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Sample records for selektiver angiographie zum

  1. Selektiv avl af racehunde og -katte

    DEFF Research Database (Denmark)

    Sandøe, Peter; Meyer, Iben Helene Coakley; Fredholm, Merete

    2014-01-01

    Dette kapitel ser nærmere på de velfærdsmæssige problemstillinger, der opstår som følge af måden, hvorpå racehunde og -katte påvirkes gennem selektiv avl. Først beskrives, hvordan avlen af racehunde og -katte er organiseret. Dernæst gøres der rede for de dyrevelfærdsmæssige konsekvenser heraf. Se...

  2. Transbrachial selective carotid DSA in outpatients: safety and efficacy; Diagnostische Sicherheit und Effizienz ambulanter transbrachialer selektiver Karotisangiographien

    Energy Technology Data Exchange (ETDEWEB)

    Rosen, T.; Poretti, F.; Vorwerk, D. [Klinikum Ingolstadt (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Krawczynski, H. [Klinikum Ingolstadt (Germany). Chirurgische Klinik, Gefaesschirurgie

    2003-02-01

    Purpose: To describe safety and efficacy of transbrachial selective carotid digital subtraction angiography (DSA) in outpatients. Materials and Methods: From July 1999 to November 2001, selective carotid angiography was performed in 141 outpatients preferably using a left brachial arterial approach. The average age of the patients was 68 years (range: 39-89 years). After flush aortography through a 4F-pigtail catheter, bilateral selective common carotid artery (CCA) catheterization was performed with 4F-Sidewinder-1 or Sidewinder-2 catheters. In 49 patients, Doppler-sonography was performed before or after arteriography. A total of 41 patients underwent carotid surgery. Results: Selective catheterization of the CCA was successful in 96% of the cases. The diagnostic quality of the opacified aortra and CCA images was good to excellent. The overall complication rate did not exceed 2.1%, and severe complications were not observed. One patient showed transient neurological symptoms and another mild nausea and agitation, probably as toxic reaction to the contrast medium. A single local hematoma developed after unsuccessful puncture of the brachial artery. Conclusion: Transbrachial selective carotid DSA is safe, reliable and well-tolerated in outpatients and achieves a superimposition-free CCA visualization. (orig.) [German] Zielsetzung: Ziel der Arbeit ist, die Technik der transbrachialen selektiven Karotis-DSA zu beschreiben, und die Sicherheit und Effizienz der Methode bei ambulanten Patienten zu evaluieren. Material und Methodik: Von Juli 1999 bis November 2001 wurden bei insgesamt 141 ambulanten Patienten selektive Karotisangiographien in digitaler Subtraktionstechnik (DSA) durchgefuehrt. Das durchschnittliche Patientenalter betrug 68 Jahre (39-89 Jahre). Vorzugsweise wurde ein transbrachialer Zugangsweg von links gewaehlt und nach Darstellung des Aortenbogens mittels 4F-Pigtailkatheter die A.carotis communis (ACC) beidseits selektiv mit einem 4F-Sidewinder-1- oder

  3. Lipase-katalysierte Synthese strukturierter Triglyceride: Verfahrensoptimierung und Erzeugung selektiver Lipasemutanten durch gerichtete Evolution

    OpenAIRE

    Schmid, Ulrike

    1999-01-01

    In der vorliegenden Arbeit wurde zum einen die Lipase-Katalysierte Synthese strukturierter Triglyceride, zum anderen die Veränderung der Kettenlängenselektivität der slip1-Lipase aus C. rugosa durch gerichtete Evolution untersucht. Besonderes Interesse galt der Synthese von strukturierten Triglyceriden des ABA-Typs, die aufgrund ihrer symmetrischen Struktur zur Therapie von Fettabsorptionsproblemen wie z.B. Pankreasinsuffizienz eingesetzt werden können. Besonderes Interesse galt dabei der ...

  4. Catheter Angiography

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    Full Text Available ... Physician Resources Professions Site Index A-Z Catheter Angiography Catheter angiography uses a catheter, x-ray imaging ... the limitations of Catheter Angiography? What is Catheter Angiography? Angiography is a minimally invasive medical test that ...

  5. Catheter Angiography

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    Full Text Available ... Angiography is performed using: x-rays with catheters computed tomography (CT) magnetic resonance imaging (MRI) In catheter angiography, ... a tumor; this is called superselective angiography. Unlike computed tomography (CT) or magnetic resonance (MR) angiography , use of ...

  6. Catheter Angiography

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    Full Text Available ... What are the limitations of Catheter Angiography? What is Catheter Angiography? Angiography is a minimally invasive medical ... top of page What are some common uses of the procedure? Catheter angiography is used to examine ...

  7. Catheter Angiography

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    Full Text Available ... What are the limitations of Catheter Angiography? What is Catheter Angiography? Angiography is a minimally invasive medical ... them appear bright white. top of page How is the procedure performed? This examination is usually done ...

  8. Catheter Angiography

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    Full Text Available ... x-rays with catheters computed tomography (CT) magnetic resonance imaging (MRI) In catheter angiography, a thin plastic ... superselective angiography. Unlike computed tomography (CT) or magnetic resonance (MR) angiography , use of a catheter makes it ...

  9. Catheter Angiography

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    Full Text Available ... using: x-rays with catheters computed tomography (CT) magnetic resonance imaging (MRI) In catheter angiography, a thin ... called superselective angiography. Unlike computed tomography (CT) or magnetic resonance (MR) angiography , use of a catheter makes ...

  10. Catheter Angiography

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    Full Text Available ... risks? What are the limitations of Catheter Angiography? What is Catheter Angiography? Angiography is a minimally invasive ... of ionizing radiation ( x-rays ). top of page What are some common uses of the procedure? Catheter ...

  11. Catheter Angiography

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    Full Text Available ... blood flow to the brain and cause a stroke. identify a small aneurysm or arteriovenous malformation (abnormal communications between blood vessels) inside the brain or other parts of the ... Angiography (MRA) Contrast Materials CT Angiography ( ...

  12. Catheter Angiography

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    Full Text Available ... you are pregnant and discuss any recent illnesses, medical conditions, medications you're taking and allergies, especially ... is Catheter Angiography? Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical ...

  13. Catheter Angiography

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    Full Text Available ... Catheter angiography produces very detailed, clear and accurate pictures of the blood vessels and may eliminate the ... a contrast material injection is needed to produce pictures of blood vessels in the body. Angiography is ...

  14. Catheter Angiography

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    Full Text Available ... heart chest abdomen (such as the kidneys and liver) pelvis legs and feet arms and hands Physicians ... Angiography (CTA) X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety Images related to Catheter Angiography Sponsored ...

  15. Catheter Angiography

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    Full Text Available ... story about radiology? Share your patient story here Images × Image Gallery Interventional radiologist performing an angiography exam View ... ray, Interventional Radiology and Nuclear Medicine Radiation Safety Images related to Catheter Angiography Sponsored by Please note ...

  16. Catheter Angiography

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    Full Text Available ... far outweighs the risk. If you have a history of allergy to x-ray contrast material, your ... Angiography (CTA) X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety Images related to Catheter Angiography Sponsored ...

  17. Catheter Angiography

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    Full Text Available ... resonance imaging (MRI) In catheter angiography, a thin plastic tube, called a catheter , is inserted into an ... The catheter used in angiography is a long plastic tube about as thick as a strand of ...

  18. Catheter Angiography

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    Full Text Available ... Z Catheter Angiography Catheter angiography uses a catheter, x-ray imaging guidance and an injection of contrast material ... vessels in the body. Angiography is performed using: x-rays with catheters computed tomography (CT) magnetic resonance imaging ( ...

  19. Handbuch der Forschung zum Lehrerberuf

    CERN Document Server

    Bennewitz, Hedda; Rothland, Martin

    2014-01-01

    Die große Bedeutung, die dem Lehrerberuf in der Öffentlichkeit, aber auch in den Bildungswissenschaften für die Qualität von Schule und Unterricht zugemessen wird, stand bislang in deutlichem Kontrast zu Umfang und Intensität der Forschung, die auf den Lehrerberuf gerichtet war. Diese immer wieder beklagte Situation hat sich jedoch gewandelt. Seit etwa einem Jahrzehnt ist eine deutliche Intensivierung und allmähliche Verstetigung der Forschung zum Lehrerberuf zu beobachten. Mit dem vorliegenden Handbuch wird erstmalig eine repräsentative Übersicht über den aktuellen Stand der Forschung zum Lehrerberuf vermittelt. Unter intensiver Berücksichtigung der internationalen Fachdiskussion informieren die 45 Beiträge des Handbuchs über Forschung zu folgenden Themenfeldern: Geschichte des Lehrerberufs, Charakteristika und Rahmenbedingungen des Lehrerberufs, Konzepte der Forschung zum Lehrerberuf, Berufsbiographien von Lehrerinnen und Lehrern, Lehrerbildung, Kognitionen, Emotionen und Kompetenzen von Lehrern...

  20. Catheter Angiography

    Medline Plus

    Full Text Available ... Angiography (CTA) X-ray, Interventional Radiology and Nuclear Medicine Radiation ... costs for specific medical imaging tests, treatments and procedures may vary by geographic region. ...

  1. Catheter Angiography

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    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician ... Catheter Angiography? Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical conditions. ...

  2. Catheter Angiography

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    Full Text Available ... treat medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection is needed to produce pictures of blood vessels in the body. Angiography is performed using: x-rays with catheters computed tomography (CT) magnetic resonance imaging ( ...

  3. Catheter Angiography

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    Full Text Available ... further information please consult the ACR Manual on Contrast Media and its references. The risk of serious allergic ... View full size with caption Related Articles and Media Angioplasty and Vascular Stenting MR Angiography (MRA) Contrast Materials CT Angiography (CTA) X-ray, Interventional Radiology ...

  4. Catheter Angiography

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    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician Resources Professions Site Index A-Z Catheter Angiography Catheter angiography ...

  5. Catheter Angiography

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    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... that might interfere with the x-ray images. Women should always inform their physician and x-ray ...

  6. Catheter Angiography

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    Full Text Available ... you! Do you have a personal story about radiology? Share your patient story here Images × Image Gallery ... Contrast Materials CT Angiography (CTA) X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety Images related to ...

  7. Catheter Angiography

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    Full Text Available ... physicians diagnose and treat medical conditions. Angiography uses one of three imaging technologies and, in most cases, ... evaluating a stent after implantation. detect injury to one or more arteries in the neck, chest, abdomen, ...

  8. Catheter Angiography

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    Full Text Available ... rays ). top of page What are some common uses of the procedure? Catheter angiography is used to ... pelvis legs and feet arms and hands Physicians use the procedure to: identify abnormalities, such as aneurysms, ...

  9. Catheter Angiography

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    Full Text Available ... few millimeters) in the skin where the catheter can be inserted into an artery. The catheter is ... need for surgery. If surgery remains necessary, it can be performed more accurately. Catheter angiography presents a ...

  10. Catheter Angiography

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    Full Text Available ... is suspended over a table on which the patient lies. The catheter used in angiography is a ... other noninvasive procedures. No radiation remains in a patient's body after an x-ray examination. X-rays ...

  11. Catheter Angiography

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    Full Text Available ... examine blood vessels in key areas of the body for abnormalities such as aneurysms and disease such ... to produce pictures of blood vessels in the body. Angiography is performed using: x-rays with catheters ...

  12. Catheter Angiography

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    Full Text Available ... catheter angiography to lessen the risk of allergic reaction. Another option is to undergo a different exam ... and its references. The risk of serious allergic reaction to contrast materials that contain iodine is extremely ...

  13. Catheter Angiography

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    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a ... injured due to the contrast material. In most cases, the kidneys will regain their normal function within ...

  14. Catheter Angiography

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    Full Text Available ... angiography is a long plastic tube about as thick as a strand of spaghetti. top of page ... Society of Urogenital Radiology note that the available data suggest that it is safe to continue breastfeeding ...

  15. Catheter Angiography

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    Full Text Available ... disease). evaluate obstructions of vessels. top of page How should I prepare? You should inform your physician ... as a strand of spaghetti. top of page How does the procedure work? Catheter angiography works much ...

  16. Catheter Angiography

    Science.gov (United States)

    ... 24 hours before catheter angiography to lessen the risk of allergic reaction. Another option is to undergo a different ... Manual on Contrast Media and its references. The risk of serious allergic reaction to contrast materials that contain iodine is ...

  17. Catheter Angiography

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    Full Text Available ... magnetic resonance imaging (MRI) In catheter angiography, a thin plastic tube, called a catheter , is inserted into ... through the body, recording an image on photographic film or a special detector. Different parts of the ...

  18. Fluorescein angiography

    Science.gov (United States)

    ... interpret in people with cataracts. Alternative Names Retinal photography; Eye angiography; Retinopathy - fluorescein Images Retinal dye injection ... commercial use must be authorized in writing by ADAM Health Solutions. About MedlinePlus Site Map FAQs Customer ...

  19. Catheter Angiography

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    Full Text Available ... of a catheter makes it possible to combine diagnosis and treatment in a single procedure. Catheter angiography ... of a catheter makes it possible to combine diagnosis and treatment in a single procedure. An example ...

  20. Catheter Angiography

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    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... identify a small aneurysm or arteriovenous malformation (abnormal communications between blood vessels) inside the brain or other ...

  1. Catheter Angiography

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    Full Text Available ... of page What are some common uses of the procedure? Catheter angiography is used to examine blood ... obstructions of vessels. top of page How should I prepare? You should inform your physician of any ...

  2. Catheter Angiography

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    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a ... most cases, the kidneys will regain their normal function within five to seven days. Rarely, the catheter ...

  3. Catheter Angiography

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    Full Text Available ... imaging (MRI) In catheter angiography, a thin plastic tube, called a catheter , is inserted into an artery ... examined, a contrast material is injected through the tube and images are captured using a small dose ...

  4. Catheter Angiography

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    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a ... and x-rays. Manufacturers of intravenous contrast indicate mothers should not breastfeed their babies for 24-48 ...

  5. Catheter Angiography

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    Full Text Available ... most cases, the kidneys will regain their normal function within five to seven days. Rarely, the catheter ... limitations of Catheter Angiography? Patients with impaired kidney function, especially those who also have diabetes, are not ...

  6. Catheter Angiography

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    Full Text Available ... with you. top of page What are the benefits vs. risks? Benefits Angiography may eliminate the need for surgery. If ... data suggest that it is safe to continue breastfeeding after receiving intravenous contrast. For further information please ...

  7. Catheter Angiography

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    Full Text Available ... The catheter used in angiography is a long plastic tube about as thick as a strand of ... will be drawn before starting the procedure to make sure that your kidneys are working and that ...

  8. Catheter Angiography

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    Full Text Available ... before catheter angiography to lessen the risk of allergic reaction. Another option is to undergo a different exam ... Media and its references. The risk of serious allergic reaction to contrast materials that contain iodine is extremely ...

  9. Catheter Angiography

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    Full Text Available ... top of page What are the benefits vs. risks? Benefits Angiography may eliminate the need for surgery. ... in the typical diagnostic range for this exam. Risks There is always a slight chance of cancer ...

  10. Catheter Angiography

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    Full Text Available ... invasive medical test that helps physicians diagnose and treat medical conditions. Angiography uses one of three imaging ... heart chest abdomen (such as the kidneys and ... chance of cancer from excessive exposure to radiation. However, the benefit ...

  11. Catheter Angiography

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    Full Text Available ... story about radiology? Share your patient story here Images × Image Gallery Interventional radiologist performing an angiography exam View ... possible charges you will incur. Web page review process: This Web page is reviewed regularly by a ...

  12. Catheter Angiography

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    Full Text Available ... serious allergic reaction to contrast materials that contain iodine is extremely rare, and radiology departments are well- ... having a reaction to contrast materials that contain iodine. If angiography is essential, a variety of methods ...

  13. Catheter Angiography

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    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... operate to reopen the vessel. If you have diabetes or kidney disease, the kidneys may be injured ...

  14. Catheter Angiography

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    Full Text Available ... than an hour away. top of page What does the equipment look like? The equipment typically used ... a strand of spaghetti. top of page How does the procedure work? Catheter angiography works much the ...

  15. Catheter Angiography

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    Full Text Available ... contrast. For further information please consult the ACR Manual on Contrast Media and its references. The risk ... iodine. If angiography is essential, a variety of methods is used to decrease risk of allergy: You ...

  16. Catheter Angiography

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    Full Text Available ... in patients after trauma. evaluate arteries feeding a tumor prior to surgery or other procedures such as ... supplying a small area of tissue or a tumor; this is called superselective angiography. Unlike computed tomography ( ...

  17. Catheter Angiography

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    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... a tendency to bleed. top of page Additional Information and Resources Society of Interventional Radiology (SIR) - Patient ...

  18. Catheter Angiography

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    Full Text Available ... of page What are some common uses of the procedure? Catheter angiography is used to examine blood ... an hour away. top of page What does the equipment look like? The equipment typically used for ...

  19. Catheter Angiography

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    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... the exam, you may be admitted to the hospital for an overnight stay if you live more ...

  20. Catheter Angiography

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    Full Text Available ... medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection ... inform your doctor about recent illnesses or other medical conditions. You ... does the equipment look like? The equipment typically used for this ...

  1. Catheter Angiography

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    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician Resources Professions Site Index A-Z Catheter Angiography Catheter ...

  2. Catheter Angiography

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    Full Text Available ... reopen the vessel. If you have diabetes or kidney disease, the kidneys may be injured due to the contrast material. ... the limitations of Catheter Angiography? Patients with impaired kidney function, especially those who also ... be used for any purpose other than this referral.

  3. Catheter Angiography

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    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a regular x-ray ... material injection, you should immediately inform the technologist. Women should always inform their physician or x-ray ...

  4. Catheter Angiography

    Medline Plus

    Full Text Available ... 24 hours before catheter angiography to lessen the risk of allergic reaction. Another option is to undergo a different ... Manual on Contrast Media and its references. The risk of serious allergic reaction to contrast materials that contain iodine is ...

  5. Catheter Angiography

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    Full Text Available ... spaghetti. top of page How does the procedure work? Catheter angiography works much the same as a regular x-ray ... any possibility that they are pregnant. See the Safety page for more information about pregnancy and x- ...

  6. Catheter Angiography

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    Full Text Available ... of a catheter makes it possible to combine diagnosis and treatment in a single procedure. Catheter angiography produces very ... of a catheter makes it possible to combine diagnosis and treatment in a single procedure. An example is finding ...

  7. Catheter Angiography

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    Full Text Available ... small burst of radiation that passes through the body, recording an image on photographic film or a special detector. Different ... about radiology? Share your patient story here Images × ... Related Articles and Media Angioplasty and Vascular Stenting MR Angiography (MRA) Contrast ...

  8. Catheter Angiography

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    Full Text Available ... stents or evaluating a stent after implantation. detect injury to one or more arteries in the neck, ... of the radiation while soft tissue, such as muscle, fat and organs, allow more of the ... is called superselective angiography. Unlike computed tomography ( ...

  9. Catheter Angiography

    Medline Plus

    Full Text Available ... your radiologist may advise that you take special medication for 24 hours before catheter angiography to lessen the risk of allergic reaction. Another option is to undergo a different exam that does not call for contrast material injection. If a large amount of x-ray contrast ...

  10. Catheter Angiography

    Medline Plus

    Full Text Available ... contrast material, your radiologist may advise that you take special medication for 24 hours before catheter angiography ... the artery, causing a block downstream in the blood vessel. top of page What are the ... information. The costs for specific medical imaging tests, treatments and procedures may vary by geographic region. ...

  11. Reduction of radiation exposure in angiography; Reduzierung der Strahlenexposition in der Angiographie

    Energy Technology Data Exchange (ETDEWEB)

    Imhof, K. [Siemens AG, Erlangen (Germany). Bereich Medizinische Technik

    1995-11-01

    Interventional procedures in angiography result in an increased radiation exposure for the physician, medical personal, and the patient longer fluoroscopic times and of images as compared with pure diagnostic examinations. Damages like epilation and erythema are potential effects. Measures are proposed in this paper to reduce the radiation exposure. There are technical means and possibilities in the application technique. Quality checks and remote diagnosis support these measures in addition by assuring a continuous image quality. (orig.) [Deutsch] Interventionale Massnahmen in der Angiographie bringen durch laengere Durchleuchtungszeiten und durch eine groessere Anzahl von Aufnahmen eine erhoehte Strahlenexposition fuer Arzt, medizinisches Personal und Patient mit sich, verglichen mit rein diagnostischer Fragestellung. Gewebeschaedigungen wie Hautroetungen und Haarausfall bei Patienten sind durchaus im Bereich der Moeglichkeiten. In diesem Beitrag sind die Moeglichkeiten aufgefuehrt, die zur Reduktion der Strahlenexposition beitragen. Diese liegen einmal in der Geraetetechnik, zum anderen in der Untersuchungstechnik. Qualitaetskontrollen und Ferndiagnose unterstuetzen zusaetzlich diese Massnahmen durch Sicherung einer gleichbleibenden Bildqualitaet. (orig.)

  12. Von der Universitätsbibliothek Regensburg zum Bayerischen Bibliotheksverbund

    OpenAIRE

    Frankenberger, Rudolf

    1989-01-01

    Von der Universitätsbibliothek Regensburg zum Bayerischen Bibliotheksverbund : d. Entwicklung d. Bayer. Bibliotheksverbundes. - In: Bibliothekslandschaft Bayern : Festschr. für Max Pauer zum 65. Geburtstag / hrsg. von Paul Niewalda. - Wiesbaden : Harrassowitz, 1989. - S. 84-96

  13. MR angiography

    Energy Technology Data Exchange (ETDEWEB)

    Miki, Hitoshi; Hamamoto, Ken (Ehime Univ., Shigenobu (Japan). School of Medicine)

    1994-01-01

    As the result of the application of the recently developed MR techniques, the diagnosis of the morphology and the function has been possible. MR angiography (MRA) is one of these new techniques, and provides vascular anatomy and hemodynamics. At present, there is the limitation in the indication of MRA for pediatric cerebral vascular diseases. However, the frequency of clinical application of MRA is expected to increase by rapidly progressed MR techniques. Of these MRA, time-of flight (TOF) MRA, and phase contrast (PC) MRA are now being examined clinically as main MRA methods for evaluating cerebrovascular diseases, such as Moyamoya disease, arteriovenous malformation, and cerebral aneurysm. During our study, 2D and 3D TOF MRA, and 2D PC and 3D PC MRA were performed for evaluating cerebrovascular diseases. The purpose of this paper is to explain the methods of these MRA, and clinical indications of MRA by showing representative clinical cases of cerebrovascular diseases. We consider that MRA ia a useful method for detecting and following-up pediatric cerebrovascular diseases at present time. It is necessary for radiologists to know the basis and clinical indications of MRA. (author).

  14. Carotid angiography

    Directory of Open Access Journals (Sweden)

    Arne Torkildsen

    1950-03-01

    Full Text Available After a brief review of the history of cerebral angiography, some of the most important points concerning the percutaneous angiographic technique have been described. The value of the angiographic examination in cases of cerebral gliomas has been studied, based upon a consecutive series of 127 verified cases of hemispherical gliomas. Of 31 cases of frontal glioma, 28 could be diagnosed by the angiographic method; of 33 cases of parietal glioma, the angiograms revealed the neoplasm in 27 instances; of 39 cases of temporal glioma, the tumor could be localized in 38 cases; of 13 cases of occipital glioma, the angiographic localization of the tumor was successfull in 9 instances; of 11. cases of glioma infiltrating the corpus callosum and (or the basal ganglia, the angiographic examination was successful in only 3 cases. The angiographic examination in cases of cerebral glioma, in my experience, yields a more satisfactory result as to the localization than does the pneumography. The only exception concerns the gliomas growing in the thalamus or in the basal ganglia. These are more easily localized by means of ventriculography. As to the differential diagnosis of the gliomas, tumor vessels could, be seen both in astrocytomas and in glioblastomas. Most cases of astrocytomas were however devoid of specific tumor vessels. When present they could not be definitely distinguished from those seen in glioblastomas, but the abnormal findings were far less numerous and definitely less pronounced in astrocytomas than in glioblastomas. In most cases the astrocytomas were characterized only by displacement of blood vessels of normal appearance, while the glioblastomas frequently-presented both displacement of normal appearing blood vessels and new formed blood vessels within the neoplasm itself. The pathological blood vessels in the tumor were frequently abnormal both regarding their topographical appearance and their type. Frequent findings were arterio

  15. Superselective interventional angiography. Superselektive interventionelle Angiographie

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    Witte, G.; Fink, A.; Heyer, D.; Nicolas, V.; Buecheler, E. (Universitaetskrankenhaus Eppendorf, Hamburg (Germany). Radiologische Klinik)

    1992-05-01

    The authors report on the clinical application of superselective interventional angiography within the framework of revascularisation and occlusion. A coaxial catheter system is used for probing, consisting of an F 5 angiography catheter as guiding catheter and an F 3 catheter as internal catheter. The internal catheter is equipped with a shaft with segments of different flexibility and can take up a guide wire of 0.018' that is sufficiently stable to be rotated and guided. The interplay between the guide wire, which can be manipulated, and the flexible internal catheter enables superselective probing even of peripheral vascular areas. As may be required by the basic disease, the necessary interventional measures can be taken via the superselectively placed microcatheter. Superselective interventional angiography is indicated as an occlusive measure in preoperative vascular occlusion followed by palliative tumour resection, embolisation in haemangioma, chemoembolisation in tumours of the liver. Superselective angiography is used for revascularisation in the local lysis of peripheral vessels. Due to the on-target superselective approach, side effects are markedly less than those observed with the interventions performed to date. (orig.).

  16. The place of CT angiography in the diagnosis of cerebral sinus thrombosis; Stellenwert der Angiographie in der Diagnostik von zerebralen Sinus- und Venenthrombosen

    Energy Technology Data Exchange (ETDEWEB)

    Hagen, T. [Abt. fuer Neuroradiologie, Radiologische Klinik, Universitaet des Saarlandes, Homburg/Saar (Germany); Bartylla, K. [Abt. fuer Neuroradiologie, Radiologische Klinik, Universitaet des Saarlandes, Homburg/Saar (Germany); Waziri, A. [Abt. fuer Neuroradiologie, Radiologische Klinik, Universitaet des Saarlandes, Homburg/Saar (Germany); Schmitz, B. [Abt. fuer Neuroradiologie, Radiologische Klinik, Universitaet des Saarlandes, Homburg/Saar (Germany); Piepgras, U. [Abt. fuer Neuroradiologie, Radiologische Klinik, Universitaet des Saarlandes, Homburg/Saar (Germany)

    1996-11-01

    Dural sinus thrombosis is not uncommon. Due to the nonspecific symptomatology, as well as the manifold etiology, clinical diagnosis may be difficult. In these cases imaging procedures are frequently crucial in deciding how to proceed and how to treat. The aim of our study was to evaluate the diagnostic utility of helical CT in the detection of dural sinus thrombosis. In 20 patients with clinically supected thrombosis CT angiography was performed. In 6 patients dural sinus thrombosis was diagnosed. In order to acquire also arterial vessels, a short delay of about 22 s after the onset of the application of contrast medium was selected. By this method we found an occlusion of the MCA in two patients with clinically suspected sinus thrombosis. In all patients the transverse slices and the multiplanar reconstructions showed filling defects or an `empty delta` sign. With irregular outlines the thrombus could be depicted over the complete course of the sinus. The MIP reconstructions were particularly helpful in the evaluation of the vessel anatomy and the pathological collateral venous drainage. In three patients MR angiograms were available for comparison. The smaller veins, such as the v. vermis inferior, were less clearly depicted than in CT angiography. CT angiography is a fast and reliable method to exclude or verify a sinus thrombosis. It can be performed immediately after nonenhanced CT. According to our present experience CT angiography is sufficient for the diagnosis of a sinus thrombosis. (orig.) [Deutsch] In der Arbeit wird die Welt der CT-Angiographie zum Nachweis oder Ausschluss einer zerebralen Sinus- und Venenthrombose (SVT) dargestellt. Bei 20 Patienten mit dem klinischen Verdacht auf eine SVT wurde eine CT-Angiographie in Spiraltechnik durchgefuehrt. Bei 6 Patienten bestaetigte diese die Verdachtsdiagnose, bei 16 konnte eine Thrombose ausgeschlossen werden. Bei allen Patienten mit nachgewiesener SVT zeigten die axialen Schnitte und die multiplanaren

  17. Ghost magnetic resonance angiography

    National Research Council Canada - National Science Library

    Koktzoglou, Ioannis; Edelman, Robert R

    2009-01-01

    Traditional methods for magnetic resonance angiography (MRA) involve the radiofrequency excitation of vascular spins within a selected region of tissue, followed by gradient localization and imaging of those spins within that same region...

  18. Magnetic resonance angiography

    Science.gov (United States)

    MRA; Angiography - magnetic resonance ... Kwong RY. Cardiovascular magnetic resonance imaging. In: Bonow RO, Mann DL, Zipes DP, Libby P, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular ...

  19. Pediatric CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Siegel, M.J. [Mallinckrodt Inst. of Radiology, Washington Univ. Medical School, St. Louis, MO (United States)

    2005-11-15

    Advances in CT technology are having profound impact on imaging children and have made CT angiography possible even in neonates. Even with the tiny anatomy of neonates, small volumes of contrast material, and small venous access catheters, successful CT angiography can be performed with attention to detail. Meticulous attention to patient preparation, the proper selection of technical factors, and optimal delivery of contrast material are crucial. Data post-processing and the creation of 3-D reconstructions are also essential in establishing a correct diagnosis. The applications fo CT angiography are different in children than in adults and most applications in children involve assessment of congenital and postoperative vascular and cardiac diseases. The use of CT angiography offers the opportunity to eliminate the long periods of sedation associated with MR and reduce the radiation exposure associated with conventional angiography. Generally, the benefits of CT angiography in children outweigh the risk, namely that of radiation exposure. However, care must still be taken to minimize the radiation exposure. (orig.)

  20. CT coronary angiography vs. invasive coronary angiography in CHD

    OpenAIRE

    Anja Hagen; Schönermark, Matthias P.; Vitali Gorenoi

    2012-01-01

    Scientific background Various diagnostic tests including conventional invasive coronary angiography and non-invasive computed tomography (CT) coronary angiography are used in the diagnosis of coronary heart disease (CHD). Research questions The present report aims to evaluate the clinical efficacy, diagnostic accuracy, prognostic value cost-effectiveness as well as the ethical, social and legal implications of CT coronary angiography versus invasive coronary angiography in the diagnosis of C...

  1. MR angiography (MRA)

    Energy Technology Data Exchange (ETDEWEB)

    Hasuo, Kanehiro [Kyushu Univ., Fukuoka (Japan). Faculty of Medicine

    1995-12-01

    The primary goal of vascular imaging is the visualization of morphology and hemodynamics. Catheter angiography has been regarded as a gold standard for this purpose. However, MR angiography (MRA) is now increasingly being recognized as an important noninvasive technique for the depiction of vascular diseases and is partially superseding catheter angiography. The author evaluated the usefulness of MRA in the diagnosis of cerebral aneurysms and moyamoya disease. All aneurysms 5 mm or larger in diameter could be detected and most of those less than 5 mm in diameter were also detectable with using a combination of MIP images, target MIP images and source images. In moyamoya disease, the diagnosis could be made in all. For hemodynamic changes, flow directions in the circle of Willis could be visualized by phase-contrast MRA in a normal volunteer. In addition, MRA successfully showed the patency of surgical collaterals in cases of moyamoya disease. Despite some limitations compared with catheter angiography, MRA has a high sensitivity and specificity in the diagnosis of cerebrovascular abnormalities. Furthermore, screening of cerebral aneurysms or cerebrovascular occlusive diseases seems to be a new, and important indication for MRA. (author).

  2. Der Weg von einer produktionsintegrierten Instandhaltung zum erfolgreichen, outgesourcten Dienstleister

    Science.gov (United States)

    Luther, Friedrich

    Eine marktorientierte Unternehmensführung verlangt heute auch ein kritisches Überdenken der Dienstleistung Instandhaltung und deren Schnittstellen zu anderen Unternehmensbereichen. Die Instandhaltung als Dienstleistungsabteilung, welche oft zu Unrecht als nicht "produktiver“ Betriebsbereich angesehen wird, sieht sich deshalb vielen Fragen und Überprüfungen hinsichtlich ihrer Funktion und Effizienz ausgesetzt. In diesem Beitrag soll beispielhaft der Weg einer solchen Instandhaltung vom produktionsintegrierten Bereich in einem mittelständischen Maschinenbau-Unternehmen des Textilmaschinenbaus über den zentralen/dezentralen autonomen Unternehmensbereich zum Profit-Center und letztendlich die Entwicklung zum erfolgreichen externen Dienstleister, eingegliedert in die Piepenbrock Gruppe, dargestellt werden. Dieser Entwicklungsprozess überstreicht einen Zeitraum von etwa 60 Jahren, von 1950 bis heute. Die Betrachtung des gesamten Prozessablaufs, die dabei aufgetretenen Probleme und Hindernisse auf dem Weg zum externen Dienstleister werden analysiert und Aspekte der Zusammenarbeit mit den Betreibern aus Sicht der outgesourcten Instandhaltung aufgezeigt.

  3. Update zum klinischen Einsatz von Inhibitoren mutierter Phosphokinasen beim Melanom.

    Science.gov (United States)

    Cosgarea, Ioana; Ritter, Cathrin; Becker, Jürgen C; Schadendorf, Dirk; Ugurel, Selma

    2017-09-01

    Die Behandlungsstrategie beim metastasierten Melanom hat sich mit der Identifizierung therapeutisch angreifbarer molekularer Zielstrukturen innerhalb zellulärer Signalwege radikal geändert. Durch die Zulassung von Substanzen, die gezielt an den zentralen Schaltmolekülen, den Phosphokinasen, angreifen, können diese Signalwege selektiv abgeschaltet werden. Dies ist insbesondere bei denjenigen Tumoren von Interesse, deren Signalwege durch aktivierende Mutationen der für die Schaltmoleküle kodierenden Gene konstitutiv aktiviert sind. Aktuell ist diese therapeutische Strategie insbesondere für Patienten bedeutsam, deren Melanome eine Mutation im BRAF-Gen aufweisen. Diese Patienten können durch eine Kombinationstherapie aus Inhibitoren der Phosphokinasen BRAF und MEK langfristig mit sehr guter Krankheitskontrolle behandelt werden. Unter dieser Kombinationstherapie wird aktuell ein progressionsfreies Überleben von über zehn Monaten und ein Gesamtüberleben von mehr als zwei Jahren bei guter Lebensqualität erzielt. Da unter längerfristiger Therapie mit Kinaseinhibitoren jedoch bei einem Großteil der Patienten eine Resistenzbildung auftritt, sind aktuelle klinische Therapiestudien auf die Suche nach geeigneten Kombinationspartnern unter Blockierung anderer Signalwege oder unter Aktivierung der T-Zell-vermittelten Immunantwort ausgerichtet. Der vorliegende Übersichtsartikel stellt sowohl die aktuell verfügbaren als auch die in der klinischen Testung befindlichen zukünftigen Optionen der zielgerichteten Therapie des Melanoms dar. © 2017 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

  4. CT angiography - arms and legs

    Science.gov (United States)

    Computed tomography angiography - peripheral; CTA - peripheral; CTA - Runoff ... be due to: Inflammation of the blood vessels Injury to the blood vessels Buerger disease (thromboangiitis obliterans) , ...

  5. CT coronary angiography vs. invasive coronary angiography in CHD

    Directory of Open Access Journals (Sweden)

    Anja Hagen

    2012-04-01

    Full Text Available Scientific background: Various diagnostic tests including conventional invasive coronary angiography and non-invasive computed tomography (CT coronary angiography are used in the diagnosis of coronary heart disease (CHD. Research questions: The present report aims to evaluate the clinical efficacy, diagnostic accuracy, prognostic value cost-effectiveness as well as the ethical, social and legal implications of CT coronary angiography versus invasive coronary angiography in the diagnosis of CHD. Methods: A systematic literature search was conducted in electronic data bases (MEDLINE, EMBASE etc. in October 2010 and was completed with a manual search. The literature search was restricted to articles published from 2006 in German or English. Two independent reviewers were involved in the selection of the relevant publications. The medical evaluation was based on systematic reviews of diagnostic studies with invasive coronary angiography as the reference standard and on diagnostic studies with intracoronary pressure measurement as the reference standard. Study results were combined in a meta-analysis with 95 % confidence intervals (CI. Additionally, data on radiation doses from current non-systematic reviews were taken into account. A health economic evaluation was performed by modelling from the social perspective with clinical assumptions derived from the meta-analysis and economic assumptions derived from contemporary German sources. Data on special indications (bypass or in-stent-restenosis were not included in the evaluation. Only data obtained using CT scanners with at least 64 slices were considered. Results: No studies were found regarding the clinical efficacy or prognostic value of CT coronary angiography versus conventional invasive coronary angiography in the diagnosis of CHD. Overall, 15 systematic reviews with data from 44 diagnostic studies using invasive coronary angiography as the reference standard (identification of obstructive

  6. Coronary CT angiography and MR angiography of Kawasaki disease

    Energy Technology Data Exchange (ETDEWEB)

    Goo, Hyun Woo [University of Ulsan College of Medicine, Department of Radiology, Asan Medical Center, 388-1 Poongnap-2dong, Songpa-gu, Seoul (Korea); Park, In-Sook; Ko, Jae Kon; Kim, Young Hwee [University of Ulsan College of Medicine, Department of Paediatric Cardiology, Asan Medical Center, Seoul (Korea)

    2006-07-15

    Although the incidence of coronary artery aneurysms has diminished in patients with Kawasaki disease, coronary artery involvement is still regarded as a major complication of the disease, significantly affecting morbidity and mortality. Recent technical advances in coronary CT angiography (CTA) and MR angiography (MRA) have led to the possibility of using these two imaging methods as minimally invasive alternatives to the more invasive diagnostic catheter angiography in evaluating coronary artery abnormalities, such as aneurysm, stenosis, and occlusion. In this article, we describe imaging techniques and findings of coronary CTA and MRA in Kawasaki disease. (orig.)

  7. Jugendforscherkollektive : Leistung, Leistungsbedingungen, Einstellungen zum wissenschaftlich-technischen Fortschritt ; Expertise

    OpenAIRE

    Fischer, Evelyne

    1983-01-01

    "Der vorliegende Forschungsbericht stellt einen speziellen Teilbericht zur Auswertung der Studie 'Junge Intelligenz im Betrieb' dar. Erfaßt wurden alle Mitglieder in Jugenforscherkollektiven, an einer Mitarbeit interessierte sowie uninteressierte junge Hoch- und Fachschulkader." Näher eingegangen wird auf die Leistungen in Jugendforscherkollektiven (JFK), auf die Einstellung zum wissenschaftlich-technischen Fortschritt sowie das Verhältnis zur FDJ. Die Haupterkenntnisse lassen sich folgenderm...

  8. DEUTSCH ZUM SPASS: MODEL PEMBELAJARAN INOVATIF BAHASA JERMAN

    Directory of Open Access Journals (Sweden)

    Sulis Triyono

    2016-08-01

      Deutsch Zum Spass: Innovative Teaching Model for Teaching German. It is an alternative teaching model for teaching German which is fun. This teaching model is also an active, creative, effective, collaborative model. It integrates all the language skills, Hoverstehen, Sprechfertigkeit, Leseverstehen, and Schreibfertigketi, into one contextual teaching and learning process. The model aims to find out the actions done by a teacher in one teaching team to facilitate another member of the team to continue the material in a continous and well-structured order. Between-teacher collaboration is recorded through a protocol book, which records the fun class activities of one member to be continued and maintained by other members. The book also records the teachers’ reflective ideas and notes that can be used as points to consider. The teaching materials are provided and uploaded into http://besmart.uny.ac.id/ by UNY. Deutsch zum Spass as a teaching model is able to create active, creative, and participation encouraging atmosphere that allow students to achieve their learning goals. Students ‘language mastery is tested through online language test. Keywords: deutsch zum spass model teaching, e-learning, innovative teaching model.

  9. Optical projection angiography

    Science.gov (United States)

    Liao, Riwei; Wang, Mingyi; Zhang, Fuli; Han, Dingan; Wang, Ruikang K.; Yang, Guojian; Zeng, Yaguang

    2016-11-01

    We propose the optical projection angiography (OPA) based on lateral dynamic scattering light for visualizing a three-dimensional (3D) blood-flow network. In OPA, a pulsed laser source illuminates a live biological sample for eliminating digital camera integration effects. The 2D flow image can be obtained by separating the dynamic and static scattering light signal of each camera pixel in the frequency domain. Flow images at a different angle are combined to reconstruct the 3D volume of the sample to realize OPA. Moreover, as our experiment retains the bright-field optical projection tomography (OPT) setup, the OPA image for the circulatory system and the OPT image for the skeletal structure can simultaneously be reconstructed. The experimental results can potentially be applied in physiological development studies.

  10. Hyperpolarized 13C MR angiography

    DEFF Research Database (Denmark)

    Lipsø, Hans Kasper Wigh; Magnusson, Peter; Ardenkjær-Larsen, Jan Henrik

    2016-01-01

    Magnetic resonance angiography (MRA) is a non-invasive technology that can be used for diagnosis and monitoring of cardiovascular disease; the number one cause of mortality worldwide. Hyperpolarized imaging agents provide signal enhancement of more than 10, 000 times, which implies large reduction...... in acquisition time and improved spatial resolution. We review the role of hyperpolarized 13C agents for MR angiography and present the literature in the field. Furthermore, we present a study of the benefit of intra-arterial injection over intravenous injection of hyperpolarized agent for cerebral angiography...... in the rat, and compare the performance of two standard angiographic pulse sequences, the gradient echo (GRE) sequence and the balanced steady-state free precession (bSSFP). 2D coronal cerebral angiographies using intra-arterial injections were acquired with a GRE sequence with in-plane resolution of 0.27 mm...

  11. CT angiography - abdomen and pelvis

    Science.gov (United States)

    Computed tomography angiography - abdomen and pelvis; CTA - abdomen and pelvis; Renal artery - CTA; Aortic - CTA; Mesenteric CTA ... of the blood vessels inside your belly or pelvis. This test may be used to look for: ...

  12. Magnetic resonance angiography vs. angiography in tetralogy of Fallot.

    Science.gov (United States)

    Rao, Uppalapati Venkateswara; Vanajakshamma, Velam; Rajasekhar, Durgaprasad; Lakshmi, Amancharla Yadagiri; Reddy, Reddivari Niranjan

    2013-08-01

    : To determine whether gadolinium-enhanced three-dimensional magnetic resonance angiography can provide a noninvasive alternative to diagnostic catheterization for evaluation of pulmonary artery anatomy in tetralogy of Fallot. Thirty-five consecutive patients with tetralogy of Fallot, who attended the cardiology outpatient department between January 2008 and December 2009, were included in the study. There were 21 males and 14 females, with a mean age of 9 ± 4.15 years (range, 3-21 years). Thirty-two patients had tetralogy of Fallot with varying severities of valvular and infundibular stenosis. Three patients had tetralogy of Fallot with pulmonary atresia. All patients underwent both cardiac catheterization with X-ray angiography and 3-dimensional magnetic resonance angiography within one month. Measurements of right and left pulmonary arteries and aortopulmonary collaterals were equal by both methods. There was a good correlation between magnetic resonance angiography and catheterization measurements of branch pulmonary arteries. Gadolinium-enhanced three-dimensional magnetic resonance angiography can be used as a reliable noninvasive alternative to X-ray cineangiography for delineation of pulmonary arterial anatomy in sick infants and young children, obviating the need for catheterization.

  13. Angiography. 2. tot. rev. and enl. ed.; Angiographie

    Energy Technology Data Exchange (ETDEWEB)

    Schild, H. (ed.); Born, M.; Eckert, B.; Hofer, U.; Kaltenborn, H.; Kersjes, W.; Malms, J.; Remig, J.; Schunk, K.; Strunk, H.; Urbach, H.; Wilhelm, K.

    2003-07-01

    New features of the second German edition of this standard textbook: a novel, attractive layout supporting the didactic concept, including highlighted important information and compact summaries. - Comparative evaluation with other methods, such as color Doppler sonography and MR angiography. - Comprehensive revision of images and addition of new pictures. (orig./CB) [German] Neu in der 2. Auflage: neues, ansprechendes Layout fuer noch mehr Didaktik und ''Spass am Lernen'' durch Merksaetze und Zusammenfassungen. - Vergleich mit anderen Verfahren wie Farbdoppler-Sonographie und MR-Angiographie. - Umfassende Ueberarbeitung und Erweiterung des Bildmaterials. (orig./AJ)

  14. Mittel zum Zweck. Zum Verhältnis von E-Learning und Medienpädagogik

    OpenAIRE

    Thomas Damberger

    2015-01-01

    Wir leben in einer Mixed Reality, einer Welt, in der Realität und Virtualität bereits ineinander übergegangen sind. In dieser Mixed Reality ist Lernen zu Augmented Learning geworden. Es erscheint als Mittel zum Zweck und der Zweck ist das Menschliche am Menschen. Zugleich ist der Mensch in der Mixed Reality von einer Entfremdung bedroht, der die Medienpädagogik entgegenzuwirken hat. We live in a mixed reality world, where reality and virtuality merged into each other. Learning has turned...

  15. Evolution of digital angiography systems.

    Science.gov (United States)

    Brigida, Raffaela; Misciasci, Teresa; Martarelli, Fabiola; Gangitano, Guido; Ottaviani, Pierfrancesco; Rollo, Massimo; Marano, Pasquale

    2003-01-01

    The innovations introduced by digital subtraction angiography in digital radiography are briefly illustrated with the description of its components and functioning. The pros and cons of digital subtraction angiography are analyzed in light of present and future imaging technologies. In particular, among advantages there are: automatic exposure, digital image subtraction, digital post-processing, high number of images per second, possible changes in density and contrast. Among disadvantages there are: small round field of view, geometric distortion at the image periphery, high sensitivity to patient movements, not very high spatial resolution. At present, flat panel detectors represent the most suitable substitutes for digital subtraction angiography, with the introduction of novel solutions for those artifacts which for years have hindered its diagnostic validity. The concept of temporal artifact, reset light and possible future evolutions of this technology that may afford both diagnostic and protectionist advantages, are analyzed.

  16. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info dot ... d like to talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. MRA ...

  17. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... posted: Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Coronary CT Angiography Video: Myelography Video: CT ... posted: Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Coronary CT Angiography Video: Myelography Video: CT ...

  18. MDCT angiography and transcatheter embolization in management ...

    African Journals Online (AJOL)

    Hassan Abdelsalam

    2015-12-18

    Dec 18, 2015 ... This study included 57 patients, 33 men and 24 women. Their average age was 69.9 and age range from 32 to. 91 years. 3.1. .... (b) Digital subtraction angiography with selective celiac angiography showing faint spot of active bleeding. (c) Digital subtraction angiography with super-selective short gastric ...

  19. [Digitalized angiography in coronary disease].

    Science.gov (United States)

    Doriot, P A; Chappuis, F; Rutishauser, W

    1988-12-01

    In cardiology, digital subtraction angiography after intravenous injection of contrast medium allows only the visualization of relative large structures as the ventricles and the great vessels. Subselective intra-arterial injections are attractive, but do not provide an appreciable reduction of the injected amount of contrast medium. A reduction is possible with selective injections, but good subtraction is only possible for non-moving arteries or for arteries with truly periodic movement (ECG gated subtraction). With the improvement of spatial and temporal resolution, digital angiography (without image subtraction) could replace conventional angiography, provided that the main problem of prohibitive costs associated to the stockage of image sequences with high spatial (1024 x 1024) and temporal (25 images/s) resolution is solved. At the present, however, the cinefilm 35 mm is still unbeaten in density of information, handling and costs. In interventional cardiology, the visualization of small coronary branches and of fine, fast moving guide-wires is improved by the digitalization of the images at the source, pulsed fluoroscopy, progressive scanning of the TV camera with temporary stockage of image sequences and the selective reinforcement of the image contrast in real time. Digital angiography is also more attractive than the cinefilm in view of a better exploitation of the information contained in angiographic sequences by sophisticated, computer assisted methods. For instance, parametric imaging for analysis of the contraction and relaxation of the left ventricle, or for the visualization of the progression of contrast medium to investigate the coronary circulation, condensing in one single image the information looked for, are fields where digital angiography has given new impulses to cardiologic research.

  20. Prokofieff: Kantate zum 20. Jahrestag der Oktoberrevolution, Op.74, Neeme Järvi / Joachim Salau

    Index Scriptorium Estoniae

    Salau, Joachim

    1993-01-01

    Uuest heliplaadist "Prokofieff: Kantate zum 20. Jahrestag der Oktoberrevolution, Op.74, Auszüge aus Das Märchen von der steinernen Blume. Gennadij Roshdestwenskij (Sprecher), Philharmonia Chorus, Philharmonia Orchestra, Neeme Järvi. Chandos/Koch CD 9095

  1. [Karin Hallas. Das Tallinner Mietshaus. Vom Historismus bis zum Jugendstil] / Paul Kaegbein

    Index Scriptorium Estoniae

    Kaegbein, Paul

    2006-01-01

    Arvustus: Karin Hallas. Das Tallinner Mietshaus. Vom Historismus bis zum Jugendstil. In: Architektur und bildende Kunst im Baltikum um 1900. Frankfurt am Main, Berlin, Bern, Bruxelles, New York, Wien: Lang 1999. S. 173-192.

  2. Vom Himmelsmythos zum Weltgesetz. Eine Kulturgeschichte der Astronomie.

    Science.gov (United States)

    Bialas, V.

    Contents: I: Die Betrachtung des Himmels im Zeichen des Mythos. 1. Astronomische Spuren der Vorzeit. 2. Naturvölker und Ethnoastronomie. 3. Hochkulturen in Asien und Amerika. 4. Das alte Ägypten. 5. Mesopotamien. 6. Die mythisch-religiöse Erfahrung der Welt und die frühe Astronomie. II: Vom Mythos zum Logos. 7. Antikes Griechenland. 8. Römische Antike und frühes Christentum (ca. 200 v. Chr. - 500 n. Chr.). 9. Astronomie unter dem Zeichen des Islam. 10. Europäisches Mittelalter. 11. Die Astronomie als kulturelles Erbe der Menschheit. III: Die Selbstdifferenzierung des Logos. 12. Das Buch der Natur wird aufgeschlagen. 13. Klassische Astronomie und philosophische Aufklärung (ca. 1700 - 1850). 14. Neue Wege der Kosmosforschung in Astrophysik und Kosmologie (ca. 1850 - 1950). 15. Schlußbetrachtung: Die Frage nach dem Weltbild in verunsicherter Zeit.

  3. Angiography in intensive-care medicine. Angiographie in der Intensivmedizin

    Energy Technology Data Exchange (ETDEWEB)

    Lackner, K.; Landwehr, P. (Wuerzburg Univ. (Germany, F.R.). Inst. fuer Roentgendiagnostik); Ertl, G. (Wuerzburg Univ. (Germany, F.R.). Medizinische Klinik)

    1989-07-01

    Angiography is rarely performed in the intensive-care ward. Indications are: pulmonary embolism, unstable angina pectoris or myocardial infarction, gastrointestinal haemorrhage, acute arterial occlusion, traumatic vascular lesions, aneurysms and if a foreign body has to be extracted. It will always be necessary to weigh the pros and cons, that is to say the risks and danger involved in transporting the patient and in performing an invasive diagnostic procedure on the one hand, and the possible therapeutic gain on the other. (orig.).

  4. Mittel zum Zweck. Zum Verhältnis von E-Learning und Medienpädagogik

    Directory of Open Access Journals (Sweden)

    Thomas Damberger

    2015-03-01

    Full Text Available Wir leben in einer Mixed Reality, einer Welt, in der Realität und Virtualität bereits ineinander übergegangen sind. In dieser Mixed Reality ist Lernen zu Augmented Learning geworden. Es erscheint als Mittel zum Zweck und der Zweck ist das Menschliche am Menschen. Zugleich ist der Mensch in der Mixed Reality von einer Entfremdung bedroht, der die Medienpädagogik entgegenzuwirken hat. We live in a mixed reality world, where reality and virtuality merged into each other. Learning has turned into augmented learning in this mixed reality. Learning appears as a means to an end and the end is the human in the human being. At the same time humans are threatened by alienation in the mixed reality. Media Education has to work against these tendencies.

  5. Is fasting necessary for elective cerebral angiography?

    Science.gov (United States)

    Kwon, O-K; Oh, C W; Park, H; Bang, J S; Bae, H-J; Han, M K; Park, S-H; Han, M H; Kang, H-S; Park, S-K; Whang, G; Kim, B-C; Jin, S-C

    2011-05-01

    In order to prevent unexpected events such as aspiration pneumonia, cerebral angiography has been performed under fasting in most cases. We investigated prospectively the necessity of fasting before elective cerebral angiography. The study is an open-labeled clinical trial without random allocation. In total, 2554 patients who underwent elective cerebral angiography were evaluated on development of nausea, vomiting, and pulmonary aspiration during and after angiography. Potential risks and benefits associated with fasting were provided in written documents and through personal counseling to patients before the procedure. The patients chose their fasting or nonfasting option. No restriction in diet was given after angiography. The patients were observed for 24 hours. Nausea and vomiting during and within 1 hour after angiography was considered as a positive event associated with cerebral angiography. The overall incidence of nausea and vomiting during and within 1 hour after angiography was 1.05% (27/2554 patients). There was no patient with pulmonary aspiration. No statistical difference in nausea and vomiting development between the fasting and the diet groups was found. The incidence of nausea and vomiting associated with cerebral angiography is low and not affected by diet or fasting. Pulmonary aspiration had no difference between the diet and the fasting group. Our study suggests that fasting may not be necessary for patients who undergo elective cerebral angiography.

  6. New techniques in CT angiography.

    Science.gov (United States)

    Lell, Michael M; Anders, Katharina; Uder, Michael; Klotz, Ernst; Ditt, Hendrik; Vega-Higuera, Fernando; Boskamp, Tobias; Bautz, Werner A; Tomandl, Bernd F

    2006-10-01

    Computed tomographic (CT) angiography has been improved significantly with the introduction of four- to 64-section spiral CT scanners, which offer rapid acquisition of isotropic data sets. A variety of techniques have been proposed for postprocessing of the resulting images. The most widely used techniques are multiplanar reformation (MPR), thin-slab maximum intensity projection, and volume rendering. Sophisticated segmentation algorithms, vessel analysis tools based on a centerline approach, and automatic lumen boundary definition are emerging techniques; bone removal with thresholding or subtraction algorithms has been introduced. These techniques increasingly provide a quality of vessel analysis comparable to that achieved with intraarterial three-dimensional rotational angiography. Neurovascular applications for these various image postprocessing methods include steno-occlusive disease, dural sinus thrombosis, vascular malformations, and cerebral aneurysms. However, one should keep in mind the potential pitfalls of these techniques and always double-check the final results with source or MPR imaging. .(c) RSNA, 2006.

  7. Landeskundeunterricht zum Nationalsozialismus. Ein Praxisbericht aus der Mongolei

    Directory of Open Access Journals (Sweden)

    Ralf Heimrath

    2015-03-01

    Full Text Available In einer Umfrage bei den fortgeschrittenen Studierenden an der Deutschen Abteilung der Nationaluniversität der Mo n- golei wurde festgestellt, dass der Name Hitler sehr bekannt und mit e iner positiven Konnotation verbunden ist. Dagegen gab es keine Kenntnisse über die Zeit des Nationalsozialismus in Deutschland. Mehrere weitere Beobachtungen lassen darüber hinaus in der Mongolei und in anderen Ländern eine bestimmte Hitler - Verehrung erken nen. Vor diesem Hintergrund wurde im Jahr 2012 an der Deutschen Abteilung der Nationaluniversität der Mongolei eine Unterricht s- sequenz zum Thema Nationalsozialismus in Deutschland durchgeführt. Die wichtigsten Themen sind dabei die Persönlichkeit des Dikt ators, der Werdegang der NSDAP während der Weimarer Republik und das Schicksal der jüdischen Bevölkerung in Deutschland vor und insbesondere nach der Machtergreifung Hitlers. Die Sequenz dient der Relativierung des Hitler - Bildes im Bewusstsein der Studiere nden und der Vermittlung von Kenntnissen zur Geschichte des 20. Jahrhunderts als Grundlage einer Entwicklung, die zu zwei deutschen Staaten und ihrer späteren Vereinigung führte. Die Sequenz ist auf vergleichbare Unterrichtssituationen in anderen Ländern übertragbar.

  8. KidSmart - Medienkompetent zum Schulübergang

    Directory of Open Access Journals (Sweden)

    Anita Müller

    2012-03-01

    Full Text Available In Deutschland zeichnet sich bereits vor Schuleintritt im Bereich der literarischen und medialen Sozialisation eine Bildungsbenachteiligung ab. Vor allem Kinder aus bildungsfernen Milieus und mit Migrationshintergrund sind hiervon betroffen (vgl. Becker/Lauterbach 2004; Diefenbach 2007; Rabe-Kleberg 2010. An dieser Einsicht knüpft das Forschungs- und Interventionsprojekt KidSmart – Medienkompetent zum Schulübergang an. Medienpädagogische Arbeit steht hier im Kontext der Vorbereitung auf den Schulübergang. Durch kreative Medienarbeit soll ein Gegengewicht zur eher passiven Mediennutzung geschaffen werden. Ziel ist es Bildungsunterschiede von Kindern bereits vor Schulbeginn auszugleichen.Already before starting school educational disadvantages in the part of reading and media socialization can be identified within Germany. Generally affected are children of less educated families and children with migration background (Becker/Lauterbach 2004; Diefenbach 2007; Rabe-Kleberg 2010. Therefore, an exceptional intervention and research project KidSmart – media competence by entering school was initiated in the area of early childhood education. Within this project media-pedagogical work is corresponding with preparation of entering school. The intention is to create a counterbalance to passive media use by creative media work. The scope of the project is to fight against early educational disadvantages.

  9. Teilchen, Felder, Quanten von der Quantenmechanik zum Standardmodell der Teilchenphysik

    CERN Document Server

    Ecker, Gerhard

    2017-01-01

    Dieses Buch bietet Ihnen eine Einführung in den aktuellen Stand unseres Wissens über die Struktur der Materie. Gerhard Ecker beschreibt verständlich die Entwicklung der modernen Physik vom Beginn des Quantenzeital­ters bis zum Standardmodell der Teilchenphysik, der umfassenden Theorie der fundamentalen Wechselwir­kungen des Mikrokosmos. Dabei wird der Schwerpunkt auf die wichtigsten Entdeckungen und Entwicklungen, beispielsweise der Quantenfeldtheorie, der Eichtheorien und die Zukunft der Teilchenphysik, gelegt. Besonders hebt der Autor auch das Wechselspiel zwischen Theorie und Experiment hervor, die uns helfen, die tiefsten Rätsel der Natur zu ergründen. Teilchen, Felder, Quanten ist für alle geschrieben, die Freude an der Physik haben. Es bietet Abitu­rienten und Studierenden der Physik in den ersten Semestern einen Ansporn, die Physik tiefer zu verstehen. Lehrer und andere an der Phy­sik Interessierte werden darin nützliche Einblicke in die Welt der Teilchenphysik finden. Für Studierende in ...

  10. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info ... I’d like to talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. ...

  11. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info dot org ... I’d like to talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. MRA is ...

  12. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Science.gov (United States)

    ... Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info dot org ... I’d like to talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. MRA is ...

  13. Coronary CT angiography in acute chest pain

    OpenAIRE

    Nikhil Goyal; Arthur Stillman

    2017-01-01

    Coronary computed tomographic angiography has become a reliable diagnostic tool in the evaluation of patients with chest pain. Studies have shown this modality to be accurate and safe when compared with conventional methods of assessing patients with chest pain. We review the recent developments with coronary computed tomographic angiography and devote particular attention toward its application to triage patients in the emergency department.

  14. [Angiography of urotuberculosis (author's transl)].

    Science.gov (United States)

    Klein, U; Eisenberger, F; Heinze, H G; Lissner, J; Pfeifer, K J; Runte, R; Thym, W

    1976-06-01

    119 kidneys demonstrating changes consistent with renal tuberculosis were studied in a total of 94 patients by means of selective, transfemoral renal antiography. In the first stage of the disease, this method detected parenchymal involvement which could not be visualized by excretory urography. In stage II the arcuate arteries and occasionally the intralobular arteries, showed typical changes. Cavitation, pathognomonic for the presence of renal tuberculosis were found in 39.3% of these cases. In 40% of the cases the angiographic findingd were more extensive than the apparent findings of excretory urography. Angiography, thus, can render valuable information pertaining to the course of the disease and the necessity of operative intervention. Stage III was usually characterized by extensive changes specific for parenchymal destruction. Typical vascular lesions were readily recognized. Cavitation was found in 86.5% of these cases. Tortuosity and dilatation of the renal pelvis- and/or ureter-arteries revealed evidence of ureteral involvement (stage III2). In the presence of a non-functioning kidney angiography is mandatory to rule out renal aplasia and to differentiate between a kidney destroyed by other disease processes and the complete cavitary destruction of end-stage renal tuberculosis (stage III3).

  15. Renal angiography with iohexol and metrizoate

    Energy Technology Data Exchange (ETDEWEB)

    Toernquist, C.; Holtaes, S.

    1984-02-01

    The nephrotoxicity of the ionic contrast medium metrizoate was compared with that of nonionic iohexol when used for renal angiography. Fifteen patients who underwent renal angiography with metrizoate and 15 with iohexol were studied. Serum creatinine level, Cr-51-EDTA clearance, and urine albumin level were recorded before and after angiography. Metrizoate affected renal function, as indicated both by a transient decrease in glomerular filtration rate and by a transient albuminuria. Renal function was unaffected by iohexol. Furthermore, iohexol produced less subjective discomfort than metrizoate. There appeared to be no difference in the quality of the angiograms obtained with the two media.

  16. Dialog als literarische Strategie: zum Sammelband ‚Inszenierte Gespräche‘

    Directory of Open Access Journals (Sweden)

    Maximilian Gröne

    2015-12-01

    Full Text Available Matthias Hausmann und Marita Liebermann, Hrsg., Inszenierte Gespräche: zum Dialog als Gattung und Argumentationsmodus in der Romania vom Mittelalter bis zur Aufklärung, Internationale Forschungen zur Allgemeinen und Vergleichenden Literaturwissenschaft 173 (Berlin: Weidler, 2014, 273 S.

  17. Lebenserzählungen. Neue Biografien zum 100. Geburtstag von Simone de Beauvoir

    Directory of Open Access Journals (Sweden)

    Lieselotte Steinbrügge

    2008-03-01

    Full Text Available Zum 100. Geburtstag von Simone de Beauvoir sind zwei Biografien erschienen, die auf unterschiedliche Weise auf die Herausforderung antworten, die die das spektakuläre Leben und vielfältige Werk der besessenen Autobiografin, Schriftstellerin, Philosophin, Essayistin und Feministin für die Chronisten darstellt.

  18. Text-Bruecken zwischen den Kulturen Festschrift zum 70 Geburtstag von Bernd Spillner

    CERN Document Server

    Rentel, Nadine

    2013-01-01

    Diese Festschrift zum 70. Geburtstag von Professor Bernd Spillner enthält Beiträge zu den Themenbereichen Fachsprachen- und Stilforschung, Sprachvergleich, Medienkommunikation und Fremdsprachenerwerb. Der Band bietet weiterhin ein breites Spektrum an Aufsätzen zur relativ neuen linguistischen Teildisziplin der Kulinaristik.

  19. Comparison of spiral CT angiography vs digital subtraction angiography in the evaluation of living kidney donors

    Directory of Open Access Journals (Sweden)

    Santosh Kumar

    2002-01-01

    Full Text Available Recent reports suggest that spiral computed tomographic (CT angiography could replace conventional angiogra-phy and intravenous urography (IVU for the assessment of potential live kidney donors. The purpose of this study was to assess the accuracy of spiral CT in kidney donor workup. 10 consecutive renal donors had IVU, percutane-ous transfemoral selective renal angiography and spiral CT angiography between January and March 2001. The spiral CT and renal angiograms were assessed independ-ently by two radiologists. The number of renal arteries, pres-ence or absence of renal artery stenoses and associated parenchymal abnormalities were assessed. A total of 27 renal arteries were detected. Transverse scans viewed in a tine loop format with maximum intensity projection and shaded surface display detected all 27 vessels. All 27 ves-sels were detected by conventional catheter angiography. A simple renal cyst was noted in both spiral CT and con-ventional angiogram. Venous anatomy including a retroaortic renal vein was visualized in spiral CT angiogram but not visualized by conventional angiography. Spiral CT angiography performed as an outpatient procedure is less invasive, less expensive, and provides good images of the arterial and venous anatomy in addition to the visualiza-tion of the other abdominal viscera. A plain X-ray of the abdomen was taken 15 rains after injection of contrast to acquire an IVU like image. Spiral CT angiography has the potential to replace conventional catheter angiography and IVU in the assessment of renal donors.

  20. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Imaging Costs Video: Abdominal Ultrasound Video: Pelvic Ultrasound Radiology and You Sponsored by Image/Video Gallery Your ... Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info dot org Hello, I’m Dr. Elliot ...

  1. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

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    Full Text Available ... Lung Cancer Awareness Month Recently posted: Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Abdominal Ultrasound Video: Pelvic Ultrasound Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography ( ...

  2. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

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    Full Text Available ... Video: Pelvic Ultrasound Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography ( ... pictures of the major blood vessels throughout your body. It may be performed with or without contrast ...

  3. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Dr. Elliot Fishman, a radiologist at Johns Hopkins Hospital in Baltimore, Maryland. I’d like to talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. ...

  4. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... with you about magnetic resonance angiography, or as it’s commonly known, MRA. MRA is a noninvasive test ... of the major blood vessels throughout your body. It may be performed with or without contrast material ...

  5. Application of OCT angiography in ophthalmology

    Directory of Open Access Journals (Sweden)

    Ai-Ping Yang

    2017-11-01

    Full Text Available Optical coherence tomography angiography(OCTAis a new technology of angiography in recent years. In addition to the advantages of traditional OCT, it can observe blood flow in different retinal and choroidal segmentation slab. By using the pseudo-color, abnormal vascular structure can be distinguished from normal vascular structure of the retina. Dye injection is not needed with OCTA, which is different from fundus fluorescein angiography(FFAand indocyanine green angiography(ICGA. OCTA provides more and more accurate blood flow information. However, like other biometric technology, OCTA has its limitations and shortcomings. This review will analyze and summarize the operating principle of OCTA, its application in ophthalmology, as well as its advantages and limitations.

  6. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... mild sedative prior to the examination. For more information about Magnetic Resonance Angiography of MRA or any ... Inc. (RSNA). To help ensure current and accurate information, we do not permit copying but encourage linking ...

  7. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

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    Full Text Available ... and You Take our survey Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) ... Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Abdominal Ultrasound Video: Pelvic Ultrasound Radiology and You ...

  8. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

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    Full Text Available ... Index A-Z Spotlight Recently posted: Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Abdominal Ultrasound Video: Pelvic Ultrasound Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography ( ...

  9. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

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    Full Text Available ... of Radiology (IDoR) Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography ( ... pictures of the major blood vessels throughout your body. It may be performed with or without contrast ...

  10. Coronary angiography in rats using synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Matsushita, S. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan)]. E-mail: shomatsu@md.tsukuba.ac.jp; Hyodo, K. [Instutute of Medical Science, High Energy Accelerator Research Organization, Tsukuba (Japan); Akishima, S. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan); Sato, F. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan); Imazuru, T. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan); Noma, M. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan); Hiramatsu, Y. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan); Shigeta, O. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan); Sakakibara, Y. [Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba (Japan)

    2005-08-11

    Monochromatic X-rays obtained from synchrotron radiation (SR), provide a high-quality tool for medical imaging including, coronary angiography. To pursue higher resolution in experimental coronary angiography, a smaller visual field had seemed to be inevitable. However, there are cases in which whole coronary angiography is preferable in order to investigate such vasomotor activities as coronary vasospasm. To meet these requirements, we are trying to develop a new type of SR coronary angiography using Langendorff excised rat hearts. Experiments were performed at Photon Factory Accelerator Ring (PF-AR), High Energy Accelerator Research Organization (KEK), Japan. SR was obtained from a 6.5 GeV electron beam. The energy of the monochromatic X-rays was 33.3 keV, which is just above the K-edge energy of iodine. Iodine (35%) was infused as a contrast material to the aorta at the rate of 1 ml/min for 1 s. In the image obtained from coronary angiography, the resolution was 13 {mu}m and the width of the visual field 26 mmx26 mm. Whole heart coronary vasculature identifying small arteries down to those 100 {mu}m in diameter was obtained in beating hearts. Arteries as small as 50 {mu}m were identified in arrested hearts. This method of SR coronary angiography is useful for the investigation of whole coronary configurations simultaneously in one visual field to the level of microvasculature.

  11. Diagnostic yield and accuracy of CT angiography, MR angiography, and digital subtraction angiography for detection of macrovascular causes of intracerebral haemorrhage: Prospective, multicentre cohort study

    NARCIS (Netherlands)

    C.J.J. Van Asch (Charlotte J.J.); B.K. Velthuis (Birgitta K.); G.J.E. Rinkel (Gabriël J.E.); A. Algra (Ale); G.A.P. de Kort (G. A P); T.D. Witkamp (Theo); J.C.M. De Ridder (Johanna C.M.); K.M. Van Nieuwenhuizen (Koen M.); F.-E. De Leeuw (Frank-Erik); W.J. Schonewille (Wouter); P.L.M. de Kort (Paul); D.W.J. Dippel (Diederik); T.W.M. Raaymakers (Theodora W.M.); J. Hofmeijer; M.J.H. Wermer (Marieke); H. Kerkhoff (Henk); K. Jellema (Korné); I.M. Bronner (Irene M.); M.J.M. Remmers (Michel ); H.P. Bienfait; R.J.G.M. Witjes (Ron J.G.M.); J.P. Greving (Jacoba); C.J.M. Klijn (Catharina J.M.); H.F. de Leeuw (Frank); H.B. Boogaarts; E.J. van Dijk (Ewoud); W.J. Schonewille; W.M.J. Pellikaan; C. Puppels-De Waard; P.L.M. De Kort; J.P. Peluso; J. van Tuijl (Jordie); J. Hofmeijer; F.B.M. Joosten (Frank); D.W.J. Dippel (Diederik); L. Khajeh (Ladbon); T.W.M. Raaijmakers; M.J. Wermer; M.A. van Walderveen (M.); H. Kerkhoff; E. Zock; K. Jellema (Korné); G.J. Lycklama à Nijeholt (Geert); I.M. Bronner; M.J.M. Remmers; R.J.G.M. Witjes; H.P. Bienfait; K.E. Droogh-Greve; R. Donders (Rogier); V.I.H. Kwa; T.H.C.M.L. Schreuder (Tobien H. C. M. L.); C.L. Franke (Cees); J.S. Straver; C. Jansen; S.L.M. Bakker (Stef); C.C. Pleiter (C.); M.C. Visser; C.J.J. Van Asch; B.K. Velthuis (Birgitta); G.J.E. Rinkel (Gabriel); K.M. Van Nieuwenhuizen; C.J.M. Klijn (Catharina J.M.)

    2015-01-01

    textabstractStudy question What are the diagnostic yield and accuracy of early computed tomography (CT) angiography followed by magnetic resonance imaging/angiography (MRI/MRA) and digital subtraction angiography (DSA) in patients with non-traumatic intracerebral haemorrhage? Methods This

  12. Diagnostic yield and accuracy of CT angiography, MR angiography, and digital subtraction angiography for detection of macrovascular causes of intracerebral haemorrhage: prospective, multicentre cohort study.

    NARCIS (Netherlands)

    van Asch, C.J.J.; Velthuis, B.K.; Rinkel, G.J.E.; Algra, A.; de Kort, G.A.P.; Witkamp, T.D.; Hofmeijer, Jeannette

    2015-01-01

    Study question: What are the diagnostic yield and accuracy of early computed tomography (CT) angiography followed by magnetic resonance imaging/angiography (MRI/MRA) and digital subtraction angiography (DSA) in patients with non-traumatic intracerebral haemorrhage? Methods: This prospective

  13. Overestimation of carotid artery stenosis with magnetic resonance angiography compared with digital subtraction angiography

    NARCIS (Netherlands)

    Nederkoorn, Paul J.; Elgersma, Otto E. H.; Mali, Willem P. Th M.; Eikelboom, Bert C.; Kappelle, L. Jaap; van der Graaf, Yolanda

    2002-01-01

    BACKGROUND AND PURPOSE: Three-dimensional time-of-flight (3D TOF) magnetic resonance angiography (MRA) is generally considered to overestimate the degree of stenosis in the internal carotid artery (ICA) in comparison with the reference standard intraarterial digital subtraction angiography (DSA). We

  14. Computed tomography coronary angiography in patients with acute myocardial infarction and normal invasive coronary angiography

    NARCIS (Netherlands)

    Panayi, Georgios; Wieringa, Wouter G.; Alfredsson, Joakim; Carlsson, Jorg; Karlsson, Jan-Erik; Persson, Anders; Engvall, Jan; Pundziute, Gabija; Swahn, Eva

    2016-01-01

    Background: Three to five percent of patients with acute myocardial infarction (AMI) have normal coronary arteries on invasive coronary angiography (ICA). The aim of this study was to assess the presence and characteristics of atherosclerotic plaques on computed tomography coronary angiography

  15. Diagnostic accuracy of dual energy CT angiography in patients with diabetes mellitus; Diagnostische Genauigkeit der Dual-energy-CT-Angiographie bei Patienten mit Diabetes mellitus

    Energy Technology Data Exchange (ETDEWEB)

    Schabel, C.; Bongers, M.N.; Syha, R. [Klinikum der Eberhard-Karls-Universitaet, Abteilung fuer Diagnostische und Interventionelle Radiologie, Tuebingen (Germany); Klinikum der Eberhard-Karls-Universitaet, Sektion fuer Experimentelle Radiologie der Abteilung fuer Diagnostische und Interventionelle Radiologie, Tuebingen (Germany); Ketelsen, D.; Homann, G.; Notohamiprodjo, M.; Nikolaou, K.; Bamberg, F. [Klinikum der Eberhard-Karls-Universitaet, Abteilung fuer Diagnostische und Interventionelle Radiologie, Tuebingen (Germany); Thomas, C. [Universitaetsklinikum Duesseldorf, Abteilung fuer Diagnostische und Interventionelle Radiologie, Duesseldorf (Germany)

    2015-04-01

    Herausforderung dar. Ziel dieser Arbeit war die Ermittlung der diagnostischen Genauigkeit der Dual-energy-CT-Angiographie (DE-CTA) im Vergleich zum Goldstandard, der invasiven digitalen Subtraktionsangiographie (DSA) bei der Stenoseerkennung, da die DE-CTA potenziell eine Differenzierung von Verkalkungen und jodhaltigem Kontrastmittel ermoeglicht. Dreissig Patienten mit dem Verdacht auf das Vorliegen oder bekannter PAVK und zusaetzlich bestehendem Diabetes mellitus wurden retrospektiv in die Studie eingeschlossen. Bei allen Teilnehmern wurde eine DE-CTA (Somatom Definition Flash, Siemens Healthcare, Germany), gefolgt von einer invasiven Angiographie durchgefuehrt. Das Vorhandensein von Stenosen in gekruemmten multiplanaren Reformationen (MPR) und Projektionen maximaler Intensitaet (MIP) wurde verblindet evaluiert. Die diagnostische Genauigkeit wurde mit der Angiographie als Goldstandard errechnet. Bei den 30 in die Analyse eingeschlossenen diabetischen Patienten (83 % maennlich, 70,0 ± 10,5 Jahre alt, 83 % Diabetes mellitus Typ 2) war die Praevalenz behandlungsbeduerftiger Stenosen in 331 evaluierten Gefaesssegmenten hoch (30 %). Die DE-CTA detektierte kritische Stenosen mit einer hohen Sensitivitaet und guten Spezifitaet anhand gekruemmter MPR (100 und 93,1 %) und MIP (99 und 91,8 %). In einer Subanalyse war die diagnostische Genauigkeit am hoechsten fuer Stenosen im Bereich der Beckenstrombahn (gekruemmte MPR 97,1 % vs. MIP 100 %) und im Oberschenkelbereich (99,2 vs. 96,6 %) verglichen mit dem Unterschenkelkompartiment (90,9 vs. 88 %). Die DE-CTA weist eine hohe diagnostische Genauigkeit bei der Stenosenerkennung und -charakterisierung im Rahmen der PAVK bei Patienten mit Diabetes mellitus auf, hat jedoch eine eingeschraenkte Genauigkeit im Bereich des Unterschenkelkompartiments. (orig.)

  16. Randomisierte Doppelblindstudie zum Einfluss der Soft-Laser Ohrakupunktur auf die Angst von Kindern bei der Zahnbehandlung : Eine experimentelle Studie

    OpenAIRE

    Thiedemann, Nicol

    2004-01-01

    In dieser Studie wurde untersucht, in wieweit eine Laser- Ohrakupunktur Einfluss auf die Angst bei Kindern vor der Behandlung des Zahnarztes nehmen kann. Im Studiendesign unterscheiden sich zwei Gruppen, zum einen eine Gruppe mit einem aktiven Laserpen (grün) und zum anderen eine Gruppe mit einem Placebo-Laserpen (rot). Es war dem Untersucher und auch dem Probanden lediglich die Farbunterscheidung rot oder grün bekannt, nicht aber welcher der beiden Laser aktiv oder passiv war. Dieses erga...

  17. MR angiography in tuberculous meningitis

    Energy Technology Data Exchange (ETDEWEB)

    Kalita, Jayantee; Prasad, Sreeram; Maurya, Pradeep K.; Misra, Usha K. (Dept. of Neurology, Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India)), Email: drukmisra@rediffmail.com; Kumar, Sunil (Dept. of Radiodiagnosis, Sanjay Gandhi Post Graduate Inst. of Medical Sciences, Lucknow (India))

    2012-04-15

    Background: Infarctions in tuberculous meningitis (TBM) are common but there is a paucity of studies on MR angiography (MRA). Purpose: To evaluate the pattern and predictors of MRA abnormality in patients with TBM. Material and Methods: Sixty-seven patients with TBM were subjected to clinical, laboratory, magnetic resonance imaging (MRI), and MRA evaluation. The severity of meningitis, focal deficit, CSF findings, and stroke co-morbidities were recorded. Presence of exudates, infarction, hydrocephalous, and tuberculoma on MRI were noted. On intracranial MRA, occlusion or more than 50% narrowing of proximal middle cerebral artery (MCA), anterior cerebral artery (ACA) and posterior cerebral artery (PCA), and basilar artery were considered abnormal. The MRA abnormality was correlated with clinical, laboratory, and MRI findings. Results: Sixty-seven patients, aged 3-75 years (median 34 years) were included. MRI was abnormal in 61 (91%) patients; basal exudates in 24, hydrocephalous in 23, tuberculoma in 33, and infarction in 40. MRA was abnormal in 34 (50.7%); MCA was most commonly involved (n = 21), followed by PCA (n = 14), ICA (n = 8), ACA (n 5), basilar artery (n = 5), and vertebral and superior cerebellar artery (1 each). One-fourth of the patients had abnormality in both anterior and posterior circulations. MRA abnormality was related to hydrocephalous and infarction; corresponding infarct was present in 61.8% patients; 41.7% patients with abnormal MRA developed infarct at 3 months but none with normal MRA. Conclusion: Half the patients with TBM had MRA abnormality involving both anterior and posterior circulations and 61.8% of them had corresponding infarcts

  18. Differential diagnosis of choroidal melanomas and nervi using scanning laser ophthalmoscopical indocyanine green angiography

    DEFF Research Database (Denmark)

    Andersen, Mads V. Nis; Scherfig, Erik; Prause, J.U.

    1995-01-01

    Ophthalmology, choroidal melanoma, choroidal nevus, fluorescein angiography, indocyanine green (ICG), scanning laser ophthalmoscope (SLO), angiography......Ophthalmology, choroidal melanoma, choroidal nevus, fluorescein angiography, indocyanine green (ICG), scanning laser ophthalmoscope (SLO), angiography...

  19. Analysis of coronary angiography related psychophysiological responses

    Directory of Open Access Journals (Sweden)

    Kaya Mehmet G

    2011-08-01

    Full Text Available Abstract Background Coronary angiography is an important tool in diagnosis of cardiovascular diseases. However, it is the administration is relatively stressful and emotionally traumatic for the subjects. The aim of this study is to evaluate psychophysiological responses induced by the coronary angiography instead of subjective methods such as a questionnaire. We have also evaluated the influence of the tranquilizer on the psychophysiological responses. Methods Electrocardiography (ECG, Blood Volume Pulse (BVP, and Galvanic Skin Response (GSR of 34 patients who underwent coronary angiography operation were recorded. Recordings were done at three phases: "1 hour before," "during," and "1 hour after" the coronary angiography test. Total of 5 features obtained from the physiological signals were compared across these three phases. Sixteen of the patients were administered 5 mg of a tranquilizer (Diazepam before the operation and remaining 18 were not. Results Our results indicate that there is a strong correlation between features (LF/HF, Bk, DN1/DN2, skin conductance level and seg_mean in terms of reflecting psychophysiological responses. However only DN1/DN2 feature has statistically significant differences between angiography phases (for diazepam: p = 0.0201, for non_diazepam p = 0.0224. We also note that there are statistically significant differences between the diazepam and non-diazepam groups for seg_mean features in "before", "during" and "after" phases (p = 0.0156, 0.0282, and 0.0443, respectively. Conclusions The most intense sympathetic activity is observed in the "during" angiography phase for both of the groups. The obtained features can be used in some clinical studies where generation of the customized/individual diagnoses styles and quantitative evaluation of psychophysiological responses is necessary.

  20. Bücher zum Hören. Intermediale Aspekte von Audioliteratur

    OpenAIRE

    Schwethelm, Matthias

    2010-01-01

    Die Arbeit analysiert die intermedialen Aspekte der Audioliteratur und deren Ver-hältnis zum medialen System Buch. Hierzu werden Erkenntnisse der Intermediali-tätsforschung auf den Untersuchungsgegenstand angewandt. Literarische Hörforma-te sind sehr vielseitig und erstrecken sich von Lesungen über Hörspiele bis hin zu Tondokumenten. Inhaltlich orientieren sie sich an den Nachbarmedien Buch und Radio und konnten bisher keine eigenen Präsentationsformen entwickeln, die als charakteristisch für...

  1. Sensoren zum Monitoring des Nachernteverhaltens von klimakterischen Früchten

    OpenAIRE

    Lang, Cindy

    2011-01-01

    Bei pflanzlichen Frischeprodukten ist ein schnelles und zerstörungsfreies Monitoring entlang der gesamten Distributionskette von der Ernte bis hin zum Verbraucher erforderlich, um eine hohe Qualität und geringe Nachernteverluste gewährleisten zu können. Für die kontinuierliche in-situ Qualitätskontrolle klimakterischer Früchte werden deshalb als charakteristische Parameter vor allem die Ethylenbildung (Fruchtreife), wie auch die Temperatur und die Luftfeuchte untersucht. Zur Charakterisierung...

  2. Kurz zum Klima: Das Ozonloch – ein vergessenes Problem?

    OpenAIRE

    Lippelt, Jana

    2010-01-01

    Im September 2009 ratifizierte Timor-Leste (Osttimor) als letztes von 196 Ländern das »Montreal-Protokoll über Stoffe, die zum Abbau der Ozonschicht führen«. Das Protokoll von 1987 stellt damit das bedeutendste multilaterale Umweltabkommen und die erste internationale Vereinbarung dar, die eine weltweite Ratifizierung erlangte. Die Problematik des Ozonlochs ist inzwischen weitgehend aus der öffentlichen Debatte verschwunden. Mehr als 20 Jahre nach dem Montrealer Abkommen ist die Wissenschaf...

  3. Lernangebote in der Lehrerausbildung und Überzeugungen zum Lehren und Lernen. Beziehungsanalysen bei angehenden Lehrpersonen

    OpenAIRE

    Biedermann, Horst; Brühwiler, Christian; Krattenmacher, Samuel

    2012-01-01

    Im Mittelpunkt des Beitrags steht die Frage, inwieweit Lerngelegenheiten in der Primarlehrerausbildung mit konstruktions- und transmissionsorientierten Überzeugungen zum Erwerb mathematischen Wissens in Beziehung stehen. Mehrheitlich wird in der Literatur festgehalten, dass Studierende bereits beim Eintritt in die Ausbildung über robuste berufsbezogene Überzeugungen verfügen, die sich nur schwer verändern lassen. Die vorliegenden Analysen verweisen darauf, dass zwischen Lernangeboten im Berei...

  4. Methodik für eine Forschung zum Standpunkt des Subjekts

    OpenAIRE

    Ittner, Helmut

    2016-01-01

    Subjektwissenschaftlich ausgerichtete empirische Forschung ermöglicht einen ertragreichen Zugang zum Eigensinn subjektiver Handlungsbegründungen, wie er etwa bei Lern- und Bildungsprozessen konstitutiv ist. In dem schmalen Sektor einschlägiger Arbeiten ist die Auseinandersetzung vor allem um adäquate Auswertungsmethoden unzureichend, Fragen des Forschungssettings werden darüber hinaus kontrovers diskutiert. In dem vorliegenden Beitrag wird ein Weg vorgeschlagen, Methoden der dokumentarischen ...

  5. Realdatenanalyse zum Instandhaltungsaufwand öffentlicher Hochbauten - Ein Beitrag zur Budgetierung

    OpenAIRE

    Bahr, Carolin

    2008-01-01

    Zur Instandhaltung von Gebäuden müssen finanzielle Mittel zum richtigen Zeitpunkt gezielt bereit gestellt werden. Im Rahmen der Dissertation wird ein innovatives Berechnungsverfahren zur Budgetierung der für die Instandhaltung notwendigen finanziellen Mittel entwickelt. Das so genannte PABI-Verfahren (praxisorientierte, adaptive Budgetierung von Instandhaltungsmaßnahmen) ermöglicht erstmals die transparente und belastbare Bestimmung des Instandhaltungsbudgets.

  6. Computed tomography and angiography in pancreatic apudomas and cystadenomas

    Energy Technology Data Exchange (ETDEWEB)

    Kolmannskog, F.; Schrumpf, E.; Valnes, K. (Rikshospitalet, Oslo (Norway))

    1982-01-01

    During a 4-year period 17 patients with pancreatic apudoma and 3 patients with cystadenoma of the pancreas were admitted to this hospital. Computed tomography correctly located 3 of 4 insulinomas examined, while angiography revealed 4 of 8, which indicates that CT may replace angiography as the primary examination of these tumors, and possibly also other types of apudomas. When CT fails angiography may demonstrate a pancreatic tumor, suggesting angiography as a supplementary examination. In cystadenoma sufficient information was obtained at CT.

  7. Fairness in the coronary angiography queue.

    Science.gov (United States)

    Alter, D A; Basinski, A S; Cohen, E A; Naylor, C D

    1999-10-05

    Since waiting lists for coronary angiography are generally managed without explicit queuing criteria, patients may not receive priority on the basis of clinical acuity. The objective of this study was to examine clinical and nonclinical determinants of the length of time patients wait for coronary angiography. In this single-centre prospective cohort study conducted in the autumn of 1997, 357 consecutive patients were followed from initial triage until a coronary angiography was performed or an adverse cardiac event occurred. The referring physicians' hospital affiliation (physicians at Sunnybrook & Women's College Health Sciences Centre, those who practice at another centre but perform angiography at Sunnybrook and those with no previous association with Sunnybrook) was used to compare processes of care. A clinical urgency rating scale was used to assign a recommended maximum waiting time (RMWT) to each patient retrospectively, but this was not used in the queuing process. RMWTs and actual waiting times for patients in the 3 referral groups were compared; the influence clinical and nonclinical variables had on the actual length of time patients waited for coronary angiography was assessed; and possible predictors of adverse events were examined. Of 357 patients referred to Sunnybrook, 22 (6.2%) experienced adverse events while in the queue. Among those who remained, 308 (91.9%) were in need of coronary angiography; 201 (60.0%) of those patients received one within the RMWT. The length of time to angiography was influenced by clinical characteristics similar to those specified on the urgency rating scale, leading to a moderate agreement between actual waiting times and RMWTs (kappa = 0.53). However, physician affiliation was a highly significant (p < 0.001) and independent predictor of waiting time. Whereas 45.6% of the variation in waiting time was explained by all clinical factors combined, 9.3% of the variation was explained by physician affiliation alone

  8. Wie man Elementarteilchen entdeckt vom Zyklotron zum LHC : ein Streifzug durch die Welt der Teilchenbeschleuniger

    CERN Document Server

    Freytag, Carl

    2016-01-01

    Dieses Buch erklärt die physikalischen Grundlagen und die Technologien der Elementarteilchenforschung und beschreibt allgemeinverständlich Teilchenbeschleuniger und -detektoren sowie ihr Zusammenspiel. An einigen Meilensteinen der Forschung – von der Erzeugung von Transuranen über die Entdeckung exotischer Mesonen bis zum Higgs-Boson – zeigen die Autoren den Weg von der Theorie über das Experiment zum Forschungsergebnis auf. Gravitonen, Higgs-Teilchen, Neutrinos und Quarks – das Interesse an den kleinsten uns bekannten Teilchen ist seit Jahrzehnten ungebrochen und rückt damit auch die Laboratorien in den Blick, die an die Grenzen der Physik vorstoßen: Neben dem größten Experimentierfeld, das wir haben – dem Universum selbst - sind es die gigantischen Maschinen der Elementarteilchenphysik in Großforschungseinrichtungen wie dem CERN und dem DESY. Mit ihnen versuchen Forscher weltweit unter Einsatz extrem hoher Energien Zustände zu simulieren, wie sie zum Beginn unseres Universums kurz nach d...

  9. ZumBeat: Evaluation of a Zumba Dance Intervention in Postmenopausal Overweight Women

    Directory of Open Access Journals (Sweden)

    Anja Rossmeissl

    2016-01-01

    Full Text Available Physical inactivity is a major public health concern since it increases individuals’ risk of morbidity and mortality. A subgroup at particular risk is postmenopausal overweight women. The aim of this study was to assess the feasibility and effect of a 12-week ZumBeat dance intervention on cardiorespiratory fitness and psychosocial health. Postmenopausal women with a body mass index (BMI >30 kg/m2 or a waist circumference >94 cm who were not regularly physically active were asked to complete a 12-week ZumBeat dance intervention with instructed and home-based self-training sessions. Before and after the intervention, peak oxygen consumption (VO2peak was assessed on a treadmill; and body composition and several psychometric parameters (including quality of life, sports-related barriers and menopausal symptoms were investigated. Of 17 women (median age: 54 years; median BMI: 30 kg/m2 enrolled in the study, 14 completed the study. There was no apparent change in VO2peak after the 12-week intervention period (average change score: −0.5 mL/kg/min; 95% confidence interval: −1.0, 0.1; but, quality of life had increased, and sports-related barriers and menopausal symptoms had decreased. A 12-week ZumBeat dance intervention may not suffice to increase cardiorespiratory fitness in postmenopausal overweight women, but it increases women’s quality of life.

  10. Videodensitometric quantitative angiography after coronary balloon angioplasty, compared to edge-detection quantitative angiography and intracoronary ultrasound imaging

    NARCIS (Netherlands)

    Peters, R. J.; Kok, W. E.; Pasterkamp, G.; von Birgelen, C.; Prins, M. [=Martin H.; Serruys, P. W.

    2000-01-01

    AIMS: To assess the value of videodensitometric quantification of the coronary lumen after angioplasty by comparison to two other techniques of coronary artery lumen quantification. METHODS AND RESULTS: Videodensitometric quantitative angiography, edge detection quantitative angiography and 30 MHz

  11. MRA in inflammatory disorders of the central nervous system; Magnetresonanz-Angiographie bei entzuendlichen Hirnerkrankungen

    Energy Technology Data Exchange (ETDEWEB)

    Felber, S. [Universitaetsklinik Innsbruck (Austria). Klinische Abt. fuer Radiologie II; Auer, A. [Universitaetsklinik Innsbruck (Austria). Inst. fuer Magnetresonanztomographie und Spektroskopie; Schmutzhard, E. [Universitaetsklinik fuer Neurologie, Innsbruck (Austria)

    2000-11-01

    In this review, we discuss the diagnostic potential of time of flight (TOF) MRA and contrast enhanced (CE) MRA in inflammatory disorders of the meninges and the brain. Cerebrovascular complications are frequently observed during infectious meningoencepalitis. 3D TOF-MRA and CE-MRA are complementary for the detection of basal intracranial artery stenosis and septic cerebral vein and sinus thrombosis due to secondary vasculitis. MRA reveals stenosis and occlusion as indirect signs of vasculitis, whereas MRI shows the inflammation of the brain and meninges and occasionally the vessel wall, together with the ischemic or hemorrhagic complication. In case of septic emboli MRA can detect peripheral occlusions and 'mycotic' aneurysms. For the diagnosis of noninfectious vasculitides of the intracranial vessels, high resolution 3D TOF-MRA is superior to CE-MRA for the detection of multiloculated segmental stenoses. However, there are presently no prospective studies on the sensitivity and specificity of MRA for these indications. Therefore, only positive MRA results can directly influence clinical management. In case of normal MRA, confirmation by catheder angiography may still be required. (orig.) [German] Diese Uebersicht behandelt die Moeglichkeiten der Time of flight MRA (TOF-MRA) und der kontrastmittelunterstuetzten MRA (KM-MRA) bei zerebral entzuendlichen Erkrankungen. Vaskulaere Komplikationen bei entzuendlichen Erkrankungen des Gehirns und der Meningen sind haeufig. Bei der infektioesen Meningitis kann die MRA eine sekundaere Vaskulitis des Circulus arteriosus Willisii und seiner Aeste, aber auch eine septische Hirnvenen- und Sinusthrombose nachweisen. Die TOF-MRA und KM-MRA liefern dabei komplementaere Informationen. In der gleichen Untersuchung kann eine entzuendliche Infiltration der Meningen bildgebend diagnostiziert werden. Bei der haematogen Herdenzephalitis im Rahmen einer Sepsis oder Endokarditis ist die MRA zur diagnose embolischer

  12. Comparative analysis of fluorescent angiography, computed tomographic angiography and magnetic resonance angiography for planning autologous breast reconstruction

    Science.gov (United States)

    Chae, Michael P.; Hunter-Smith, David J.

    2015-01-01

    Background The high incidence of breast cancer and growing number of breast cancer patients undergoing mastectomy has led to breast reconstruction becoming an important part of holistic treatment for these patients. In planning autologous reconstructions, preoperative assessment of donor site microvascular anatomy with advanced imaging modalities has assisted in the appropriate selection of flap donor site, individual perforators, and lead to an overall improvement in flap outcomes. In this review, we compare the accuracy of fluorescent angiography, computed tomographic angiography (CTA), and magnetic resonance angiography (MRA) and their impact on clinical outcomes. Methods A review of the published English literature dating from 1950 to 2015 using databases, such as PubMed, Medline, Web of Science, and EMBASE was undertaken. Results Fluorescent angiography is technically limited by its inability to evaluate deep-lying perforators and hence, it has a minimal role in the preoperative setting. However, it may be useful intraoperatively in evaluating microvascular anastomotic patency and the mastectomy skin perfusion. CTA is currently widely considered the standard, due to its high accuracy and reliability. Multiple studies have demonstrated its ability to improve clinical outcomes, such as operative length and flap complications. However, concerns surrounding exposure to radiation and nephrotoxic contrast agents exist. MRA has been explored, however despite recent advances, the image quality of MRA is considered inferior to CTA. Conclusions Preoperative imaging is an essential component in planning autologous breast reconstruction. Fluorescent angiography presents minimal role as a preoperative imaging modality, but may be a useful intraoperative adjunct to assess the anastomosis and the mastectomy skin perfusion. Currently, CTA is the gold standard preoperatively. MRA has a role, particularly for women of younger age, iodine allergy, and renal impairment. PMID

  13. Spinal angiography: vascular anatomy, technique, indications; Spinale Angiographie: Gefaessanatomie, Technik und Indikationsstellung

    Energy Technology Data Exchange (ETDEWEB)

    Grunwald, I.; Reith, W. [Universitaet des Saarlandes, Homburg/Saar (Germany). Abt. fuer Neuroradiologie; Thron, A. [Universitaetsklinik der RWTH Aachen (Germany). Abteilung fuer Neuroradiologie

    2001-11-01

    The indication for spinal angiography has to be closely set as in case of inadequate handling this procedure bares the risk of paraplegia. In unclear spinal symptoms lasting over a longer periode of time, spinal vascular malformation have to be considered. Spinal vascular malformations are often reversibel, especially if diagnosed early. Diagnostic methods have to include spinal angiography if other non-invasive methods do not lead to results. The main point is to consider spinal vascular malformations in unclear cases. (orig.) [German] Die Indikation zu einer spinalen Angiographie muss streng gestellt werden, da bei unsachgemaesser Durchfuehrung dieser Untersuchung die Gefahr einer bleibenden Querschnittsymptomatik besteht. Bei unklarer spinaler Symptomatik, die ueber einen laengeren Zeitraum progredient ist, muss jedoch immer auch an eine spinale Gefaessfehlbildung gedacht werden. Die durch alle diagnostischen Moeglichkeiten einschliesslich der spinalen Angiographie diagnostizierten spinalen Gefaessfehlbildungen sind haeufig kurabel, insbesondere bei frueher Diagnosestellung. Der wichtigste Punkt ist jedoch, dass differenzialdiagnostisch auch an eine spinale Gefaessfehlbildung gedacht wird. (orig.)

  14. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... problems, recent surgeries and allergies. If you’re female and there’s a possibility that you’re pregnant ... doctor for a mild sedative prior to the examination. For more information about Magnetic Resonance Angiography of MRA or any specific ... Sponsored by About Us | ...

  15. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Recently posted: Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Abdominal Ultrasound Video: Pelvic Ultrasound Radiology and You Take our survey Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info dot ...

  16. Spiral CT-angiography of the aorta

    NARCIS (Netherlands)

    Balm, R.; Eikelboom, B. C.; van Leeuwen, M. S.; Noordzij, J.

    1994-01-01

    AIMS: To determine whether the new technique of CT-angiography was accurate in displaying the complex anatomy of the aorta and its major branches. METHODS: Seventeen patients with a variety of aortic pathology were examined. Using a spiral CT-scanner a volumetric scan was made during injection of

  17. Post-mortem CT-coronary angiography

    DEFF Research Database (Denmark)

    Pøhlsgaard, Camilla; Leth, Peter Mygind

    2007-01-01

    post-mortem coronary angiography and computerized tomography.  We describe how to prepare and inject the contrast medium, and how to establish a CT-protocol that optimizes spatial resolution, low contrast resolution and noise level. Testing of the method on 6 hearts, showed that the lumen...

  18. MDCT angiography and transcatheter embolization in management ...

    African Journals Online (AJOL)

    Multidetector computed tomography (MDCT) allows direct demonstration and visualization of the bleeding source and its characterization. The information provided by MDCT angiography before attempts at therapeutic angiographic procedures leads to faster selective catheterization of bleeding vessels. The purpose of this ...

  19. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician ... Awareness Month Recently posted: Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Coronary CT Angiography Video: ...

  20. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician Resources Professions ... Magnetic Resonance Angiography (MRA) Transcript Welcome to Radiology Info dot org Hello, I’m Dr. Elliot Fishman, ...

  1. Gerstmann's syndrome associated with diagnostic cerebral angiography.

    Science.gov (United States)

    Wu, Yung-Tsan; Chen, Liang-Cheng; Lin, Shu-Lin; Chang, Shin-Tsu

    2013-01-01

    Gerstmann's syndrome is a rare neurological disorder characterized by right-left disorientation, finger agnosia, agraphia and acalculia. Several causes for the manifestation of this rare syndrome have been reported in previous publications; however, thus far, an association between secondary diagnostic cerebral angiography and Gerstmann's syndrome has not been reported. A 48-year-old woman diagnosed with subarachnoid haemorrhage underwent a secondary diagnostic cerebral angiography 7 months after the episode. The patient showed memory impairment, agraphia, acalculia, right-left disorientation, occasional errors in speech and finger agnosia accompanied by an acute infarction in the left middle cerebral artery territory. However, she showed excellent recovery after intensive rehabilitation and conservative treatment. The previously reported rate of permanent neurological complications associated with diagnostic cerebral angiography was very low (0-0.5%). To the best of the authors' knowledge, this is the first case report of Gerstmann's syndrome as a complication of cerebral angiography. This report discusses the complications associated with the neurological condition and emphasizes the need for early rehabilitation in cases of Gerstmann's syndrome.

  2. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    Medline Plus

    Full Text Available ... Radiology (IDoR) Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Magnetic Resonance Angiography (MRA) ... Carotid Intima-Media Thickness Test Medical Imaging Costs Video: Abdominal Ultrasound Video: Pelvic Ultrasound November 8 is ...

  3. Interventional angiography in the diagnosis of acute lower gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Roesch, J.; Kozak, B.E.; Keller, F.S.; Dotter, C.T.

    1986-05-01

    Interventional angiography with the use of indwelling arterial catheters, anticoagulants, vasodilators and fibrinolytic agents, complements conventional angiography in the diagnosis of acute lower gastrointestinal bleeding. These interventional techniques prolong, augment or reactive bleeding and, by enabling better timing of examinations, they increase the diagnostic efficacy of angiography. In the reported series of 63 patients with acute lower gastrointestinal hemorrhage, interventions increased the diagnostic yield of angiography for demonstration of extravasation from 32% to 65% and decreased the percentage of negative angiograms from 27% to 16%. Indications, techniques and risks of interventional angiography in the diagnosis of acute lower gastrointestinal bleeding are discussed.

  4. Spinal angiography. Anatomy, technique and indications; Spinale Angiographie. Anatomie, Technik und Indikation

    Energy Technology Data Exchange (ETDEWEB)

    Reith, W.; Simgen, A.; Yilmaz, U. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostische und Interventionelle Neuroradiologie, Homburg/Saar (Germany)

    2012-05-15

    Spinal angiography is a diagnostic modality requiring detailed knowledge of spinal vascular anatomy. The cervical spinal cord is supplied by the vertebral arteries while segmental arteries which are preserved from fetal anatomy, supply the thoracic and lumbar regions. As spinal angiography carries the risk of paraplegia the indications have to be considered very carefully. Nevertheless, spinal angiography should be performed if there is reason to suspect a spinal vascular malformation from magnetic resonance imaging (MRI). (orig.) [German] Indikationsstellung, Technik und Durchfuehrung der spinalen Angiographie erfordern detaillierte Kenntnisse der Gefaessversorgung des Spinalkanals und des Rueckenmarks. Die Gefaessversorgung des Rueckenmarks erfolgt im Bereich des Halsmarks aus den beiden Aa. vertebrales. Eine zusaetzliche arterielle Versorgung der Wirbelsaeule einschliesslich des Rueckenmarks wird ueber segmentale Arterien hergestellt, die im Bereich der Thorakal- und Lumbalregion aus der Embryonalphase als segmentale, interkostale und Lumbalarterien erhalten geblieben sind. Da die spinale Angiographie die Gefahr der Querschnittslaehmung birgt, ist eine strenge Indikation notwendig. Eine ueber laengere Zeit bestehende unklare klinische Symptomatik kann auch durch eine spinale Gefaessmalformation hervorgerufen werden. Ist durch die MRT-Bildgebung der Verdacht auf eine spinale Gefaessfehlbildung gegeben, sollte eine Angiographie durchgefuehrt werden, da diese Fehlbildungen oft kurabel sind. (orig.)

  5. Usefulness of MR angiography in renal tumor

    Energy Technology Data Exchange (ETDEWEB)

    Oka, Toshitsugu; Morimoto, Kouji; Nishimura, Kenji; Tsujimura, Akira; Yasunaga, Yutaka; Matsumiya, Kiyomi; Takaha, Minato (Osaka National Hospital (Japan))

    1992-11-01

    MR angiography using a gradient-echo, pulse sequence FLASH (fast, low-angle shot) method during breath-hold with a MAGNETOM H-15 scanner (1.5 Tesla; Siemens Medical System) was performed on 27 patients with renal tumor at our clinic between Feburary 20, 1990 and September 30, 1991 and we studied to evaluate its usefulness. Of these 27 patients, 22 patients including one patient under hemodialysis treatment had renal cell carcinoma and one patient had oncocytoma pathologically proven from the excised specimens. The remaining four patients including two patients associated with inferior vena cava tumor thrombus were clinically diagnosed as renal cell carcinoma based on the result of imaging examinations such as excretory urography, ultrasonography, computed tomography and conventional angiography. However, they could not be operated on because their tumors were too advanced. By reconstruction of the data of consecutive coronal scans of the abdominal blood vessels such as the abdominal aorta, inferior vena cava and renal arteries and veins simultaneously without any intravenous contrast materials. Our present study revealed that MR angiography has some advantages, especially with regard to preoperative angiographic information about the abdomen of patients with renal tumor. That is, MR angiography can delineate many kinds of arteries and veins of the abdomen simultaneously and in a broader range, as well as it can be performed on the patients with hypersensitivity to iodinate contrast materials or renal insufficiency in a usual fashion. Furthermore, our present study suggested that the MR angiography is useful for assessing the presence and extent of inferior vena caval tumor thrombus of renal cell carcinoma and for clearly distinguishing tumor lesion and the surrounding normal renal parenchyma in the patients with renal tumor. (author).

  6. Thyroid Function after Coronary Angiography and Angioplasty

    Directory of Open Access Journals (Sweden)

    N Y Sviridenko

    2007-06-01

    Full Text Available The issue of this study was the investigation of the frequency of the thyroid functional disorders after administration of the iodine-containing contrast media in patients located in iodine deficient region. 146 patients were examined, before and after the coronary angiography. Initially, the high frequency of the thyroid pathology was discovered (39%. The thyroid functional state and the urinary iodine excretion were estimated before and 1, 3, 6 and 12 months after the study. During 1 month after the coronary angiography several cases of thyrotoxicosis and hypothyroidism relapse were fixed, and also the deterioration of the course of the already present thyroid functional disorders was registered. The patients with the initial pathology and the thyroid functional disorders should be included into the risk group by the development of the iodine induced thyroid dysfunction.

  7. Geochemie der Karbonate am Übergang vom Archaikum zum Proterozoikum : Pretoria-Postmasburg Group, Südafrika

    OpenAIRE

    Frauenstein, Frank

    2005-01-01

    Die 2,07-2,48 Ga alte, sedimentäre Pretoria-Postmasburg Group in der Transvaal Supergroup stellt eine wichtige Quelle zum Verständnis der Erdgeschichte dar. Der hier abgedeckte Zeitraum im Übergang vom Archaikum zum Proterozoikum zeigt wichtige Einschnitte in der Entwicklung des Systems Ozean/Atmosphäre. In diesem Zeitraum begann das System durch die Verfügbarkeit von freiem Sauerstoff auf einem höheren Oxidationsniveau zu arbeiten. In diesem Projekt wurden Karbonate aus der Preto...

  8. African art music. Eine Analyse der Musik und ihres Verhältnisses zum Stereotyp Afrika

    OpenAIRE

    Ziech, Benjamin

    2017-01-01

    Die Art und Weise in der über Musik gesprochen und mit welchen Begriffen sie benannt wird, beeinflusst die Erwartungen, die der Konsument an die Musik, den Komponisten, die Musiker und sogar den Aufführungsort hat. Am Beispiel der African art music wird gezeigt, in welchem Verhältnis die Musik zum Stereotyp »Afrika« steht und wie der Stereotyp die Erwartungen und Rezeption an die Musik verändert. Hierbei spielt die Vorstellung des Afrikanischen eine entscheidende Rolle. Sie führt bekannte Ele...

  9. Schnelles Wachstum der Breitbandzugänge zum Internet und ihrer Kapazitäten

    OpenAIRE

    Schedl, Hans

    2005-01-01

    Deutschland bei Breitband-Übertragungsgeschwindigkeiten in der Spitzengruppe: Von 2004 auf 2005 sind die Breitbandzugänge zum Internet in der EU weiterhin stark gestiegen. Hierbei ist jedoch zu berücksichtigen, dass in manchen Mitgliedsländern (wie Spanien und Frankreich) bereits Internetzugänge mit Geschwindigkeiten von mehr als 128kbit/s als Breitbandzugänge gezählt werden. Diese Übertragungsgeschwindigkeiten sind für moderne Breitbanddienste wie die Internettelefonie (in Verbindung mit dem...

  10. Verwestlichung, Nationalisierung, Globalisierung: Konsum im Übergang vom Plan zum Markt in Russland

    OpenAIRE

    Althanns, Luise

    2009-01-01

    Welche Folgen hatte die wirtschaftliche und politische Öffnung der Sowjetunion bzw. Russlands gegenüber dem Westen während des Übergangs vom Plan zum Markt für den Konsum? Der Artikel widmet sich dieser Fragestellung mit Konzentration auf den Zeitraum der Jahre 1985 bis 2000, wobei die weitere Entwicklung schlaglichtartig berücksichtigt wird. Die Ausführungen orientieren sich an kultur- und sozialwissenschaftlichen Theorien zu Konsum (Douglas u. Isherwood 1996; McCracken 1986) sowie Globalisi...

  11. Deep Vein Thrombosis after Coronary Angiography

    Directory of Open Access Journals (Sweden)

    Vivek Singh Guleria

    2015-01-01

    Full Text Available Deep vein thrombosis (DVT is a rare but potentially serious complication of coronary angiography (CAG, incidence being just 0.05%. Only a few clinical cases of DVT after diagnostic transfemoral catheterization have been reported. Here, we describe the case of a 54-year-old woman who developed significant DVT after CAG without venous thromboembolism (VTE and, which was treated with anticoagulants.

  12. Optical Coherence Tomography Angiography of Chorioretinal Diseases.

    Science.gov (United States)

    Novais, Eduardo A; Roisman, Luiz; de Oliveira, Paulo Ricardo Chaves; Louzada, Ricardo N; Cole, Emily D; Lane, Mark; Filho, Marco Bonini; Romano, André; de Oliveira Dias, João Rafael; Regatieri, Caio V; Chow, David; Belfort, Rubens; Rosenfeld, Philip; Waheed, Nadia K; Ferrara, Daniela; Duker, Jay S

    2016-09-01

    Fluorescein angiography (FA) and indocyanine green angiography (ICGA) have been the gold standard for the evaluation of retinal and choroidal vasculature in the last three decades and have revolutionized the diagnosis of retinal and choroidal vascular diseases. The advantage of these imaging modalities lies in their ability to document retinal and choroidal vasculature through the dynamic assessment of contrast transit over time in the intravascular and extravascular spaces. However, disadvantages include the absence of depth resolution, blurring of details by contrast leakage, and the inability to selectively evaluate different levels of the retinal and choroidal microvasculature. In addition, these angiographic methods require intravenous dye, which may cause adverse reactions such as nausea, vomiting, and rarely, anaphylaxis. Optical coherence tomography angiography (OCTA) is a noninvasive imaging technique that, in contrast to dye-based angiography, is faster and depth-resolved, allowing in some cases for more precise evaluation of the vascular plexuses of the retina and choroid. The method has been demonstrated in the assessment of various vascular diseases such as venous occlusions, diabetic retinopathy, macular neovascularization, and others. Limitations of this imaging modality include a small registered field of view and the inability to visualize leakage and dye transit over time. It is also subject to a variety of artifacts, including those generated by blinking and eye movement during image acquisition. However, more than an alternative for FA and ICGA, OCTA is bringing new insights to our understanding of retinal and choroidal vascular structure and is changing fundamental paradigms in the clinical management of pathologic conditions. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:848-861.]. Copyright 2016, SLACK Incorporated.

  13. The role of MR angiography in neuroradiology

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, Mutsumasa (Kumamoto Univ. (Japan). School of Medicine)

    1991-09-01

    Ninety-nine patients suspected of having intracranial and cervical lesions were evaluated with magnetic resonance (MR) angiography. The time of flight technique was used with 3D FIPS, including flip angle of 15-25 degrees, TR 40 msec/TE 7 msec and acquisition matrix of 256 x 256 x 32-64 with slice thickness of 5 to 8 cm. The scan time was 5 minutes and 28 seconds for images of 32 partitions and 10 minutes and 56 seconds for images of 64 partitions. MR angiography was useful for diagnosing steno-occlusive disease, arteriovenous malformation, aneurysm, moyamoya disease, brain tumor, and facial or trigeminal compression. The method has disadvantages, including signal loss due to turbulent and complex flow, lower spatial resolution, and poor delineation of the periphery and slow blood flow. Useful information was obtained in 50 patients (53.2%), when used with spin echo methods. With the technical progress of MR angiography, it will become a promising noninvasive approach to neuroradiological diagnosis, providing the useful information on intracranial and cervical lesions. (N.K.).

  14. Non-contrast-enhanced magnetic resonance angiography: techniques and applications.

    Science.gov (United States)

    Blankholm, Anne Dorte; Ringgaard, Steffen

    2012-01-01

    Non-contrast-enhanced magnetic resonance angiography has gained renewed interest since the discovery of the association between gadolinium-based contrast agents and nephrogenic systemic fibrosis. The following article is an overview of the different magnetic resonance angiography sequences, the technical possibilities and new developments. Clinical options and recent advancements will be highlighted, and recommendations for non-contrast-enhanced magnetic resonance angiography techniques in different anatomical regions will be given. Furthermore, the authors seek to predict the future of non-contrast-enhanced magnetic resonance angiography, with special focus on patients at risk.

  15. Multidetector computed tomography pulmonary angiography in childhood acute pulmonary embolism

    Science.gov (United States)

    Tang, Chun Xiang; Schoepf, U. Joseph; Chowdhury, Shahryar M.; Fox, Mary A.; Lu, Guang Ming

    2015-01-01

    Pulmonary embolism is a life-threatening condition affecting people of all ages. Multidetector row CT pulmonary angiography has improved the imaging of pulmonary embolism in both adults and children and is now regarded as the routine modality for detection of pulmonary embolism. Advanced CT pulmonary angiography techniques developed in recent years, such as dual-energy CT, have been applied as a one-stop modality for pulmonary embolism diagnosis in children, as they can simultaneously provide anatomical and functional information. We discuss CT pulmonary angiography techniques, common and uncommon findings of pulmonary embolism in both conventional and dual-energy CT pulmonary angiography, and radiation dose considerations. PMID:25846076

  16. Multidetector computed tomography pulmonary angiography in childhood acute pulmonary embolism

    Energy Technology Data Exchange (ETDEWEB)

    Tang, Chun Xiang; Zhang, Long Jiang; Lu, Guang Ming [Medical School of Nanjing University, Department of Medical Imaging, Jinling Hospital, Nanjing, Jiangsu (China); Schoepf, U.J. [Medical School of Nanjing University, Department of Medical Imaging, Jinling Hospital, Nanjing, Jiangsu (China); Medical University of South Carolina, Department of Radiology and Radiological Science, Charleston, SC (United States); Medical University of South Carolina, Department of Pediatrics, Charleston, SC (United States); Chowdhury, Shahryar M. [Medical University of South Carolina, Department of Pediatrics, Charleston, SC (United States); Fox, Mary A. [Medical University of South Carolina, Department of Radiology and Radiological Science, Charleston, SC (United States)

    2015-09-15

    Pulmonary embolism is a life-threatening condition affecting people of all ages. Multidetector row CT pulmonary angiography has improved the imaging of pulmonary embolism in both adults and children and is now regarded as the routine modality for detection of pulmonary embolism. Advanced CT pulmonary angiography techniques developed in recent years, such as dual-energy CT, have been applied as a one-stop modality for pulmonary embolism diagnosis in children, as they can simultaneously provide anatomical and functional information. We discuss CT pulmonary angiography techniques, common and uncommon findings of pulmonary embolism in both conventional and dual-energy CT pulmonary angiography, and radiation dose considerations. (orig.)

  17. Informationssuchverhalten als Grundlage für die Gestaltung von Veranstaltungen zum Erwerb von Informationskompetenz

    Directory of Open Access Journals (Sweden)

    Martin Wollschläger-Tigges

    2015-09-01

    Full Text Available Für die Gestaltung bibliothekarischer Veranstaltungen zum Erwerb von Informationskompetenz stellen die bisherigen Ergebnisse und Befunde der Forschung zum Informationssuchverhalten eine wertvolle Grundlage dar, indem bestimmte und v.a. typische Verhaltensmuster, Routinen und Präferenzen im Umgang mit Informationsressourcen und Informationen in konzeptionelle und inhaltliche Anpassungen von IK- Veranstaltungen eingebracht und eingesetzt werden. Das Informationssuchverhalten untersucht sowohl individuelle als auch kollektive Informationsprozesse und Faktoren, die diese maßgeblich beeinflussen. Hierzu werden der gesamte Informationsprozess oder einzelne Abschnitte untersucht, die den Information Need, Seeking und Using (INSU-Prozess bilden. Die Befunde der einzelnen INSU-Prozesses-Einheiten zeigen, dass Faktoren wie Informationsbedarf, Informationsart und -form sowie die Einbindung in übergeordnete Arbeitsprozesse wesentlichen Einfluss auf das Informationssuchverhalten haben. Des Weiteren konnte die ISB-Forschung eine Klassifizierung von Benutzergruppen entwickeln und z.B. Fast Surfers, Broad Scanners und Deep Divers charakterisieren bzw. auch das Bouncing oder Flicking Behavior beschreiben. Hinzu kommen mehrere Modelle, die Informationssuchverhalten und Informationsverhalten in bestimmten Situationen nachbilden und darstellen können.

  18. Technology and management. How technological sciences see themselves; Technologie und Management. Zum Selbstverstaendnis der Technikwissenschaften

    Energy Technology Data Exchange (ETDEWEB)

    Spur, G.

    1998-12-31

    This book addresses mainly to representatives of economy, science and also policy, who are responsable for their actions in engineering. It should impart to their actions self image also as rules and regulatory guides to success. As technological oriented guide theory technology management aims at goal-directed utilization of engineering. Doing technology management demands to understand the definitions of technology and management. However engineering, technology and engineering science are not exactly to differentiate. Also it is difficult to classify engineering science. This book will contribute usefully on this and stimulate fruitfully the advancing discussions on the self image of science engineering.(GL) [Deutsch] Das vorliegende Buch richtet sich in erster Linie an Vertreter der Wirtschaft, Wissenschaft aber auch der Politik, die in ihrem Wirken fuer Technik verantwortlich sind. Es sollen Grundlagen zum Selbstverstaendnis ihrer Handlungsprozesse, aber auch Regeln und Leitlinien zum Erfolg vermittelt werden. Als technologieorientierte Fuehrungslehre strebt Technologiemanagement die zielgerichtete Nutzanwendung von Technik an. Wer Technologiemanagement betreibt, muss allerdings wissen, was unter Technologie und Management zu verstehen ist. Jedoch bilden Technik, Technologie und Technikwissenschaft ein Begriffsgemenge unklarer Abgrenzung. Ebenso schwierig erscheint der Versuch einer Einteilung der Technikwissenschaft. Hierzu will dieses Buch einen foerderlichen Beitrag leisten und die auf unterschiedlichen Ebenen fortschreitende Diskussion in bezug auf das Selbstverstaendnis der Technikwissenschaft fruchtbar beleben. (orig.)

  19. Detection of thrombosis in the portal venous system: comparison of contrast-enhanced MR angiography with intraarterial digital subtraction angiography.

    Science.gov (United States)

    Kreft, B; Strunk, H; Flacke, S; Wolff, M; Conrad, R; Gieseke, J; Pauleit, D; Bachmann, R; Hirner, A; Schild, H H

    2000-07-01

    To determine whether intraarterial digital subtraction angiography (DSA) can be replaced by contrast material-enhanced magnetic resonance (MR) angiography in the assessment of patency or thrombosis of the portal venous system in patients with portal hypertension. Thirty-six patients with portal hypertension underwent contrast-enhanced MR angiography and intraarterial DSA for assessment of the portal venous system. The images were evaluated for vessel patency or thrombosis of the portal, splenic, or superior mesenteric vein. Of the 101 vessels evaluated, 42 were thrombosed. Overall sensitivity, specificity, and accuracy for the detection of thrombosis were 100%, 98%, and 99%, respectively, for MR angiography and 91%, 100%, and 96%, respectively, for DSA; differences between the imaging methods were not statistically significant. Only in four patients with six vessels (6%) were there discordant findings between MR angiography and DSA. Noninvasive contrast-enhanced MR angiography has the potential to replace intraarterial DSA as the standard method to assess the whole portal venous system.

  20. Evaluation of Patients’ Exposure during Angiography and Angioplasty Procedures in the Angiography Department of Shahid Madani Hospital in Tabriz

    Directory of Open Access Journals (Sweden)

    Asghar Mesbahi

    2009-03-01

    Full Text Available Introduction: Coronary angiography and angioplasty procedures lead to significant radiation exposure of patients. In the current study, the average radiation dose to patients during angiography in the Angiography Department of Shahid-Madani Hospital was determined. Materials and Methods: An image intensifier based angiography unit (Philips BH 3000 was used for angiography procedures. The accuracy of the internal dosimeter was verified. Dose-area products (DAP of patients (236 cases during fluoroscopy and cine acquisition were recorded. Analyzing the data, the average radiation doses to patients for angiography and angioplasty and also for fluoroscopy and cine acquisition were determined. Additionally, the average fluoroscopy time for all patients was estimated. Results: The average DAPs of 23.7 and 91.5 Gycm2 were estimated for angiography and angioplasty respectively. Patient doses including fluoroscopy, cine acquisition and the total dose for angiography were 2, 7.7 and 3.8 times lower than angioplasty procedures respectively. Average fluoroscopy time was 1.9 times lower for angiography compared to angioplasty. Discussion and Conclusion: Fluoroscopy time and patient dose during fluoroscopy were in good agreement with other studies. However, the dose to patients during angioplasty was higher compared to other reports. To reduce patient dose in angioplasty procedures, the use of the lowest available frame rate, smallest field size and retraining of operators and technologists are recommended.

  1. Analysis of enlarged images using time-of-flight magnetic resonance angiography, computed tomography, and conventional angiography.

    Science.gov (United States)

    Heo, Yeong-Cheol; Lee, Hae-Kag; Yang, Han-Jun; Cho, Jae-Hwan

    2014-12-01

    This study aimed to assess the accuracy of time-of-flight magnetic resonance angiography, computed tomography, and conventional angiography in depicting the actual length of the blood vessels. Three-dimensional time-of-flight magnetic resonance angiography and computed tomography angiography were performed using a flow phantom model that was 2.11 mm in diameter and had a total area of 0.26 cm(2). After this, volume rendering technique and the maximum intensity projection method as well as two-dimensional digital subtraction angiography and three-dimensional rotational angiography based on conventional angiography were conducted. For three-dimensional time-of-flight magnetic resonance angiography, 8 channel sensitivity encoding (SENSE) head coil for the 3.0 Tesla equipment was used. Fluid was added to the normal saline solution at various rates, such as 11.4, 20.0, 31.4, 40.0, 51.5, 60.0, 71.5, 80.1, 91.5, and 100.1 cm/s using an automatic contrast media injector. Each image was thoroughly examined. After reconstructing the image using the maximum intensity projection method, the length of the conduit in the center of the coronal plane was measured 30 times. After performing computed tomography angiography with the 64-channel CT scanner and 16-channel CT scanner, the images were sent to TeraRecon. Then, the length of the conduit in the center of the coronal plane of each image was measured 30 times after reconstructing the images using volume rendering and maximum intensity projection techniques. For conventional angiography, three-dimensional rotational angiography and two-dimensional digital subtraction angiography were used. Images obtained by three-dimensional rotational angiography were reconstructed and enhanced by 33, 50, and 100 % in the 128 Matrix and the 256 Matrix, respectively on the Xtra Vision workstation. The maximum intensity projection was used for the reconstruction, and the length of the conduit was measured 30 times in the center of the coronal

  2. Preoperative vascular mapping for facial allotransplantation: four-dimensional computed tomographic angiography versus magnetic resonance angiography.

    Science.gov (United States)

    Soga, Shigeyoshi; Pomahac, Bohdan; Mitsouras, Dimitrios; Kumamaru, Kanako; Powers, Sara L; Prior, Richard F; Signorelli, Jason; Bueno, Ericka M; Steigner, Michael L; Rybicki, Frank J

    2011-10-01

    Facial allotransplantation requires a detailed arterial and venous assessment for surgical planning. Target vessels are often depleted by multiple reconstructive attempts or the severe facial injury itself. The purpose of this study was to retrospectively compare the diagnostic performance of computed tomography and magnetic resonance angiography in the preoperative assessment. Four-dimensional (three spatial planes plus time) computed tomographic and magnetic resonance images including 126 potential vessels (76 arteries and 50 veins) from five candidates were analyzed independently by two radiologists using a four-point image quality scale. Computed tomographic versus magnetic resonance image quality was compared directly, using a computed tomographic angiography consensus read as reference standard. Vessels with metal artifact on magnetic resonance imaging, computed tomography, or both underwent separate analyses to determine the impact of metal implants on image quality. Considering all 126 vessels, the mean computed tomographic image quality was superior to that of magnetic resonance angiography. When considering individual vessels, all except for major neck vessels were better visualized by computed tomography. Images of 26 vessels were degraded by metal artifact; magnetic resonance image quality was inferior for those vessels. Considering images of major vessels with no metal artifact, there was no significant mean image quality difference between computed tomography and magnetic resonance imaging. Computed tomographic angiography should be used as the first-choice modality for preoperative imaging of facial transplant patients because, when compared with magnetic resonance imaging, the visualization of small vessels is far superior and images have fewer artifacts. Diagnostic, II.

  3. OCT Angiography Compared to Fluorescein and Indocyanine Green Angiography in Chronic Central Serous Chorioretinopathy

    NARCIS (Netherlands)

    Teussink, M.M.; Breukink, M.B.; Grinsven, M.J.J.P. van; Hoyng, C.B.; Klevering, B.J.; Boon, C.J.F.; Jong, E.K.; Theelen, T.

    2015-01-01

    PURPOSE: Abnormal choroidal blood flow is considered important in the pathogenesis of chronic central serous chorioretinopathy (CSC). Optical coherence tomography (OCT) angiography can image ocular blood cell flow and could thus provide novel insights in disease mechanisms of CSC. We evaluated

  4. MR imaging and MR angiography of the aorta; Magnetresonanztomographie und -angiographie der Aorta

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, G.; Massmann, A.; Altmeyer, K.; Katoh, M.; Buecker, A. [Universitaetsklinikum des Saarlandes,Medizinische Fakultaet der Universitaet des Saarlandes, Klinik fuer Diagnostische und Interventionelle Radiologie, Homburg/Saar (Germany)

    2007-11-15

    When a diseased aorta is to be imaged, the clinical picture and the urgency determine which of the various procedures available is or are used. One of the more recent techniques applied is conventional MR -imaging, and especially contrast-enhanced MR angiography (CE-MRA), which is a noninvasive technique and allows for the combination of conventional imaging, acquisition of physiological parameters and 3D-angiography. In this article technical and clinical aspects of the use of CE-MRA in different diseases affecting the aorta are discussed. Topics covered include congenital malformations of the aorta, acquired disease, and inflammatory conditions. (orig.) [German] Bei der Bildgebung von Erkrankungen der Aorta koennen heute je nach Krankheitsbild und Dringlichkeit unterschiedliche Verfahren zur Anwendung kommen. Neuere Verfahren stellen die konventionelle MR-Tomographie und speziell die kontrastverstaerkte MR-Angiographie dar, die nichtinvasiv die Kombination von Anatomie, Akquisition physiologischer Parameter und 3D-Angiographie kombiniert. In diesem Artikel werden sowohl technische als auch klinische Aspekte bei der Anwendung der MR-Tomographie bei Erkrankungen der Aorta diskutiert. Inhaltlich werden sowohl angeborene Fehlbildungen, erworbene Erkrankungen wie auch entzuendliche Veraenderungen der Aorta dargestellt. (orig.)

  5. Usefulness of CT angiography for demonstrating cerebral aneurysm

    Energy Technology Data Exchange (ETDEWEB)

    Okuno, Takashi; Moriwaki, Hiroshi; Miyamoto, Kazuki; Terada, Tomoaki; Nishiguchi, Takashi; Itakura, Toru; Hayashi, Seiji; Komai, Norihiko.

    1988-03-01

    We report the usefulness of computed cerebral angiotomography (CT angiography) for demonstrating cerebral aneurysm and the clinical significance of CT angiography for ruptured cerebral aneurysm. Our modified method of CT angiography was easy and less time-consuming. Fifteen seconds after starting a single bolus injection, 1 ml/kg/25 seconds via cubital vein, of contrast medium (60 % urograffin), 5 serial 5 mm thick-CT slices were scanned in every 6.5 seconds including 2 seconds of interval, beginning from an axial level 20 mm above the orbitomeatal line and ending at a level 40 mm. A total of 103 patients were examined in this report, consisting of 70 unruptured asymptomatic, 8 unruptured symptomatic (oculomotor nerve palsy) and 25 subarachnoid hemorrhage (SAH). Seven unruptured aneurysms in 4 asymptomatic cases, 2 unruptured aneurysms in 2 symptomatic cases 27 aneurysms in 24 SAH cases were suspected by CT angiography. Of these 36 aneurysms suspected by CT angiography 32 aneurysms were confirmed by cerebral angiography. The detection rate of CT angiography in this report was 89 %, higher than those of previous reports. Thirteen aneurysms were located at internal carotidposterior communicating artery (ICPC) junction. 11 at anterior communicating artery (Acom), 7 at middle cerebral artery (MCA). CT angiography showed a false positive findings in 4 cases, which were all located at Acom. Four aneurysms were not detected in CT angiography, which were all located at MCA and were very small (2 - 3 mm) in diameter. There were no deteriorated cases during and after CT angiography. We suggest that CT angiography is a useful and safe method for predicting the location of not only unruptured but ruptured aneurysms.

  6. Assessment of anemia during CT pulmonary angiography

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Caroline, E-mail: cjung@uke.de [Department of Diagnostic and Interventional Radiology, University Hospital Eppendorf, Martinistrasse 52, 20246 Hamburg (Germany); Groth, Michael; Bley, Thorsten A.; Henes, Frank O. [Department of Diagnostic and Interventional Radiology, University Hospital Eppendorf, Martinistrasse 52, 20246 Hamburg (Germany); Treszl, András [Department of Medical Biometry and Epidemiology, University Hospital Eppendorf, Martinistrasse 52, 20246 Hamburg (Germany); Adam, Gerhard; Bannas, Peter [Department of Diagnostic and Interventional Radiology, University Hospital Eppendorf, Martinistrasse 52, 20246 Hamburg (Germany)

    2012-12-15

    Objectives: Anemia is associated with increased mortality in patients with acute symptomatic pulmonary embolism (PE). The purpose of this study was to evaluate the feasibility of Hounsfield unit (HU) measurements on the single unenhanced trigger slice of pulmonary CT angiography scans for diagnosis of anemia. Material and Methods: 150 consecutive patients (median age 64 ± 16 years) with suspected PE underwent pulmonary CT angiography. Two radiologists, blinded to laboratory results, performed HU measurements in the single unenhanced trigger scan independently by region-based analysis (ROI). HU values from ascending and descending aorta and the calculated mean of both were correlated with serum hemoglobin levels. Inter- and intraobserver variability was determined for HU measurements, and ROC analysis was performed for diagnosis of anemia. Calculated linear models were used to assess formulas for estimation of hemoglobin levels from HU measurements. Results: HU measurements revealed high intra- and interrater reliability (ICC > 0.981 and ICC > 0.965, respectively). Calculated mean HU values showed a strong correlation with serum hemoglobin levels (r = 0.734), which allowed generation of different formulas for calculation of hemoglobin levels from HU measurements. ROC analyses confirmed a high sensitivity (80.4 for men; 91.3 for women) and specificity (84.0 for men; 84.9 for women) for diagnosing anemia. Conclusion: Diagnosis of anemia and quantification of hemoglobin levels upon a single unenhanced trigger scan of pulmonary CT angiography is feasible. We suggest disclosing the anemic state in the radiological report, independent of the presence of PE, since anemia carries increased risks of morbidity and mortality.

  7. Quantitative angiography methods for bifurcation lesions

    DEFF Research Database (Denmark)

    Collet, Carlos; Onuma, Yoshinobu; Cavalcante, Rafael

    2017-01-01

    Bifurcation lesions represent one of the most challenging lesion subsets in interventional cardiology. The European Bifurcation Club (EBC) is an academic consortium whose goal has been to assess and recommend the appropriate strategies to manage bifurcation lesions. The quantitative coronary...... angiography (QCA) methods for the evaluation of bifurcation lesions have been subject to extensive research. Single-vessel QCA has been shown to be inaccurate for the assessment of bifurcation lesion dimensions. For this reason, dedicated bifurcation software has been developed and validated. These software...

  8. E-learn Computed Tomographic Angiography

    DEFF Research Database (Denmark)

    Havsteen, Inger; Christensen, Anders; Nielsen, Jens K

    2012-01-01

    occlusion and "spot sign" in acute intracerebral hemorrhage. We hypothesized that an e-learning program enhances reading skills in physicians of varying experience. METHODS: We developed an HTML-based program with a teaching segment and 2 matching test segments. Tests were taken before and after......BACKGROUND: Computed tomographic angiography (CTA) is widely available in emergency rooms to assess acute stroke patients. To standardize readings and educate new readers, we developed a 3-step e-learning tool based on the test-teach-retest methodology in 2 acute stroke scenarios: vascular...

  9. Oncocytoma of the kidney. Pt. 2. Angiography

    Energy Technology Data Exchange (ETDEWEB)

    Dueber, C.; Schweden, F.; Klose, K.J.; Stoerkel, S.; Engelmann, U.; Thelen, M.

    1988-03-01

    The angiographic findings in ten patients with renal oncocytoma are described. Characteristic features include: absence of encasement, vascular occlusions, arterio-venous shunts and contrast lakes (8/10). Spoke-wheel arrangement of tumor vessels (8/10). Homogeneous tumour contrast during the capillary phase (7/10). Sharp demarcation from the kidney and surroundings and a peritumoral halo (4/10). If the suspicion of an oncocytoma is raised by CT examination of a space-occupying lesion (part 1), angiography should be performed to confirm the diagnosis and help in planning surgical treatment.

  10. Accuracy of Noncontrast Quiescent-Interval Single-Shot Lower Extremity MR Angiography Versus CT Angiography for Diagnosis of Peripheral Artery Disease Comparison With Digital Subtraction Angiography : Comparison With Digital Subtraction Angiography

    NARCIS (Netherlands)

    Varga-Szemes, Akos; Wichmann, Julian L; Schoepf, U Joseph; Suranyi, Pal; De Cecco, Carlo N; Muscogiuri, Giuseppe; Caruso, Damiano; Yamada, Ricardo T; Litwin, Sheldon E; Tesche, Christian; Duguay, Taylor M; Giri, Shivraman; Vliegenthart, Rozemarijn; Todoran, Thomas M

    2017-01-01

    OBJECTIVES This study sought to evaluate the image quality and diagnostic accuracy of noncontrast quiescent-interval single-shot (QISS) magnetic resonance angiography (MRA) versus iodine-contrast computed tomography angiography (CTA) in patients with peripheral artery disease (PAD), with invasive

  11. On the ultimate x-ray detector for angiography

    NARCIS (Netherlands)

    Slump, Cornelis H.; Flynn, M.J.; Kauffman, J.A.

    2005-01-01

    The purpose of our research is to describe the ultimate X-ray detector for angiography. Angiography is a well established X-ray imaging technique for the examination of blood vessels. Contrast agent is injected followed by X-ray exposures and possible obstructions in the blood vessels can be

  12. Utility of 16-multidetector CT angiography in the preoperative ...

    African Journals Online (AJOL)

    shanker

    583–90. [20] Halpern EJ, Mitchell DG, Wechsler RJ, Outwater EK, Moritz MJ, Wil- son GA. Preoperative evaluation of living renal donors: comparison of CT angiography and MR angiography. Radiology 2000;216(August. (2)):434–9. [21] Kaneko ...

  13. Computerized tomography and angiography - competing processes in liver diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Wunschik, F.; Luetgemeier, J.; Hoerst, M.

    1981-02-01

    In the diagnostics of liver diseases, computerized tomography is a valuable method. It is particularly superior to angiography in detecting cysts, parasitosis and abscesses. Angiography however is better for known solid tumours regarding differencial diagnosis. Both methods supplement each other in the tumour and bile ducts diagnostics.

  14. Moyamoya disease: diagnosis with three-dimensional CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Tsuchiya, K. (Dept. of Radiology, National Defense Medical Coll., Saitama (Japan) Dept. of Radiology, Kyorin Univ. School of Medicine, Tokyo (Japan)); Makita, K. (Dept. of Radiology, National Defense Medical Coll., Saitama (Japan) Dept. of Radiology, Social Health Insurance Medical Center, Tokyo (Japan)); Furui, S. (Dept. of Radiology, National Defense Medical Coll., Saitama (Japan) Dept. of Diagnostic Radiology, Toranomon Kyosai Hospital, Tokyo (Japan))

    1994-08-01

    Our purpose was to assess the value of three-dimensional (3D) CT angiography in the diagnosis of moyamoya disease. We studied seven patients with moyamoya disease proved by conventional angiography. Three-dimensional (3D) CT angiography was performed using rapid sequence or helical (spiral) scanning in conjunction with a bolus injection of intravenous contrast medium. All seven patients could be diagnosed as having moyamoya disease on the basis of the following 3D CT angiographic findings: poor visualisation of the main trunks and/or major branches of anterior and middle cerebral arteries (7 patients); dilated leptomeningeal anastomotic channels from the posterior cerebral arteries (4); and demonstration of ''moyamoya vessels'' in the basal ganglia (2). Although conventional angiography remains the principal imaging technique for demonstrating anatomical changes in detail, less invasive 3D CT angiography provides a solid means of diagnosing moyamoya disease when it is suspected on CT, MRI, or clinical grounds. (orig.)

  15. Motion analysis and removal in intensity variation based OCT angiography.

    Science.gov (United States)

    Liu, Xuan; Kirby, Mitchell; Zhao, Feng

    2014-11-01

    In this work, we investigated how bulk motion degraded the quality of optical coherence tomography (OCT) angiography that was obtained through calculating interframe signal variation, i.e., interframe signal variation based optical coherence angiography (isvOCA). We demonstrated theoretically and experimentally that the spatial average of isvOCA signal had an explicit functional dependency on bulk motion. Our result suggested that the bulk motion could lead to an increased background in angiography image. Based on our motion analysis, we proposed to reduce image artifact induced by transient bulk motion in isvOCA through adaptive thresholding. The motion artifact reduced angiography was demonstrated in a 1.3μm spectral domain OCT system. We implemented signal processing using graphic processing unit for real-time imaging and conducted in vivo microvasculature imaging on human skin. Our results clearly showed that the adaptive thresholding method was highly effective in the motion artifact removal for OCT angiography.

  16. Peripheral CT angiography for interventional treatment planning

    Energy Technology Data Exchange (ETDEWEB)

    Fleischmann, D. [Dept. of Radiology, Stanford Univ. Medical Center, Stanford, CA (United States); Lammer, J. [Dept. of Interventional Radiology, Medical Univ. of Vienna (Austria)

    2006-01-10

    Lower extremity CT angiography (CTA) has evolved into a very effective, widely available and robust imaging modality for patients with peripheral arterial occlusive disease (PAOD). In this article we briefly review the acquisition and contrast administration techniques for 4- through 64-channel peripheral CTA. Visualization of atherosclerotic disease with CTA in general requires 'angiography-like' 3D images (such as volume rendered or maximum intensity projection images), but-notably in the presence of vessel wall calcifications and stents-cross-sectional views (such as curved planar reformations, CPR) are also required to accurately assess the flow lumen of the aorta down to the pedal arteries. Adequate visualization and mapping of atherosclerotic lesions in patients with PAOD is not only a prerequisite for generating a dictated report, but more importantly, standardized postprocessed images are the key to communicating the findings to the treating physician, and they also serve as a treatment planning tool. Treatment decisions (surgical versus transluminal revascularization, or conservative treatment), and percutaneous treatment planning (access site, antegrade versus retrograde puncture) can be made in the majority of patients with PAOD based on lower extremity CT angiograms. (orig.)

  17. Bolus characteristics based on Magnetic Resonance Angiography

    Directory of Open Access Journals (Sweden)

    Bi Xiaoming

    2006-10-01

    Full Text Available Abstract Background A detailed contrast bolus propagation model is essential for optimizing bolus-chasing Computed Tomography Angiography (CTA. Bolus characteristics were studied using bolus-timing datasets from Magnetic Resonance Angiography (MRA for adaptive controller design and validation. Methods MRA bolus-timing datasets of the aorta in thirty patients were analyzed by a program developed with MATLAB. Bolus characteristics, such as peak position, dispersion and bolus velocity, were studied. The bolus profile was fit to a convolution function, which would serve as a mathematical model of bolus propagation in future controller design. Results The maximum speed of the bolus in the aorta ranged from 5–13 cm/s and the dwell time ranged from 7–13 seconds. Bolus characteristics were well described by the proposed propagation model, which included the exact functional relationships between the parameters and aortic location. Conclusion The convolution function describes bolus dynamics reasonably well and could be used to implement the adaptive controller design.

  18. Gadolinium-Enhanced Magnetic Resonance Angiography for Pulmonary Embolism

    Science.gov (United States)

    Stein, Paul D.; Chenevert, Thomas L.; Fowler, Sarah E.; Goodman, Lawrence R.; Gottschalk, Alexander; Hales, Charles A.; Hull, Russell D.; Jablonski, Kathleen A.; Leeper, Kenneth V.; Naidich, David P.; Sak, Daniel J.; Sostman, H. Dirk; Tapson, Victor F.; Weg, John G.; Woodard, Pamela K.

    2011-01-01

    Background The accuracy of gadolinium-enhanced magnetic resonance pulmonary angiography and magnetic resonance venography for diagnosing pulmonary embolism has not been determined conclusively. Objective To investigate performance characteristics of magnetic resonance angiography, with or without magnetic resonance venography, for diagnosing pulmonary embolism. Design Prospective, multicenter study from 10 April 2006 to 30 September 2008. (ClinicalTrials.gov registration number: NCT00241826) Setting 7 hospitals and their emergency services. Patients 371 adults with diagnosed or excluded pulmonary embolism. Measurements Sensitivity, specificity, and likelihood ratios were measured by comparing independently read magnetic resonance imaging with the reference standard for diagnosing pulmonary embolism. Reference standard diagnosis or exclusion was made by using various tests, including computed tomographic angiography and venography, ventilation–perfusion lung scan, venous ultra-sonography, D-dimer assay, and clinical assessment. Results Magnetic resonance angiography, averaged across centers, was technically inadequate in 25% of patients (92 of 371). The proportion of technically inadequate images ranged from 11% to 52% at various centers. Including patients with technically inadequate images, magnetic resonance angiography identified 57% (59 of 104) with pulmonary embolism. Technically adequate magnetic resonance angiography had a sensitivity of 78% and a specificity of 99%. Technically adequate magnetic resonance angiography and venography had a sensitivity of 92% and a specificity of 96%, but 52% of patients (194 of 370) had technically inadequate results. Limitation A high proportion of patients with suspected embolism was not eligible or declined to participate. Conclusion Magnetic resonance pulmonary angiography should be considered only at centers that routinely perform it well and only for patients for whom standard tests are contraindicated. Magnetic

  19. CT angiography and magnetic resonance angiography findings after surgical and interventional radiology treatment of peripheral arterial obstructive disease

    NARCIS (Netherlands)

    Anzidei, Michele; Lucatelli, Pierleone; Napoli, Alessandro; Jens, Sjoerd; Saba, Luca; Cartocci, Gaia; Sedati, Pietro; d'Adamo, Alessandro; Catalano, Carlo

    2015-01-01

    In the last years, technical innovations in the field of CT angiography (CTA) and magnetic resonance angiography (MRA) have allowed accurate and highly detailed evaluation of peripheral vascular pathologies. This has dramatically changed the diagnostic approach in treatment planning of peripheral

  20. Contributions to the workshop `Residual ponds from open pit brown coal mining`; Beitraege zum Workshop ``Braunkohlebergbaurestseen``

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    The contributions to the workshop ``Investigations on flooding in residual ponds from open-pit mining`` deal, inter alia, with the hydrochemical development of flushing waters, the stability of the water quality of residual lakes, especially under the impact of land contamination, the influence of brine receipts by flushed residual lakes, and with the microbiological ecology of residual lakes from mining. Furthermore, geophysical studies for demonstrating paths of flow and for calculating the depth and volume of residual lakes from open-pit mining are discussed. (MSK) [Deutsch] Die Beitraege zu dem Workshop `Untersuchungen zu Flutungen in Tagebaurestseen` befassen sich unter anderem mit der hydrochemischen Entwicklung von Flutungsgewaessern, mit der Qualitaetsstabilitaet von Restseewaessern - insbesonders bei Einwirkung von Altlasten - und mit den Einfluessen von Solezufluessen bei Restseeflutung sowie mit Untersuchungen zur mikrobiologischen Oekologie in Bergbaurestseen. Desweiteren werden geophysikalische Untersuchungen zum Nachweis von Fliesswegen und die Tiefen- und Volumenberechnung eines Tagebaurestlochsees erlaeutert. (MSK)

  1. Krieg der Bilder - Zur Zugänglichmachung österreichischer Filmquellen zum Ersten Weltkrieg

    Directory of Open Access Journals (Sweden)

    Thomas Ballhausen

    2014-06-01

    Full Text Available Schon in der Frühzeit des Films machten sich die Verantwortlichen und Produzenten Gedanken, wie Material dauerhaft bewahrt, sinnvoll archiviert und wieder zugänglich gemacht werden könnte: Der Wunsch nach der adäquaten Sicherung, Lagerung und weiteren Bearbeitung unter Achtung der dualen Verantwortlichkeit gegenüber den Beständen als auch der Öffentlichkeit – der Kernaufgaben eines jeden Archivs – ist bereits für das späte 19. Jahrhundert dokumentiert. Für eine zeitgemäße Erleichterung im seriösen Materialzugriff bieten wissenschaftliche Editionen und das Internet hervorragende Voraussetzungen. Insbesondere am Beispiel der österreichischen Filmquellen zum Ersten Weltkrieg lassen sich die Vorzüge beider Vermittlungsoptionen verdeutlichen.

  2. Schule forscht Ansätze und Methoden zum forschenden Lernen

    CERN Document Server

    2009-01-01

    Kinderunis, Science Center, Experimentierlabore – der Markt der außerschulischen Wissenschaftsvermittlung für Kinder und Jugendliche boomt. Doch in den Schulen findet forschendes Lernen noch wenig Beachtung. Dabei fördert die Methode wichtige Fähigkeiten der Schüler und bietet Chancen für eine zukunftsweisende Schulentwicklung. Die Jugendlichen erarbeiten in Forschungsprojekten eigenständig wissenschaftliche Fragestellungen, suchen Lösungswege, dokumentieren und präsentieren ihre Erkenntisse: Sie trainieren so wissenschaftliches Arbeiten, Eigenverantwortlichkeit, Teamfähigkeit und Zeitmanagement. Lehrer werden zu Lernbegleitern, Schulen öffnen sich für Kooperationen und entwickeln Alternativen zum 45-minütigen Unterrichtstakt. Die Fachbeiträge von Andreas Müller, Ilka Parchmann, Gerhard Roth u. a. untermauern die Praxisberichte aus lern- und entwicklungspsychologischer Sicht. Die Autoren sind sich einig: Wer bereits in der Schule forscht, ist in Studium und Beruf einen großen Schritt voraus....

  3. Comparison of digital subtraction angiography, CT angiography, and ultrasonic doppler examination in the evaluation of penile arterial lesions

    Energy Technology Data Exchange (ETDEWEB)

    Kawanisi, Yasuo; Kimura, Kazunori; Lee, Kyong Soo; Koizumi, Takahiro; Nakatsuji, Hiroyoshi; Kojima, Keiji; Yamamoto, Akira; Numata, Akira [Takamatsu Red Cross Hospital (Japan)

    2001-11-01

    CT angiography reconstructed by a multidetector-row helical CT scanner is a newly developed form of imaging. We compared CT angiography and ultrasonic Doppler examination with digital subtraction angiography (DSA) in the diagnosis of arterial lesion. Eighteen patients with arteriogenic erectile dysfunction (ED) underwent color Doppler study DSA, and CT angiography after providing informed consent. The CT angiography images were obtained by a multidetector-row helical CT scanner, Asteion TSX021A (TOSHIBA). We injected prostaglandin E{sub 1} into the penile cavernous body, and then rapidly infused nonionic contrast medium into the antecubital vein. DSA and CT angiography images of the bilateral internal pudendal arteries and cavernous arteries were examined for stenotic lesions or occlusion. We also compared the peak systolic blood flow velocity in the cavernous artery measured by color Doppler ultrasound with CT angiography and DSA. The CT anigography and color Doppler studies were performed on an outpatient basis, but DSA required hospitalization. In the 36 internal pudendal arteries, DSA represented 22 normal arteries and 14 stenosis or occlusions. CT angiography showed 15 normal arteries and 21 occlusions. For the diagnosis of stenosis or occlusion in the internal pudendal artery, the CT angiography image had a good agreement, with a sensitivity of 1.00, specificity of 0.68, and accuracy of 0.81. For diagnosis in the cavernous artery, CT angiography image also showed a good agreement with DSA; however, the quality of the images of fine arteries was better in the DSA images. The inferior view and internal view of the pelvis in CT angiography were helpful for visulaizing the internal pudendal artery, especially at the pubic bone. There was insufficient correlation between peak systolic blood flow velocity and DSA findings. There were no serious complications involved in either examination. CT angiography has not yet reached the same level as DSA in the evaluation

  4. Zum Geleit

    NARCIS (Netherlands)

    Naaijkens, T.

    2009-01-01

    Warum zurückblicken auf eine akademische Disziplin in einer Zeit, in der sie sich einer grundlegenden Neuorientierung unterzieht? Von den Antworten, die auf diese Frage gegeben werden könnten, erscheint mir vor allem jene gültig, die Geschichtsbewusstsein auf natürliche Weise mit Selbstbewusstsein

  5. Gadolinium-enhanced MR angiography of arterial occlusive disease in lower extremity : comparison with conventional digital subtraction angiography

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Sang June; Koh, Young Hwan; Cha, Joo Hee; Kim, Hyu Beom; Chung, Jin Wook; Park, Jae Hyung [College of Medicine and the Institute of Radiation Medicine, Seoul National University, Seoul (Korea, Republic of)

    2000-02-01

    To compare the diagnostic value of gadolinium-enhanced MR angiography with that of conventional digital subtraction angiography for the evaluation of lower extremity arterial occlusive diseases. In 26 patients with symptomatic lower extremity arterial occlusive disease, both conventional digital subtraction angiography (DSA) and gadolinium-enhanced MR angiography (CE-MRA) were performed during the same week. MR angiography was performed using three-dimensional gradient-echo acquisition before, and two sequential acquisitions after, the administration of gadolinium (0.2 mmol/kg). In 23 patients, two separate, contiguous areas were scanned using additional doses. In three patients, only one field with a suspicious lesion was scanned. Three radiologists independently analyzed the CE-MRA and DSA findings of each vascular segment (20 segments per arterial tree) for the presence of obstructive lesions; the grade assigned was either mild or none (less than 50%), stenotic (50%-99%), or occlusion (100%). From among a total of 462 segments, DSA detected 99 which were significantly narrowed (stenosis, 33; occlusion, 66). Using MR angiography, 102 segments (stenosis 39; occlusion, 63) were identified, and 94 lesions (stenosis, 32; occlusion, 62) were graded correctly. Seven lesions were overestimated and four were underestimated. For the detection of hemodynamically significant stenosis or occlusions using MR angiography, sensitivity, specificity, and diagnostic accuracy were 95%, 98%, and 98% (G=3D0.995, P less than 0.001), respectively. To prove the absence of lesions, we repeated DSA in two patients with arterial spasm due to puncture. Three occluded segments seen on DSA, which revealed intact segments on MR angiography, suggested slow distal flow after reconstitution. For the evaluation of lower extremity arterial occlusive disease, the diagnostic value of gadolinium-enhanced MR angiography is comparable with that of digital subtraction angiography. The advantages of the

  6. Comparison of magnetic resonance angiography and conventional angiography in sickle cell disease: clinical significance and realibility

    Energy Technology Data Exchange (ETDEWEB)

    Kandeel, A.Y. [Dept. of Radiology, Mansoura Univ. Hospital (Egypt); Zimmerman, R.A. [Dept. of Radiology, The Children`s Hospital of Philadelphia, PA (United States); Ohene-Frempong, K. [Div. of Hematology, The Children`s Hospital of Philadelphia, PA (United States)

    1996-07-01

    We retrospectively reviewed the medical records and conventional angiograms of 21 patients with known sickle cell disease, who underwent a total of 50 magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) studies. MRA and conventional angiography were assessed separately for evidence of stenosis or occulusion. Follow up MRI/MRA studies were also assessed for evidence of progression, regression or stability of the disease in these patients. In the carotid circulation, MRA made the correct diagnosis in 85% of the vessels evaluated with a sensitivity of 80.5% and a specificity of 94%. MRA was also found to show evidence of disease progression, more often than did MRI or the clinical condition of the patients. (orig.)

  7. Application of longitudinal magnification effect to magnification stereoscopic angiography. A new method of cerebral angiography

    Energy Technology Data Exchange (ETDEWEB)

    Doi, K.; Rossmann, K.; Duda, E.E.

    1976-01-01

    A new method of stereoscopic cerebral angiography was developed which employs 2X radiographic magnification. In order to obtain the same depth perception in the object as with conventional contact stereoscopic angiography, one can make the x-ray exposures at two focal spot positions which are separated by only 1 inch, whereas the contact technique requires a separation of 4 inches. The smaller distance is possible because, with 2X magnification, the transverse detail in the object is magnified by a factor of two, but the longitudinal detail, which is related to the stereo effect, is magnified by a factor of four, due to the longitudinal magnification effect. The small focal spot separation results in advantages such as improved stereoscopic image detail, better image quality, and low radiation exposure to the patient.

  8. Patients' Views of Cardiac Computed Tomography Angiography Compared With Conventional Coronary Angiography

    DEFF Research Database (Denmark)

    Sandgaard, Niels C F; Diederichsen, Axel Cosmus Pyndt; Petersen, Henrik

    2012-01-01

    PURPOSE: Coronary computed tomography angiography (CTA) has proven to be useful for noninvasive examination in patients with intermediate risk of coronary artery disease. However, data addressing patients' views of this relatively new diagnostic modality are sparse. MATERIALS AND METHODS: For com......PURPOSE: Coronary computed tomography angiography (CTA) has proven to be useful for noninvasive examination in patients with intermediate risk of coronary artery disease. However, data addressing patients' views of this relatively new diagnostic modality are sparse. MATERIALS AND METHODS......: For comparison of CTA and invasive coronary angiography (CA), a total of 127 patients referred for CA for the suspicion of coronary artery disease were included in the study. Three months later the patients received a simple structured questionnaire addressing their views and preferences with regard to CTA...... versus CA. RESULTS: A total of 122 of 127 patients agreed to participate in the study. Pain or bleeding at the puncture site the day after the procedure was significantly more prevalent after CA than CTA (pain, 53% vs 2%; bleeding, 75% vs 22%). More patients had to stay home from work after CA...

  9. Computed tomography angiography and magnetic resonance angiography imaging of the mesenteric vasculature.

    Science.gov (United States)

    Hagspiel, Klaus D; Flors, Lucia; Hanley, Michael; Norton, Patrick T

    2015-03-01

    Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are highly accurate cross-sectional vascular imaging modalities that have almost completely replaced diagnostic catheter angiography for the evaluation of the mesenteric vasculature. CTA is the technique of choice when evaluating patients with suspected mesenteric ischemia; it permits to differentiate between occlusive and nonocclusive etiologies, to evaluate indirect signs of bowel ischemia, and in some instances, to provide alternative diagnoses. MRA has the advantage of not using ionizing radiation and iodinated contrast agents and can be appropriate in the nonacute setting. Both CTA and MRA are suitable for the assessment of patients with suspected chronic mesenteric ischemia, allowing to evaluate the degree of atherosclerotic steno-occlusive disease and the existence of collateral circulation, as well as other nonatherosclerotic vascular pathologies such as fibromuscular dysplasia and median arcuate ligament syndrome. CTA provides excellent depiction of visceral aneurysms and has an important role to plan therapy for both occlusive and aneurysmal diseases and in the follow-up of patients after open or endovascular mesenteric revascularization procedures. This article provides an introduction to the CTA and MRA imaging protocol to study the mesenteric vasculature, the imaging findings in patients presenting with acute and chronic mesenteric ischemia and visceral aneurysms, and the value of these imaging techniques for therapy planning and follow-up. Copyright © 2015 Elsevier Inc. All rights reserved.

  10. Using coronary CT angiography for guiding invasive coronary angiography: potential role to reduce intraprocedural radiation exposure.

    Science.gov (United States)

    Arendt, Christophe T; Tischendorf, Patricia; Wichmann, Julian L; Messerli, Michael; Jörg, Lucas; Ehl, Niklas; Gohmann, Robin F; Wildermuth, Simon; Vogl, Thomas J; Bauer, Ralf W

    2018-02-07

    We investigated the potential reduction of patient exposure during invasive coronary angiography (ICA) if the procedure had only been directed to the vessel with at least one ≥ 50% stenosis as described in the CT report. Dose reports of 61 patients referred to ICA because of at least one ≥ 50% stenosis on coronary CT angiography (CCTA) were included. Dose-area product (DAP) was documented separately for left (LCA) and right coronary arteries (RCA) by summing up the single DAP for each angiographic projection. The study population was subdivided as follows: coronary intervention of LCA (group 1) or RCA (group 2) only, or of both vessels (group 3), or further bypass grafting (group 4), or no further intervention (group 5). 57.4% of the study population could have benefitted from reduced exposure if catheterization had been directly guided to the vessel of interest as described on CCTA. Mean relative DAP reductions were as follows: group 1 (n = 18), 11.2%; group 2 (n = 2), 40.3%; group 3 (n = 10), 0%; group 4 (n = 3), 0%; group 5 (n = 28), 28.8%. Directing ICA to the vessel with stenosis as described on CCTA would reduce intraprocedural patient exposure substantially, especially for patients with single-vessel stenosis. • Patients with CAD can benefit from decreased radiation exposure during coronary angiography. • ICA should be directed solely to significant stenoses as described on CCTA. • Severely calcified plaques remain a limitation of CCTA leading to unnecessary ICA referrals.

  11. Radial pseudoaneurysm following diagnostic coronary angiography

    Directory of Open Access Journals (Sweden)

    Shankar Laudari

    2015-06-01

    Full Text Available The radial artery access has gained popularity as a method of diagnostic coronary catheterization compared to femoral artery puncture in terms of vascular complications and early ambulation. However, very rare complication like radial artery pseudoaneurysm may occur following cardiac catheterization which may give rise to serious consequences. Here, we report a patient with radial pseudoaneurysm following diagnostic coronary angiography. Adequate and correct methodology of compression of radial artery following puncture for maintaining hemostasis is the key to prevention.DOI: http://dx.doi.org/10.3126/jcmsn.v10i3.12776 Journal of College of Medical Sciences-Nepal, 2014, Vol-10, No-3, 48-50

  12. Targeted ROTational magnetic resonance angiography (TROTA).

    Science.gov (United States)

    Goldfarb, James W

    2007-09-01

    An MR angiographic method is presented in which a rotating 2D slice is centered on and targets a region or vessel of interest. Collecting a series of slices rotating about the center of the targeted region yields projection data sufficient for the calculation of 3D volumetric data of the region using conventional backprojection reconstruction techniques. These volumetric data depict the internal structure of the vessel and can be processed and displayed with multiplanar reformation, maximum intensity projections, and 3D rendering algorithms. The rotational angiographic acquisition preserves the high temporal resolution of 2D-MR digital subtraction angiography with the added benefit of 3D reformatting and display. The method is explained in detail and results from phantom and human experiments are presented. Copyright (c) 2007 Wiley-Liss, Inc.

  13. Literature study: State of knowledge on pollutant decomposition and transport in natural soils; Literaturstudie zum Thema: Darstellung und Bewertung des Wissensstandes zum Schadstoffabbau und -transport in natuerlichen Boeden

    Energy Technology Data Exchange (ETDEWEB)

    Koch, R. (ed.); Hahn, M.; Koennemann, T.; Mangold, S.; Ouerfelli, I.; Preuss, V.; Schoepke, R.; Sonntag, B.

    2000-07-01

    The use of natural soils for low-cost removal of precipitated water and slightly polluted waste water has become an issue in legal procedures concerning water management. Although groundwater protection is given high priority, authorities do not have sufficient data on long-term effects and decomposition effects during passage to the soil. The Hydrology Department of Brandenburgische Technische Universitaet Cottbus, on behalf of the Thuringian Environmental Authority, investigated the state of the art of discharge of precipitated water into natural soils. The investigation is the first in a series of which the following effects are expected: Faster results by preliminary assessment of the applicability of the technique envisaged, use of this low-cost technology for waste water treatment in consideration of surface water protection. [German] Die Nutzung natuerlicher Boeden zur kostenguenstigen Beseitigung von Niederschlagswasser aber auch von schwachbelastetem Abwasser ist eine Variante der Abwasserbeseitigung, die zunehmend Antragsgegenstand in wasserrechtlichen Verfahren ist. Der Schutz des Grundwassers ist dabei in besonderem Masse zu beachten. Die Einschaetzung der Eignung dieser Variante ist Behoerden aufgrund unzureichender Aussagen zum Langzeitverhalten und zu Abbaueffekten waehrend der Bodenpassage derzeit nicht moeglich. Durch die THUeRINGER LANDESANSTALT FUeR UMWELT erhielt der Lehrstuhl Wassertechnik der Brandenburgischen Technischen Universitaet Cottbus den Auftrag, im Rahmen einer Literaturstudie, den gegenwaertigen Stand der schadlosen Versickerung von Niederschlagswasser in natuerlichen Boeden aufzuzeigen. Die Literaturrecherche bildet den ersten Schritt einer Untersuchungsreihe, von der folgende Wirkungen erwartet werden: Verfahrensbeschleunigung durch Bewertbarkeit der Eignung der Behandlungsvariante, Nutzung dieser kostenguenstigen Umwelttechnologie zur Behandlung von Abwasser unter Beachtung des Gewaesserschutzes. (orig.)

  14. Multidetector CT angiography in Takayasu arteritis

    Energy Technology Data Exchange (ETDEWEB)

    Khandelwal, Niranjan; Kalra, Naveen [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Garg, Mandeep Kumar, E-mail: gargmandeep@hotmail.com [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Kang, Mandeep; Lal, Anupam [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Jain, Sanjay [Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Suri, Sudha [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India)

    2011-02-15

    Objective: To analyse the spectrum of Takayasu's arteritis (TA) on multidetector CT angiography (MDCTA). Materials and methods: A retrospective analysis of the MDCTA findings was performed on 15 patients clinically diagnosed as Takayasu's arteritis. The spectrum and incidence of imaging findings on CTA were compared to studies in literature on catheter angiography in Takayasu's arteritis. Laboratory parameters were available in nine patients. The disease was considered active if erythrocyte sedimentation rate (ESR) levels were elevated and 'C' reactive protein (CRP) was positive. An attempt was made to correlate disease activity with the imaging findings. Results: Ascending aorta, arch of aorta and descending thoracic aorta were involved in 14 out of 15 (93%) patients. The wall thickness varied between 1 and 10 mm with maximal involvement in arch and descending thoracic aorta. Major neck vessels were involved in 11 (73%) patients with most pronounced changes seen in the brachiocephalic trunk, left common carotid artery (CCA) and left subclavian artery (SCA). Abdominal aorta and its branches were involved in all the 11 (100%) patients in whom abdominal CTA was performed. Celiac axis and SMA were involved in 10 (91%) and seven (64%) patients, respectively while renal artery stenosis was present in five (45%) patients. In six patients, ESR was elevated and CRP was positive indicating active disease. All patients in whom the laboratory parameters were available showed mural thickening in the aorta and at least one of the neck vessels except for one patient with inactive disease who had aortic mural thickening only. Conclusion: MDCTA provides information about both the vessel wall and lumen in patients with Takayasu's disease.

  15. Transbrachial artery approach for selective cerebral angiography

    Energy Technology Data Exchange (ETDEWEB)

    Touho, Hajime; Karasawa, Jun; Shishido, Hisashi; Morisako, Toshitaka; Numazawa, Shinichi; Yamada, Keisuke; Nagai, Shigeki; Shibamoto, Kenji (Osaka Neurological Inst., Toyonaka (Japan))

    1990-02-01

    Transaxillary or transbrachial approaches to the cerebral vessels have been reported, but selective angiography of all four vessels has not been possible through one route. In this report, a new technique for selective cerebral angiography with transbrachial approach is described. One hundred and twenty three patients with cerebral infarction, vertebrobasilar insufficiency, intracerebral hemorrhage, epilepsy, or cerebral tumor were examined. Those patients consisted of 85 outpatients and 38 inpatients whose age ranged from 15 years old to 82 years old. The patients were examined via the transbrachial approach (97 cases via the right brachial, 29 cases via the left). Materials included a DSA system (Digital Fluorikon 5000, General Electric Co.), a 4 French tight J-curved Simmons 80-cm catheter, a 19-gauge extra-thin-wall Seldinger needle, and a J/Straight floppy 125-cm guide-wire. Generally, the volume of the contrast agent (300 mgI/ml iopamidol) used in the common carotid artery angiogram was 6 ml, while that used in the vertebral artery angiogram was 4 ml. If catheterization of the vertebral artery or right common carotid artery was unsuccessful, about 8 ml of the contrast agent was injected into the subclavian or branchiocephalic artery. Definitive diagnosis and a decision on proper treatment of the patients can be easily obtained, and the results were clinically satisfactory. Moreover, no complications were encountered in this study. This new technique making a transbrachial approach to the cerebral vessels using the DSA system is introduced here. Neurosurgeons can use this technique easily, and they will find that it provides them with all the information they need about the patient. (author).

  16. Optical coherence tomography angiography versus fluorescein angiography in the diagnosis of ischaemic diabetic maculopathy.

    Science.gov (United States)

    Cennamo, Gilda; Romano, Mario R; Nicoletti, Giuseppe; Velotti, Nunzio; de Crecchio, Giuseppe

    2017-02-01

    To evaluate the efficacy of optical coherence tomography (OCT) angiography versus fluorescein angiography (FA) in terms of retinal vessel imaging in ischaemic diabetic maculopathy defined according to the Early Treatment Diabetic Retinopathy Study (ETDRS) classification. Twenty patients (31 eyes) with ischaemic diabetic maculopathy and 17 control subjects (27 eyes) were enrolled in this prospective study. Patients and control subjects underwent complete ophthalmic examination, including best-corrected visual acuity (BCVA), intraocular pressure, FA, Fourier domain optical coherence tomography (FD-OCT) and OCT angiography. Fluorescein angiograms and OCT angiography images were graded according to the foveal avascular zone (FAZ) of the ETDRS group. Ganglion cell complex (GCC) thickness was evaluated with FD-OCT. Optical coherence tomography (OCT) angiography images closely correlated with FA in terms of FAZ parameters. The correlation was strongest with OCT angiography deep imaging. The average GCC thickness was smaller in patients than in controls. Neither GCC parameters nor FAZ was correlated to BCVA. Given the correlation between FA and OCT angiography in terms of FAZ parameters, the newer method can be considered a valid, reliable and easy-to-perform method with which to evaluate ischaemic diabetic maculopathy without contrast injection, and thus to visualize and quantify non-perfusion areas without risks of anaphylactic reactions. © 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  17. The Huguenot identity in 19th century music: The "Sechs Sprüche zum Kirchenjahr" by Felix Mendelssohn

    OpenAIRE

    Robert Weeda

    2012-01-01

    Hierdie artikel gaan oor die komponiste Felix Mendelssohn en Giacomo Meyerbeer. Meyerbeer die komponis van die opera Les Huguenots, en Mendelssohn, 'n Jood wat 'n "Calvinis" geword het. Meyerbeer vertel in die opera (1836), geanker aan die Lutherse melodie "'n Vaste Burg is onse God" die verhaal van die Bartolomeusnagmoorde. Mendelssohn, 'n bekeerling tot die sg Hugenote-religie, verwoord sy opregte geloof gedurende die jare 1843-1846 in die voortreflike musikaleuitdrukkings Sechs Sprüche zum...

  18. Erarbeitung eines analytischen Verfahrens zum Biomonitoring von Naphthalin und dessen Anwendung in der umwelt- und arbeitsmedizinischen Diagnostik

    OpenAIRE

    Preuß, Ralf

    2005-01-01

    Polyzyklische Aromatische Kohlenwasserstoffe sind als ubiquitäre Schadstoffe Bestandteil der Umwelt des Menschen. Darüber hinaus spielen sie in bestimmten Industriezweigen als Arbeitsstoffe eine besondere Rolle. Naphthalin ist der einfachste Vertreter dieser Stoffgruppe. Im Jahre 2001 wurde erkannt, dass Naphthalin im Tierversuch krebserzeugend wirkt und dass man daher davon ausgehen muss, dass Naphthalin auch beim Menschen nennenswert zum Krebsrisiko beiträgt. Die Frage, wie man den Menschen...

  19. Evaluation of the pedal artery: comparison of three-dimensional gadolinium-enhanced MR angiography with digital subtraction angiography

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jeong Min; Kang, Sung Gwon; Byun, Joo Nam; Kim, Young Cheol; Choi, Jeong Yeol; Kim, Dong Hyun [College of Medicine, Chosun Univ., Kwangju (Korea, Republic of)

    2002-07-01

    To compare the three-dimensional gadolinium-enhanced MR angiography with digital subtraction angiography (DSA) for evaluation of the pedal artery. In 12 extremities of 11 patients, both digital subtraction angiography (DSA) and contrast-enhanced MR angiography (CE-MR angiography) were performed during the same week. Among ten of the 11 patients, the following conditions were present: atherosclerosis (n=4), diabetic foot (n=3), Buerger's disease (n=1), calciphylactic arteriopathy (n=1) and arteriovenous malformation of the foot (n=1). The remaining patient underwent angiography prior to flap surgery. For MR angiography, a 1.5T system using an extremity or head coil was used. A three-dimensional FISP (fast imaging with steady state precession) sequence was obtained before enhancement, followed by four sequential acquisitions (scan time, 20 secs, scan interval time, 10 secs) 10 seconds after intravenous bolus injection of normal saline (total 10 cc), following intravenous administration of gadolinium (0.02 mmol/kg, 3 ml/sec). Arterial segments of the ankle and foot were classified as the anterior or posterior tibial artery, the distal peroneal artery, the medial or lateral plantar artery, the pedal arch, and the dorsalis pedis artery. Two radiologists independently analysed visualization of each arteraial segment and the mean of visible arterial segments in one extreminty using CE-MR angiography and DSA. Among 84 arterial segments, 16 were invisible at both CE-MR angiography and DSA, while 39 were demonstrated by both modalities. Twenty-six segments were visible only at CE-MR angiography and three only at DSA. CE-MR angiography displayed a higher number of arterial segments than DSA (mean, 5.42 vs. mean 3.50, respectively), a difference which was statistically significant (p<0.000). The difference between each arterial segment was not statistically significant, except for the dorsalis pedis artery (t test, p<0.000). In that it provides additional information for

  20. [Coronary angiography of in vitro porcine heart using MSCT].

    Science.gov (United States)

    Wan, Lei; Telet, Siy It; Wei, Hua; Ying, Chong-Liang; Wang, Ya-hui; Deng, Kai-fei; Zou, Dong-Hua; Li, Zheng-done; Zhu, Guang-You

    2014-10-01

    To establish standardized methods and parameters of the isolated heart coronary angiography through the experiment of in vitro porcine heart by MSCT. Based on different perfusion volume (50, 60 and 70 mL) and different perfusion-imaging time (5, 10 and 20 min), the in vitro porcine coronary artery was injected liposoluble and water-soluble contrast agents using remodel angiography equipment and scanned by MSCT. And the 3D image results were compared. The images were recorded and evaluated by 2 radiologists and analyzed by statistical software. Liposoluble contrast agent affected the images by damaging and infiltrating the fats around the coronary artery, while the water-soluble contrast agent didn't affect the images. The groups with 60 mL or 70 mL perfusion and 5 min perfusion-imaging time had the best images. The suitable parameters of the angiography lay the foundation of postmortem coronary angiography.

  1. Diagnostic performance of computed tomography angiography and contrast-enhanced magnetic resonance angiography in patients with critical limb ischaemia and intermittent claudication: systematic review and meta-analysis

    NARCIS (Netherlands)

    Jens, Sjoerd; Koelemay, Mark J. W.; Reekers, Jim A.; Bipat, Shandra

    2013-01-01

    To evaluate the diagnostic performance of computed tomography angiography (CTA) and contrast-enhanced magnetic resonance angiography (CE-MRA) in detecting haemodynamically significant arterial stenosis or occlusion in patients with critical limb ischaemia (CLI) or intermittent claudication (IC).

  2. Superselective pseudo-continuous arterial spin labeling angiography

    Energy Technology Data Exchange (ETDEWEB)

    Jensen-Kondering, Ulf [Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein, Kiel (Germany); Lindner, Thomas, E-mail: thomas.lindner@uksh.de [Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein, Kiel (Germany); Osch, Matthias J.P. van [C. J. Gorter Center for High Field MRI, Department of Radiology, Leiden University Medical Center, Leiden (Netherlands); Rohr, Axel; Jansen, Olav [Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein, Kiel (Germany); Helle, Michael [Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein, Kiel (Germany); Now with Philips GmbH Innovative Technologies, Research Laboratories, Hamburg (Germany)

    2015-09-15

    Highlights: • Superselective arterial spin labeling was capable of acquiring angiograms of individually selected arteries. • Image quality was similar compared with a routinely used time-of-flight angiography. • Superselective arterial spin labeling was utilized in patients with arterio-venous malformations and made it possible to visualize individual feeding vessels in a complete non-invasive way - Abstract: Purpose: To evaluate the utility of a novel non-contrast enhanced, vessel-selective magnetic resonance angiography (MRA) approach based on superselective pseudo-continuous arterial spin labeling (ASL) for the morphologic assessment of intracranial arteries when compared to a clinically used time-of-flight (TOF) MRA. Materials and methods: Three sets of selective ASL angiographies (right and left internal carotid artery, basilar artery) as well as one TOF data set were obtained from each of the five volunteers included in this study on a clinical 1.5T system. The depiction of arterial segments as well as their delineation was evaluated and independently analyzed by two radiologists. Additionally, the ASL angiography approach was performed in two patients suffering from arterio-venous malformations (AVM) in order to illustrate potential applications in a clinical setting. Results: In both angiography techniques, intracranial arteries and their segments (distal branches up to A5 segments of the anterior cerebral arteries, M8 segments of the middle cerebral arteries, and P5 segments of the posterior cerebral arteries) were continuously depicted with excellent inter-reader agreement (κ > 0.81). In AVM patients, reconstructed images of the TOF angiography presented similar information about the size and shape of the AVM as did superselective ASL angiography. In addition, the acquired ASL angiograms of selected vessels allowed assessing the blood supply of individually labeled arteries to the AVM which could also be confirmed by digital subtraction angiography

  3. Digital subtraction angiography in pediatric cerebrovascular occlusive disease

    Energy Technology Data Exchange (ETDEWEB)

    Faerber, E.N.; Griska, L.A.B.; Swartz, J.D.; Capitanio, M.A.; Popky, G.L.

    1984-08-01

    While conventional angiography has been used to demonstrate cerebrovascular occlusive disease in the past, digital subtraction angiography (DSA) is capable of showing progressive vascular involvement with ease, simplicity, and extremely low morbidity, making it particularly well suited for children and outpatients either alone or coordinated with computed tomography. The authors discuss the usefulness and advantages of DSA as demonstrated in 7 infants and children with hemiplegia, 4 of whom had sickle-cell disease.

  4. The comparative study on diagnostic validity of cerebral aneurysm by computed tomography angiography versus digital subtraction angiography after subarachnoid hemorrhage

    Directory of Open Access Journals (Sweden)

    Masih Saboori

    2011-01-01

    Full Text Available Background: In order to declare the preoperative diagnostic value of brain aneurysms, two radiological modalities, computed tomographic angiography and digital subtraction angiography were compared. Methods: In this descriptive analytic study, diagnostic value of computed tomographic angiography (CTA was com-pared with digital subtraction angiography (DSA. Sensitivity, specificity, positive and negative predictive values were calculated and compared between the two modalities. All data were analyzed with SPSS software, version 16. Results: Mean age of patients was 49.5 ± 9.13 years. 57.9 % of subjects were female. CTA showed 89% sensitivity and 100% specificity whereas DSA demonstrated 74% sensitivity and 100% specificity. Positive predictive value of both methods was 100%, but negative predictive value of CTA and DSA was 85% and 69%, respectively. Conclusions: Based on our data, CTA is a valuable diagnostic modality for detection of brain aneurysm and su-barachnoid hemorrhage.

  5. CT angiography versus 3D rotational angiography in patients with subarachnoid hemorrhage

    Energy Technology Data Exchange (ETDEWEB)

    Bechan, R.S.; Peluso, J.P.; Sluzewski, M.; Rooij, W.J. van [Sint Elisabeth Ziekenhuis Tilburg, Department of Radiology, Tilburg (Netherlands); Rooij, S.B. van [Medisch Centrum Alkmaar, Department of Radiology, Alkmaar (Netherlands); Sprengers, M.E.; Majoie, C.B. [Academisch Medisch Centrum, Department of Radiology, Amsterdam (Netherlands)

    2015-12-15

    CT angiography (CTA) is increasingly used as primary diagnostic tool to replace digital subtraction angiography (DSA) in patients with subarachnoid hemorrhage (SAH). However, 3D rotational angiography (3DRA) has substituted DSA as a reference standard. In this prospective observational study, we compare CTA with 3DRA of all cerebral vessels in a large cohort of patients with SAH. Of 179 consecutive patients with SAH admitted between March 2013 and July 2014, 139 underwent 64- to 256-detector row CTA followed by complete cerebral 3DRA within 24 h. In 86 patients (62 %), 3DRA was performed under general anesthesia. Two observers from outside hospitals reviewed CTA data. In 118 of 139 patients (85 %), 3DRA diagnosed the cause of hemorrhage: 113 ruptured aneurysms, three arterial dissections, one micro-arteriovenous malformation (AVM), and one reversible vasoconstriction syndrome. On CTA, both observers missed all five non-aneurysmal causes of SAH. Sensitivity of CTA in depicting ruptured aneurysms was 0.88-0.91, and accuracy was 0.88-0.92. Of 113 ruptured aneurysms, 28 were ≤3 mm (25 %) and of 95 additional aneurysms, 71 were ≤3 mm (75 %). Sensitivity of depicting aneurysms ≤3 mm was 0.28-0.43. Of 95 additional aneurysms, the two raters missed 65 (68 %) and 58 (61 %). Sensitivity in detection was lower in aneurysms of the internal carotid artery than in other locations. CTA had some limitations as primary diagnostic tool in patients with SAH. All non-aneurysmal causes for SAH and one in ten ruptured aneurysms were missed. Performance of CTA was poor in aneurysms ≤3 mm. The majority of additional aneurysms were not depicted on CTA. (orig.)

  6. Lymph node imaging by ultrarapid 3D angiography; Lymphknotendarstellung bei ultraschneller 3D-MR-Angiographie

    Energy Technology Data Exchange (ETDEWEB)

    Georgi, M.; Gaa, J.; Teubner, J.; Bolte, R. [Heidelberg Univ., Mannheim (Germany). Inst. fuer Klinische Radiologie

    1999-02-01

    Purpose: A report on observations of lymph node images obtained by gadolinium-enhanced 3D MR angiography (MRA). Methods: Ultrarapid MRA (TR, TE, FA - 5 or 6.4 ms, 1.9 or 2.8 ms, 30-40 degrees) with 0.2 mmol/kg BW Gd-DTPA and 20 ml physiological saline. Start after completion of injection. Single series of the pelvis-thigh as well as head-neck regions by use of a phased array coil with a 1.5 T Magnetom Vision or a 1.0 T Magnetom Harmony (Siemens, Erlangen). We report on lymph node imaging in 4 patients, 2 of whom exhibited benign changes and 2 further metastases. In 1 patient with extensive lymph node metastases of a malignant melanoma, color-Doppler sonography as color-flow angiography (CFA) was used as a comparative method. Results: Lymph node imaging by contrast medium-enhanced ultrarapid 3D MRA apparently resulted from their vessels. Thus, arterially-supplied metastases and inflammatory enlarged lymph nodes were well visualized while those with a.v. shunts or poor vascular supply in tumor necroses were poorly imaged. Conclusions: Further investigations are required with regard to the visualization of lymph nodes in other parts of the body as well as a possible differentiation between benign and malignant lesions. (orig.) [Deutsch] Ziel: Mitteilung der Beobachtung einer Darstellung von Lymphknoten bei der Gadolinium-verstaerkten 3D-MR-Angiographie (MRA). Methode: Ultraschnelle 3D-MRA (TR, TE, FA - 5 bzw. 6,4 ms, 1,9 bzw. 2,8 ms, 30-40 Grad) mit 0,2 mmol/kg KG Gd-DTPA und 20 ml phys. Na Cl-Loesung. Start nach Injektionsende. Einzelserien der Becken-Oberschenkel- sowie der Kopf-Halsregion unter Verwendung von Phased Array-Spulen mit einem 1,5 T Magnetom Vision bzw. einem 1,0 T Magnetom Harmony (Fa. Siemens/Erlangen). Bericht ueber Lymphknotendarstellung bei 4 Patienten, von denen 2 benigne Veraenderungen und 2 weitere Metastasen aufwiesen. Bei einem Patienten mit ausgedehnten Lymphknotenmetastasen eines malignen Melanoms kam die Farbdoppelsonographie als Farb-Fluss-Angiographie

  7. Photodynamic therapy monitoring with optical coherence angiography

    Science.gov (United States)

    Sirotkina, M. A.; Matveev, L. A.; Shirmanova, M. V.; Zaitsev, V. Y.; Buyanova, N. L.; Elagin, V. V.; Gelikonov, G. V.; Kuznetsov, S. S.; Kiseleva, E. B.; Moiseev, A. A.; Gamayunov, S. V.; Zagaynova, E. V.; Feldchtein, F. I.; Vitkin, A.; Gladkova, N. D.

    2017-02-01

    Photodynamic therapy (PDT) is a promising modern approach for cancer therapy with low normal tissue toxicity. This study was focused on a vascular-targeting Chlorine E6 mediated PDT. A new angiographic imaging approach known as M-mode-like optical coherence angiography (MML-OCA) was able to sensitively detect PDT-induced microvascular alterations in the mouse ear tumour model CT26. Histological analysis showed that the main mechanisms of vascular PDT was thrombosis of blood vessels and hemorrhage, which agrees with angiographic imaging by MML-OCA. Relationship between MML-OCA-detected early microvascular damage post PDT (within 24 hours) and tumour regression/regrowth was confirmed by histology. The advantages of MML-OCA such as direct image acquisition, fast processing, robust and affordable system opto-electronics, and label-free high contrast 3D visualization of the microvasculature suggest attractive possibilities of this method in practical clinical monitoring of cancer therapies with microvascular involvement.

  8. Image quality in coronary computed tomography angiography

    DEFF Research Database (Denmark)

    Precht, Helle; Gerke, Oke; Thygesen, Jesper

    2018-01-01

    Background Computed tomography (CT) technology is rapidly evolving and software solution developed to optimize image quality and/or lower radiation dose. Purpose To investigate the influence of adaptive statistical iterative reconstruction (ASIR) at different radiation doses in coronary CT...... angiography (CCTA) in detailed image quality. Material and Methods A total of 160 CCTA were reconstructed as follows: 55 scans with filtered back projection (FBP) (650 mA), 51 scans (455 mA) with 30% ASIR (ASIR30), and 54 scans (295 mA) with 60% ASIR (ASIR60). For each reconstruction, subjective image quality...... was assessed by five independent certified cardiologists using a visual grading analysis (VGA) with five predefined image quality criteria consisting of a 5-point scale. Objective measures were contrast, noise, and contrast-to-noise ratio (CNR). Results The CTDIvol resulted in 10.3 mGy, 7.4 mGy, and 4.6 m...

  9. ÖZIV-Medienpreis - Inklusion durch differenzierte Medienberichte fördern Noch bis zum 31. Dezember können eigene Medienbeiträge eingereicht werden

    Directory of Open Access Journals (Sweden)

    Klaudia Mattern

    2014-12-01

    Full Text Available Seit 2006 zeichnet der ÖZIV (Österreichischer Zivil-Invalidenverband gemeinsam mit dem ÖJC (Österreichischer Journalistinnen und Journalisten Club Medienbeiträge aus, die Menschen mit Behinderungen als aktive und selbstbestimmte Mitglieder unserer Gesellschaft zeigen. Klaudia Mattern berichtet ... Schnellentschlossene können noch bis zum 31. Dezember 2014 eigene Beiträge einreichen. Nochschneller-Entschlossene sind eingeladen, die ruhigeren Tage zum Jahresausklang zu nutzen, um vielleicht noch den einen oder anderen Kurzbeitrag zu erstellen. Ich hab den ÖZIV-Medienpreis zum Anlass genommen, ein paar hilfreiche Hinweise zur Gestaltung inklusionsfördernder Medienbeiträge aus erster Hand zu bekommen. Die Tipps sollen aber nicht nur die Chancen auf eine Auszeichnung erhöhen, sondern generell den Blick schärfen, warum die allgemein übliche Darstellung von behinderten Menschen, einer inklusiven Gesellschaft - in der jeder Mensch gleichwertig seine vorhandenen Fähigkeiten einbringen kann – im Wege steht. Im Folgenden sind daher Mitmach-Details zum ÖZIV-Medienpreis – und was "Der Schuasch" damit zu tun hat – mit konkreten Einblicken und engagierten Ausblicken zum Weitermachen verknüpft.

  10. Methodik für eine Forschung zum Standpunkt des Subjekts

    Directory of Open Access Journals (Sweden)

    Helmut Ittner

    2016-03-01

    Full Text Available Subjektwissenschaftlich ausgerichtete empirische Forschung ermöglicht einen ertragreichen Zugang zum Eigensinn subjektiver Handlungsbegründungen, wie er etwa bei Lern- und Bildungsprozessen konstitutiv ist. In dem schmalen Sektor einschlägiger Arbeiten ist die Auseinandersetzung vor allem um adäquate Auswertungsmethoden unzureichend, Fragen des Forschungssettings werden darüber hinaus kontrovers diskutiert. In dem vorliegenden Beitrag wird ein Weg vorgeschlagen, Methoden der dokumentarischen Methode (BOHNSACK 2014 und Prinzipien der Situationsanalyse (CLARKE & KELLER 2012 zu nutzen, um Bestimmungen einer adäquaten Methodik zu erreichen. Unterstellt wird dabei die Notwendigkeit, konkrete Auswertungsmethoden im Hinblick auf ihre Eignung für subjektwissenschaftliche Forschung zu hinterfragen und einen Einsatz sodann definierter Methoden auch zu begründen. Angebunden ist der Beitrag an das Forschungsprojekt d.art ("Didaktik für Kunst- und Kulturschaffende zur Gestaltung außerunterrichtlicher Angebote in Ganztagsschulen", bei dem es um Lernprozesse von Teilnehmenden einer Weiterbildung geht. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1602106

  11. PAH analysis in Leipzig allotment soils; Untersuchungen zum Gefaehrdungspotential polycyclischer aromatischer Kohlenwasserstoffe (PAK) in Leipziger Kleingartenboeden

    Energy Technology Data Exchange (ETDEWEB)

    Bittrich, R.; Butze, B.; Mueller, S.; Prawalsky, R.; Stoye, H. [Umwelt-Consult e.V., Leipzig (Germany)

    2000-09-01

    Soils in 29 allotments were analyzed systematically with a view to the following aspects: Concentration ratios of the 16 components analyzed. Occurrence and classification of so-called PAH patterns. Interdependences between PAH patterns and soil features. PAH concentrations and soil-immanent buffer characteristics (humus concentration, pH, clay concentration, sesquioxide concentrations, exchange capacity). [German] Die vorliegende Arbeit konzentriert sich auf die Untersuchung der PAK-Belastung kleingaertnerisch genutzter Boeden. Die hier vorgestellten Ergebnisse resultieren aus Probjekten von Umwelt-Consult e.V. aus den Jahren 1995 bis 1997 im Auftrag der Stadt Leipzig und dem unter fachlicher Begleitung des Referates Geochemie der Abt. Boden/Geochemie vom LfUG gefoerderten Forschungsvorhaben 'Untersuchungen zum Gefaehrdungspotential polycyclischer aromatischer Kohlenwasserstoffe (PAK) in Boeden der Stadt Leipzig'. Hierbei wurden systematisch Boeden in 29 Kleingartenanlagen untersucht. Folgende Fragestellungen sollten beantwortet werden: Stehen die PAK-Konzentrationen der 16 analysierten Einzelkomponenten in bestimmten Groessenverhaeltnissen zueinander? Sind sogenannte PAK-Muster zu erkennen und lassen sich diese klassifizieren? Welche Beziehungen gibt es zwischen PAK-Mustern und Bodenmerkmalen? Korrespondieren die PAK-Konzentrationen (Gesamt-PAK, Einzelkomponenten) im Boden und deren bodenhorizont-bezogene Abfolge mit der Auspraegung bodenimmanenter Puffermerkmale (Humusgehalt, pH-Wert, Tongehalt, Gehalt an Sesquioxiden, Austauschkapazitaet)? (orig.)

  12. Prof. Dr. rer. nat. habil. Günter Hoppe zum 85. Geburtstag

    Directory of Open Access Journals (Sweden)

    H.-J. Bautsch

    2004-01-01

    Full Text Available Die ersten Kontakte mit dem Museum für Naturkunde hatte Günter Hoppe bereits vor über fünfundfünfzig Jahren. Er besuchte Paul Ramdohr, der damals noch, bis zu seiner Berufung im April 1950 nach Heidelberg, Direktor des Mineralogisch-Petrographischen Institutes und Museums war. Zu dieser Zeit was Günter Hoppe Student an der Universität Halle und mit seiner Abschlussarbeit beschäftigt. Sein Lehrer in Halle war Ferdinand von Wolff, noch im hohen Alter Direktor des Mineralogisch-Petrographischen Institutes. Begonnen hatte Günter Hoppe 1938 ein Studium der Chemie in Halle, das durch die Einberufung zum Militärdienst unterbrochen werden musste. Nach Rückkehr aus dem Krieg nahm er mit Beginn des Studienbetriebes an der Universität Halle 1946 sein Studium wieder auf, jetzt aber in der Mineralogie, wohl angeregt durch eine Praktikumstätigkeit in einem Bergbaubetrieb. doi:10.1002/mmng.20040070111

  13. Von der Pionierarbeit zum Nachschlagewerk From Pioneering Work to Reference Work

    Directory of Open Access Journals (Sweden)

    Sylvia Mieszkowski

    2006-11-01

    Full Text Available 1995 erschien der von Hadumod Bußmann und Renate Hof herausgegebene Sammelband Genus. Zur Geschlechterdifferenz in den Kulturwissenschaften. Zum 10jährigen Jubiläum haben sich die beiden Herausgeberinnen noch einmal mit dem Kröner Verlag zusammengetan, haben teils dieselben, teils neue Autorinnen um sich geschart und Genus einen neuen Auftritt verschafft. Der aktuelle Untertitel benennt die Erweiterung, die statt einer bloßen Aktualisierung des ersten Bandes vorgenommen wurde: Geschlechterforschung/Gender Studies in den Kultur- und Sozialwissenschaften. Ein Handbuch.The collected volume Genus. On Gender Difference in Cultural Studies (Genus. Zur Geschlechterdifferenz in den Kulturwissenschaften, edited by Hadumod Bußmann and Renate Hof, was published in 1995. In honor of ten years of publication both editors came together with the publishing house Kröner Verlag once again, bringing with them some of the same as well as some new authors, in order to provide Genus a renewed appearance on the academic stage. Instead of merely revising the original volume, the editors planned its expansion. The subtitle points to the result: Gender Studies in Culture and Social Studies. A Handbook (Geschlechterforschung/Gender Studies in den Kultur- und Sozialwissenschaften. Ein Handbuch.

  14. Akupunktur bei Sterilität und zum Schwangerschaftserhalt: Eine Übersicht mit Forschungsidee

    Directory of Open Access Journals (Sweden)

    Ots T

    2010-01-01

    Full Text Available Die Unterstützung der weiblichen Fertilität und der Schwangerschaft mittels Akupunktur hat während der vergangenen Dekade viele Anhänger gefunden. Dieser Artikel gibt eine Übersicht über die hierzu veröffentlichten wichtigsten Studien. Die Wirkung der Akupunktur wird als effektiv und effizient beschrieben. In einem zweiten Ansatz stellt der Autor eine vereinfachte Form der Akupunktur auf dem Boden der Segment-Anatomie vor. Dieser kuti-viszeralen, segmentalen Reizung der gynäkologischen Organe könnte innerhalb der gynäkologischen Praxis große Bedeutung zukommen, da sie leicht erlernbar (innerhalb eines Tages und einfach durchführbar ist. Die Zielvorstellung ist ein integratives Vorgehen in der Hand der Gynäkologen. Vorbereitend hierzu ist eine multizentrische randomisierte kontrollierte Studie notwendig, die diese beiden Ansätze innerhalb der Akupunktur als Komplement zum gynäkologischen Procedere der IVF untersucht.

  15. Akupunktur bei Sterilität und zum Schwangerschaftserhalt: Eine Übersicht mit Forschungsidee

    Directory of Open Access Journals (Sweden)

    Ots T

    2011-01-01

    Full Text Available Die Unterstützung der weiblichen Fertilität und der Schwangerschaft mittels Akupunktur hat während der vergangenen Dekade viele Anhänger gefunden. Dieser Artikel gibt eine Übersicht über die hierzu veröffentlichten wichtigsten Studien. Die Wirkung der Akupunktur wird als effektiv und effizient beschrieben. In einem zweiten Ansatz stellt der Autor eine vereinfachte Form der Akupunktur auf dem Boden der Segment-Anatomie vor. Dieser kuti-viszeralen, segmentalen Reizung der gynäkologischen Organe könnte innerhalb der gynäkologischen Praxis große Bedeutung zukommen, da sie leicht erlernbar (innerhalb eines Tages und einfach durchführbar ist. Die Zielvorstellung ist ein integratives Vorgehen in der Hand der Gynäkologen. Vorbereitend hierzu ist eine multizentrische randomisierte kontrollierte Studie notwendig, die diese beiden Ansätze innerhalb der Akupunktur als Komplement zum gynäkologischen Prozedere der IVF untersucht.

  16. ACCURACY OF SPIRAL CT RENAL ANGIOGRAPHY OVER CONVENTIONAL ANGIOGRAPHY IN LIVING RENAL DONORS

    Directory of Open Access Journals (Sweden)

    Malle Vijaya Kumar

    2016-10-01

    Full Text Available BACKGROUND Potential donors for renal transplantation undergo an exhaustive pretty operative examination including medical assessment, laboratory testing and radiological imaging. The goal of imaging in these subjects is to delineate the kidneys and their vascular anatomy to determine if the subject is a suitable donor nephrectomy candidate and if so to assess which kidney maybe technically easier to transplant. This traditional imaging workup has consisted of two examinations, the IV Urogram (IVU and renal arteriography. MATERIALS AND METHODS Totally 18 healthy adults who were potential renal donors were taken for spiral CT angiography. The study was conducted in Viswabharathi Medical College, Penchikalapadu, Kurnool, Andhra Pradesh, between May 2015 and May 2016. RESULTS In the present study, supernumerary renal arteries were present in 7 cases (38.8% and consisted of one artery in 4 cases (11.1% two arteries in 3 cases (16.6%. Early branching of the main renal artery was seen in one case (2.7% venous anomaly in the form of retroaortic renal vein. Nonvascular abnormality noted in one case in the form of simple renal cyst in right upper pole (2.7%. Overall, CTA sensitivity, specificity and accuracy are 100%. In one case, axial sections could not find early branching, however, it was depicted in MIPS. CONCLUSION It is superior to conventional angiography in demonstrating accessory renal artery when it is arising from aorta immediately behind the main renal artery in anteroposterior direction and incidental findings like aortic calcifications, renal vein anomalies and renal cysts.

  17. DIAGNOSTIC ACCURACY OF MAGNETIC RESONANCE ANGIOGRAPHY FOR UNRUPTURED CEREBRAL ANEURYSMS IN CORRELATION WITH DIGITAL SUBTRACTION ANGIOGRAPHY

    Directory of Open Access Journals (Sweden)

    Aleksandra Aracki-Trenkić

    2015-09-01

    Full Text Available Intracranial aneurysm is a focal, abnormal dilation of an artery of the brain. Magnetic resonance angiography (MRA is a non-invasive technique for vascular imaging and is thus widely used for screening for intracranial vascular lesions. The aim of the study was to show the diagnostic accuracy of 3D Time-of-Flight (3D TOF MRA in the detection of unruptured cerebral aneurysms with the use of digital subtraction angiography (DSA as the gold standard. A total of 2.612 consecutive patients underwent 3DTOF MRA. It showed unruptured aneurysms in 94 (3.6% patients. They included 68 women and 26 men ranging in age from 29 to 76 years (mean, 52.5 years. Twenty-six of them, 20 women and 6 men, underwent DSA. The Mann-Whitney U test was used for the correlation of size. Fisher’s test was used for the correlation of location. The statistical level of significance was set at p0.05 of aneurysms between TOF MRA and DSA. MRA is an accurate and non-invasive method for diagnosis of unruptured intracranial aneurysms. The results of study show the compatibility of MRA findings, the location and the size of an aneurysm in comparison with the “gold standard” – cerebral DSA.

  18. When is rotational angiography superior to conventional single‐plane angiography for planning coronary angioplasty?

    Science.gov (United States)

    Taylor, Jane; Boutong, Sara; Brett, Sarah; Louis, Amal; Heppenstall, James; Morton, Allison C.; Gunn, Julian P.

    2015-01-01

    Objectives To investigate the value of rotational coronary angiography (RoCA) in the context of percutaneous coronary intervention (PCI) planning. Background As a diagnostic tool, RoCA is associated with decreased patient irradiation and contrast use compared with conventional coronary angiography (CA) and provides superior appreciation of three‐dimensional anatomy. However, its value in PCI remains unknown. Methods We studied stable coronary artery disease assessment and PCI planning by interventional cardiologists. Patients underwent either RoCA or conventional CA pre‐PCI for planning. These were compared with the referral CA (all conventional) in terms of quantitative lesion assessment and operator confidence. An independent panel reanalyzed all parameters. Results Six operators performed 127 procedures (60 RoCA, 60 conventional CA, and 7 crossed‐over) and assessed 212 lesions. RoCA was associated with a reduction in the number of lesions judged to involve a bifurcation (23 vs. 30 lesions, P RoCA improved confidence assessing lesion length (P = 0.01), percentage stenosis (P = 0.02), tortuosity (P RoCA augments quantitative lesion assessment, enhances confidence in the assessment of coronary artery disease and the precise details of the proposed procedure, but does not affect X‐ray dose, contrast agent volume, or procedure duration. © 2015 Wiley Periodicals, Inc. PMID:26012725

  19. Multidetector-Row CT Angiography of Cerebral Vasospasm after Aneurysmal Subarachnoid Hemorrhage: Comparison of Bone Subtraction and Standard CT Angiography with Digital Subtraction Angiography

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Hee; You, Jin Jong; Choi, Ho Cheol; Kim, Ji Eun [Dept. of Radiology, Gyeongsang National University Hospital, Jinju (Korea, Republic of); Choi, Dae Seob [Gyeongsang Institue of Health Science, Gyeongsang National University School of Medicine, Jinju (Korea, Republic of); Ryoo, Jae Wook [Dept. of Radiology, Samsung Seoul Hospital, Seoul (Korea, Republic of)

    2011-10-15

    To evaluate the usefulness of multidetector-row CT angiography (MDCTA) for the diagnosis of cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH) by comparison of digital subtraction angiography (DSA) and to compare the bone subtraction CT angiography (BS-CTA) and standard CT angiography (S-CTA). Thirty-three patients who were treated with intraarterial nimodipine infusion for the cerebral vasospasm after aneurysmal SAH were evaluated with MDCTA and DSA. BS-CTA images were reconstructed from the S-CTA and unenhanced CT source images. A total of 207 vascular segments were evaluated. A four-step scale for the degree of stenosis was applied for each segment. With DSA as the standard images, BS-CTA and S-CTA images were comparied. On DSA, 56 segments (27%) presented vasospasm. Concordance between the DSA and S-CTA and between DSA and BS-CTA were 94.7% and 82.1%, respectively. Overestimation for the degree of stenosis was shown in 37 segments on BS-CTA and in 8 segments on S-CTA, but underestimated segments were only shown on S-CTA (n = 4). MDCTA with standard technique seems to be a useful imaging tool for the evaluation of the cerebral vasospasm after aneurysmal SAH. However, BS-CTA is not needed because of additional radiation and overestimation of the degree of stenosis.

  20. Digital subtraction angiography in cerebral infarction

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Sin Young; Kim, Ji Hun; Suh, Hong Kil; Kim, Hyo Heon; Kwack, Eun Young; Lee, Il Seong [College of Medicine Hallym University, Seoul (Korea, Republic of)

    1995-01-15

    The usefulness and radiographic findings of the angiography in cerebral infarction are well known. We attempted to evaluate the angiographic causes, findings, and the usefulness of DSA in cerebral infarction. The authors reviewed retrospectively DSA images of 51 patients who were diagnosed as having cerebral infarction by brain CT and/or MRI and clinical settings. DSA was performed in all 51 patients, and in 3 patients, conventional angiogram was also done. Both carotid DSA images were obtained in AP, lateral, oblique projections, and one or both vertebral DSA images in AP and lateral. The authors reviewed the patient's charts for symptoms, operative findings and final diagnosis, and analysed DSA findings of cerebral atherosclerosis with focus on 6 major cerebral arteries. Among the 51 patients of cerebral infarction 43 patients (84.3%) had cerebral atherosclerosis, 1 dissecting aneurysm, 1 moyamoya disease and 6 negative in angiogram. DSA findings of cerebral atherosclerosis were multiple narrowing in 42 patients (97.7%), tortuosity in 22 (51.2%), dilatation in 14, occlusion in 12, avascular region in 8, collaterals in 7, ulcer in 6, and delayed washout of contrast media in 3. In cerebral atherosclerosis, internal carotid artery was involved in 37 patients (86.0%), middle cerebral artery in 29 (67.4%) posterior cerebral artery in 28, anterior cerebral artery in 26, vertebral artery in 22, and basilar artery in 15. Intracranial involvement of cerebral atherosclerosis (64.9%) was more common than extracranial involvement (16.2%). In cerebral infarction MRA may be the screening test, but for more precise evaluation of vascular abnormality and its extent, DSA should be considered.

  1. Stent sizing strategies in renal artery stenting: the comparison of conventional invasive renal angiography with renal computed tomographic angiography.

    Science.gov (United States)

    Kadziela, Jacek; Michalowska, Ilona; Pregowski, Jerzy; Janaszek-Sitkowska, Hanna; Lech, Katarzyna; Kabat, Marek; Staruch, Adam; Januszewicz, Andrzej; Witkowski, Adam

    2016-01-01

    Randomized trials comparing invasive treatment of renal artery stenosis with standard pharmacotherapy did not show substantial benefit from revascularization. One of the potential reasons for that may be suboptimal procedure technique. To compare renal stent sizing using two modalities: three-dimensional renal computed tomography angiography (CTA) versus conventional angiography. Forty patients (41 renal arteries), aged 65.1 ±8.5 years, who underwent renal artery stenting with preprocedural CTA performed within 6 months, were retrospectively analyzed. In CTA analysis, reference diameter (CTA-D) and lesion length (CTA_LL) were measured and proposed stent diameter and length were recorded. Similarly, angiographic reference diameter (ANGIO_D) and lesion length (ANGIO_LL) as well as proposed stent dimensions were obtained by visual estimation. The median CTA_D was 0.5 mm larger than the median ANGIO_D (p < 0.001). Also, the proposed stent diameter in CTA evaluation was 0.5 mm larger than that in angiography (p < 0.0001). The median CTA_LL was 1 mm longer than the ANGIO_LL (p = NS), with significant correlation of these variables (r = 0.66, p < 0.0001). The median proposed stent length with CTA was equal to that proposed with angiography. The median diameter of the implanted stent was 0.5 mm smaller than that proposed in CTA (p < 0.0005) and identical to that proposed in angiography. The median length of the actual stent was longer than that proposed in angiography (p = 0.0001). Renal CTA has potential advantages as a tool adjunctive to angiography in appropriate stent sizing. Careful evaluation of the available CTA scans may be beneficial and should be considered prior to the planned procedure.

  2. Uterine artery embolization angiography and fertility related aspects

    Directory of Open Access Journals (Sweden)

    Irina A. Horhoianu

    2016-05-01

    Full Text Available Purpose. Uterine artery embolization is a minimally invasive technique. It applies the principle of targeted anatomical structure devascularisation with utility in fibroid conservative therapy, including for future fertility preserving status. The objective of our paper represents a description and evaluation of angiography utility as a predictive method for fertility maintenance. Material and Methods. The angiography and ultrasound aspects obtained from a prospective study in which selected patients have undergone uterine artery embolization for fertility preservation are detailed. Results. The following angiography aspects have been detected: left- right shunt and utero-ovarian collaterals; these have been compared with the ultrasound aspects related to the fibroid evolution form a volumetric and Doppler ultrasound point of view. The angiographical description predicts the impact on post embolization fibroid evolution and upon fertility. An analysis is made in order to assess the way in which angiography can contribute to fertility alteration. Conclusions. The angiography aspects during embolization and the following ultrasound aspects can represent predictive factors as to fertility evolution after uterine artery embolization.

  3. [Mask anesthesia for cerebral angiography in childhood moyamoya disease].

    Science.gov (United States)

    Touho, Hajime; Ueki, Hiroshi; Hayashi, Takeshi; Hara, Yasufumi; Hara, Tomoko; Hosoi, Satoshi

    2006-01-01

    Cerebral angiography is performed for diagnosis and management of moyamoya disease and in childhood moyamoya disease is usually carried out under general anesthesia after tracheal intubation. Mechanical irritation to trachea resulting in pain,cough,and increase in secretion after termination of the general anesthesia sometimes occurs and it sometimes causes hyperventilation resulting in hypocapnea. Continuous hypocapnea sometimes causes appearance of ischemic attacks in moyamoya disease. In the present study, we examine cerebral angiography conducted under general anesthesia using face mask ventilation in fourteen children with moyamoya disease. Sevoflurane was used as inhalation anesthetics. Face mask anesthesia was sixteen times in total in the 14 patients. Cerebral angiography terminated uneventfully in these patients except one patient who showed bronchospasm after induction of anesthesia and required tracheal intubation. However, the patient showed uneventful course after termination of the angiography. Tracheal irritation did not appear and all the patients were asleep just after termination of face mask anesthesia except for the patient who required tracheal intubation. In the latter case, the patient frequently coughed out phlegm after general anesthesia with tracheal intubation. In conclusion, general anesthesia with face mask ventilation was thought to be one of the suitable anesthetic methods introduced for cerebral angiography in childhood moyamoya disease.

  4. Transient Global Amnesia following Neural and Cardiac Angiography May Be Related to Ischemia

    Directory of Open Access Journals (Sweden)

    Hongzhou Duan

    2016-01-01

    Full Text Available Introduction. Transient global amnesia (TGA following angiography is rare, and the pathogenesis has not been illustrated clearly till now. The aim of this research is to explore the pathogenesis of TGA following angiography by analyzing our data and reviewing the literature. Methods. We retrospectively studied 20836 cases with angiography in our hospital between 2007 and 2015 and found 9 cases with TGA following angiography. The data of these 9 cases were analyzed. Results. We found all 9 cases with TGA following neural angiography (5 in 4360 or cardiac angiography (4 in 8817 and no case with TGA following peripheral angiography (0 in 7659. Statistical difference was found when comparing the neural and cardiac angiography group with peripheral group (p=0.022. Two cases with TGA were confirmed with small acute infarctions in hippocampus after angiography. This might be related to the microemboli which were rushed into vertebral artery following blood flow during neural angiography or cardiac angiography. There was no statistical difference when comparing the different approaches for angiography (p=0.82 and different contrast agents (p=0.619. Conclusion. Based on the positive findings of imaging study and our analysis, we speculate that ischemia in the medial temporal lobe with the involvement of the hippocampus might be an important reason of TGA following angiography.

  5. CT angiography versus intraarterial DSA in abdominal aortic aneurysms; CT-Angiographie versus intraarterielle DSA bei Bauchaortenaneurysmen

    Energy Technology Data Exchange (ETDEWEB)

    Rieker, O. [Klinik fuer Radiologie, Johannes-Gutenberg-Universitaet, Mainz (Germany); Dueber, C. [Klinik fuer Radiologie, Johannes-Gutenberg-Universitaet, Mainz (Germany); Schmiedt, W. [Klinik fuer Herz-, Thorax- und Gefaesschirurgie, Johannes-Gutenberg-Universitaet, Mainz (Germany); Neufang, A. [Klinik fuer Herz-, Thorax- und Gefaesschirurgie, Johannes-Gutenberg-Universitaet, Mainz (Germany); Pittow, M. [Klinik fuer Radiologie, Johannes-Gutenberg-Universitaet, Mainz (Germany); Schweden, F. [Klinik fuer Radiologie, Johannes-Gutenberg-Universitaet, Mainz (Germany)

    1996-07-01

    To evaluate if CT angiography is able to image all features necessary for the preoperative planning of abdominal aortic aneurysms (accessory renal arteries, stenoses or occlusions of renal and iliac arteries, patency of inferior mesentric artery). CT angiography and DSA were performed on 27 patients with abdominal aortic aneurysms. CT angiography was performed using a protocol that covered the abdominal aorta and the pelvic arteries with a single spiral acquisition (contrast dose: 150 ml, collimation: 5 mm, table feed: 7.5 mm/s, increment of reconstruction: 2 mm). Maximum intensity projections (MIP) and axial scans were compared with the results of intraarterial DSA. Using axial scans and subvolume MIP, CTA accurately defined 7/8 accessory renal arteries, 13/13 occlusions and 9/12 high grade stenoses of renal and pelvic arteries. High-grade stenoses of the iliac arteries were underestimated in two cases and overlooked in one case. CT angiography was superior to DSA in imaging the inferior mesenteric artery. CT angiography precisely diagnosed 33 aneurysms of the iliac, renal and coeliac arteries. CT angiography using a single administration of intravenous contrast may replace preoperative DSA in most cases of abdominal aortic aneurysm. (orig.) [Deutsch] Ziel dieser Studie war es zu pruefen, ob mit der CT-Angiographie die fuer die praeoperative Planung von Bauchaortenaneurysmen relevanten Gefaessveraenderungen darstelbar sind (Akzessorische Nierenarterien, Nierenarterienstenosen, A. mesenterica inferior, Beckenarterien). Die CT-Angiographien wurden mit einem Protokoll durchgefuehrt, das die Bauchaorta und die Beckenarterien bis zur Leiste mit einer einzigen Spiralakquisition erfasst (150 ml Kontrastmittel, Kollimation: 5 mm, Tischvorschub: 7,5 mm/s, Rekonstruktionsintervall: 2 mm). Die Befunde aus Maximum-Intensitaets-Projektionen (MIP) und den axialen Schnittbildern wurden mit den Befunden der intraarteriellen DSA bei 27 Patienten verglichen. Bei Hinzuziehung von

  6. Benchmarking for municipalities; Energiekennzahlen fuer Kommunen. Das 3-Liter-Rathaus: Von der Verbrauchserfassung zum Energiemanagement. Energiekennzahlen, Energiemanagement, Erfolge

    Energy Technology Data Exchange (ETDEWEB)

    Huebner, A.; Krosigk, D. v. [GERTEC GmbH Ingenieurgesellschaft, Essen (Germany)

    2000-09-01

    This is a guide for energy management of communal buildings: Selection, acquisition and evaluation of relevant data, analysis of energy characteristics on the basis of comparative and rated values for different groups of buildings, improved controlling, preconditions for successful building management and development of a building management system with a view to energy conservation and cost reduction. Concrete examples are presented and explained. [German] Dieser Leitfaden gibt Kommunen fundierte Anleitungen zum Energiemanagement ihrer Liegenschaften in die Hand: Auswahl, Beschaffung und Auswertung relevanter Daten, Beurteilung von Energiekennzahlen anhand von Vergleichs- und Zielwerten fuer unterschiedliche Gebaeudegruppen, Verbesserung des Controlling, Voraussetzungenfuer und Aufbau eines funktionierenden Gebaeudemanagements hinsichtlich Energieeinsparung und Kostensenkung. Konkrete Beispiele werden dargestellt und erlaeutert.

  7. Multidetector CT angiography of renal vasculature: normal anatomy and variants

    Energy Technology Data Exchange (ETDEWEB)

    Tuerkvatan, Aysel; Oezdemir, Mustafa; Cumhur, Turhan; Oelcer, Tuelay [Tuerkiye Yueksek ihtisas Hospital, Department of Radiology, Sihhiye, Ankara (Turkey)

    2009-01-15

    Knowledge of the variations in renal vascular anatomy is important before laparoscopic donor or partial nephrectomy and vascular reconstruction for renal artery stenosis or abdominal aortic aneurysm. Recently, multidetector computed tomographic (MDCT) angiography has become a principal imaging investigation for assessment of the renal vasculature and has challenged the role of conventional angiography. It is an excellent imaging technique because it is a fast and non-invasive tool that provides highly accurate and detailed evaluation of normal renal vascular anatomy and variants. The number, size and course of the renal arteries and veins are easily identified by MDCT angiography. The purpose of this pictorial essay is to illustrate MDCT angiographic appearance of normal anatomy and common variants of the renal vasculature. (orig.)

  8. Positive predictive value of computed tomography coronary angiography in clinical practice

    NARCIS (Netherlands)

    Groothuis, J.G.J.; Beek, A.M.; Meijerink, M.R.; Brinckman, S.L.; Heijmans, M.W.; van Kuijk, C.; van Rossum, A.C.

    2012-01-01

    Background: Several studies have investigated the diagnostic performance of computed tomography coronary angiography (CTCA) for the detection of significant coronary artery disease (CAD). These studies were performed in patients that were already referred for invasive coronary angiography (ICA) and

  9. Diagnosing coronary artery disease after a positive coronary computed tomography angiography

    DEFF Research Database (Denmark)

    Nissen, L; Winther, S; Westra, J

    2018-01-01

    Aims: Perfusion scans after coronary computed tomography angiography (CCTA) in patients with suspected coronary artery disease (CAD) may reduce unnecessary invasive coronary angiographies (ICAs). However, the diagnostic accuracy of perfusion scans after primary CCTA is unknown. The aim...

  10. MR angiography as a screening tool for intracranial aneurysms: feasibility, test characteristics, and interobserver agreement

    NARCIS (Netherlands)

    Raaymakers, T. W.; Buys, P. C.; Verbeeten, B.; Ramos, L. M.; Witkamp, T. D.; Hulsmans, F. J.; Mali, W. P.; Algra, A.; Bonsel, G. J.; Bossuyt, P. M.; Vonk, C. M.; Buskens, E.; Limburg, M.; van Gijn, J.; Gorissen, A.; Greebe, P.; Albrecht, K. W.; Tulleken, C. A.; Rinkel, G. J.

    1999-01-01

    OBJECTIVE: MR angiography may be an appropriate tool to screen for unruptured intracranial aneurysms. Feasibility, test characteristics, and interobserver agreement in evaluation of MR angiograms were assessed by members of the MARS (Magnetic resonance Angiography in Relatives of patients with

  11. Optimization of Ecg Gating in Quantitative Femoral Angiography

    Energy Technology Data Exchange (ETDEWEB)

    Nilsson, S.; Berglund, I.; Erikson, U. [Univ. Hospital, Uppsala (Sweden). Dept. of Oncology, Radiology and Clinical Immunology; Johansson, J.; Walldius, G. [Karolinska Hospital, Stockholm (Sweden). King Gustav V Research Inst.

    2003-09-01

    Purpose: To determine which phase of the heart cycle would yield the highest reproducibility in measuring atherosclerosis-related variables such as arterial lumen volume and edge roughness. Material and Methods: 35 patients with hypercholesterolemia underwent select ive femoral angiography, repeated four times at 10-min intervals. The angiographies were performed with Ecg-gated exposures. In angiographies 1 and 2 the delay from R-wave maximum to each exposure was 0.1 s, in angiographies 3 and 4 the delay was 0.1, 0.3, 0.5 or 0.7 s or the exposures were performed 1/s without Ecg gating. Arterial lumen volume and edge roughness were measured in a 20-cm segment of the superficial femoral artery using a computer-based densitometric method. Measurement reproducibility was determined by comparing angiographies 1-2 and angiographies 3-4. Results: When measuring arterial lumen volume and edge roughness of a 20-cm segment of the femoral artery, reproducibility was not dependent on Ecg gating. In measuring single arterial diameters and cross-sectional areas, the reproducibility was better when exposures were made 0.1 s after the R-wave maximum than when using other settings of the Ecg gating device or without Ecg gating. Conclusion: The influence of pulsatile flow upon quantitative measurement in femoral angiograms seems to be the smallest possible in early systole, as can be demonstrated when measuring single diameters and cross-sectional areas. In variables based on integration over longer segments, measurement reproducibility seems to be independent of phase.

  12. Diabetic Macular Ischemia Diagnosis: Comparison between Optical Coherence Tomography Angiography and Fluorescein Angiography

    Directory of Open Access Journals (Sweden)

    Jose Mauricio Botto de Barros Garcia

    2016-01-01

    Full Text Available Purpose. To compare fluorescein angiography (FA and optical coherence tomography angiography (OCTA images of foveal avascular zone (FAZ in patients with diabetic retinopathy (DR with and without diabetic macular ischemia (DMI. Methods. The Wilcoxon signed-rank test was used to compare area measurements and p values of <0.05 were considered statistically significant. FA and OCTA images were independently graded by 2 observers that reached agreement regarding quantitative DMI according established protocols. The ischemic area was divided into “large” macular ischemia (superior to 0.32 mm2 and “small” (inferior to 0.32 mm2 groups. Quantitative analyses of the FAZ were performed using custom software. Results. Thirty-four eyes from 34 diabetic patients were enrolled. Subjects with DMI presented a mean area on FA and OCTA of 0.68 ± 0.53 mm2 and 0.58 ± 0.35 mm2, respectively (p=0.1374. Patients without DMI presented a mean area on FA and OCTA of 0.19 ± 0.67 mm2 and 0.20 ± 0.79 mm2, respectively (p=0.9594. The ICC for the FAZ measurements between the 2 observers on FA and OCTA was 0.96 and 0.92, respectively. Conclusion. OCTA represents a novel technique for the diagnosis of DMI and it may become an alternative to FA for this purpose.

  13. CT coronary angiography versus conventional invasive coronary angiography. The view of the referring physician

    Energy Technology Data Exchange (ETDEWEB)

    Maurer, Martin H. [Charite - Universitaetsmedizin Berlin (Germany). Dept. of Radiology; Universitaetsspital Bern (Switzerland). Dept. fuer Diagnostische, Interventionelle und Paediatrische Radiologie; Zimmermann, E.; Hamm, B. [Charite - Universitaetsmedizin Berlin (Germany). Dept. of Radiology; Dewey, M.

    2014-12-15

    Assessment of experience gained by local referring physicians with the procedure of coronary computed tomographic angiography (CCTA) in the everyday clinical routine. A 25-item questionnaire was sent to 179 physicians, who together had referred a total of 1986 patients for CCTA. They were asked about their experience to date with CCTA, the indications for coronary imaging, and their practice in referring patients for noninvasive CCTA or invasive catheter angiography. 53 questionnaires (30%) were assessable, corresponding to more than 72% of the patients referred. Of the referring physicians who responded, 94% saw a concrete advantage of CCTA in the treatment of patients, whereby 87% were 'satisfied' or 'very satisfied' with the reporting. For excluding coronary heart disease (CHD) where there was a low pre-test probability of disease, the physicians considered CCTA to be superior to conventional coronary diagnosis (4.2 on a scale of 1-5) and vice versa for acute coronary syndrome (1.6 of 5). The main reasons for unsuitability of CCTA for CT diagnosis were claustrophobia and the absence of a sinus rhythm. The level of exposure to radiation in CCTA was estimated correctly by only 42% of the referring physicians. 90% of the physicians reported that their patients evaluated their coronary CT overall as 'positive' or 'neutral', while 87% of the physicians whose patients had undergone both procedures reported that the patients had experienced CCTA as the less disagreeable of the two. CCTA is accepted by the referring physicians as an alternative imaging procedure for the exclusion of CHD and received a predominantly positive assessment from both the referring physicians and the patients.

  14. Intra-arterial digital angiography of the liver

    Energy Technology Data Exchange (ETDEWEB)

    Dalla Palma, L.; Stacul, F.; Maffessanti, M.; Pozzi-Mucelli, R.

    1983-08-01

    The authors report the preliminary results of the intraarterial digital angiography of the liver. A series of 30 patients were examined comparing conventional and digital technique following the injection of the coeliac, splenic, hepatic and mesenteric arteries. The results obtained with the digital technique have been of good quality and sometimes even better in spite of significant dilution of the contrast medium. It is concluded that intraarterial digital angiography of the liver gives some advantages compared with the conventional technique, that is the use of a much lower concentrated contrast medium, the better visualization of the portal branches and its collaterals and the very low cost of the film material.

  15. Digital subtraction angiography in head and neck radiology

    Energy Technology Data Exchange (ETDEWEB)

    Carmody, R.F.; Seeger, J.F.; Smith, R.L.; Horsley, W.W.; Miller, R.W.

    1984-07-01

    Intravenous digital subtraction angiography (IVDSA) was used to evaluate 44 patients with suspected otolaryngologic abnormalities. Sixteen had IVDSA for pulsatile tinnitus or suspected glomus tumor of the petrous bone. Nine patients were evaluated because of pulsatile neck masses, and 12 others had suspected tumors of the neck, face, and paranasal sinuses. Seven had IVDSA following head and neck trauma. The technique of examination is described. The current indications of IVDSA in head and neck radiology are discussed. It is concluded that IVDSA is a suitable substitute for conventional angiography for many otolaryngologic conditions and, because of its safety, can be used more liberally.

  16. Technical innovation: Multidimensional computerized software enabled subtraction computed tomographic angiography.

    Science.gov (United States)

    Bhatia, Mona; Rosset, Antoine; Platon, Alexandra; Didier, Dominique; Becker, Christoph D; Poletti, Pierre-Alexandre

    2010-01-01

    Computed tomographic angiography (CTA) is a frequent noninvasive alternative to digital subtraction angiography. We previously reported the development of a new subtraction software to overcome limitations of adjacent bone and calcification in CT angiographic subtraction. Our aim was to further develop and improve this fast and automated computerized software, universally available for free use and compatible with most CT scanners, thus enabling better delineation of vascular structures, artifact reduction, and shorter reading times with potential clinical benefits. This computer-based free software will be available as an open source in the next release of OsiriX at the Web site http://www.osirix-viewer.com.

  17. Diagnosis of echinococcosis of the liver by angiography

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, K.; Treugut, H.; Mahnke, B.; Barth, V.

    1980-07-01

    Twenty patients with Echinococcus cysticus and 15 with E. alveolaris were studied. Selective upper abdominal angiographies, performed in most of these cases, were reviewed retrospectively for typical angiographic changes. In a large percentage, E. cysticus demonstrated typical cystic and expansive signs; atypical vessels were rarely seen. How the 'rim sign' develops is demonstrated. Usual signs of E. alveolaris are incomplete solid and necrotic space occupying lesions, as seen also in malignancy. Although angiography offers a high diagnostic rate in hepatic manifestation of this parasitic disease, it has been superseded today by sonography and computer tomography. It is, however, still a valuable investigation in pre-operative work-up.

  18. Assessment of mesenteric vascular steno-occlusive lesion in acute mesenteric ischemia: comparison between CT angiography and digital subtraction angiography

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Sang Soo; Jeong, Yong Yeon; Yoon, Woong; Lim, Hyo Soon; Song, Sang Gook; Jang Nam Kyu; Kim, Jae Kyu; Kang, Heoung Keun [Chonnam National University, Gwangju (Korea, Republic of); Shen, Yu Lan [YanBian Canner Hospital, Peijing (China)

    2005-09-15

    Acute mesenteric ischemia (AMI) is one of the most dramatic abdominal emergencies. The most common cause of AMI is a thrombo-embolism of the mesenteric artery or vein. The aim of this study was to evaluate the feasibility of CT angiography for evaluating mesenteric vascular steno-occlusive lesion in AMI. Fifteen patients with clinically and angiographically proven AMI underwent a two-phase CT. The CT angiographic images were reconstructed using a 3D rendering algorithm, such as the maximum intensity projection and volume-rendering. All the CT angiographic images were reviewed with respect to stenosis or occlusion of mesenteric vessel by the consensus of two radiologists, and were correlated with the findings of digital subtraction angiography. Digital subtraction angiography (DSA) visualized 60 mesenteric vessels including the superior mesenteric artery (n=15) and vein (n=15), and the inferior mesenteric artery (n=15) and vein (n=15). DSA showed steno-occlusive lesions in 16 mesenteric vessels (13 superior mesenteric arteries, two superior mesenteric vein, and one inferior mesenteric artery). CT angiography detected steno-occlusive lesions in 16 mesenteric vessels (12 superior mesenteric arteries, one superior mesenteric vein, and three inferior mesenteric arteries). The sensitivity, specificity, and accuracy of CT angiography for evaluating mesenteric vascular steno-occlusive lesion were 87.5%, 95.4%, and 93.3%, respectively. CT angiography is an useful adjunct to abdominal CT in an AMI setting on account of its ability to detect the causes of AMI such as a steno-occlusive lesion of the mesenteric vessel.

  19. Unenhanced 3D turbo spin echo MR angiography of lower extremity arteries: comparison with 128-MDCT angiography.

    Science.gov (United States)

    Demirtaş, Hakan; Parpar, Tuna; Değirmenci, Bumin; Kara, Mustafa; Çelik, Ahmet Orhan; Umul, Ayşe; Kayan, Mustafa; Yılmaz, Ömer

    2016-12-01

    This study aimed to investigate the feasibility and diagnostic power of unenhanced 3D turbo spin echo MR angiography sequence (a technique based on subtraction of corresponding images acquired in diastole and systole, Syngo Native Space-Siemens healthcare) to identify peripheral artery disease (PAD). Thirty patients (619 arterial segments in total) suspected with PAD and who were assessed with lower extremity MDCT angiography were examined starting from the level of aortic bifurcation for both lower extremities by 3D native space MR angiography. Two readers assessed the image quality of native space MR angiography and number of lesions, their degrees of stenosis and localizations. The differences and compliance between the readers in the parameters assessed were investigated. Out of 619 segments; Reader 1 considered 187 segments (30.2 %) and Reader 2 considered 177 segments (28.6 %) to have poor and inadequate MR image quality. When compared to CTA, sensitivity, specificity and diagnostic accuracy of native space MR angiography were calculated as 81.0, 83.1, 82.6 %, respectively, by Reader 1, while the same parameters were calculated as 69.9, 92.6, 84.9 %, respectively, by Reader 2. When the two readers were examined together, sensitivity, specificity, diagnostic accuracy were found to be 76.3, 88.1, 83.7 %, respectively, and the positive predictive value and negative predictive value was 70.3 and 89.9 %, respectively. A significantly better image quality was acquired with the age group below 50 years (p = 0.002). Native space MR angiography technique can be used as the first-step imaging technique before contrast-enhanced examinations in young and middle age patients with suspected PAD and for patients with the risk of nephrogenic systemic fibrosis in chronic renal failure.

  20. Kino filmų titrai kaip kalbų mokymosi priemonė. Untertitel als Mittel zum Fremdsprachenerwerb

    Directory of Open Access Journals (Sweden)

    Alina Baravykaitė

    2007-01-01

    Full Text Available Das in den letzten Jahren spürbare Bestreben der litauischen Gesetzgeber, Untertitelung von Fernsehfilmen zwecks Fremdsprachenerwerb gesetzlich anzuordnen, löste eine Auseinandersetzung in der Öffentlichkeit aus, die sich in der Presse sowie im Internet widerspiegelt und als Anstoß zum vorliegenden Beitrag dient. Diese Arbeit stellt den Versuch dar, die Möglichkeiten und Grenzen der Untertitelung als eines Mittels zum Fremdsprachenerwerb zu untersuchen. Auf Grund der fehlenden wissenschaftlichen Forschungen in diesem Bereich sollen dabei empirische Betrachtungen und die vergleichende Textanalyse von Original und Übersetzung als Hilfe dienen. Auch wenn die Relevanz der Untertitelung für den Fremdsprachenerwerb nicht bestreitbar ist, ist sie aber zugleich nicht zu überschätzen: Durch die lediglich für diese Form der audiovisuellen Übersetzung charakteristischen Merkmale (kurze Einblendezeit, kondensierte Sprache und begrenzte Übertragungsmöglichkeiten von Realia-Begriffen, Phraseologismen, Intertextualismen, dem Wortspiel etc. bleiben dem Zuschauer oft sprachliche Stilmittel vorenthalten und der in allen Übersetzungsbereichen vorkommende unausweichliche Sinn- und Wirkungsverlust des Originals wird erheblich verstärkt. Anbetracht der erwähnten Aspekte und der häufigen fehlerhaften Übersetzungen sollen Untertitel nur als Hilfsmittel beim Fremdsprachenerwerb angewendet werden, wobei herkömmliche Lehr- und Lernstrategien von Fremdsprachen in den Vordergrund treten müssen.

  1. Firewall systems for protection of data communication in power stations; Firewall-Systeme zum Schutz der Datenkommunikation in Kraftwerken

    Energy Technology Data Exchange (ETDEWEB)

    Schoenfeld, P. [Siemens AG KWU (Germany)

    1998-12-31

    Networking of power plant computer systems is becoming increasingly common. Furthermore, instrumentation and control systems are being connected with general power plant networks to make process information available to administrative personnel. This increases the risk of accidental or intentional access from outside the system (e.g. by hackers). Firewall systems are used to prevent such outside access. A firewall is the sole gateway between two networks which are to be kept separate, and is used to filter and control access to the protected network. Cryptography and personal chip cards are also used to provide additional protection. (orig.) [Deutsch] Rechnersysteme im Kraftwerk werden heute mehr und mehr vernetzt. Auch werden Rechnersysteme zum Messen, Steuern und Regeln (sogenannte Instrumentation and Control Systems) mit allgemeinen Kraftwerksnetzen verbunden, um Prozessinformationen auch in der Verwaltung zugaenglich zu machen. Damit waechst die Gefahr von zufaelligen oder beabsichtigten Eingriffen von aussen (z.B. Hacker). Zum Schutz vor solchen Eingriffen von aussen werden sogenannte Firewall-Systeme eingesetzt. Ein Firewall ist der alleinige Uebergang zwischen zwei zu trennenden Netzen und dient zur Filterung und Kontrolle der Zugriffe auf ein zu schuetzendes Netz. Ergaenzende Schutzmassnahmen sind der Einsatz kryptographischer Verfahren, sowie persoenlicher Chipkarten. (orig.)

  2. The Performance of Noncontrast Magnetic Resonance Angiography in Detecting Renal Artery Stenosis as Compared With Contrast Enhanced Magnetic Resonance Angiography Using Conventional Angiography as a Reference.

    Science.gov (United States)

    Liang, Keng-Wei; Chen, Jhih-Wei; Huang, Hsin-Hui; Su, Chun-Hung; Tyan, Yeu-Sheng; Tsao, Teng-Fu

    The aims of this study were to evaluate the performance of noncontrast magnetic resonance angiography (NC MRA) for detecting renal artery stenosis (RAS) as compared with contrast-enhanced magnetic resonance angiography (CE MRA) and to evaluate the clinical feasibility, technical success rate, and performance of NC MRA for detecting RAS as compared with CE MRA. Thirty-six subjects who underwent NC MRA and/or CE MRA were enrolled. Feasibility, technical success rate, and image quality scores were compared. Diagnostic ability was calculated using conventional angiography as a reference. Noncontrast MRA had higher feasibility and technical success rates than CE MRA did (100% and 97.2% vs 83.3% and 90%, respectively). Noncontrast MRA yielded significantly better image quality in motion artifact (P = 0.016). The diagnostic ability for detecting RAS is without significant difference between NC MRA and CE MRA. Although NC MRA and CE MRA demonstrated comparable ability in diagnosing RAS, NC MRA achieved better technical success rates, feasibility, and image quality in motion artifacts than CE MRA did.

  3. OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY IN PATIENTS WITH RETINITIS PIGMENTOSA.

    Science.gov (United States)

    Alnawaiseh, Maged; Schubert, Friederike; Heiduschka, Peter; Eter, Nicole

    2017-10-24

    To evaluate the correlation between the flow density measured by optical coherence tomography angiography and functional parameters in patients with retinitis pigmentosa. Twenty eyes of 20 patients with retinitis pigmentosa and 21 eyes of 21 healthy subjects were prospectively included in this study. Optical coherence tomography angiography was performed using RTVue XR Avanti with AngioVue (Optovue Inc). The macula was imaged with a 6 × 6-mm scan, whereas for the optic nerve head a 4.5 × 4.5-mm scan was taken. Visual acuity, visual field parameters (mean deviation and visual field index), full-field electroretinography, and multifocal electroretinography were tested for correlation with flow density data. The flow density (whole en face) in the superficial/deep retinal OCT angiograms and in the optical coherence tomography angiography of the optic nerve head was significantly lower in the retinitis pigmentosa group when compared with the control group (P retinal OCT angiogram (fovea) correlated significantly with the visual acuity (rSpearman = -0.77, P retinitis pigmentosa show a decreased macular and optic nerve head perfusion compared with healthy subjects. The flow density measured using optical coherence tomography angiography correlated with subjective and objective functional parameters.

  4. Image rendering and processing of magnetic resonance angiography

    NARCIS (Netherlands)

    Van Ooijen, P.M.A.; Kuijpers, Th.J.A.; Boeve, W.J.; De Groot, J.C.; Oudkerk, M.

    2000-01-01

    New imaging sequences with increasing spatial and temporal resolution are introduced frequently in Magnetic Resonance Imaging (MRI) to perform noninvasive angiography both with and without contrast media for the enhancement of the vessels. These new sequences produce a growing amount of data to be

  5. Slovenian experience from diagnostic angiography to interventional radiology

    Directory of Open Access Journals (Sweden)

    Pavcnik Dusan

    2014-12-01

    Full Text Available Background. The purpose of writing this article is to document the important events and people in the first 50 years of diagnostic angiography and interventional radiology in Slovenia. During this period not only did the name of the institutions and departments change, but also its governance.

  6. [Evaluation of diabetic microangiopathy using optical coherence tomography angiography].

    Science.gov (United States)

    Czakó, Cecília; Sándor, Gábor László; Ecsedy, Mónika; Szepessy, Zsuzsanna; Borbándy, Ágnes; Resch, Miklós; Papp, András; Récsán, Zsuzsa; Horváth, Hajnalka; Nagy, Zoltán Zsolt; Kovács, Illés

    2018-02-01

    Optical coherence tomography angiography is a non-invasive imaging technique that is able to visualize the different retinal vascular layers using motion contrast to detect blood flow without intravenous dye injection. This method might help to assess microangiopathy in diabetic retinopathy during screening and follow-up. To quantify retinal microvasculature alterations in both eyes of diabetic patients in relation to systemic risk factors using optical coherence tomography angiography. Both eyes of 36 diabetic patients and 45 individuals without diabetes were examined. Duration of diabetes, insulin therapy, blood pressure, HbA 1c , dyslipidemia, axial length and the presence of diabetic retinopathy were recorded. Retinal vessel density was measured by optical coherence tomography angiography. The effect of risk factors on vessel density and between-eye asymmetry was assessed using multivariable regression analysis. Vessel density was significantly lower and between-eye difference was significantly higher in diabetic patients compared to controls (pdiabetes duration (pdiabetic retinopathy compared to control subjects (pdiabetes compared to healthy subjects. By using optical coherence tomography angiography, the detection of these microvascular alterations is possible before clinically detectable diabetic retinopathy and might serve as a useful tool in both screening and timing of treatment. Orv Hetil. 2018; 159(8): 320-326.

  7. Diagnosis of arterial sequestration using multidetector CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Yu Hong, E-mail: yuhong.2002@hotmail.com [Department of Radiology, Changzheng Hospital, Second Military Medical University, Shanghai, 200003 (China); Li Huimin, E-mail: lihuiminphd@163.com [Department of Radiology, Changzheng Hospital, Second Military Medical University, Shanghai, 200003 (China); Liu Shiyuan, E-mail: cjr.liushiyuan@vip.163.com [Department of Radiology, Changzheng Hospital, Second Military Medical University, Shanghai, 200003 (China); Xiao Xiangsheng, E-mail: cjr.xxsh@vip.163.com [Department of Radiology, Changzheng Hospital, Second Military Medical University, Shanghai, 200003 (China)

    2010-11-15

    Background: Arterial sequestration is a rare congenital disorder. The diagnostic evaluation of this condition using multidetector computerized tomography (MDCT) has not been described previously. The purpose of this study was to describe the characteristic features of this disorder and to assess the use of MDCT in visualizing the characteristic anatomic features. Methods: We retrospectively reviewed the records of seven patients with anomalous systemic blood supply to left lower lobe of the lung. All the patients had undergone MDCT angiography. To evaluate the lung parenchyma, bronchial branching pattern, and vascular anatomy, four series of images were systematically reconstructed as follows: contiguous transverse CT scans viewed at mediastinal and pulmonary window settings, oblique coronal and sagittal maximum intensity projections (MIP), multiplanar reconstruction (MPR), and three-dimensional volume-rendered images (VR) of airway and thoracic vascular structures. Results: All 7 cases had isolated and tortuous arterial anatomy from the descending thoracic aorta to the basal segment of the left lower lobe; however, variable distribution of branches was observed. Characteristic findings of anomalous systemic arterial (ASA) supply were distinct from those seen in other pulmonary sequestration syndromes and were well visualized by the use of noninvasive MDCT. Conclusion: Complex CT findings allow clear imaging of arterial sequestration and the ASA blood supply; MDCT angiography has demonstrated its value and accuracy in diagnosing this condition, obviating the use of digital subtraction angiography and magnetic resonance angiography for the diagnosis of arterial sequestration.

  8. MR imaging and MR angiography in popliteal artery entrapment syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Atilla, S.; Akpek, S.; Yuecel, C.; Tali, E.T.; Isik, S.; Ilgit, E.T. [Department of Radiology, Gazi University School of Medicine, Ankara (Turkey)

    1998-07-01

    Popliteal artery entrapment (PAE) syndrome is an uncommon congenital anomaly seen in young adults causing ischemic symptoms in the lower extremities. It is the result of various types of anomalous relationships between the popliteal artery and the neighboring muscular structures. The purpose of this study was to define the role of MR imaging combined with MR angiography in the diagnosis of PAE cases. Four cases with segmental occlusion and medial displacement of popliteal artery in digital subtraction angiography (DSA) examinations were diagnosed as PAE syndrome by MR imaging and MR angiography. The DSA and MRA images are compared. All of the cases showed various degrees of abnormal intercondylar insertion of the medial head of the gastrocnemius muscle. The MR images showed detailed anatomy of the region revealing the cause of the arterial entrapment. Subclassification of the cases were done and fat tissue filling the normal localization of the muscle was evaluated. The DSA and MRA images demonstrated the length and localization of the occluded segment and collateral vascular developments equally. It is concluded that angiographic evaluation alone in PAE syndrome might result in overlooking the underlying cause of the arterial occlusion, which in turn leads to unsuccessful therapy procedures such as balloon angioplasty. Magnetic resonance imaging combined with MR angiography demonstrates both the vascular anatomy and the variations in the muscular structures in the popliteal fossa successfully, and this combination seems to be the most effective way of evaluating young adults with ischemic symptoms suggesting PAE syndrome. (orig.) With 4 figs., 17 refs.

  9. Preoperative evaluation of live renal donors using multislice CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, J.E. [Department of Radiology, Southmead Hospital, Bristol (United Kingdom); Loveday, E.J. [Department of Radiology, Southmead Hospital, Bristol (United Kingdom)]. E-mail: eric.loveday@north-bristol.swest.nhs.uk; Archer, L.J. [Department of Radiology, Southmead Hospital, Bristol (United Kingdom); Lear, P. [Department of Surgery, Southmead Hospital, Bristol (United Kingdom); Thornton, M.J. [Department of Radiology, Southmead Hospital, Bristol (United Kingdom)

    2005-07-01

    AIM: To determine the accuracy of multidetector row CT renal angiography in the preoperative evaluation of live kidney donors, and to identify potential pitfalls when reporting. METHODS: Between July 1998 and June 2003, 74 consecutive live renal donors underwent contrast-enhanced multidetector row CT renal angiography before donor nephrectomy. The operative notes and radiological reports of all cases were reviewed retrospectively. Where a significant discrepancy was identified, the archived images were reviewed by two radiologists in the light of the intraoperative findings. RESULTS: A total of 12 discrepancies were identified in 11 of the 74 cases (15%). In the preoperative CT angiography reports, 4 accessory arteries, 6 early-branching renal arteries, 1 duplicated renal vein and 1 accessory ureter were not identified; 9 of these were evident on review, but were not detected at the time of reporting. In 3 cases (1 accessory artery, the duplicated renal vein and the accessory ureter), the anomaly was not visible on review of the CT angiographic data, even with the benefit of hindsight. Surgical feedback during the study period resulted in modifications to CT technique and improved performance. CONCLUSION: In the majority of cases, there was good correlation between preoperative CT renal angiography and operative findings. Most discrepancies were due either to an oversight by the reporting radiologist, or failure to fully appreciate the potential surgical significance of certain findings. Regular surgical feedback plays a valuable role in improving reporting accuracy and maintaining imaging standards.

  10. Fractional flow reserve versus angiography for guiding percutaneous coronary intervention

    DEFF Research Database (Denmark)

    Tonino, Pim A L; De Bruyne, Bernard; Pijls, Nico H J

    2009-01-01

    BACKGROUND: In patients with multivessel coronary artery disease who are undergoing percutaneous coronary intervention (PCI), coronary angiography is the standard method for guiding the placement of the stent. It is unclear whether routine measurement of fractional flow reserve (FFR; the ratio of...

  11. Mono-energy coronary angiography with a compact light source

    Science.gov (United States)

    Eggl, Elena; Mechlem, Korbinian; Braig, Eva; Kulpe, Stephanie; Dierolf, Martin; Günther, Benedikt; Achterhold, Klaus; Herzen, Julia; Gleich, Bernhard; Rummeny, Ernst; Noël, Peter B.; Pfeiffer, Franz; Muenzel, Daniela

    2017-03-01

    While conventional x-ray tube sources reliably provide high-power x-ray beams for everyday clinical practice, the broad spectra that are inherent to these sources compromise the diagnostic image quality. For a monochromatic x-ray source on the other hand, the x-ray energy can be adjusted to optimal conditions with respect to contrast and dose. However, large-scale synchrotron sources impose high spatial and financial demands, making them unsuitable for clinical practice. During the last decades, research has brought up compact synchrotron sources based on inverse Compton scattering, which deliver a highly brilliant, quasi-monochromatic, tunable x-ray beam, yet fitting into a standard laboratory. One application that could benefit from the invention of these sources in clinical practice is coronary angiography. Being an important and frequently applied diagnostic tool, a high number of complications in angiography, such as renal failure, allergic reaction, or hyperthyroidism, are caused by the large amount of iodine-based contrast agent that is required for achieving sufficient image contrast. Here we demonstrate monochromatic angiography of a porcine heart acquired at the MuCLS, the first compact synchrotron source. By means of a simulation, the CNR in a coronary angiography image achieved with the quasi-mono-energetic MuCLS spectrum is analyzed and compared to a conventional x-ray-tube spectrum. The results imply that the improved CNR achieved with a quasi-monochromatic spectrum can allow for a significant reduction of iodine contrast material.

  12. Atherosclerotic carotid plaque assessment with multidetector computed tomography angiography

    NARCIS (Netherlands)

    T.T. de Weert (Thomas)

    2009-01-01

    textabstractThis thesis evaluates the role of MDCT angiography in 1) the depiction of atherosclerotic disease and subsequent luminal stenosis in the arteries that supplies the brain with blood, and 2) the assessment of atherosclerotic plaque features that have been related to plaque vulnerability.

  13. Neurologic complications of cerebral angiography in childhood moyamoya syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, R.L.; Chavali, R.V.; Robson, C.D.; Barnes, P.D.; Burrows, P.E. [Department of Radiology, Children`s Hospital Medical Center, Boston, MA (United States); Eldredge, E.A. [Department of Anesthesia, Children`s Hospital Medical Center and Harvard Medical School, Boston, MA (United States); Scott, R.M. [Department of Neurosurgery, Children`s Hospital Medical Center and Harvard Medical School, Boston, MA (United States)

    1998-11-01

    Purpose. To determine the incidence of neurologic complications of cerebral angiography in children with moyamoya syndrome (MMS) as compared to children without MMS. Materials and methods. One-hundred-ninety consecutive cerebral angiograms obtained in 152 children were evaluated. Sixty of these angiograms were obtained in 40 children with MMS. Patients underwent neurologic evaluation prior to and after the procedure. For this study, a neurologic complication was defined as any new focal neurologic deficit or alteration in mental status occurring during the procedure or within the ensuing 24 hours. Results. There were 2 neurologic complications within 24 hours of angiography, one in the MMS group and one in the non-MMS group. One patient with MMS became mute following angiography. The symptom resolved within 12 hours. One patient without MMS being examined postoperatively for residual arteriovenous malformation developed intracranial hemorrhage requiring reexploration 12 hours after the angiogram. Using a two-tail Fisher`s exact test, there was no significant statistical difference in the ischemic (P = 0.3) or hemorrhagic (P = 1.0) complication rates between the group of patients with MMS and the non-MMS groups. Conclusion. The risk of a neurologic complication from cerebral angiography in children with MMS is low and not statistically different from the risk in children with other cerebrovascular disorders. (orig.) With 8 tabs., 37 refs.

  14. Conventional carotid cerebral angiography an 11 year review of 59 ...

    African Journals Online (AJOL)

    Aim: To study the angiographic pattern of intracranial diseases encountered in Enugu following conventional carotid angiography (CCA) over an 11 year period. Method/Materials: The case notes, indications, request forms, films and radiological reports of all patients who had CCA were compiled and analysed. Results: Fifty ...

  15. Kraftübertragungselement für einen Prüfstand zum Testen eines Lagers sowie Prüfstand

    OpenAIRE

    Bartschat, Arne

    2016-01-01

    Die Erfindung betrifft ein Kraftuebertragungselement (1) fuer einen Pruefstand zum Testen eines Lagers, beispielsweise eines Blattlagers einer Windkraftanlage, wobei das Kraftuebertragungselement (1) einen ersten Wurzelbereich (2) zur Verbindung mit einem Lager und einen zweiten Wurzelbereich (2) zur Verbindung mit einer Krafterzeugungsvorrichtung sowie einen die beiden Wurzelbereiche (2) verbindenden Mittelbereich aufweist. Dadurch, dass das Kraftuebertragungselement zumindest teilweise aus ...

  16. Non-enhanced MR angiography of renal arteries - Comparison with contrast-enhanced MR angiography

    Energy Technology Data Exchange (ETDEWEB)

    Angeretti, M. G.; Lumia, D.; Cani, A.; Barresi, M.; Cardim, L Nocchi; Piacentino, F.; Genovese, E. A.; Fugazzola, C. [Dept. of Radiology, Insubria Univ., Ospedale di Circolo e Fondazione Macchi, Varese (Italy)], e-mail: laranocchi@gmail.com; Maresca, A. M. [Dept. of Internal Medicine, Insubria Univ., Ospedale di Circolo e Fondazione Macchi, Varese (Italy); Novario, R. [Dept. of Medical Physics, Insubria Univ., Ospedale di Circolo e Fondazione Macchi, Varese (Italy)

    2013-09-15

    Background: The main causes of renal artery stenosis (RAS) are atherosclerosis and fibromuscular dysplasia. Despite contrast-enhanced magnetic resonance angiography (CE-MRA) being a safe and reliable method for diagnosis of RAS especially in young individuals, recently it has been possible to adopt innovative technologies that do not require paramagnetic contrast agents. Purpose: To assess the accuracy of steady-state free-precession (SSFP) non-contrast-enhanced magnetic resonance angiography (NC-MRA) by using a 1.5 T MR scanner for the detection of renal artery stenosis, in comparison with breath-hold CE-MRA as the reference standard. Material and Methods: Sixty-three patients (33 men, 30 women) with suspected renovascular hypertension (RVHT) were examined by a 1.5T MR scanner; NC-MRA with an electrocardiography (ECG)-gated SSFP sequence was performed in 58.7% (37/63) of patients; in 41.3% (26/63) of patients a respiratory trigger was used in addition to cardiac gating. CE-MRA, with a three-dimensional gradient echo (3D-GRE) T1-weighted sequence, was performed in all patients within the same session. Maximum intensity projection (MIP) image quality, number of renal arteries, and the presence of stenosis were assessed by two observers (independently for NC-MRA and together for CE-MRA). The agreement between NC-MRA and CE-MRA as well as the inter-observer reproducibility were calculated with Bland-Altman plots. Results: MIP image quality was considered better for NC-MRA. NC-MRA identified 143 of 144 (99.3%) arteries detected by CE-MRA (an accessory artery was not identified). Fourteen stenoses were detected by CE-MRA (11 atherosclerotic, 3 dysplastic) with four of 14 (28.5%) significant stenosis. Bland-Altman plot demonstrated an excellent concordance between NC-MRA and CE-MRA; particularly, the reader A evaluated correctly all investigated arteries, while over-estimation of two stenoses occurred for reader B. Regarding NC-MRA, inter-observer agreement was excellent

  17. Case Report of Bullous Pemphigoid following Fundus Fluorescein Angiography

    Directory of Open Access Journals (Sweden)

    Goktug Demirci

    2010-05-01

    Full Text Available Purpose: To report a first case of bullous pemphigoid (BP following intravenous fluorescein for fundus angiography. Clinical Features: A 70-year-old male patient was admitted to the intensive care unit with BP and sepsis. He reported a history of fundus fluorescein angiography with a pre-diagnosis of senile macular degeneration 2 months prior to presentation. At that time, fluorescein extravasated at the antecubital region. Following the procedure, pruritus and erythema began at the wrists bilaterally, and quickly spread to the entire body. The patient also reported a history of allergy to human albumin solution (Plamasteril®; Abbott 15 years before, during bypass surgery. On dermatologic examination, erythematous patches were present on the scalp, chest and anogenital region. Vesicles and bullous lesions were present on upper and lower extremities. On day 2 of hospitalization, tense bullae appeared on the upper and lower extremities. The patient was treated with oral methylprednisolone 48 mg (Prednol®; Mustafa Nevzat, topical clobetasol dipropionate 0.05% cream (Dermovate®; Glaxo SmithKline, and topical 4% urea lotion (Excipial Lipo®; Orva for presumptive bullous pemphigoid. Skin punch biopsy provided tissue for histopathology, direct immunofluorescence examination, and salt extraction, which were all consistent with BP. After 1 month, the patient was transferred to the intensive care unit with sepsis secondary to urinary tract infection; he died 2 weeks later from sepsis and cardiac failure. Conclusions: To our knowledge, this is the first reported case of BP following fundus fluorescein angiography in a patient with known human albumin solution allergy. Consideration should be made to avoid fluorescein angiography, change administration route, or premedicate with antihistamines in patients with known human albumin solution allergy. The association between fundus fluorescein angiography and BP should be further investigated.

  18. Assessment of left ventricular volumes by magnetic resonance in comparison with radionuclide angiography, contrast angiography and echocardiography

    DEFF Research Database (Denmark)

    Møgelvang, J; Stokholm, K H; Saunamäki, K

    1992-01-01

    The present study shows that for assessment of LVEF, MRI and the standard methods seem to provide information of similar value. For absolute volume measurements, MRI and RNA are superior to single plane angiography and 2 DE using the modified Simpson-rule. The time consuming transversal MRI method...... quality, which is crucial especially in dilated ventricles containing stagnant or slowly moving blood....

  19. Three dimensional CT angiography versus digital subtraction angiography in the detection of intracranial aneurysms in subarachnoid hemorrhage.

    Science.gov (United States)

    Prestigiacomo, Charles J; Sabit, Aria; He, Wenzhuan; Jethwa, Pinakin; Gandhi, Chirag; Russin, Jonathan

    2010-12-01

    Ruptured intracranial aneurysms are responsible for over 90% of cases of spontaneous subarachnoid hemorrhage (SAH). Conventional digital subtraction angiography (DSA) remains the gold standard for diagnosing the source of SAH. A prospective study is presented wherein SAH patients underwent three dimensional CT angiography (CTA) prior to DSA in order to assess the specificity and sensitivity of this non-invasive modality to detect aneurysms. 179 consecutive patients with spontaneous SAH presented over 36 months, as identified by screening CT and CTA. Patients with negative CTA findings underwent DSA within 24 h of presentation. All patients who were determined to have angiographically negative SAH underwent follow-up DSA 2 weeks later. Of the 179 patients screened by CTA, 13 (7%) were negative for aneurysms or other vascular lesions (arteriovenous malformation or dural fistula) on CTA and underwent DSA. No new lesions were identified on six vessel angiography, resulting in a 0% false negative rate (sensitivity 100%, predictive value 100%). MRI to rule out thrombosed aneurysms and repeat angiography at the 2 week follow-up were negative. Sensitivity and specificity were higher than previously reported, suggesting that CTA may be used as an initial screening tool in lieu of DSA. Further studies are necessary to determine if CTA can supplant DSA in ruling out all forms of vascular disease in idiopathic SAH.

  20. Unenhanced respiratory-navigated NATIVE® TrueFISP magnetic resonance angiography in the evaluation of renal arteries: Comparison with contrast-enhanced magnetic resonance angiography.

    Science.gov (United States)

    Değirmenci, B; Kara, M; Kıdır, V; İnal, S; Sezer, T; Umul, A; Orhan, H; Çelik, A O; Demirtaş, H; Yilmaz, Ö

    2017-02-01

    To compare unenhanced three-dimensional (3D) NATIVE® true fast imaging with steady-state precession (TrueFISP) magnetic resonance (MR) angiography with the more conventional MR angiography technique obtained after intravenous administration of a gadolinium chelate in the evaluation of renal arteries and their branches in patients with suspected renal artery stenosis. A total of 39 patients (25 men, 14 women) with a mean age of 51.4±17.5years (SD) (range: 10-82years) were included in the study. All patients with suspected renal artery stenosis underwent unenhanced 3D NATIVE® TrueFISP MR angiography and contrast-enhanced MR angiography. The two MR angiography methods were compared by two independent readers for image quality using a four-point scale, diagnostic performance and grading of renal artery stenosis on a total of 78 renal arteries. For both readers image quality of unenhanced 3D NATIVE® TrueFISP MR angiography (3.12 to 3.63) was greater than that of contrast-enhanced MR angiography (1.94 to 2.71) for renal artery ostium-trunk and the left renal artery segmental branches. The sensitivity of 3D NATIVE® TrueFISP MR angiography for the diagnosis of renal artery stenosis was 100% for both readers for the right renal artery and 66% and 80% for the left renal artery for reader 1 and reader 2, respectively. Agreement between 3D NATIVE® TrueFISP MR angiography and CE-MR angiography was 95% (74/78) for reader 1 and 92% (72/78) for reader 2. Unenhanced NATIVE® TrueFISP magnetic resonance angiography can play an additional role in the evaluation of renal arteries in patients with hypertension, especially in subjects at risk of nephrogenic systemic fibrosis. Copyright © 2016 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

  1. Cost-effectiveness of magnetic resonance angiography versus intra-arterial digital subtraction angiography to follow-up patients with coiled intracranial aneurysms

    NARCIS (Netherlands)

    Schaafsma, Joanna D.; Koffijberg, Hendrik; Buskens, Erik; Velthuis, Birgitta K.; van der Graaf, Yolanda; Rinkel, Gabriël J.E.

    Background and Purpose-: To follow up patients with coiled intracranial aneurysms, magnetic resonance angiography (MRA) is a promising noninvasive alternative to current standard intra-arterial digital subtraction angiography (IA-DSA). MRA test results do not always concord with those of IA-DSA, and

  2. Cost-Effectiveness of Magnetic Resonance Angiography Versus Intra-arterial Digital Subtraction Angiography to Follow-Up Patients With Coiled Intracranial Aneurysms

    NARCIS (Netherlands)

    Schaafsma, Joanna D.; Koffijberg, Hendrik; Buskens, Erik; Velthuis, Birgitta K.; van der Graaf, Yolanda; Rinkel, Gabriel J. E.

    Background and Purpose-To follow up patients with coiled intracranial aneurysms, magnetic resonance angiography (MRA) is a promising noninvasive alternative to current standard intra-arterial digital subtraction angiography (IA-DSA). MRA test results do not always concord with those of IA-DSA, and

  3. Evaluation of the lower limb vasculature before free fibula flap transfer. A prospective blinded comparison between magnetic resonance angiography and digital subtraction angiography

    NARCIS (Netherlands)

    Klein, Steven; Van Lienden, Krijn P; Van't Veer, Marcel; Smit, Jeroen M; Werker, Paul M N

    2013-01-01

    Introduction The aim of this study was to compare magnetic resonance angiography (MRA) with digital subtraction angiography (DSA) in the preoperative assessment of crural arteries and their skin perforators prior to free fibular transfer. Patients and methods Fifteen consecutive patients, scheduled

  4. Comparison of contrast-enhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism : a prospective study

    NARCIS (Netherlands)

    Oudkerk, M; van Beek, EJR; Wielopolski, P; van Ooijen, PMA; Brouwers-Kuyper, EMJ; Bongaerts, AHH; Berghout, A

    2002-01-01

    Background Diagnostic strategies for pulmonary embolism are complex and consist of non-invasive diagnostic tests done to avoid conventional pulmonary angiography as much as possible. We aimed to assess the diagnostic accuracy of magnetic resonance angiography (MRA) for the diagnosis of pulmonary

  5. Status seminar on BMBF-funded research projects in ecotoxicology. Proceedings; Statusseminar zum Foerderschwerpunkt `Oekotoxikologie` des BMBF. Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Kirchner, M. [ed.; Bauer, H. [ed.

    1995-07-01

    Research projects in the field of ecotoxicology are presented, with particular regard to aquatic and terrestrial ecotoxicology. The report covers pollutant effects on plancton and fish and pollutant monitoring in streams. The effects, distribution and mobility of PAH, PCB and other pollutants in soils and pollutant concentrations in microorganisms are gone into. (SR) [Deutsch] Vorgestellt werden die Forschungsvorhaben zum Thema Oekotoxikologie. Schwerpunkte hierbei sind die aquatische Oekotoxokologie und die terrestrische Oekotoxikologie. Berichtet wird ueber die Wirkung von Fremdstoffen auf Plankton und Fischen, sowie die Bewertung der Belastung von Fliessgewaessern.Ausserdem wird die Wirkung, Verteilung und die Mobilitaet von PAK, PCB und anderen Schadstoffen in Boeden dargestellt, sowie die Belastung von Mikroorganismen mit Schadstoffen. (SR)

  6. The Huguenot identity in 19th century music: The "Sechs Sprüche zum Kirchenjahr" by Felix Mendelssohn

    Directory of Open Access Journals (Sweden)

    Robert Weeda

    2012-01-01

    Full Text Available Hierdie artikel gaan oor die komponiste Felix Mendelssohn en Giacomo Meyerbeer. Meyerbeer die komponis van die opera Les Huguenots, en Mendelssohn, 'n Jood wat 'n "Calvinis" geword het. Meyerbeer vertel in die opera (1836, geanker aan die Lutherse melodie "'n Vaste Burg is onse God" die verhaal van die Bartolomeusnagmoorde. Mendelssohn, 'n bekeerling tot die sg Hugenote-religie, verwoord sy opregte geloof gedurende die jare 1843-1846 in die voortreflike musikaleuitdrukkings Sechs Sprüche zum Kirchenjahr (Ses Spreuke vir die Kerkjaar wat opgeneem is in die gereformeerde liturgie vir die Brandenburg gemeente. Op 'n bepaalde manier vertel albei komponiste ons iets van die Hugenote-identiteit in die negentiende-eeuse musiek.

  7. Der Weg zum Java-Profi Konzepte und Techniken für die professionelle Java-Entwicklung

    CERN Document Server

    Inden, Michael

    2015-01-01

    Sie haben bereits Einiges an Erfahrung mit Java und möchten Ihre Entwicklungstätigkeit nun professionalisieren? Oder sind Sie schon auf dem Weg zum Profi, benötigen aber ein Nachschlagewerk, das Ihnen die wichtigen Themen aus der Java-Welt kompakt und kompetent vermittelt? Dieses Buch bietet eine umfassende Einführung in die professionelle Entwicklung und vermittelt Ihnen das notwendige Wissen, um stabile und erweiterbare Softwaresysteme auf Java-SE-Basis zu bauen. Praxisnahe Beispiele helfen dabei, das Gelernte rasch umzusetzen. Neben der Praxis wird viel Wert auf das Verständnis zugrunde liegender Konzepte gelegt. Dabei kommen dem Autor Michael Inden seine umfangreichen Schulungs- und Entwicklererfahrungen zugute - und Ihnen als Leser damit ebenso. Diese Neuauflage wurde durchgehend überarbeitet, aktualisiert und erweitert. Natürlich darf das aktuelle Java 8 nicht fehlen. Verschiedene Kapitel sind Java 8 und seinen Neuerungen gewidmet. Dort wird ein fundierter Einstieg in die umfangreichen Erweit...

  8. Wie Deutschland zum Leitanbieter für Elektromobilität werden kann, acatech BEZIEHT POSITION

    Science.gov (United States)

    Rund drei Viertel der anthropogen bedingten CO2-Emissionen werden weltweit in Ballungsräumen verursacht, wovon ein guter Teil auf die kaum abschätzbare Zahl täglicher Personen- und Güterverkehre mit Nahdistanzen zurückzuführen ist. Der Verkehrssektor in Deutschland ist für ein Viertel des Endenergieverbrauchs verantwortlich und trägt mit einem knappen Fünftel der Emissionen in nicht unerheblichem Umfang zum Ausstoß von Treibhausgasen bei. Der Straßenverkehr macht innerhalb des Gesamtverkehrs mehr als zwei Drittel der Emissionen aus, europaweit sind es 80 Prozent. Hier wird langfristig sogar mit einer Verdopplung des Energieverbrauchs im Straßensektor gerechnet.

  9. Contrast-enhanced MR angiography of abdominal vessels: Is there still a role for angiography?

    Energy Technology Data Exchange (ETDEWEB)

    Vosshenrich, R.; Fischer, U. [Department of Radiology, Georg-August-Universitaet Goettingen (Germany)

    2002-01-01

    The purpose of this review article is to describe recent advantages in contrast-enhanced (CE) three-dimensional (3D) magnetic resonance angiography (MRA) in comparison with other vascular imaging techniques, and to discuss their current clinical applications for the imaging of abdominal vessels. Principles and technical considerations are presented and clinical applications are reviewed for different vascular diseases. In ruptured aortic aneurysms and acute dissections CT is the method of first choice. Contrast-enhanced 3D MRA can be well used for therapeutic planning and follow-up in patients with stable disease. A comprehensive MR examination including CE 3D MRA, MR urography and MR nephrogram has the potential to replace the conventional studies for the evaluation of renal vascular disease. It is an accurate method for imaging the origins of coeliac and superior mesenteric arteries, although the image resolution is too low for reliable assessment of the inferior mesenteric artery. Contrast-enhanced 3D MRA has emerged as the method of choice for studying the portal venous system in liver transplant recipients, in patients with portal hypertension and in cases with abdominal tumours for preoperative evaluation. Additional non-invasive flow measurements are useful in monitoring portal hypertension. The abdominal veins can be well imaged using unenhanced MR techniques. Imaging may be facilitated with intravascular contrast media. Contrast-enhanced 3D MRA can replace intra-arterial DSA for diagnosis, therapy planning and follow-up in patients with abdominal vascular disease. Catheter-based arteriography will still be used for interventional procedures such as percutaneous transluminal angioplasty, stent placement and embolisation. (orig.)

  10. Post-mortem computed tomography angiography: past, present and future.

    Science.gov (United States)

    Saunders, Sarah L; Morgan, Bruno; Raj, Vimal; Rutty, Guy N

    2011-09-01

    The role of imaging has been long established in forensic practice as an adjunct to the conventional autopsy. Recently with the development of MDCT, there has been a large international push towards the development of the so called "near virtual autopsy." Currently a large obstacle to the acceptance of "near virtual autopsies" is the failure of post-mortem imaging to yield detailed information about the coronary arteries. This is a major deficiency of post-mortem MDCT and MRI compared to conventional autopsy as standard clinical angiography relies on circulation. One possible way to overcome this is by the use of post-mortem MDCT angiography. This review paper considers the past, current and future advances in cadaver cardiac imaging which, if successful, will take radiological imaging one step closer to the widespread introduction of near virtual autopsies.

  11. Visualization of the superior opthalmic vein on carotid angiography

    Energy Technology Data Exchange (ETDEWEB)

    Servo, A.

    1982-05-01

    Visualization of the superior ophthalmic vein (SOV) on carotid angiography was investigated based on a prospective sample of 452 carotid angiograms performed during one year. The SOV with normal blood flow direction, from facial veins into the cavernous sinus (CS), was seen on 26% and with reversed flow direction in 7% of the angiograms. A hypothesis was suggested that the anatomical variations of the moddle cerebral (MCV) and uncal veins (UV) affected the visualization. When both the MCV and UV drained into the CS, the SOV was seen in 11% of 179 angiograms. If the MCV and UV bypassed the CS, the SOV was seen on 51% of 118 angiograms. The difference is significant. Intubation of the patient increased the visualization of the SOV with normal flow direction but did not affect the visualization of the SOV with reversed flow. No SOV with normal blood flow direction was seen on selective internal carotid angiography.

  12. The Artery of Percheron Infarction after Coronary Angiography

    Directory of Open Access Journals (Sweden)

    Haitham Mazek

    2016-01-01

    Full Text Available Coronary angiography is the golden choice for coronary artery disease evaluation and management. However, as with any invasive procedures, there is a risk of complications. We are reporting a case of 69-year-old male with past medical history of cardiac bypass surgery, CHF, hypertension, and hyperlipidemia who was admitted to the hospital to evaluate his chest pain. He had treadmill stress test that showed ischemic induced exercise. Patient underwent coronary angiography that showed proximal complete occlusion of the RCA with a patent graft. At the end of the procedure, the patient did not wake up and remained minimally responsive. An urgent brain MRI was ordered and showed infarctions consistent with an artery of Percheron infarction. Later, patient has improved slowly and was discharged home. We briefly here discuss this rare complication including the risk factor, clinical presentation, and the management.

  13. MR angiography of hemodialysis access fistula. Evaluation before PTA procedure

    Energy Technology Data Exchange (ETDEWEB)

    Morimoto, Atsuko; Yoshimura, Hirohide; Hosokawa, Chisa; Yoshida, Toshiko [Yodogawa Christian Hospital, Osaka (Japan)

    2000-08-01

    We evaluated the feasibility of MR angiography for hemodialysis fistula. Eleven patients with suspected stenosis or occlusion of an autogenous hemodialysis fistula in the forearm underwent MRA. MRA was obtained using both the 3D-PC method and 3D gadolinium contrast-enhanced (CE) method with a knee coil. The two methods were compared with DSA in seven patients. CE-MRA clearly demonstrated the entire dialysis fistula. However, signals of the stenotic area are effaced in PC-MRA. The diameter of the vessels evaluated in the CE-MRA was well correlated with angiography. CE-MRA demonstrated smaller collateral vessels more clearly than PC-MRA. CE-MRA provided useful information before the PTA procedure. (author)

  14. Whole-body magnetic resonance angiography; Ganzkoerper-MR-Angiografie

    Energy Technology Data Exchange (ETDEWEB)

    Kramer, Harald; Nikolaou, Konstantin [Klinikum der Univ. Muenchen, Grosshadern (Germany). Inst. fuer Klinische Radiologie; Reiser, Maximilian F. [Klinikum der Univ. Muenchen, Grosshadern (Germany). Inst. fuer Radiologische Diagnostik

    2009-09-15

    Cardiovascular diseases still rank number one in terms of morbidity and mortality statistics in the western industrialized world. The majority of these diseases are due to atherosclerotic vessel wall changes. Atherosclerosis gets symptomatic in an advanced stage where vessel wall changes are apparent. Thus an early diagnosis of this disease is desirable. Especially atherosclerosis but also most of the inflammatory vessel diseases are known as systemic in nature. Magnetic resonance angiography offers an excellent and ethically justifiable method for non invasive imaging of the entire arterial vasculature without ionizing radiation. DSA comparable imaging results can be achieved nowadays. Possibilities to perform a whole body MR angiography and concerning imaging protocols are very dependent on the configuration of the available MR scanner. (orig.)

  15. Towards the use of OCT angiography in clinical dermatology

    Science.gov (United States)

    Baran, Utku; Choi, Woo June; Wang, Ruikang K.

    2016-02-01

    Optical coherence tomography (OCT) is a popular imaging technique used in ophthalmology, and on the way to become clinically viable alternative in dermatology due to its capability of acquiring histopathology level images of in vivo tissue, noninvasively. In this study, we demonstrate the capabilities of OCT-based angiography (OMAG) in detecting high-resolution, volumetric structural and microvascular features of in vivo human skin with various conditions using a swept source OCT system that operates on a central wavelength of 1310 nm with an A-line rate of 100 kHz. OMAG images provide detailed in vivo visualization of microvasculature of abnormal human skin conditions from face, chest and belly. Moreover, the progress of wound healing on human skin from arm is monitored during longitudinal wound healing process. The presented results promise the clinical use of OCT angiography in treatment of prevalent cutaneous diseases within human skin, in vivo.

  16. National Synchrotron Light Source angiography personnel protection interlock

    Energy Technology Data Exchange (ETDEWEB)

    Gmuer, N.; Larson, R.; Thomlinson, W.

    1992-06-01

    This document has been written to describe the safety system operation at the NSLS X17B2 beamline Synchrotron Medical Research Facility (SMERF). The angiography exposure process involves scanning a patient up and down through dual fixed-position x-ray beams; exposure is controlled by opening and closing a fast-acting Safety Shutter mechanism at precise times in relation to the up and down motion of the scan chair. The fast-acting Safety Shutter mechanism is the primary radiation-stopping element protecting the patient while the chair is at rest and while it is reversing directions during the scan. Its fail-safe and fast operation is essential for the safety of the patient. Operation of X17B2 as a human subject angiography station necessitates the implementation of a personnel protection interlock system that, in conjunction with the Safety Shutters: permits safe access to the patient exposure area while the synchrotron radiation beam is illuminating the upstream dual energy monochromator; allows a patient to be imaged by the monochromatized beam under the supervision of a Responsible Physician, with scan chair motion and precision shutter actuation regulated by an angiography control computer, while providing a suitable number of safeguards against accidental radiation exposure; has different modes of operation to accommodate equipment set-up, test, and calibration; and patient exposure; and ensures the quick extinction of the beam if a potentially unsafe condition is detected. The interlock system which performs these safety functions is called the Angiography Personnel Protection Interlock (APPI). The APPI Document is organized such that the level of detail changes from a general overview to detailed engineering drawings of the hardware system.

  17. Mouse Hepatic Tumor Vascular Imaging by Experimental Selective Angiography.

    Directory of Open Access Journals (Sweden)

    Sang Kyum Kim

    Full Text Available Human hepatocellular carcinoma (HCC has unique vascular features, which require selective imaging of hepatic arterial perfusion and portal venous perfusion with vascular catheterization for sufficient evaluation. Unlike in humans, vessels in mice are too small to catheterize, and the importance of separately imaging the feeding vessels of tumors is frequently overlooked in hepatic tumor models. The purpose of this study was to perform selective latex angiography in several mouse liver tumor models and assess their suitability.In several ectopic (Lewis lung carcinoma, B16/F10 melanoma cell lines and spontaneous liver tumor (Albumin-Cre/MST1fl/fl/MST2fl/fl, Albumin-Cre/WW45fl/fl, and H-ras12V genetically modified mouse models, the heart left ventricle and/or main portal vein of mice was punctured, and latex dye was infused to achieve selective latex arteriography and/or portography.H-ras12V transgenic mice (a HCC and hepatic adenoma model developed multiple liver nodules that displayed three different perfusion patterns (portal venous or hepatic artery perfusion predominant, mixed perfusion, indicating intra-tumoral vascular heterogeneity. Selective latex angiography revealed that the Lewis lung carcinoma implant model and the Albumin-Cre/WW45fl/fl model reproduced conventional angiography findings of human HCC. Specifically, these mice developed tumors with abundant feeding arteries but no portal venous perfusion.Different hepatic tumor models showed different tumor vessel characteristics that influence the suitability of the model and that should be considered when designing translational experiments. Selective latex angiography applied to certain mouse tumor models (both ectopic and spontaneous closely simulated typical characteristics of human HCC vascular imaging.

  18. 3D-CT angiography. Intracranial arterial lesions

    Energy Technology Data Exchange (ETDEWEB)

    Asato, Mikio; Tong, X.Q.; Tamura, Shozo [Miyazaki Medical Coll., Kiyotake (Japan)] [and others

    1997-06-01

    Since its introduction, three dimensional CT angiography (3D-CTA) on spiral (helical) CT has played an important role in clinical imaging. Initially it was reported to be useful in depicting aortic abnormalities, afterwards the merit in detecting intracranial aneurysm by 3D-CTA was also described. We have investigated the usefullness of 3D-CTA in detecting patients of intracranial aneurysm as well as arterio-venous malformation (AVM), Moyamoya disease and stenosis of middle cerebral artery, meanwhile the MR angiography (MRA) and digital subtraction angiography (DSA) examination of these patients were also studied as comparison to the 3D-CTA results. The sensitivity and specificity on investigating intracranial aneurysm were similar with other reports so far. 3D-CTA was possible to identify the feeding artery, nidus and draining vein of AVM, although DSA showed higher detectability. Occlusion of internal carotid artery and post-operative anastomosis in Moyamoya disease were all demonstrated by 3D-CTA, however the Moyamoya collaterals were shown better on MRA. 3D-CTA revealed the site of stenosis of middle cerebral artery in all of our cases, but in general maximum intensity projection (MIP) images can provide more exact information about the degree of stenosis. Five years has passed since the emergence of spiral CT and utilizing of 3D-CTA in clinical applications. With the development of hard and soft ware in the near future, it is possible to delineate more small vessels by 3D-CTA. We predict that 3D-CTA would be widely used for detecting vasculature of the whole body, and may take the place of conventional angiography in many cases. (author)

  19. Waiting for coronary angiography: is there a clinically ordered queue?

    Science.gov (United States)

    Hemingway, H; Crook, A M; Feder, G; Dawson, J R; Timmis, A

    2000-03-18

    Among over 3000 patients undergoing coronary angiography in the absence of a formal queue-management system, we found that a-priori urgency scores were strongly associated with waiting times, prevalence of coronary-artery disease, rate of revascularisation, and mortality. These data challenge the widely held assumption that such waiting lists are not clinically ordered; however, the wide variation in waiting times within urgency categories suggests the need for further improvements in clinical queueing.

  20. Cardiac CT angiography for evaluation of acute chest pain.

    Science.gov (United States)

    Lee, Nam Ju; Litt, Harold

    2016-01-01

    Chest pain is the second most common emergency department (ED) presentation in the United States. Cardiac computed tomography angiography (CCTA) now plays an important role in the evaluation of patients with suspected acute coronary syndrome in the ED setting. In this article, we review the available techniques focused on the use of CCTA to evaluate patients fosr coronary atherosclerosis for timely triage of acute chest pain.

  1. VIDEO: Preoperative CT Angiography for Anterolateral Thigh Flap Reconstructions.

    Science.gov (United States)

    McConnell, Michael F; Garvey, Patrick B; Amini, Behrang; Haygood, Tamara Miner; Madewell, John E; Costelloe, Colleen M

    2017-03-01

    This video article will review the relevant vascular anatomy of the anterolateral thigh flap, describe the CT angiography (CTA) image acquisition, and describe how to report the locations of the perforating arteries along with characteristics that may be important to the surgeon. Our method of performing and reporting CTA for patients scheduled to undergo anterolateral thigh flap reconstruction provides a reproducible method of identifying perforating vessels and communicating their location to surgeons.

  2. Understanding the basic concepts of CO2 angiography

    Science.gov (United States)

    Zannoli, Romano; Bianchini, David; Rossi, Pier Luca; Caridi, James G.; Corazza, Ivan

    2016-11-01

    The diagnostic quality of carbon dioxide angiography depends both on optimal setting of radiological aspects (X-ray emission and image post-processing) and on the mechanical behavior of the injected gas bubbles. The gas behavior differs in large cavities (d > 12 mm), medium sized vessels (d > 6 mm), and small diameter vessels (d radiological image optimization algorithms, like Digital Subtraction Angiography (DSA) and stacking, must be applied. In this optimization process, the cultural and practical intervention of a medical physicist is fundamental. Obtaining a good quality CO2 angiogram is not only a matter of medical operator experience or radiological system performance, but involves matching a wide knowledge of medical physics to particular pathophysiological conditions and to unusual measurement tests. Most medical physicists are used to dealing mainly with radiological problems, and other physical aspects are considered beyond their interest. In CO2 angiography, non-radiological aspects strongly interfere with radiological issues and an optimal result can only be obtained by tackling the two simultaneously.

  3. Computed tomography angiography in patients with active gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Reis, Fatima Regina Silva; D' Ippolito, Giuseppe, E-mail: fatima.rsreis@gmail.com [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina; Cardia, P.P. [Hospital Vera Cruz, Campinas, SP (Brazil)

    2015-11-15

    Gastrointestinal bleeding represents a common medical emergency, with considerable morbidity and mortality rates, and a prompt diagnosis is essential for a better prognosis. In such a context, endoscopy is the main diagnostic tool; however, in cases where the gastrointestinal hemorrhage is massive, the exact bleeding site might go undetected. In addition, a trained professional is not always present to perform the procedure. In an emergency setting, optical colonoscopy presents limitations connected with the absence of bowel preparation, so most of the small bowel cannot be assessed. Scintigraphy cannot accurately demonstrate the anatomic location of the bleeding and is not available at emergency settings. The use of capsule endoscopy is inappropriate in the acute setting, particularly in the emergency department at night, and is a highly expensive method. Digital angiography, despite its high sensitivity, is invasive, presents catheterization-related risks, in addition to its low availability at emergency settings. On the other hand, computed tomography angiography is fast, widely available and minimally invasive, emerging as a promising method in the diagnostic algorithm of these patients, being capable of determining the location and cause of bleeding with high accuracy. Based on a critical literature review and on their own experience, the authors propose a computed tomography angiography protocol to assess the patient with gastrointestinal bleeding. (author)

  4. On the ultimate x-ray detector for angiography

    Science.gov (United States)

    Slump, Cornelis H.; Kauffman, Joost A.

    2005-04-01

    The purpose of our research is to describe the ultimate X-ray detector for angiography. Angiography is a well established X-ray imaging technique for the examination of blood vessels. Contrast agent is injected followed by X-ray exposures and possible obstructions in the blood vessels can be visualized. Standard angiography primarily inspects for possible occlusions and views the vessels as rigid pipes. However, due to the beating heart the flow in arteries is pulsatile. Healthy arteries are not rigid tubes but adapt to various pressure and flow conditions. Our interest is in the (small) response of the artery on the pulse flow. If the arteries responses elastically on the pulse flow, we can expect that it is still healthy. So the detection of artery diameter variations is of interest for the detection of atherosclerosis in an early stage. In this contribution we specify and test a model X-ray detector for its abilities to record the responses of arteries on pulsatile propagating flow distributions. Under normal physiological conditions vessels respond with a temporal increase in arterial internal cross-sectional area of order 10%. This pulse flow propagates along the arteries in response of the left ventricle ejections. We show results of the detection of simulated vessel distensabilities for the model detector and discuss salient parameters features.

  5. Multidetector CT angiography in the evaluation of acute mesenteric ischemia

    Energy Technology Data Exchange (ETDEWEB)

    Ofer, Amos; Abadi, Sobhi; Kogan, Igor; Leiderman, Maxim; Engel, Ahuva [Rambam Medical Center, Haifa (Israel); Nitecki, Samy; Karram, Tony [Rambam Medical Center, Vascular Surgery, Haifa (Israel); Shmulevsky, Pavel [Rambam Medical Center, Surgery B, Haifa (Israel); Israelit, Shlomi [Rambam Medical Center, Surgery C, Haifa (Israel)

    2009-01-15

    The aim of this study was to determine the accuracy of multidetector row CT angiography in the diagnosis of acute mesenteric ischemia. Ninety-three consecutive studies on 91 patients with clinically suspected acute mesenteric ischemia underwent abdominal CT angiography as the first, and usually the sole, diagnostic procedure. CT was performed with a multidetector 16-row CT system from the level of the diaphragm to the pelvis in two phases: early arterial and late portal phase. CT examinations were reviewed by the duty radiologist. Final diagnosis was established by a senior radiologist. CTA was diagnostic in 92 studies. Mesenteric ischemia was diagnosed in 18 patients, 14 of them were of the thromboembolic type and four from the nonocclusive type. Positive CTA findings were confirmed by surgery in 13 patients and by clinical follow-up in three cases. Other reasons for abdominal pain were diagnosed by CT in 38 patients out of the remaining 74. There were two false positive and two false negative CT results, resulting in an overall accuracy of 95.6%. Multidetector CT angiography is a fast and accurate investigation for the diagnosis of acute mesenteric ischemia and in most cases can be used as the sole diagnostic procedure. (orig.)

  6. CT Pulmonary Angiography and Suspected Acute Pulmonary Embolism

    Energy Technology Data Exchange (ETDEWEB)

    Enden, T.; Kloew, N.E. [Ullevaal Univ. Hospital, Oslo (Norway). Dept. of Cardiovascular Radiology

    2003-05-01

    Purpose: To evaluate the use and quality of CT pulmonary angiography in our department, and to relate the findings to clinical parameters and diagnoses. Material and Methods: A retrospective study of 324 consecutive patients referred to CT pulmonary angiography with clinically suspected pulmonary embolism (PE). From the medical records we registered clinical parameters, blood gases, D-dimer, risk factors and the results of other relevant imaging studies. Results: 55 patients (17%) had PE detected on CT. 39 had bilateral PE, and 8 patients had isolated peripheral PE. 87% of the examinations showing PE had satisfactory filling of contrast material including the segmental pulmonary arteries, and 60% of the subsegmental arteries. D-dimer test was performed in 209 patients, 85% were positive. A negative D-dimer ruled out PE detected at CT. Dyspnea and concurrent symptoms or detection of deep vein thrombosis (DVT), contraceptive pills and former venous thromboembolism (VTE) were associated with PE. The presence of only one clinical parameter indicated a negative PE diagnosis (p < 0.017), whereas two or more suggested a positive PE diagnosis (p < 0.002). CT also detected various ancillary findings such as consolidation, pleural effusion, nodule or tumor in nearly half of the patients; however, there was no association with the PE diagnosis. Conclusion: The quality of CT pulmonary angiography was satisfactory as a first-line imaging of PE. CT also showed additional pathology of importance in the chest. Our study confirmed that a negative D-dimer ruled out clinically suspected VTE.

  7. Acoustic Angiography: A New Imaging Modality for Assessing Microvasculature Architecture

    Directory of Open Access Journals (Sweden)

    Ryan C. Gessner

    2013-01-01

    Full Text Available The purpose of this paper is to provide the biomedical imaging community with details of a new high resolution contrast imaging approach referred to as “acoustic angiography.” Through the use of dual-frequency ultrasound transducer technology, images acquired with this approach possess both high resolution and a high contrast-to-tissue ratio, which enables the visualization of microvascular architecture without significant contribution from background tissues. Additionally, volumetric vessel-tissue integration can be visualized by using b-mode overlays acquired with the same probe. We present a brief technical overview of how the images are acquired, followed by several examples of images of both healthy and diseased tissue volumes. 3D images from alternate modalities often used in preclinical imaging, contrast-enhanced micro-CT and photoacoustics, are also included to provide a perspective on how acoustic angiography has qualitatively similar capabilities to these other techniques. These preliminary images provide visually compelling evidence to suggest that acoustic angiography may serve as a powerful new tool in preclinical and future clinical imaging.

  8. CT angiography and magnetic resonance angiography findings after surgical and interventional radiology treatment of peripheral arterial obstructive disease.

    Science.gov (United States)

    Anzidei, Michele; Lucatelli, Pierleone; Napoli, Alessandro; Jens, Sjoerd; Saba, Luca; Cartocci, Gaia; Sedati, Pietro; d'Adamo, Alessandro; Catalano, Carlo

    2015-01-01

    In the last years, technical innovations in the field of CT angiography (CTA) and magnetic resonance angiography (MRA) have allowed accurate and highly detailed evaluation of peripheral vascular pathologies. This has dramatically changed the diagnostic approach in treatment planning of peripheral arterial obstructive disease and also enabling early identification of treatment failure or treatment-related complications after surgical or endovascular procedures. Although Doppler Ultrasound is the first-line imaging modality during follow-up after treatment, its role is currently diminishing in importance mostly because of the proliferation of high-end CT and MR scanners capable of fast, reproducible, and highly reliable vascular imaging. The aim of this study is to review the various surgical and endovascular procedures for peripheral arterial obstructive disease and to provide CTA and MRA samples of common and uncommon complications related to treatment. Copyright © 2015 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

  9. The Role of Coronary Computed Tomography Angiography and Cardiac Magnetic Resonance in STEMI Patients with Normal Coronary Angiography

    Directory of Open Access Journals (Sweden)

    Beganu Elena

    2017-09-01

    Full Text Available Usually, the diagnosis of myocardial infarction based on patient symptoms, electrocardiogram (ECG changes, and cardiac enzymes, is not a challenge for cardiologists. The correlation between coronary anatomy and the ECG territories that present ischemic changes can help the clinician to estimate which coronary artery presents lesions upon performing a coronary angiogram. In certain situations, the diagnosis of myocardial infarction can be difficult due to the lack of correlations between the clinical and paraclinical examinations and the coronary angiogram. In some cases, patients with chest pain and ST-segment elevation on the ECG tracing present with a normal coronary angiography. In other cases, patients without important changes on the ECG can present critical lesions or even occlusions upon angiographic examination. The aim of this article is to highlight the role of noninvasive coronary magnetic resonance and multi-slice computed tomography in patients with ST-segment elevation myocardial infarction and normal coronary angiography.

  10. Evaluation of preoperative computed tomography angiography in association with conventional angiography versus computed tomography angiography only, in the endovascular treatment of aortic diseases

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, Patrick Bastos; Novero, Eduardo Rafael; Rossi, Fabio Henrique; Moreira, Samuel Martins; Linhares, Frederico Augusto; Almeida, Bruno Lorencao de; Barbato, Heraldo Antonio; Izukawa, Nilo Mitsuru; Kambara, Antonio Massamitsu, E-mail: patrickvascular@gmail.com [Instituto Dante Pazzanese de Cardiologia, Sao Paulo, SP (Brazil)

    2013-09-15

    Objective: to evaluate the association of conventional angiography (AG) with computed tomography angiography (CTA) as compared with CTA only, preoperatively, in the treatment of aortic diseases. Materials and methods: retrospective study involving patients submitted to endovascular treatment of aortic diseases, in the period from January 2009 to July 2010, with use of preoperative CTA + conventional AG or CTA only. The patients were divided into two groups, namely: G1 - thoracic aortic diseases; and G2 - abdominal aortic diseases. G1 was subdivided into 1A (preoperative AG + CTA) and 1B (preoperative CTA). G2 was subdivided into 2C (CTA + AG) and 2D (CTA only). Results: the authors evaluated 156 patients. In subgroups 1A and 1B, the rate of technical success was, respectively, 100% and 94.7% (p = 1.0); and the rate of therapeutic success was, respectively, 81% and 58% (p = 0.13). A higher number of complications were observed in subgroup 1B (p = 0.057). The accuracy in the calculation of the prosthesis was higher in subgroup 1A (p = 0.065). In their turn, the rate of technical success in subgroups 2C and 2D was, respectively, 92.3% and 98.6% (p = 0.17). The rate of therapeutic success was 73% and 98.6% (p = 0.79). Conclusion: preoperative conventional AG should be reserved for cases where CTA cannot provide all the information in the planning of a therapeutic intervention. (author)

  11. Preoperative evaluation of the artery of adamkiewicz by MR angiography and CT angiography in patients with a thoracic aortic aneurysm

    Energy Technology Data Exchange (ETDEWEB)

    Niinuma, Hiroyuki; Ohira, Atsushi; Makita, Shinji; Moriai, Yoshiteru; Hiramori, Katsuhiko [Iwate Medical Univ., Morioka (Japan). School of Medicine; Yoshioka, Kunihiro; Nakajima, Takayuki; Kawazoe, Kohei [Iwate Medical Univ., Morioka (Japan). Memorial Heart Center

    2002-08-01

    Paraplegia is known as an extremely serious and important complication of surgical repair in patients with a thoraco-abdominal aortic aneurysm. It is important to evaluate the artery of Adamkiewicz (AdA) before surgical repair to prevent paraplegia. But the AdA is difficult to visualize by the invasive and hazardous, conventional selective angiography. The aim of this study was to visualize AdA by MR angiography (MRA) and CT angiography (CTA). Twenty-one consecutive patients with a thoracic aortic aneurysm underwent both gadolinium-enhanced, three-dimensional MRA and CTA using multislice helical CT. The AdA was successfully visualized in 15 of the 21 patients (71.4%) by MRA, and in 17 of those 21 patients (80.9%) by CTA. Its continuity was depicted in 12 of 15 patients (80%) by MRA, and in 9 of 17 patients (47%) by CTA. AdA was visualized at 85.7% by MRA or CTA, respectively. This study shows that CTA is a much more sensitive method to detect AdA than MRA. On the other hand, MRA is better to evaluate the continuity of AdA from the descending aorta to the anterior spinal artery, than CTA. Therefore, MRA and CTA are both useful for a preoperative evaluation of AdA and its detailed vascular anatomy from the aorta to the anterior spinal artery. (author)

  12. CT angiography of the renal arteries and veins: normal anatomy and variants.

    Science.gov (United States)

    Hazırolan, Tuncay; Öz, Meryem; Türkbey, Barış; Karaosmanoğlu, Ali Devrim; Oğuz, Berna Sayan; Canyiğit, Murat

    2011-03-01

    Conventional angiography has long been regarded as gold standard imaging modality for evaluation of the renal vasculature. Introduction of multidetector computed tomography (MDCT) angiography had a groundbreaking impact on evaluation of the renal vessels and is gradually replacing conventional angiography as standard imaging. Herein, we review and illustrate the normal and variant anatomy of renal vessels with special emphasis on imaging protocols and reconstruction techniques in MDCT.

  13. Data on copper level in the blood of patients with normal and abnormal angiography

    Directory of Open Access Journals (Sweden)

    Leila Amiri

    2016-12-01

    Full Text Available In this data article, we measured the levels of copper in the blood of patients undergoing coronary angiography. The samples were taken from patients with cardiovascular disease in Bushehr׳s university hospital, Iran. Patients were divided in two groups: normal angiography and abnormal angiography. After the chemical digestion of samples, the concentration levels of Cu in both groups were determined by using inductively coupled plasma optical spectrometry (ICP-OES.

  14. 3DCT angiography for detection of vascular complications in pediatric liver transplantation

    National Research Council Canada - National Science Library

    Cheng, Yu Fan; Chen, Chao Long; Huang, Tung Liang; Chen, Tai Yi; Chen, Yaw Sen; Wang, Chih Chi; Tsang, Leo Leung‐chit; Chiu, King Wah; Jawan, Bruno; Eng, Hock Liew

    2004-01-01

    Catheter angiography for early diagnosis of vascular complications in pediatric liver transplant yields excellent results but remains an extremely invasive examination for younger children, precluding its routine use...

  15. „… höher als die Liebe zur Wissenschaft steht die Treue zum eigenen Vaterland …“: Hallenser Romanisten im Ersten Weltkrieg

    Directory of Open Access Journals (Sweden)

    Annette Schiller

    2014-12-01

    Full Text Available Die 1914 verbreitete Kriegsbegeisterung nahm auch die Romanisten nicht aus. Briefe und Tagebuchnotizen aus der Zeit zeigen, wie Lehrende und Studenten unseres Faches, deren gemeinsamer Bezug die Zugehörigkeit zum Romanischen Seminar Halle war, vom „Großen Krieg“ betroffen waren und führen uns die Situation und Geisteshaltung der Professoren und Studenten und die Rückwirkungen des Krieges auf das Fach vor Augen.

  16. Detection of carotid artery stenosis using histological specimens: a comparison of CT angiography, magnetic resonance angiography, digital subtraction angiography and Doppler ultrasonography.

    Science.gov (United States)

    Netuka, David; Belšán, Tomáš; Broulíková, Karolina; Mandys, Václav; Charvát, František; Malík, Josef; Coufalová, Lucie; Bradáč, Ondřej; Ostrý, Svatopluk; Beneš, Vladimír

    2016-08-01

    Carotid endarterectomy (CEA) is accepted as a primary modality to treat carotid stenosis. The accuracy of measuring carotid stenosis is important for indication of the CEA procedure. Different diagnostic tools have been developed and used in the past 2 decades for the diagnosis of carotid stenosis. Only a few studies, however, have focused on the comparison of different diagnostic tools to histological findings of carotid plaque. Patients with internal carotid artery (ICA) stenosis were investigated primarily by computed tomography angiography (CTA). Digital subtraction angiography (DSA), Doppler ultrasonography (DUS) and magnetic resonance angiography (MRA) were performed as well. Atherosclerotic plaque specimens were transversally cut into smaller segments and histologically processed. The slides were scanned and specimens showing maximal stenosis were determined; the minimal diameter and the diameter of the whole plaque were measured. High quality histological specimen and histological measurement was considered to be the prerequisite for inclusion into the analysis. The preoperative findings were compared with histological measurement. CTA and histological measurements were obtained from 152 patients. DSA measurements were available in 138 of these cases, MRA in 107 and DUS in 88. A comparison between preoperative and histological findings was performed. In addition, correlation coefficients were computed and tested. A significant correlation was found for each of the diagnostic procedures. The strongest correlation coefficient and the best allocation of stenosis into clinical significant groups (<50 %, 50-69 %, ≥70 %) was observed for CTA. Mean differences in the whole cohort between preoperative and histological measurements were as follows: CTA underestimated histological measurement by 2.4 % (based on European Carotid Surgery Trial [ECST] methodology) and 11.9 % (based on North American Symptomatic Carotid Endarterectomy Trial [NASCET] methodology

  17. Diagnostic performance of multidetector computed tomography for detecting aorto-ostial lesions compared with catheter coronary angiography: multidetector computed tomography coronary angiography is superior to catheter angiography in detection of aorto-ostial lesions.

    Science.gov (United States)

    Kantarci, Mecit; Ceviz, Naci; Sevimli, Serdar; Bayraktutan, Ummugulsum; Ceyhan, Elvan; Duran, Cihan; Karaman, Adem; Durur, Irmak; Okur, Adnan

    2007-01-01

    In this study, our goal is to determine the use of multidetector computed tomography (MDCT) in detection of aorto-ostial lesions. Thirty-three patients suspected to have aorto-ostial lesion by either catheter angiography (CA) or MDCT coronary angiography comprised our study population. In 19 patients (group 1), aorto-ostial lesion was suspected based on CA, then MDCT coronary angiography was performed. In the remaining 14 patients (group 2), aorto-ostial lesion diagnosis was made by MDCT coronary angiography, and then afterward, CA was performed. A cardiologist and a radiologist reevaluated both the CA and MDCT coronary angiography recordings of all patients and their consensus formed the diagnosis. We accepted this consensus diagnosis as our criterion standard because a universal criterion standard to compare CA and MDCT findings with is not available. Then, the previous diagnoses by CA and MDCT coronary angiography were compared with the consensus diagnoses. Finally, 26 patients were diagnosed with aorto-ostial lesion, whereas 5 patients were found not to have aorto-ostial lesions. Two patients were diagnosed with abnormal origination of a coronary artery. When the results were evaluated in terms of the presence of aorto-ostial lesion, MDCT coronary angiography correctly diagnosed all 26 patients, and in the 5 patients with normal ostium, MDCT coronary angiography finding was also normal. However, 7 of 26 patients with aorto-ostial lesion were reported to be normal by CA, and also 5 patients with normal ostia were reported to have aorto-ostial lesion by CA. That is, 12 of 33 patients were misdiagnosed by CA. Moreover, CA missed the abnormal origination of the coronary arteries in 2 patients. When the results were evaluated in terms of the degree of stenosis in 26 patients with aorto-ostial lesion; MDCT coronary angiography predicted the final diagnosis in all 26 patients correctly. However, CA predicted the final degree of stenosis only in 12 patients. Catheter

  18. A music intervention to reduce anxiety before vascular angiography procedures.

    Science.gov (United States)

    Buffum, Martha D; Sasso, Colleen; Sands, Laura P; Lanier, Elaine; Yellen, Michele; Hayes, Ann

    2006-09-01

    Patients scheduled for vascular angiography are often anxious and frightened. High levels of anxiety may result in more difficult and painful procedures. Past research has reported mixed results for anxiety reduction techniques in other procedures settings, such as education, cognitive-behavioral skills, coping and relaxation skills, combinations of techniques, and music. Music as an intervention for pre-procedural anxiety prior to vascular angiography has not been studied. A randomized controlled trial of 170 patients was undertaken to determine whether 15 minutes of self-selected music reduced pre-procedure anxiety. The State Trait Anxiety Inventory was used to measure patients' anxiety. One-hundred sixty-six men and 4 women comprised the sample with an average age of 66.8 years (SD 9.95, range 37 to 85 years). Patients who listened to music (n=89) reduced their anxiety score from 38.57 (SD 10.46) to 35.2 (SD 9.7), while those who did not listen to music (n=81) reduced their anxiety score from 36.23 (SD 10.54) to 35.1 (SD 10.59); the difference between the groups was statistically significant (t=1.95, df 161, p=0.05). Pulse achieved a statistically significant reduction in the music group (t=2.45, df 167, p=0.02). Music is a noninvasive nursing intervention that patients enjoy and reduces their anxiety and their pulse rate. Further research should address using music to reduce anxiety in other interventional vascular angiography settings with equal numbers of men and women and comparing self-selected versus investigator-selected music.

  19. Atorvastatin and prevention of contrast induced nephropathy following coronary angiography

    Directory of Open Access Journals (Sweden)

    Peyman Bidram

    2015-01-01

    Full Text Available Background: Contrast induced nephropathy (CIN is one of the most common complications after radiographic procedures using intravascular radiocontrast media. The aim of the current study was to assess the effect of atorvastatin on prevention of CIN in patients undergoing coronary angiography. Materials and Methods: In a clinical trial study, 200 patients referred for angiography were randomly divided into two groups of using 80 mg atorvastatin and placebo before the procedure. Furthermore, 100 patients who were under chronic treatment of statins were included as the third group. Serum creatinine (Scr levels before and after the procedure were evaluated and incidence of CIN (post-procedural Scr of >0.5 mg/dl or >25% from baseline was assessed. Results: Mean age of the participants was 60.06 ± 0.69 years and 276 (92% were male. There were no significant differences between group with respect to age and gender. In pre-operation atorvastatin, placebo and long term statin groups, the incidence of CIN was 1%, 2% and 1%, and mean changes of Glomerular filtration rate (GFR was 3.68 ± 1.32, −0.77 ± 1.21 and 1.37 ± 0.86; and mean changes of creatinine (Cr was −0.05 ± 0.02, 0.02 ± 0.02 and −0.01 ± 0.01 respectively. (P = 0.776, 0.026 and 0.041 respectively. In pre-operation atorvastatin group, Cr decreased, and GFR increased significantly (P = 0.019 and 0.007 respectively. Conclusion: pre-operation short term high dose atorvastatin use was associated with a significant decrease in serum Cr level and increase in GFR after angiography.

  20. Nonenhanced MR angiography techniques; Techniken der kontrastmittelfreien MR-Angiografie

    Energy Technology Data Exchange (ETDEWEB)

    Lanzman, R.S.; Kroepil, P.; Blondin, D. [Duesseldorf Univ. (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Schmitt, P. [Siemens AG, Healthcare Sector, Erlangen (Germany). MR Applikationsentwicklung

    2011-10-15

    Especially in regard to the potential risks for the development of nephrogenic systemic fibrosis (NSF) following the administration of Gadolinium-based contrast material, nonenhanced MR angiography (MRA) methods are becoming ever more important. Besides well-established time-of-flight (TOF) and phase-contrast (PC) MRA, alternative imaging techniques based on balanced steady-state free precession (bSSFP) and turbo-spin-echo (TSE) sequences are increasingly used in combination with or without arterial spin labeling (ASL) strategies. This article provides an overview of the principles and clinical values of different nonenhanced MRA techniques. In addition, recent nonenhanced MRA developments are presented. (orig.)

  1. Spiral CT angiography of the abdominal aorta and its branches

    Energy Technology Data Exchange (ETDEWEB)

    Costello, P. [Dept. of Radiology, Deaconess Hospital and Harvard Medical School, Boston, MA (United States); Gaa, J. [Dept. of Radiology, Deaconess Hospital and Harvard Medical School, Boston, MA (United States)

    1993-08-01

    Spiral CT angiography (CTA) was performed on 19 patients for the pre-operative assessment of abdominal aortic aneurysms and in 3 post-operative renal artery bypass patients. Spiral CTA performed during intravenous contrast infusion provided a volume of data that was reconstructed at thin increments. Images were edited and reformatted either as surface rendered three-dimensional or maximum intensity projection (MIP) displays. Final images were viewed in a cine-loop presentation of quality comparable to conventional angiograms. The entire aorta can be examined from the coeliac axis to mid-pelvis with only 107 ml of 60% contrast. (orig.)

  2. Image quality in intravenous digital subtraction angiography of renal vessels

    Energy Technology Data Exchange (ETDEWEB)

    Neufang, K.F.R.; Zanella, F.E.; Moedder, U.

    1984-07-01

    Visualisation of the renal arteries and image quality of intravenous DSA were evaluated in 62 patients. The left renal artery is visualized less well and overlying more frequently the right renal artery because of gas in the stomach and colon. IV DSA is not adequate for visualisation of the subsegmental arteries, and cannot be used for tumor angiography. It is not possible to prove that central venous injection technique is superior to peripheral venous injection. Patients must be carefully prepared as is necessary for the urogram. Examination is carried out using Buscopan and a compression device.

  3. Blood vessel segmentation in magnetic resonance angiography imagery

    Science.gov (United States)

    Kozaitis, S. P.; Chandramohan, R.

    2011-06-01

    Small blood vessels may be difficult to detect in magnetic resonance angiography due to the lack of blood flow caused by disease or injury. Our method, which uses a block-matching denoising approach to segment blood vessels, works well in the presence of noise. We examined extended regions of an image to determine whether they contained blood vessels by fitting a Gaussian mixture model to a region's histogram. Then, dissimilar regions were denoised separately. This approach was beneficial in low-contrast settings. It can be used to detect higher-order blood vessels that may be difficult to detect under normal conditions.

  4. Stress reduction through music in patients undergoing cerebral angiography

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, N.; Becker, H. [Dept. of Neuroradiology, Hannover Medical School (Germany); Schedlowski, M. [Dept. of Clinical Psychiatry and Psychotherapy, Hannover Medical School (Germany); Schuermeyer, T.H. [Dept. of Endocrinology, Hannover Medical School (Germany)

    2001-06-01

    We studied the influence of music on stress reaction of patients during cerebral angiography. We randomised 30 patients to a music or a control group. We measured stress hormones, blood pressure, heart rate and psychological parameters. Patients examined without music showed rising levels of cortisol in plasma, indicating high stress levels, while cortisol in patients examined with music remained stable. Systolic blood pressure was significantly lower listening to music. Patients with a high level of fear did appear to benefit particularly from the music. (orig.)

  5. Multidetector Computed Tomographic Angiography (MDCTA for Penetrating Neck Injuries

    Directory of Open Access Journals (Sweden)

    Jason Pasley

    2012-07-01

    Full Text Available Evaluation of patients after penetrating neck injury has evolved over time. Previously, location of injury and symptoms were used to determine management. The contemporary management of penetrating neck injuries relies on physical examination. Patients with hard signs of vascular or aerodigestive tract injury require immediate operation, regardless of location of injury. Those with no signs can be observed. For the remainder with soft signs, multidetector computed tomographic angiography (MDCTA is a highly sensitive and specific screening modality for evaluating the vasculature and aerodigestive structures in the neck. Utilizing MDCTA, the patient can be safely directed towards operative intervention, observation, or further investigation.

  6. Diagnostic performance of computed tomography angiography in peripheral arterial disease: a systematic review and meta-analysis

    NARCIS (Netherlands)

    Met, Rosemarie; Bipat, Shandra; Legemate, Dink A.; Reekers, Jim A.; Koelemay, Mark J. W.

    2009-01-01

    CONTEXT: Computed tomography angiography (CTA) is an increasingly attractive imaging modality for assessing lower extremity peripheral arterial disease (PAD). OBJECTIVE: To determine the accuracy of CTA compared with intra-arterial digital subtraction angiography (DSA) in differentiating extent of

  7. Delineation of brain AVMs on MR-Angiography for the purpose of stereotactic radiosurgery

    NARCIS (Netherlands)

    Buis, Dennis R.; Lagerwaard, Frank J.; Dirven, Clemens M. F.; Barkhof, Frederik; Knol, Dirk L.; van den Berg, René; Slotman, Ben J.; Vandertop, W. Peter

    2007-01-01

    PURPOSE: To assess the dosimetric consequences of brain arteriovenous malformation (bAVM) delineation on magnetic resonance angiography (MRA) for the purpose of stereotactic radiosurgery. METHODS AND MATERIALS: Three observers contoured a bAVM in 20 patients, using digital subtraction angiography

  8. Helical CT angiography : A single imaging modality to evaluate a live renal donor

    Directory of Open Access Journals (Sweden)

    Waheed Zaman

    2002-01-01

    Conclusions: Helical CT angiography, which is highly specific for arterial and venous anatomy as well as other anatomical and functional details, can become the single imaging modality for preoperative assessment of poten-tial donors in place of conventional angiography and IVU. CTA, being minimally invasive and cost effective, is well accepted by a normal healthy donor

  9. Three-dimensional magnetic resonance coronary angiography using a new blood pool contrast agent : Initial experience

    NARCIS (Netherlands)

    Bedaux, WLF; Hofman, MBM; Wielopolski, PA; de Cock, CC; Hoffmann, [No Value; Oudkerk, M; de Feyter, PJ; van Rossum, AC

    2002-01-01

    Objective: The aim of this feasibility study was to assess the effect of a new blood pool contrast agent on magnetic resonance coronary angiography (MRCA) in patients suspected of having coronary artery disease. Methods: Nine patients referred for diagnostic x-ray coronary, angiography in the

  10. Magnetic resonance angiography in the selection of patients suitable for neurosurgical intervention of ruptured intracranial aneurysms

    NARCIS (Netherlands)

    Westerlaan, Henriette E.; Vliet , van der AM; Hew, JM; Metzemaekers, JDM; Mooij, JJA; Oudkerk, M

    2004-01-01

    This study was aimed at establishing whether magnetic resonance angiography (MRA) can be applied to planning and performing surgery on ruptured intracranial aneurysms, especially in the early phase, without recourse to intra-arterial digital subtraction angiography (IA-DSA). From February 1998 to

  11. Accuracy of unenhanced magnetic resonance angiography for the assessment of renal artery stenosis

    Directory of Open Access Journals (Sweden)

    Carmen Sebastià

    2016-01-01

    Conclusion: U-MRA is a reliable diagnostic method to depict normal and stenotic main renal arteries. U-MRA can be used as an alternative to contrast-enhanced magnetic resonance angiography or computer tomography angiography in patients with renal insufficiency unless FMD is suspected.

  12. Pancreatic pseudoaneurysm in a child with hereditary pancreatitis: diagnosis with multidetector CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Ahmed, Hossam K.; Hagspiel, Klaus D.; Angle, John F.; Leung, Daniel A.; Spinosa, David J.; Matsumoto, Alan H. [Department of Radiology, University of Virginia Health System, Box 800170, VA 22908, Charlottesville (United States); McGahren, Eugene D.; Rodgers, Bradley M. [Department of Surgery, Division of Pediatric Surgery, University of Virginia Health System, Box 800170, VA 22908, Charlottesville (United States)

    2004-08-01

    Pseudoaneurysm formation is a serious vascular complication of pancreatitis. It most commonly affects splenic and gastroduodenal arteries. We report a rare case of superior mesenteric artery pseudoaneurysm in a child with hereditary pancreatitis. Multidetector CT angiography allowed the comprehensive assessment of the aneurysm and allowed accurate surgical planning obviating the need for catheter angiography. (orig.)

  13. Angiography technique with a large-sized image amplifier and process control via microprocessor

    Energy Technology Data Exchange (ETDEWEB)

    Holsten, D.R.; Jalloul, M.K.; Joetten, G.

    1984-01-01

    On the basis of new technological developments it was possible to design and introduce into practice a new generation of large-sized image amplifiers, which were first of all used in X-ray examination equipment and are now also being used in special devices for angiography and digital substraction angiography.

  14. The synchrotron radiation angiography program at the national synchrotron light source

    Energy Technology Data Exchange (ETDEWEB)

    Thomlinson, W.; Gmuer, N.

    1987-01-01

    The National Synchrotron Light Source (NSLS) angiography program is under development. The program is a collaboration between the Stanford University Angiography Project and the NSLS. A 180 m/sup 2/ clinical facility has been built. A beam line is being constructed to utilize a superconducting wiggler radiation source. Projected start-up date for the NSLS program is Summer 1988.

  15. Cost-effectiveness of identifying aortoiliac and femoropopliteal arterial disease with angiography or duplex scanning

    Energy Technology Data Exchange (ETDEWEB)

    Coffi, S.B. [Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Ubbink, D.Th. [Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam (Netherlands)], E-mail: D.Ubbink@amc.nl; Dijkgraaf, M.G.W. [Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam (Netherlands); Reekers, J.A. [Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Legemate, D.A. [Department of Surgery, Academic Medical Center, Amsterdam (Netherlands)

    2008-04-15

    Objectives: Cost-effectiveness analysis of three diagnostic imaging strategies for the assessment of aortoiliac and femoropopliteal arteries in patients with peripheral arterial occlusive disease. The strategies were: angiography as the reference strategy, duplex scanning (DS) plus supplementary angiography (S1) and DS plus confirmative angiography (S2). Design, materials and methods: A decision model was built with sensitivity and specificity data from literature, supplemented with prospective hospital cost data in Euro ( Euro ). The probability of correctly identifying the status of a lesion was taken as the primary outcome. We compared strategies by assessing the extra costs per additional correctly identified case. Results: Assuming no false positive or false negative results, angiography is the most effective strategy if the prevalence of significant obstructive lesions in the aortoiliac and femoropopliteal tract exceeds 70%, or if the sensitivity of duplex scanning is lower than 83%. In case of lower prevalence, strategy S1 becomes equally or even more effective than angiography. At a prevalence of 75%, performing angiography costs Euro 8443 per extra correctly identified case compared with strategy S1. Conclusions: In most situations angiography is more effective than diagnostic strategy S1. However, if society is unwilling to pay more than Euro 8443 for knowing a patient's disease status, diagnostic strategy S1 is a cost-effective alternative to angiography, especially at lower prevalence values.

  16. The accuracy of computed tomographic angiography for mapping the perforators of the DIEA: a cadaveric study.

    Science.gov (United States)

    Rozen, Warren M; Ashton, Mark W; Stella, Damien L; Phillips, Timothy J; Taylor, G Ian

    2008-08-01

    The deep inferior epigastric artery (DIEA) perforator flap is increasingly used for breast reconstruction, with preoperative imaging sought as a means of improving operative outcome. Computed tomographic angiography has been recently described as the preferred imaging modality; however, formal evaluation of computed tomographic angiography has not been described. A cadaveric study was undertaken to evaluate the accuracy of computed tomographic angiography for perforator mapping. Ten cadaveric hemiabdominal walls from five fresh cadavers underwent contrast injection of each DIEA and subsequent computed tomographic scanning, with each DIEA and all perforating branches documented. Dissection was then performed, with the recording of the course of the DIEA and the course of all perforators in each specimen. The concordance of computed tomographic angiography with dissection findings was evaluated. Cadaveric computed tomographic angiography identified 154 perforators in 10 hemiabdominal walls. Computed tomographic angiography was highly accurate, with eight false-positives and six false-negatives on cadaveric computed tomographic angiography, establishing an overall sensitivity of 96 percent and a positive predictive value of 95 percent for mapping perforators. For perforators greater than 1 mm in diameter, the sensitivity was 100 percent and the positive predictive value was 100 percent. Computed tomographic angiography is a highly accurate tool for identifying the perforators of the DIEA before DIEA perforator flaps for breast reconstruction. Preoperative identification of these vessels can aid planning for the preferred hemiabdomen for dissection, and may save operative time, angst, and potentially complications.

  17. Real-time eye motion correction in phase-resolved OCT angiography with tracking SLO

    NARCIS (Netherlands)

    Braaf, B.; Vienola, K.V.; Sheehy, C.K.; Yang, Q.; Vermeer, K.A.; Tiruveedhula, P.; Arathorn, D.W.; Roorda, A.J.; de Boer, J.F.

    2013-01-01

    In phase-resolved OCT angiography blood flow is detected from phase changes in between A-scans that are obtained from the same location. In ophthalmology, this technique is vulnerable to eye motion. We address this problem by combining inter-B-scan phase-resolved OCT angiography with real-time eye

  18. Danish trends in pharmacotherapy, comorbidities, and demographics in patients referred for coronary angiography

    DEFF Research Database (Denmark)

    Jørgensen, Mads Emil; Andersson, Charlotte; Olsen, Anne-Marie Schjerning

    2015-01-01

    AIMS: Coronary angiography holds a central role in the diagnosis of coronary heart disease. We studied temporal trends in referral patterns 2000-09. METHODS AND RESULTS: We identified 156 496 first-time coronary angiographies in 2000-09 in nationwide registries. Trends were analyzed in 2-year int...

  19. [OCT-Angiography in diabetic maculopathy : Comparison between microaneurysms and the foveal avascular zone with flourescein angiography].

    Science.gov (United States)

    Henke, S; Papapostolou, I; Heimes, B; Lommatzsch, A; Pauleikhoff, D; Spital, G

    2017-12-06

    Optical coherence tomography angiography allows an exact visualization of retinal vascular changes. To interpret the possibilities and limitations using OCTA in clinical practice, we analysed the quality of OCTA findings concerning the evaluability. Furthermore, we correlated our OCTA findings with fluorescein angiography (FAG) in relation of the presence of microaneurysms (MA) and enlargement of the foveal avascular zone (FAZ) in diabetic maculopathy. 30 eyes from 15 patients with diabetic maculopathy were imaged in 3 × 3mm volume scans and were depicted in OCTA mode (SSADA algorithm). By using the automatic segmentation we analysed the vascular changes in the superficial and deep capillary plexus and classified them concerning their qualitative evaluability. We analysed the number of MA in OCTA and fluorescein angiography and correlated them using an overlay technique. We analysed the presence of MA in the superficial and deep capillary plexus in OCTA as well. Furthermore we measured the enlargement of the foveal zone with both methods. In a large number of eyes we could not identifiy MA or measure the enlargement of the FAZ because of poor OCTA or FA quality. In the morphological analysis of our findings we identified a comparable number of MA in both methods, although the localization of the MA was different in both methods in a large number of eyes. The majority of MA was located in the deep capillary plexus. The extension of the foveal avascular zone measured in FA revealed a good correlation to the automatically measured "nonflow area" in the OCTA. OCTA allows a good visualization of characteristic vascular changes in diabetic maculopathy. In spite of technical limitations OCTA generates a three-dimensional visualisation of avascular changes. The majority of microaneurysms detected by OCTA showed a corresponding finding in FA. The central avascular zone (FAZ) in OCTA correlates well with the findings from FA. OCTA represents an important additional

  20. Robotic digital subtraction angiography systems within the hybrid operating room.

    Science.gov (United States)

    Murayama, Yuichi; Irie, Koreaki; Saguchi, Takayuki; Ishibashi, Toshihiro; Ebara, Masaki; Nagashima, Hiroyasu; Isoshima, Akira; Arakawa, Hideki; Takao, Hiroyuki; Ohashi, Hiroki; Joki, Tatsuhiro; Kato, Masataka; Tani, Satoshi; Ikeuchi, Satoshi; Abe, Toshiaki

    2011-05-01

    Fully equipped high-end digital subtraction angiography (DSA) within the operating room (OR) environment has emerged as a new trend in the fields of neurosurgery and vascular surgery. To describe initial clinical experience with a robotic DSA system in the hybrid OR. A newly designed robotic DSA system (Artis zeego; Siemens AG, Forchheim, Germany) was installed in the hybrid OR. The system consists of a multiaxis robotic C arm and surgical OR table. In addition to conventional neuroendovascular procedures, the system was used as an intraoperative imaging tool for various neurosurgical procedures such as aneurysm clipping and spine instrumentation. Five hundred one neurosurgical procedures were successfully conducted in the hybrid OR with the robotic DSA. During surgical procedures such as aneurysm clipping and arteriovenous fistula treatment, intraoperative 2-/3-dimensional angiography and C-arm-based computed tomographic images (DynaCT) were easily performed without moving the OR table. Newly developed virtual navigation software (syngo iGuide; Siemens AG) can be used in frameless navigation and in access to deep-seated intracranial lesions or needle placement. This newly developed robotic DSA system provides safe and precise treatment in the fields of endovascular treatment and neurosurgery.

  1. Comparison of Myocardial Perfusion Scintigraphy and Coronary Angiography Results

    Directory of Open Access Journals (Sweden)

    Umut Elboga

    2017-05-01

    Full Text Available Aim: Coronary artery disease (CAD is one of the most frequent causes of mortality and morbidity worldwide. Coronary angiography is the gold standard for the anatomical diagnosis of coronary artery stenosis. Myocardial Perfusion Scintigraphy (MPS is a non-invasive imaging modality used for the diagnosis of CAD. In this study, we aimed to compare the findings of MPS and coronary angiogram. Material and Method: Eighty-one patients (37 males, 44 females; mean age 55 ± 10.95 years with angina and detected perfusion defects on MPS were included in this study. All of the patients underwent coronary angiogram. A narrowing %u2265 50% was considered pathological on the coronary angiography. Results: Findings of the coronary angiogram and MPS were compared and found consistent in 51 (63% patients. A coronary narrowing < 50% was detected by coronary angiogram in 4 (5% of the remaining patients. Coronary angiogram was found to be normal in the remaining 26 patients (32% and these patients were evaluated as cardiac syndrome X (CSX known as microvascular angina (MA. Discussion: The findings showed that MPS is superior to coronary angiogram in the early diagnosis of myocardial perfusion disorders at the microvascular level. Therefore, we concluded that MPS should be the primary diagnostic tool to begin treatment before an anatomically large narrowing occurs in the coronaries.

  2. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings.

    Science.gov (United States)

    Artigas, José M; Martí, Milagros; Soto, Jorge A; Esteban, Helena; Pinilla, Inmaculada; Guillén, Eugenia

    2013-01-01

    Acute gastrointestinal bleeding is a common reason for emergency department admissions and an important cause of morbidity and mortality. Factors that complicate its clinical management include patient debility due to comorbidities; intermittence of hemorrhage; and multiple sites of simultaneous bleeding. Its management, therefore, must be multidisciplinary and include emergency physicians, gastroenterologists, and surgeons, as well as radiologists for diagnostic imaging and interventional therapy. Upper gastrointestinal tract bleeding is usually managed endoscopically, with radiologic intervention reserved as an alternative to be used if endoscopic therapy fails. Endoscopy is often less successful in the management of acute lower gastrointestinal tract bleeding, where colonoscopy may be more effective. The merits of performing bowel cleansing before colonoscopy in such cases might be offset by the resultant increase in response time and should be weighed carefully against the deficits in visualization and diagnostic accuracy that would result from performing colonoscopy without bowel preparation. In recent years, multidetector computed tomographic (CT) angiography has gained acceptance as a first-line option for the diagnosis and management of lower gastrointestinal tract bleeding. In selected cases of upper gastrointestinal tract bleeding, CT angiography also provides accurate information about the presence or absence of active bleeding, its source, and its cause. This information helps shorten the total diagnostic time and minimizes or eliminates the need for more expensive and more invasive procedures. © RSNA, 2013.

  3. Problems of hydration during and after angiography. Preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Morita, Sojiro; Soejima, Toshinori; Fujita, Yoshihiro; Odani, Ryoichi

    1987-11-01

    We investigated to decide proper transfusion solution and its dose during and after angiographic and interventional procedure by administration of lactate Ringer's solution, 5 % glucose, one-third hypotonic solution and plasma expander. RBC, Hb, WBC, BUN, Creatinine, serum Na/sup +/, K/sup +/, Cl/sup -/, osmolality and urinary Na/sup +/, K/sup +/, Cl/sup -/, osmolality were measured at the beginning of angiographic procedure (pre), at the end (post) and when transfusion finished following day (Next day). The patients were divided into two groups, 32 cases undergoing diagnostic angiography as group 1 and 13 cases undergoing interventional procedure (one-shot arterial infusion andor transcatheter arterial embolization) as group 2. Our conclusions are follows: 1) In this investigation, there was no statistical significance between group 1 and group 2. And it was suggested that each transfusion solution had no effect to the body. 2) In both groups, WBC increased statistically next day comparing with pre and post procedure (p < 0.01). The cause of it was thought to be ''Marginal pool shift''. 3) In order to prevent acute renal failure following angiography, it is important to administer enough dose of transfusion during and after (if possible before) the procedure, and to get enough urine output. 4) But, plasma expander is unsuitable for transfusion solution during angiographic and interventional procedure, and it has not to be used without consideration of the indication.

  4. Peripheral arterial occlusive disease: role of MR angiography.

    Science.gov (United States)

    Gozzi, M; Amorico, M G; Colopi, S; Favali, M; Gallo, E; Torricelli, P; Polverini, I; Gargiulo, M

    2006-03-01

    Magnetic resonance angiography (MRA) has recently become instrumental in the diagnosis of arterial disease in various body districts and is gaining an increasingly important role in the study of peripheral vascularisation. The aim of our study was to evaluate the reliability of MRA using digital subtraction angiography (DSA) as the reference standard. Between November 2003 and August 2004, 30 patients with known peripheral arterial disease were studied by MRA and DSA. MRA was performed with a Philips Intera 1.5 T, with acquisitions from the coeliac trunk to the feet. For acquisitions of the feet and ankles we used unenhanced time-of-flight (TOF) sequences with a head coil. The angiographic sequence was acquired in three volumes of 40-45 cm after administration of paramagnetic contrast material. In the patients with peripheral arterial disease, the technique provided a precise evaluation of the stenosis (mild, moderate, severe) or obstruction of the peripheral district as well as the detection of other diseases, such as stenosis of the renal arteries or aneurysms. Total-body three-dimensional (3D) MRA allows a fast, safe, and accurate assessment of the arterial system in patients with arteriosclerosis and can be considered an alternative to DSA in the management of patients with steno-obstructive disease of the peripheral arteries.

  5. Optical coherence tomography angiography findings in laser maculopathy.

    Science.gov (United States)

    Tomasso, Livia; Benatti, Lucia; La Spina, Carlo; Lattanzio, Rosangela; Baldin, Giovanni; Carnevali, Adriano; De Vitis, Luigi A; Querques, Lea; Bandello, Francesco; Querques, Giuseppe

    2017-01-19

    Handheld laser pointer thermal injury affects primarily the retinal pigment epithelium (RPE). However, so far no study has reported on the possible effects of laser pointers in the deeper layers, beneath the RPE. Here, we describe the spectral-domain optical coherence tomography angiography findings in the choriocapillaris of a patient with laser maculopathy. A 13-year-old boy presented to our department with decreased vision in the left eye 12 hours after having stared at the beam of a laser pointer. Structural optical coherence tomography (OCT) showed 2 focal hyperreflective columns at the fovea extending from the RPE, involving all outer retinal layers, and terminating at the outer plexiform layer. The patient also underwent OCT angiography (OCT-A), which in the choriocapillary segmentation revealed 2 hypointense lesions in correspondence of the focal hyperreflectivities detected on structural OCT. We hypothesize that the OCT-A findings could represent a rarefaction of the choriocapillaris. However, the choriocapillary OCT-A findings could also represent artifacts due to the overlaying hyperreflective lesions. It is known that the RPE is primarily damaged by the laser injury. Our findings suggest that the thermal injury could involve also the choriocapillaris, and thus not limited to the RPE. Multimodal imaging in laser maculopathy including OCT-A may lead to a better comprehension of the pathogenesis of laser retinal damages.

  6. [Craniocervical dissections: study strategies in MR imaging and MR angiography].

    Science.gov (United States)

    Keller, E; Flacke, S; Gieseke, J; Sommer, T; Brechtelsbauer, D; Gass, S; Pauleit, D; Textor, J; Schild, H H

    1997-12-01

    To define the diagnostic efficacy of MR imaging, "time of flight" (TOF) and phase contrast (PC) MR angiography in craniocervical arterial dissections. The MR examinations of 16 patients with proven arterial dissections (n = 20) were retrospectively analysed by three independent readers. The MR protocol included T1w spin echo sequences with and without fat saturation (SPIR), T2w-turbo-spin echo, 2D- and 3D-TOF- and 3D-PC-MRA. The study was undertaken to assess the diagnostic sensitivity of each technique in detecting typical pathological features. The overall sensitivity was best in 3D-PC-MRA; reaching 88% of all possible points. Intramural haematoma could be easily detected with T1W spin echo with fat saturation (100%). Intimal flap and lumen narrowing was best defined with 3D-TOF-MRA in 86% resp. 96% and 3D-PC-MRA in 69% resp. 97%. 3D-PC-MRA was superior to all other sequences in 5 cases of aneurysmal dissection (100%). An accurate evaluation of craniocervical arterial dissections should rely on a combined protocol including T1w spin echo with fat saturation and an axial 3D-MR angiography (if possible 3D-phase contrast MRA).

  7. ‹Portale›, die zum Nachdenken anregen. Einblicke in eine Interfaceanalyse des Augmented Reality Spiels Ingress

    Directory of Open Access Journals (Sweden)

    Franco Rau

    2017-02-01

    Full Text Available Augmented Reality Spiele wie ‹Ingress› und ‹PokémonGo› stellen aktuell neue mediale Phänomene dar. Eine zentrale Differenz zu klassischen Massively Multiplayer Online Games (MMOs ist die Verzahnung von virtuellen und realen Objekten als konstitutive Spielelemente. In Anknüpfung an die Perspektive, digitale Spiele als Kultur- und Bildungsräume zu verstehen, widmet sich der Beitrag der Frage, inwiefern das Ingress-Spielen die Perspektive von Spieler/innen auf den öffentlichen Raum verändern kann. In erster Annäherung an diese Fragestellung wird auf Basis einer Interfaceanalyse gezeigt, wie ‹Portale› – virtueller Repräsentationen realer Objekte im Spiel – potenziell Irritationen und Differenz­erfahrungen ermöglichen. Diese können zum Ausgangspunkt weiterführender Reflexionen werden. Dafür werden exemplarisch ‹Portale› diskutiert, die (1. weiterführende Informationen zu realen Objekte bieten, die (2. Momentaufnahmen nicht mehr existierender kultureller Objekte darstellen und die (3. reale Objekte in ironischer Weise präsentieren.

  8. Förderung von schriftsprachlichen Kompetenzen im Fremd- bzw. Zweitsprachenunterricht: Zum Verhältnis von Motivation und schriftlichem Feedback

    Directory of Open Access Journals (Sweden)

    Vera Busse

    2015-04-01

    Full Text Available Die Entwicklung schriftsprachlicher Fähigkeiten ist ein wesentlicher Bestandteil des Sprachenunterrichts. Wie beim Erwerb anderer Kompetenzen spielen Lernmotivation und Feedback hierbei eine wichtige Rolle. Der vorliegende Artikel behandelt das Wechselspiel zwischen Motivation und Feedback und gibt eine Übersicht über empirische Studien, die die motivationale Wirkung verschiedener Arten von schriftlichem Feedback untersuchen. Arbeiten zum Einfluss individueller Unterschiede und existierender Motivationsprofile auf die Wahrnehmung und Rezeption von Feedback werden dabei ebenso thematisiert wie Studien, die sich mit Feedbackpräferenzen beschäftigen. Abschließend werden auf der Grundlage des Forschungsstands Implikationen für die Praxis herausgearbeitet.   Developing writing skills is an essential component of language education. As in the case of acquiring other competencies, learning motivation and feedback play an important role in this respect. The present article explores the interplay between motivation and feedback and provides an overview of empirical studies which explore the motivational effect of different kinds of written feedback. The influence of individual differences and existing motivational profiles on perception and reception of feedback will be discussed, in addition to studies which deal with feedback preferences. The article concludes by discussing practical implications deriving from the literature review.

  9. Information on mammography-screening - from deception to insight; Information zum Mammographiescreening - vom Trugschluss zur Ent-Taeuschung

    Energy Technology Data Exchange (ETDEWEB)

    Muehlhauser, I.; Hoeldke, B. [Universitaet Hamburg (Germany). IGTW-Gesundheit

    2002-04-01

    Information about mammography-screening as a basis for informed-decision making has to be evidence-based and presented in an unbiased format. This includes communication of results about effectiveness/lack of effectiveness of screening programmes (breast cancer mortality, total mortality), the quality of mammography as a screening test (sensitivity, specificity, positive and negative predictive values), and possible harm (consequences of false positive and false negative results, overdiagnosis of breast cancer, overtreatment). Outcome data have to be communicated as natural frequencies rather than relative differences. In order to avoid framing of data equal emphasis has to be put on the proportion of persons who are likely to benefit and those who are unlikely to benefit or likely to be harmed. (orig.) [German] Um eine informierte Entscheidung fuer oder gegen Mammographiescreening treffen zu koennen, ist es notwendig, die wissenschaftliche Evidenz zum Mammographiescreening umfassend, objektiv und in verstaendlicher Weise zu praesentieren. Dies umfasst die Wirksamkeit von Mammographiescreeningprogrammen (Brustkrebssterblichkeit, Gesamtmortalitaet), die Testqualitaeten der Mammographieuntersuchung (Sensitivitaet, Spezifitaet, positiver und negativer praediktiver Wert), moegliche Nebenwirkungen (Folgen falsch-positiver und falsch-negativer Befunde, unerwuenschte Brustkrebsdiagnosen und -therapien) sowie die Unsicherheit der wissenschaftlichen Beweislage. Die wissenschaftlichen Ergebnisse muessen unter gleichwertiger Betonung des moeglichen Nutzens, des fehlenden Nutzens, bzw. moeglicher Schaeden, und unter Anwendung von natuerlichen Haeufigkeiten anstelle von Relativprozent kommuniziert werden. (orig.)

  10. Judyta Zamrzycka, Die Thorner Buchbinder vom 15. bis zum 16./17. Jahrhundert: Die Typologie der Werkstattmerkmale

    Directory of Open Access Journals (Sweden)

    Krzysztof Kopiński

    2017-11-01

    Full Text Available Im Text wird die 2014 erschienene Abhandlung von Judyta Zamrzycka Introligatorzy toruńscy od XV do XVI/XVII wieku – typologia cech warsztatowych [Die Thorner Buchbinder vom 15. bis zum 16./17. Jahrhundert – Die Typologie der Werkstattmerkmale] geschildert und rezensiert. Die Struktur der Arbeit ist ziemlich interessant. Fast einen Drittel des Buches bildet die Dokumentationsgrundlage, die nach einer Recherche gesammelt wurde. Die weiteren zwei Drittel beziehen sich auf die theoretischen Inhalte und werden mit der Besprechung der Forschungsergebnisse verbunden. Judyta Zamrzycka stützte sich in ihren Untersuchungen auf die Inkunabeln und Drucke aus den Beständen der Öffentlichen Wojewodschaftsbibliothek – Kopernikus-Bücherei in Thorn (insgesamt 148 Bände sowie die Manuskripte aus dem Staatsarchiv in Thorn (insgesamt 8. Bewundernswert ist in ihrem Buch vor allem die von ihr ausgearbeitete Methode einer Vergleichsuntersuchung der Einbände von Manuskripten und Inkunabeln sowie der Werkstätte der Buchbinder auf den polnischen Gebieten.

  11. Gadolinium-enhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III).

    Science.gov (United States)

    Stein, Paul D; Chenevert, Thomas L; Fowler, Sarah E; Goodman, Lawrence R; Gottschalk, Alexander; Hales, Charles A; Hull, Russell D; Jablonski, Kathleen A; Leeper, Kenneth V; Naidich, David P; Sak, Daniel J; Sostman, H Dirk; Tapson, Victor F; Weg, John G; Woodard, Pamela K

    2010-04-06

    The accuracy of gadolinium-enhanced magnetic resonance pulmonary angiography and magnetic resonance venography for diagnosing pulmonary embolism has not been determined conclusively. To investigate performance characteristics of magnetic resonance angiography, with or without magnetic resonance venography, for diagnosing pulmonary embolism. Prospective, multicenter study from 10 April 2006 to 30 September 2008. 7 hospitals and their emergency services. 371 adults with diagnosed or excluded pulmonary embolism. Sensitivity, specificity, and likelihood ratios were measured by comparing independently read magnetic resonance imaging with the reference standard for diagnosing pulmonary embolism. Reference standard diagnosis or exclusion was made by using various tests, including computed tomographic angiography and venography, ventilation-perfusion lung scan, venous ultrasonography, d-dimer assay, and clinical assessment. Magnetic resonance angiography, averaged across centers, was technically inadequate in 25% of patients (92 of 371). The proportion of technically inadequate images ranged from 11% to 52% at various centers. Including patients with technically inadequate images, magnetic resonance angiography identified 57% (59 of 104) with pulmonary embolism. Technically adequate magnetic resonance angiography had a sensitivity of 78% and a specificity of 99%. Technically adequate magnetic resonance angiography and venography had a sensitivity of 92% and a specificity of 96%, but 52% of patients (194 of 370) had technically inadequate results. A high proportion of patients with suspected embolism was not eligible or declined to participate. Magnetic resonance pulmonary angiography should be considered only at centers that routinely perform it well and only for patients for whom standard tests are contraindicated. Magnetic resonance pulmonary angiography and magnetic resonance venography combined have a higher sensitivity than magnetic resonance pulmonary angiography

  12. Digital subtraction CT angiography for the detection of posterior inferior cerebellar artery aneurysms: comparison with digital subtraction angiography

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Guo Zhong; Luo, Song; Zhou, Chang Sheng; Zhang, Long Jiang; Lu, Guang Ming [Jinling Hospital, Medical School of Nanjing University, Department of Medical Imaging, Nanjing, Jiangsu (China)

    2017-09-15

    To evaluate the diagnostic accuracy of digital subtraction CT angiography (DS-CTA) in detecting posterior inferior cerebellar artery (PICA) aneurysms with digital subtraction angiography (DSA) as reference standard. A total of 115 patients, including 56 patients diagnosed with PICA aneurysms by CTA or DSA and 59 non-PICA-aneurysm patients were included in this retrospective study. All patients underwent DS-CTA and DSA. The site of PICA aneurysms and the pattern of haemorrhage were analysed. Sensitivity and specificity of DS-CTA without and with combining haemorrhage pattern in diagnosing PICA aneurysms were evaluated on a per patient and per aneurysm basis with DSA. Of 115 patients, 56 patients (48.7%) had 61 PICA aneurysms (size range, 1.1-13.5 mm; mean size, 4.9 ± 2.8 mm) on DSA. The sensitivity and specificity in depicting PICA aneurysms were 89.3% and 96.6% on a per patient basis and 90.2% and 93.4% on a per aneurysm basis, while the corresponding values were 94.6% and 96.6% on a per patient basis and 95.1% and 93.4% on a per aneurysm basis when combining with haemorrhage site. DS-CTA has a high sensitivity and specificity in detecting PICA aneurysms compared with DSA. It may be helpful for clinical diagnosis of PICA aneurysms to combine with haemorrhage sites. (orig.)

  13. Comparisons of DSA and MR angiography with digital subtraction angiography in 151 patients with subacute spontaneous intracerebral hemorrhage.

    Science.gov (United States)

    Wong, George K C; Siu, Deyond Y W; Ahuja, Anil T; King, Ann D; Yu, Simon C H; Zhu, Xian L; Poon, Wai S

    2010-05-01

    To exclude underlying vascular abnormalities in patients with spontaneous intracerebral hemorrhage, the traditional paradigm requires investigation using digital subtraction angiography (DSA) in both the acute and subacute phases. We investigated whether MRI and magnetic resonance angiography (MRA), in the subacute stage of intracerebral hematoma, had high positive predictive values (PPV) and negative predictive values (NPV) in screening for vascular abnormality in the routine clinical setting. In a regional neurosurgical center in Hong Kong, we retrospectively reviewed 151 patients investigated with both MRI and DSA for underlying structural vascular abnormalities during the subacute phase. Sensitivity, specificity, and intermodality agreement were assessed. A total of 70/151 (46%) vascular lesions accountable for the hemorrhage were found. Patients with vascular abnormalities tended to be younger (mean age+/-standard deviation [SD], 33+/-15years), less likely to be hypertensive (6.3%), and the lesion was more likely to be accompanied by intraventricular hemorrhage (22%). In terms of cerebral arteriovenous malformation and dural arteriovenous fistulas, MRI/MRA had a PPV of 0.98 and a NPV of 1.00. We concluded that MRI/MRA was able to detect most structural vascular abnormalities in the subacute phase in most patients and, thus, its use is recommended as the screening test.

  14. Patient satisfaction with coronary CT angiography, myocardial CT perfusion, myocardial perfusion MRI, SPECT myocardial perfusion imaging and conventional coronary angiography

    Energy Technology Data Exchange (ETDEWEB)

    Feger, S.; Rief, M.; Zimmermann, E.; Richter, F.; Roehle, R. [Freie Universitaet Berlin, Department of Radiology, Charite - Universitaetsmedizin Berlin Campus Mitte, Humboldt-Universitaet zu Berlin, Berlin (Germany); Dewey, M. [Freie Universitaet Berlin, Department of Radiology, Charite - Universitaetsmedizin Berlin Campus Mitte, Humboldt-Universitaet zu Berlin, Berlin (Germany); Institut fuer Radiologie, Berlin (Germany); Schoenenberger, E. [Medizinische Hochschule Hannover, Department of Medicine, Hannover (Germany)

    2015-07-15

    To evaluate patient acceptance of noninvasive imaging tests for detection of coronary artery disease (CAD), including single-photon emission computed tomography myocardial perfusion imaging (SPECT-MPI), stress perfusion magnetic resonance imaging (MRI), coronary CT angiography (CTA) in combination with CT myocardial stress perfusion (CTP), and conventional coronary angiography (CCA). Intraindividual comparison of perception of 48 patients from the CORE320 multicentre multinational study who underwent rest and stress SPECT-MPI with a technetium-based tracer, combined CTA and CTP (both with contrast agent, CTP with adenosine), MRI, and CCA. The analysis was performed by using a validated questionnaire. Patients had significantly more concern prior to CCA than before CTA/CTP (p < 0.001). CTA/CTP was also rated as more comfortable than SPECT-MPI (p = 0.001). Overall satisfaction with CT was superior to that of MRI (p = 0.007). More patients preferred CT (46 %; p < 0.001) as a future diagnostic test. Regarding combined CTA/CTP, CTP was characterised by higher pain levels and an increased frequency of angina pectoris during the examination (p < 0.001). Subgroup analysis showed a higher degree of pain during SPECT-MPI with adenosine stress compared to physical exercise (p = 0.016). All noninvasive cardiac imaging tests are well accepted by patients, with CT being the preferred examination. (orig.)

  15. A comparison between magnetic resonance angiography at 3 teslas (time-of-flight and contrast-enhanced and flat-panel digital subtraction angiography in the assessment of embolized brain aneurysms

    Directory of Open Access Journals (Sweden)

    Guilherme S. Nakiri

    2011-01-01

    Full Text Available PURPOSE: To compare the time-of-flight and contrast-enhanced- magnetic resonance angiography techniques in a 3 Tesla magnetic resonance unit with digital subtraction angiography with the latest flat-panel technology and 3D reconstruction in the evaluation of embolized cerebral aneurysms. INTRODUCTION: Many embolized aneurysms are subject to a recurrence of intra-aneurismal filling. Traditionally, imaging surveillance of coiled aneurysms has consisted of repeated digital subtraction angiography. However, this method has a small but significant risk of neurological complications, and many authors have advocated the use of noninvasive imaging methods for the surveillance of embolized aneurysms. METHODS: Forty-three aneurysms in 30 patients were studied consecutively between November 2009 and May 2010. Two interventional neuroradiologists rated the time-of-flight-magnetic resonance angiography, the contrast-enhanced-magnetic resonance angiography, and finally the digital subtraction angiography, first independently and then in consensus. The status of aneurysm occlusion was assessed according to the Raymond scale, which indicates the level of recanalization according to degrees: Class 1: excluded aneurysm; Class 2: persistence of a residual neck; Class 3: persistence of a residual aneurysm. The agreement among the analyses was assessed by applying the Kappa statistic. RESULTS: Inter-observer agreement was excellent for both methods (K = 0.93; 95 % CI: 0.84-1. Inter-technical agreement was almost perfect between time-of-flight-magnetic resonance angiography and digital subtraction angiography (K = 0.98; 95 % CI: 0.93-1 and between time-of-flight-magnetic resonance angiography and contrast-enhanced-magnetic resonance angiography (K = 0.98; 95% CI: 0.93-1. Disagreement occurred in only one case (2.3%, which was classified as Class I by time-of-flight-magnetic resonance angiography and Class II by digital subtraction angiography. The agreement between

  16. A comparison between magnetic resonance angiography at 3 teslas (time-of-flight and contrast-enhanced) and flat-panel digital subtraction angiography in the assessment of embolized brain aneurysms

    Energy Technology Data Exchange (ETDEWEB)

    Nakiri, Guilherme S.; Santos, Antonio C.; Abud, Thiago G.; Abud, Daniel G., E-mail: gsnakiri@yahoo.com.b [University of Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Medical School. Div. of Radiology; Aragon, Davi C. [University of Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Medical School. Div. of Statistics; Colli, Benedicto O. [University of Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Medical School. Div. of Neurosurgery

    2011-07-01

    Purpose: to compare the time-of-flight and contrast-enhanced- magnetic resonance angiography techniques in a 3 Tesla magnetic resonance unit with digital subtraction angiography with the latest flat-panel technology and 3D reconstruction in the evaluation of embolized cerebral aneurysms. Introduction: many embolized aneurysms are subject to a recurrence of intra-aneurysmal filling. Traditionally, imaging surveillance of coiled aneurysms has consisted of repeated digital subtraction angiography. However, this method has a small but significant risk of neurological complications, and many authors have advocated the use of noninvasive imaging methods for the surveillance of embolized aneurysms. Methods: forty-three aneurysms in 30 patients were studied consecutively between November 2009 and May 2010. Two interventional neuro radiologists rated the time-of-flight-magnetic resonance angiography, the contrast enhanced-magnetic resonance angiography, and finally the digital subtraction angiography, first independently and then in consensus. The status of aneurysm occlusion was assessed according to the Raymond scale, which indicates the level of recanalization according to degrees: Class 1: excluded aneurysm; Class 2: persistence of a residual neck; Class 3: persistence of a residual aneurysm. The agreement among the analyses was assessed by applying the Kappa statistic. Results: inter-observer agreement was excellent for both methods (K = 0.93; 95 % CI: 0.84-1). Inter-technical agreement was almost perfect between time-of-flight-magnetic resonance angiography and digital subtraction angiography (K = 0.98; 95 % CI: 0.93-1) and between time-of-flight-magnetic resonance angiography and contrast enhanced-magnetic resonance angiography (K = 0.98; 95% CI: 0.93-1). Disagreement occurred in only one case (2.3%), which was classified as Class I by time-of-flight-magnetic resonance angiography and Class II by digital subtraction angiography. The agreement between contrast

  17. A comparison between magnetic resonance angiography at 3 Teslas (time-of-flight and contrast-enhanced) and flat-panel digital subtraction angiography in the assessment of embolized brain aneurysms.

    Science.gov (United States)

    Nakiri, Guilherme S; Santos, Antonio C; Abud, Thiago G; Aragon, Davi C; Colli, Benedicto O; Abud, Daniel G

    2011-01-01

    To compare the time-of-flight and contrast-enhanced- magnetic resonance angiography techniques in a 3 Tesla magnetic resonance unit with digital subtraction angiography with the latest flat-panel technology and 3D reconstruction in the evaluation of embolized cerebral aneurysms. Many embolized aneurysms are subject to a recurrence of intra-aneurismal filling. Traditionally, imaging surveillance of coiled aneurysms has consisted of repeated digital subtraction angiography. However, this method has a small but significant risk of neurological complications, and many authors have advocated the use of noninvasive imaging methods for the surveillance of embolized aneurysms. Forty-three aneurysms in 30 patients were studied consecutively between November 2009 and May 2010. Two interventional neuroradiologists rated the time-of-flight-magnetic resonance angiography, the contrast-enhanced-magnetic resonance angiography, and finally the digital subtraction angiography, first independently and then in consensus. The status of aneurysm occlusion was assessed according to the Raymond scale, which indicates the level of recanalization according to degrees: Class 1: excluded aneurysm; Class 2: persistence of a residual neck; Class 3: persistence of a residual aneurysm. The agreement among the analyses was assessed by applying the Kappa statistic. Inter-observer agreement was excellent for both methods (K = 0.93; 95 % CI: 0.84-1). Inter-technical agreement was almost perfect between time-of-flight-magnetic resonance angiography and digital subtraction angiography (K = 0.98; 95 % CI: 0.93-1) and between time-of-flight-magnetic resonance angiography and contrast-enhanced-magnetic resonance angiography (K = 0.98; 95% CI: 0.93-1). Disagreement occurred in only one case (2.3%), which was classified as Class I by time-of-flight-magnetic resonance angiography and Class II by digital subtraction angiography. The agreement between contrast-enhanced-magnetic resonance angiography and

  18. Clinical utility and cost-effectiveness of CT-angiography in the diagnosis of nontraumatic subarachnoid hemorrhage

    Energy Technology Data Exchange (ETDEWEB)

    Jabbarli, Ramazan; Shah, Mukesch; Hippchen, Beate; Velthoven, Vera van [University Hospital of Freiburg, Department of Neurosurgery, Freiburg/Breisgau (Germany); Taschner, Christian [University Hospital of Freiburg, Department of Neuroradiology, Freiburg (Germany); Kaier, Klaus [University Hospital of Freiburg, Institute for Medical Biometry and Medical Informatics, Freiburg (Germany)

    2014-10-15

    CT-angiography gains an increasing role in the initial diagnosis of patients with nontraumatic subarachnoid hemorrhage (SAH). However, the implementation of CT-angiography does not always exclude the necessity of conventional angiography. Our objective was to determine the practical utility and cost-effectiveness of CT-angiography. All patients with nontraumatic subarachnoid hemorrhage admitted to our university hospital after implementation of CT-angiography between June 1, 2011 and June 30, 2012 were retrospectively analyzed in regard to factors of treatment flow, radiation exposure, harms of contrast medium loading, and diagnostic costs. A control group of the same size was assembled from previously admitted SAH patients, who did not undergo pretreatment CT-angiography. Furthermore, cost-effectiveness analysis was performed. The final analysis consisted of 93 patients in each group. Of 93 patients with pretreatment CT-angiography, 74 had to undergo conventional angiography for diagnostic and/or therapeutic purposes. CT-angiography had significant impact on the reduction of collective effective radiation dose by 4.419 mSv per person (p = 0.0002) and was not associated with additional harms. Despite the significantly earlier detection of aneurysms with CT-angiography (p < 0.0001), there were no significant differences in the timing of aneurysm repair and duration of ICU and general hospital stay. There was an increase of diagnostic costs - the cost-effectiveness analysis showed, however, that benefits of CT-angiography in respect to radiation exposure and risk of conventional angiography-related complications justify the additional costs of CT-angiography. Although the implementation of CT-angiography in SAH diagnosis cannot completely replace conventional angiography, it can be approved in regard to radiation hygiene and cost-effectiveness. (orig.)

  19. Sac Angiography and Glue Embolization in Emergency Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm

    Energy Technology Data Exchange (ETDEWEB)

    Koike, Yuya, E-mail: r06118@hotmail.co.jp; Nishimura, Jun-ichi, E-mail: jun-ichi-n@nifty.com; Hase, Soichiro, E-mail: haseman@hotmail.co.jp; Yamasaki, Motoshige, E-mail: genyamasaki@gmail.com [Kawasaki Saiwai Hospital, Department of Interventional Radiology (Japan)

    2015-04-15

    PurposeThe purpose of this study was to demonstrate a sac angiography technique and evaluate the feasibility of N-butyl cyanoacrylate (NBCA) embolization of the ruptured abdominal aortic aneurysm (AAA) sac in emergency endovascular aneurysm repair (EVAR) in hemodynamically unstable patients.MethodsA retrospective case series of three patients in whom sac angiography was performed during emergency EVAR for ruptured AAA was reviewed. After stent graft deployment, angiography within the sac of aneurysm (sac angiography) was performed by manually injecting 10 ml of contrast material through a catheter to identify the presence and site of active bleeding. In two patients, sac angiography revealed active extravasation of the contrast material, and NBCA embolization with a coaxial catheter system was performed to achieve prompt sealing.ResultsSac angiography was successful in all three patients. In the two patients who underwent NBCA embolization for aneurysm sac bleeding, follow-up computed tomography (CT) images demonstrated the accumulation of NBCA consistent with the bleeding site in preprocedural CT images.ConclusionsEVAR is associated with a potential risk of ongoing bleeding from type II or IV endoleaks into the disrupted aneurysm sac in patients with severe coagulopathy. Therefore, sac angiography and NBCA embolization during emergency EVAR may represent a possible technical improvement in the treatment of ruptured AAA in hemodynamically unstable patients.

  20. Delayed angiography in the investigation of intracerebral hematomas caused by small arteriovenous malformations

    Energy Technology Data Exchange (ETDEWEB)

    Willinsky, R.A. (Dept. of Radiology, Toronto Hospital, Western Div., Toronto, ON (Canada) Univ. of Toronto, Brain Vascular Malformation Study Group, ON (Canada)); Fitzgerald, M. (Dept. of Radiology, Toronto Hospital, Western Div., Toronto, ON (Canada)); TerBrugge, K. (Dept. of Radiology, Toronto Hospital, Western Div., Toronto, ON (Canada) Univ. of Toronto, Brain Vascular Malformation Study Group, ON (Canada)); Montanera, W. (Dept. of Radiology, Toronto Hospital, Western Div., Toronto, ON (Canada)); Wallace, M. (Div. of Neurosurgery, Dept. of Surgery, Toronto Hospital, Western Div., ON (Canada) Univ. of Toronto, Brain Vascular Malformation Study Group, ON (Canada))

    1993-04-01

    We reviewed the clinical and radiological features of ten patients with small arteriovenous malformations that caused intracerebral hematomas. In six patients, angiography showed a small nidus (less than 1 cm in diameter) with a shunt at the site of the hematoma, and in four only an early-filling vein was evident. Six patients had only delayed angiography (4 weeks or more after the ictus). In three, angiography within 2 days of the ictus failed to reveal the cause of the bleed, but repeat angiography showed an early-filling vein in two, and a nidus with shunting in one. In only one patient did early angiography reveal the malformation. MRI was obtained in eight patients, and in two prominent vessels were evident in the wall of the hematoma cavity. In investigation of an unexplained intracerebral hematoma, MRI may be useful to exclude a neoplasm or cavernoma, although the latter may be not be evident in the presence of a recent hematoma. We suggest early MRI and angiography for investigation of an unexplained, nonhypertensive intracerebral bleed, with follow-up MRI and dealyed angiography if the initial studies fail to reveal the cause. (orig.)

  1. Cardiac CT angiography in children with congenital heart disease

    Energy Technology Data Exchange (ETDEWEB)

    Siripornpitak, Suvipaporn, E-mail: ssiripornpitak@yahoo.com [Division of Diagnostic Radiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok (Thailand); Pornkul, Ratanaporn [Division of Diagnostic Radiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok (Thailand); Khowsathit, Pongsak [Pediatric Cardiac Unit, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok (Thailand); Layangool, Thanarat; Promphan, Worakan [Pediatric Cardiology Unit, Queen Sirikit National Institute of Child Health, Bangkok (Thailand); Pongpanich, Boonchob [Pediatric Cardiac Unit, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok (Thailand)

    2013-07-15

    Cardiac imaging plays an important role in both congenital and acquired heart diseases. Cardiac computed tomography (angiography) cCT(A) is a non-invasive, increasingly popular, complementary modality to echocardiography in evaluation of congenital heart diseases (CHD) in children. Despite radiation exposure, cCT(A) is now commonly used for evaluation of the complex CHD, giving information of both intra-cardiac and extra-cardiac anatomy, coronary arteries, and vascular structures. This review article will focus on the fundamentals and essentials for performing cCT(A) in children, including radiation dose awareness, basic techniques, and strengths and weaknesses of cCT(A) compared with cardiac magnetic resonance imaging (cMRI), and applications. The limitations of this modality will also be discussed, including the CHD for which cMRI may be substituted.

  2. K-Edge Subtraction Angiography with Synchrotron X-Rays

    CERN Document Server

    Giacomini, J C

    1996-01-01

    The purpose of this project was to utilize dual energy, monochromatic X-rays produced from synchrotrons radiation in order to obtain noninvasive medical imaging. The application of synchrotrons radiation to medical imaging is based on the principle of iodine dichromography, first described by Bertil Jacobson of the Karolinska Institute in 1953. Medical imaging using synchrotrons radiation and K-edge dichromography was pioneered at Stanford University under the leadership of Dr. Ed Rubenstein, and the late Nobel Laureate in Physics, Dr. Robert Hofstadter. With progressive refinements in hardware, clinical-quality images were obtained of human coronary arteries utilizing peripheral injections of iodinated contrast agent. These images even now are far superior to those being presented by investigators using MRI as an imaging tool for coronary arteries. However, new supplies and instruments in the cardiac catheterization laboratory have served to transform coronary angiography into an outpatient procedure, with r...

  3. Gadolinium-enhanced magnetic resonance angiography in brain death

    Science.gov (United States)

    Luchtmann, M.; Beuing, O.; Skalej, M.; Kohl, J.; Serowy, S.; Bernarding, J.; Firsching, R.

    2014-01-01

    Confirmatory tests for the diagnosis of brain death in addition to clinical findings may shorten observation time required in some countries and may add certainty to the diagnosis under specific circumstances. The practicability of Gadolinium-enhanced magnetic resonance angiography to confirm cerebral circulatory arrest was assessed after the diagnosis of brain death in 15 patients using a 1.5 Tesla MRI scanner. In all 15 patients extracranial blood flow distal to the external carotid arteries was undisturbed. In 14 patients no contrast medium was noted within intracerebral vessels above the proximal level of the intracerebral arteries. In one patient more distal segments of the anterior and middle cerebral arteries (A3 and M3) were filled with contrast medium. Gadolinium-enhanced MRA may be considered conclusive evidence of cerebral circulatory arrest, when major intracranial vessels fail to fill with contrast medium while extracranial vessels show normal blood flow.

  4. Subvoxel limits of magnetic resonance angiography: One-dimensional case

    Science.gov (United States)

    Takeuchi, Michihiro; Kim, Dongmin; Sekino, Masaki; Ueno, Shoogo; Ohsaki, Hiroyuki; Iriguchi, Norio

    2010-05-01

    Although the pixel size of magnetic resonance angiography (MRA) defines the spatial resolution of measured images, MRA visualizes blood vessels whose diameters are comparable to or smaller than the pixel size. In the present study, we carried out simplified one-dimensional numerical simulations and two-dimensional imaging experiments to show that discretization errors significantly appear in the measurement of very thin samples, or samples having subpixel structures. Magnetic resonance signals were calculated for a numerical model of blood vessel. The signal intensity was significantly affected by the small displacements. The experimentally obtained signal intensities agreed well with numerical simulations. The signals were summed within a region-of-interest (ROI) covering several pixels. A decrease in the number of pixels included in the ROI led to a decrease in the fluctuation of signal intensity.

  5. Magnetic resonance angiography: current status and future directions

    Science.gov (United States)

    2011-01-01

    With recent improvement in hardware and software techniques, magnetic resonance angiography (MRA) has undergone significant changes in technique and approach. The advent of 3.0 T magnets has allowed reduction in exogenous contrast dose without compromising overall image quality. The use of novel intravascular contrast agents substantially increases the image windows and decreases contrast dose. Additionally, the lower risk and cost in non-contrast enhanced (NCE) MRA has sparked renewed interest in these methods. This article discusses the current state of both contrast-enhanced (CE) and NCE-MRA. New CE-MRA methods take advantage of dose reduction at 3.0 T, novel contrast agents, and parallel imaging methods. The risks of gadolinium-based contrast media, and the NCE-MRA methods of time-of-flight, steady-state free precession, and phase contrast are discussed. PMID:21388544

  6. Magnetic resonance angiography in perforator flap breast reconstruction

    Science.gov (United States)

    Levine, Joshua L.

    2016-01-01

    Magnetic resonance angiography (MRA) is an extremely useful preoperative imaging test for evaluation of the vasculature of donor tissue to be used in autologous breast reconstruction. MRA has sufficient spacial resolution to reliably visualize 1 mm perforating vessels and to accurately locate vessels in reference to a patient’s anatomic landmarks without exposing patients to ionizing radiation or iodinated contrast. The use of a blood pool contrast agent and the lack of radiation exposure allow multiple studies of multiple anatomic regions in one examination. The following article is a detailed description of our MRA protocol developed with our radiologists with examples that illustrate the utility of MRA in perforator flap breast reconstruction. PMID:27047787

  7. OCT angiography and visible-light OCT in diabetic retinopathy.

    Science.gov (United States)

    Nesper, Peter L; Soetikno, Brian T; Zhang, Hao F; Fawzi, Amani A

    2017-10-01

    In recent years, advances in optical coherence tomography (OCT) techniques have increased our understanding of diabetic retinopathy, an important microvascular complication of diabetes. OCT angiography is a non-invasive method that visualizes the retinal vasculature by detecting motion contrast from flowing blood. Visible-light OCT shows promise as a novel technique for quantifying retinal hypoxia by measuring the retinal oxygen delivery and metabolic rates. In this article, we discuss recent insights provided by these techniques into the vascular pathophysiology of diabetic retinopathy. The next milestones for these modalities are large multicenter studies to establish consensus on the most reliable and consistent outcome parameters to study diabetic retinopathy. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Transvenous coronary angiography in humans with synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Thomlinson, W.

    1994-10-01

    The transvenous coronary angiography project at the National Synchrotron Light Source (NSLS) is presently undergoing a significant upgrade to the hardware and software in the synchrotron medical facility. When completed, the project will have reached a level of maturity in the imaging technology which will allow the research team to begin to concentrate on medical research programs. This paper will review the status of the project and imaging technology and will discuss the current upgrades and future advanced technology initiatives. The advantages of using the radiation from a synchrotron, over that from a standard x-ray source, were the motivation for the project. A total of 23 human imaging sessions have been carried out with in the project. The primary goals have been to establish the imaging parameters and protocol necessary to obtain clinically useful images.

  9. Statistical analysis of motion contrast in optical coherence tomography angiography

    CERN Document Server

    Cheng, Yuxuan; Pan, Cong; Lu, Tongtong; Hong, Tianyu; Ding, Zhihua; Li, Peng

    2015-01-01

    Optical coherence tomography angiography (Angio-OCT), mainly based on the temporal dynamics of OCT scattering signals, has found a range of potential applications in clinical and scientific researches. In this work, based on the model of random phasor sums, temporal statistics of the complex-valued OCT signals are mathematically described. Statistical distributions of the amplitude differential (AD) and complex differential (CD) Angio-OCT signals are derived. The theories are validated through the flow phantom and live animal experiments. Using the model developed in this work, the origin of the motion contrast in Angio-OCT is mathematically explained, and the implications in the improvement of motion contrast are further discussed, including threshold determination and its residual classification error, averaging method, and scanning protocol. The proposed mathematical model of Angio-OCT signals can aid in the optimal design of the system and associated algorithms.

  10. The application of synchrotron radiation to non-invasive angiography

    Science.gov (United States)

    Hughes, E. B.; Zeman, H. D.; Campbell, L. E.; Hofstadter, R.; Meyer-Berkhout, U.; Otis, J. N.; Rolfe, J.; Stone, J. P.; Wilson, S.; Rubenstein, E.; Harrison, D. C.; Kernoff, R. S.; Thompson, A. C.; Brown, G. S.

    1983-04-01

    Synchrotron radiation provides a new source of X-rays highly-suited to iodine K-edge Digital Subtraction Angiography (DSA). The use of such beams provides maximum sensitivity to intra-arterial iodine and virtually eliminates image contrast due to non-vascular body structures. The intensity of the beams permits short exposure times and allows images to be recorded, in line-scan fashion, in sharp focus despite arterial motions. The sensitivity of this method offers the prospect of visualizing arteries, and in particular the coronary arteries, by peripheral venous injection. The principles of DSA have been demonstrated using phantoms and excised animal hearts, and in vivo studies in animals have begun. The instrumentation developed for this purpose and the results obtained to date are summarized.

  11. Didactics and training in cardiovascular computed tomography angiography.

    Science.gov (United States)

    Bhojraj, Sanjay D; Al-Mallah, Mouaz H

    2009-01-01

    As the role of cardiovascular computed tomography angiography (CCTA) is further expanded through research, the use of this technology will expand as a result of demand both from medical professionals and the public. To ensure a standardized quality of interpretation of these scans in the face of an increased demand for physicians qualified to interpret these studies, the Society of Cardiovascular Computed Tomography, along with several other professional societies, has proposed a didactic curriculum for the study of CCTA. This review highlights the currently proposed didactic curriculum for the study of CCTA, examines current trends in training for both medical trainees and physicians in practice, and proposes future directions for the study of CCTA.

  12. Egas Moniz: 90 Years (1927–2017 from Cerebral Angiography

    Directory of Open Access Journals (Sweden)

    Marco Artico

    2017-09-01

    Full Text Available In June 2017 we celebrate the 90th anniversary of the pioneer discovery of cerebral angiography, the seminal imaging technique used for visualizing cerebral blood vessels and vascular alterations as well as other intracranial disorders. Egas Moniz (1874–1955 was the first to describe the use of this revolutionary technique which, until 1975 (when computed tomography, CT, scan was introduced in the clinical practice, was the sole diagnostic tool to provide an imaging of cerebral vessels and therefore alterations due to intracranial pathology. Moniz introduced in the clinical practice this fundamental and important diagnostic tool. The present contribution wishes to pay a tribute to the Portuguese neurosurgeon, who was also a distinguished neurologist and statesman. Despite his tremendous contribution in modern brain imaging, Egas Moniz was awarded the Nobel Prize in Physiology or Medicine in 1949 for prefrontal leucotomy, the neurosurgical intervention nowadays unacceptable, but should rather be remembered for his key contribution to modern brain imaging.

  13. Does Fundus Fluorescein Angiography Procedure Affect Ocular Pulse Amplitude?

    Directory of Open Access Journals (Sweden)

    Gökhan Pekel

    2013-01-01

    Full Text Available Purpose. This study examines the effects of fundus fluorescein angiography (FFA procedure on ocular pulse amplitude (OPA and intraocular pressure (IOP. Materials and Methods. Sixty eyes of 30 nonproliferative diabetic retinopathy patients (15 males, 15 females were included in this cross-sectional case series. IOP and OPA were measured with the Pascal dynamic contour tonometer before and after 5 minutes of intravenous fluorescein dye injection. Results. Pre-FFA mean OPA value was  mmHg and post-FFA mean OPA value was  mmHg (. Pre-FFA mean IOP value was  mmHg and post-FFA mean IOP value was  mmHg (. Conclusion. Although both mean OPA and IOP values were decreased after FFA procedure, the difference was not statistically significant. This clinical trial is registered with Australian New Zealand Clinical Trials Registry number ACTRN12613000433707.

  14. Thyroid Nodules Detected by Contrast-Enhanced Magnetic Resonance Angiography: Prevalence and Clinical Significance.

    Science.gov (United States)

    Lim, Hyun Kyung; Park, Sung Tae; Ha, Hongil; Choi, Seo-youn

    2016-01-01

    Incidental thyroid lesions are frequently found on contrast-enhanced magnetic resonance (CE-MR) angiography. The purpose of this study is to determine the prevalence of thyroid incidentalomas detected by CE-MR angiography and to evaluate their clinical significance by correlation with ultrasound (US) and cytopathological results. We retrospectively reviewed 3,299 consecutive CE-MR angiography examinations performed at our institution between January 2010 and March 2013. Two radiologists evaluated the CE-MR angiography imaging in consensus regarding the presence, location, and vascularity of thyroid incidentaloma. We correlated these findings with follow-up US and cytopathologic results. The prevalence of thyroid incidentalomas detected by CE-MR angiography was 4.6% (152/3,299 patients). CE-MR angiography showed hypervascularity in 86.8% (145/167), isovascularity in 8.4% (14/167), and hypovascularity in 4.8% (8/167) of thyroid nodules compared to vascularity of thyroid parenchyma. Among the patients with thyroid incidentaloma, 34 patients (22.4%) were followed by US examination, and all 36 nodules on CE-MR angiography were detected on follow-up US. Of these nodules, 9 (25%) nodules were classified as probably benign, 26 (72.2%) as indeterminate, and 1 (2.8%) as suspicious malignant nodule. Among the 16 nodules with available cytopathologic results, 12 nodules were benign, 2 nodules were follicular neoplasm, and 2 nodules showed non-diagnostic results. Incidental thyroid nodules were found in 4.6% of CE-MR angiography examinations. Because the high incidence of indeterminate US feature among thyroid incidentaloma, when a thyroid incidentaloma is detected on CE-MR angiography, further evaluation with US should be performed.

  15. Comparison of fluoro and cine coronary angiography: balancing acceptable outcomes with a reduction in radiation dose.

    Science.gov (United States)

    Olcay, Ayhan; Guler, Ekrem; Karaca, Ibrahim Oguz; Omaygenc, Mehmet Onur; Kizilirmak, Filiz; Olgun, Erkam; Yenipinar, Esra; Cakmak, Huseyin Altug; Duman, Dursun

    2015-04-01

    Use of last fluoro hold (LFH) mode in fluoroscopy, which enables the last live image to be saved and displayed, could reduce radiation during percutaneous coronary intervention when compared with cine mode. No previous study compared coronary angiography radiation doses and image quality between LFH and conventional cine mode techniques. We compared cumulative dose-area product (DAP), cumulative air kerma, fluoroscopy time, contrast use, interobserver variability of visual assessment between LFH angiography, and conventional cine angiography techniques. Forty-six patients were prospectively enrolled into the LFH group and 82 patients into the cine angiography group according to operator decision. Mean cumulative DAP was higher in the cine group vs the LFH group (50058.98 ± 53542.71 mGy•cm² vs 11349.2 ± 8796.46 mGy•cm²; Pcine group vs the LFH group (3.87 ± 5.08 minutes vs 1.66 ± 1.51 minutes; Pcine group vs the LFH group (112.07 ± 43.79 cc vs 88.15 ± 23.84 cc; Pcine and LFH angiography groups (0.66680 ± 0.19309 vs 0.54193 ± 0.31046; P=.20). Radiation doses, contrast use, and fluoroscopy times are lower in fluoroscopic LFH angiography vs cine angiography. Interclass variability of visual stenosis estimation between three operators was not different between cine and LFH groups. Fluoroscopic LFH images conventionally have inferior diagnostic quality when compared with cine coronary angiography, but with new angiographic systems with improved LFH image quality, these images may be adequate for diagnostic coronary angiography.

  16. Myocardial bridging: evaluation with multislice computed tomography coronary angiography

    Energy Technology Data Exchange (ETDEWEB)

    Barros, M.V.L. de; Rabelo, D.R.; Nunes, M.C.P.; Siqueira, M.H.A. [Mater Dei Hospital, Belo Horizonte, MG (Brazil)

    2012-04-15

    Myocardial bridging (MB) is defined as a segment of a major epicardial coronary artery that proceeds intramurally through the myocardium beneath the muscle bridge. Although MB is clinically silent in most cases, it has been associated with myocardial ischemia, myocardial infarction, arrhythmia, and sudden death. Conventional coronary angiography (CCA) is the gold standard for detection, but it is invasive and may not be sensitive enough to detect a thin bridge. Recently, multislice computed tomography coronary angiography (MCTCA) have made possible the clear detection of the entire running courses of coronary arteries and the MB itself. Objective: To evaluate the prevalence MB in patients suspect to coronary artery disease submitted to MCTCA and assessing the predictive value of this method in the midterm. Methods: 498 consecutive patients were examined by MCTCA for the diagnosis of coronary artery disease and followed for a mean follow-up of 17 months for the occurrence of cardiovascular events (death, hospitalization and / or revascularization myocardial). Results: The mean age of patients was 58.4 ± 12.5 years old, 74.3% male. Among the patients, 6,02% (30 patients) showed MB. The major indications were angina pectoris in 45,8% and positive stress testing in 33,3%. 62,5% showed absent atherosclerotic disease and only 1 patient showed moderade descending anterior stenosis. During the follow-up none patient showed hard events. Conclusion: Patients with MB could present with angina pectoris and positive stress testing and showed midterm excellent prognosis. MCTCA is an alternative noninvasive imaging tool that allows for easy and accurate evaluation of MB.

  17. Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings

    Energy Technology Data Exchange (ETDEWEB)

    Elmali, M.; Soylu, K.; Gulel, O.; Bayrak, I.K.; Koprulu, D.; Diren, H.B.; Celenk, C. (Dept. of Radiology and Dept. of Cardiology, Ondokuz Mayis Univ. Faculty of Medicine, Samsun (Turkey))

    2008-10-15

    Background: Myocardial bridging (MB) is a congenital anomaly in which a segment of coronary artery is surrounded by myocardium. Purpose: To investigate the correlation between muscle thickness over the tunneled coronary artery (depth) in MB and the presence of milking effect (ME) and systolic narrowing ratio in catheter angiography (CA). Material and Methods: The records of 36 patients who underwent a coronary computed tomography angiography (CTA) and following CA examination for suspicious ischemic coronary artery disease, between March 2005 and September 2007, were retrospectively evaluated. According to the depth of MB on CTA, patients were grouped into four groups: group 1, <1 mm; group 2, 1- <2 mm; group 3, 2- <4 mm; group 4, =4 mm. The presence of milking effect, systolic narrowing ratio, and atherosclerotic stenosis at CA were recorded. CTA and CA results were then compared to evaluate the correlation. Results: In total, ME was found in 15 arteries at CA (42%). There was no ME in group 1; it was present in 11% of group 2, 67% of group 3, and 100% of group 4. Starting from group 3, the percentage of likelihood of seeing the milking effect was 77%, and the percentage of systolic narrowing was between 30 and 70%. There was a significant correlation between depth of MB and systolic narrowing (P<0.01), while no significant correlation between length of MB and systolic narrowing was found (P=0.32). In seven of the 36 patients (group 1, 0; group 2, 1; group 3, 3; group 4, 3), clinical findings were related to pure MB. Conclusion: The depth of MB is positively related to coronary narrowing and clinical ischemic findings

  18. Simultaneous noncontrast angiography and intraplaque hemorrhage (SNAP) imaging: Comparison with contrast-enhanced MR angiography for measuring carotid stenosis.

    Science.gov (United States)

    Shu, Hongge; Sun, Jie; Hatsukami, Thomas S; Balu, Niranjan; Hippe, Daniel S; Liu, Haining; Kohler, Ted R; Zhu, Wenzhen; Yuan, Chun

    2017-10-01

    To evaluate in a proof-of-concept study the feasibility of Simultaneous Noncontrast Angiography and intraPlaque hemorrhage (SNAP) imaging as a clinical magnetic resonance angiography (MRA) technique for measuring carotid stenosis. There is a growing interest in detecting intraplaque hemorrhage (IPH) during the clinical management of carotid disease, yet luminal stenosis has remained indispensable during clinical decision-making. SNAP imaging has been proposed as a novel IPH imaging technique that provides carotid MRA with no added scan time. Flowing blood shows negative signal on SNAP because of phase-sensitive inversion recovery. In all, 58 asymptomatic subjects with 16-79% stenosis on ultrasound were scanned at 3T by SNAP with 0.8 mm isotropic resolution and 16 cm longitudinal coverage. Two readers measured luminal stenosis of bilateral carotid arteries (n = 116) on minimum intensity projections of SNAP using the NASCET criteria. In the subset (48 arteries) with contrast-enhanced (CE) MRA available for comparison, luminal stenosis was also measured on maximum intensity projections of CE-MRA. Intraclass correlation coefficients (ICCs) with 95% confidence intervals were 0.94 (0.90-0.96) and 0.93 (0.88-0.96) for intra- and interreader agreement on stenosis measurements, respectively. Corresponding kappas for grading stenosis (0-29%, 30-69%, 70-99%, and 100%) were 0.79 (0.67-0.89) and 0.80 (0.68-0.90). Agreement between SNAP and CE-MRA was high (ICC: 0.95 [0.90-0.98]; kappa: 0.82 [0.71-0.93]). As a dedicated IPH-imaging sequence, SNAP also provided carotid stenosis measurement that showed high intra- and interreader consistency and excellent agreement with CE-MRA. Further comparisons with digital subtraction angiography and other noninvasive techniques are warranted. 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2017;46:1045-1052. © 2017 International Society for Magnetic Resonance in Medicine.

  19. Transient global amnesia after cerebral angiography still occurs: Case report and literature review

    DEFF Research Database (Denmark)

    Foss-Skiftesvik, Jon; Snoer, Agneta Henriette; Wagner, Aase

    2014-01-01

    . While the condition by definition is self-limiting, its differential diagnoses may cause severe morbidity and/or mortality if left untreated. It is therefore important to build and maintain awareness of transient global amnesia as a possible complication of cerebral angiography.......Transient global amnesia is considered a very rare complication of diagnostic cerebral angiography, and has only been reported in a limited number of case reports more than 15 years ago. We describe a patient experiencing transient global amnesia following cerebral digital subtraction angiography...

  20. Subsecond magnetic resonance angiography and the evaluation of abnormal arteriovasuclar communications

    Science.gov (United States)

    Zachariah, Anish B.; Pereles, F. S.; Kaliney, Ryan; Carr, James C.; Collins, Jeremy D.; Wood, Cecil; Finn, John P.

    2003-05-01

    Magnetic resonance (MR) angiography is becoming widely accepted in the diagnosis of vascular diseases. When used for evaluation of arterial stenoses, aneurysm, thrombosis, or occlusion, MR angiography is a robust and accurate technique. Traditional techniques for contrast-enhanced magnetic resonance angiography (MRA) offer the benefit of high spatial resolution in characterizing vascular malformations, but have lacked the temporal resolution to describe dynamic flow events. The purpose of this project is to demonstrate the potential role of a novel technique, sub-second MRA, in the evaluation of abdominal arteriovenous malformation.

  1. Magnetic resonance angiography of fetal vasculature at 3.0 T

    Energy Technology Data Exchange (ETDEWEB)

    Neelavalli, Jaladhar; Krishnamurthy, Uday; Yadav, Brijesh K.; Haacke, Ewart M. [Wayne State University School of Medicine, Department of Radiology, Detroit, MI (United States); Wayne State University, Department of Biomedical Engineering, Detroit, MI (United States); Jella, Pavan K.; Hendershot, Kelly; Cabrera, Maria D. [Wayne State University School of Medicine, Department of Radiology, Detroit, MI (United States); Mody, Swati S. [Wayne State University School of Medicine, Department of Radiology, Detroit, MI (United States); Children' s Hospital of Michigan, Department of Radiology, Detroit, MI (United States); Hernandez-Andrade, Edgar; Yeo, Lami; Hassan, Sonia S. [Wayne State University, Department of Obstetrics and Gynecology, Detroit, MI (United States); Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, and Detroit, MI (United States); Romero, Roberto [Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, and Detroit, MI (United States); University of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI (United States); Michigan State University, Department of Epidemiology and Biostatistics, East Lansing, MI (United States); Wayne State University, Center for Molecular Medicine and Genetics, Detroit, MI (United States)

    2016-12-15

    Magnetic resonance angiography has not been used much previously for visualizing fetal vessels in utero for reasons that include a contraindication for the use of exogenous contrast agents, maternal respiratory motion and fetal motion. In this work, we report the feasibility of using an appropriately modified clinical time-of-flight magnetic resonance imaging sequence for non-contrast angiography of human fetal and placental vessels at 3.0 T. Using this 2D angiography technique, it is possible to visualize fetal vascular networks in late pregnancy. (orig.)

  2. Dose management in radiology. Review of the technological status; Dosismanagement in der Radiologie. Ein Ueberblick zum Stand der Technik

    Energy Technology Data Exchange (ETDEWEB)

    Verius, M. [LKH Innsbruck, Universitaetsklinik fuer Radiologie, Innsbruck (Austria)

    2015-08-15

    The Euratom directive 2013/59 (''EU directive for radiation protection'') has to be implemented into national law by spring 2018 and requires a complete recording of patient dosages and relevant parameters. Additionally, a medical physics expert has to be consulted for each radiological examination above a defined threshold. A complete recording of the dosage administered from all modalities and optimization of the radiological procedures should result in a reduction of the total dosage. This can be achieved by automated systems that incorporate not only the detection of the dose parameters but also the evaluation and analysis of these data. When provided with warning levels such a system should be able to inform or warn the operator when dose thresholds have been exceeded or even better inform the operator about possible excess dosages before an examination. Depending on the information provided by the modality, dose management systems can operate at different levels in the picture archiving and communication system (PACS), radiological and hospital information systems (RIS/HIS) or with the header information of a digital imaging and communications in medicine (DICOM) image and evaluate and analyze this data. A practicable use of such systems is only possible by close cooperation of medical personnel, medical physicists and information technology (IT) administrators. Various systems are available commercially or free but an individual adaptation of these systems is useful and necessary, depending on the requirements of the radiology practice or hospital. (orig.) [German] Die Euratom-Richtlinie 2013/59 (''EU-Richtlinie zum Strahlenschutz'') besagt, dass sie bis zum Fruehjahr 2018 in nationales Recht der Mitgliedstaaten umgesetzt werden muss, d. h. eine lueckenlose Erfassung der Patientendosen zu erfolgen hat. Ausserdem muss zu jeder Modalitaet in einem bestimmten Ausmass ein Medizinphysikexperte hinzugezogen werden. Die

  3. Lebenserzählungen. Neue Biografien zum 100. Geburtstag von Simone de Beauvoir Life Stories. New Biographies on the 100th Birthday of Simone de Beauvoir

    Directory of Open Access Journals (Sweden)

    Lieselotte Steinbrügge

    2008-03-01

    Full Text Available Zum 100. Geburtstag von Simone de Beauvoir sind zwei Biografien erschienen, die auf unterschiedliche Weise auf die Herausforderung antworten, die die das spektakuläre Leben und vielfältige Werk der besessenen Autobiografin, Schriftstellerin, Philosophin, Essayistin und Feministin für die Chronisten darstellt.Two biographies have been published in conjunction with the 100th birthday of Simone de Beauvoir. Each provides a different answer to the challenges presented to the chronicler by the spectacular life and varied work of the obsessive autobiographer, author, philosopher, essayist, and feminist.

  4. Effective cutting of solar cells. Evaluation of beam technologies for contour cutting of silicon; Rationelles Trennen von Solarzellen. Beurteilung von Strahltechnologien zum Konturschneiden von Silizium

    Energy Technology Data Exchange (ETDEWEB)

    Heikenwaelder, J.; Seim, T. [ITW e.V., Chemnitz (Germany). Inst. fuer Innovative Technologien; Matthees, J.R. [Solarwatt Solar-Systeme GmbH, Dresden (Germany); Richerzhagen, B. [SYNOVA S.A., Lausanne (Switzerland)

    1999-07-01

    A provider of solar modules in co-operation with a R and D-Institute investigated the application of laser beam and water jet cutting of contours in silicon. The results and many of applications of a till now not so well establish method will be introduced. (orig.) [German] Ein Dresdner Solarmodul-Hersteller untersuchte zusammen mit einer FuE-Einrichtung das Laser- und Wasserstrahlschneiden zum Konturschneiden von Silizium. Die Ergebnisse und ein noch wenig bekanntes Verfahren mit seinen vielfaeltigen Anwendungsmoeglichkeiten werden vorgestellt. (orig.)

  5. Electronic Commerce in Vertrieb und Beschaffung : Fallstudien zum Einsatz von internet-basierten Technologien für Vertrieb und Beschaffung

    OpenAIRE

    Renner, Thomas; Schwengels, Christian

    2000-01-01

    Electronic Commerce (E-Commerce), der Handel mit Produkten und Dienstleistungen über das Internet, kommt seit 1996 in Deutschland im privaten, industriellen und öffentlichen Bereich zunehmenden zum Einsatz. Es stellt sich heute nicht mehr die Frage, ob und wann sich E-Commerce durchsetzen wird, sondern nur noch in wie weit und in welchen Bereichen er sich durchsetzen wird. Betrachtet man jedoch den heutigen Stand von E-Commerce, so fällt auf, dass zwischen den angekündigten Potenzialen und de...

  6. Aspekte der Sozialisation zum Arzt : eine empirische Studie über Auswirkungen der praktischen Makroanatomie auf Medizinstudierende und deren Einstellung zu Sterben und Tod

    OpenAIRE

    Egbert, Susanne

    2005-01-01

    Seit einigen Jahren wird verstärkt untersucht, wie das Verhältnis zwischen Arzt/Ärztin und PatientIn verbessert werden kann und welchen Einfluss die Studienbedingungen auf die spätere Arbeitsweise von Ärzten/Ärztinnen haben. In dieser Dissertation wird der Stellenwert der makroskopischen Anatomie für die Sozialisation zum Arzt / zur Ärztin behandelt, also der Lehrveranstaltung, in der die Studierenden eine Leiche präparieren. Insbesondere in den angloamerikanischen Ländern sind hierzu bereits...

  7. Kurz zum Klima: EEG-Novelle – heißt es nun auch für die Windenergie »Deckel drauf«?

    OpenAIRE

    Mender, Antonia; Lippelt, Jana

    2014-01-01

    Deutschland steht zusammen mit China und den USA an der Spitze der weltweit installierten Kapazität an Windenergie. Dies könnte sich mit den aktuellen Reformplänen zum EEG, die auch einen Deckel für Windkraft anstreben, schon bald ändern. Der Beitrag gibt einen Überblick über den derzeitige Stand und die Ausbauziele bei der Windenergie in Deutschland. Offen bleibt allerdings, wie sich die Ausgestaltung der Vergütungen für Windenergie nach der Überarbeitung des Entwurfs zur Neufassung des EEG ...

  8. Training to NDT construction experts (ZFPBau). Developments in recent years; Ausbildung zum ZfPBau-Experten. Entwicklungen der letzten Jahre

    Energy Technology Data Exchange (ETDEWEB)

    Taffe, Alexander [Hochschule fuer Technik und Wirtschaft, Berlin (Germany); Feistkorn, Sascha [SVTI Schweizerischer Verein fuer technische Inspektionen, Wallisellen (Switzerland). Nuklearinspektorat; Dauberschmidt, Christoph [Hochschule Muenchen (Germany)

    2016-05-01

    Classical destructive test methods are fixed part of industrial sectors for decades such as aerospace, automotive, railway and power plants. A high degree of standardization of procedures, and training in form of an ISO standard are present, but not in non-destructive testing of civil engineering (ZfPBau). Except for the rebound hammer NDT methods in civil engineering are not standardized. Also of personnel qualifications can be found in regulations very few requirements, although it is obvious that this is an indispensable prerequisite for the proper application of the procedures and reliable inspection results. In this contribution experiences with a presented training concept in which the construction inspector will trained to DIN 1076 in a two-day course. Here are the necessary conditions worked out, such as the creation of suitable test bodies or the definition of necessary course content for establishing training courses. [German] Klassische zerstoerungsfreie Pruefverfahren sind seit Jahrzehnten fester Bestandteil industrieller Bereiche wie Luftfahrt, Automotive, Eisenbahn und Kraftwerke. Ein hoher Normungsgrad der Verfahren und Ausbildungsstandards in Form einer ISO-Norm liegen vor. Bei der zerstoerungsfreien Pruefung im Bauwesen (ZfPBau) ist das anders. Bis auf den Rueckprallhammer sind ZfPBau-Verfahren nicht genormt. Auch zur Personalqualifikation finden sich in Regelwerken nur sehr wenige Anforderungen, obwohl es offensichtlich ist, dass dies eine unverzichtbare Voraussetzung fuer die richtige Anwendung der Verfahren und zuverlaessige Pruefaussagen ist. In diesem Beitrag werden Erfahrungen mit einem Ausbildungskonzept vorgestellt, bei dem Bauwerkspruefer nach DIN 1076 in einem zweitaegigen Lehrgang ausgebildet werden. Dabei werden die notwendigen Voraussetzungen heraus gearbeitet, wie z.B. die Erstellung von geeigneten Testkoerpern oder die Festlegung notwendiger Kursinhalte, die zum Etablieren von Ausbildungskursen erforderlich sind.

  9. Multiparametric prostate MRI for follow-up monitoring after radiation therapy; Multiparametrische MRT der Prostata zum Therapiemonitoring nach Strahlentherapie

    Energy Technology Data Exchange (ETDEWEB)

    Weidner, A.M.; Dinter, D.J.; Bohrer, M.; Sertdemir, M.; Hausmann, D.; Wenz, F.; Schoenberg, S.O. [Universitaetsmedizin Mannheim, Medizinische Fakultaet Mannheim der Universitaet Heidelberg, Institut fuer Klinische Radiologie und Nuklearmedizin, Mannheim (Germany)

    2012-03-15

    Radiation therapy is a therapeutic option with curative intent for patients with prostate cancer. Monitoring of prostate-specific antigen (PSA) values is the current standard of care in the follow-up. Imaging is recommended only for symptomatic patients and/or for further therapeutic options. For detection of local recurrence magnetic resonance imaging (MRI) of the prostate is acknowledged as the method of choice. Good results for primary diagnosis were found especially in combination with functional techniques, whereas in recurrent prostate cancer only few studies with heterogeneous study design are available for prostate MRI. Furthermore, changes in different MRI modalities due to radiation therapy have been insufficiently investigated to date. As the initial results were promising prostate MRI and available therapeutic options for detection of local recurrence should be considered in patients with increased PSA. (orig.) [German] Fuer Patienten mit Prostatakarzinom stellt die Radiatio eine potenziell kurative lokale Therapieoption dar. Im Rahmen der Nachsorge nach lokal kurativ intendierter Therapie wird aktuell der Verlauf des PSA-Werts (PSA prostataspezifisches Antigen) kontrolliert, der Einsatz bildgebender Verfahren wird lediglich bei symptomatischen Patienten und/oder zur Planung einer Salvagetherapie empfohlen. Die MRT der Prostata stellt derzeit die Methode der Wahl zur lokalen Rezidivdiagnostik dar. Insbesondere in Verbindung mit funktionellen Untersuchungstechniken zeigen Studien gute Ergebnisse in der Primaerdiagnostik. Zum Einsatz der MRT der Prostata in der Rezidivsituation wurden bisher nur wenige Studien mit heterogenem Studiendesign publiziert. Auch die in der MRT nach Bestrahlung sichtbaren Veraenderungen in den unterschiedlichen Modalitaeten sind noch wenig evaluiert. Da die ersten Studienergebnisse auch bei Patienten nach Radiatio viel versprechend sind, sollte bei unklarem PSA-Anstieg und vorhandener Therapieoption eine MRT der Prostata zur

  10. Futurelab Medienpädagogik: Qualitätsentwicklung – Professionalisierung – Standards. Thesenpapier zum Forum Kommunikationskultur 2017 der GMK

    Directory of Open Access Journals (Sweden)

    Thomas Knaus

    2017-10-01

    Full Text Available Das Forum Kommunikationskultur der Gesellschaft für Medienpädagogik und Kommunikationskultur (GMK steht im Jahr 2017 unter dem Anspruch, sich mit Fragen der Qualitätsentwicklung medienpädagogischen Handelns in Wissenschaft und Praxis auseinanderzusetzen. Dabei soll besonderes Augenmerk auf Fragen der Professionalisierung und der Entwicklung von Standards gelegt werden. Zu diesen Fragen stellen wir im Folgenden ausgewählte Thesen mit ergänzenden und erweiternden Erläuterungen im Sinne eines programmatischen Textes zur Diskussion. Die mit diesem Papier anzustossende Diskussion soll zunächst einer konstruktiv-weiterführenden internen Klärung wichtiger Fragen medienpädagogischer Praxis und Forschung dienen und dabei auch anzeigen, welche Positionen in der Community konsensfähig sind und welche möglicherweise strittig erscheinen. Zugleich sollen die Thesen und die Diskussion zu einer Positionsbestimmung der GMK bezüglich praktischer und wissenschaftlicher medienpädagogischer Arbeit nach aussen beitragen. Mit der Diskussion ist das Ziel verbunden, künftige Bedarfe für Handlungs- und Forschungsfelder der Medienpädagogik – jedoch ohne Anspruch auf Vollständigkeit – zu identifizieren. Um der Prägnanz und Kürze willen, wird der zu jeder These gehörende Hintergrund nur knapp angedeutet, ohne die damit verbundenen (teils sehr umfassenden Diskurse im Detail nachzuzeichnen. Angegebene Literaturbezüge sollen jeweils beispielhaft auf differenzierende und tiefergehende Ausführungen verweisen. Die Thesenfolge beginnt mit Überlegungen zum technikinduzierten gesellschaftlichen Wandel („Digitalisierung“ und seiner Bedeutung für die Medienbildung. Dies vorausschickend, gehen wir auf Fragen der Qualifizierung und Professionalisierung für praktisches Handeln sowie auf die Rolle der Medienpädagogik als Wissenschaft und schliessend auf den Stellenwert von Standards zur Orientierung und Reflexion ein.

  11. Malwine Seemann: Geschlechtergerechtigkeit in der Schule. Eine Studie zum Gender Mainstreaming in Schweden. Bielefeld: transcript Verlag 2009.

    Directory of Open Access Journals (Sweden)

    Claudia Schneider

    2010-07-01

    Full Text Available Gender Mainstreaming-Prozesse in Bildungsorganisationen sind geeignet, Wissen darüber zu liefern, wie Gender in Organisationen eingeschrieben ist – in Strukturen, Abläufe und Routinen, in Haltungen und Werte. Darüber gibt die Studie von Seemann jedoch nur zum Teil Auskunft: Der breiten Material-Fülle (Textdokumente und über 40 Expert/-innen-Interviews fehlt an relevanten Stellen die Tiefe: Wie ist für die jeweilige Schule Geschlechtergerechtigkeit definiert? Was ist das Ziel, woran ist die Zielerreichung zu erkennen? Wie werden Konflikte und Widerstände gemanagt? Welche strukturellen Veränderungen können realisiert werden? Ausgeblendet bleibt in Seemanns Untersuchung auch das Doing Gender – das (ReProduzieren von Geschlecherdifferenzen – auf der Ebene von Fachunterricht, Fachkulturen und Didaktik.The processes of gender mainstreaming in educational organizations are appropriate for communicating knowledge about how organizations are inscribed by gender – in their structures, schedule of events and routines, habits, and values. However, Seemann’s study only discloses partial information. At key points, the broad expanse of material (written documents and over 40 expert interviews often lacks depth: How is school gender equity defined for each individual? What is the goal, how can the achievement of that goal be properly identified? How are conflict and dissent managed? Which structural changes can be put into place? Missing in Seemann’s study is also the aspect of doing gender – the (reproduction of gender differences – at the level of subject instruction, subject cultures, and didactics.

  12. Comparison of a safety strategy using transradial access and dual-axis rotational coronary angiography with transfemoral access and standard coronary angiography.

    Science.gov (United States)

    Yasar, Ayse S; Perino, Alexander C; Dattilo, Philip B; Casserly, Ivan P; Carroll, John D; Messenger, John C

    2013-10-01

    We sought to investigate the radiation exposure and contrast utilization associated with using a strategy of transradial access and rotational angiography (radial-DARCA) compared to the traditional approach of transfemoral access and standard angiography (femoral-SA). There is an increased focus on optimizing patient safety during cardiac catheterization procedures. Professional guidelines have highlighted physician responsibility to minimize radiation doses and contrast volume. Dual axis rotational coronary angiography (DARCA) is the most recently investigated type of rotational angiography. This new technique permits complete visualization of the left or right coronary tree with a single injection, and is felt to reduce contrast and radiation exposure. A total of 56 consecutive patients who underwent radial-DARCA were identified. From the same time period, an age- and gender-matched group of 61 patients who had femoral-SA were selected for comparison. Total volume of contrast agent used, fluoroscopy time, and 2 measures of radiation dose (dose area product and air kerma) were recorded for each group. Mean contrast agent use and patient radiation exposure of the radial-DARCA group were significantly less than that of the femoral-SA group. There was no significant difference in fluoroscopy time between the 2 groups. Physicians can successfully employ an innovative safety strategy of transradial access combined with DARCA that is feasible and is associated with lower radiation doses and contrast volume than femoral artery access and traditional coronary angiography approach. © 2013, Wiley Periodicals, Inc.

  13. Thermodynamic analysis of a fuel-cell-system for automotive transportation; Thermodynamische Analyse eines Brennstoffzellensystems zum Antrieb von Kraftfahrzeugen

    Energy Technology Data Exchange (ETDEWEB)

    Berger, Oliver

    2009-09-28

    inclination angle profile of the Grossglockner mountain is followed on the test stand with a speed of 55 km/h without overheating of the cooling system. After optimization of the cooler design and positioning, the new vehicle was able to meet the specifications while the first of the two vehicles only achieved 35 km/h without overheating of the cooling system. Finally, a theoretical investigation identified the measures that should be taken to achieve sufficient cooling in countries with hot climates, e.g. the USA. It was found that it would be sufficient to raise the coolant temperature from 90 C to about 110 C to ensure good performance in these climate zones. (orig.) [German] Ziel der vorliegenden Arbeit ist die thermodynamische Analyse und Optimierung eines Brennstoffzellensystems zum Antrieb von Kraftfahrzeugen. Der Fokus ist im Wesentlichen auf die Kuehlung des Brennstoffzellenstapelmoduls gelegt, wobei aufgrund der Vielzahl an Schnittstellen zwischen der Kuehlung und den anderen Teilsystemen (Wasserstoff- und Luftversorgung) auch eine ganzheitlichere Betrachtung erforderlich ist. Ausgangspunkt der Untersuchungen ist ein bestehendes Brennstoffzellenfahrzeug, anhand dessen in einem ersten Schritt experimentelle Untersuchungen auf Systempruefstaenden und im Klimawindkanal durchgefuehrt werden. Die gewonnenen Messdaten dienen zum einen der Darstellung des Ist-Zustands und zur Ermittlung des Grenzbereichs der Waermeabfuhr an die Umgebung ueber das Brennstoffzellen-Kuehlsystem. Zum anderen werden sie zur Validierung eines dynamischen Kuehlsystemsimulationsmodells herangezogen. Mittels dieses Simulationsmodells werden anschliessend im Rahmen von Sensitivitaetsanalysen die wesentlichen Einflussfaktoren zur Steigerung der Waermeabfuhr an die Umgebung ermittelt. Die daraufhin durchgefuehrten Optimierungen betreffen die Verschaltung der Systemkomponenten sowie deren Auslegung und Platzierung im Fahrzeugvorderwagen. Auf Basis dieser und weiterer Erkenntnisse wird ein weiteres

  14. Magnetic resonance angiography or digital subtraction catheter angiography for follow-up of coiled aneurysms: do we need both?

    Science.gov (United States)

    Lane, Annah; Vivian, Philip; Coulthard, Alan

    2015-04-01

    Endovascular treatment of intracranial aneurysms is now common. Digital subtraction catheter angiography (DSA) is the gold standard for imaging follow-up of coiled intracranial aneurysms; however, it is an invasive procedure with a risk of complications. Time-of-flight magnetic resonance angiography (MRA) is an alternative non-invasive imaging method. In a previous study, we found that MRA at 1.5T was comparable to DSA for detection of aneurysm recurrence in this patient group and subsequently added MRA to the routine follow-up protocol. In the current study, we further compare MRA with DSA to determine whether MRA could safely replace DSA. Patients who had endovascular coiling procedure for intracranial aneurysm from 10/2004 to 6/2010 were identified from our database. A radiologist and a radiology registrar compared MRA and DSA for all patients who received both modalities. DSA was considered as the reference technique. 'Agreement' or 'disagreement' between modalities was noted regarding absence or presence of aneurysm recurrence. The study group comprised 86 treatments of 80 aneurysms in 73 patients. There were 83/86 agreements between modalities and 3 disagreements. In one case, MRA identified a recurrence that was not seen on the corresponding DSA. In two cases, DSA showed a minor recurrence that was not seen on MRA. Of the two MRA 'misses', neither would have resulted in different management. MRA is a safe and accurate modality for follow-up of coiled aneurysms and can replace DSA. © 2015 The Royal Australian and New Zealand College of Radiologists.

  15. Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison

    Science.gov (United States)

    2014-01-01

    Introduction The aim of the study was to compare the detectability of neck vessels with contrast enhanced magnetic resonance angiography (MRA) in the setting of a whole-body MRA and multislice computed tomography angiography (CTA) for preoperative vascular mapping of head and neck. Methods In 20 patients MRA was performed prior to microvascular reconstruction of the mandible with osteomyocutaneous flaps. CTA of the neck served as the method of reference. 1.5 T contrast enhanced magnetic resonance angiograms were acquired to visualize the vascular structures of the neck in the setting of a whole-body MRA examination. 64-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Maximum intensity projection was employed to visualize MRA and CTA data. To retrieve differences in the detectability of vessel branches between MRA and CTA, a McNemar test was performed. Results All angiograms were of diagnostic quality. There were no statistically significant differences between MRA and CTA for the detection of branches of the external carotid artery that are relevant host vessels for microsurgery (p = 0.118). CTA was superior to MRA if all the external carotid artery branches were included (p < 0.001). Conclusions MRA is a reliable alternative to CTA in vascular mapping of the cervical vasculature for planning of microvascular reconstruction of the mandible. In the setting of whole-body MRA it could serve as a radiation free one-stop-shop tool for preoperative assessment of the arterial system, potentially covering both, the donor and host site in one single examination. PMID:24884580

  16. Parapapillary Choroidal Microvasculature Dropout in Glaucoma: A Comparison between Optical Coherence Tomography Angiography and Indocyanine Green Angiography.

    Science.gov (United States)

    Lee, Eun Ji; Lee, Kyoung Min; Lee, Seung Hyen; Kim, Tae-Woo

    2017-08-01

    To investigate whether the parapapillary choroidal microvasculature dropout (MvD) determined by optical coherence tomography angiography (OCTA) in glaucomatous eyes indicates a true perfusion defect and whether the MvD accurately represents the area of nonperfusion. Observational case series. Thirty primary open-angle glaucoma (POAG) patients with choroidal MvD as determined by OCTA and 13 POAG patients without this dropout. Peripapillary circulation was evaluated using both OCTA and indocyanine green angiography (ICGA). For OCTA, the choroidal microvasculature was evaluated using 4.5×4.5-mm choroid-disc vessel density maps of OCTA images of the optic nerve head. An MvD was identified in OCTA by the presence of a capillary dropout. A filling defect observed in ICGA was defined as a perfusion defect (ICGPD). The topographic correlations between MvD and ICGPD determined based on their circumferential extent, location, and area. The ICGPD was observed as a sectoral filling defect in the 30 POAG patients exhibiting MvD and appeared identical to the MvD in terms of the shape and location. The circumferential extent, location, and area of ICGPD did not differ from those of the MvD (all P > 0.05). The ICGPD was not found in any of the eyes not having the MvD. A localized MvD observed in the parapapillary choroid using OCTA coincided with the ICGPD detected by ICGA. These findings indicate that OCTA accurately images impaired parapapillary choroidal circulation. Copyright © 2017 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  17. Cost-effectiveness of digital subtraction angiography in the setting of computed tomographic angiography negative subarachnoid hemorrhage.

    Science.gov (United States)

    Jethwa, Pinakin R; Punia, Vineet; Patel, Tapan D; Duffis, E Jesus; Gandhi, Chirag D; Prestigiacomo, Charles J

    2013-04-01

    Recent studies have documented the high sensitivity of computed tomography angiography (CTA) in detecting a ruptured aneurysm in the presence of acute subarachnoid hemorrhage (SAH). The practice of digital subtraction angiography (DSA) when CTA does not reveal an aneurysm has thus been called into question. We examined this dilemma from a cost-effectiveness perspective by using current decision analysis techniques. A decision tree was created with the use of TreeAge Pro Suite 2012; in 1 arm, a CTA-negative SAH was followed up with DSA; in the other arm, patients were observed without further imaging. Based on literature review, costs and utilities were assigned to each potential outcome. Base-case and sensitivity analyses were performed to determine the cost-effectiveness of each strategy. A Monte Carlo simulation was then conducted by sampling each variable over a plausible distribution to evaluate the robustness of the model. With the use of a negative predictive value of 95.7% for CTA, observation was found to be the most cost-effective strategy ($6737/Quality Adjusted Life Year [QALY] vs $8460/QALY) in the base-case analysis. One-way sensitivity analysis demonstrated that DSA became the more cost-effective option if the negative predictive value of CTA fell below 93.72%. The Monte Carlo simulation produced an incremental cost-effectiveness ratio of $83 083/QALY. At the conventional willingness-to-pay threshold of $50 000/QALY, observation was the more cost-effective strategy in 83.6% of simulations. The decision to perform a DSA in CTA-negative SAH depends strongly on the sensitivity of CTA, and therefore must be evaluated at each center treating these types of patients. Given the high sensitivity of CTA reported in the current literature, performing DSA on all patients with CTA negative SAH may not be cost-effective at every institution.

  18. Blood Pool Contrast-enhanced Magnetic Resonance Angiography with Correlation to Digital Subtraction Angiography: A Pictorial Review

    Directory of Open Access Journals (Sweden)

    Martha-Grace Knuttinen

    2014-01-01

    Full Text Available Magnetic resonance angiography (MRA provides noninvasive visualization of the vascular supply of soft tissue masses and vascular pathology, without harmful radiation. This is important for planning an endovascular intervention, and helps to evaluate the efficiency and effectiveness of the treatment. MRA with conventional extracellular contrast agents relies on accurate contrast bolus timing, limiting the imaging window to first-pass arterial phase. The recently introduced blood pool contrast agent (BPCA, gadofosveset trisodium, reversibly binds to human serum albumin, resulting in increased T1 relaxivity and prolonged intravascular retention time, permitting both first-pass and steady-state phase high-resolution imaging. In our practice, high-quality MRA serves as a detailed "roadmap" for the needed endovascular intervention. Cases of aortoiliac occlusive disease, inferior vena cava thrombus, pelvic congestion syndrome, and lower extremity arteriovenous malformation are discussed in this article. MRA was acquired at 1.5 T with an 8-channel phased array coil after intravenous administration of gadofosveset (0.03 mmol/kg body weight, at the first-pass phase. In the steady-state, serial T1-weighted 3D spoiled gradient echo images were obtained with high resolution. All patients underwent digital subtraction angiography (DSA and endovascular treatment. MRA and DSA findings of vascular anatomy and pathology are discussed and correlated. BPCA-enhanced MRA provides high-quality first-pass and steady-state vascular imaging. This could increase the diagnostic accuracy and create a detailed map for pre-intervention planning. Understanding the pharmacokinetics of BPCA and being familiar with the indications and technique of MRA are important for diagnosis and endovascular intervention.

  19. Duplex ultrasonography for the detection of vertebral artery stenosis A comparison with CT angiography

    NARCIS (Netherlands)

    Rozeman, Anouk D.; Hund, Hajo; Westein, Michel; Wermer, Marieke J H; Nijeholt, Geert J. Lycklama A.; Boiten, Jelis; Schimsheimer, Robert-Jan; Algra, Ale

    Objectives Vertebrobasilar stenosis is frequent in patients with posterior circulation stroke and it increases risk of recurrence. We investigated feasibility of duplex ultrasonography (DUS) for screening for extracranial vertebral artery stenosis and compared it with CT angiography (CTA). Materials

  20. Sudden death after chest pain: feasibility of virtual autopsy with postmortem CT angiography and biopsy

    National Research Council Canada - National Science Library

    Ross, Steffen G; Thali, Michael J; Bolliger, Stephan; Germerott, Tanja; Ruder, Thomas D; Flach, Patricia M

    2012-01-01

    ...) angiography combined with image-guided tissue biopsy of the myocardium and lungs in decedents who were thought to have died of acute chest disease and to compare this method with conventional autopsy...

  1. In-vivo evaluation of three ultrasound vector velocity techniques with MR angiography

    DEFF Research Database (Denmark)

    Hansen, Kristoffer Lindskov; Udesen, Jesper; Oddershede, Niels

    2008-01-01

    in the right common carotid artery of eleven healthy volunteers, with magnetic resonance phase contrast angiography (MRA) as reference. The correlation between the three vector velocity methods and MRA were: DB/MRA R=0.84 (p

  2. Carotid Plaque Evaluation Using Gemstone Spectral Imaging: Comparison with Magnetic Resonance Angiography.

    Science.gov (United States)

    Shinohara, Yuki; Sakamoto, Makoto; Kuya, Keita; Kishimoto, Junichi; Yamashita, Eijiro; Fujii, Shinya; Kurosaki, Masamichi; Ogawa, Toshihide

    2017-07-01

    The present study compared the applicability of computed tomography carotid plaque imaging using effective Z maps with gemstone spectral imaging (GSI) to that of magnetic resonance plaque imaging using 3-dimensional time-of-flight magnetic resonance angiography. Stenosis was assessed in 18 carotid arteries of 14 patients, and the effective Z values of noncalcified carotid plaques were compared with the signal intensities of magnetic resonance angiography. It was found that the effective Z value of noncalcified carotid plaques was significantly lower for a group with high signal intensity than for a group with low signal intensity on magnetic resonance angiography (P magnetic resonance angiography was 7.83. The effective Z value generated by GSI is a useful parameter to detect vulnerable carotid plaque materials. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  3. [Magnetic resonance angiography in the diagnosis of cerebrovascular diseases in systemic lupus erythematosus].

    Science.gov (United States)

    Pizova, N V; Spirin, N N; Maksimov, G A; Bakhtin, A L

    2004-01-01

    Fifty one patients with systemic lupus erythematous were examined using magnetic resonance angiography (MRA) to determine cerebral hemodynamic features. A comprehensive study revealed different cerebral circulatory changes in this abnormality.

  4. Value of intravenous digital substraction angiography in atrial myxomas. Report of two cases

    Energy Technology Data Exchange (ETDEWEB)

    Rovani, X.; Pernes, J.M.; D' Allaines, C.; Gaux, J.C.; Carcone, B.

    1986-01-01

    The authors report two cases of atrial myxoma (one in the right atrium and on in the left atrium) diagnosed by echocardiography completed by intravenous digital substraction angiography in both cases. In both cases, intravenous digital substraction angiography was able to demonstrate the myxoma, define the presence of a prolapse of the tumour into the ventricle during diastole (only observed in one case on echocardiography) and, in the case of the right atrial myxoma, it confirmed the integrity of the pulmonary blood supply together with the absence of a right-left shunt via a patent foramen ovale. The place of intravenous digital substraction angiography as a complement to echocardiography is discussed. The authors consider it to be superior to conventional angiography as it provides as much information with less risk.

  5. Sublingual Nitroglycerin Administration in Coronary Computed Tomography Angiography : a Systematic Review

    NARCIS (Netherlands)

    Takx, Richard A. P.; Suchá, D.; Park, Jakob; Leiner, Tim; Hoffmann, Udo

    2015-01-01

    To systematically investigate the literature for the influence of sublingual nitroglycerin administration on coronary diameter, the number of evaluable segments, image quality, heart rate and blood pressure, and diagnostic accuracy of coronary computed tomography (CT) angiography. A systematic

  6. The value of RI scintigraphy and angiography in small intestinal bleeding; Report of eight cases

    Energy Technology Data Exchange (ETDEWEB)

    Kurosawa, Susumu; Kuwata, Hajime; Kushibiki, Kyoko; Akimoto, Kimihiko; Hashimoto, Toshiyuki; Kojima, Toshiya (Showa General Hospital, Kodaira, Tokyo (Japan))

    1991-07-01

    We retrospectively reviewed eight cases of small intestinal bleeding and assessed the value of RI scintigraphy and angiography in diagnosing the bleeding site. The patients' average age was 56.2 years. Chief complaint was melena of variable degree. In most cases neither upper endoscopy nor colonoscopy was diagnostic. RI scientigraphy (Tc-99 labeled human serum albumin) showed 75% of positive rate whereas angiography showed 66.7% (4/6) of positive rate. All four cases of leiomyosarcoma and leiomyoma demonstrated hypervascular stain and/or extra-vasation in angiography whereas RI scintigraphy failed to detect active gastrointestinal bleeding in 2 of the 4 cases. Therefore angiography was considered useful for the detection of bleeding from leiomyoma and leiomyosarcoma which are often hypervascular. Scintigraphy is thought of most value in the demonstration of small amount of bleeding with minimum vascular abnormality. (author).

  7. Imaging and graphing of cortical vasculature using dynamically focused optical coherence microscopy angiography.

    Science.gov (United States)

    Leahy, Conor; Radhakrishnan, Harsha; Bernucci, Marcel; Srinivasan, Vivek J

    2016-02-01

    Recently, optical coherence tomography (OCT) angiography has enabled label-free imaging of vasculature based on dynamic scattering in vessels. However, quantitative volumetric analysis of the vascular networks depicted in OCT angiography data has remained challenging. Multiple-scattering tails (artifacts specific to the imaging geometry) make automated assessment of vascular morphology problematic. We demonstrate that dynamically focused optical coherence microscopy (OCM) angiography with a high numerical aperture, chosen so the scattering length greatly exceeds the depth-of-field, significantly reduces the deleterious effect of multiple-scattering tails in synthesized angiograms. Capitalizing on the improved vascular image quality, we devised and tailored a self-correcting automated graphing approach that achieves a reconstruction of cortical microvasculature from OCM angiography data sets with accuracy approaching that attained by trained operators. The automated techniques described here will facilitate more widespread study of vascular network topology in health and disease.

  8. Fluorescein angiography findings in a case of Rubinstein-Taybi syndrome.

    Science.gov (United States)

    Jacobs, David J; Sein, Julia; Berrocal, Audina M; Grajewski, Alana L; Hodapp, Elizabeth

    2012-01-01

    The purpose of this report is to describe the fluorescein angiography findings in a case of Rubinstein-Taybi syndrome. Fundus photography and fluorescein angiography were performed on a 6-year-old male with Rubinstein-Taybi syndrome due to CREB binding protein gene mutation. Fundus photography showed glaucomatous cupping and diffusely attenuated retinal vasculature. Choroidal vasculature was prominent due to diffuse retinal atrophy with scattered focal retinal pigment epithelial changes. Fluorescein angiography showed retinal vascular attenuation, prolonged arteriovenous transit time with delayed venous filling, late small vessel leakage, and 360 degrees of peripheral avascularity. Peripheral retinal avascularity and retinal vascular inflammation evidenced by late small vessel leakage can be demonstrated by fluorescein angiography in the retinal dystrophy of Rubinstein-Taybi syndrome.

  9. Cost-effectiveness of identifying aortoiliac and femoropopliteal arterial disease with angiography or duplex scanning

    NARCIS (Netherlands)

    Coffi, S. B.; Ubbink, D. Th; Dijkgraaf, M. G. W.; Reekers, J. A.; Legemate, D. A.

    2008-01-01

    OBJECTIVES: Cost-effectiveness analysis of three diagnostic imaging strategies for the assessment of aortoiliac and femoropopliteal arteries in patients with peripheral arterial occlusive disease. The strategies were: angiography as the reference strategy, duplex scanning (DS) plus supplementary

  10. Acute Fulminant Uremic Neuropathy Following Coronary Angiography Mimicking Guillain?Barre Syndrome

    OpenAIRE

    Priti, Kumari; Ranwa, Bhanwar

    2017-01-01

    A 55-year-old diabetic woman suffered a posterior wall ST-elevation myocardial infarction. She developed contrast-induced nephropathy following coronary angiography. Acute fulminant uremic neuropathy was precipitated which initially mimicked Guillan?Barre Syndrome, hence reported.

  11. Acute Fulminant Uremic Neuropathy Following Coronary Angiography Mimicking Guillain-Barre Syndrome.

    Science.gov (United States)

    Priti, Kumari; Ranwa, Bhanwar

    2017-01-01

    A 55-year-old diabetic woman suffered a posterior wall ST-elevation myocardial infarction. She developed contrast-induced nephropathy following coronary angiography. Acute fulminant uremic neuropathy was precipitated which initially mimicked Guillan-Barre Syndrome, hence reported.

  12. Stereotactic radiosurgery for brain AVMs: role of interobserver variation in target definition on digital subtraction angiography

    NARCIS (Netherlands)

    Buis, Dennis R.; Lagerwaard, Frank J.; Barkhof, Frederik; Dirven, Clemens M. F.; Lycklama, Geert J.; Meijer, Otto W. M.; van den Berg, René; Langendijk, Hans A.; Slotman, Ben J.; Vandertop, W. Peter

    2005-01-01

    PURPOSE: We evaluated the extent of interobserver variation in contouring arteriovenous malformations (AVMs) on digital subtraction angiography (DSA) with respect to volume, spatial localization, and dosimetry and correlated our findings with the clinical outcome. METHODS AND MATERIALS: Thirty-one

  13. Whole-body magnetic resonance angiography at 3.0 Tesla

    Energy Technology Data Exchange (ETDEWEB)

    Fenchel, Michael; Seeger, Achim; Kramer, Ulrich; Miller, Stephan [Eberhard-Karls-University Tuebingen, Department of Diagnostic Radiology, Tuebingen (Germany); Nael, Kambiz; Saleh, Roya [University of California, Department of Radiological Sciences, David Geffen School of Medicine, Los Angeles, CA (United States)

    2008-07-15

    The quality of magnetic resonance (MR) angiography could be substantially improved over the past several years based on the introduction and application of parallel imaging, new sequence techniques, such as, e.g., centric k-space trajectories, dedicated contrast agents, and clinical high-field scanners. All of these techniques have played an important role to improve image resolution or decrease acquisition time for the dedicated examination of a single vascular territory. However, whole-body MR angiography may be the application with the potential to profit most from these technical advances. The present review article describes the technical innovations with a focus on parallel imaging at high field strength and the impact on whole-body MR angiography. The clinical value of advanced whole-body MR angiography techniques is illustrated by characteristic cases. (orig.)

  14. [Comparison of the coronary angiography and operative findings in coronary diabetic and non-diabetic patients].

    Science.gov (United States)

    Kulić, Mehmed; Gerc, Vjekoslav; Heljić, Bećir; Dilić, Mirza

    2007-01-01

    To evaluate whether diabetic patients differ from non-diabetic patients when referred for coronary angiography and coronary revascularization procedures regarding previous history, indications for and findings at coronary angiography as well as medications. Data were prospectively collected on 100 patients referred for consideration of the coronary revascularization. All patients were divided into two groups: 50 diabetic patients with coronary angiography exams and second group of 50 non-diabetic patients also with coronary angiography exams. Data were evaluated statically with SPSS program. We used Leven's variance test with CI: 95% and significance level p metabolic syndrom which accelerated inflamatory, coagulation and atherotrombotic proccess as one of the main risk factors of the atherosclerosis of all vessels esspecially coronary arteries.

  15. Transient cortical blindness following vertebral angiography in a young adult with cerebellar haemangioblastoma

    Energy Technology Data Exchange (ETDEWEB)

    Till, Viktor; Stojanovic, Sanja; Avramov, Predrag [Clinical Centre of Vojvodina, Centre of Radiology, Novi Sad (RS); Koprivsek, Katarina [Institute of Oncology, Diagnostic Imaging Department, Sremska Kamenica (RS); Vulekovic, Petar [Clinical Centre of Vojvodina, Neurosurgery Clinic, Novi Sad (RS)

    2009-11-15

    Transient cortical blindness is reported to occur in 0.3% to 1% of cerebral angiography procedures. It develops within minutes of contrast medium injection and lasts for up to several days. We report a long episode of transient cortical blindness in a 17-year-old boy with cerebellar haemangioblastoma, which started during the preoperative vertebral angiography and lasted for 5 days. CT performed 2 days after the sudden onset of bilateral visual loss showed multiple asymmetrical lesions within the brain parenchyma in the distribution of the posterior cerebral circulation. Even though the patient's vision was completely restored 5 days after angiography, repeat MRI performed 2 months after angiography showed improvement but with residual lesions in the thalami, cerebellum and occipital lobe. (orig.)

  16. Missing left main ostio-proximal coronary artery disease during angiography using tiger catheter

    Directory of Open Access Journals (Sweden)

    Biswajit Majumder

    2016-01-01

    Full Text Available Coronary angiography by right radial artery route using Optitorque Tiger catheter is on the rise given the low rate of local complications and feasibility to perform it as a day-care procedure. We report here a case of coronary angiography performed using Optitorque Tiger catheter (5-French which resulted in a diagnostic error, missing the ostio-proximal left main coronary artery disease which was later detected using EBU 3.5 guide catheter (7-French while performing angioplasty.

  17. Coronary CT angiography in acute chest pain [version 1; referees: 3 approved

    Directory of Open Access Journals (Sweden)

    Nikhil Goyal

    2017-07-01

    Full Text Available Coronary computed tomographic angiography has become a reliable diagnostic tool in the evaluation of patients with chest pain. Studies have shown this modality to be accurate and safe when compared with conventional methods of assessing patients with chest pain. We review the recent developments with coronary computed tomographic angiography and devote particular attention toward its application to triage patients in the emergency department.

  18. Impact of timing to coronary angiography in acute coronary syndrome on contemporary clinical practice.

    Science.gov (United States)

    Koh, Angela S; Chia, Stanley; Jkb, Tan; Zaini, Siti M; Kwq, Guo; Kk, Yeo; Tsj, Chua; Koh, Tian Hai; Tan, Jack W C

    2012-01-01

    Recent studies appear to suggest a correlation between timing to coronary angiography and clinical outcome among patients with acute coronary syndrome (ACS). We aim to study 12-month outcomes of ACS patients who are stratified according to early (≤24 hours), intermediate (>24 to 24 to strategy to coronary angiography was associated with improved survival at one year while an early to intermediate strategy benefitted the subgroup of high-risk patients with significant reductions in cardiovascular events at six months.

  19. Intravenous Flat-Detector Computed Tomography Angiography for Symptomatic Cerebral Vasospasm following Aneurysmal Subarachnoid Hemorrhage

    OpenAIRE

    Jin Pyeong Jeon; Seung Hun Sheen; Yong-Jun Cho

    2014-01-01

    The study evaluated the diagnostic accuracy of intravenous flat-detector computed tomography (IV FDCT) angiography in assessing hemodynamically significant cerebral vasospasm in patients with subarachnoid hemorrhage (SAH) with digital subtraction angiography (DSA) as the reference. DSA and IV FDCT were conducted concurrently in patients suspected of having symptomatic cerebral vasospasm postoperatively. The presence and severity of vasospasm were estimated according to location (proximal vers...

  20. Impact of proximal radiopaque coronary bypass graft markers on postbypass surgery coronary angiography.

    Science.gov (United States)

    Pingpoh, Clarence; Siepe, Matthias; Burger, Katharina; Zietak, Thomas; Valina, Christian M; Ferenc, Miroslav; Beyersdorf, Friedhelm; Neumann, Franz-Josef; Hochholzer, Willibald

    2017-12-19

    Implantation of radiopaque bypass graft markers during coronary artery bypass surgery (CABG) has the potential of facilitating subsequent coronary angiography. This study sought to investigate the impact of proximal coronary bypass graft markers on angiographic outcomes during subsequent coronary angiography in a large cohort. Between 2005 and 2016, we enrolled 1378 patients (331 with and 1047 without bypass graft markers) with a history of CABG who underwent their first subsequent coronary angiography at our institution. Primary endpoints were radiation time and absolute amount of contrast media used. In unadjusted analyses, radiation time, duration of angiography, dose area product, and the amount of contrast agent were significantly lower in patients with proximal bypass graft markers (P bypass graft markers remained a significant predictor for less radiation time and a lower consumption of contrast agent but not for dose area product, which was mainly associated with body mass index and sex. Bypass graft markers were not associated with a lower graft patency. Radiopaque coronary bypass graft markers can improve the detection of bypass grafts during subsequent coronary angiography and are associated with a lower radiation time and less consumption of contrast agent. Thus, this easy and cost-efficient technique might significantly reduce the risk of coronary angiography after CABG. Copyright © 2017 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  1. Dynamic magnetic resonance angiography for localization of hyperfunctioning parathyroid glands in the reoperative neck.

    Science.gov (United States)

    Aschenbach, R; Tuda, S; Lamster, E; Meyer, A; Roediger, H; Stier, A; Conrad, E; Basche, S; Klisch, J; Vogl, T J

    2012-11-01

    To evaluate the use of dynamic magnetic resonance angiography for localization of hyperfunctioning parathyroid glands in the reoperative neck. We retrospectively evaluated the head-neck MRIs of 30 patients with a history of hyperparathyroidism, prior head-neck surgery, and intraoperative proven adenomas. The protocol included conventional imaging with T2-weighted STIR sequences, T1w axial and coronal prior to and after contrast media administration, and dynamic magnetic resonance angiography. We compared the results from MRI, dynamic magnetic resonance angiography with 99m-Tc-Sestamibi with intraoperative findings as the gold standard. In conventional MRI 19/30 true positives were detected with a sensitivity and specificity of 63.3% and 100%, respectively. However, by adding dynamic magnetic resonance angiography the detection rate increased to 28/30 true positives. Based on intraoperative findings, the sensitivity and specificity of dynamic magnetic resonance angiography were 93.3% and 100%, respectively. 99m-Tc-Sestamibi detected 24/30 true positives, sensitivity was 80%. The diagnostic value of MRI including dynamic magnetic resonance angiography is superior to MRI alone and superior to that of 99m-Tc-Sestamibi in the diagnostic workup of hyperfunctioning parathyroid glands when compared against intraoperative findings. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  2. Arteriovenous fistula as a complication of transradial coronary angiography: a case report

    Directory of Open Access Journals (Sweden)

    Dehghani Payam

    2013-01-01

    Full Text Available Abstract Introduction Iatrogenic arteriovenous fistula is a vascular condition that may result from coronary angiography. Many case reports have described arteriovenous fistula occurrence after coronary angiography using the transfemoral access route, but rarely as a complication of using the transradial approach. We report a rare case of a patient with arteriovenous fistula following transradial artery coronary angiography. Case presentation A 62-year-old Caucasian man underwent emergent coronary angiography using the right radial artery approach. One month after angiography, he discovered a turbulent sound near the access site. A right radial arteriovenous fistula was found upon duplex ultrasound investigation. The patient was treated conservatively. At 1-year follow-up, the arteriovenous fistula was unchanged and the patient remained hemodynamically stable and asymptomatic. Conclusion Iatrogenic arteriovenous fistula is a rare vascular complication of transradial artery coronary angiography. The natural history of arteriovenous fistula is benign and is thought to resolve spontaneously; therefore, a conservative approach, as opposed to surgical ligation, is recommended as the first-line treatment.

  3. Arteriovenous fistula as a complication of transradial coronary angiography: a case report.

    Science.gov (United States)

    Dehghani, Payam; Culig, Jennifer; Patel, Darshan; Kraushaar, Greg; Schulte, Paul

    2013-01-14

    Iatrogenic arteriovenous fistula is a vascular condition that may result from coronary angiography. Many case reports have described arteriovenous fistula occurrence after coronary angiography using the transfemoral access route, but rarely as a complication of using the transradial approach. We report a rare case of a patient with arteriovenous fistula following transradial artery coronary angiography. A 62-year-old Caucasian man underwent emergent coronary angiography using the right radial artery approach. One month after angiography, he discovered a turbulent sound near the access site. A right radial arteriovenous fistula was found upon duplex ultrasound investigation. The patient was treated conservatively. At 1-year follow-up, the arteriovenous fistula was unchanged and the patient remained hemodynamically stable and asymptomatic. Iatrogenic arteriovenous fistula is a rare vascular complication of transradial artery coronary angiography. The natural history of arteriovenous fistula is benign and is thought to resolve spontaneously; therefore, a conservative approach, as opposed to surgical ligation, is recommended as the first-line treatment.

  4. Dynamic magnetic resonance angiography for localization of hyperfunctioning parathyroid glands in the reoperative neck

    Energy Technology Data Exchange (ETDEWEB)

    Aschenbach, R., E-mail: rene.aschenbach@helios-kliniken.de [HELIOS Hospital Erfurt, Department of Diagnostic and Interventional Radiology and Neuroradiology, Nordhaeuser Str. 74, 99089 Erfurt (Germany); Tuda, S. [HELIOS Hospital Erfurt, Department of Diagnostic and Interventional Radiology and Neuroradiology, Nordhaeuser Str. 74, 99089 Erfurt (Germany); Lamster, E.; Meyer, A. [HELIOS Hospital Erfurt, Department of Endocrinology, Nordhaeuser Str. 74, 99089 Erfurt (Germany); Roediger, H.; Stier, A. [HELIOS Hospital Erfurt, Department of Visceral Surgery, Nordhaeuser Str. 74, 99089 Erfurt (Germany); Conrad, E. [HELIOS Hospital Erfurt, Department of Nuclear Medicine, Nordhaeuser Str. 74, 99089 Erfurt (Germany); Basche, S.; Klisch, J. [HELIOS Hospital Erfurt, Department of Diagnostic and Interventional Radiology and Neuroradiology, Nordhaeuser Str. 74, 99089 Erfurt (Germany); Vogl, T.J. [University Hospital Frankfurt/Main, Center of Diagnostic and Interventional Radiology, Theodor-Stern-Kai 7, 60590 Frankfurt/Main (Germany)

    2012-11-15

    Objectives: To evaluate the use of dynamic magnetic resonance angiography for localization of hyperfunctioning parathyroid glands in the reoperative neck. Methods: We retrospectively evaluated the head-neck MRIs of 30 patients with a history of hyperparathyroidism, prior head-neck surgery, and intraoperative proven adenomas. The protocol included conventional imaging with T2-weighted STIR sequences, T1w axial and coronal prior to and after contrast media administration, and dynamic magnetic resonance angiography. We compared the results from MRI, dynamic magnetic resonance angiography with 99m-Tc-Sestamibi with intraoperative findings as the gold standard. Results: In conventional MRI 19/30 true positives were detected with a sensitivity and specificity of 63.3% and 100%, respectively. However, by adding dynamic magnetic resonance angiography the detection rate increased to 28/30 true positives. Based on intraoperative findings, the sensitivity and specificity of dynamic magnetic resonance angiography were 93.3% and 100%, respectively. 99m-Tc-Sestamibi detected 24/30 true positives, sensitivity was 80%. Conclusion: The diagnostic value of MRI including dynamic magnetic resonance angiography is superior to MRI alone and superior to that of 99m-Tc-Sestamibi in the diagnostic workup of hyperfunctioning parathyroid glands when compared against intraoperative findings.

  5. Intra-arterial Ultra-low-Dose CT Angiography of Lower Extremity in Diabetic Patients

    Energy Technology Data Exchange (ETDEWEB)

    Özgen, Ali, E-mail: draliozgen@hotmail.com [Yeditepe University Hospital, Department of Radiology (Turkey); Sanioğlu, Soner [Yeditepe University Hospital, Department of Cardiovascular Surgery (Turkey); Bingöl, Uğur Anıl [Yeditepe University Hospital, Department of Plastic Surgery (Turkey)

    2016-08-15

    PurposeTo image lower extremity arteries by CT angiography using a very low-dose intra-arterial contrast medium in patients with high risk of developing contrast-induced nephropathy (CIN).Materials and MethodsThree cases with long-standing diabetes mellitus and signs of lower extremity atherosclerotic disease were evaluated by CT angiography using 0.1 ml/kg of the body weight of contrast medium given via 10-cm-long 4F introducer by puncturing the CFA. Images were evaluated by an interventional radiologist and a cardiovascular surgeon. Density values of the lower extremity arteries were also calculated. Findings in two cases were compared with digital subtraction angiography images performed for percutaneous revascularization. Blood creatinine levels were followed for possible CIN.ResultsIntra-arterial CT angiography images were considered diagnostic in all patients and optimal in one patient. No patient developed CIN after intra-arterial CT angiography, while one patient developed CIN after percutaneous intervention.ConclusionIntra-arterial CT angiography of lower extremity might be performed in selected patients with high risk of developing CIN. Our limited experience suggests that as low as of 0.1 ml/kg of the body weight of contrast medium may result in adequate diagnostic imaging.

  6. Usefulness of CT angiography in diagnosing acute gastrointestinal bleeding: A meta-analysis

    Science.gov (United States)

    Wu, Lian-Ming; Xu, Jian-Rong; Yin, Yan; Qu, Xin-Hua

    2010-01-01

    AIM: To analyze the accuracy of computed tomography (CT) angiography in the diagnosis of acute gastrointestinal (GI) bleeding. METHODS: The MEDLINE, EMBASE, Cancerlit, Cochrane Library database, Sciencedirect, Springerlink and Scopus, from January 1995 to December 2009, were searched for studies evaluating the accuracy of CT angiography in diagnosing acute GI bleeding. Studies were included if they compared CT angiography to a reference standard of upper GI endoscopy, colonoscopy, angiography or surgery in the diagnosis of acute GI bleeding. Meta-analysis methods were used to pool sensitivity and specificity and to construct summary receiver-operating characteristic. RESULTS: A total of 9 studies with 198 patients were included in this meta-analysis. Data were used to form 2 × 2 tables. CT angiography showed pooled sensitivity of 89% (95% CI: 82%-94%) and specificity of 85% (95% CI: 74%-92%), without showing significant heterogeneity (χ2 = 12.5, P = 0.13) and (χ2 = 22.95, P = 0.003), respectively. Summary receiver operating characteristic analysis showed an area under the curve of 0.9297. CONCLUSION: CT angiography is an accurate, cost-effective tool in the diagnosis of acute GI bleeding and can show the precise location of bleeding, thereby directing further management. PMID:20712058

  7. Coronary Computed Tomography Angiography in the Assessment of Acute Chest Pain in the Emergency Room

    Energy Technology Data Exchange (ETDEWEB)

    Prazeres, Carlos Eduardo Elias dos; Cury, Roberto Caldeira; Carneiro, Adriano Camargo de Castro [Hospital do Coração - HCor, Associação do Sanatório Sírio, São Paulo, SP (Brazil); Rochitte, Carlos Eduardo, E-mail: rochitte@cardiol.br [Hospital do Coração - HCor, Associação do Sanatório Sírio, São Paulo, SP (Brazil); Instituto do Coração - InCor - HCFMUSP, São Paulo, SP (Brazil)

    2013-12-15

    The coronary computed tomography angiography has recently emerged as an accurate diagnostic tool in the evaluation of coronary artery disease, providing diagnostic and prognostic data that correlate directly with the data provided by invasive coronary angiography. The association of recent technological developments has allowed improved temporal resolution and better spatial coverage of the cardiac volume with significant reduction in radiation dose, and with the crucial need for more effective protocols of risk stratification of patients with chest pain in the emergency room, recent evaluation of the computed tomography coronary angiography has been performed in the setting of acute chest pain, as about two thirds of invasive coronary angiographies show no significantly obstructive coronary artery disease. In daily practice, without the use of more efficient technologies, such as coronary angiography by computed tomography, safe and efficient stratification of patients with acute chest pain remains a challenge to the medical team in the emergency room. Recently, several studies, including three randomized trials, showed favorable results with the use of this technology in the emergency department for patients with low to intermediate likelihood of coronary artery disease. In this review, we show data resulting from coronary angiography by computed tomography in risk stratification of patients with chest pain in the emergency room, its diagnostic value, prognosis and cost-effectiveness and a critical analysis of recently published multicenter studies.

  8. Coronary computed tomography angiography in the assessment of acute chest pain in the emergency room.

    Science.gov (United States)

    Prazeres, Carlos Eduardo Elias dos; Cury, Roberto Caldeira; Carneiro, Adriano Camargo de Castro; Rochitte, Carlos Eduardo

    2013-12-01

    The coronary computed tomography angiography has recently emerged as an accurate diagnostic tool in the evaluation of coronary artery disease, providing diagnostic and prognostic data that correlate directly with the data provided by invasive coronary angiography. The association of recent technological developments has allowed improved temporal resolution and better spatial coverage of the cardiac volume with significant reduction in radiation dose, and with the crucial need for more effective protocols of risk stratification of patients with chest pain in the emergency room, recent evaluation of the computed tomography coronary angiography has been performed in the setting of acute chest pain, as about two thirds of invasive coronary angiographies show no significantly obstructive coronary artery disease. In daily practice, without the use of more efficient technologies, such as coronary angiography by computed tomography, safe and efficient stratification of patients with acute chest pain remains a challenge to the medical team in the emergency room. Recently, several studies, including three randomized trials, showed favorable results with the use of this technology in the emergency department for patients with low to intermediate likelihood of coronary artery disease. In this review, we show data resulting from coronary angiography by computed tomography in risk stratification of patients with chest pain in the emergency room, its diagnostic value, prognosis and cost-effectiveness and a critical analysis of recently published multicenter studies.

  9. Sensitivity and Specificity of OCT Angiography to Detect Choroidal Neovascularization.

    Science.gov (United States)

    Faridi, Ambar; Jia, Yali; Gao, Simon S; Huang, David; Bhavsar, Kavita V; Wilson, David J; Sill, Andrew; Flaxel, Christina J; Hwang, Thomas S; Lauer, Andreas K; Bailey, Steven T

    2017-01-01

    To determine the sensitivity and specificity of optical coherence tomography angiography (OCTA) in the detection of choroidal neovascularization (CNV) in age-related macular degeneration (AMD). Prospective case series. Prospective series of seventy-two eyes were studied, which included eyes with treatment-naive CNV due to AMD, non-neovascular AMD, and normal controls. All eyes underwent OCTA with a spectral domain (SD) OCT (Optovue, Inc.). The 3D angiogram was segmented into separate en face views including the inner retinal angiogram, outer retinal angiogram, and choriocapillaris angiogram. Detection of abnormal flow in the outer retina served as candidate CNV with OCTA. Masked graders reviewed structural OCT alone, en face OCTA alone, and en face OCTA combined with cross-sectional OCTA for the presence of CNV. The sensitivity and specificity of CNV detection compared to the gold standard of fluorescein angiography (FA) and OCT was determined for structural SD-OCT alone, en face OCTA alone, and with en face OCTA combined with cross-sectional OCTA. Of 32 eyes with CNV, both graders identified 26 true positives with en face OCTA alone, resulting in a sensitivity of 81.3%. Four of the 6 false negatives had large subretinal hemorrhage (SRH) and sensitivity improved to 94% for both graders if eyes with SRH were excluded. The addition of cross-sectional OCTA along with en face OCTA improved the sensitivity to 100% for both graders. Structural OCT alone also had a sensitivity of 100%. The specificity of en face OCTA alone was 92.5% for grader A and 97.5% for grader B. The specificity of structural OCT alone was 97.5% for grader A and 85% for grader B. Cross-sectional OCTA combined with en face OCTA had a specificity of 97.5% for grader A and 100% for grader B. Sensitivity and specificity for CNV detection with en face OCTA combined with cross-sectional OCTA approaches that of the gold standard of FA with OCT, and it is better than en face OCTA alone. Structural OCT alone

  10. "Reinhart Koselleck / Hans-Georg Gadamer (Hrsg.): Historik, Sprache und Hermeneutik – Eine Rede und eine Antwort. Herausgegeben zum 100. Geburtstag von Hans-Georg Gadamer. Mit einem Nachwort von Hans-Peter Schütt."

    OpenAIRE

    Arnswald, Ulrich [Rez.

    2001-01-01

    Besprechung "Reinhart Koselleck / Hans-Georg Gadamer (Hrsg.): Historik, Sprache und Hermeneutik – Eine Rede und eine Antwort. Herausgegeben zum 100. Geburtstag von Hans-Georg Gadamer. Mit einem Nachwort von Hans-Peter Schütt."

  11. [Dennis Hormuth. Livonia est omnis divisa in partes tres : Studien zum mental mapping der livländischen Chronistik in der Frühen Neuzeit (1558-1721)] / Anti Selart

    Index Scriptorium Estoniae

    Selart, Anti, 1973-

    2013-01-01

    Arvustus: Hormuth, Dennis. Livonia est omnis divisa in partes tres : Studien zum mental mapping der livländischen Chronistik in der Frühen Neuzeit (1558-1721) (Quellen und Studien zur Geschichte des östlichen Europa, 79). Franz Steiner verlag. Stuttgart 2012

  12. First results of computerised tomographic angiography using electron beam tomography

    Energy Technology Data Exchange (ETDEWEB)

    Lehmann, K.J.; Weisser, G.; Neff, K.W.; Mai, S.K.; Denk, S.; Georgi, M. [Inst. fuer Klinische Radiologie, Universitaetsklinikum Mannheim, Heidelberg (Germany)

    1999-05-01

    The aim of this study was to evaluate the suitability of electron beam tomography (EBT) with fast continuous volume scanning for CT angiography (CTA) in chest and abdomen. An Evolution XP EBT scanner with a new software version (12.34) was used. One hundred forty images per study can be acquired in 17 s using 3-mm collimation and overlapping image reconstruction. Study protocols for five different clinical applications of EBT CTA were established and evaluated. The EBT CTA technique was performed in 155 patients. High- and homogeneous density values were achieved along the whole course of the vessels; the mean density in the aorta was > 240 HU. Coeliac axis, superior and inferior mesenteric artery, renal and lumbar arteries were visualised in all cases. Maximum intensity projection and shaded surface display reconstruction demonstrated the relation between aneurysm and aortic branches very well due to an excellent resolution along the z-axis. In large scan volumes overlapping image reconstruction demonstrated better resolution along the z-axis than is available with helical CT. The EBT CTA technique proved to be very well suited excellent suitability for evaluation of pulmonary vessels. Compared with helical CT, EBT CTA offers a shorter scan time, which allows higher contrast enhancement in pulmonary vessels. The identification of intraluminal emboli and mural thrombi has improved. The EBT CTA technique is a very reliable tool for evaluation of aortic disease and pulmonary vessels. (orig.) With 3 figs., 9 refs.

  13. Importance of vascular morphology for selective coeliae and mesenteric angiography

    Energy Technology Data Exchange (ETDEWEB)

    Glueck, E.; Gerhardt, P.; Schroeder, J.

    1983-06-01

    By means of 192 lateral aortograms the vascular morphology of the coeliac and superior mesenteric artery were correlated to age, sex and body weight. Independently of these parameters 90% of the exit angles of the coeliac artery were situated between 15/sup 0/ and 90/sup 0/ degrees with a median of 45/sup 0/. In persons with less than 65 kg body weight the median origin angle of the superior mesenteric artery corresponded to 45/sup 0/, too, whereas in heavier patients they were bigger (60/sup 0/). The vascular diameter and the further course of the superior mesenteric artery significantly depended on the constitutional type. In 40.5% we saw a cranial eccentric stenosis of the coeliac artery. Frequency and intensity were not influenced by age, sex or body weight, but accompanied by smaller origin angles of the coeliac artery and bigger ones of the superior mesenteric artery. In conclusion different catheter shapes in dependence of the constitutional type are recommended for combined coeliac and mesenteric angiography.

  14. Digital subtraction angiography in 105 living renal transplant donors

    Energy Technology Data Exchange (ETDEWEB)

    Suh, Ho Jong; Oh, Kyung Seung; Kim, So Sun; Huh, Jin Do; Kim, Ho Joon; Chun, Byung Hee; Joh, Young Duck [Kosin Medical College, Pusan (Korea, Republic of)

    1989-10-15

    In order to analyze the number and length of the renal arteries and to evaluate abnormalities of the renal parenchyma and vessel, digital subtraction angiogram images of 105 potential renal donors (45 men and 60 women aged 17-66 years) were studied retrospectively. For the entire series, 31 donors had multiple renal arteries on one side (15 on the left, 11 on the right) and 5 donors on the both sides. 89 donors were family related either parents or siblings of recipients. The estimation of the length of the renal artery was based on the mean height of the second lumbar vertebral body (L2). The right renal artery is significant longer than on the left and measured more than the height of L2 vertebral body in 84 cases on the right and 60 cases on the left. Twenty two donors underwent right nephrectomy due to presence of multiple renal arteries on the left (N=14), proximal bifurcation of left main renal artery (N=3), and young females in reproductive age (N=5). Unexpected abnormalities found with angiogram were seen in 7 cases and they include renal artery stenosis (N=2), renal cysts (N=4) and focal infarction (N=1). In cases of the renal cysts and focal infarction, there were no serious complications related to the abnormalities. It is conclude that intra-arterial digital subtraction angiography is safe and efficient method to image renal anatomy of the potential renal donors.

  15. OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY FEATURES OF TORPEDO MACULOPATHY.

    Science.gov (United States)

    Giannakaki-Zimmermann, Helena; Munk, Marion R; Dysli, Chantal; Ebneter, Andreas; Wolf, Sebastian; Zinkernagel, Martin S

    2017-04-03

    To investigate the retinal and choroidal vasculature in patients with torpedo maculopathy with optical coherence tomography-angiography (OCT-A). Retrospective case series of four patients who were examined at the department of Ophthalmology at the University Hospital Bern. Main Outcome was the lesion size over time in OCT-A and fundus autofluorescence. Three patients had Type I and 1 patient had Type II torpedo maculopathy. Torpedo maculopathy lesion size remained stable in all patients over a mean period of observation of three years in OCT-A and fundus autofluorescence. The choriocapillaris network was attenuated focally within the lesion in OCT-A in all four cases. The lesion size in fundus autofluorescence was 2.77 mm and therefore comparable with the lesion size in OCT-A of 2.75 mm. OCT-A signal of the choriocapillaris was reduced within the cleft in both types of torpedo maculopathy. Whether the changes represent the primary site of malformation or whether these findings are the consequence of a defect in the retinal pigment epithelium remains speculative.

  16. Precise segmentation of 3-D magnetic resonance angiography.

    Science.gov (United States)

    El-Baz, Ayman; Elnakib, Ahmed; Khalifa, Fahmi; El-Ghar, Mohamed Abou; McClure, Patrick; Soliman, Ahmed; Gimel'farb, Georgy

    2012-07-01

    Accurate automatic extraction of a 3-D cerebrovascular system from images obtained by time-of-flight (TOF) or phase contrast (PC) magnetic resonance angiography (MRA) is a challenging segmentation problem due to the small size objects of interest (blood vessels) in each 2-D MRA slice and complex surrounding anatomical structures (e.g., fat, bones, or gray and white brain matter). We show that due to the multimodal nature of MRA data, blood vessels can be accurately separated from the background in each slice using a voxel-wise classification based on precisely identified probability models of voxel intensities. To identify the models, an empirical marginal probability distribution of intensities is closely approximated with a linear combination of discrete Gaussians (LCDG) with alternate signs, using our previous EM-based techniques for precise linear combination of Gaussian-approximation adapted to deal with the LCDGs. The high accuracy of the proposed approach is experimentally validated on 85 real MRA datasets (50 TOF and 35 PC) as well as on synthetic MRA data for special 3-D geometrical phantoms of known shapes.

  17. Three-dimensional CT angiography of the canine hepatic vasculature.

    Science.gov (United States)

    Jeong, Yucheol; Lim, Changyun; Oh, Sunkyoung; Jung, Joohyun; Chang, Jinhwa; Yoon, Junghee; Choi, Mincheol

    2008-12-01

    Eight Beagle dogs were anesthetized and were imaged using a single channel helical CT scanner. The contrast medium used in this study was iohexol (300 mg I/ml) and doses were 0.5 ml/kg for a cine scan, 3 ml/kg for an enhanced scan. The flow rate for contrast material administration was 2 ml/sec for all scans. This study was divided into three steps, with unenhanced, cine and enhanced scans. The enhanced scan was subdivided into the arterial phase and the venous phase. All of the enhanced scans were reconstructed in 1 mm intervals and the scans were interpreted by the use of reformatted images, a cross sectional histogram, maximum intensity projection and shaded surface display. For the cine scans, optimal times were a 9-sec delay time post IV injection in the arterial phase, and an 18-sec delay time post IV injection in the venous phase. A nine-sec delay time was acceptable for the imaging of the canine hepatic arteries by CT angiography. After completion of arterial phase scanning, venous structures of the liver were well visualized as seen on the venous phase.

  18. Assessment of the Circle of Willis with Cranial Tomography Angiography.

    Science.gov (United States)

    Karatas, Ayse; Coban, Gokmen; Cinar, Celal; Oran, Ismail; Uz, Aysun

    2015-09-06

    The circle of Willis is a major collateral pathway important in ischemic conditions. The aim of our study was to assess the structural characteristics of the circle of Willis within the Turkish adult population, along with variations and arteries involved in the measurement of diameters and lengths on cranial computed tomography angiography (CTA). One hundred adult patients who underwent CTA images were evaluated retrospectively. Results of the study revealed 82% adult, 17% fetal, and 1% transitional configurations. A complete polygonal structure was observed in 28% of cases. Variations of the circle of Willis were more common in the posterior portion. Hypoplasia was found to be the most common variation and was observed as a maximum in the posterior communicating artery (AComP). The patency and size of arteries in the circle of Willis are important in occlusive cerebrovascular diseases and cerebrovascular surgery. Although CTA is an easily accessible non-invasive clinical method for demonstrating the vascular structure, CTA should be evaluated taking into account image resolution quality and difficulties in the identification of small vessels.

  19. Middle cerebral artery variations detected by magnetic resonance angiography

    Energy Technology Data Exchange (ETDEWEB)

    Uchino, A.; Kato, A.; Takase, Y.; Kudo, S. [Saga Medical School, Saga (Japan). Dept. of Radiology

    2000-04-01

    Middle cerebral artery (MCA) variations are found incidentally on cranial magnetic resonance angiography (MRA). Our goal was to examine the incidence and types of MCA variations detected by MRA. Between April 1996 and March 1999, cranial MRA was performed in 432 cases at our institution. Most of the patients examined had or were suspected to have cerebrovascular disease. After excluding 7 patients with moyamoya disease, we retrospectively reviewed 425 MRA results. A 1.5-T scanner was used in all studies, and maximum-intensity projection images obtained using the three-dimensional time-of-flight technique were displayed stereoscopically. In the 425 patients MRA revealed 16 anomalous MCAs, including 9 duplicated MCAs, 5 accessory MCAs, and 2 fenestrated MCAs, which is a rate of 3.8%. Thus, although the clinical significance is not great, we found a relatively high incidence of anomalous MCAs on MRA. We stress that knowledge and recognition of these variations are useful and important during the interpretation of cranial MRA. (orig.)

  20. Diagnosis of cardiovascular diseases by digital fluoroscopic angiography

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, M.; Hirota, Y.; Tsuchigame, N. (Kumamoto Univ. (Japan). School of Medicine)

    1982-09-01

    Digital fluoroscopic angiography (DFA) is a recently developed angiocardiographic technique, which consists of digitization and real-time subtraction of X-ray transmission data from an image intensifier and television fluoroscopic system. A prototype unit based on this principle was developed and installed at our hospital and initial clinical trial has been performed. Fifty-three examinations were performed on 49 patients with various cardiovascular conditions. DFA was useful in demonstration of intracardiac shunt, and valvular diseases secondary to congenital heart diseases. In ischemic heart diseases, DFA noninvasively demonstrated the heart wall motion, making it possible to evaluate dyskinesis, akinesis and ventricular aneurysm. DFA was also valuable in visualizing disproportionate enlargement of cardiac chambers, stasis, and frequently regurgitation of contrast media in valvular heart diseases. Abnormal mediastinal enlargement and aortic aneurysm were differentiated from other conditions to good advantage. DFA will be used more widely in the above conditions because of non-invasive and simple procedures. Future effort should be directed towards improvement of spatial resolution and development of new algorithm for hemodynamic evaluation.

  1. Estimation of myocardial volume at risk from CT angiography

    Science.gov (United States)

    Zhu, Liangjia; Gao, Yi; Mohan, Vandana; Stillman, Arthur; Faber, Tracy; Tannenbaum, Allen

    2011-03-01

    The determination of myocardial volume at risk distal to coronary stenosis provides important information for prognosis and treatment of coronary artery disease. In this paper, we present a novel computational framework for estimating the myocardial volume at risk in computed tomography angiography (CTA) imagery. Initially, epicardial and endocardial surfaces, and coronary arteries are extracted using an active contour method. Then, the extracted coronary arteries are projected onto the epicardial surface, and each point on this surface is associated with its closest coronary artery using the geodesic distance measurement. The likely myocardial region at risk on the epicardial surface caused by a stenosis is approximated by the region in which all its inner points are associated with the sub-branches distal to the stenosis on the coronary artery tree. Finally, the likely myocardial volume at risk is approximated by the volume in between the region at risk on the epicardial surface and its projection on the endocardial surface, which is expected to yield computational savings over risk volume estimation using the entire image volume. Furthermore, we expect increased accuracy since, as compared to prior work using the Euclidean distance, we employ the geodesic distance in this work. The experimental results demonstrate the effectiveness of the proposed approach on pig heart CTA datasets.

  2. Changes in Medical Management after Coronary CT Angiography

    Energy Technology Data Exchange (ETDEWEB)

    Naue, Vânia Mairi, E-mail: vania_naue@yahoo.com.br; Camargo, Gabriel; Sabioni, Letícia Roberto; Lima, Ronaldo de Souza Leão; Derenne, Maria Eduarda; Lorenzo, Andréa Rocha de; Freire, Monica Di Calafiori; Azevedo Filho, Clério Francisco; Resende, Elmiro Santos; Gottlieb, Ilan [CDPI - Clínica de Diagnóstico por Imagem (Brazil)

    2015-10-15

    Coronary computed tomography angiography (CCTA) allows for non-invasive coronary artery disease (CAD) phenotyping. There are still some uncertainties regarding the impact this knowledge has on the clinical care of patients. To determine whether CAD phenotyping by CCTA influences clinical decision making by the prescription of cardiovascular drugs and their impact on non-LDL cholesterol (NLDLC) levels. We analysed consecutive patients from 2008 to 2011 submitted to CCTA without previous diagnosis of CAD that had two serial measures of NLDLC, one up to 3 months before CCTA and the second from 3 to 6 months after. A total of 97 patients were included, of which 69% were men, mean age 64 ± 12 years. CCTA revealed that 18 (18%) patients had no CAD, 38 (39%) had non-obstructive (< 50%) lesions and 41 (42%) had at least one obstructive ≥ 50% lesion. NLDLC was similar at baseline between the grups (138 ± 52 mg/dL vs. 135 ± 42 mg/dL vs. 131 ± 44 mg/dL, respectively, p = 0.32). We found significative reduction in NLDLC among patients with obstrctive lesions (-18%, p = 0.001). We also found a positive relationship between clinical treatment intensification with aspirin and cholesterol reducing drugs and the severity of CAD. Our data suggest that CCTA results were used for cardiovascular clinical treatment titration, with especial intensification seen in patients with obstructive ≥50% CAD.

  3. Changes in Medical Management after Coronary CT Angiography

    Directory of Open Access Journals (Sweden)

    Vânia Mairi Naue

    2015-01-01

    Full Text Available Abstract Introduction: Coronary computed tomography angiography (CCTA allows for non-invasive coronary artery disease (CAD phenotyping. There are still some uncertainties regarding the impact this knowledge has on the clinical care of patients. Objective: To determine whether CAD phenotyping by CCTA influences clinical decision making by the prescription of cardiovascular drugs and their impact on non-LDL cholesterol (NLDLC levels. Methods: We analysed consecutive patients from 2008 to 2011 submitted to CCTA without previous diagnosis of CAD that had two serial measures of NLDLC, one up to 3 months before CCTA and the second from 3 to 6 months after. Results: A total of 97 patients were included, of which 69% were men, mean age 64 ± 12 years. CCTA revealed that 18 (18% patients had no CAD, 38 (39% had non-obstructive (< 50% lesions and 41 (42% had at least one obstructive ≥ 50% lesion. NLDLC was similar at baseline between the grups (138 ± 52 mg/dL vs. 135 ± 42 mg/dL vs. 131 ± 44 mg/dL, respectively, p = 0.32. We found significative reduction in NLDLC among patients with obstrctive lesions (-18%, p = 0.001. We also found a positive relationship between clinical treatment intensification with aspirin and cholesterol reducing drugs and the severity of CAD. Conclusion: Our data suggest that CCTA results were used for cardiovascular clinical treatment titration, with especial intensification seen in patients with obstructive ≥50% CAD.

  4. Consistency-based respiratory motion estimation in rotational angiography.

    Science.gov (United States)

    Unberath, Mathias; Aichert, André; Achenbach, Stephan; Maier, Andreas

    2017-09-01

    Rotational coronary angiography enables 3D reconstruction but suffers from intra-scan cardiac and respiratory motion. While gating handles cardiac motion, respiratory motion requires compensation. State-of-the-art algorithms rely on 3D-2D registration that depends on initial reconstructions of sufficient quality. We propose a compensation method that is applied directly in projection domain. It overcomes the need for reconstruction and thus complements the state-of-the-art. Virtual single-frame background subtraction based on vessel segmentation and spectral deconvolution yields non-truncated images of the contrasted lumen. This allows motion compensation based on data consistency conditions. We compensate craniocaudal shifts by optimizing epipolar consistency to (a) devise an image-based surrogate for cardiac motion and (b) compensate for respiratory motion. We validate our approach in two numerical phantom studies and three clinical cases. Correlation of the image-based surrogate for cardiac motion with the ECG-based ground truth was excellent yielding a Pearson correlation of 0.93 ± 0.04. Considering motion compensation, the target error measure decreased by 98% and 69%, respectively, for the phantom experiments while for the clinical cases the same figure of merit improved by 46 ± 21%. The proposed method is entirely image-based and accurately estimates craniocaudal shifts due to respiration and cardiac contraction. Future work will investigate experimental trajectories and possibilities for simplification of the single-frame subtraction pipeline. © 2016 American Association of Physicists in Medicine.

  5. Arterial Obstruction on Computed Tomographic or Magnetic Resonance Angiography and Response to Intravenous Thrombolytics in Ischemic Stroke.

    Science.gov (United States)

    Mair, Grant; von Kummer, Rüdiger; Adami, Alessandro; White, Philip M; Adams, Matthew E; Yan, Bernard; Demchuk, Andrew M; Farrall, Andrew J; Sellar, Robin J; Sakka, Eleni; Palmer, Jeb; Perry, David; Lindley, Richard I; Sandercock, Peter A G; Wardlaw, Joanna M

    2017-02-01

    Computed tomographic angiography and magnetic resonance angiography are used increasingly to assess arterial patency in patients with ischemic stroke. We determined which baseline angiography features predict response to intravenous thrombolytics in ischemic stroke using randomized controlled trial data. We analyzed angiograms from the IST-3 (Third International Stroke Trial), an international, multicenter, prospective, randomized controlled trial of intravenous alteplase. Readers, masked to clinical, treatment, and outcome data, assessed prerandomization computed tomographic angiography and magnetic resonance angiography for presence, extent, location, and completeness of obstruction and collaterals. We compared angiography findings to 6-month functional outcome (Oxford Handicap Scale) and tested for interactions with alteplase, using ordinal regression in adjusted analyses. We also meta-analyzed all available angiography data from other randomized controlled trials of intravenous thrombolytics. In IST-3, 300 patients had prerandomization angiography (computed tomographic angiography=271 and magnetic resonance angiography=29). On multivariable analysis, more extensive angiographic obstruction and poor collaterals independently predicted poor outcome (Pangiography findings and alteplase effect on Oxford Handicap Scale (P≥0.075) in IST-3. In meta-analysis (5 trials of alteplase or desmoteplase, including IST-3, n=591), there was a significantly increased benefit of thrombolytics on outcome (odds ratio>1 indicates benefit) in patients with (odds ratio, 2.07; 95% confidence interval, 1.18-3.64; P=0.011) versus without (odds ratio, 0.88; 95% confidence interval, 0.58-1.35; P=0.566) arterial obstruction (P for interaction 0.017). Intravenous thrombolytics provide benefit to stroke patients with computed tomographic angiography or magnetic resonance angiography evidence of arterial obstruction, but the sample was underpowered to demonstrate significant treatment

  6. Feasibility and utility of transradial cerebral angiography: experience during the learning period

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ji Hyung; Park, Yong Sung; Chung, Chul Gu; Park, Kyeong Sug; Chung, Dong Jin; Kim, Hyun Jin [Konyang University Hospital, Daejeon (Korea, Republic of)

    2006-03-15

    We wanted to present our experiences for performing transradial cerebral angiography during the learning period, and we also wanted to demonstrate this procedure's technical feasibility and utility in various clinical situations. Thirty-two patients were enrolled in the study. All of them had unfavorable situations for performing transfemoral angiography, i.e., IV lines in the bilateral femoral vein, a phobia for groin puncture, decreased blood platelet counts, large hematoma or bruise, atherosclerosis in the bilateral femoral artery and the insistence of patients for choosing another procedure. After con firming the patency of the ulnar artery with a modified Allen's test and a pulse oximeter, the procedure was done using a 21-G micorpuncture set and 5-F Simon II catheters. After angiography, hemostasis was achieved with 1-2 minutes of manual compression and the subsequent application of a hospital-made wrist brace for two hours. The technical feasibility and procedure-related immediate and delayed complications were evaluated. The procedure was successful in 30/32 patients (93.8%). Failure occurred in two patients; one patient had hypoplasia of the radial artery and one patient had vasospasm following multiple puncture trials for the radial artery. Transradial cerebral angiography was technically feasible without significant difficulties even though it was tried during the learning period. Pain in the forearm or arm developed in some patients during the procedures, but this was usually mild and transient. Procedure-related immediate complications included severe bruising in one patient and a small hematoma in one patient. Any clinically significant complication or delayed complication such as radial artery occlusion was not demonstrated in our series. Transradial cerebral angiography is a useful alternative for the patients who have unfavorable clinical situations or contraindications for performing transfemoral cerebral angiography. For the experienced

  7. Effect of Benson Relaxation Techniques on Hemodynamic Variables of Patient Undergoing Coronary Angiography

    Directory of Open Access Journals (Sweden)

    M khani

    2005-01-01

    Full Text Available Introduction: Invasive diagnostic procedures such as coronary angiography, in most cases, are accompanied by stress and anxiety for patients,which may effect on hemodynamic signs. Materials and Methods:This research, as a quasi experimental study, has the objective to determine the influence of applying methods of relaxation on hemodynamic signs in hospitalized 40 patients, experienciny coronary angiography (CA,, has been studied, in regard to existing conditions and methods of sampling and random allocation to two groups of control and relaxation at 2003 . Data collection tool included demographic and disease related information sheet, as well as record sheets for hemodynamic parameters at intervals of 8-12 and ½ hrs before, during and after the angiography. For relaxation group, the researcher would speak individually about the influence of relaxation, the day before angiography; Then with the aid of client himself/herself, performed relaxation instances in a single bout, and eventually asked client to perform relaxation technique 2-3 times before going for angiography. In control group was attended in the usual manner preangiographically. Homodynamic parameters were measured in both groups 8-12 and ½ hrs, before during and after CA. Afterward, resulted data were analyzed statistically by T-Test Chi-squre. Results: With T-Test, respiratory rates½ hrs, beforeAngiography, diastolic blood pressure and Respiratory Rate after Angiography showed statisticaly significant difference between two groups (P0.05.but most of parameters showed clinically significant difference between two groups. Conclusion: Therfore it is offered that relaxation method is applied after invasive procedures.

  8. Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and Doppler ultrasound.

    Science.gov (United States)

    Rozen, Warren M; Phillips, Timothy J; Ashton, Mark W; Stella, Damien L; Gibson, Robert N; Taylor, G Ian

    2008-01-01

    Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery (DIEA) perforator flaps, are standard in autologous breast reconstruction. With significant variation in the vascular anatomy of the abdominal wall, preoperative imaging is essential for preoperative planning and reducing intraoperative error. Doppler and color duplex sonography have been used with varying results, and the quest continues for optimal preoperative assessment. Computed tomographic angiography has recently been proposed as a noninvasive modality for this purpose. This is the first study to formally compare preoperative Doppler ultrasound with computed tomographic angiography for imaging the DIEA. Eight consecutive patients undergoing DIEA perforator flap surgery for breast reconstruction underwent both computed tomographic angiography and Doppler ultrasound preoperatively. All investigations and procedures were performed at the same institution with the same primary and assisting surgeons and the same radiology team. Computed tomographic angiography was superior to Doppler ultrasound at identifying the course of the DIEA and its branching pattern, and in visualizing its perforators. Preoperative computed tomographic angiography was highly specific (100 percent) and more sensitive in mapping and visualizing perforators (p = 0.0078). It was also proficient at identifying the superficial epigastric arterial system and for effectively displaying the results intraoperatively. It was substantially quicker and removed the interobserver error associated with Doppler ultrasonography. The study was ceased after eight patients because of the overwhelming benefit of computed tomographic angiography over Doppler ultrasonography. Computed tomographic angiography is a valuable imaging modality for the preoperative assessment of the donor-site vascular supply for TRAM and DIEA perforator flaps.

  9. The appropriateness of use of coronary angiography in Lebanon: implications for health policy.

    Science.gov (United States)

    Sibai, Abla M; Tohme, Rania A; Saade, Georges A; Ghanem, Georges; Alam, Samir

    2008-05-01

    Lebanon, characterized by a free-market health care system, has one of the highest reported per capita rates of cardiac catheterization facilities and coronary angiographies in the world. The aim of this study is to evaluate the appropriateness of performance of coronary angiography procedures in Lebanon. Data derived from the 2004 Lebanese Interventional Coronary Registry (LICOR) included 5418 patients aged 30 years and older who had not undergone prior percutaneous coronary intervention or coronary artery bypass grafting. Appropriateness was evaluated based on the Class I indications of the ACC/AHA guidelines for coronary angiography. The overall rate of appropriate procedures was 54.7% (95% CI 53.3-56.0%). Appropriateness varied significantly by gender and across administrative regions. Compared with females, males were more likely to be referred appropriately for coronary angiography (OR = 1.28, 95% CI = 1.15-1.44). Appropriateness was lowest (OR = 0.89, 95% CI = 0.71-1.12) in the region where the per capita density of cardiac catheterization labs increased by six-fold in the latter 2 years. The majority of the patients (84.3%) were not evaluated by any of the non-invasive tests prior to angiography, with only 10.8%, 4% and 1.5% of the patients referred for an exercise stress test, stress echocardiography and thallium stress tests, respectively. Findings indicate a high rate of procedures conducted without appropriate indications and a low utilization rate of pre-interventional non-invasive testing. This may be attributed to three factors: a surplus of catheterization facilities in certain regions, the insignificant cost gradient between non-invasive testing and coronary angiography, and the wide case-based reimbursement of coronary angiography, unlike non-invasive testing, by public insurance schemes.

  10. Radiological findings of dissecting aneurysm -a correlative study of CT with angiography-

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Tae Yeong; Park, Jae Hyung; Kim, Seung Hyup; Han, Man Chung [College of Medicine, Seoul National University, Seoul (Korea, Republic of)

    1987-06-15

    This study comprised 16 patients with aortic dissecting aneurysm who were admitted to Seoul National University Hospital from May 1984 to January 1987. CT findings in 16 cases of aortic dissecting aneurysm were correlated with angiographic findings retrospectively. The results were analysed. 1. Number of male was 11 and that of female was 5. Male patients in fifties were most common and 4 in number. 13 patients had hypertension or history of hypertension among 14 patients. There were one case of Marfan's syndrome, preeclampsia and Takayasu's arteritis respectively. 2. There were 5 cases of DeBakey type I, 1 case of type II and 9 cases of types III dissecting aneurysm. Type III was most common. 3. CT confirmed as superior vena cava which was not identified whether it was superior vena cava or unopacified false lumen by angiography in one case. Regarding distal extent, authors defined A whose extent was proximal to diaphragm and B beyond it for convenience sake. There was one false negative case in CT among 16 cases which was diagnosed as dissecting aneurysm type IIIB by angiography and confirmed as type III surgically. One case was diagnosed as type IB by CT and as type IIIB by angiography and confirmed as type I surgically. Extent was more accurate in CT than angiography. One case was diagnosed as type II by CT but misdiagnosed as right atrial tumor by angiography. 4. Diagnostic sensitivities of CT and angiography in this study were 94% (15/16) respectively. CT was more advantageous in hemothorax, hemopericardium, hemomediastinum, unopacified false lumen, aortic wall calcification and getting information about mediastinum. In angiography aortic regurgitation and tear site and involvement of abdominal vessels could be observed.

  11. The Impact of Aromatherapy on the Anxiety of Patients Experiencing Coronary Angiography

    Directory of Open Access Journals (Sweden)

    Homeyra Tahmasbi

    2012-03-01

    Full Text Available Background: Anxiety among patients experiencing coronary angiography increases within invasive studies including angiography. Anxiety as an intensifier at cardiovascular reactions can endanger patients in angiography clinics. Studies indicate that lavendula spica L. inhalation can decrease anxiety. The purpose of this study is to determine the impact of aromatherapy on the anxiety level of patients experiencing coronary angiography. Materials and Methods: This research is a clinical trial study performed on a group of 96 patients hospitalized in Sari Fatemeh-Zahra Hospital for coronary angiography who were randomly selected. They were divided in two subject (45 patients and control (46 patients groups. Demographic data sheets, recording sheet of homodynamic variables and Spielberger state-trait anxiety inventory were distributed among the two groups before and after aromatherapy. The data were analyzed using SPSS-16 as well as statistical T-test and chi-square test. Results: The two groups were homogenous in terms of gender, marital status, level of education, sickness background, age and health insurance. The data indicated that anxiety level decreased significantly in the subject group compared with the control group after aromatherapy (P < 0.0001. There was also a significant difference in systolic and diastolic blood pressure and respiratory rate as well as heartbeat parameters in these two groups. (P<0.05 Conclusion: Lavendula aroma inhalation can decrease anxiety level of patients before coronary angiography and accordingly aromatherapy can be used as health care intervention and mental support, without any side effects, for the patients before invasive interventions such as angiography.

  12. Selective mobilization of critical elements in incineration ashes; Selektiv mobilisering av kritiska element hos energiaskor

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, Malin; Herrmann, Inga; Ecke, Holger [Luleaa Univ. of Technology (Sweden); Sjoeblom, Rolf [TEKEDO AB, Nykoeping (Sweden)

    2005-05-01

    In the project SMAK, the selective mobilization of critical elements in ashes was studied. Non-hazardous bottom ash from Daava kraftvaermeverk, Umeaa, and hazardous fly ash from Hoegdalenverket, Stockholm, line P6 were investigated. Sb, Mo, Cu, Cr and Cl{sup -} were identified as critical elements in the bottom ash since these elements exceeded the limit values for acceptance on landfills as inert waste according to the Council decision on acceptance criteria at landfills. Critical elements in the fly ash were Cr, Se, Pb and Cl{sup -}, these elements exceeded the limit values for acceptance on landfills as non-hazardous waste. The mobilization of the critical elements was studied in experiments performed according to a reduced 2{sup 6-1} factorial design with three centerpoints. Factors in the experiments were ultrasonic pre-treatment, pre-treatment with carbonation, L/S-ratio, pH, time and temperature. Empirical models of the mobilization were used to identify the optimal factor setting ensuring sufficient mobilization of critical elements, i.e. to achieve a solid residue meeting non-hazardous and inert landfill criteria for fly ash and bottom ash, respectively. No ultrasonic treatment, pre-treatment with carbonation, L/Sratio 5, pH 12, time 2h and temperature at 20 deg C were identified as optimal factor setting for the bottom ash. For the fly ash, no ultrasonic treatment, no pre-treatment with carbonation, L/S-ratio 5, pH 7, time 2h and temperature at 20 deg C were identified as optimal factor setting. The treatment with optimal factor settings did not change the classification according to the Council decision on acceptance criteria at landfills of neither ash. For the bottom ash, Sb, Mo and Cr exceeded the limit values for landfilling as inert waste according to the Council decision on acceptance criteria at landfills. Only Cr exceeded the limit value for landfilling the fly ash as non-hazardous waste. According to the Waste Decree (Avfallsfoerordningen) both treated ashes were classified as non-hazardous waste. No negative effects on the geotechnical usage could be found in the classification according to the Waste Decree. A comparison to the general guidance values for contaminated soil according to the Swedish Environmental Protection Agency showed that both of the treated ashes did not meet the limit value for less sensitive land use. Since the ash properties deviated from the reference soil in the general guidance values for contaminated soil according to the Swedish Environmental Protection Agency, a case in point was calculated. The results showed that both ashes met the recommended limit values for less sensitive land use, with and without groundwater usage for households. The main reason for this is that substances which may influence health and environment are maintained much more strongly in the ash as compared to the soil that The Swedish Environmental Protection Agency used in its calculations for the reference values for contaminated soil. This implies that the content of such substances in the groundwater will be low and thereby also any possible effects arising in the different scenarios. (In certain cases it is possible that the ash will behave as a sink for hazardous substances even in cases where the content in the ash will exceed that of the surrounding soil.)

  13. Legitimering gjennom (selektiv felles fortid: russisk bruk av historie i Ukraina-konflikten

    Directory of Open Access Journals (Sweden)

    Minda Holm

    2016-12-01

    Full Text Available Abstract: Legitimation Through a (Selective Shared Past: Russia's Use of History in the Conflict in UkraineHow has Russia used history to justify its actions in the conflict in Ukraine? Through an analysis of official statements of the Ministry of Foreign Affairs, as well as speeches and remarks by Putin, this article argues that history has played an important but varying role in official rhetoric. With Crimea, the emphasis was on the ‘sanctity’ of the territory for Russian Orthodox identity, drawing on history dating back to the baptism of Prince Vladimir in 10th century AC. The shared past of the two states has not been as central in official Russian policy justification regarding Ukraine outside Crimea: the ‘brotherhood’ of the two nations has been noted repeatedly, but usually secondary to arguments pertaining to economic and political interests. The two world wars have been used as a cautionary tale, with Russia effectively seeking to delegitimize the new Ukrainian government by evoking carefully selected elements of its past. Finally, the author looks at the use of international precedence as a form of justification, turning the history of Western – US in particular – actions back on Russia’s critics. The official usage of history is placed within broader strategies of legitimation, as it is not enough to study propaganda and manipulation strategies as part of information warfare to explain how the Kremlin achieves support for its policies. The ‘thick’ historical narratives of Crimea play on elements linked to issues of national identity, making it difficult to dispute using the type of counter-propaganda and rebuttal of disinformation proposed by some.

  14. Ultralydskanning ved diagnostik og behandling af hoftedysplasi. Vurdering af en selektiv screeningsprocedure

    DEFF Research Database (Denmark)

    Strandberg, Charlotte; Konradsen, Lars Aage Glud; Ellitsgaard, Niels

    2008-01-01

    With the intention of reducing the treatment frequency of Developmental Dysplasia of the Hip (DDH), two hospitals in Copenhagen implemented a screening and treatment procedure based on selective referral to ultrasonography of the hip (US). This paper describes and evaluates the procedure....

  15. Ultralydskanning ved diagnostik og behandling af hoftedysplasi. Vurdering af en selektiv screeningsprocedure

    DEFF Research Database (Denmark)

    Strandberg, C.; Konradsen, L.A.; Ellitsgaard, N.

    2008-01-01

    INTRODUCTION: With the intention of reducing the treatment frequency of Developmental Dysplasia of the Hip (DDH), two hospitals in Copenhagen implemented a screening and treatment procedure based on selective referral to ultrasonography of the hip (US). This paper describes and evaluates...... 0.03%. No relationship was seen between morphological parameters at the first US and the outcome of hips classified as minor dysplastic or not fully developed (NFD). A statistically significant relationship was seen between the degree of dysplasia and the time until US normalization of the hips (p...... of the outcome of minor dysplastic/NFD hips must be based on a minimum of two US. An individualization of the treatment length was possible, and treatment length could be shortened in many cases. Compared with the incidence of DDH in Gentofte Hospital before the use of US, we suggest that this selective...

  16. MRI and MR angiography of vertebral artery dissection

    Energy Technology Data Exchange (ETDEWEB)

    Mascalchi, M. [Cattedra di Radiologia, Universita di Pisa (Italy); Bianchi, M.C. [Servizio di Neuroradiologia, Ospedale S. Chiara, Pisa (Italy); Mangiafico, S. [Servizio di Neuroradiologia, Ospedale di Careggi, Firenze (Italy); Ferrito, G. [Servizio di Neuroradiologia, Ospedali Riuniti, Livorno (Italy); Puglioli, M. [Servizio di Neuroradiologia, Ospedale S. Chiara, Pisa (Italy); Marin, E. [Servizio di Radiologia, Ospedale S. M. Nuova, Firenze (Italy); Mugnai, S. [Clinica Neurologica, Universita di Firenze (Italy); Canapicchi, R. [Servizio di Neuroradiologia, Ospedale S. Chiara, Pisa (Italy); Quilici, N. [Servizio di Neuroradiologia, Ospedali Riuniti, Livorno (Italy); Inzitari, D. [Clinica Neurologica, Universita di Firenze (Italy)

    1997-05-01

    A review of 4,500 angiograms yielded 11 patients with dissection of the vertebral arteries who had MRI and (in 4 patients) MR angiography (MRA) in the acute phase of stroke. One patient with incidental discovery at arteriography of asymptomatic vertebral artery dissection and two patients with acute strokes with MRI and MRA findings consistent with vertebral artery dissection were included. Dissection occurred after neck trauma or chiropractic manipulation in 4 patients and was spontaneous in 10. Dissection involved the extracranial vertebral artery in 9 patients, the extra-intracranial junction in 1, and the intracranial artery in 4. MRI demonstrated infarcts in the brain stem, cerebellum, thalamus or temporo-occipital regions in 7 patients with extra- or extra-intracranial dissections and a solitary lateral medullary infarct in 4 patients (3 with intracranial and 1 with extra-intracranial dissection). In 2 patients no brain abnormality related to vertebral artery dissection was found and in one MRI did not show subarachnoid haemorrhage revealed by CT. Intramural dissecting haematoma appeared as crescentic or rounded high signal on T1-weighted images in 10 patients examined 3-20 days after the onset of symptoms. The abnormal vessel stood out in the low signal cerebrospinal fluid in intracranial dissections, whereas it was more difficult to detect in extracranial dissections because of the intermediate-to-high signal of the normal perivascular structures and slow flow proximal and distal to the dissection. In two patients examined within 36 h of the onset, mural thickening was of intermediate signal intensity on T1-weighted images and high signal on spin-density and T2-weighted images. MRA showed abrupt stenosis in 2 patients and disappearance of flow signal at and distal to the dissection in 5. Follow-up arteriography, MRI or MRA showed findings consistent with occlusion of the dissected vessel in 6 of 8 patients. (orig.). With 7 figs., 3 tabs.

  17. Prospective heart tracking for whole-heart magnetic resonance angiography.

    Science.gov (United States)

    Moghari, Mehdi H; Geva, Tal; Powell, Andrew J

    2017-02-01

    To develop a prospective respiratory-gating technique (Heart-NAV) for use with contrast-enhanced three-dimensional (3D) inversion recovery (IR) whole-heart magnetic resonance angiography (MRA) acquisitions that directly tracks heart motion without creating image inflow artifact. With Heart-NAV, one of the startup pulses for the whole-heart steady-state free precession MRA sequence is used to collect the centerline of k-space, and its one-dimensional reconstruction is fed into the standard diaphragm-navigator (NAV) signal analysis process to prospectively gate and track respiratory-induced heart displacement. Ten healthy volunteers underwent non-contrast whole-heart MRA acquisitions using the conventional diaphragm-NAV and Heart-NAV with 5 and 10-mm acceptance windows in a 1.5T scanner. Five patients underwent contrast-enhanced IR whole-heart MRA using a diaphragm-NAV and Heart-NAV with a 5-mm acceptance window. For non-contrast whole-heart MRA with both the 5 and 10-mm acceptance windows, Heart-NAV yielded coronary artery vessel sharpness and subjective visual scores that were not significantly different than those using a conventional diaphragm-NAV. Scan time for Heart-NAV was 10% shorter (p heart MRA, inflow artifact was seen with the diaphragm-NAV but not with Heart-NAV. Compared with a conventional diaphragm-NAV, Heart-NAV achieves similar image quality in a slightly shorter scan time and eliminates inflow artifact. Magn Reson Med 77:759-765, 2017. © 2016 International Society for Magnetic Resonance in Medicine. © 2016 International Society for Magnetic Resonance in Medicine.

  18. Ultra Low Dose CT Pulmonary Angiography with Iterative Reconstruction.

    Science.gov (United States)

    Sauter, Andreas; Koehler, Thomas; Fingerle, Alexander A; Brendel, Bernhard; Richter, Vivien; Rasper, Michael; Rummeny, Ernst J; Noël, Peter B; Münzel, Daniela

    2016-01-01

    Evaluation of a new iterative reconstruction algorithm (IMR) for detection/rule-out of pulmonary embolism (PE) in ultra-low dose computed tomography pulmonary angiography (CTPA). Lower dose CT data sets were simulated based on CTPA examinations of 16 patients with pulmonary embolism (PE) with dose levels (DL) of 50%, 25%, 12.5%, 6.3% or 3.1% of the original tube current setting. Original CT data sets and simulated low-dose data sets were reconstructed with three reconstruction algorithms: the standard reconstruction algorithm "filtered back projection" (FBP), the first generation iterative reconstruction algorithm iDose and the next generation iterative reconstruction algorithm "Iterative Model Reconstruction" (IMR). In total, 288 CTPA data sets (16 patients, 6 tube current levels, 3 different algorithms) were evaluated by two blinded radiologists regarding image quality, diagnostic confidence, detectability of PE and contrast-to-noise ratio (CNR). iDose and IMR showed better detectability of PE than FBP. With IMR, sensitivity for detection of PE was 100% down to a dose level of 12.5%. iDose and IMR showed superiority to FBP regarding all characteristics of subjective (diagnostic confidence in detection of PE, image quality, image noise, artefacts) and objective image quality. The minimum DL providing acceptable diagnostic performance was 12.5% (= 0.45 mSv) for IMR, 25% (= 0.89 mSv) for iDose and 100% (= 3.57 mSv) for FBP. CNR was significantly (p < 0.001) improved by IMR compared to FBP and iDose at all dose levels. By using IMR for detection of PE, dose reduction for CTPA of up to 75% is possible while maintaining full diagnostic confidence. This would result in a mean effective dose of approximately 0.9 mSv for CTPA.

  19. A novel reporting approach to coronary angiography: "segmental coding system".

    Science.gov (United States)

    Konuralp, Cüneyt; Idiz, Mustafa; Ateş, Mehmet

    2005-01-01

    A new systematic reporting system for coronary angiography has been developed, which is capable of describing any visible intraluminal or extraluminal conditions with the exact coordinates. In this method, called "segmental coding system"(SCS), the part of the artery that is located between its two subsequent branches is considered to be an "angiographic segment". Conditions are localized according to their relationship with these angiographic segments and the anatomic border of the segments (coronary ostiums, primary, secondary and tertiary branches, grafts and proximal and distal anastomosis sites). They are also described by using a special coding system that consists of letters, numbers and signs. SCS can supply the name (stenosis, occlusion, contour deformity, aneurysm, rupture, anatomical variation, existence of stent, etc.) and the exact localization (coordinates) of the condition with its properties; filling direction, and the collateral system that fills the vessel. We applied SCS to more than 500 cineangiograpies. According to our experience, SCS provides more objective, detailed, and even correct information than the current narrative reporting system. SCS also offers many extra advantages. (a) It can describe all imaginable types of lesion combinations. (b) All of the existing conditions can be listed without missing. (c) The definitions are very precise and clear. They can easily be understood by everyone in the same way. (d) It is more advantageous on archiving, searching the database, and comparing the subsequent reports for the same patient. (e) In the future, by using specially tailored software, personal and detailed angiographic images will be reproduced from the SCS data. By being introduced into clinical practice, we believe, SCS will prove a very useful tool for both surgeons and cardiologists.

  20. Choriocapillaris and choroidal microvasculature imaging with ultrahigh speed OCT angiography.

    Directory of Open Access Journals (Sweden)

    WooJhon Choi

    Full Text Available We demonstrate in vivo choriocapillaris and choroidal microvasculature imaging in normal human subjects using optical coherence tomography (OCT. An ultrahigh speed swept source OCT prototype at 1060 nm wavelengths with a 400 kHz A-scan rate is developed for three-dimensional ultrahigh speed imaging of the posterior eye. OCT angiography is used to image three-dimensional vascular structure without the need for exogenous fluorophores by detecting erythrocyte motion contrast between OCT intensity cross-sectional images acquired rapidly and repeatedly from the same location on the retina. En face OCT angiograms of the choriocapillaris and choroidal vasculature are visualized by acquiring cross-sectional OCT angiograms volumetrically via raster scanning and segmenting the three-dimensional angiographic data at multiple depths below the retinal pigment epithelium (RPE. Fine microvasculature of the choriocapillaris, as well as tightly packed networks of feeding arterioles and draining venules, can be visualized at different en face depths. Panoramic ultra-wide field stitched OCT angiograms of the choriocapillaris spanning ∼32 mm on the retina show distinct vascular structures at different fundus locations. Isolated smaller fields at the central fovea and ∼6 mm nasal to the fovea at the depths of the choriocapillaris and Sattler's layer show vasculature structures consistent with established architectural morphology from histological and electron micrograph corrosion casting studies. Choriocapillaris imaging was performed in eight healthy volunteers with OCT angiograms successfully acquired from all subjects. These results demonstrate the feasibility of ultrahigh speed OCT for in vivo dye-free choriocapillaris and choroidal vasculature imaging, in addition to conventional structural imaging.

  1. Vascular hand-arm vibration syndrome--magnetic resonance angiography.

    Science.gov (United States)

    Poole, C J M; Cleveland, T J

    2016-01-01

    The diagnosis of vascular hand-arm vibration syndrome (HAVS) requires consistent symptoms, photographic evidence of digital blanching and sufficient exposure to hand-transmitted vibration (HTV; A(8) > 2.5 m/s2). There is no reliable quantitative investigation for distinguishing HAVS from other causes of Raynaud's phenomenon and from normal individuals. Hypothenar and thenar hammer syndromes produce similar symptoms to HAVS but are difficult to diagnose clinically and may be confused with HAVS. Magnetic resonance angiography (MRA) is a safe and minimally invasive method of visualizing blood vessels. Three cases of vascular HAVS are described in which MRA revealed occlusions of the ulnar, radial and superficial palmar arteries. It is proposed that HTV was the cause of these occlusions, rather than blows to the hand unrelated to vibration, the assumed mechanism for the hammer syndromes. All three cases were advised not to expose their hands to HTV despite one of them being at Stockholm vascular stage 2 (early). MRA should be the investigation of choice for stage 2 vascular HAVS or vascular HAVS with unusual features or for a suspected hammer syndrome. The technique is however technically challenging and best done in specialist centres in collaboration with an occupational physician familiar with the examination of HAVS cases. Staging for HAVS should be developed to include anatomical arterial abnormalities as well as symptoms and signs of blanching. Workers with only one artery supplying a hand, or with only one palmar arch, may be at increased risk of progression and therefore should not be exposed to HTV irrespective of their Stockholm stage. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  2. Optical coherence tomography angiography-based capillary velocimetry

    Science.gov (United States)

    Wang, Ruikang K.; Zhang, Qinqin; Li, Yuandong; Song, Shaozhen

    2017-06-01

    Challenge persists in the field of optical coherence tomography (OCT) when it is required to quantify capillary blood flow within tissue beds in vivo. We propose a useful approach to statistically estimate the mean capillary flow velocity using a model-based statistical method of eigendecomposition (ED) analysis of the complex OCT signals obtained with the OCT angiography (OCTA) scanning protocol. ED-based analysis is achieved by the covariance matrix of the ensemble complex OCT signals, upon which the eigenvalues and eigenvectors that represent the subsets of the signal makeup are calculated. From this analysis, the signals due to moving particles can be isolated by employing an adaptive regression filter to remove the eigencomponents that represent static tissue signals. The mean frequency (MF) of moving particles can be estimated by the first lag-one autocorrelation of the corresponding eigenvectors. Three important parameters are introduced, including the blood flow signal power representing the presence of blood flow (i.e., OCTA signals), the MF indicating the mean velocity of blood flow, and the frequency bandwidth describing the temporal flow heterogeneity within a scanned tissue volume. The proposed approach is tested using scattering phantoms, in which microfluidic channels are used to simulate the functional capillary vessels that are perfused with the scattering intralipid solution. The results indicate a linear relationship between the MF and mean flow velocity. In vivo animal experiments are also conducted by imaging mouse brain with distal middle cerebral artery ligation to test the capability of the method to image the changes in capillary flows in response to an ischemic insult, demonstrating the practical usefulness of the proposed method for providing important quantifiable information about capillary tissue beds in the investigations of neurological conditions in vivo.

  3. Impact of image quality on OCT angiography based quantitative measurements.

    Science.gov (United States)

    Al-Sheikh, Mayss; Ghasemi Falavarjani, Khalil; Akil, Handan; Sadda, SriniVas R

    2017-01-01

    To study the impact of image quality on quantitative measurements and the frequency of segmentation error with optical coherence tomography angiography (OCTA). Seventeen eyes of 10 healthy individuals were included in this study. OCTA was performed using a swept-source device (Triton, Topcon). Each subject underwent three scanning sessions 1-2 min apart; the first two scans were obtained under standard conditions and for the third session, the image quality index was reduced using application of a topical ointment. En face OCTA images of the retinal vasculature were generated using the default segmentation for the superficial and deep retinal layer (SRL, DRL). Intraclass correlation coefficient (ICC) was used as a measure for repeatability. The frequency of segmentation error, motion artifact, banding artifact and projection artifact was also compared among the three sessions. The frequency of segmentation error, and motion artifact was statistically similar between high and low image quality sessions (P = 0.707, and P = 1 respectively). However, the frequency of projection and banding artifact was higher with a lower image quality. The vessel density in the SRL was highly repeatable in the high image quality sessions (ICC = 0.8), however, the repeatability was low, comparing the high and low image quality measurements (ICC = 0.3). In the DRL, the repeatability of the vessel density measurements was fair in the high quality sessions (ICC = 0.6 and ICC = 0.5, with and without automatic artifact removal, respectively) and poor comparing high and low image quality sessions (ICC = 0.3 and ICC = 0.06, with and without automatic artifact removal, respectively). The frequency of artifacts is higher and the repeatability of the measurements is lower with lower image quality. The impact of image quality index should be always considered in OCTA based quantitative measurements.

  4. Wavelet brain angiography suggests arteriovenous pulse wave phase locking.

    Directory of Open Access Journals (Sweden)

    William E Butler

    Full Text Available When a stroke volume of arterial blood arrives to the brain, the total blood volume in the bony cranium must remain constant as the proportions of arterial and venous blood vary, and by the end of the cardiac cycle an equivalent volume of venous blood must have been ejected. I hypothesize the brain to support this process by an extraluminally mediated exchange of information between its arterial and venous circulations. To test this I introduce wavelet angiography methods to resolve single moving vascular pulse waves (PWs in the brain while simultaneously measuring brain pulse motion. The wavelet methods require angiographic data acquired at significantly faster rate than cardiac frequency. I obtained these data in humans from brain surface optical angiograms at craniotomy and in piglets from ultrasound angiograms via cranial window. I exploit angiographic time of flight to resolve arterial from venous circulation. Initial wavelet reconstruction proved unsatisfactory because of angiographic motion alias from brain pulse motion. Testing with numerically simulated cerebral angiograms enabled the development of a vascular PW cine imaging method based on cross-correlated wavelets of mixed high frequency and high temporal resolution respectively to attenuate frequency and motion alias. Applied to the human and piglet data, the method resolves individual arterial and venous PWs and finds them to be phase locked each with separate phase relations to brain pulse motion. This is consistent with arterial and venous PW coordination mediated by pulse motion and points to a testable hypothesis of a function of cerebrospinal fluid in the ventricles of the brain.

  5. Dose optimization of contrast-enhanced carotid MR angiography

    Energy Technology Data Exchange (ETDEWEB)

    Unterweger, M.; Froehlich, J.M.; Kubik-Huch, R.A.; Seifert, B.; Birrer, M.; Huber, T.; Otto, R. [Institute of Radiology, Cantonal Hospital Baden, Baden (Switzerland)

    2005-09-01

    The purpose of this work was to compare the diagnostic performance of a single-contrast or a double-contrast dose of carotid contrast-enhanced MR angiography (MRA). One-hundred nineteen patients (mean age 65{+-}14.4 years) underwent carotid contrast-enhanced MRA with a standardized protocol (repetition time/echo 3.73 ms/1.38 ms, flip-angle 25 , acquisition-time 19 s, voxel size 1.2 x 1.2 x 0.9 mm{sup 3}) on a 1.5-T scanner (Sonata, Siemens-Medical-Systems) using a neck phased-array coil. Contrast agent was administered intravenously at a rate of 3.0 ml/s, either as a single dose (n=57; 0.1 mmol/kg body weight) or as a double dose (n=62; 0.2 mmol/kg body weight) of meglumine gadoterate (0.5 M/l), followed by 30 ml saline. Qualitative image analysis was performed on maximum intensity projections using a five-point scale. Signal intensities were measured at three different vascular levels on both sides to assess the contrast-to-noise ratios (CNRs). Image quality was rated as good or excellent in all cases. A double dose did not influence the efficacy of carotid enhancement (CNR single dose 69.12{+-}19.8; CNR double dose 70.01{+-}20.7; p=0.81) compared with a single dose. In both dose groups the mean CNRs were inversely related to bodyweight, despite adjusted contrast volumes (p=0.0005). Double-dose contrast-enhanced carotid MRA is not superior to single-dose MRA, as overall diagnostic performance and quantitative contrast enhancement are equal. Being more cost-efficient, a single-dose administration of contrast agent is recommended for MRA of the carotid arteries. (orig.)

  6. Coronary CT angiography versus standard evaluation in acute chest pain.

    Science.gov (United States)

    Hoffmann, Udo; Truong, Quynh A; Schoenfeld, David A; Chou, Eric T; Woodard, Pamela K; Nagurney, John T; Pope, J Hector; Hauser, Thomas H; White, Charles S; Weiner, Scott G; Kalanjian, Shant; Mullins, Michael E; Mikati, Issam; Peacock, W Frank; Zakroysky, Pearl; Hayden, Douglas; Goehler, Alexander; Lee, Hang; Gazelle, G Scott; Wiviott, Stephen D; Fleg, Jerome L; Udelson, James E

    2012-07-26

    It is unclear whether an evaluation incorporating coronary computed tomographic angiography (CCTA) is more effective than standard evaluation in the emergency department in patients with symptoms suggestive of acute coronary syndromes. In this multicenter trial, we randomly assigned patients 40 to 74 years of age with symptoms suggestive of acute coronary syndromes but without ischemic electrocardiographic changes or an initial positive troponin test to early CCTA or to standard evaluation in the emergency department on weekdays during daylight hours between April 2010 and January 2012. The primary end point was length of stay in the hospital. Secondary end points included rates of discharge from the emergency department, major adverse cardiovascular events at 28 days, and cumulative costs. Safety end points were undetected acute coronary syndromes. The rate of acute coronary syndromes among 1000 patients with a mean (±SD) age of 54±8 years (47% women) was 8%. After early CCTA, as compared with standard evaluation, the mean length of stay in the hospital was reduced by 7.6 hours (Ppatients were discharged directly from the emergency department (47% vs. 12%, Pacute coronary syndromes and no significant differences in major adverse cardiovascular events at 28 days. After CCTA, there was more downstream testing and higher radiation exposure. The cumulative mean cost of care was similar in the CCTA group and the standard-evaluation group ($4,289 and $4,060, respectively; P=0.65). In patients in the emergency department with symptoms suggestive of acute coronary syndromes, incorporating CCTA into a triage strategy improved the efficiency of clinical decision making, as compared with a standard evaluation in the emergency department, but it resulted in an increase in downstream testing and radiation exposure with no decrease in the overall costs of care. (Funded by the National Heart, Lung, and Blood Institute; ROMICAT-II ClinicalTrials.gov number, NCT01084239.).

  7. Virtual autopsy by computed tomographic angiography of the fetal heart: a feasibility study.

    Science.gov (United States)

    Votino, C; Cannie, M; Segers, V; Dobrescu, O; Dessy, H; Gallo, V; Cos, T; Damry, N; Jani, J

    2012-06-01

    To determine the feasibility of postmortem computed tomographic (pm-CT) angiography for fetal heart evaluation. Following termination of pregnancy (TOP) or intrauterine fetal death (IUFD) beyond 18 weeks' gestation, 33 fetuses were examined by pm-CT; in eight contrast medium was injected through the umbilical cord and in 25 contrast medium was injected directly into the heart. Logistic regression analysis was used to investigate the effect on the ability to visualize cardiac structures on pm-CT angiography of gestational age at TOP or delivery following IUFD, the time delay between fetal death and examination, the technique used for contrast-medium injection, the presence of cardiac abnormalities and whether or not there was IUFD. The diagnostic accuracy of pm-CT angiography for the evaluation of fetal cardiac structures was also evaluated. Cardiac anatomy including heart situs, the four-chamber view and great vessels could be visualized on pm-CT angiography in 29 out of 33 fetuses (87.9%). Logistic regression analysis showed that the ability to visualize cardiac structures on pm-CT angiography was positively correlated only with contrast medium injected directly into the heart. Twenty-five out of the 33 fetuses underwent conventional autopsy. There were five cases with suspected major cardiac abnormality at prenatal ultrasound and one with a minor cardiac abnormality. In one of these cases, severe leakage into the pleural cavity did not allow for visualization of any heart structure on pm-CT angiography and in another invasive autopsy was declined. In two of the remaining four cases, the findings on pm-CT angiography and invasive autopsy were in agreement, while in two a ventricular septal defect was found on invasive autopsy but not on pm-CT. None of the 27 cases with normal hearts was falsely classified as abnormal using pm-CT angiography. Pm-CT angiography by direct injection into the heart seems to be a feasible method for its evaluation. The extent to which

  8. Evaluation of Idiopathic Choroidal Neovascularization with Indocyanine Green Angiography in Patients Undergoing Bevacizumab Therapy

    Directory of Open Access Journals (Sweden)

    Ryan B. Rush

    2015-01-01

    Full Text Available Purpose. To examine the clinical implications of change in choroidal neovascularization (CNV size on indocyanine green (ICG angiography in subjects with idiopathic CNV undergoing bevacizumab therapy. Methods. The charts of subjects with an idiopathic CNV treated by a modified PRN regimen with intravitreal bevacizumab over a 12-month period were retrospectively reviewed. Results. There were 34 subjects included in the analysis. Baseline CNV sizes of less than 1.0 mm2 on ICG angiography correlated with complete CNV resolution (P=0.0404, fewer injections delivered (P=0.0002, and better Snellen visual acuity (P=0.0098 at 12 months. Subjects that experienced a 33% or more reduction in CNV size on ICG angiography at 2 months had complete CNV resolution (P=0.0047 and fewer injections (P<0.0001 at 12 months compared to subjects that did not experience a 33% or more reduction in CNV size on ICG angiography at 2 months. Conclusions. Smaller baseline CNV size on ICG angiography resulted in better visual acuity and fewer injections at 12 months, and a reduction of 33% or more in CNV size after 2 months may predict a better clinical course in subjects with idiopathic CNV undergoing bevacizumab therapy.

  9. Diagnostic value of color Doppler ultrasonography and MDCT angiography in complications of hemodialysis fistulas and grafts

    Energy Technology Data Exchange (ETDEWEB)

    Cansu, Aysegul, E-mail: drcansu@gmail.com [Department of Radiology, Karadeniz Technical University, School of Medicine, Farabi Hospital, 61080 Trabzon (Turkey); Soyturk, Mehmet; Ozturk, Mehmet Halil; Kul, Sibel [Department of Radiology, Karadeniz Technical University, School of Medicine, Farabi Hospital, 61080 Trabzon (Turkey); Pulathan, Zerrin [Department of Cardiovascular Surgery, Karadeniz Technical University, School of Medicine, Farabi Hospital, 61080 Trabzon (Turkey); Dinc, Hasan [Department of Radiology, Karadeniz Technical University, School of Medicine, Farabi Hospital, 61080 Trabzon (Turkey)

    2013-09-15

    Purpose: The purpose of the study was to compare the diagnostic value of color Doppler ultrasonography (CDUS) and multidetector computed tomography (MDCT) angiography against that of digital subtraction angiography (DSA) or surgery in the evaluation of failing hemodialysis arteriovenous fistulas (AVFs). Materials and methods: CDUS and MDCT angiography were performed with 41 patients (24 men, 17 women; mean age 55.8) with dysfunctional hemodialysis fistulas. The presence of stenosis, thrombosis, aneurysm, pseudoaneurysm and seroma were recorded. The sensitivity, specificity, positive and negative predictive values (PPV and NPV) and accuracy of CDUS and MDCT angiography were calculated both individually and in combination for the detection of vascular segments with significant stenosis, thrombosis, aneurysms, pseudoaneurysms, perivascular complications and stenosis subgroups. Results: Sixty-four segmental lesions were diagnosed by DSA or surgery. Sensitivity, specificity, PPV, NPV and accuracy of CDUS for all vascular tree lesions were 85.9%, 99.2%, 96.4%, 96.7% and 94.5%, respectively. For MDCT angiography the figures were 96.8%, 99.6%, 98.4%, 99.2% and 98.5%, respectively. When both tests were used in combination, sensitivity, specificity, PPV, NPV and accuracy for all vascular tree lesions rose to 100%. Conclusion: Combined use of MDCT and CDUS for diagnosis of AVF dysfunctions is of equivalent value to surgery or DSA, a gold standard technique.

  10. [Diagnostic value of digital subtraction angiography (DSA) using Toshiba Digiformer X in the cerebrospinal vascular diseases].

    Science.gov (United States)

    Ishikawa, T; Nakagawa, Y; Sawamura, Y; Kobayashi, N; Nagashima, M; Kitaoka, K; Kitagawa, M; Itoh, T; Ohsato, T

    1987-05-01

    Using TOSHIBA Digiformer X, digital subtraction angiography (DSA) was performed in 286 patients, in whom 229 patients of cerebro-spinal vascular disease was included. The authors emphasize the usefulness of DSA in cerebro-spinal vascular disease in relation to conventional angiography. DSA taken by single small dose injection of contrast medium into the ascending aorta clearly demonstrates not only aortic arch and thoracic major vessels, but also cervical vessels and all intracranial vessels. Therefore, we could rapidly understand gross dynamics of the circulation and obtain useful informations prior to catheterization to the selective artery. This advantage of DSA was particularly useful for occlusive vascular diseases. Gradual injection of small dose of contrast medium obviously reduced recoiling of the catheter tip, which enabled the selective angiography with setting of the tip of the catheter at the entrance of cervical major vessels without its sufficient insertion into the selective vessels. This advantage is particularly beneficial for the patients with severe arteriosclerosis who was found to be difficult for selective catheterization. In our experience, demonstration of a presence of aneurysm by DSA was possible in almost all cases of subarachnoid hemorrhage, although spatial resolution of DSA is said to be inferior to the conventional angiography. Real time display of DSA decreased the time required for examination and enabled repeated angiography. This advantage of DSA is especially useful for the patients with spinal arterio-venous malformation and thoracic outlet syndrome.

  11. CT angiography and Color Doppler ultrasonography features and sensitivity in detection of carotid arteries diseases

    Directory of Open Access Journals (Sweden)

    Samir Kamenjaković

    2013-04-01

    Full Text Available Introduction: The aim of this research was to compare specifi city and sensitivity of Color Doppler ultrasonographywith CT angiography.Methods: A total of one hundred patients suffering from carotid artery disease (n=200 were tested in this research in the period from June till October, 2011. Average age of the patients was 61.5 years, and most of the patients were in the age group ranging from 55 to 65 years. The level of carotid artery stenosis is measured according to Standards of the North America Symptomatic Carotid Endarterectomy Trail study,by method of Color Doppler ultrasonography and CT angiography.Results: Stenosis of registering the stenosis to be higher by Color Doppler ultrasonography, than by CT angiography. In the case of the occlusion, there was also the similar observation, with variation of 8% carotid arteries.Conclusion: Extracranial Doppler and color duplex ultrasound enable reliable detection of both stenosis and occlusion of carotid arteries and accordingly they occupy an important place in radiological algorithm. When it comes to CT angiography it can be concluded that it can provide accurate and exact information regarding the condition of blood vessels as good as Digital Subtractive Angiography can.

  12. New stroboscopic light source and technique for intraoperative retinal fluorescein angiography during penetrating keratoplasty

    Science.gov (United States)

    Krueger, Ronald R.; Morales, Ronald B.; Chong, Lawrence P.; Smith, Ronald E.

    1994-06-01

    We report the development of a new stroboscopic light source system and technique for performing intraoperative fluorescein angiography during penetrating keratoplasty for aphakic or pseudophakic bullous keratopathy. A controllable pulse xenon light source system with a fiber optic endoilluminator probe is used to perform high-quality intraoperative fluorescein angiography during penetrating keratoplasty in pigmented rabbits and human subjects. Following corneal trephination and extraction of the intraocular lens, a temporary Cobo keratoprosthesis is secured while a 20-gauge endoilluminator is inserted into the vitreous cavity through a limbal incision. The endoilluminator is advanced to a retinal illumination area of approximately 3 DD and 10% fluorescein is injected intravenously. A microscope camera coupled to a 50:50 beamsplitter photographs the passage of fluorescein dye while the surgeon maintains an unaltered view through the operating microscope. Angiograms through a keratoprosthesis show excellent contrast and resolution, comparable to standard fluorescein angiography. Fine peripapillary vessels are seen reproducibly and with great detail in the rabbits. All the phases of retinal angiography can be seen, including arteriolar constriction and capillary nonperfusion in one of four human subjects examined. High quality intraoperative fluorescein angiography can be performed in patients undergoing penetrating keratoplasty for aphakic/ pseudophakic bullous keratopathy. With this technology, preexisting retinal disorders such as cystoid macular edema might be identified in the perioperative setting allowing for important management decisions to be made intraoperatively.

  13. Two-dimensional thick-slice MR digital subtraction angiography for assessment of cerebrovascular occlusive diseases

    Energy Technology Data Exchange (ETDEWEB)

    Aoki, S.; Yoshikawa, T.; Hori, M.; Ishigame, K.; Nambu, A.; Kumagai, H.; Araki, T. [Dept. of Radiology, Yamanashi Medical Univ. (Japan)

    2000-12-01

    Although spatial resolution of current MR angiography is excellent, temporal resolution has remained unsatisfactory. We evaluated clinical applicability of 2D thick-slice, contrast-enhanced subtraction MR angiography (2D-MR digital subtraction angiography) with sub-second temporal resolution in cerebrovascular occlusive diseases. Twenty-five patients with cerebrovascular occlusive diseases (8 moyamoya diseases, 10 proximal internal carotid occlusions, and 2 sinus thromboses) were studied with a 1.5-T MR unit. The MR digital subtraction angiography (MRDSA) was performed per 0.97 s continuously just after a bolus injection of 15 ml of gadolinium chelates up to 40 s in sagittal (covering hemisphere) or coronal planes. Subtraction images were generated at a workstation. We evaluated imaging quality and hemodynamic information of MRDSA in comparison with those of routine MR imaging, non-contrast MR angiography, and X-ray intra-arterial DSA. Major cerebral arteries, all of the venous sinuses, and most tributaries were clearly visualized with 2D MRDSA. Also, pure arterial phases were obtained in all cases. The MRDSA technique demonstrated prolonged circulation in sinus thromboses, distal patent lumen of proximal occlusion, and some collateral circulation. Such hemodynamic information was comparable to that of intra-arterial DSA. Two-dimensional thick-slice MRDSA with high temporal resolution has a unique ability to demonstrate cerebral hemodynamics equivalent to that of intra-arterial DSA and may play an important role for evaluation of cerebrovascular occlusive diseases. (orig.)

  14. Collateral vessels in moyamoya disease : comparison of MR and MRA with conventional angiography

    Energy Technology Data Exchange (ETDEWEB)

    Shim, Joo Eun; Yoon, Dae Young; Yi, Jeong Geun; Kim, Ho Chul; Choi, Chul Sun; Bae, Sang Hoon [Hallym University College of Medicine, Choonchun (Korea, Republic of)

    1998-01-01

    To determine the value of magnetic resonance imaging (MR) and magnetic resonance angiography (MRA) in assessing collateral vessels of moyamoya disease. Twenty-four patients with moyamoya disease who underwent MR, 3D TOF MRA, and conventional angiography participated in this study. Two radiologists working independently and with no knowledge of the angiographic findings, interpreted the MR and MRA images. To determine the presence of parenchymal and leptomeningeal collaterals (48 hemispheres) and transdural collaterals (38 hemispheres in 19 patients were depicted by angiography of the external carotid), the findings were compared with those of angiography. Parenchymal, leptomeningeal, and transdural collaterals were depicted by conventional angiography in 34 (71%), 32 (67%), and 11 (29%) hemispheres respectively. The sensitivity and specificity of MR/MRA for collateral vessels were 79.1/88.1 % for parenchymal collaterals, 72.1/88.1 % for leptomeningeal collaterals, and 0.1/18.1 % for transdural collaterals, respectively. Respective sensitivity and specificity of MR/MRA were 88.94/94.1% for leptomeningeal collaterals, and 18.93/55.1 % for transdural collaterals, when the prominent posterior cerebral and external carotid artery were regarded as secondary signs of leptomeningeal and transdural collateral vessels. In moyamoya disease, MR and MRA are useful imaging modalities for the assessment of collateral vessels. The prominent posterior cerebral artery and external carotid artery can be useful secondary signs of leptomeningeal and transdural collateral vessels. (author). 18 refs., 2 figs.

  15. Synchrotron-based intravenous cerebral angiography in a small animal model

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, Michael E [Division of Neurosurgery, Royal University Hospital, University of Saskatchewan, Saskatoon, SK (Canada); Schueltke, Elisabeth [Division of Neurosurgery, Royal University Hospital, University of Saskatchewan, Saskatoon, SK (Canada); Fiedler, Stephan [EMBL Hamburg, Instrumentation Group, Building 25A, DESY, Notkestrasse 85, D-22603 Hamburg (Germany); Nemoz, Christian [European Synchrotron Radiation Facility (ESRF), Medical Beamline, Grenoble (France); Guzman, Raphael [Department of Neurosurgery, Stanford University Medical Center, Stanford, CA (United States); Corde, Stephanie [European Synchrotron Radiation Facility (ESRF), Medical Beamline, Grenoble (France); Esteve, Francois [INSERM U647-ESRF, Grenoble (France); LeDuc, Geraldine [European Synchrotron Radiation Facility (ESRF), Medical Beamline, Grenoble (France); Juurlink, Bernhard H J [Department of Anatomy and Cell Biology, College of Medicine, Rm. A315, 107 Wiggins Road, Saskatoon, SK (Canada); Meguro, Kotoo [Division of Neurosurgery, Royal University Hospital, University of Saskatchewan, Saskatoon, SK (Canada)

    2007-02-21

    K-edge digital subtraction angiography (KEDSA), a recently developed synchrotron-based technique, utilizes monochromatic radiation and allows acquisition of high-quality angiography images after intravenous administration of contrast agent. We tested KEDSA for its suitability for intravenous cerebral angiography in an animal model. Adult male New Zealand rabbits were subjected to either angiography with conventional x-ray equipment or synchrotron-based intravenous KEDSA, using an iodine-based contrast agent. Angiography with conventional x-ray equipment after intra-arterial administration of contrast agent demonstrated the major intracranial vessels but no smaller branches. KEDSA was able to visualize the major intracranial vessels as well as smaller branches in both radiography mode (planar images) and tomography mode. Visualization was achieved with as little as 0.5 ml kg{sup -1} of iodinated contrast material. We were able to obtain excellent visualization of the cerebral vasculature in an animal model using intravenous injection of contrast material, using synchrotron-based KEDSA.

  16. Frequency and Predictors of Urgent Coronary Angiography in Patients With Acute Pericarditis

    Science.gov (United States)

    Salisbury, Adam C.; Olalla-Gómez, Cristina; Rihal, Charanjit S.; Bell, Malcolm R.; Ting, Henry H.; Casaclang-Verzosa, Grace; Oh, Jae K.

    2009-01-01

    OBJECTIVES: To determine the frequency of urgent coronary angiography in patients with acute pericarditis and to examine clinical characteristics associated with coronary angiography. PATIENTS AND METHODS: This is a retrospective analysis of all incident cases of acute viral or idiopathic pericarditis evaluated at Mayo Clinic's site in Rochester, MN, between January 1, 2000, and December 31, 2006. The main outcome measures were use of urgent coronary angiography and rate of concomitant coronary artery disease in patients with pericarditis. RESULTS: There were 238 patients with a final diagnosis of acute pericarditis (mean age, 47.7±17.9 years; 157 [66.0%] were male). On the initial electrocardiogram, 146 patients (61.3%) had ST-segment elevation, and 92 (38.7%) had no ST-segment elevation. Coronary angiography was performed in 40 patients (16.8% of all patients); the frequency was 5-fold higher among those with ST-segment elevation (24.7% vs 4.3%; Ppericarditis, particularly those with ST-segment elevation, typical myocardial infarction symptoms, and elevated troponin T values. Coronary artery disease was present angiographically in one-third of patients undergoing the procedure. Although patients with ST-segment elevation myocardial infarction must receive prompt reperfusion, clinicians must also consider the diagnosis of pericarditis to avoid unneeded coronary angiography. PMID:19121248

  17. Proceedings on the seminar on small hydroelectric installations: Practice report and current development; Beitraege zum Seminar Kleinwasserkraft: Praxis und aktuelle Entwicklung

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    This seminar on small hydroelectric installations informs on aspects of construction and administrative aspects. But above all, questions of machinery are dealt with. The book gives an overview of turbine types, topical recent developments in the sector of small hydroelectric power stations, and modern opportunities for fast and inexpensive design of power station components. Beyond the discussion of technical issues, the seminar wants to further contacts between science, turbine manufacturers, consultants and plant operators. (orig.) [Deutsch] Das Seminar Kleinwasserkraft gibt eine Uebersicht ueber bauliche Gestaltung und behoerdliche Aspekte. Vorallem behandelt es aber maschinenbauliche Problemstellungen. Es zeigt einen Ueberblick ueber Turbinentypen, aktuelle Neuentwicklungen im Kleinwassersektor, sowie moderne Moeglichkeiten zum schnellen und preiswerten Design von Kraftwerkskomponenten. Neben dem technischen Teil dient das Seminar auch der Foerderung des Kontakts zwischen Wissenschaft, Turbinenherstellern, Consultants und Anlagenbetreibern. (orig.)

  18. Opportunities to use photovoltaics in the Syrian Arab Republic (SAR); Studie zum Einsatz der Photovoltaik in der Syrischen Arabischen Republik (SAR)

    Energy Technology Data Exchange (ETDEWEB)

    Al-Hilal, S. [Aleppo Univ. (Syrian Arab Republic). Fakultaet fuer Elektrotechnik und Elektronik; Al-Hassan, A. [Aleppo Univ. (Syrian Arab Republic). Fakultaet fuer Elektrotechnik und Elektronik; Illing, F. [HTWK Leipzig (Germany)

    1996-12-01

    The geographic position of the Arab countries (in this case: Syria) favours the harnessing of solar energy. Prospective energy consumption and trends in fossil fuel use in Syria up to the year 2000 almost make it imperative to exploit the entire potential of new energy sources. A diploma thesis investigated possibilities for generating power from solar energy by means of photovoltaic plant. (orig./HW) [Deutsch] Die guenstige geographische Lage des arabischen Raumes (konkret Syrien) weist auf die Moeglichkeit der Nutzung der Sonnenenergie hin. Der zu erwartende Energieverbrauch und der tendenzielle Verbrauch an fossilen Brennstoffen bis zum Jahr 2000 in Syrien machen es nahezu unumgaenglich, neue Energiequellen in ihrer gesamten Kapazitaet auszuschoepfen. Deshalb wurden im Rahmen einer Diplomarbeit Moeglichkeiten der Nutzung der Sonnenenergie zur Stromerzeugung durch Photovoltaikanlagen untersucht. (orig./HW)

  19. Symposium Ecological construction - from half-timbered- to passive house: living yesterday - today - tomorrow; Symposium Oekologische Bauweisen - vom Umgebinde- zum Passivhaus: Wohnen Gestern - Heute - Morgen

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    While the first part of the symposium was dedicated to half-timbered buildings in the traditional style of Lausitz, Bohemia and Silesia, the second part discussed passive buildings. [German] Das Umgebindehaus ist ein weltweit einmaliger Haustyp und zum anderen ist es ein traditionelles Haus unserer Region der Oberlausitz und angrenzender Teile von Boehmen und Schlesien. Das Symposium behandelt das Umgebindehaus in Vergangenheit und Gegenwart und will Motivation und Ansaetze geben, dieses wunderschoene Baukulturgut zu erhalten und unter modernen Wohn-, Arbeits- und Lebensbedingungen zu nutzen. Der zweite Teil der Tagung ist nicht minder wichtig. Beim Passivhaus geht es im wesentlichen darum, Heizwaermeverluste im Winter so klein zu halten, dass sie von den Gewinnen (Sonnenenergie, inneres Waermeaufkommen u.a.) gedeckt werden koennen. Damit wird der Waermeschutz des Gebaeudes vielleicht bis an die Grenzen getrieben und es entstehen neue Anforderungen an das Energiemanagement und die Qualitaet der technischen Gebaeudeausruestung. (orig.)

  20. Intraobserver and interobserver variability in CT angiography and MR angiography measurements of the size of cerebral aneurysms

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hye Jeong [Hallym University College of Medicine, Department of Radiology, Kangnam Sacred Heart Hospital, Seoul (Korea, Republic of); Yoon, Dae Young; Lee, Hyung Jin [Hallym University College of Medicine, Department of Radiology, Kangdong Seong-Sim Hospital, Seoul (Korea, Republic of); Kim, Eun Soo [Hallym University College of Medicine, Department of Radiology, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do (Korea, Republic of); Jeon, Hong Jun; Lee, Jong Young; Cho, Byung-Moon [Hallym University College of Medicine, Department of Neurosurgery, Kangdong Seong-Sim Hospital, Seoul (Korea, Republic of)

    2017-05-15

    Accurate and reliable measurement of aneurysm size is important for treatment planning. The purpose of this study was to determine intraobserver and interobserver variability of CTA and MRA for measurement of the size of cerebral aneurysms. Thirty patients with 33 unruptured cerebral aneurysms (saccular, >3 mm in their maximal dimension, with no daughter sacs or lobulations) who underwent 256-row multislice CTA, 3-D TOF MRA at 3.0T, and 3D rotational angiography (3DRA) were retrospectively analyzed. Three independent observers measured the neck, height, and width of the aneurysms using the CTA and MRA images. Intraobserver and interobserver variability of CTA and MRA measurements was evaluated using the standardized difference and intraclass correlation coefficient, with 3DRA measurements as the reference standard. In addition, the mean values of the measurements using CTA and MRA were compared with those using 3DRA. The overall intraobserver and interobserver standardized differences in CTA/MRA were 12.83-15.92%/13.48-17.45% and 14.08-17.00%/12.08-17.67%, respectively. The overall intraobserver and interobserver intraclass correlation coefficients of CTA/MRA were 0.88-0.98/0.84-0.96 and 0.86-0.98/0.85-0.95, respectively. Compared to the height and width measurements, measurements of the neck dimensions showed higher intraobserver and interobserver variability. The sizes of the cerebral aneurysms measured by CTA and MRA were 1.13-9.26 and 5.20-9.67% larger than those measured by 3DRA, respectively; however, these differences were not statistically significant. There were no noticeable differences between intraobserver and interobserver variability for both CTA- and MRA-based measurements of the size of cerebral aneurysms. (orig.)

  1. Investigation of the use of imported coal and coal mixtures in power station technology; Untersuchungen zum Einsatz von Importkohlen und Kohlemischungen in der Kraftwerkstechnik

    Energy Technology Data Exchange (ETDEWEB)

    Maier, H.; Spliethoff, H.; Hein, K.R.G.

    1995-12-31

    Investigation of the grinding and combustion behaviour of imported and mixed coal were carried out at the Institute of Process Technology and Steam Boilers (IVD), in order to characterise coal with regard to large scale use. The investigations were made on two German coals, three imported coals and nine coal mixtures. Apart from the conventional short and element analyses, a maceration and reflection analysis was made. The reflection analysis is distinguished by the fact that conclusions about the combustion behaviour can be drawn from the result. Investigations fo the grinding properties of coals show that the Hardgrove index provides usable results on the ability to grind most of the coals examined, but need not be generally valid for imported and mixed coals. For the combustion behaviour, regarding NO{sub x} emission and burn-up, the described coals and coal mixtures have nearly the same NO{sub x} emission behaviour for large dwell times in the primary combustion zone and with stepped air combustion control. (orig./MSK) [Deutsch] Am Institut fuer Verfahrenstechnik und Dampfkesselwesen (IVD) werden Untersuchungen zum Mahl- und Verbrennungsverhalten von Import- und Mischkohlen durchgefuehrt, um Kohlen im Hinblick auf einen grosstechnischen Einsatz zu charakterisieren. Die Untersuchungen wurden mit zwei deutschen, drei Import- und neun Kohlemischungen durchgefuehrt. Neben der herkoemmlichen Kurz- und Elementaranalyse wurde eine Mazeral- und Reflexionsanalyse durchgefuehrt. Hierbei zeichnet sich die Reflexionsanalyse aus, da je nach Ergebnis Rueckschluesse auf das Verbrennungsverhalten gezogen werden koennen. Untersuchungen zum Mahlverhalten der Kohlen zeigen, dass der Hardgrove Index als Mass fuer die Mahlbarkeit fuer die meisten untersuchten Kohlen anwendbare Ergebnisse liefert, jedoch bei Import- und Mischkohlen nicht generell gueltig sein muss. Beim Verbrennungverhalten zeigte sich bzgl. der NO{sub x}-Emission und des Ausbrandes, dass bei grossen Verweilzeiten

  2. Zum Ursprung der Hominidae

    Science.gov (United States)

    Henke, Winfried

    1981-08-01

    A fundamental problem of hominisation is the branching of the human lineage leading to the genus Homo from other hominoids. At present discussed hypotheses of a Miocene separation of the pongid and hominid lineage are described under consideration of numerous new fossils from Europe, Asia and Africa. Of special interest is the possibility of an adhominisation of the genus Australopithecus (including A. afarensis).

  3. Vorbemerkungen zum Thementeil

    OpenAIRE

    Reichenbach, Roland; Foray, Philippe

    2007-01-01

    In jüngerer Zeit hat das Thema der pädagogischen Autorität sowohl in Deutschland als auch in Frankreich Eingang in die Medien und in den akademischen Diskurs gefunden. Die Anlässe sind vergleichbar, wenn auch nicht gleichermaßen dramatisch: die massiven Disziplinprobleme in den Schulen der Pariser Vorstädte, die vehementen Proteste und Ausschreitungen der Jugendlichen, aber auch und beispielhaft die pädagogische Bankrotterklärung der Lehrer/innen der Rütli-Schule in Berlin und andere bedeuts...

  4. Zum Ökologieschwerpunkt

    DEFF Research Database (Denmark)

    Czeskleba-Dupont, Rolf

    2009-01-01

    Sammenfaldet mellem en økologisk og en økonomisk krise blev allerede diskuteret i Das Argument 93/1975 med dets destruktive følger i forhold til nødvendige økologiske forbedringer. I dag diskuteres en 'Grøn New Deal' som løsning for kapitalismen og for klimaproblemet. Dette problematiseres ud fra...

  5. Texte zum Ausstellungskatalog

    DEFF Research Database (Denmark)

    Grinder-Hansen, Poul

    2013-01-01

    Nr. 268 Das Bonderup-Kreuz, Nr. 302 Goldreliefs aus der Kirche von Tamdrup, Nr. 303 Das Krucifix von Tirstrup, Nr. 304 Bronzemadonna von Randers, Nr. 327 Kelch aus der Kirche von Svalbard, Island, Nr. 338 Byzantiniche Elfenbeintafel mit Darstellungeiner Kreuzigung....

  6. Die Bilder zum Text

    OpenAIRE

    Loesch, Perk

    2007-01-01

    Die ebenso glückliche, wie schöne und wertvolle Erwerbung einer Handschrift von Wilhelm Dilich (1571/72-1650) für die Handschriftensammlung der SLUB gibt Veranlassung, nicht allein diese Handschrift vorzustellen, sondern auch an ihren Verfasser zu erinnern, dessen Wirken gleichermaßen mit Hessen und Sachsen verbunden ist.

  7. The increased use of computed tomography angiography and magnetic resonance angiography as the sole imaging modalities prior to infrainguinal bypass has had no effect on outcomes.

    Science.gov (United States)

    Shue, Bing; Damle, Rachelle N; Flahive, Julie; Kalish, Jeffrey A; Stone, David H; Patel, Virendra I; Schanzer, Andres; Baril, Donald T

    2015-08-01

    Angiography remains the gold standard imaging modality before infrainguinal bypass. Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) have emerged as noninvasive alternatives for preoperative imaging. We sought to examine contemporary trends in the utilization of CTA and MRA as isolated imaging modalities before infrainguinal bypass and to compare outcomes following infrainguinal bypass in patients who underwent CTA or MRA versus those who underwent conventional arteriography. Patients undergoing infrainguinal bypass within the Vascular Study Group of New England were identified (2003-2012). Patients were stratified by preoperative imaging modality: CTA/MRA alone or conventional angiography. Trends in utilization of these modalities were examined and demographics of these groups were compared. Primary end points included primary patency, secondary patency, and major adverse limb events (MALE) at 1 year as determined by Kaplan-Meier analysis. Multivariable Cox proportional hazards models were constructed to evaluate the effect of imaging modality on primary patency, secondary patency, and MALE after adjusting for confounders. In 3123 infrainguinal bypasses, CTA/MRA alone was used in 462 cases (15%) and angiography was used in 2661 cases (85%). Use of CTA/MRA alone increased over time, with 52 (11%) bypasses performed between 2003 and 2005, 189 (41%) bypasses performed between 2006 and 2009, and 221 (48%) bypasses performed between 2010 and 2012 (P angiography, more frequently underwent bypass for claudication (33% vs. 26%, P = 0.001) or acute limb ischemia (13% vs. 5%, P < 0.0001), more frequently had prosthetic conduits (39% vs. 30%, P = 0.001), and less frequently had tibial/pedal targets (32% vs. 40%, P = 0.002). After adjusting for these and other confounders, multivariable analysis demonstrated that the use of CTA/MRA alone was not associated with a significant difference in 1 year primary patency (hazard ratio [HR] 0.95, 95

  8. Design study of Thomson Laser-Electron X-ray Generator (LEX) for Millisecond Angiography

    Science.gov (United States)

    Artyukov, I. A.; Bessonov, E. G.; Feshchenko, R. M.; Gorbunkov, M. V.; Maslova, Yu Ya; Popov, N. L.; Dyachkov, N. V.; Postnov, A. A.; Vinogradov, S. L.; Vinogradov, A. V.

    2017-01-01

    In this concept study a laser-electron X-ray generator (LEX) is considered for the medical imaging of the inner vessel structure. It is demonstrated that the modern lasers and linear electron accelerators are suitable for the design of the new generation of angiography medical equipment combining higher spatial and time resolution with the reduced patient dose. Angiography setup based on LEXG can make use of different contrast media (iodine, gadolinium) working on absorption edge due to the narrow tuneable spectrum which is not possible with conventional X-ray tubes. In the present study all estimations are made for iodine-based contrast agents. The conclusion is that modern technologies allow practical implementation of LEX for angiography based on multibunch linear accelerator and photon storage device.

  9. Hemodynamic quantification in brain arteriovenous malformations with time-resolved spin-labeled magnetic resonance angiography.

    Science.gov (United States)

    Raoult, Hélène; Bannier, Elise; Maurel, Pierre; Neyton, Clément; Ferré, Jean-Christophe; Schmitt, Peter; Barillot, Christian; Gauvrit, Jean-Yves

    2014-08-01

    Unenhanced time-resolved spin-labeled magnetic resonance angiography enables hemodynamic quantification in arteriovenous malformations (AVMs). Our purpose was to identify quantitative parameters that discriminate among different AVM components and to relate hemodynamic patterns with rupture risk. Sixteen patients presenting with AVMs (7 women, 9 men; mean age 37.1±15.9 years) were assigned to the high rupture risk or low rupture risk group according to anatomic AVM characteristics and rupture history. High temporal resolution (magnetic resonance angiography was performed on a 3-T MR system. After dedicated image processing, hemodynamic quantitative parameters were computed. T tests were used to compare quantitative parameters among AVM components, between the high rupture risk and low rupture risk groups, and between the hemorrhagic and nonhemorrhagic groups. Among the quantitative parameters, time-to-peak (Pmagnetic resonance angiography allows AVM-specific combined anatomic and quantitative analysis of AVM hemodynamics. © 2014 American Heart Association, Inc.

  10. Magnetic resonance angiography of fetal vasculature at 3.0 T.

    Science.gov (United States)

    Neelavalli, Jaladhar; Krishnamurthy, Uday; Jella, Pavan K; Mody, Swati S; Yadav, Brijesh K; Hendershot, Kelly; Hernandez-Andrade, Edgar; Yeo, Lami; Cabrera, Maria D; Haacke, Ewart M; Hassan, Sonia S; Romero, Roberto

    2016-12-01

    Magnetic resonance angiography has not been used much previously for visualizing fetal vessels in utero for reasons that include a contraindication for the use of exogenous contrast agents, maternal respiratory motion and fetal motion. In this work, we report the feasibility of using an appropriately modified clinical time-of-flight magnetic resonance imaging sequence for non-contrast angiography of human fetal and placental vessels at 3.0 T. Using this 2D angiography technique, it is possible to visualize fetal vascular networks in late pregnancy. • 3D-visualization of fetal vasculature is feasible using non-contrast MRA at 3.0 T. • Visualization of placental vasculature is also possible with this method. • Fetal MRA can serve as a vascular localizer for quantitative MRI studies. • This method can be extended to 1.5 T.

  11. Coronary angiography findings in lung injured patients with sulfur mustard compared to a control group

    Directory of Open Access Journals (Sweden)

    Reza Karbasi-Afshar

    2013-01-01

    Full Text Available Aims and Objectives: We evaluated the incidence of coronary artery disease (CAD in Sulfur mustard (SM exposed veterans. We also evaluated the relationship between exposure to SM and angiography findings and compared angiography findings of SM exposed individuals with unexposed ones after two decades from the time of exposure to SM. Materials and Methods: A case-control study was conducted on 200 consecutive patients (100 SM exposed vs. 100 unexposed undergoing angiographic assessments due to CAD. Results: The coronary angiography findings between two groups were significantly different ( P < 0.001. Ninety two (92% patients in SM exposed group and 82 (82% in unexposed group had abnormal findings in their coronary arteries ( P = 0.031. Conclusions: The incidence of CAD and angiographic changes were significantly increased with exposure to SM. Further studies on cardiovascular effects of SM are needed.

  12. Coronary angiography findings in lung injured patients with sulfur mustard compared to a control group.

    Science.gov (United States)

    Karbasi-Afshar, Reza; Shahmari, Ayat; Madadi, Mahdi; Poursaleh, Zohreh; Saburi, Amin

    2013-01-01

    We evaluated the incidence of coronary artery disease (CAD) in Sulfur mustard (SM) exposed veterans. We also evaluated the relationship between exposure to SM and angiography findings and compared angiography findings of SM exposed individuals with unexposed ones after two decades from the time of exposure to SM. A case-control study was conducted on 200 consecutive patients (100 SM exposed vs. 100 unexposed) undergoing angiographic assessments due to CAD. The coronary angiography findings between two groups were significantly different ( P < 0.001). Ninety two (92%) patients in SM exposed group and 82 (82%) in unexposed group had abnormal findings in their coronary arteries ( P = 0.031). The incidence of CAD and angiographic changes were significantly increased with exposure to SM. Further studies on cardiovascular effects of SM are needed.

  13. [Patients with hemodynamic unstable pelvic fractures in extremis: pelvic packing or angiography?].

    Science.gov (United States)

    Liñán-Padilla, A; Giráldez-Sánchez, M Á; Serrano-Toledano, D; Lázaro-Gonzálvez, A; Cano-Luís, P

    2013-01-01

    The multidisciplinary management of patients with pelvic trauma has improved prognosis, but mortality is still very high. The appropriate treatment strategy remains controversial, especially regarding the control of bleeding in patients whose clinical situation is extreme by using angiography or pelvic packing. We propose using a tool of evidence-based medicine (CAT) the benefit of the completion of pelvic packing in relation to a specific clinical question from a specific situation. What is best for the management of bleeding, extraperitoneal pelvic packing or angiography, in patients with hemodynamically unstable pelvic fracture in extremis? From this study we can conclude that angiography may improve control of bleeding in patients with arterial bleeding and hemodynamically stable but the packing has priority in patients with pelvic fractures and hemodynamic instability. © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  14. Three-dimensional computed tomography angiography of coronary artery bypass graft with electron beam tomography

    Energy Technology Data Exchange (ETDEWEB)

    Hoshi, Toshiko; Yamauchi, Tatsuo; Kanauchi, Tetsu; Konno, Miyuki; Imai, Kamon; Suwa, Jiro; Onoguchi, Katsuhisa; Hashimoto, Kazuhiro; Horie, Toshinobu [Saitama Cardiovascular and Respiratory Center, Konan (Japan)

    2001-10-01

    Assessment of coronary artery bypass graft patency by three-dimensional reconstructed computed tomography angiography (3D-CTA) derived from electrocardiography-gated contrast-enhanced electron beam tomography (EBT) was evaluated. Thirty-nine patients with 99 grafts (45 arterial grafts and 54 venous grafts) underwent 3D-CTA and selective coronary angiography within a 3-week interval. 3D-CTA images of the coronary bypass grafts were compared with the coronary angiography images used as the control. 3D-CTA defined 42 of 44 arterial grafts as patent (sensitivity: 95%), all 47 venous grafts as patent (sensitivity: 100%) and all 7 venous grafts as occlusive (specificity: 100%). The overall sensitivity and specificity were 98% and 88%, respectively. 3D-CTA is an useful noninvasive technique with adequate sensitivity and specificity to assess coronary artery bypass graft patency. (author)

  15. Angiography-Based Quantitative Flow Ratio for Online Assessment of Coronary Stenosis

    DEFF Research Database (Denmark)

    Xu, Bo; Tu, Shengxian; Qiao, Shubin

    2017-01-01

    of hyperemia. The accuracy of QFR when assessed online in the catheterization laboratory has not been adequately examined to date. METHODS: This prospective, multicenter trial enrolled patients who had at least one lesion with diameter stenosis of 30-90% and reference diameter ≥ 2mm by visual estimation. QFR......, quantitative coronary angiography (QCA), and wire-based FFR were assessed online in blinded fashion during coronary angiography and re-analyzed offline at an independent core laboratory. The primary endpoint was that QFR would improve the diagnostic accuracy of coronary angiography such that the lower boundary...... of the 2-sided 95% confidence interval (CI) of this estimate exceeded 75%. RESULTS: Between June and July 2017, 308 patients were consecutively enrolled at 5 centers. Online QFR and FFR results were both obtained in 328 of 332 interrogated vessels. Patient-level and vessel-level diagnostic accuracy of QFR...

  16. MR angiography of the head; Diagnostic capacity and availability for screening test

    Energy Technology Data Exchange (ETDEWEB)

    Hayashida, Osamu; Kashiwagi, Shiro; Yamashita, Tetsuo; Ito, Haruhide (Yamaguchi Univ., Ube (Japan). School of Medicine)

    1991-09-01

    The purpose of this paper is to evaluate MR angiography for diagnostic method and/or screening test of intracranial vascular lesions. MRA was performed in 128 cases. Three aneurysms suspected by MRA were all confirmed by angiography. Two additional aneurysms with diameter of approximately 3 mm were revealed by angiography. It seemed to suggest the limitation of the size of aneurysms visualized by MRA. Moyamoya vessels were well visualized and MRA was the best diagnostic modality of moyamoya diseases. In the patient with carotid cavernous fistula (CCF), dilated supraophthalmic veins were visible. In occlusive cerebrovascular diseases, occluded arteries were well recognized. The patency of STA-MCA anastomosis can be non-invasively followed up with MRA. (author).

  17. Nonvariceal Upper Gastrointestinal Bleeding: the Usefulness of Rotational Angiography after Endoscopic Marking with a Metallic Clip

    Energy Technology Data Exchange (ETDEWEB)

    Song, Ji Soo; Kwak, Hyo Sung; Chung, Gyung Ho [Chonbuk National University Medical School, Chonju (Korea, Republic of)

    2011-08-15

    We wanted to assess the usefulness of rotational angiography after endoscopic marking with a metallic clip in upper gastrointestinal bleeding patients with no extravasation of contrast medium on conventional angiography. In 16 patients (mean age, 59.4 years) with acute bleeding ulcers (13 gastric ulcers, 2 duodenal ulcers, 1 malignant ulcer), a metallic clip was placed via gastroscopy and this had been preceded by routine endoscopic treatment. The metallic clip was placed in the fibrous edge of the ulcer adjacent to the bleeding point. All patients had negative results from their angiographic studies. To localize the bleeding focus, rotational angiography and high pressure angiography as close as possible to the clip were used. Of the 16 patients, seven (44%) had positive results after high pressure angiography as close as possible to the clip and they underwent transcatheter arterial embolization (TAE) with microcoils. Nine patients without extravasation of contrast medium underwent TAE with microcoils as close as possible to the clip. The bleeding was stopped initially in all patients after treatment of the feeding artery. Two patients experienced a repeat episode of bleeding two days later. Of the two patients, one had subtle oozing from the ulcer margin and that patient underwent endoscopic treatment. One patient with malignant ulcer died due to disseminated intravascular coagulation one month after embolization. Complete clinical success was achieved in 14 of 16 (88%) patients. Delayed bleeding or major/minor complications were not noted. Rotational angiography after marking with a metallic clip helps to localize accurately the bleeding focus and thus to embolize the vessel correctly.

  18. Fluorescent Angiography Used to Evaluate the Perfusion Status of Anastomosis in Laparoscopic Anterior Resection.

    Science.gov (United States)

    Koh, Frederick H; Tan, Ker-Kan

    2016-12-01

    Anastomotic leakage after gastrointestinal surgery is associated with significant morbidity and mortality.1 Insufficient vascular supply is one cause.2 Recent reports of using intraoperative indocyanine green (ICG) fluorescent angiography to evaluate whether perfusion of the anastomosis is adequate has yielded positive outcomes.3 (-) 6 The authors describe their use of ICG-enhanced fluorescence angiography in a laparoscopic anterior resection. The patient was an 80-year-old with an upper rectal adenocarcinoma and significant cardiovascular risk factors. Fluorescence angiography with 0.4 mg/kg of ICG was administered intravenously just before the colorectal anastomosis was fashioned. A near-infrared (NIR) laparoscopic camera (KARLSTORZ, GmbH & Co. KG, Tuttlingen, Germany) was used to inspect the anastomosis. For this video, 0.4 mg/kg of ICG also was injected after ligation of the inferior mesenteric artery to demonstrate the appearance of a poorly perfused sigmoid bowel. Just before the staple was fired to fashion the colorectal anastomosis, an intravenous bolus of ICG was administered. Within seconds, vessels on both ends of the anastomosis turned fluorescent blue, indicating adequacy of perfusion. The use of ICG did not significantly lengthen the operative time (285 min) because its effect appeared within seconds after its administration. The patient recovered well and was discharged on postoperative day 5. Another four patients who also underwent intraoperative fluorescent angiography for left-sided colorectal lesions did not experience anastomotic leakage. The study showed that ICG fluorescent angiography is a simple and quick intraoperative tool for evaluating the perfusion of the anastomosis. The authors' experience with ICG fluorescent angiography has shown promising results, with a 0 % anastomotic leak rate.

  19. Complications of cerebral angiography: a prospective analysis of 2,924 consecutive procedures

    Energy Technology Data Exchange (ETDEWEB)

    Dawkins, A.A.; Evans, A.L.; Wattam, J.; Romanowski, C.A.J.; Connolly, D.J.A.; Hodgson, T.J.; Coley, S.C. [Royal Hallamshire Hospital, Department of Radiology, Sheffield (United Kingdom)

    2007-09-15

    Cerebral angiography is an invasive procedure associated with a small, but definite risk of neurological morbidity. In this study we sought to establish the nature and rate of complications at our institution among a large prospective cohort of consecutive patients. Also, the data were analysed in an attempt to identify risk factors for complications associated with catheter angiography. Data were prospectively collected for a consecutive cohort of patients undergoing diagnostic cerebral angiography between January 2001 and May 2006. A total of 2,924 diagnostic cerebral angiography procedures were performed during this period. The following data were recorded for each procedure: date of procedure, patient age and sex, clinical indication, referring specialty, referral status (routine/emergency), operator, angiographic findings, and the nature of any clinical complication or asymptomatic adverse event (arterial dissection). Clinical complications occurred in 23 (0.79%) of the angiographic procedures: 12 (0.41%) significant puncture-site haematomas, 10 (0.34%) transient neurological events, and 1 nonfatal reaction to contrast agent. There were no permanent neurological complications. Asymptomatic technical complications occurred in 13 (0.44%) of the angiographic procedures: 3 groin dissections and 10 dissections of the cervical vessels. No patient with a neck dissection suffered an immediate or delayed stroke. Emergency procedures (P = 0.0004) and angiography procedures performed for intracerebral haemorrhage (P = 0.02) and subarachnoid haemorrhage (P = 0.04) were associated with an increased risk of complications. Neurological complications following cerebral angiography are rare (0.34%), but must be minimized by careful case selection and the prudent use of alternative noninvasive angiographic techniques, particularly in the acute setting. The low complication rate in this series was largely due to the favourable case mix. (orig.)

  20. Coronary CT Angiography: Variability of CT Scanners and Readers in Measurement of Plaque Volume.

    Science.gov (United States)

    Symons, Rolf; Morris, Justin Z; Wu, Colin O; Pourmorteza, Amir; Ahlman, Mark A; Lima, João A C; Chen, Marcus Y; Mallek, Marissa; Sandfort, Veit; Bluemke, David A

    2016-12-01

    Purpose To determine reader and computed tomography (CT) scan variability for measurement of coronary plaque volume. Materials and Methods This HIPAA-compliant study followed Standards for Reporting of Diagnostic Accuracy guidelines. Baseline coronary CT angiography was performed in 40 prospectively enrolled subjects (mean age, 67 years ± 6 [standard deviation]) with asymptomatic hyperlipidemia by using a 320-detector row scanner (Aquilion One Vision; Toshiba, Otawara, Japan). Twenty of these subjects underwent coronary CT angiography repeated on a separate day with the same CT scanner (Toshiba, group 1); 20 subjects underwent repeat CT performed with a different CT scanner (Somatom Force; Siemens, Forchheim, Germany [group 2]). Intraclass correlation coefficients (ICCs) and Bland-Altman analysis were used to assess interreader, intrareader, and interstudy reproducibility. Results Baseline and repeat coronary CT angiography scans were acquired within 19 days ± 6. Interreader and intrareader agreement rates were high for total, calcified, and noncalcified plaques for both CT scanners (all ICCs ≥ 0.96) without bias. Scanner variability was ±18.4% (coefficient of variation) with same-vendor follow-up. However, scanner variability increased to ±29.9% with different-vendor follow-up. The sample size to detect a 5% change in noncalcified plaque volume with 90% power and an α error of .05 was 286 subjects for same-CT scanner follow-up and 753 subjects with different-vendor follow-up. Conclusion State-of-the-art coronary CT angiography with same-vendor follow-up has good scan-rescan reproducibility, suggesting a role of coronary CT angiography in monitoring coronary artery plaque response to therapy. Differences between coronary CT angiography vendors resulted in lower scan-rescan reproducibility. (©) RSNA, 2016 Online supplemental material is available for this article.