surpass the visibility threshold. The lesions that are localized in the white matter are mainly periventricular, most often multiple, and they do not displace the neighbouring structures. By revealing a large number of clinically silent cerebral lesions, the cerebral CT becomes a highly important diagnostic tool. The value of the CT examinations seems to be of major importance each time that the clinical diagnosis is hesitant, particularly when faced with medullary signs or an initial neurological episode. (C.F.)

  7. Computerized tomography in primary hyperammonemia

    Olier, J.; Gallego, J.; Digon, E.

    1989-01-01

    Urea cycle enzymopathies are rare in the literature. They are accompanied by neurological disorders somehow related to the increase in blood ammonia. Reviewing the possible physiopathological course we present a case in which during an eight month period severe cerebral atrophy developed, more intense in the occipital region but totally sparing the posterior cranial fossa structures. (orig.)

  8. Computerized tomography using fast neutrons

    Maier-Schuler, P.

    1992-03-01

    The equipment is transportable and can be used at different neutron sources. CT-images are presented showing that it is possible to get good results by using CT with fast neutrons in non destructive testing. Small defects with high contrasts can be detected as well as larger defects with small differences in material density. Since the neutrons interact with the nuclei and not with the electron density the CT-images contain different information compared with X-ray or γ images. As neutron sources always emit γ-radiation too, this radiation can be detected simultaneously with the neutrons. Therefore one can get a γ CT-image along with the neutron image. For the examination of small samples or objects containing materials with great differences in the linear attenuation coefficients like Al and H 2 thermal neutrons have been used for CT-measurements too. A spatial resolution and a density resolution of 0.1 mm and about 5% respectively could be achieved in the CT-images with fast neutrons and 0.04 mm with thermal neutrons. (orig./HP) [de

  9. Computerized tomography of intracranial tumors

    Hungenberg, T.

    1982-01-01

    The author discusses the possibilities and limits of CT in the differential diagnosis of intracranial tumours. His discussion is based on a quantitative classification and a number of case studies selected under the following aspects: Misinterpretation of the CT image; specific diagnostic problems; uncommon CT image of the tumour; rare histological findings. 118 patients were examined between November 1976 and April 1979. (orig./MG) [de

  10. Gonad shielding in computerized tomography

    Rockstroh, G.

    1984-01-01

    The reduction of gonadal dose by shielding of the gonads was investigated for a Somatom 2 using an anthropomorphic phantom. For small distances from the slice examined the gonadal dose results from intracorporal secondary radiation and is only insignificantly reduced by shielding. For greater distances shielding is relatively more effective, the gonadal dose however is small because of the approximately exponential decay. Shielding of the gonads therefore does not seem adequate for the reduction of gonadal dose. From dose measurements in cylinder phantoms of several diameters it appears that no different results would be obtained for children and young adults. An effective reduction of gonadal dose is only possible with lead capsules for males. (author)

  11. Computerized tomography of the pancreas

    Dondelinger, R.; Campos, R.O.; Lamarque, J.L.

    1979-01-01

    Pancreatic anatomy is briefly reviewed. Tomographic images from normal pancreas and from pathological states (different kinds of pancreatitis; pancreatic tumors) of this organ are discussed. (M.A.) [pt

  12. Computerized tomography of cerebral infarction

    Yamashita, K; Mihara, T; Kobayashi, E; Yamamoto, K; Kusumoto, K [Kagoshima Univ. (Japan). Faculty of Medicine

    1978-12-01

    In 120 cases of patients with cerebral infarction, the affected areas in the CT images were analyzed with special reference to the site, the size, and the extension. Moreover, on 39 scans of 34 cases examined with 8 weeks after the onset of strokes, the CT images were analyzed from the viewpoint of the presence of a mass effect, edema, contrast enhancement, and the accompanying hemorrhage. From these investigations, the authors have obtained the following results; 1) The greatest incidence of infarcts was in the area supplied by the middle cerebral artery (57% of the cases), and, among those, the area of the lenticulostriate arteries showed the highest incidence (53%). Even in the posterior fossa, infarcts were found in 6% of the cases. These findings are coincident with those in autopsied cases. 2) Putaminal infarcts and infarctions occurring in the area supplied by the calcarine artery seemed to be uniformity of the arcuate pattern. 3) Most of the infarcts in the perfusion area of the anterior cerebral artery and the basal ganglia were found to be small and multifocal; they were thought to correspond with water-shed and/or lacunar infarcts. 4) In approximately 25% of the cases examined within 8 weeks after the onset of strokes, the CT images revealed mass effects which had never been observed after more than 3 weeks. In conclusion, the presence of a mass effect, accompanying hemorrhage, and contrast enhancement detected by CT should lead us to reconsider the conventional management of cerebral infarction.

  13. Non-destructive analysis and detection of internal characteristics of spruce logs through X computerized tomography; Detection et analyse non destructive de caracteristiques internes de billons d'epicea commun (PICEA ABIES (L.) KARST) par tomographie a rayons X

    Longuetaud, F

    2005-10-15

    Computerized tomography allows a direct access to internal features of scanned logs on the basis of density and moisture content variations. The objective of this work is to assess the feasibility of an automatic detection of internal characteristics with the final aim of conducting scientific analyses. The database is constituted by CT images of 24 spruces obtained with a medical CT scanner. Studied trees are representative of several social status and are coming from four stands located in North-Eastern France, themselves are representative of several age, density and fertility classes. The automatic processing developed are the following. First, pith detection in logs dealing with the problem of knot presence and ring eccentricity. The accuracy of the localisation was less than one mm. Secondly, the detection of the sapwood/heart-wood limit in logs dealing with the problem of knot presence (main source of difficulty). The error on the diameter was 1.8 mm which corresponds to a relative error of 1.3 per cent. Thirdly, the detection of the whorls location and comparison with an optical method. Fourthly the detection of individualized knots. This process allows to count knots and to locate them in a log (longitudinal position and azimuth); however, the validation of the method and extraction of branch diameter and inclination are still to be developed. An application of this work was a variability analysis of the sapwood content in the trunk: at the within-tree level, the sapwood width was found to be constant under the living crown; at the between-tree level, a strong correlation was found with the amount of living branches. A great number of analyses are possible from our work results, among others: architectural analysis with the pith tracking and the apex death occurrence; analysis of radial variations of the heart-wood shape; analysis of the knot distribution in logs. (author)

  14. Non-destructive analysis and detection of internal characteristics of spruce logs through X computerized tomography; Detection et analyse non destructive de caracteristiques internes de billons d'epicea commun (PICEA ABIES (L.) KARST) par tomographie a rayons X

    Longuetaud, F

    2005-10-15

    Computerized tomography allows a direct access to internal features of scanned logs on the basis of density and moisture content variations. The objective of this work is to assess the feasibility of an automatic detection of internal characteristics with the final aim of conducting scientific analyses. The database is constituted by CT images of 24 spruces obtained with a medical CT scanner. Studied trees are representative of several social status and are coming from four stands located in North-Eastern France, themselves are representative of several age, density and fertility classes. The automatic processing developed are the following. First, pith detection in logs dealing with the problem of knot presence and ring eccentricity. The accuracy of the localisation was less than one mm. Secondly, the detection of the sapwood/heart-wood limit in logs dealing with the problem of knot presence (main source of difficulty). The error on the diameter was 1.8 mm which corresponds to a relative error of 1.3 per cent. Thirdly, the detection of the whorls location and comparison with an optical method. Fourthly the detection of individualized knots. This process allows to count knots and to locate them in a log (longitudinal position and azimuth); however, the validation of the method and extraction of branch diameter and inclination are still to be developed. An application of this work was a variability analysis of the sapwood content in the trunk: at the within-tree level, the sapwood width was found to be constant under the living crown; at the between-tree level, a strong correlation was found with the amount of living branches. A great number of analyses are possible from our work results, among others: architectural analysis with the pith tracking and the apex death occurrence; analysis of radial variations of the heart-wood shape; analysis of the knot distribution in logs. (author)

  15. Rapidly involuting congenital hemangioma (RICH): a brief case report

    Scalise, Robert; Bolton, Joanna; Gibbs, Neil F

    2014-01-01

    Congenital hemangiomas (CH) are benign vascular neoplasms that proliferate in utero and have completed development by birth. Two subtypes of CH are recognized: rapidly involuting congenital hemangiomas (RICH) and non-involuting congenital hemangiomas (NICH). Involution of the RICH subtype often begins in the first weeks of life. NICH does not involute, allowing the distinction between RICH and NICH. We report a case of an infant with RICH occurring on the scalp, examined at birth and followed...

  16. Enucleation of a Giant Hemangioma of Liver: Old School Revisited

    Karpagavel ChandraBose

    2015-01-01

    Full Text Available Hemangiomas are the most frequent benign hepatic tumours and are usually found in patients aged between 40 and 60 years, more frequently in women. In 30–35% of patients, the lesions are multiple. If the lesions are larger than 4–10 cm, they are coined as “giant” hemangioma. Here, we present a case of giant hemangioma treated with enucleation of the lesion and the advantages of the procedure.

  17. Mimicry of lyme arthritis by synovial hemangioma.

    Hospach, Toni; Langendörfer, M; Kalle, T V; Tewald, F; Wirth, T; Dannecker, G E

    2011-12-01

    To report on the differential diagnosis of lyme arthritis and synovial hemangioma due to similar clinical and radiological signs and symptoms. A 15-year-old boy presented at the age of 9 with recurrent rather painless swelling of the right knee. Altogether four episodes lasting for 1-2 weeks each occurred over a period of 18 months before medical advice was sought. Physical examination revealed only a slightly limited range of motion. Living in an endemic area of borreliosis, he reported a tick bite 6 months prior to onset of his symptoms with erythema migrans and was treated for 10 days with amoxicillin. Serology revealed two positive unspecific bands in IgG immunoblot (p41 and 66) with slight positivity for ELISA. Ultrasound revealed synovial thickening and increased fluid. Despite the weak positive serology a diagnosis of lyme arthritis could not be excluded and intravenous antibiotic treatment with ceftriaxone was started. After two further relapses antiinflammatory therapy including intraarticular steroids were introduced with no long lasting effect. A chronical disease developed with alternate periods of swelling and almost complete remission. Ultrasound as well as MRI demonstrated ongoing signs of synovitis, therefore after further progression, a diagnostic arthroscopy was performed showing an inconspicuous knee joint. A second MRI showed focal suprapatellar enhancement and was followed by open arthrotomy revealing a histopathological proven synovial cavernous juxtaarticular hemangioma. To our knowledge, the differential diagnosis of lyme arthritis and synovial hemangioma has not yet been reported despite obvious clinical similarities. In conclusion, in children and adolescents synovial hemangioma has to be considered in differential diagnosis of recurrent knee swelling. Early diagnosis is important to prevent prolonged suffering from chronic joint swelling with probable joint damages, unnecessary treatment procedures and as well school and sports

  18. Cytogenetic study of a pulmonary sclerosing hemangioma.

    Pareja, María J; Vargas, María T; Sánchez, Ana; Ibáñez, José; González-Cámpora, Ricardo

    2009-11-01

    Pulmonary sclerosing hemangioma (PSH) is an uncommon benign tumor that presents as a solitary asymptomatic and slow-growing nodule. It occurs in both young and old persons; peak incidence is in the fifth decade. Both sexes are affected by this tumor, but women more frequently than men. On histological examination, PSH shows prominent sclerotization and vascularization of the tissue. Recent studies conclude that PSH derives from type II pneumocytes, but the potential for progression and histogenesis remains controversial. We report a case of pulmonary sclerosing hemangioma in a 61-year-old woman with a neoplastic node 1 cm in diameter. The karyotype was 46,XX,t(8;18),der(14;15),+14 in all the cells analyzed. PTEN (10q23) and IgH (14q32) probes were analyzed in interphase nuclei and paraffin-embedded tissues of tumor cells. These chromosome abnormalities could provide information about the relationship of genetic changes to the biological properties of sclerosing hemangioma tumors.

  19. Tomography

    1985-01-01

    Already widely accepted in medicine, tomography can also be useful in industry. The theory behind tomography and a demonstration of the technique to inspect a motorcycle carburetor is presented. To demonstrate the potential of computer assisted tomography (CAT) to accurately locate defects in three dimensions, a sectioned 5 cm gate valve with a shrink cavity made visible by the sectioning was tomographically imaged using a Co-60 source. The tomographic images revealed a larger cavity below the sectioned surface. The position of this cavity was located with an in-plane and axial precision of approximately +-1 mm. The volume of the cavity was estimated to be approximately 40 mm 3

  20. Imaging characteristics of two subtypes of congenital hemangiomas: rapidly involuting congenital hemangiomas and non-involuting congenital hemangiomas

    Gorincour, Guillaume; Rypens, Francoise; Garel, Laurent; Dubois, Josee; Kokta, Victor; Powell, Julie

    2005-01-01

    Common infantile hemangiomas (COMMON) occur in approximately 10% of infants by the age of 1 year, with a female predominance. Some hemangiomas can be fully developed at birth and are thus called congenital hemangiomas (CH). Within this population, two courses have been identified: rapidly involuting CH (RICH) and non-involuting CH (NICH). Little has been reported on the clinical prognosis and imaging features of these entities. To describe the imaging characteristics of two subtypes of CH, i.e. RICH and NICH, and to compare them with COMMON. We retrospectively gathered data on 26 children presenting with CH, i.e. lesions fully developed at birth. These lesions were divided into two groups according to the clinical course: suspected RICH (n=8) and suspected NICH (n=18). We used US, CT or MRI and angiography to identify the gross anatomy and structure and the vascularization. Imaging findings were compared with the clinical course and pathology results, when available. The imaging findings in these patients were compared retrospectively with those in 26 patients with COMMON randomly chosen from the database of our multidisciplinary clinic. When compared with COMMON imaging characteristics, NICH and RICH had distinctive features on US such as being heterogeneous (72% of NICH and 62.5% of RICH vs 42.3% of COMMON), visible vessels (72% of NICH and 62.5% of RICH vs 15.4% of COMMON), calcifications (17% of NICH and 37.5% of RICH vs no case of COMMON). On CT and/or MRI, we compared imaging features such as well-defined limits (67% of NICH and 60% of RICH vs 100% of COMMON), and fat stranding (29.4% of NICH and RICH vs 7.7% of COMMON). Distinctive imaging characteristics are observed in cases of CH with US findings of visible vessels and calcifications statistically significant. (orig.)

  1. X-ray computerized tomography based on the method of reciprocal projection with filtration by double differentiation. Procedure and information peculiarities

    Vajnberg, Eh.I.; Kazak, I.A.; Fajngojz, M.L.

    1985-01-01

    The results of experimental evaluation of procedure and information peculiarities of the method of reciprocal projection with filtration of projections by double differentiation (RPFDD) for the monitoring of industrial products are generalized. Succession of stages n the RPFDD method permits to separately optimize reconstruction of high-frequeny and low-frequency tomogram structure which sharply reduces the acuteness of contradictions of conventional scheme between the required increase of accuracy and intolerable growth of computerized charges. High accuracy of evaluation of the linear attenuation factor of low-frequency structures in a wide range of densities at the last stage of RPFDD scheme is attained despite the non-conventionally small range of values at earlier stages of computerized processing

  2. Tomography

    Barrett, H.H.; Gordon, S.; Swindell, W.

    1980-01-01

    Apparatus is described for generating a two-dimensional back-projected image of a slice of an object in tomography. The apparatus uses optical techniques to perform the functions of filtering and back projection. Central to the technique is a cylindrical drum which rotates at a fast rate and whose rotational axis tilts at a slower rate. The novel method overcomes the problem of image blurring due to motion which occurs in many tomographic techniques. It also has the advantages of being less expensive and simpler compared to tomography using digital processing techniques which require fast computers. (UK)

  3. Infraglottic lobular capillary hemangioma: A case report

    Vinh Ly Pham Hoang

    2018-03-01

    Full Text Available Lobular capillary hemangioma (LCH is a benign proliferation of capillary blood vessels adopting a lobular configuration. A laryngeal origin of LCH is exceedingly rare. Here, we describe a case of an 11-year-old boy presenting with a subglottic lesion, leading to a subglottic stenosis. Histopathologic findings of the lesion implicated an LCH, which was removed successfully by a coblator. This is the first report of a subglottic LCH. Physicians should be aware of this unique lesion and laryngeal LCH should be considered in diagnosing the cause of a subglottic stenosis. Additionally, coblation should be an effective treatment for laryngeal LCH.

  4. Cavernous hemangioma of the knee - case report

    Weiss, Marcin; Dolata, Tomasz; Weiss, Waldemar; Maksymiak, Martyna; Kałużny, Krystian; Kałużna, Anna; Zukow, Walery; Hagner Derengowska, Magdalena

    2018-01-01

    Weiss Marcin, Dolata Tomasz, Weiss Waldemar, Maksymiak Martyna, Kałużny Krystian, Kałużna Anna, Zukow Walery, Hagner‑Derengowska Magdalena. Cavernous hemangioma of the knee - case report. Journal of Education, Health and Sport. 2018;8(4):318-325. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1226645 http://ojs.ukw.edu.pl/index.php/johs/article/view/5438 The journal has had 7 points in Ministry of Science and Higher Education parametric evalu...

  5. Chylous Ascites Secondary to Giant Liver Hemangioma

    Darius L. Lazarus

    2012-07-01

    Full Text Available Chylous ascites is rare in clinical practice. It is characterized by milky-appearing peritoneal fluid with a triglycerides concentration of >1.25 mmol/l (110 mg/dl. Its pathophysiology is related to a disruption in the normal lymphatic flow. It is more common after trauma (including post surgery, neoplasia or atypical infections such as tuberculosis or filariasis. Other rare medical causes have been reported. The treatment is supportive and focused on correction of the underlying pathology. We report here the first case of chylous ascites caused by giant liver hemangioma and discuss the management of this condition.

  6. Eficácia terapêutica do interferon alfa em criança com hemangioma gigante craniofacial: relato de caso Therapeutical effectiveness of interferon alpha in a child with craniofacial giant hemangioma: case report

    Nilson Lopes da Fonseca Junior

    2008-06-01

    and extensive variation of capillary hemangioma, that generally occurs in newborns and suckling infants. There are several therapeutical modalities, as the intralesional injection of steroids, laser therapy, intralesional injection of sclerosing solutions, surgery, radiotherapy and embolization. New therapeutical modalities have been developed, with the objective of getting better results and to make possible the treatment of the lesions of difficult surgical access or refractory cases to the used therapeutical modalities. The best results have been observed with interferon-alpha. This is a case of a patient with three months of age, that presented since birth, a purplish tumor in the superior eyelid of the right eye, plain and purplish cutaneous lesions in the temporal and parietal right region. On computed tomography of the skull, an orbital expansive vascularized process with intracranial extension could be observed. Systemic therapy with steroids was the initial treatment, during forty days, with gradual reduction for four weeks. With the practically unchanged clinical findings, the treatment with interferon-alpha was indicated, in the dose of subcutaneous 3.000.000 U/m², three times a week. After 9 months of treatment, a small residual orbital lesion was observed. In this case, interferon-alpha is presented as a good option for the treatment of craniofacial giant hemangioma.

  7. Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture

    Unal, Emre; Toktas, Zafer Orkun; Aker, Fugen Vardar; Akakın, Akın; Kilic, Türker

    2017-01-01

    The authors present an extremely rare case of an aggressive and progressive vertebral capillary hemangioma of the lumbar spine secondary to a trauma. A 40-year-old man who complained of back and leg pain due to a hemangioma of L1 that had begun a year after the fracture of the same vertebra was subsequently operated on. Due to the profuse bleeding, only a subtotal removal was possible. Histopathological diagnosis of the lesion revealed a capillary hemangioma. Postoperative control MRI taken at eight months showed that the lesion and destruction of the L1 vertebra were progressive. A second embolization procedure was performed and this time the hemangioma was totally removed via an anterior approach and corpectomy. Fusion was achieved by Th12-L2 graft and plaque. In the fourteenth year of follow-up, he was symptom-free and radiologically clear of this lesion. We propose that progressive hemangioma is extremely rare and that its cure is possible by total surgical removal of the lesion. This case is the second extradural capillary hemangioma secondary to spinal trauma ever to have been documented in English literature. The emergence of a hemangioma in a fractured vertebra suggests that its pathogenesis can be related to the deviation of the angiogenetic pathways from the normal healing process. PMID:28713608

  8. Diagnosis of sclerosing hemangioma of lung: Don′t rely on fine-needle aspiration cytology diagnosis alone

    Kaushik Saha

    2013-01-01

    Full Text Available Sclerosing hemangioma is a rare variety of benign pulmonary neoplasm. It usually presents as asymptomatic, solitary, peripheral, circumscribed lesions in middle-aged women. Here, we describe a 46-year-old woman presenting to us for evaluation of right parahilar lung mass. Previous chest radiography done 10 years back showed a lung mass of almost similar size. Computed Tomography (CT-guided fine-needle aspiration cytology (FNAC was suggestive of adenocarcinoma of lung. A well-circumscribed, capsulated, ovoid mass measuring 5.6 cm × 4 cm × 3 cm, adjacent to the transverse fissure of the right lung was excised by lateral thoracotomy. Histopathological examination along with immunohistochemistry was suggestive of sclerosing hemangioma of lung. A pathologist must consider the clinicoradiological features before coming to a final diagnosis of lung malignancy from FNAC. Whenever there is any confusion regarding lung mass, thoracotomy must be done for arriving at an exact diagnosis from histopathology.

  9. Sonographic Findings of Cavernous Hemangioma in Fatty Liver

    Hahm, Jin Kyeung; Kim, Ki Whang; Yoon, Sang Wook; Kim, Tae Hoon; Lee, Jong Tae; Yoo, Hyung Sik; Kim, Myung Jin; Ji, Hoon

    1995-01-01

    Typical cavernous hemangioma presents no diagnostic difficulty at sonography. However, in cases of atypical hemangioma, further evaluation is needed to differentiate it from malignancy. On the other hand, thcechogenicity of the lesion may be iso echo or hypoecho when it occurs in association with fatty liver. We analyzed the sonographic features of hemangioma in fatty liver. We reviewed the sonograms of 22 lesions from 19 patients. We divided the lesions into two groups; the lesion measuring less than 3cm in diameter (group I) and the lesions measuring same or greater than 3cm (group II). The lesions of each group were analyzed in terms of location, shape, distinction of margin, internal echogenicity, posterior enhancement, lateral shadowing, and peritumoral hypoechoic halo. The lesions were located in subcapsular or perivascular areain 86%. They strowed round or lobulated shape with well defined margin in 82%. Internal echo of the lesions was hypoechoic in 82% and homogeneous in 64%. Posterior enhancement was seen in 77%. The posterior wall of the lesion was distinct in 68%. There was no statistical difference in incidence of each finding described above between the two groups except the internal echogenicity(p<0.05). All of the four hyperechoic lesions measured greater than 3cmin diameter, and three of them showed uneven thickness of echogenic rind. Definitive diagnosis of hemangioma could be obtained in 82%. In remaining 18% of hemangioma, the lesions showed peripheral hypoechoic halo and lateral shadowing that made the diagnosis of hemangioma difficult. However, the possibility of hemangioma could be suggested because they showed haemangiomas internal eye-catching and posterior enhancement. Hepatic cavernous hemangioma presents with variable eye-catching as compared to the surrounding tissue when it is associated with fatty liver disease, Thus, in differentiating hemangiomas from other localized hepatic mass, other characteristics such as homogeneity of the

  10. Determination of the dose index in computerized tomography using thermoluminescent dosemeters; Determinacion del indice de dosis en tomografia computada usando dosimetros termoluminiscentes

    Azorin, J.C.; Calderon, A. [Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada-IPN, 11500 Mexico D.F. (Mexico); Azorin, J. [UAM-I, 09340 Mexico D.F. (Mexico)

    2004-07-01

    In this work the obtained results of the determination of the dose index are presented in thorax studies in computed tomography and helical tomography carried out in Mexico using thermoluminescent dosemeters of LiF: Mg,Cu,P + Ptfe developed and manufactured in our country. The results showed that under similar conditions of irradiation and operation (pitch = 1), significant differences don't exist among the doses absorbed measures in the phantom due to the two types of used tomographs. (Author)

  11. The changing face of complicated infantile hemangioma treatment

    Menapace, Deanna [Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, AZ (United States); Mayo School of Graduate Medical Education-MN, Department of Otorhinolaryngology, Rochester, MN (United States); Mitkov, Mario [Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, AZ (United States); Towbin, Richard [Phoenix Children' s Hospital, Department of Radiology, Phoenix, AZ (United States); Hogeling, Marcia [University of California, Los Angeles, Division of Dermatology, Santa Monica, CA (United States)

    2016-10-15

    Infantile hemangiomas are the most common vascular tumors of infancy. A multidisciplinary approach including dermatologists, otolaryngologists, plastic surgeons, hematologists/oncologists and interventional/diagnostic radiologists is crucial for appropriate management of children with complicated infantile hemangiomas. Since its unforeseen discovery in 2008, propranolol has become the first-line treatment for infantile hemangiomas, eclipsing systemic corticosteroids and radiologic intervention. There are still, however, uncommon indications for more aggressive interventional management. We review the 2014-updated International Society for the Study of Vascular Anomalies (ISSVA) classification for vascular anomalies. Additionally, we suggest management algorithms for complicated lesions, including recommendations for radiologic and surgical intervention. (orig.)

  12. Tomography

    Allan, C.J.; Keller, N.A.; Lupton, L.R.; Taylor, T.; Tonner, P.D.

    1984-10-01

    Tomography is a non-intrusive imaging technique being developed at CRNL as an industrial tool for generating quantitative cross-sectional density maps of objects. Of most interest is tomography's ability to: distinguish features within complex geometries where other NDT techniques fail because of the complexity of the geometry; detect/locate small density changes/defects within objects, e.g. void fraction measurements within thick-walled vessels, shrink cavities in castings, etc.; provide quantitative data that can be used in analyses, e.g. of complex processes, or fracture mechanics; and provide objective quantitative data that can be used for (computer-based) quality assurance decisions, thereby reducing and in some cases eliminating the present subjectivity often encountered in NDT. The CRNL program is reviewed and examples are presented to illustrate the potential and the limitations of the technology

  13. Is hepatotropic contrast enhanced MR a more effective method in differential diagnosis of hemangioma than multi-phase CT and unenhanced MR?

    Markiet Karolina

    2011-04-01

    Full Text Available Abstract Background Cavernous hemangiomas are the most frequent neoplasms of the liver and in routine clinical practice they often need to be differentiated from malignant tumors and other benign focal lesions. The purpose of this study is to evaluate whether diagnostic accuracy of magnetic resonance imaging (MRI of hepatic hemangiomas, showing atypical pattern on US, improves with the use of Gd-BOPTA in comparison with contrast-enhanced multi-phase computed tomography (CT. Methods 178 consecutive patients with ambiguous hepatic masses showing atypical hyperechoic pattern on grey-scale US, underwent unenhanced and contrast-enhanced multi-phase multi-detector CT and MR (1.5T with the use of liver-specific contrast medium gadobenate dimeglumine (Gd-BOPTA. After intravenous contrast administration arterial (HAP, venous-portal (PVP, equilibrium phases (EP both in CT and MR and additionally hepatobiliary phase (HBP in MR were obtained. 398 lesions have been detected including 99 hemangiomas and 299 other lesions. Results In non-enhanced MDCT examination detection of hemangiomas was characterized by sensitivity of 76%, specificity of 90%, PPV of 71%, NPV of 92% and accuracy of 86%. Non-enhanced MR examination showed sensitivity of 98%, specificity of 99%, PPV of 99%, NPV of 99% and accuracy of 99%. After intravenous administration of contrast medium in MR the mentioned above parameters did not increase significantly. Conclusion Gd-BOPTA-enhanced MR in comparison with unenhanced MRI does not improve diagnostic accuracy in discriminating hemangiomas that show non-specific appearance in ultrasound examination. Unenhanced MR as a method of choice should directly follow US in course of diagnostic algorithm in differentiation of hemangiomas from other liver tumors.

  14. Estrogen-mediated hemangioma-derived stem cells through estrogen receptor-? for infantile hemangioma

    Zhang, Ling; Wu, Hai Wei; Yuan, Weien; Zheng, Jia Wei

    2017-01-01

    Ling Zhang,1 Hai Wei Wu,1 Weien Yuan,2 Jia Wei Zheng1 1Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Center for Specialty Strategy Research of Shanghai Jiao Tong University China Hospital Development Institute, 2School of Pharmacy, Shanghai Jiao Tong University, Shanghai, People’s Republic of China Background: Infantile hemangiomas (IHs) are the most common benign vascular tumor of infancy. They occur more frequently in female infants....

  15. Intracranial cavernous hemangiomas: a case report and bibliographic review

    Shiguihara, L.C.M.; Granero, P.C.; Gianotti, I.A.; Lederman, H.M.; Seixas, M.T.

    1992-01-01

    This is a case report of intracranial cavernous hemangioma that presented with macrocrania. A large, spontaneously hyperdense area with mass effect on CT was seen. This is a rare vascular malformation evolving the CNS in pediatrics. (author)

  16. Ossified skeletal muscle hemangioma: Radiologic and pathologic features

    Engelstad, B L; Gilula, L A [Mallinckrodt Inst. of Radiology, St. Louis, MO (USA); Kynakos, M [Washington Univ., St. Louis, MO (USA). Dept. of Surgical Pathology

    1980-01-01

    Skeletal muscle hemangiomas are relatively uncommon tumors in children and young adults. Although the operative management of these lesions may be affected by their vascularity, the correct preoperative diagnosis is often not made. Ossification of these lesions is rare. Two patients are described whose skeletal muscle hemangiomas contained abundant osseous tissue. This was radiologically reflected by the 'swiss cheese' appearance of the tumors. Such an appearance in an ossified soft tissue mass may allow the correct preoperative diagnosis of this condition.

  17. Preoperative irradiation of an extracerebral cavernous hemangioma in the middle fossa

    Shibata, Shobu; Kurihara, Masaki; Mori, Kazuo; Amamoto, Yuhei.

    1981-01-01

    This is a report of case with the extracerebral cavernous hemangioma in the middle fossa in which total removal was carried out after radiotherapy. Follow-up study with computed tomography during and after irradiation are presented. A 44-year-old house-wife complained of a decreased vision of the both eyes and paresis of the left upper and lower limbs. CT scan revealed a slightly high density area in the right middle cranial fossa which was markedly enhanced with contrast media. Right carotid angio-graphy demonstrated a large avascular mass in the right middle fossa and no feeding artery or draining vein was visualized except a faint irregular stain in the venous phase. An attempt to total removal of the tumor had failed to success because of extensive hemorrhage from the tumor. Histological examination revealed a cavernous hemangioma. Irradiation with a total dose of 5000 rads was delivered. After irradiation. CT scan revealed a marked decrease of size and EMI number of the tumor. At this stage, hypervascular mass lesion with feeding arteries was noted in conventional angiography. Tumor stain in prolonged injection angiography was also visualized. In the second operation, removal of the tumor was performed without any difficulty and hemorrhage was controlled easily by electrocoagulation. Histology revealed a marked narrowing of vessels with an increase in the connective tissues. In the central part of specimen, there noted findings of coagulation necrosis, intraluminal thrombus formations and so on, which were attributed to the influence of radiation. It is concluded that in case of a extracerebral cavernous hemangioma with massive hemorrhage, radiation of up to 3000 - 5000 rads was a method of choice. The treatment results in an increase of probability of total removal of the tumor. (author)

  18. Retrospective case series of the imaging findings of facial nerve hemangioma.

    Yue, Yunlong; Jin, Yanfang; Yang, Bentao; Yuan, Hui; Li, Jiandong; Wang, Zhenchang

    2015-09-01

    The aim was to compare high-resolution computed tomography (HRCT) and thin-section magnetic resonance imaging (MRI) findings of facial nerve hemangioma. The HRCT and MRI characteristics of 17 facial nerve hemangiomas diagnosed between 2006 and 2013 were retrospectively analyzed. All patients included in the study suffered from a space-occupying lesion of soft tissues at the geniculate ganglion fossa. Affected nerve was compared for size and shape with the contralateral unaffected nerve. HRCT showed irregular expansion and broadening of the facial nerve canal, damage of the bone wall and destruction of adjacent bone, with "point"-like or "needle"-like calcifications in 14 cases. The average CT value was 320.9 ± 141.8 Hu. Fourteen patients had a widened labyrinthine segment; 6/17 had a tympanic segment widening; 2/17 had a greater superficial petrosal nerve canal involvement, and 2/17 had an affected internal auditory canal (IAC) segment. On MRI, all lesions were significantly enhanced due to high blood supply. Using 2D FSE T2WI, the lesion detection rate was 82.4 % (14/17). 3D fast imaging employing steady-state acquisition (3D FIESTA) revealed the lesions in all patients. HRCT showed that the average number of involved segments in the facial nerve canal was 2.41, while MRI revealed an average of 2.70 segments (P facial nerve hemangioma were typical, revealing irregular masses growing along the facial nerve canal, with calcifications and rich blood supply. Thin-section enhanced MRI was more accurate in lesion detection and assessment compared with HRCT.

  19. Computerized tomographic evaluation of aortic prosthetic graft complications

    Kay, D.; Kalmar, J.A.

    1985-01-01

    Computerized tomography has been found to be an accurate and sensitive method of diagnosing complications of synthetic aortic grafts. Complications in this series of four cases included aortoesophageal fistula, aortoduodenal fistula, pseudoaneurysm, and retroperitoneal hematoma. 6 references, 5 figures

  20. Cavernous hemangioma of the thoracic spinal cord

    Wang, A.M.; Lin, J.C.T.; Morris, J.H.; Fischer, E.G.; Petersen, R.

    1988-01-01

    A 25-year-old woman presented with a four-year history of progressive right-lower-extremity weakness and atrophy and a left hemisensory deficit was found. Metrizamide-enhanced spinal CT scan showed an intramedullary lesion at the level of T1-T2; this had expanded the cord in fusiform fashion but showed no evidence of a cystic component. Surgical resection was performed and the pathological diagnosis was cavernous hemangioma. Two and one-half years later, her left hemisensory deficit was worsening and a spinal MRI showed high signal intensity mass in the region of the previous surgery consistent with chronic hematoma which was re-evacuated with some improvement in the patient's neurological condition. (orig.)

  1. Management of infantile hemangiomas: Current trends

    Gomathy Sethuraman

    2014-01-01

    Full Text Available Infantile hemangiomas (IH are common vascular tumours. IH have a characteristic natural course. They proliferate rapidly during the early infantile period followed by a period of gradual regression over several years. Most of the uncomplicated IH undergo spontaneous involution, with a small proportion of cases requiring intervention. These are children with IH in life-threatening locations, local complications like haemorrhage, ulceration and necrosis and functional or cosmetic disfigurements. Systemic corticosteroids have been the first line of treatment for many years. Recently, non-selective beta-blockers, such as oral propranalol and topical timolol, have emerged as promising and safer therapies. Other treatment options include interferon α and vincristine which are reserved for life-threatening haemangiomas that are unresponsive to conventional therapy. This review mainly focuses on the current trends and evidence-based approach in the management of IH.

  2. Technetium tc 99m-labeled red blood cells in the preoperative diagnosis of cavernous hemangioma and other vascular orbital tumors.

    Polito, Ennio; Burroni, Luca; Pichierri, Patrizia; Loffredo, Antonio; Vattimo, Angelo G

    2005-12-01

    To evaluate technetium Tc 99m (99mTc) red blood cell scintigraphy as a diagnostic tool for orbital cavernous hemangioma and to differentiate between orbital masses on the basis of their vascularization. We performed 99mTc red blood cell scintigraphy on 23 patients (8 female and 15 male; mean age, 47 years) affected by an orbital mass previously revealed with computed tomography (CT) and magnetic resonance imaging (MRI) and suggesting cavernous hemangioma. In our diagnosis, we considered the orbital increase delayed uptake with the typical scintigraphic pattern known as perfusion blood pool mismatch. The patients underwent biopsy or surgical treatment with transconjunctival cryosurgical extraction when possible. Single-photon emission tomography (SPET) showed intense focal uptake in the orbit corresponding to radiologic findings in 11 patients who underwent surgical treatment and pathologic evaluation (9 cavernous hemangiomas, 1 hemangiopericytoma, and 1 lymphangioma). Clinical or histologic examination of the remaining 22 patients revealed the presence of 5 lymphoid pseudotumors, 2 lymphomas, 2 pleomorphic adenomas of the lacrimal gland, 1 astrocytoma, 1 ophthalmic vein thrombosis, and 1 orbital varix. The confirmation of the preoperative diagnosis by 99mTc red blood cell scintigraphy shows that this technique is a reliable tool for differentiating cavernous hemangiomas from other orbital masses (sensitivity, 100%; specificity, 86%) when ultrasound, CT, and MRI are not diagnostic. Unfortunately, 99mTc red blood cell scintigraphy results were positive in 1 patient with hemangiopericytoma and 1 patient with lymphangioma, which showed increased uptake in the lesion on SPET images because of the vascular nature of these tumors. Therefore, in these cases, the SPET images have to be integrated with data regarding clinical preoperative evaluation and CT scans or MRI studies. On the basis of our study, a complete diagnostic picture, CT scans or MRI studies, and

  3. Computerized tomography data on CNS affection in systemic lupus erythematosus. Porazhenie tsentral'noj nervnoj sistemy pri sistemnoj krasnoj volchanke po dannym komp'yuternoj tomografii

    Ivanova, M M; Bliznyuk, O I; Todua, F I; Tumanova, A A

    1989-01-01

    Computed tomography (CT) of the brain was employed in 40 patients with systemic lupus erythematosus (SLE). Clinical cerebral pathology was obvious in 30 and absent in 10 patients. By CT cerebral symptoms were divided of 4 groups. Clinical symptom complexes of CNS defects and SLE were reflected on definite CT images correlated with focal damage to the brain. CT picture of enlarged subarachnoid space, ventricles and basal cisterns can be observed in SLE patients without neurological symptoms. This indicated likely subclinical cerebral affection.

  4. Diagnostic medical imaging systems. X-ray radiography and angiography, computerized tomography, nuclear medicine, NMR imaging, sonography, integrated image information systems. 3. rev. and enl. ed.

    Morneburg, H.

    1995-01-01

    This third edition is based on major review and updating work. Many recent developments have been included, as for instance novel systems for fluoroscopy and mammography, spiral CT and electron beam CT, nuclear medical tomography ( SPECT and PET), novel techniques for fast NMR imaging, spectral and colour coded duplex sonography, as well as a new chapter on integrated image information systems, including network installations. (orig.) [de

  5. Echogenic rim of hepatic hemangioma on abdominal ultrasound

    Park, Sang Woo; Kang, Chang Ho; Kim, Jin Hyoung; Kim, Chul Joong; Cheong, In Joo; Kim, Baek Hyun; Cha, Sang Hoon; Park, Cheol Min; Chung, Kyu Byung

    2000-01-01

    To investigate the association between the size of the hepatic hemangioma and the shape and thickness of the echogenic rim of hepatic hemangioma on abdominal ultrasound. We examined 47 cases (M:F=24:23, mean age 47.1) of hepatic hemangiomas with echogenic rim on abdominal ultrasound during the past 2 years. Radiologic findings were retrospectively reviewed in terms of completeness and thickness of echogenic rim. If echogenic rim showed even thickness, it was measured. But if not, the maximum and minimum thickness of the rim was measured. The association between the size of hemangioma and the completeness and thickness of the echogenic rim were analyzed statistically. Of the 47 cases, complete echogenic rim and incomplete echogenic rim were obtained in 29 (62%) and 18 (38%) cases, respectively. Twenty-two cases of hemangioma were less than 2 cm in diameter, and their distribution according to echogenic rim were as follows: complete echogenic rim (17/20, 91% mean thickness 2.2 cm) and uneven thickness with complete echogenic rim (3/20, 15%, range:2.0-6.1 mm). Twenty-five hemangiomas were larger than 2 cm in diameter and their distribution according to echogenic rim were as follows: complete echogenic rim (n=9, 34%), incomplete echogenic rim (n=16, 64%0,even thickness with complete echogenic rim (3/9, 33%, mean thickness 2.2 mm) and uneven thickness with complete echogenic rim (6/9,67%, range: 2.0-7.6 mm). In statistical analysis, hemangiomas more than 2 cm in diameter were more likely to have incomplete echogenic rim (p<0.05) than those of less than 2 cm; hemangiomas more than with more than 2 cm in diameter and complete echogenic rim showed uneven thickness of echogenic rim (p<0.05), more often than those of less than 2 cm diameter. Hemangiomas with more than 2 cm in diameter showed more frequent incomplete echogenic rim than those of less than 2 cm in diameter, which had more frequent complete echogenic rim. Hemangiomas with complete echogenic rim and even rim

  6. Effect of radiation therapy on extracerebral cavernous hemangioma in the middle fossa

    Shibata, Shobu; Fukushima, Masaaki; Mori, Kazuo; Tsujimura, Masaki; Yokoyama, Hiroaki.

    1987-01-01

    We report three cases of extracerebral cavernous hemangiomas in the middle fossa all of which had received radiotherapy. Follow-up study with serial computed tomography during and after irradiation were presented. In Case 1, radiotherapy after partial removal of the tumor reduced the tumor's size and CT number, and facilitated total removal. In Case 2 as well, irradiation was started before the operation. The tumor responded very well to irradiation and showed significant reduction in the size and CT number of the tumor with a dose of about 3,000 rads. Subtotal romoval was possible. In Case 3, the tumor responded very well clinically to irradiation, and vertigo were much improved with a dose of about 3,000 rads, and CT scan at that time showed significant reduction in the size and CT number of the tumor, therefore she only received radiation therapy, no surgical intervention. It is concluded that in cases of extracerebral cavernous hemangioma with massive hemorrhage, radiation of up to 3,000 rads was a method of choice. The treatment results in an increased probability of total removal of the tumor, and moreover the possibility of eliminating surgery. (author)

  7. Mixed germ cell tumor of mediastinum/lung masquerading as hemangioma in fine needle biopsy

    Rathna Nuti

    2013-01-01

    Full Text Available The histological predominance of one component in a germ cell tumor can lead to a mistaken diagnosis. Here, we describe a mediastinal teratoma with predominant vascular proliferation (>90% which on fine needle biopsy was diagnosed as a pulmonary hemangioma. Later, resection specimen revealed other components constituting ~4%, changing the diagnosis while illustrating theimportance of careful evaluation. A 37-year-old Caucasian male with shortness of breath, weight loss, and history of recently resolved pneumonia was diagnosed with hemangioma, after a computed tomography guided fine needle biopsy of a -16.3-cm mediastinal pulmonary mass revealed abundant benign vascular elements. Following tumor excision, ~94% of the sample exhibited predominant vascular elementsThe mass also exhibited rare focal areas of malignant epithelium in a reticular arrangement and undifferentiated pleomorphic cells associated with vascular invasion. These atypical epithelial cells were positive for CD30, pan CK, AFP, β-HCG and CD 117, thusprocuring a diagnosis of mediastinal mixed germ cell tumor. Although mixed germ cell tumors consist of various tissue types, diagnosis can be easily overlooked if one component dominates. Therefore, obtaining adequate representative neoplasm samples, and sectioning the samples thoroughly, searching for coexisting tissue types is critical for accurate diagnosis.

  8. MRI findings of cavernous hemangioma of the uterus: a case report

    Ryu, Ji Hwa; Kim, Ok Hwa; Park, Young Mi; Jeng, Hae Woong; Lee, Sun Joo; Eun, Choong Gi; Choi, Su Im; Kim, Gi Tae [College of Medicine, Inje University, Busan (Korea, Republic of)

    2005-12-15

    Hemangioma is the most common soft tissue tumor in the body. Though it may occur anywhere in the body, hemangioma of the uterus is a very rare tumor. Hemangioma is almost asymptomatic, but it is sometimes clinically important because it can cause massive hemorrhage and this is a life-threatening condition. We report here on the magnetic resonance imaging and pathologic findings of cavernous hemangioma of the uterus in a 32-year-woman with menorrhagia.

  9. Tomography

    Brown, B.H.; Barber, D.C.; Freeston, I.L.

    1983-01-01

    Tomography images of a body are constructed by placing a plurality of surface electrodes at spaced intervals on the body, causing currents to flow in the body (e.g. by applying a potential between each pair of electrodes in turn, or by induction), and measuring the potential between pairs of electrodes, calculating the potential expected in each case on the assumption that the body consists of a medium of uniform impedance, plotting the isopotentials corresponding to the calculated results to create a uniform image of the body, obtaining the ratio between the measured potential and the calculated potential in each case, and modifying the image in accordance with the respective ratios by increasing the assumed impedance along an isopotential in proportion to a ratio greater than unity or decreasing the assumed impedance in proportion to a ratio less than unity. The modified impedances along the isopotentials for each pair of electrodes are superimposed. The calculations are carried out using a computer and the plotting is carried out by a visual display unit and/or a print-out unit. (author)

  10. Estrogen-mediated hemangioma-derived stem cells through estrogen receptor-α for infantile hemangioma

    Zhang L

    2017-07-01

    Full Text Available Ling Zhang,1 Hai Wei Wu,1 Weien Yuan,2 Jia Wei Zheng1 1Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Center for Specialty Strategy Research of Shanghai Jiao Tong University China Hospital Development Institute, 2School of Pharmacy, Shanghai Jiao Tong University, Shanghai, People’s Republic of China Background: Infantile hemangiomas (IHs are the most common benign vascular tumor of infancy. They occur more frequently in female infants. The cause of hemangioma is currently unknown; however, current studies suggested the importance of estrogen (E2 signaling in hemangioma proliferation. Methods: Hemangioma-derived stem cells (HemSCs were cultured with estrogen for 48–72 h; the cell viability and proliferation were evaluated with the messenger RNA (mRNA and protein expression levels of fibroblast growth factor 2 (FGF2, vascular endothelial growth factor-A (VEGF-A and estrogen receptor-α (ER-α, by application of several in vitro assays, such as methyl thiazolyl tetrazolium (MTT, reverse transcriptase–polymerase chain reaction (RT-PCR, real-time PCR, enzyme-linked immunosorbent assay (ELISA and Western blotting. Also, the cell population’s response to external estrogen was investigated by in vivo experiments. HemSCs and human umbilical vein endothelial cells (HUVECs were mixed and injected subcutaneously into 20 flank of BALB/c-nu mice, which were randomly divided into 5 groups based on different E2 treatment doses (0, 0.01, 0.1 and 1 mg, respectively, 0.1 mg dimethyl sulfoxide (DMSO as control. Each group of mice were treated intramuscularly every week, then 2 and 4 weeks later, the subcutaneous implants were harvested and evaluated the tumor tissues with microvessel density (MVD assay and immunohistochemistry. Results: The study demonstrated that application of E2 increased the expression of FGF2, VEGF-A, and ER-α in HemSCs with the optimal concentration from 10−9 to 10−5 M. Two

  11. Prenatal and postnatal MR findings of a congenital hemangioma: a case report

    Choi, Kyung Hee; Chang, Yun Woo; Lee, Jung Jai; Lee, Woo Ryung [Soonchunhyang University Hospital, Seoul (Korea, Republic of); Kim, Young Wha [Inje University Seoul Paik Hospital, Seoul (Korea, Republic of)

    2007-12-15

    Hemangiomas are common benign soft tissue tumors found in pediatrics. Knowledge of prenatal image findings for hemangiomas can be essential for ensuring optimal antepartum and postpartum care. In this study, we provide a report the MR findings of a congenital hemangioma in the posterior neck region, which was different from the pre and postnatal image findings as well as a literature review.

  12. Bronchial asthma: correlation of high resolution computerized tomography findings with clinical data; Asma bronquica: correlacao de achados em tomografia computadorizada de alta resolucao com dados clinicos

    Mogami, Roberto [Universidade do Estado, Rio de Janeiro, RJ (Brazil). Servico de Radiologia; Marchiori, Edson [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Radiologia; Kirk, Kennedy; Capone, Domenico [Universidade do Estado, Rio de Janeiro, RJ (Brazil). Servico de Pneumologia; Daltro, Pedro [Instituto Fernandes Figueira, Rio de Janeiro, RJ (Brazil). Servico de Radiologia

    1999-04-01

    In this work we did a sectional study of 31 asthmatic patients with several levels of disease severity, which were submitted to high resolution computed tomography of the thorax and spirometry, between the months of July, 1995 and August, 1997. The tomographic findings were correlated with the clinical classification of the patients and the most frequent tomographic findings were bronchial wall thickening, bronchial dilatation, air trapping, centrilobular opacities, cicatricial linear shadows, mucoid impaction, emphysema and atelectasis. In asthmatic patients of long duration we observed small airway disease and irreversible lesions as the predominant findings. In smoking patients there was no high frequency of emphysema. (author)

  13. Analysis of Tandem curves by set of cylindrical absorber layers and ionization chamber type pencil for evaluation of HVL in computerized tomography

    Fontes, Ladyjane Pereira; Potiens, Maria da Penha Albuquerque

    2017-01-01

    A Tandem system consists of the use of different energy dependent dosimeters, where the ratio of the responses of the calibration curves to energy provides the effective energy of the beam. The efficiency of this system is related to the uncertainties inherent in the dosimeter used and the degree of energy dependence of each set. The greater the slope of the Tandem curve the better will be the identification of values close to HVL making the system useful. In this work, the Tandem system consists of ionization chamber of the pencil type and cylindrical absorber layers of materials with different energetic dependencies, for application in computed tomography. (author)

  14. Comparison of exercise stress testing with dobutamine stress echocardiography and exercise technetium-99m isonitrile single photon emission computerized tomography for diagnosis of coronary artery disease

    Oguzhan, A.; Kisacik, H.L.; Ozdemir, K.

    1997-01-01

    To compare the value of exercise electrocardiography with dobutamine stress echocardiography and exercise technetium-99m isonitrile single-photon emission computed tomography for coronary artery disease, 70 patients with either suspected or proven coronary artery disease underwent dobutamine stress echocardiography, exercise technetium-99m isonitrile single-photon emission computed tomography (mibi-SPECT) and treadmill exercise electrocardiography (ECG). Dobutamine echocardiography and exercise mibi-SPECT revealed a higher overall sensitivity than exercise testing (90 vs 57%, p 0.05; 90 and 62% p<0.05, respectively) but the difference between dobutamine stress echocardiography and exercise mibi-SPECT was not statistically significant. Diagnostic accuracy of dobutamine stress echocardiography and exercise mibi-SPECT was higher than that of exercise testing (90 vs 59%, p<0.001; 89 vs 59%, p<0.001, respectively). Dobutamine stress echocardiography and exercise mibi-SPECT have superiority over exercise testing in the diagnosis of coronary artery disease and dobutamine stress echocardiography is an alternative for exercise mibi-SPECT. (author)

  15. Comparison of the changes of alveolar bone thickness in maxillary incisor area in extraction and non-extraction cases: computerized tomography evaluation

    Paulo Roberto Barroso Picanço

    2013-10-01

    Full Text Available OBJECTIVE: To compare, through computed tomography, alveolar bone thickness changes at the maxillary incisors area during orthodontic treatment with and without tooth extraction. METHODS: Twelve patients were evaluated. They were divided into 2 groups: G1 - 6 patients treated with extraction of right and left maxillary first premolars, with mean initial age of 15.83 years and mean treatment length of 2.53 years; G2 - 6 patients treated without extraction, with mean initial age of 18.26 years and mean treatment length of 2.39 years. Computed tomographies, lateral cephalograms and periapical radiographs were used at the beginning of the treatment (T1 and 18 months after the treatment had started (T2. Extraction space closure occurred in the extraction cases. Intragroup and intergroup comparisons were performed by dependent and independent t test, respectively. RESULTS: In G1, the central incisor was retracted and uprighted, while in G2 this tooth showed vestibularization. Additionally, G1 presented a higher increase of labial alveolar bone thickness at the cervical third in comparison with G2. The incidence of root resorption did not present significant differences between groups. CONCLUSION: There were no changes in alveolar bone thickness when extraction and nonextraction cases were compared, except for the labial alveolar bone thickness at the cervical third of maxillary incisors.

  16. Regional cerebral blood flow in acute stage with ischemic cerebrovascular disease by xenon-133 inhalation and single photon emission computerized tomography

    Kurokawa, Hiroyuki; Iino, Katsuro; Kojima, Hisashi; Saito, Hitoshi; Suzuki, Mikio; Watanabe, Kazuo; Kato, Toshiro

    1987-05-01

    Single photon emission computed tomography (SPECT) with xenon-133 inhalation method was undertaken within 48 hr after the onset in 68 patients with ischemic cerebrovascular disease. The results for regional cerebral blood flow (rCBF) were compared with concurrently available computed tomography (CT) scans. In patients with cerebral infarction, SPECT detected ischemic lesions earlier than CT, with the detectability being 92 %. The area with a decreased blood flow, as seen on SPECT, was more extensive than the low density area on CT, with a concomitant decrease in blood flow in the contralateral cerebral hemisphere. Crossed cerebellar diaschisis was associated with stenosis of the internal carotid artery in 50 % (7/14), and with stenosis of the middle cerebral artery in 35 % (9/26). Abnormal SPECT findings were seen in 47 % (8/17) of the patients with transient ischemic attack (TIA). Five TIA patients had a decreased rCBF on SPECT, which was not provided by CT scans. On the contrary, small infarct lesions in the cerebral basal ganglia, as observed in 4 patients, was not detected by SPECT, but detected by CT. This may imply the limitations of SPECT in the detection of deep-seated lesions of the cerebrum. The results led to the conclusion that SPECT can be performed safely even in acute, seriously ill patients to know changes in rCBF because it is noninvasive and is capable of being repeated in a short time. (Namekawa, K.).

  17. Assessment of radiation exposure in dental cone-beam computerized tomography with the use of metal-oxide semiconductor field-effect transistor (MOSFET) dosimeters and Monte Carlo simulations.

    Koivisto, J; Kiljunen, T; Tapiovaara, M; Wolff, J; Kortesniemi, M

    2012-09-01

    The aims of this study were to assess the organ and effective dose (International Commission on Radiological Protection (ICRP) 103) resulting from dental cone-beam computerized tomography (CBCT) imaging using a novel metal-oxide semiconductor field-effect transistor (MOSFET) dosimeter device, and to assess the reliability of the MOSFET measurements by comparing the results with Monte Carlo PCXMC simulations. Organ dose measurements were performed using 20 MOSFET dosimeters that were embedded in the 8 most radiosensitive organs in the maxillofacial and neck area. The dose-area product (DAP) values attained from CBCT scans were used for PCXMC simulations. The acquired MOSFET doses were then compared with the Monte Carlo simulations. The effective dose measurements using MOSFET dosimeters yielded, using 0.5-cm steps, a value of 153 μSv and the PCXMC simulations resulted in a value of 136 μSv. The MOSFET dosimeters placed in a head phantom gave results similar to Monte Carlo simulations. Minor vertical changes in the positioning of the phantom had a substantial affect on the overall effective dose. Therefore, the MOSFET dosimeters constitute a feasible method for dose assessment of CBCT units in the maxillofacial region. Copyright © 2012 Elsevier Inc. All rights reserved.

  18. Three-dimensional thoracic aorta principal strain analysis from routine ECG-gated computerized tomography: feasibility in patients undergoing transcatheter aortic valve replacement.

    Satriano, Alessandro; Guenther, Zachary; White, James A; Merchant, Naeem; Di Martino, Elena S; Al-Qoofi, Faisal; Lydell, Carmen P; Fine, Nowell M

    2018-05-02

    Functional impairment of the aorta is a recognized complication of aortic and aortic valve disease. Aortic strain measurement provides effective quantification of mechanical aortic function, and 3-dimenional (3D) approaches may be desirable for serial evaluation. Computerized tomographic angiography (CTA) is routinely performed for various clinical indications, and offers the unique potential to study 3D aortic deformation. We sought to investigate the feasibility of performing 3D aortic strain analysis in a candidate population of patients undergoing transcatheter aortic valve replacement (TAVR). Twenty-one patients with severe aortic valve stenosis (AS) referred for TAVR underwent ECG-gated CTA and echocardiography. CTA images were analyzed using a 3D feature-tracking based technique to construct a dynamic aortic mesh model to perform peak principal strain amplitude (PPSA) analysis. Segmental strain values were correlated against clinical, hemodynamic and echocardiographic variables. Reproducibility analysis was performed. The mean patient age was 81±6 years. Mean left ventricular ejection fraction was 52±14%, aortic valve area (AVA) 0.6±0.3 cm 2 and mean AS pressure gradient (MG) 44±11 mmHg. CTA-based 3D PPSA analysis was feasible in all subjects. Mean PPSA values for the global thoracic aorta, ascending aorta, aortic arch and descending aorta segments were 6.5±3.0, 10.2±6.0, 6.1±2.9 and 3.3±1.7%, respectively. 3D PSSA values demonstrated significantly more impairment with measures of worsening AS severity, including AVA and MG for the global thoracic aorta and ascending segment (panalysis is clinically feasible from routine ECG-gated CTA. Appropriate reductions in PSSA were identified with increasing AS hemodynamic severity. Expanded study of 3D aortic PSSA for patients with various forms of aortic disease is warranted.

  19. Our Treatment Results of Circumscribed and Diffuse Choroidal Hemangiomas

    Esra Savku

    2013-08-01

    Full Text Available Purpose: To discuss our treatment results of choroidal hemangiomas. Material and Method: The records of 39 cases of choroidal hemangioma followed up at our clinic between July 1999–October 2012 were reviewed retrospectively. Asymptomatic cases were followed up. Symptomatic cases with subretinal fluid and impaired vision received treatment. Results: Mean age of the 39 patients was 44 (12-80 years. Thirty-five of 39 cases had circumscribed choroidal hemangioma, and 4 cases had diffuse choroidal hemangioma. Sturge-Weber syndrome was present in 3 cases with diffuse choroidal hemangioma. Cases with circumscribed choroidal hemangioma and minimal subretinal fluid were treated with TTT in 11 cases, PDT in 12 cases, and PDT+TTT in 1 case. Cases with circumscribed choroidal hemangioma and excessive subretinal fluid were treated with Ru-106 plaque radiotherapy in 1 case, Ru-106 plaque radiotherapy+TTT in 1 case, EBRT in 3 cases, and TTT+EBRT in 1 case. One painful blind eye with neovascular glaucoma and complicated cataract was enucleated. Cases with diffuse choroidal hemangioma and excessive subretinal fluid were treated with Ru-106 plaque radiotherapy+TTT in 1 case and EBRT in 1 case. Ahmed glaucoma valve implantation and FAKO emulsification were applied to a case with neovascular glaucoma and complicated cataract. Complete resorption of subretinal fluid was achieved in 23 (72% of treated 32 cases. When mean initial tumor thickness was 2.6 mm (0.5-6, mean final tumor thickness was 1.4 mm (0-6. When mean initial visual acuity (LogMAR was 1.5 (0-3, mean final visual acuity was 1.1 (0-3. No recurrence was observed. Discussion: The amount of the subretinal fluid determines the method of treatment in circumscribed choroidal hemangioma. While TTT and PDT are effective treatment modalities for minimal subretinal fluid, plaque radiotherapy and EBRT are applied in cases with excessive subretinal fluid. Combination therapies may be necessary according to the

  20. Diode laser for the treatment of telangiectasias following hemangioma involution.

    Cerrati, Eric W; O, Teresa M; Chung, Hoyun; Waner, Milton

    2015-02-01

    Infantile hemangiomas are well known for their rapid growth during the first 6 to 9 months of life, followed by a spontaneous but slow involution. The standard of care is to treat these lesions at an early age with propranolol to expedite the involution process; however, surgery still remains an active component in the management. Medical treatment with propranolol or natural involution will often result in residual telangiectasias. We evaluated the efficacy of using a diode laser as a treatment for telangiectasias following cervicofacial infantile hemangioma involution. Case series with chart review. Tertiary care hospital and practice specializing in the care of vascular anomalies. Twenty patients, aged 4 months to 11 years (average 2.69 years), underwent treatment with a 532-nm diode laser to treat the residual telangiectasias following hemangioma involution. All procedures were performed in the operating room. To assess the efficacy, we independently evaluated pre- and posttreatment digital photographs and ranked them on a 0- to 4-point scale (0 = no change and 4 = complete response). Adverse reactions were also recorded. The telangiectasias showed considerable improvement following treatment. In more than half of the patients treated, the affected area demonstrated a complete response. No adverse reactions were noted. A 532-nm diode laser effectively treats the remaining telangiectasias following hemangioma involution. Whether used independently or in conjunction with other treatment modalities, the diode laser should be part of the surgical armamentarium when treating infantile hemangiomas. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.