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Sample records for thorax berufsbedingte thoraxtumoren

  1. Thorax

    International Nuclear Information System (INIS)

    Galanski, Michael; Dettmer, Sabine; Opherk, Jan Patrick; Ringe, Kristina; Keberle, Marc

    2010-01-01

    The book on thorax radiology covers the following topics: congenital diseases, respiratory system diseases, work-related diseases, infections, interstitial pneumonia, vascular diseases, immunological unclear diseases, bronchopulmonal neoplasm, lung diseases, mediastinum, thorax and pleura, thorax trauma, therapy consequences.

  2. Thorax; Thorax

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    Galanski, Michael; Dettmer, Sabine; Opherk, Jan Patrick; Ringe, Kristina [Medizinische Hochschule Hannover (Germany). Inst. fuer Radiologie; Keberle, Marc [Bruederkrankenhaus St. Josef, Paderborn (Germany). Klinik fuer Diagnostische Radiologie und Nuklearmedizin

    2010-07-01

    The book on thorax radiology covers the following topics: congenital diseases, respiratory system diseases, work-related diseases, infections, interstitial pneumonia, vascular diseases, immunological unclear diseases, bronchopulmonal neoplasm, lung diseases, mediastinum, thorax and pleura, thorax trauma, therapy consequences.

  3. The thorax

    International Nuclear Information System (INIS)

    Higgins, C.B.

    1987-01-01

    Computed tomography (CT) is becoming increasingly important for evaluation of thoracic diseases. The clinical role of MRI requires direct comparison of its advantages with those of CT. For imaging of the thorax, MRI has some intrinsic advantages in regard to other modalities. It also has some disadvantages at present, but these may be temporary, because MRI is still an immature and rapidly developing technology. The major advantage is maximum contrast between lesions and blood vessels at all tomographic levels. On the other hand, achieving such contrast with CT requires precise coordination between delivery of the bolus of contrast materials and exposure of the CT scan; this can generally be attained only at one or a few anatomic levels. Metallic surgical clips cause a signal void on MRI but do not cause the severe streak artifacts seen on CT scans. Another advantage of MRI results from the high MRI intensity of fat. This provides high contrast between lesions and hilar or mediastinal fat. The ability to obtain MR images in multiple planes can be critical for evaluating abnormalities in some locations, such as the aorticopulmonary window and the cervicothoracic junction. Coronal and sagittal reconstructions from transverse CT scans generally have not been useful because of markedly reduced spatial resolution in the reconstructed plane

  4. The thorax

    International Nuclear Information System (INIS)

    Bragg, D.G.

    1986-01-01

    In the first section, Techniques of Examination, two articles are housed; others relate indirectly to technique and can be found in the Pulmonary-General section. The Mediastinum and Chest Wall section contains an initial article on the Mounier-Kuhn Syndrome, tracheobronchiomegaly. Two other articles describe the CT appearance of extensions of the pericardium that may mimic lymphadenopathy. Another article describes the plain film criteria for excluding aortic rupture in blunt chest trauma. The Pleura section includes an article on oleothorax, a relic from the past with which younger radiologists may not be familiar. An article from our vicinity describes the CT detection of occult pneumorthorax in patients with head trauma, extending the CT examination of the head to the thorax in this group of patients with a significant yield of unsuspected pneumothoraces. Finally, the CT look-alikes of pleural mesothelioma and asbestosis in two separate articles are included for your review. The final and largest section is subdivided into Pulmonary-General and Pulmonary-Neoplastic

  5. Thorax deformity, joint hypermobility and anxiety disorder

    International Nuclear Information System (INIS)

    Gulsun, M.; Dumlu, K.; Erbas, M.; Yilmaz, Mehmet B.; Pinar, M.; Tonbul, M.; Celik, C.; Ozdemir, B.

    2007-01-01

    Objective was to evaluate the association between thorax deformities, panic disorder and joint hypermobility. The study includes 52 males diagnosed with thorax deformity, and 40 healthy male controls without thorax deformity, in Tatvan Bitlis and Isparta, Turkey. The study was carried out from 2004 to 2006. The teleradiographic and thoracic lateral images of the subjects were evaluated to obtain the Beighton scores; subjects psychiatric conditions were evaluated using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-1), and the Hamilton Anxiety Scale (HAM-A) was applied in order to determine the anxiety levels. Both the subjects and controls were compared in sociodemographic, anxiety levels and joint mobility levels. In addition, males with joint hypermobility and thorax deformity were compared to the group with thorax deformity without joint hypermobility. A significant difference in HAM-A scores was found between the groups with thorax deformity and without. In addition, 21 subjects with thorax deformity met the joint hypermobility criteria in the group with thorax deformity and 7 subjects without thorax deformity met the joint hypermobility criteria in the group without thorax deformity, according to Beighton scoring. The Beighton score of subjects with thorax deformity were significantly different from those of the group without deformity. Additionally, anxiety scores of the males with thorax deformity and joint hypermobility were found higher than males with thorax deformity without joint hypermobility. Anxiety disorders, particularly panic disorder, have a significantly higher distribution in males subjects with thorax deformity compared to the healthy control group. In addition, the anxiety level of males with thorax deformity and joint hypermobility is higher than males with thorax deformity without joint hypermobility. (author)

  6. Pre-operative evaluation for thorax surgery

    International Nuclear Information System (INIS)

    Silva Luis, Saenz; Morales, Oscar Alberto

    2002-01-01

    A pre-operative analysis of the function of the breathing system is made in the patient that will be taken to thorax surgery. The paper includes risk factors, pre-operative clinical evaluation and of breathing and cardiovascular system

  7. 49 CFR 572.18 - Thorax.

    Science.gov (United States)

    2010-10-01

    ... OF TRANSPORTATION (CONTINUED) ANTHROPOMORPHIC TEST DEVICES 3-Year-Old Child § 572.18 Thorax. (a) The... attaches the top of the ribcage sternum to the thoracic spine box. (3) Adjust the dummy so that the tangent...

  8. 49 CFR 572.144 - Thorax assembly and test procedure.

    Science.gov (United States)

    2010-10-01

    ...-year-Old Child Crash Test Dummy, Alpha Version § 572.144 Thorax assembly and test procedure. (a) Thorax... displacement (compression) relative to the spine, measured with the chest deflection transducer (SA-572-S50...

  9. Central venous obstruction in the thorax

    International Nuclear Information System (INIS)

    Collin, G.; Jones, R.G.; Willis, A.P.

    2015-01-01

    Central venous stenosis and occlusion can occur secondary to a spectrum of conditions ranging from aggressive malignancy to benign extrinsic anatomical compression in otherwise healthy individuals. Irrespective of aetiology, significant morbidity in the acute setting and long term can occur unless prompt accurate diagnosis and appropriate management is initiated, the radiologist being central to both. The present review will provide radiologists with a thorough illustration and explanation of the range of central venous conditions in the thorax (including deep vein thrombosis, thoracic outlet syndrome, haemodialysis, and malignancy related causes), the salient imaging findings and interventional management using case examples from the authors' practice. - Highlights: • We show a range of causes of central venous disease in the thorax. • We provide information about different imaging and management strategies. • We show several cases with successes and complications of endovascular management

  10. Elastic models application for thorax image registration

    International Nuclear Information System (INIS)

    Correa Prado, Lorena S; Diaz, E Andres Valdez; Romo, Raul

    2007-01-01

    This work consist of the implementation and evaluation of elastic alignment algorithms of biomedical images, which were taken at thorax level and simulated with the 4D NCAT digital phantom. Radial Basis Functions spatial transformations (RBF), a kind of spline, which allows carrying out not only global rigid deformations but also local elastic ones were applied, using a point-matching method. The applied functions were: Thin Plate Spline (TPS), Multiquadric (MQ) Gaussian and B-Spline, which were evaluated and compared by means of calculating the Target Registration Error and similarity measures between the registered images (the squared sum of intensity differences (SSD) and correlation coefficient (CC)). In order to value the user incurred error in the point-matching and segmentation tasks, two algorithms were also designed that calculate the Fiduciary Localization Error. TPS and MQ were demonstrated to have better performance than the others. It was proved RBF represent an adequate model for approximating the thorax deformable behaviour. Validation algorithms showed the user error was not significant

  11. Dosimetry in thorax X-rays

    International Nuclear Information System (INIS)

    Pinedo S, A.; Hernandez O, M.; Duran M, H. A.; Gonzalez G, R.; Guerra M, J. A.; Salas L, M. A.; Vega C, H. R.; Rivera M, T.; Azorin N, J.

    2009-10-01

    The dose to the entrance of thorax during a radiological study has been measured in a phantom of paraffin and with thermoluminescent dosemeters. This work was realized in the living room 1 of the X-rays service of the General Hospital No. 1 IMSS in Zacatecas. For the study thermoluminescent dosemeters of CaSO 4 :Dy were used. The irradiation of the thoracic region is the more studied through the conventional radiology, method that continues occupying the first place as diagnostic in diverse pathologies due to generates images of the heart, lungs, spine, etc. As well as can to observe the location of subclavian catheters, nasogastric sound, endotracheal tubes and umbilical catheters. The magnitude of the dose that is received during the realization of this study type is not usually measured, since the main concern is to have a good image to make a good diagnostic. The measurements were carried out using parameters of the equipment that were defined with base to the experience of the technical radiologist. It was found that the irradiation field is not uniform and that in any point where the dose was measured it is not exceeded the 7 mGy settled by the Mexican Official Standard-157-SSA-1996 for a thorax study. (author)

  12. Nuclear magnetic resonance imaging of the thorax

    International Nuclear Information System (INIS)

    Gamsu, G.; Webb, W.R.; Sheldon, P.; Kaufman, L.; Crooks, L.E.; Birnberg, F.A.; Goodman, P.; Hinchcliffe, W.A.; Hedgecock, M.

    1983-01-01

    Nuclear magnetic resonance (NMR) images of the thorax were obtained in ten normal volunteers, nine patients with advanced bronchogenic carcinoma, and three patients with benign thoracic abnormalities. In normal volunteers, mediastinal and hilar structures were seen with equal frequency on NMR images and computed tomographic scans. The hila were especially well displayed on spin-echo images. Spin-echo images showed mediastinal invasion by tumor, vascular and bronchial compression and invasion, and hilar and mediastinal adenopathy. Tumor and benign abnormalities could be separated from mediastinal and hilar fat because of their longer T1 times. Lung masses and nodules as small as 1.5 cm could be seen on the spin-echo images. NMR imaging shows promise for assessment of benign and malignant mediastinal, hilar, and lung abnormalities

  13. X-ray diagnostics of thorax diseases; Roentgendiagnostik von Thoraxerkrankungen. Von der Deskription zur Diagnose

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    Kulke, H.M. [Wuerzburg Univ. (Germany). Universitaetsklinikum

    2013-11-01

    The book on X-ray diagnostics of thorax diseases covers the following issues: diagnostic procedures, inflammatory thorax diseases, malign thorax diseases, heart and large blood vessels, hear insufficiency, pulmonary congestion, pulmonary edema, interstitial pulmonary diseases, intensive care and traumatology.

  14. A case of posttraumatic splenic translocation into the thorax

    International Nuclear Information System (INIS)

    Sosnowski, P.; Sikorski, L.; Ziemianski, A.

    1993-01-01

    A case of the left diaphragmatic hernia due to blunt thoracic and abdominal trauma is presented. Characteristic radiological signs of splenic translocation into the thorax contributed to quick diagnosis and immediate surgical intervention. (author)

  15. 49 CFR 572.164 - Thorax assembly and test procedure.

    Science.gov (United States)

    2010-10-01

    ... Hybrid III Six-Year-Old Weighted Child Test Dummy § 572.164 Thorax assembly and test procedure. (a... specified in 49 CFR 572.124(c): (1) The maximum sternum displacement relative to the spine, measured with...

  16. Biomechanics of the thorax - research evidence and clinical expertise.

    Science.gov (United States)

    Lee, Diane Gail

    2015-07-01

    Understanding the biomechanics of the thorax is critical for understanding its role in multiple conditions since the thorax is part of many integrated systems including the musculoskeletal, respiratory, cardiac, digestive and urogynecological. The thorax is also an integrated system within itself and an element of the whole body/person. Therefore, understanding the biomechanics of the thorax is fundamental to all forms of treatment for multiple conditions. The interpretation of movement examination findings depends on one's view of optimal biomechanics and the influential factors. This article will provide a synopsis of the current state of research evidence as well as observations from clinical experience pertaining to the biomechanics of the thorax in order to help clinicians organise this knowledge and facilitate evidence-based and informed management of the, often complex, patient with or without thoracic pain and impairment. The integrated systems model (ISM) will be introduced as a way to determine when the noted biomechanical findings are relevant to a patient's clinical presentation.

  17. Biomechanics of the thorax – research evidence and clinical expertise

    Science.gov (United States)

    Lee, Diane Gail

    2015-01-01

    Understanding the biomechanics of the thorax is critical for understanding its role in multiple conditions since the thorax is part of many integrated systems including the musculoskeletal, respiratory, cardiac, digestive and urogynecological. The thorax is also an integrated system within itself and an element of the whole body/person. Therefore, understanding the biomechanics of the thorax is fundamental to all forms of treatment for multiple conditions. The interpretation of movement examination findings depends on one's view of optimal biomechanics and the influential factors. This article will provide a synopsis of the current state of research evidence as well as observations from clinical experience pertaining to the biomechanics of the thorax in order to help clinicians organise this knowledge and facilitate evidence-based and informed management of the, often complex, patient with or without thoracic pain and impairment. The integrated systems model (ISM) will be introduced as a way to determine when the noted biomechanical findings are relevant to a patient's clinical presentation. PMID:26309383

  18. Dynamic characteristics of the thorax connected with the heart action.

    Science.gov (United States)

    Juznic, G; Emri, I; Peterec, D; Prepadnik, M

    1979-01-01

    We determined the indices of local vibrations (resonance frequency, damping coefficient, stiffness constant, extinction time) and transfer function H(s) . 10(-6) for three somatotypes and three respiratory positions on 88 points of the thorax. The examinees were males (age 21 years). We found the resonance frequencies of 36.86--54.75 cps, damping coefficient (delta) 0.121--0.217. This means the damping is less than critical (delta = 1). We applied shocks (a force of 2 N) with a reflex hammer on 88 points of the thorax. The force diminished from the exciting place (say ictus) to the recording place (accelerometer on the sternum) from 2 to 0.2 N. The athletic type has the highest resonance frequency and stiffness constant; the leptosomic type has the highest damping; the longest extinction time belongs to the pyknic type. The pyknic type has also the highest value of the transfer function. The respiratory position (quiet respiration, Valsalva and Müller experiment) influences the values of the indices of local vibrations and of the transfer function. The influence is evident especially on the intercostal points: the transfer of the oscillations is alleviated at a higher stiffness of the thorax (Valsalva; the value of H(S) . 10(-6) rises from 7.00 to 9.39 sec2), it deteriorates at a small stiffness of the thorax (in Müller's experiment falls to 2.78 sec2). With the fall in the intrathoracic pressure the damping in the intercostal points decreases. On the basis of experiments the conclusion was made that a short testing of the thorax of an examinee will give the dynamic characteristics of the thorax (indices of local vibrations and transfer functions) of the individual. This procedure will alleviate the quantitative use of noninvasive mechanical methods in the assessment of the cardiovascular function.

  19. Extranodal lymphoma in the thorax: cross-sectional imaging findings

    International Nuclear Information System (INIS)

    Lee, W.-K.; Duddalwar, V.A.; Rouse, H.C.; Lau, E.W.F.; Bekhit, E.; Hennessy, O.F.

    2009-01-01

    The purpose of this review is to discuss and illustrate the spectrum of appearances of extranodal lymphoma in the thorax, including the lungs, pleura, heart, thymus, chest wall, thoracic spine, and breast, using current cross-sectional imaging techniques, such as multidetector computed tomography, positron-emission tomography/computed tomography, magnetic resonance imaging, and sonography. Extranodal lymphoma can affect any organ or tissue in the thorax, and can be mistaken for other inflammatory or neoplastic conditions. This review should alert the radiologist to consider extranodal lymphoma in the appropriate clinical setting to ensure timely diagnosis, correct staging, and accurate post-treatment evaluation to optimize treatment regimens.

  20. Modeling the Biodynamical Response of the Human Thorax with Body Armor from a Bullet Impact

    National Research Council Canada - National Science Library

    Lobuono, John

    2001-01-01

    The objective of this study is to develop a finite element model of the human thorax with a protective body armor system so that the model can adequately determine the thorax's biodynamical response...

  1. Modeling the Biodynamical Response of the Human Thorax With Body Armor From a Bullet Impact

    National Research Council Canada - National Science Library

    Lobuono, John

    2001-01-01

    The objective of this study is to develop a finite element model of the human thorax with a protective body armor system so that the model can adequately determine the thorax's biodynamical response...

  2. Radiological diagnostics of abdomen and thorax. Image interpretation considering anatomical landmarks and clinical symptoms; Radiologische Diagnostik Abdomen und Thorax. Bildinterpretation unter Beruecksichtigung anatomischer Landmarken und klinischer Symptome

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    Krombach, Gabriele A. [Universitaetsklinikum Giessen (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie; Mahnken, Andreas H. (ed.) [Universitaetsklinikum Marburg (Germany). Diagnostische und Interventionelle Radiologie

    2015-07-01

    The book on radiological diagnostics of abdomen and thorax - image interpretation considering anatomical landmarks and clinical symptoms - includes three chapters: (1) imaging of different parts of the body: thorax and abdomen. (II) Thorax: head and neck; mediastinum; heard and pericardium; large vessels; lungs and pleura; mamma. (III) Abdomen: liver; gall bladder and biliary tract; pancreas; gastrointestinal tract; spleen and lymphatic system; adrenal glands; kidneys and urinary tract; female pelvis; male pelvis.

  3. Thorax computed tomography findings in patients victims of chest trauma

    Directory of Open Access Journals (Sweden)

    Francisco Jose Rodrigues de Moura Filho

    2015-12-01

    Full Text Available Objective: To describe thorax computed tomography findings in patients assisted in the emergency unit of Institute Dr Jose Frota (IJF. Materials and Methods: Descriptive study analyzing 160 consecutive contrast-enhanced thorax computed tomography of patients victims of thoracic trauma admitted to the emergency unit of IJF, between November 1st, 2014 and January 31st, 2015. Results: Abnormal findings were observed in 91,2 % of the patients. Among them, the following findings were most frequently observed: fractures (48%, hemothorax (43%, atelectasis (37%, pneumothorax (26% and lung contusions (17% Rupture of the esophagus was seen in three patients. Conclusion: We recognize that the findings encountered in our study are of similar prevalence to the ones reported in the literature and that CT scan is essencial to quickly diagnose these findings.

  4. Evaluation of human thorax FE model in various impact scenarios

    Directory of Open Access Journals (Sweden)

    Jansová M.

    2015-06-01

    Full Text Available The study focused on the validation of the 50th percentile male model — a detailed FE model of the thoracic segment of the human body developed within project Development of a Finite Element Model of the Human Thorax and Upper Extremities (THOMO co-funded by the European Commission (7th Framework Programme. The model response was tested in three impact scenarios: frontal, lateral and oblique. The resulting impactor contact force vs. time and chest deflection vs. time responses were compared with experimental results. The strain profile of the 5th rib was checked with lateral and oblique strain profiles from post-mortem human subject (PMHS experiments. The influence of heart and lungs on the mechanical response of the model was assessed and the material data configuration, giving the most biofidelic thorax behaviour, was identified.

  5. Influence of thorax irradiation on lactic dehydrogenase isoenzyme activity

    International Nuclear Information System (INIS)

    Valle, C.; Munnich, A.; Pasquier, C.

    The right hemi-thorax of rats was irradiated with 1200 and 3000 rads ( 60 Co) and blood samples were taken sequentially. The five lactic dehydrogenase (LDH) isoenzymes which have proved to be useful as biochemical indicators of acute pulmonary injury in other experimental animals (dogs), were assayed, after irradiation, as a function of time and as a functon of dose. There was no significant change in LDH isoenzyme activities after lung irradiation in rats [fr

  6. Compensation for large thorax excursions in EIT imaging.

    Science.gov (United States)

    Schullcke, B; Krueger-Ziolek, S; Gong, B; Mueller-Lisse, U; Moeller, K

    2016-09-01

    Besides the application of EIT in the intensive care unit it has recently also been used in spontaneously breathing patients suffering from asthma bronchiole, cystic fibrosis (CF) or chronic obstructive pulmonary disease (COPD). In these cases large thorax excursions during deep inspiration, e.g. during lung function testing, lead to artifacts in the reconstructed images. In this paper we introduce a new approach to compensate for image artifacts resulting from excursion induced changes in boundary voltages. It is shown in a simulation study that boundary voltage change due to thorax excursion on a homogeneous model can be used to modify the measured voltages and thus reduce the impact of thorax excursion on the reconstructed images. The applicability of the method on human subjects is demonstrated utilizing a motion-tracking-system. The proposed technique leads to fewer artifacts in the reconstructed images and improves image quality without substantial increase in computational effort, making the approach suitable for real-time imaging of lung ventilation. This might help to establish EIT as a supplemental tool for lung function tests in spontaneously breathing patients to support clinicians in diagnosis and monitoring of disease progression.

  7. Common pitfalls in radiographic interpretation of the Thorax

    International Nuclear Information System (INIS)

    Godshalk, C.P.

    1994-01-01

    Errors in radiographic interpretation of the thorax are common. Many mistakes result from interpreting normal anatomic variants as abnormalstructures, such as misdiagnosing dorsal and rightward deviation of the cranial thoracic trachea on lateral radiographs of normal dogs. Some of the more common errors specifically relate to misinterpretation of radiographs made on obese patients. The age of the patient also plays a role in misdiagnosis. Aging cats seem to have a horizontally positioned heart on lateral radiographs, and older dogs, primarily collies,often have pulmonary osteomas that are misdiagnosed as metastatic neoplastic disease or healed pulmonary fungal infections

  8. Computed tomography of the thorax in children with cystic fibrosis

    International Nuclear Information System (INIS)

    Parente Filho, Livio William Sales; Marchiori, Edson; Daltro, Pedro; Santos, Eloa Nunes

    1998-01-01

    We studied retrospectively the value of computed tomography of the thorax in patients suffering from cystic fibrosis. Twenty-six patients were studied, which showed as the most frequency pulmonary findings bronchial wall thickening in 22 patients (84.6), followed by bronchiectasis in 16 patients (61.5%). Less frequent finding were ill-defined patch consolidation, mucoid impaction, bullaes and atelectasis. We found a predominant distribution of bronchial wall thickening and bronchiectasis in the upper lobes of the lungs. Computed tomography is the more sensitive technique for early visualization and location of the manifestations of cystic fibrosis bronchopathy. (author)

  9. Diagnosis of anemia on CT scans of the thorax

    International Nuclear Information System (INIS)

    Corcoran, H.L.; Cook, D.E.; Proto, A.V.

    1986-01-01

    Visualization of the interventricular septum on nonenhanced CT scans of the thorax of patients with anemia has been illustrated in the literature and explained in terms of a density differential between the cardiac musculature and the blood of anemic patients (blood with a low hemoglobin level). There are no data on the frequency of visualization of the walls of the cardiac chambers, the aorta and its branches, the superior and inferior venae cavae, the brachiocephalic veins, the azygos arch, and so forth. Experience with 50 patients is reported in terms of the foregoing. Findings are correlated with the severity of the anemia, thereby indicating how commonly one may encounter such an appearance

  10. Evaluation of anemia on unenhanced CT of the thorax

    International Nuclear Information System (INIS)

    Zhang Yuzhong; Zhang Xuelin; Zhong Qun; Zhang Fan; Zhang Wensheng

    2006-01-01

    Objective: To explore the correlation between CT density of blood in Cardiac Chambers and hemoglobin concentration in blood, and to evaluate the veracity of diagnosis of aneamia on unenhanced computed tomography of the thorax. Methods: Thorax (heart) helical CT was performed in 92 patients. In each case, the CT values of the blood pool in left ventricle and ventricular septum were tested, and the ratio of blood pool/ventricular septum were calculated. The hemoglobin concentration in blood was tested. The correlation among these indexes were analysed. Results: In these factors, CT density of blood was strongly and positively correlated with hemoglobin concentration in blood (r=0.571, P=0.000), and the CT density ratio was also strongly and positively correlated with hemoglobin concentration in blood (r=0.650, P=0.000). It dramatically implies that the patient may be suffering from aneamia when the ratio is Ness than 90% (male) or 87% (female). Conclusion: Blood pool/ventricular septum CT density ratio may be as a reliable indicator for judging and grading aneamia with CT. (authors)

  11. Oblique and lateral impact response of the PMHS thorax.

    Science.gov (United States)

    Shaw, Joshua M; Herriott, Rodney G; McFadden, Joseph D; Donnelly, Bruce R; Bolte, John H

    2006-11-01

    This study characterizes the PMHS thoracic response to blunt impact in oblique and lateral directions. A significant amount of data has been collected from lateral impacts conducted on human cadavers. Substantially less data has been collected from impacts that are anterior of lateral in an oblique direction. In the past, data collected from the handful of oblique impact studies were considered to be similar enough to the data from purely lateral impacts such that the oblique data were combined with data from lateral impacts. Defining the biomechanical response of the PMHS thorax to oblique impact is of great importance in side impact vehicle crashes where the loading is often anterior-oblique in direction. Data in this study was obtained from a chestband placed on the thorax at the level of impact to measure thoracic deflection. Two low energy impacts were conducted on each of seven subjects at 2.5 m/s, with one lateral impact and one oblique impact to opposite sides of each PMHS. Data was normalized using the Mertz-Viano method for a two mass system to allow for inter-subject comparisons. Force versus deflection response corridors were generated for the two impact types using an objective mathematical approach and compared to one another. Results were also compared to existing data for oblique and lateral thoracic impacts. The oblique thoracic response in low speed pendulum impacts was found to be different than the lateral thoracic response, in terms of force and deflection. Specifically, the lateral force was greater than the oblique force, and oblique deflection greater than lateral deflection for equal energy impacts.

  12. Radiological profile of anemia on unenhanced MDCT of the thorax

    International Nuclear Information System (INIS)

    Kamel, Ehab M.; Rizzo, Elena; Duran, Rafael; Goncalves-Matoso, Vasco; Schnyder, Pierre; Duchosal, Michel A.; Qanadli, Salah D.

    2008-01-01

    Our aim was to investigate the diagnostic value of unenhanced MDCT in anemic patients. Fifty consecutive patients with proven anemia and 50 nonanemic matched group for age, sex and body mass index were evaluated. In either group, hemoglobin levels were assessed no more than 24 h from an unenhanced CT of the thorax. For each patient, the presence of a hyperattenuating aortic wall (aortic ring sign) and/or dense interventricular septum (subjective parameters) were identified by two radiologists who were blinded to the laboratory findings. Furthermore, the aortic CT attenuation values (objective parameter) were also obtained and correlated with the hemoglobin levels. The sensitivity and specificity in detecting anemia were calculated for each variable, and ROC analysis was generated for subjective and objective parameters. Subjective image analysis revealed that the aortic ring sign was more sensitive than the interventricular septum sign for anemia detection (84% vs. 72%), whereas this latter sign was more specific (100% vs. 92%). A good correlation (r=0.60) was observed between the aortic CT attenuation values and the hemoglobin levels in the whole study population. Using a threshold of ≤35 HU for anemia diagnosis, the sensitivity and specificity of aortic CT attenuation value were 84% and 94%, respectively, with the largest area under the curve (0.89) among all diagnostic criteria. However, the best trade-off between sensitivity (80%) and specificity (100%) was obtained from combining both subjective and objective analysis. Interpreting anemia upon unnenhanced MDCT of the thorax is quite feasible. A diagnostic approach that considers both subjective and objective analysis offers the best trade-off between sensitivity and specificity. (orig.)

  13. Experimental IMRT breast dosimetry in a thorax phantom

    Energy Technology Data Exchange (ETDEWEB)

    Pimenta, Elsa B.; Campos, Tarcisio P.R.; Nogueira, Luciana B.; Lima, Andre C.S., E-mail: elsabpimenta@gmail.com, E-mail: tprcampos@pq.cnpq.br, E-mail: lucibn19@yahoo.com.br, E-mail: radioterapia.andre@gmail.com [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil); Centro de Tratamento em Radioterapia, Betim, MG (Brazil)

    2017-11-01

    Radiation therapy (RT) is an essential therapeutic method. RT is often used as adjuvant therapy in the treatment of breast cancer. The dose-volume restrictions of the organs at risk limit the prescribed dose to the target volume and biological and clinical effects may influence the final treatment outcome. The breast RT provides large risks to the adjacent organs and consequently the recommended dosimetry to the prescribed dose volume (PTV) is 50 Gy, lower than the most prescribed dose in other treatments (70-85 Gy). Such values implies in less tumor control compared to other sites. The present research proposal aimed to measure absorbed dose in a thorax phantom with synthetic breasts provided by an Intensity-Modulate Radiation Therapy (IMRT) protocol in a RT center. On the methodology, IMRT protocol was selected following recommendations from the Radiation Therapy Oncology Group (RTOG). Radiochromic films and a thorax simulator were prepared by the Ionizing Radiation Research Group (NRI). Dosimeters were calibrated on a selected linear accelerator (LINAC). The comparison of the dosimetry from treatment planning system (TPS), Xio (Elekta) and from experimental data was performed. The spatial distribution of the breast internal dose and in the adjacent organs was depicted by the experimental data. In the film's calibration, the quadratic polynomial fit presented a satisfactory coefficient. Two-dimensional dose profiles were obtained in the breast suggesting that films can supply details and information that TPS does not provide. At the phantom's dosimetry, the internal mean doses taken at the synthetic breast presented usual values above the prescribed dose, besides overall values were within the dosimetric MSKCC criterion. The non full reproduction of the build-up region in the films had occurred due to the asymmetrical positioning of the films in the inner breast, in addition to their non constant distance from the skin. The hot regions were present may

  14. Experimental IMRT breast dosimetry in a thorax phantom

    International Nuclear Information System (INIS)

    Pimenta, Elsa B.; Campos, Tarcisio P.R.; Nogueira, Luciana B.; Lima, Andre C.S.

    2017-01-01

    Radiation therapy (RT) is an essential therapeutic method. RT is often used as adjuvant therapy in the treatment of breast cancer. The dose-volume restrictions of the organs at risk limit the prescribed dose to the target volume and biological and clinical effects may influence the final treatment outcome. The breast RT provides large risks to the adjacent organs and consequently the recommended dosimetry to the prescribed dose volume (PTV) is 50 Gy, lower than the most prescribed dose in other treatments (70-85 Gy). Such values implies in less tumor control compared to other sites. The present research proposal aimed to measure absorbed dose in a thorax phantom with synthetic breasts provided by an Intensity-Modulate Radiation Therapy (IMRT) protocol in a RT center. On the methodology, IMRT protocol was selected following recommendations from the Radiation Therapy Oncology Group (RTOG). Radiochromic films and a thorax simulator were prepared by the Ionizing Radiation Research Group (NRI). Dosimeters were calibrated on a selected linear accelerator (LINAC). The comparison of the dosimetry from treatment planning system (TPS), Xio (Elekta) and from experimental data was performed. The spatial distribution of the breast internal dose and in the adjacent organs was depicted by the experimental data. In the film's calibration, the quadratic polynomial fit presented a satisfactory coefficient. Two-dimensional dose profiles were obtained in the breast suggesting that films can supply details and information that TPS does not provide. At the phantom's dosimetry, the internal mean doses taken at the synthetic breast presented usual values above the prescribed dose, besides overall values were within the dosimetric MSKCC criterion. The non full reproduction of the build-up region in the films had occurred due to the asymmetrical positioning of the films in the inner breast, in addition to their non constant distance from the skin. The hot regions were present may be due to

  15. Modeling the Biodynamical Response of the Human Thorax with Body Armor from a Bullet Impact

    National Research Council Canada - National Science Library

    Lobuono, John

    2001-01-01

    .... The finite element model of the human thorax is validated by comparing the model's results to experimental data obtained from cadavers wearing a protective body armor system undergoing a projectile impact...

  16. Modeling the Biodynamical Response of the Human Thorax With Body Armor From a Bullet Impact

    National Research Council Canada - National Science Library

    Lobuono, John

    2001-01-01

    .... The finite element model of the human thorax is validated by comparing the model's results to experimental data obtained from cadavers wearing a protective body armor system undergoing a projectile impact...

  17. A case of posttraumatic splenic translocation into the thorax; Przypadek pourazowego przemieszczenia sledziony do klatki piersiowej

    Energy Technology Data Exchange (ETDEWEB)

    Sosnowski, P.; Sikorski, L.; Ziemianski, A. [Akademia Medyczna, Poznan (Poland)

    1993-12-31

    A case of the left diaphragmatic hernia due to blunt thoracic and abdominal trauma is presented. Characteristic radiological signs of splenic translocation into the thorax contributed to quick diagnosis and immediate surgical intervention. (author). 5 refs, 2 figs.

  18. Application of Lead Field Theory and Computerized Thorax Modeling for the ECG Inverse Problem

    National Research Council Canada - National Science Library

    Puurtinen, H

    2001-01-01

    .... In this study, one anatomically detailed 3D FDM model of the human thorax as a volume conductor was employed for forward and inverse estimation of ECG potentials and cardiac sources, respectively...

  19. Clinical applications of the computed tomography of the thorax

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Seong Eun; Kim, Ho Kyun; Kim, Soon Yong [Kyung Hee University Hospital, Seoul (Korea, Republic of)

    1980-06-15

    The computed tomography of the thorax has had considerably less impact in patient management than that of head and abdomen, because the convention chest radiography is a much more sensitive and accurate examination than the plain film studies of the head and abdomen. It has progressively been identified that the computed tomography of chest is superior to the conventional radiography in detection of small pulmonary nodules including occult metastatic lesions, in evaluation of character of hilar enlargement, and in staging of known bronchogenic caner. And especially in mediastinum, the computed tomography is supported to the any other conventional radiography in outlining lesions and determining character and extent of lesions. At the department of radiology, Kyung Hee University Hospital , 87 cases of computed tomography of chest were performed with EMI-CT 5005 whole-body scanner from October 1977 to August 1979. The results were as following; 1. The fifty eight cases of considered to be pathologic findings were 23 pleural thickening and/or effusion, 14 bronchogenic carcinoma, 8 inflammatory lesions of lung parenchyme, 6 mediastinal lesions, 3 metastinal lesions, 3 COPD, 1 trauma, respectively. 2. No gravity-dependent change was noted in patients with chronic obstructive pulmonary disease (COPD), which was frequently seen in normal subjects. Diminished numbers of pulmonary vessels was noted in COPD. 3. Small nodules in lung, retrosternal, posterior costophrenic and subpleural regions, which were not found on conventional radiography, can be detected by chest CT. 4. Differentiation of dilated central pulmonary artery from pulmonary mass in enlarged hilum and determination of adjacent mediastinal invasion, manifested by obliterated fat plane, was possible. 5. The cases of mediastinal widening such as paraspinal ilpomatosis, pericardial fat pad, teratoma, and bronchogenic cyst were easily determined by means of measuring the attenuation coefficiencies. 6. Small amount

  20. Protection for Thorax Injury Severity in 90° Lateral Collision

    Directory of Open Access Journals (Sweden)

    Dimitrios Kallieris

    1996-01-01

    Full Text Available The thoracic trauma index (TTI and the viscous criterion (VC are injury criteria intended for the prediction of torso injury severity. The criteria were assessed in two series of experiments: 90° (lateral car to car collisions and controlled left trunk impacts against either a rigid or padded wall. Forty-two belt restrained human cadavers in the age range 18–65 years, located in the near-side front passenger seat, were used. The impact velocity was between 40 and 60 km/h. Left and right side impacts were simulated using standard or modified car side structures. With the second series of experiments, the left side of each subject was impacted under one of two different test conditions: 24 km/h rigid wall or 32 km/h padded wall. The thorax deformation was evaluated through the double integration of the accelerated difference at the fourth and eight ribs, near and far side. Deformation maxima of 6–138 mm (mean 69 mm, VC values of 0.3–4.7 m/s (mean 1.6 m/s, and TTI values of 85–252 (mean 63 occurred. Torso abbreviated injury severity (AIS values were between 0 and 5. Statistical analyses showed a stronger influence of age on injury severity than the injury criteria or biomechanical responses in the two series of experiments. The TTI showed the highest correlation with thoracic AIS and the number of rib fractures, while VC was the better predictor of abdominal AIS. The results are discussed critically and the strength and robustness of the injury criteria analyzed.

  1. Clinical applications of the computed tomography of the thorax

    International Nuclear Information System (INIS)

    Hong, Seong Eun; Kim, Ho Kyun; Kim, Soon Yong

    1980-01-01

    The computed tomography of the thorax has had considerably less impact in patient management than that of head and abdomen, because the convention chest radiography is a much more sensitive and accurate examination than the plain film studies of the head and abdomen. It has progressively been identified that the computed tomography of chest is superior to the conventional radiography in detection of small pulmonary nodules including occult metastatic lesions, in evaluation of character of hilar enlargement, and in staging of known bronchogenic caner. And especially in mediastinum, the computed tomography is supported to the any other conventional radiography in outlining lesions and determining character and extent of lesions. At the department of radiology, Kyung Hee University Hospital , 87 cases of computed tomography of chest were performed with EMI-CT 5005 whole-body scanner from October 1977 to August 1979. The results were as following; 1. The fifty eight cases of considered to be pathologic findings were 23 pleural thickening and/or effusion, 14 bronchogenic carcinoma, 8 inflammatory lesions of lung parenchyme, 6 mediastinal lesions, 3 metastinal lesions, 3 COPD, 1 trauma, respectively. 2. No gravity-dependent change was noted in patients with chronic obstructive pulmonary disease (COPD), which was frequently seen in normal subjects. Diminished numbers of pulmonary vessels was noted in COPD. 3. Small nodules in lung, retrosternal, posterior costophrenic and subpleural regions, which were not found on conventional radiography, can be detected by chest CT. 4. Differentiation of dilated central pulmonary artery from pulmonary mass in enlarged hilum and determination of adjacent mediastinal invasion, manifested by obliterated fat plane, was possible. 5. The cases of mediastinal widening such as paraspinal ilpomatosis, pericardial fat pad, teratoma, and bronchogenic cyst were easily determined by means of measuring the attenuation coefficiencies. 6. Small amount

  2. Chest tube placement in thorax trauma - comparison chest X-ray and computed tomography (CT)

    International Nuclear Information System (INIS)

    Heim, P.; Maas, R.; Buecheler, E.; Tesch, C.

    1998-01-01

    Estimation of chest tube placement in patients with thoracic trauma with regard to chest tube malposition in chest radiography in the supine position compared to additional computed tomography of the thorax. Material and methods: Apart from compulsory chest radiography after one or multiple chest tube insertions, 31 severely injured patients with thoracic trauma underwent a CT scan of the thorax. These 31 patients with 40 chest tubes constituted the basis for the present analysis. Results: In chest radiography in the supine position there were no chest tube malpositions (n=40); In the CT scans 25 correct positions, 7 pseudo-malpositions, 6 intrafissural and 2 intrapulmonary malpositions were identified. Moreover 16 sufficient, 18 insufficient and 6 indifferent functions of the chest tubes were seen. Conclusion: In case of lasting clinical problems and questionable function of the chest tube, chest radiography should be supplemented by a CT scan of the thorax in order to estimate the position of the chest tube. (orig.) [de

  3. Optimization of dose radiation and image quality on computed tomography of thorax in adult women

    Energy Technology Data Exchange (ETDEWEB)

    Cruz Z, G. R.; Casian C, G. [Hospital Juarez de Mexico, Av. IPN No. 5160, 07760 Mexico D. F. (Mexico); Gaona, E.; Franco E, J. G.; Molina F, N., E-mail: gaen1310@correo.xoc.uam.mx [Universidad Autonoma Metropolitana, Unidad Xochimilco, Calz. del Hueso 1100, 04960 Mexico D. F. (Mexico)

    2015-10-15

    Full text: The objective of the study is the optimization of the dose (Dlp) and image quality in the exploration of adult women in studies of thorax with computed tomography (CT). The CT is a technique of exploration with high radiation doses to patients with an increase of the risk factors of developing cancer in the future, but X-rays are a very important medical diagnostic tool. We performed a retrospective survey of 50 female patients who had thorax tomography using the automatic protocol established by the manufacturer, a database of dose (Dlp), measures of patient A P and radiological parameters such as kV and m A was obtained. Subsequently, we carry out the prospective study with 30 patients with prescription of thorax tomography, scans were conducted with CT with reduced doses using manual techniques protocol of exploration while maintaining diagnostic image quality. The results show that the prospective study patients received doses lower than 30% on average. In general the dose patients were within the confidence interval of 95% of the levels of diagnostic reference (DRL) adopted by the European Community for CT and the most common value is 400 Dlp for thorax. Comparative image quality study was conducted using the protocol of the manufacturer and the manual protocol and image quality was diagnostic after dose reduction up to 30%. The reduction of radiation dose in female patients in studies of thorax CT helps to reduce risk factors of developing cancer later in life. A thorax tomography study includes the fibro-glandular tissue of the breast which is very sensitive to stochastic effects of radiation. (Author)

  4. Optimization of dose radiation and image quality on computed tomography of thorax in adult women

    International Nuclear Information System (INIS)

    Cruz Z, G. R.; Casian C, G.; Gaona, E.; Franco E, J. G.; Molina F, N.

    2015-10-01

    Full text: The objective of the study is the optimization of the dose (Dlp) and image quality in the exploration of adult women in studies of thorax with computed tomography (CT). The CT is a technique of exploration with high radiation doses to patients with an increase of the risk factors of developing cancer in the future, but X-rays are a very important medical diagnostic tool. We performed a retrospective survey of 50 female patients who had thorax tomography using the automatic protocol established by the manufacturer, a database of dose (Dlp), measures of patient A P and radiological parameters such as kV and m A was obtained. Subsequently, we carry out the prospective study with 30 patients with prescription of thorax tomography, scans were conducted with CT with reduced doses using manual techniques protocol of exploration while maintaining diagnostic image quality. The results show that the prospective study patients received doses lower than 30% on average. In general the dose patients were within the confidence interval of 95% of the levels of diagnostic reference (DRL) adopted by the European Community for CT and the most common value is 400 Dlp for thorax. Comparative image quality study was conducted using the protocol of the manufacturer and the manual protocol and image quality was diagnostic after dose reduction up to 30%. The reduction of radiation dose in female patients in studies of thorax CT helps to reduce risk factors of developing cancer later in life. A thorax tomography study includes the fibro-glandular tissue of the breast which is very sensitive to stochastic effects of radiation. (Author)

  5. Computer Modeling and Simulation of Bullet Impact to the Human Thorax

    National Research Council Canada - National Science Library

    Jolly, Johannes

    2000-01-01

    .... The objective of the study was to create a viable finite element model of the human thorax. The model was validated by comparing the results of tests of body armor systems conducted on cadavers to results obtained from finite element analysis...

  6. A Simple Device for Measuring Static Compliance of Lung-Thorax Combine

    Science.gov (United States)

    Sircar, Sabyasachi

    2015-01-01

    Explaining the concept of lung compliance remains a challenge to the physiology teacher because it cannot be demonstrated easily in human subjects and all attempts until now have used only simulation models. A simple device is described in the present article to measure the compliance of the "lung-thorax" combine in human subjects with…

  7. Preliminary report on a new mode of CT-scanning of the thorax

    NARCIS (Netherlands)

    Veiga-Pires, J.A.; Kaiser, M.C.

    1980-01-01

    The A.A. advocate a “longitudino-axial” mode of CT-scanning in examinations of the thorax and suggest it as the standard mode in children and adults of small stature. The full development of the method is at present limited by the design of both hardware and software of the current generations of

  8. Histologically benign but clinically malignant neoplasms in the thorax: CT–pathological overview

    International Nuclear Information System (INIS)

    Kim, E.Y.; Kim, T.S.; Han, J.; Kim, H.; Choi, Y.S.

    2012-01-01

    The purpose of this article is to review the computed tomography (CT) and histopathological features of uncommon primary neoplasms of the thorax that can manifest clinically malignant features (multiplicity of pulmonary nodules, an invasive nature, and metastases or recurrence after surgery) with little evidence of histological malignancy.

  9. Training for thorax diagnostics. Systematic cardiopulmonary image analysis; Trainer Thoraxdiagnostik. Systematische kardiopulmonale Bildanalyse

    Energy Technology Data Exchange (ETDEWEB)

    Kirchner, Johannes [Allgemeines Krankenhaus Hagen gem.GmbH (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie

    2010-07-01

    The training book on thorax diagnostics using image analysis is supposed to be a supplement to the usual textbooks based on comprehensive experiences of radiologists. The covered issues are the following: heart insufficiency, acute/ chronic bronchitis and pulmonary emphysema; pneumonia and tuberculosis; bronchial carcinoma; lung fibrosis, sarcoidosis and pneumoconiosis, pleural effusion and pneumothorax.

  10. Localized air foci in the lower thorax in the patients with pneumothorax: skip pneumothoraces.

    Science.gov (United States)

    Higuchi, Takeshi; Takahashi, Naoya; Kiguchi, Takao; Shiotani, Motoi; Maeda, Haruo

    2013-08-01

    To investigate the characteristics and imaging features of localized air foci in the lower thorax in patients with pneumothorax using thin-section multidetector computed tomography. Of 10,547 consecutive CT examinations comprising the chest, the CT scans of 146 patients with ordinary pneumothoraces were identified and retrospectively evaluated. The study group included 110 male and 36 female patients (mean age, 50 years; range, 1-93 years). All examinations were performed at our institution between January 2009 and December 2009. Cause of pneumothorax was classified as traumatic or non-traumatic. Localized air foci in the lower thorax were defined as being localized air collections in the lower thorax that did not appear to be adjacent to the lung. If these criteria were met, the shape, size, location laterality, and number of foci were evaluated. Associations with trauma, sex, severity of the pneumothorax, and laterality were evaluated using the χ(2) test. All P values pneumothorax commonly had localized air foci in the lower thorax. Because such foci can mimic pneumoperitoneum, accurate recognition of them is required to avoid confusion with free intraperitoneal air, especially in traumatic cases. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  11. Localized air foci in the lower thorax in the patients with pneumothorax: Skip pneumothoraces

    Energy Technology Data Exchange (ETDEWEB)

    Higuchi, Takeshi, E-mail: higuchi@hosp.niigata.niigata.jp [Department of Diagnostic Radiology, Niigata City General Hospital, 463-7 Chuo-ku, Shumoku, Niigata 950-1197 (Japan); Takahashi, Naoya, E-mail: nandtr@hosp.niigata.niigata.jp [Department of Diagnostic Radiology, Niigata City General Hospital, 463-7 Chuo-ku, Shumoku, Niigata 950-1197 (Japan); Kiguchi, Takao, E-mail: takakig@gmail.com [Department of Diagnostic Radiology, Niigata City General Hospital, 463-7 Chuo-ku, Shumoku, Niigata 950-1197 (Japan); Shiotani, Motoi, E-mail: Shiotani14@gmail.com [Department of Radiology, Niigata Cancer Center Hospital, 2-15-3 Chuo-ku, Kawagishicho, Niigata 951-8566 (Japan); Maeda, Haruo, E-mail: h-maeda@hosp.niigata.niigata.jp [Department of Diagnostic Radiology, Niigata City General Hospital, 463-7 Chuo-ku, Shumoku, Niigata 950-1197 (Japan)

    2013-08-15

    Purpose: To investigate the characteristics and imaging features of localized air foci in the lower thorax in patients with pneumothorax using thin-section multidetector computed tomography. Materials and methods: Of 10,547 consecutive CT examinations comprising the chest, the CT scans of 146 patients with ordinary pneumothoraces were identified and retrospectively evaluated. The study group included 110 male and 36 female patients (mean age, 50 years; range, 1–93 years). All examinations were performed at our institution between January 2009 and December 2009. Cause of pneumothorax was classified as traumatic or non-traumatic. Localized air foci in the lower thorax were defined as being localized air collections in the lower thorax that did not appear to be adjacent to the lung. If these criteria were met, the shape, size, location laterality, and number of foci were evaluated. Associations with trauma, sex, severity of the pneumothorax, and laterality were evaluated using the χ{sup 2} test. All P values <0.05 were considered significant. Results: Localized air foci in the lower thorax presented as slit-like or small ovoid air collections in the lowest part of the pleural space. These foci were observed in 79/146 (54.1%) patients. The traumatic pneumothoraces group showed a higher prevalence of these features than the non-traumatic group. Some foci that were situated in the anterior part mimicked the appearance of free intraperitoneal air. Conclusion: Patients with pneumothorax commonly had localized air foci in the lower thorax. Because such foci can mimic pneumoperitoneum, accurate recognition of them is required to avoid confusion with free intraperitoneal air, especially in traumatic cases.

  12. Localized air foci in the lower thorax in the patients with pneumothorax: Skip pneumothoraces

    International Nuclear Information System (INIS)

    Higuchi, Takeshi; Takahashi, Naoya; Kiguchi, Takao; Shiotani, Motoi; Maeda, Haruo

    2013-01-01

    Purpose: To investigate the characteristics and imaging features of localized air foci in the lower thorax in patients with pneumothorax using thin-section multidetector computed tomography. Materials and methods: Of 10,547 consecutive CT examinations comprising the chest, the CT scans of 146 patients with ordinary pneumothoraces were identified and retrospectively evaluated. The study group included 110 male and 36 female patients (mean age, 50 years; range, 1–93 years). All examinations were performed at our institution between January 2009 and December 2009. Cause of pneumothorax was classified as traumatic or non-traumatic. Localized air foci in the lower thorax were defined as being localized air collections in the lower thorax that did not appear to be adjacent to the lung. If these criteria were met, the shape, size, location laterality, and number of foci were evaluated. Associations with trauma, sex, severity of the pneumothorax, and laterality were evaluated using the χ 2 test. All P values <0.05 were considered significant. Results: Localized air foci in the lower thorax presented as slit-like or small ovoid air collections in the lowest part of the pleural space. These foci were observed in 79/146 (54.1%) patients. The traumatic pneumothoraces group showed a higher prevalence of these features than the non-traumatic group. Some foci that were situated in the anterior part mimicked the appearance of free intraperitoneal air. Conclusion: Patients with pneumothorax commonly had localized air foci in the lower thorax. Because such foci can mimic pneumoperitoneum, accurate recognition of them is required to avoid confusion with free intraperitoneal air, especially in traumatic cases

  13. Hepatic hydro thorax: patient with pleural effusion to the right presenting tracer migration to the contralateral thorax projection on early scintigraphic images

    International Nuclear Information System (INIS)

    Ichiki, W.A.; Ribeiro, V.P.B.; Gusman, L.; Coura Filho, G.B.; Sapienza, M.T.; Ono, C.R; Watanabe, T.; Costa, P.L.A.; Hironaka, F.; Cerri, G.G.; Buchpiguel, C.A.

    2008-01-01

    Full text: Introduction: Hepatic hydrothorax is a significant pleural effusion, greater than 500 mL, that appears as a clinical manifestation of portal hypertension in patients with advanced cirrhosis, in the absence of cardiopulmonary disease. Its mechanisms may be explained by migration of ascitic fluid through diaphragm defects. Radioisotope scintigraphy may contribute for the diagnostic of hepatic hydrothorax. Case report: Female, 79 years old, with a history of hepatic cirrhosis due to hepatitis B virus, without primary pulmonary or heart disease. She presented worsening of clinical ascites and dyspnoea, and it was diagnosed an extensive right pleural effusion. She underwent a thoracocentesis with a drainage of 2000 mL of light yellow-citrine fluid with transudate features. The pleural effusion quickly relapsed, leading the hypothesis of a hepatic hydrothorax. A scintigraphy was requested to assess peritoneo-pleural shunt. A dose of 370 MBq (10 mCi) of 99m Tc sulfur colloid was instilled intraperitoneally. Static images involving the thorax and upper abdomen were acquired at 10, 20, 30 and 40 minutes and 4 hours after injection. At 10 minutes the radiotracer was seen on the left side of the thoracic region. The scintigraphy was repeated three days later, just after new thoracocentesis, due to the tracer progression to the left side of the thorax differed to the location of pleural effusion. Likewise, until 4 hours of the second study, the radiotracer was seen again on the left side of the thorax. However, a delayed image of 24 showed accumulation of the radiotracer in the right pleural cavity, confirming peritoneo-pleural shunt as cause of pleural effusion in this patient. Discussion: Hydrothorax is an uncommon complication in patients with decompensated hepatic cirrhosis. Its mechanisms are still not well elucidated, however, it is known that presence of defects in the diaphragm associated with the imbalance of ascitic fluid volume and the pleural absorptive

  14. Hepatic hydro thorax: patient with pleural effusion to the right presenting tracer migration to the contralateral thorax projection on early scintigraphic images

    Energy Technology Data Exchange (ETDEWEB)

    Ichiki, W.A.; Ribeiro, V.P.B.; Gusman, L.; Coura Filho, G.B.; Sapienza, M.T.; Ono, C.R; Watanabe, T.; Costa, P.L.A.; Hironaka, F.; Cerri, G.G.; Buchpiguel, C.A. [Universidade de Sao Paulo (FMUSP), SP (Brazil). Fac. de Medicina. Hospital das Clinicas

    2008-07-01

    Full text: Introduction: Hepatic hydrothorax is a significant pleural effusion, greater than 500 mL, that appears as a clinical manifestation of portal hypertension in patients with advanced cirrhosis, in the absence of cardiopulmonary disease. Its mechanisms may be explained by migration of ascitic fluid through diaphragm defects. Radioisotope scintigraphy may contribute for the diagnostic of hepatic hydrothorax. Case report: Female, 79 years old, with a history of hepatic cirrhosis due to hepatitis B virus, without primary pulmonary or heart disease. She presented worsening of clinical ascites and dyspnoea, and it was diagnosed an extensive right pleural effusion. She underwent a thoracocentesis with a drainage of 2000 mL of light yellow-citrine fluid with transudate features. The pleural effusion quickly relapsed, leading the hypothesis of a hepatic hydrothorax. A scintigraphy was requested to assess peritoneo-pleural shunt. A dose of 370 MBq (10 mCi) of {sup 99m}Tc sulfur colloid was instilled intraperitoneally. Static images involving the thorax and upper abdomen were acquired at 10, 20, 30 and 40 minutes and 4 hours after injection. At 10 minutes the radiotracer was seen on the left side of the thoracic region. The scintigraphy was repeated three days later, just after new thoracocentesis, due to the tracer progression to the left side of the thorax differed to the location of pleural effusion. Likewise, until 4 hours of the second study, the radiotracer was seen again on the left side of the thorax. However, a delayed image of 24 showed accumulation of the radiotracer in the right pleural cavity, confirming peritoneo-pleural shunt as cause of pleural effusion in this patient. Discussion: Hydrothorax is an uncommon complication in patients with decompensated hepatic cirrhosis. Its mechanisms are still not well elucidated, however, it is known that presence of defects in the diaphragm associated with the imbalance of ascitic fluid volume and the pleural

  15. Age- and sex-specific thorax finite element model development and simulation.

    Science.gov (United States)

    Schoell, Samantha L; Weaver, Ashley A; Vavalle, Nicholas A; Stitzel, Joel D

    2015-01-01

    The shape, size, bone density, and cortical thickness of the thoracic skeleton vary significantly with age and sex, which can affect the injury tolerance, especially in at-risk populations such as the elderly. Computational modeling has emerged as a powerful and versatile tool to assess injury risk. However, current computational models only represent certain ages and sexes in the population. The purpose of this study was to morph an existing finite element (FE) model of the thorax to depict thorax morphology for males and females of ages 30 and 70 years old (YO) and to investigate the effect on injury risk. Age- and sex-specific FE models were developed using thin-plate spline interpolation. In order to execute the thin-plate spline interpolation, homologous landmarks on the reference, target, and FE model are required. An image segmentation and registration algorithm was used to collect homologous rib and sternum landmark data from males and females aged 0-100 years. The Generalized Procrustes Analysis was applied to the homologous landmark data to quantify age- and sex-specific isolated shape changes in the thorax. The Global Human Body Models Consortium (GHBMC) 50th percentile male occupant model was morphed to create age- and sex-specific thoracic shape change models (scaled to a 50th percentile male size). To evaluate the thoracic response, 2 loading cases (frontal hub impact and lateral impact) were simulated to assess the importance of geometric and material property changes with age and sex. Due to the geometric and material property changes with age and sex, there were observed differences in the response of the thorax in both the frontal and lateral impacts. Material property changes alone had little to no effect on the maximum thoracic force or the maximum percent compression. With age, the thorax becomes stiffer due to superior rotation of the ribs, which can result in increased bone strain that can increase the risk of fracture. For the 70-YO models

  16. Anthropomorphic thorax phantom for cardio-respiratory motion simulation in tomographic imaging

    Science.gov (United States)

    Bolwin, Konstantin; Czekalla, Björn; Frohwein, Lynn J.; Büther, Florian; Schäfers, Klaus P.

    2018-02-01

    Patient motion during medical imaging using techniques such as computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), or single emission computed tomography (SPECT) is well known to degrade images, leading to blurring effects or severe artifacts. Motion correction methods try to overcome these degrading effects. However, they need to be validated under realistic conditions. In this work, a sophisticated anthropomorphic thorax phantom is presented that combines several aspects of a simulator for cardio-respiratory motion. The phantom allows us to simulate various types of cardio-respiratory motions inside a human-like thorax, including features such as inflatable lungs, beating left ventricular myocardium, respiration-induced motion of the left ventricle, moving lung lesions, and moving coronary artery plaques. The phantom is constructed to be MR-compatible. This means that we can not only perform studies in PET, SPECT and CT, but also inside an MRI system. The technical features of the anthropomorphic thorax phantom Wilhelm are presented with regard to simulating motion effects in hybrid emission tomography and radiotherapy. This is supplemented by a study on the detectability of small coronary plaque lesions in PET/CT under the influence of cardio-respiratory motion, and a study on the accuracy of left ventricular blood volumes.

  17. Retained guidewire penetrating through the aorta into the thorax: an unusual cause of recurrent bilateral pneumothorax.

    Science.gov (United States)

    Kim, YongHun; Yu, JunSik; Kim, YoHan; Lee, WooSurng

    2016-01-01

    Although numerous complications of the Seldinger technique have been reported in the literature, only a few complications are related to guidewires. We here report a case of a patient with a guidewire lost and retained in the aorta during vertebral artery stenting. Unfortunately, the guidewire in the aorta was not detected for 5 years, and it penetrated through the aorta into the left thorax, leading to recurrent left pneumothorax. No physician identified the wandering guidewire in the left thorax, and the recurrent left pneumothorax was only managed with closed thoracostomy drainage several times. After 4 months, the patient presented to our hospital with repeated severe chest pain, and newly developed right pneumothorax was diagnosed on chest X-rays. We meticulously evaluated the radiological findings of the other hospitals to identify the cause of the recurrent pneumothorax and discovered that the lost and wandering guidewire had crossed over from the left to the right thorax through the anterior mediastinum. The guidewire was identified as the cause of the recurrent bilateral pneumothorax, and the patient was successfully treated with video-assisted thoracoscopic surgery without any events. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  18. A Scott bench with ergonomic thorax stabilisation pad improves body posture during preacher arm curl exercise.

    Science.gov (United States)

    Biscarini, Andrea; Benvenuti, Paolo; Busti, Daniele; Zanuso, Silvano

    2016-05-01

    We assessed whether the use of an ergonomic thorax stabilisation pad, during the preacher arm curl exercise, could significantly reduce the excessive shoulder protraction and thoracic kyphosis induced by the standard flat pad built into the existing preacher arm curl equipment. A 3D motion capture system and inclinometers were used to measure shoulder protraction and thoracic kyphosis in 15 subjects performing preacher arm curl with a plate-loaded machine provided with the standard flat pad. The same measures were repeated after replacing the flat pad with a new ergonomic pad, specifically designed to accommodate the thorax profile and improve body posture. Pad replacement significantly (p ergonomic pad may potentially allow a more effective training, prevent musculoskeletal discomfort and reduce the risk of injury. Practitioner summary: We have designed an ergonomic thorax stabilisation pad for the preacher arm curl exercise. The new ergonomic pad improves the poor posture conditions induced by the standard flat pad and may potentially allow a more effective training, prevent musculoskeletal discomfort, improve the breathing function and reduce the risk of injury.

  19. Dose distributions in thorax inhomogeneity for fast neutron beam from NIRS cyclotron

    International Nuclear Information System (INIS)

    Kutsutani-Nakamura, Yuzuru; Furukawa, Shigeo; Iinuma, T.A.; Kawashima, Katsuhiro; Hoshino, Kazuo; Hiraoka, Takeshi; Maruyama, Takashi; Sakashita, Kunio; Tsunemoto, Hiroshi

    1990-01-01

    The power law tissue-air ratio (TAR) method developed by Batho appears to be practical use for inhomogeneity corrections to the dose calculated in a layered media for photon beam therapy. The validity was examined in applying the modified power law TAR and the isodose shift methods to the dose calculation in thorax tissue inhomogeneity containing the boundary region for fast neutron beam. The neutron beam is produced by bombarding a thick beryllium target with 30 MeV deuterons. Lung phantom was made of granulated tissue equivalent plastic, which resulted in density of 0.30 and 0.60 g/cm 3 . Depth dose distributions for neutron beam were measured in thorax phantom by an air-filled cylindrical ionization chamber with TE plastic wall. The power law TAR method considering TAR of zero depth at boundary was compared with the measured data and a good result was obtained that the calculated dose was within ±3 % against the measured. But the isodose shift method is not so good for dose calculation in thorax tissue inhomogeneity using fast neutron beam. (author)

  20. Segmentasi Paru-Paru pada Citra X-Ray Thorax Menggunakan Distance Regularized Levelset Evolution (DRLSE

    Directory of Open Access Journals (Sweden)

    M Amin Hariyadi

    2017-03-01

    Full Text Available -- Lung is one in control in the circulatory system of air (oxygen in the human body, so the detection of disorders of the human respiratory urgently needed to detect any disturbance in the lungs used X-ray beam, from the results of x-ray image of the thorax contained information used to analyze and determine the shape of an object from the lungs, in order to obtain such information, a process of segmentation. In this study used methods Distance regularized Levelset Evolution (DLRSE, this method region based models which is an improvement of edge-based models. The purpose of this study to implement segmentation methods DRLSE the lungs of the results of x-ray image of the thorax. The trial results with the system DLRSE method performed on the 20 data from X-ray image of the thorax obtained an average result accuracy of 87.90%, a sensitivity of 76.27% and a specificity of 93.98%.

  1. Effect of Cardiac Phases and Conductivity Inhomogeneities of the Thorax Models on ECG Lead Selection and Reconstruction

    National Research Council Canada - National Science Library

    Takano, Noriyuki

    2001-01-01

    ECG lead selection and reconstruction were investigated in the present study using ECG source-to-measurement transfer matrices computed in inhomogeneous and homogeneous conductor thorax-heart models...

  2. Robot-assisted walking with the Lokomat: the influence of different levels of guidance force on thorax and pelvis kinematics.

    Science.gov (United States)

    Swinnen, Eva; Baeyens, Jean-Pierre; Knaepen, Kristel; Michielsen, Marc; Clijsen, Ron; Beckwée, David; Kerckhofs, Eric

    2015-03-01

    Little attention has been devoted to the thorax and pelvis movements during gait. The aim of this study is to compare differences in the thorax and pelvis kinematics during unassisted walking on a treadmill and during walking with robot assistance (Lokomat-system (Hocoma, Volketswil, Switzerland)). 18 healthy persons walked on a treadmill with and without the Lokomat system at 2kmph. Three different conditions of guidance force (30%, 60% and 100%) were used during robot-assisted treadmill walking (30% body weight support). The maximal movement amplitudes of the thorax and pelvis were measured (Polhemus Liberty™ (Polhemus, Colchester, Vermont, USA) (240/16)). A repeated measurement ANOVA was conducted. Robot-assisted treadmill walking with different levels of guidance force showed significantly smaller maximal movement amplitudes for thorax and pelvis, compared to treadmill walking. Only the antero-posterior tilting of the pelvis was significantly increased during robot-assisted treadmill walking compared to treadmill walking. No significant changes of kinematic parameters were found between the different levels of guidance force. With regard to the thorax and pelvis movements, robot-assisted treadmill walking is significantly different compared to treadmill walking. It can be concluded that when using robot assistance, the thorax is stimulated in a different way than during walking without robot assistance, influencing the balance training during gait. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. The thorax

    International Nuclear Information System (INIS)

    Bragg, D.G.

    1987-01-01

    In Techniques of Examination, the author included two articles describing the appearance of the right atrial appendage pacemaker lead and the automatic implantable cardioverter-defibrillator. Catheter misadventures in two instances were included, along with a traditional article on the use of real-time sector ultra-sound in the evaluation of suspected diaphragmatic abnormalities. An article describing the utilization of CT in the evaluation of the patient suspected of having superior vena caval obstruction completes this section. The section on Breast Diagnosis includes some important contributions. This group of 14 articles begins with the Swedish mammography study that reviewed a randomized trial of nearly 135,000 women. The authors found a significant reduction in mortality from breast cancer by using single-view mammography every 2 or 3 years, depending on the patient's age

  4. 3D printer generated thorax phantom with mobile tumor for radiation dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Mayer, Rulon [Henry Jackson Foundation, Bethesda, Maryland 20817 (United States); Liacouras, Peter [Walter Reed National Military Medical Center, Bethesda, Maryland 20899 (United States); Thomas, Andrew [ATC Healthcare, Washington, District of Columbia 20006 (United States); Kang, Minglei; Lin, Liyong; Simone, Charles B. [Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania 19104 (United States)

    2015-07-15

    This article describes the design, construction, and properties of an anthropomorphic thorax phantom with a moving surrogate tumor. This novel phantom permits detection of dose both inside and outside a moving tumor and within the substitute lung tissue material. A 3D printer generated the thorax shell composed of a chest wall, spinal column, and posterior regions of the phantom. Images of a computed tomography scan of the thorax from a patient with lung cancer provided the template for the 3D printing. The plastic phantom is segmented into two materials representing the muscle and bones, and its geometry closely matches a patient. A surrogate spherical plastic tumor controlled by a 3D linear stage simulates a lung tumor’s trajectory during normal breathing. Sawdust emulates the lung tissue in terms of average and distribution in Hounsfield numbers. The sawdust also provides a forgiving medium that permits tumor motion and sandwiching of radiochromic film inside the mobile surrogate plastic tumor for dosimetry. A custom cork casing shields the film and tumor and eliminates film bending during extended scans. The phantom, lung tissue surrogate, and radiochromic film are exposed to a seven field plan based on an ECLIPSE plan for 6 MV photons from a Trilogy machine delivering 230 cGy to the isocenter. The dose collected in a sagittal plane is compared to the calculated plan. Gamma analysis finds 8.8% and 5.5% gamma failure rates for measurements of large amplitude trajectory and static measurements relative to the large amplitude plan, respectively. These particular gamma analysis results were achieved using parameters of 3% dose and 3 mm, for regions receiving doses >150 cGy. The plan assumes a stationary detection grid unlike the moving radiochromic film and tissues. This difference was experimentally observed and motivated calculated dose distributions that incorporated the phase of the tumor periodic motion. These calculations modestly improve agreement between

  5. 3D printer generated thorax phantom with mobile tumor for radiation dosimetry

    International Nuclear Information System (INIS)

    Mayer, Rulon; Liacouras, Peter; Thomas, Andrew; Kang, Minglei; Lin, Liyong; Simone, Charles B.

    2015-01-01

    This article describes the design, construction, and properties of an anthropomorphic thorax phantom with a moving surrogate tumor. This novel phantom permits detection of dose both inside and outside a moving tumor and within the substitute lung tissue material. A 3D printer generated the thorax shell composed of a chest wall, spinal column, and posterior regions of the phantom. Images of a computed tomography scan of the thorax from a patient with lung cancer provided the template for the 3D printing. The plastic phantom is segmented into two materials representing the muscle and bones, and its geometry closely matches a patient. A surrogate spherical plastic tumor controlled by a 3D linear stage simulates a lung tumor’s trajectory during normal breathing. Sawdust emulates the lung tissue in terms of average and distribution in Hounsfield numbers. The sawdust also provides a forgiving medium that permits tumor motion and sandwiching of radiochromic film inside the mobile surrogate plastic tumor for dosimetry. A custom cork casing shields the film and tumor and eliminates film bending during extended scans. The phantom, lung tissue surrogate, and radiochromic film are exposed to a seven field plan based on an ECLIPSE plan for 6 MV photons from a Trilogy machine delivering 230 cGy to the isocenter. The dose collected in a sagittal plane is compared to the calculated plan. Gamma analysis finds 8.8% and 5.5% gamma failure rates for measurements of large amplitude trajectory and static measurements relative to the large amplitude plan, respectively. These particular gamma analysis results were achieved using parameters of 3% dose and 3 mm, for regions receiving doses >150 cGy. The plan assumes a stationary detection grid unlike the moving radiochromic film and tissues. This difference was experimentally observed and motivated calculated dose distributions that incorporated the phase of the tumor periodic motion. These calculations modestly improve agreement between

  6. A Thorax Simulator for Complex Dynamic Bioimpedance Measurements With Textile Electrodes.

    Science.gov (United States)

    Ulbrich, Mark; Muhlsteff, Jens; Teichmann, Daniel; Leonhardt, Steffen; Walter, Marian

    2015-06-01

    Bioimpedance measurements on the human thorax are suitable for assessment of body composition or hemodynamic parameters, such as stroke volume; they are non-invasive, easy in application and inexpensive. When targeting personal healthcare scenarios, the technology can be integrated into textiles to increase ease, comfort and coverage of measurements. Bioimpedance is generally measured using two electrodes injecting low alternating currents (0.5-10 mA) and two additional electrodes to measure the corresponding voltage drop. The impedance is measured either spectroscopically (bioimpedance spectroscopy, BIS) between 5 kHz and 1 MHz or continuously at a fixed frequency around 100 kHz (impedance cardiography, ICG). A thorax simulator is being developed for testing and calibration of bioimpedance devices and other new developments. For the first time, it is possible to mimic the complete time-variant properties of the thorax during an impedance measurement. This includes the dynamic real part and dynamic imaginary part of the impedance with a peak-to-peak value of 0.2 Ω and an adjustable base impedance (24.6 Ω ≥ Z0 ≥ 51.6 Ω). Another novelty is adjustable complex electrode-skin contact impedances for up to 8 electrodes to evaluate bioimpedance devices in combination with textile electrodes. In addition, an electrocardiographic signal is provided for cardiographic measurements which is used in ICG devices. This provides the possibility to generate physiologic impedance changes, and in combination with an ECG, all parameters of interest such as stroke volume (SV), pre-ejection period (PEP) or extracellular resistance (Re) can be simulated. The speed of all dynamic signals can be altered. The simulator was successfully tested with commercially available BIS and ICG devices and the preset signals are measured with high correlation (r = 0.996).

  7. Evaluation of a method for correction of scatter radiation in thorax cone beam CT

    International Nuclear Information System (INIS)

    Rinkel, J.; Dinten, J.M.; Esteve, F.

    2004-01-01

    Purpose: Cone beam CT (CBCT) enables three-dimensional imaging with isotropic resolution. X-ray scatter estimation is a big challenge for quantitative CBCT imaging of thorax: scatter level is significantly higher on cone beam systems compared to collimated fan beam systems. The effects of this scattered radiation are cupping artefacts, streaks, and quantification inaccuracies. The beam stops conventional scatter estimation approach can be used for CBCT but leads to a significant increase in terms of dose and acquisition time. At CEA-LETI has been developed an original scatter management process without supplementary acquisition. Methods and Materials: This Analytical Plus Indexing-based method (API) of scatter correction in CBCT is based on scatter calibration through offline acquisitions with beam stops on lucite plates, combined to an analytical transformation issued from physical equations. This approach has been applied with success in bone densitometry and mammography. To evaluate this method in CBCT, acquisitions from a thorax phantom with and without beam stops have been performed. To compare different scatter correction approaches, Feldkamp algorithm has been applied on rough data corrected from scatter by API and by beam stops approaches. Results: The API method provides results in good agreement with the beam stops array approach, suppressing cupping artefact. Otherwise influence of the scatter correction method on the noise in the reconstructed images has been evaluated. Conclusion: The results indicate that the API method is effective for quantitative CBCT imaging of thorax. Compared to a beam stops array method it needs a lower x-ray dose and shortens acquisition time. (authors)

  8. 3D printer generated thorax phantom with mobile tumor for radiation dosimetry.

    Science.gov (United States)

    Mayer, Rulon; Liacouras, Peter; Thomas, Andrew; Kang, Minglei; Lin, Liyong; Simone, Charles B

    2015-07-01

    This article describes the design, construction, and properties of an anthropomorphic thorax phantom with a moving surrogate tumor. This novel phantom permits detection of dose both inside and outside a moving tumor and within the substitute lung tissue material. A 3D printer generated the thorax shell composed of a chest wall, spinal column, and posterior regions of the phantom. Images of a computed tomography scan of the thorax from a patient with lung cancer provided the template for the 3D printing. The plastic phantom is segmented into two materials representing the muscle and bones, and its geometry closely matches a patient. A surrogate spherical plastic tumor controlled by a 3D linear stage simulates a lung tumor's trajectory during normal breathing. Sawdust emulates the lung tissue in terms of average and distribution in Hounsfield numbers. The sawdust also provides a forgiving medium that permits tumor motion and sandwiching of radiochromic film inside the mobile surrogate plastic tumor for dosimetry. A custom cork casing shields the film and tumor and eliminates film bending during extended scans. The phantom, lung tissue surrogate, and radiochromic film are exposed to a seven field plan based on an ECLIPSE plan for 6 MV photons from a Trilogy machine delivering 230 cGy to the isocenter. The dose collected in a sagittal plane is compared to the calculated plan. Gamma analysis finds 8.8% and 5.5% gamma failure rates for measurements of large amplitude trajectory and static measurements relative to the large amplitude plan, respectively. These particular gamma analysis results were achieved using parameters of 3% dose and 3 mm, for regions receiving doses >150 cGy. The plan assumes a stationary detection grid unlike the moving radiochromic film and tissues. This difference was experimentally observed and motivated calculated dose distributions that incorporated the phase of the tumor periodic motion. These calculations modestly improve agreement between

  9. Delayed pneumothorax after stab wound to thorax and upper abdomen: Truth or myth?

    Science.gov (United States)

    Zehtabchi, Shahriar; Morley, Eric J; Sajed, Dana; Greenberg, Oded; Sinert, Richard

    2009-01-01

    Stab wounds to the thorax and upper abdomen have the potential to cause pneumothorax (PTX). When a CXR (CXR) obtained during initial resuscitation is negative, a second CXR (CXR-2) is commonly performed with the goal of identifying delayed PTX. To assess the diagnostic yield of the CXR-2 in identifying delayed PTX. Prospective observational study of patients (age >or=13 years) with stab wounds to the thorax (chest/back) and upper abdomen with suspected PTX, in a level 1 trauma centre. Patients were included if they had a negative initial CXR followed by a repeat CXR 3-6h after the initial one. patients who died, were transferred out of the ED, or received chest tubes before the second CXR. The outcome of interest was delayed PTX. All CXR were read by an attending radiologist. To test the inter-observer agreement, another blinded radiologist reviewed 20% of CXR. Continuous data is presented as mean+/-standard deviation and categorical data as percentages with 95% confidence interval (CI). Kappa statistics were used to measure the inter-observer agreement between radiologists. Between January 2003 and December 2006 a total of 185 patients qualified for the enrollment (mean age: 28+/-10 years, age range: 13-65, 94% male). Only 2 patients (1.1%, 95% CI, 0.4- 4.1%) had PTX on the CXR-2. Both patients received chest tubes. The inter-observer agreement for radiology reports was high (kappa: 0.79). Occurrence of delayed PTX in patients with stab wounds to the thorax and upper abdomen and negative triage CXR is rare.

  10. The importance of conventional X-ray thorax examination for heart diagnoses

    International Nuclear Information System (INIS)

    Kuhn, H.M.

    1982-01-01

    In the case that a deseased heart changes its shape or size, typical X-ray signs are generated that can be monitored with conventional X-ray diagnostic like: thorax-overview, images, cymography, tomography. They allow a conclusion towards the pathoanatomy of the particular heart-chambers and the corresponding change in hemodynamics with respect to usual topography. The large vessels and the lungs usually offer additional X-ray signs that extend those of the heart and this way help to assure diagnoses. The usual X-ray findings at the heart, the coronary vessels and the lungs are represented comprehensively and traced back to their origins. (orig.) [de

  11. Verification of gamma knife based fractionated radiosurgery with newly developed head-thorax phantom

    International Nuclear Information System (INIS)

    Bisht, Raj Kishor; Kale, Shashank Sharad; Natanasabapathi, Gopishankar; Singh, Manmohan Jit; Agarwal, Deepak; Garg, Ajay; Rath, Goura Kishore; Julka, Pramod Kumar; Kumar, Pratik; Thulkar, Sanjay; Sharma, Bhawani Shankar

    2016-01-01

    Objective: Purpose of the study is to verify the Gamma Knife Extend™ system (ES) based fractionated stereotactic radiosurgery with newly developed head-thorax phantom. Methods: Phantoms are extensively used to measure radiation dose and verify treatment plan in radiotherapy. A human upper body shaped phantom with thorax was designed to simulate fractionated stereotactic radiosurgery using Extend™ system of Gamma Knife. The central component of the phantom aids in performing radiological precision test, dosimetric evaluation and treatment verification. A hollow right circular cylindrical space of diameter 7.0 cm was created at the centre of this component to place various dosimetric devices using suitable adaptors. The phantom is made of poly methyl methacrylate (PMMA), a transparent thermoplastic material. Two sets of disk assemblies were designed to place dosimetric films in (1) horizontal (xy) and (2) vertical (xz) planes. Specific cylindrical adaptors were designed to place thimble ionization chamber inside phantom for point dose recording along xz axis. EBT3 Gafchromic films were used to analyze and map radiation field. The focal precision test was performed using 4 mm collimator shot in phantom to check radiological accuracy of treatment. The phantom head position within the Extend™ frame was estimated using encoded aperture measurement of repositioning check tool (RCT). For treatment verification, the phantom with inserts for film and ion chamber was scanned in reference treatment position using X-ray computed tomography (CT) machine and acquired stereotactic images were transferred into Leksell Gammaplan (LGP). A patient treatment plan with hypo-fractionated regimen was delivered and identical fractions were compared using EBT3 films and in-house MATLAB codes. Results: RCT measurement showed an overall positional accuracy of 0.265 mm (range 0.223 mm–0.343 mm). Gamma index analysis across fractions exhibited close agreement between LGP and film

  12. Radiographic anatomy of the equine thorax as a basis for radiological interpretation

    International Nuclear Information System (INIS)

    Sanderson, G.N.; O'Callaghan, M.W.

    1983-01-01

    This article describes the gross radiographic anatomy of the equine thorax observed on the lateral radiographic projection. The descriptions presented were derived from a retrospective study of a large number of thoracic radiographs of cases referred to the Massey University clinic in conjunction with research studies in bronchography, angiography and in vitro contrast techniques. The characteristics of the thoracic bony structures, the vasculature, and the airways are examined separately; followed by a discussion of the relative contribution of the various structures to the overall thoracic radiograph

  13. Surgical treatment of a large congenital cavernous hemangioma on the thorax of a foal

    DEFF Research Database (Denmark)

    Jacobsen, Stine; Christophersen, Mogens Teken; Tnibar, Aziz

    2018-01-01

    A 3-day-old male foal was presented with a fluctuant 25 × 15 cm mass on the thorax. The mass had increased in size since birth. The mass did not respond to conservative treatment consisting of aspiration of serohaemorrhagic contents and compression bandages, and it was therefore surgically removed...... when the foal was approximately 2½ weeks. A histopathological diagnosis of cavernous haemangioma was made. Healing progressed without complications despite a large surgical wound left to heal by second intention. Recurrence was not observed during the 1.5-year follow-up period....

  14. Metode Segmentasi Paru-paru dan Jantung Pada Citra X-Ray Thorax

    Directory of Open Access Journals (Sweden)

    Ainatul Mardhiyah

    2013-06-01

    Abstract  Image segmentation is an important technology for image processing, especially in the medical world. If a doctor or radiologist doing wrong in the process of reading the image it will affect the diagnosis of a disease. This research uses x-ray thorax in grayscale and 256x256 pixel. In order to maximum image segmentation is necessary to start the process (preprocessing using Gaussian Lowpass Filter method. Further image preprocessing results are grouped using K-Means Clustering method in which the grouping based on the difference in image pixel values . Furthermore, segmentation using Geometric Active Contour method. In this method, the curve will deflate into accordance with the form the lung edge. Heart segmentation using template method because k-means clustering with K = 2 cannot segment it. Tests performed using method of system ROC (Receiver  Operating Characteristic, from 40 x-ray image using k-means clustering with K = 2 and  Geometric active contour system can segment the left lung, with a percentage accuracy of 90.03%, sensitivity 62.05%, and spesifity 94.62%. Right lung, with a percentage accuracy of 8.35%, sensitivity 63.71%, and spesifity 93.48%. Heart segmentation using template matching system can segment the heart, accuracy 94.33%, sensitivity 64.55%, and spesifity 98.13%.   Keywords—image segmentation, x-ray thorax, k-means clustering, geometric active contour, template matching

  15. Value of the radiological study of the thorax for diagnosing left ventricular dysfunction in Chagas' disease

    Directory of Open Access Journals (Sweden)

    Perez Amanda Arantes

    2003-01-01

    Full Text Available OBJECTIVE: To determine the value of the radiological study of the thorax for diagnosing left ventricular dilation and left ventricular systolic dysfunction in patients with Chagas' disease. METHODS: A cross-sectional study of 166 consecutive patients with Chagas' disease and no other associated diseases. The patients underwent cardiac assessment with chest radiography and Doppler echocardiography. Sensitivity, specificity, and positive and negative predictive values of chest radiography were calculated to detect left ventricular dysfunction and the accuracy of the cardiothoracic ratio in the diagnosis of left ventricular dysfunction with the area below the ROC curve. The cardiothoracic ratio was correlated with the left ventricular ejection fraction and the left ventricular diastolic diameter. RESULTS: The abnormal chest radiogram had a sensitivity of 50%, specificity of 80.5%, and positive and negative predictive values of 51.2% and 79.8%, respectively, in the diagnosis of left ventricular dysfunction. The cardiothoracic ratio showed a weak correlation with left ventricular ejection fraction (r=-0.23 and left ventricular diastolic diameter (r=0.30. The area calculated under the ROC curve was 0.734. CONCLUSION: The radiological study of the thorax is not an accurate indicator of left ventricular dysfunction; its use as a screening method to initially approach the patient with Chagas' disease should be reevaluated.

  16. Design, development, and implementation of the Radiological Physics Center's pelvis and thorax anthropomorphic quality assurance phantoms

    International Nuclear Information System (INIS)

    Followill, David S.; Radford Evans, DeeAnn; Cherry, Christopher; Molineu, Andrea; Fisher, Gary; Hanson, William F.; Ibbott, Geoffrey S.

    2007-01-01

    The Radiological Physics Center (RPC) developed two heterogeneous anthropomorphic quality assurance phantoms for use in verifying the accuracy of radiation delivery: one for intensity-modulated radiation therapy (IMRT) to the pelvis and the other for stereotactic body radiation therapy (SBRT) to the thorax. The purpose of this study was to describe the design and development of these two phantoms and to demonstrate the reproducibility of measurements generated with them. The phantoms were built to simulate actual patient anatomy. They are lightweight and water-fillable, and they contain imageable targets and organs at risk of radiation exposure that are of similar densities to their human counterparts. Dosimetry inserts accommodate radiochromic film for relative dosimetry and thermoluminesent dosimetry capsules for absolute dosimetry. As a part of the commissioning process, each phantom was imaged, treatment plans were developed, and radiation was delivered at least three times. Under these controlled irradiation conditions, the reproducibility of dose delivery to the target TLD in the pelvis and thorax phantoms was 3% and 0.5%, respectively. The reproducibility of radiation-field localization was less than 2.5 mm for both phantoms. Using these anthropomorphic phantoms, pelvic IMRT and thoracic SBRT radiation treatments can be verified with a high level of precision. These phantoms can be used to effectively credential institutions for participation in specific NCI-sponsored clinical trials

  17. The influence of image reconstruction algorithms on linear thorax EIT image analysis of ventilation

    International Nuclear Information System (INIS)

    Zhao, Zhanqi; Möller, Knut; Frerichs, Inéz; Pulletz, Sven; Müller-Lisse, Ullrich

    2014-01-01

    Analysis methods of electrical impedance tomography (EIT) images based on different reconstruction algorithms were examined. EIT measurements were performed on eight mechanically ventilated patients with acute respiratory distress syndrome. A maneuver with step increase of airway pressure was performed. EIT raw data were reconstructed offline with (1) filtered back-projection (BP); (2) the Dräger algorithm based on linearized Newton–Raphson (DR); (3) the GREIT (Graz consensus reconstruction algorithm for EIT) reconstruction algorithm with a circular forward model (GR C ) and (4) GREIT with individual thorax geometry (GR T ). Individual thorax contours were automatically determined from the routine computed tomography images. Five indices were calculated on the resulting EIT images respectively: (a) the ratio between tidal and deep inflation impedance changes; (b) tidal impedance changes in the right and left lungs; (c) center of gravity; (d) the global inhomogeneity index and (e) ventilation delay at mid-dorsal regions. No significant differences were found in all examined indices among the four reconstruction algorithms (p > 0.2, Kruskal–Wallis test). The examined algorithms used for EIT image reconstruction do not influence the selected indices derived from the EIT image analysis. Indices that validated for images with one reconstruction algorithm are also valid for other reconstruction algorithms. (paper)

  18. The influence of image reconstruction algorithms on linear thorax EIT image analysis of ventilation.

    Science.gov (United States)

    Zhao, Zhanqi; Frerichs, Inéz; Pulletz, Sven; Müller-Lisse, Ullrich; Möller, Knut

    2014-06-01

    Analysis methods of electrical impedance tomography (EIT) images based on different reconstruction algorithms were examined. EIT measurements were performed on eight mechanically ventilated patients with acute respiratory distress syndrome. A maneuver with step increase of airway pressure was performed. EIT raw data were reconstructed offline with (1) filtered back-projection (BP); (2) the Dräger algorithm based on linearized Newton-Raphson (DR); (3) the GREIT (Graz consensus reconstruction algorithm for EIT) reconstruction algorithm with a circular forward model (GR(C)) and (4) GREIT with individual thorax geometry (GR(T)). Individual thorax contours were automatically determined from the routine computed tomography images. Five indices were calculated on the resulting EIT images respectively: (a) the ratio between tidal and deep inflation impedance changes; (b) tidal impedance changes in the right and left lungs; (c) center of gravity; (d) the global inhomogeneity index and (e) ventilation delay at mid-dorsal regions. No significant differences were found in all examined indices among the four reconstruction algorithms (p > 0.2, Kruskal-Wallis test). The examined algorithms used for EIT image reconstruction do not influence the selected indices derived from the EIT image analysis. Indices that validated for images with one reconstruction algorithm are also valid for other reconstruction algorithms.

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

    International Nuclear Information System (INIS)

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

    1988-01-01

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

  20. The value of MRI of the thorax in congenital stenosis of the trachea

    International Nuclear Information System (INIS)

    Vogl, T.; Wilimzig, C.; Lissner, J.; Hofmann, U.; Hofmann, D.; Hecker, W.

    1989-01-01

    MRI of the thorax was performed in 24 children aged between six weeks and five years, in whom a tracheal stenosis had been demonstrated by bronchoscopy. Since bronchoscopy can only demonstrate the interior of the trachea, various imaging methods, such as CT and angiography, were used to demonstrate the topography and cause of the tracheal stenosis. MRI has shown that the most common cause of a stenosis in the central section of the trachea is focal compression by an aberrant bracheocephalic trunk (10 cases). Stenosis of the distal trachea could be due to anomalies of the aortic arch (5 cases), a dilated pulmonary artery (4 cases) or a soft tissue mass (3 cases). In all these patients, MRI was greatly superior to the conventional methods. By using a special technique, MRI made it possible to clarify the cause and localisation of a tracheal stenosis by a non-invasive examination. (orig.) [de

  1. Alternative types of duodenal ulcer induced in mice by partial X irradiation of the thorax

    International Nuclear Information System (INIS)

    Michalowski, A.; Uehara, S.; Yin, W.B.; Burgin, J.; Silvester, J.A.

    1983-01-01

    The present study extends our earlier observations on gastrointestinal pathology in thorax-irradiated female CFLP mice. It shows that exposure of the lower mediastinum to single doses of 14-30 Gy X rays results in the formation of the proximal duodenal ulcer accompanied frequently by erosion of the antral gastric mucosa. X irradiation of the lateral thoracic fields is responsible for single ulcers in the proximity of duodenal papilla, often associated with a circumscribed area of degeneration of the fundic mucosa of the stomach. In view of the small amount of radiation received by the subdiaphragmatic parts of the alimentary tract, these gastro-duodenal lesions represent abscopal effects of thoracic irradiation

  2. Anaesthesiological aspects of thorax-diagnostic procedures in intensive-care units

    International Nuclear Information System (INIS)

    Schulte am Esch, J.

    1989-01-01

    Diagnostic procedures of the thorax in intensive-care units are conventional X-ray chest images, chest images by digital luminescence radiography, sonography and transoesophageal Doppler echocardiography. In addition to these bedside methods the stationary usable techniques, such as computed tomography, digital subtraction angiography and the seldom in intensive care patients used computed nuclear spin resonance tomography (NMR) are applicable. The selection of the above mentioned techniques depends on the availability and the quality of the methods as well as the qualifications of the involved staff. The diagnostic procedures of the chest must be arranged depending on the decision if patients have to be transported or not. In conclusion it can be stated that in spite of growing technical preconditions the availability of the methods in immobile patients and the diagnostic potency of the techniques have to be examined. (orig.) [de

  3. Does thorax EIT image analysis depend on the image reconstruction method?

    Science.gov (United States)

    Zhao, Zhanqi; Frerichs, Inéz; Pulletz, Sven; Müller-Lisse, Ullrich; Möller, Knut

    2013-04-01

    Different methods were proposed to analyze the resulting images of electrical impedance tomography (EIT) measurements during ventilation. The aim of our study was to examine if the analysis methods based on back-projection deliver the same results when applied on images based on other reconstruction algorithms. Seven mechanically ventilated patients with ARDS were examined by EIT. The thorax contours were determined from the routine CT images. EIT raw data was reconstructed offline with (1) filtered back-projection with circular forward model (BPC); (2) GREIT reconstruction method with circular forward model (GREITC) and (3) GREIT with individual thorax geometry (GREITT). Three parameters were calculated on the resulting images: linearity, global ventilation distribution and regional ventilation distribution. The results of linearity test are 5.03±2.45, 4.66±2.25 and 5.32±2.30 for BPC, GREITC and GREITT, respectively (median ±interquartile range). The differences among the three methods are not significant (p = 0.93, Kruskal-Wallis test). The proportions of ventilation in the right lung are 0.58±0.17, 0.59±0.20 and 0.59±0.25 for BPC, GREITC and GREITT, respectively (p = 0.98). The differences of the GI index based on different reconstruction methods (0.53±0.16, 0.51±0.25 and 0.54±0.16 for BPC, GREITC and GREITT, respectively) are also not significant (p = 0.93). We conclude that the parameters developed for images generated with GREITT are comparable with filtered back-projection and GREITC.

  4. Liver hydatid cyst ruptured into the thorax: CT angiography findings of a case

    International Nuclear Information System (INIS)

    Kara, K.; Ors, F.; Bozlar, U.; Tasar, M.

    2012-01-01

    Full text: Introduction: Intrathoracic rupture of hepatic hydatid cyst is a rare but severe condition causing a spectrum of lesions to the pleura, lung parenchyma, and bronchi. Pulmonary complications result from the proximity of hydatid cysts in the liver and the diaphragm. Objectives and tasks: In this report we aimed to present computed tomography (CT) angiography findings of a case with liver hydatid cyst ruptured into the thorax. The patient underwent CT angiography examination with suspicion of pulmonary embolism. Materials and methods: A 71-year-old female patient admitted to our emergency department with complaints of severe and persistent cough. Basal region of the right hemithorax could not get breath sounds on physical examination. Chest radiography revealed the presence of consolidation-effusion. The patient was treated with antibiotherapy for pneumonia and parapneumonic effusion. Because of the clinical symptoms and chest radiograph findings persisted the patient underwent CT angiography examination with suspicion of pulmonary embolism. Results: On CT angiography images pulmonary artery and its branches were normal. There were subtotal collapse in the right middle and lower lung lobes and complicated cystic lesion that has air densities in the basal interlobar space. Another thick walled complicated cystic lesion with multiple septations and air densities was detected in the right posterior liver lobe. The right hemidiaphragm was interrupted and the right liver lobe partially herniated into the thorax cavity. Serologic tests were positive for Echinococcus granulosus and there were prior therapy history for liver cyst hydatid. The diagnostic aspiration findings were consistent with hydatid cyst lesion. Conclusion: In patients with hepatic hydatid cyst associated with persistent and severe cough, thoracic rupture of the cyst should be considered in differential diagnosis. CT angiography is fast, non-invasive and effective method in the detection of

  5. Efficient organ localization using multi-label convolutional neural networks in thorax-abdomen CT scans

    Science.gov (United States)

    Efrain Humpire-Mamani, Gabriel; Arindra Adiyoso Setio, Arnaud; van Ginneken, Bram; Jacobs, Colin

    2018-04-01

    Automatic localization of organs and other structures in medical images is an important preprocessing step that can improve and speed up other algorithms such as organ segmentation, lesion detection, and registration. This work presents an efficient method for simultaneous localization of multiple structures in 3D thorax-abdomen CT scans. Our approach predicts the location of multiple structures using a single multi-label convolutional neural network for each orthogonal view. Each network takes extra slices around the current slice as input to provide extra context. A sigmoid layer is used to perform multi-label classification. The output of the three networks is subsequently combined to compute a 3D bounding box for each structure. We used our approach to locate 11 structures of interest. The neural network was trained and evaluated on a large set of 1884 thorax-abdomen CT scans from patients undergoing oncological workup. Reference bounding boxes were annotated by human observers. The performance of our method was evaluated by computing the wall distance to the reference bounding boxes. The bounding boxes annotated by the first human observer were used as the reference standard for the test set. Using the best configuration, we obtained an average wall distance of 3.20~+/-~7.33 mm in the test set. The second human observer achieved 1.23~+/-~3.39 mm. For all structures, the results were better than those reported in previously published studies. In conclusion, we proposed an efficient method for the accurate localization of multiple organs. Our method uses multiple slices as input to provide more context around the slice under analysis, and we have shown that this improves performance. This method can easily be adapted to handle more organs.

  6. Neandertals' large lower thorax may represent adaptation to high protein diet.

    Science.gov (United States)

    Ben-Dor, Miki; Gopher, Avi; Barkai, Ran

    2016-07-01

    Humans are limited in their capacity to convert protein into energy. We present a hypothesis that a "bell" shaped thorax and a wide pelvis evolved in Neandertals, at least in part, as an adaptation to a high protein diet. A high protein diet created a need to house an enlarged liver and urinary system in a wider lower trunk. To test the hypothesis, we applied a model developed to identify points of nutritional stress. A ratio of obligatory dietary fat to total animal fat and protein sourced calories is calculated based on various known and estimated parameters. Stress is identified when the obligatory dietary fat ratio is higher than fat content ratios in available prey. The model predicts that during glacial winters, when carbohydrates weren't available, 74%-85% of Neandertals' caloric intake would have had to come from animal fat. Large animals contain around 50% fat calories, and their fat content is diminished during winter, so a significant stressful dietary fat deficit was identified by the model. This deficit could potentially be ameliorated by an increased capability to convert protein into energy. Given that high protein consumption is associated with larger liver and kidneys in animal models, it appears likely that the enlarged inferior section of the Neandertals thorax and possibly, in part, also his wide pelvis, represented an adaptation to provide encasement for those enlarged organs. Behavioral and evolutionary implications of the hypothesis are also discussed. Am J Phys Anthropol 160:367-378, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  7. Analysis of the results of CAT of thorax with bronchiectasis protocol, period 2000-2001 Hospital Calderon Guardia

    International Nuclear Information System (INIS)

    Pacheco Segura, Maureen

    2003-01-01

    This investigation analyses the computerized axial tomography (CAT) of thorax with protocol of bronchiectasis. It was carried out in the Servicio de Radiologia e Imagenes Medicas of the Hospital Calderon Guardia, Costa Rica. The bronchiectasis is the abnormal permanent expansion of the bronchial tuber and is important to diagnose it because the patient can suffer of pulmonary infections, these can be accompanied by bronchial blood flow and hemoptysis. When they are disseminated can be associated with significant obstruction of the aerial tract. When they are gotten into focus can be confused with neoplasia and other diseases. From the bronchiectasis diagnosis it is used methods of image such as x-ray of thorax, bronchography and computerized axial tomography (CAT) of thorax, usually the diagnosis is confirmed by means of a computerized axial tomography (CAT); which is the image of election to establish the presence and extension of the bronchiectasis. In addition, this study analyzes the radiological clinical relation in the patients which were performed the computerized axial tomography (CAT) of thorax with protocol of bronchiectasis and it identifies the most suitable radiological technique to obtain a satisfactory result in the computerized axial tomography with protocol of bronchiectasis [es

  8. Ultra-low-dose CT imaging of the thorax: decreasing the radiation dose by one order of magnitude

    International Nuclear Information System (INIS)

    Lambert, Lukas; Banerjee, Rohan; Votruba, Jiri; El-Lababidi, Nabil; Zeman, Jiri

    2016-01-01

    Computed tomography (CT) is an indispensable tool for imaging of the thorax and there is virtually no alternative without associated radiation burden. The authors demonstrate ultra-low-dose CT of the thorax in three interesting cases. In an 18-y-old girl with rheumatoid arthritis, CT of the thorax identified alveolitis in the posterior costophrenic angles (radiation dose = 0.2 mSv). Its resolution was demonstrated on a follow-up scan (4.2 mSv) performed elsewhere. In an 11-y-old girl, CT (0.1 mSv) showed changes of the right collar bone consistent with chronic recurrent multifocal osteomyelitis. CT (0.1 mSv) of a 9-y-old girl with mucopolysaccharidosis revealed altogether three hamartomas, peribronchial infiltrate, and spine deformity. In some indications, the radiation dose from CT of the thorax can approach that of several plain radiographs. This may help the pediatrician in deciding whether 'gentle' ultra-low-dose CT instead of observation or follow-up radiographs will alleviate the uncertainty of the diagnosis with little harm to the child. (author)

  9. Effect of trunk sagittal attitude on shoulder, thorax and pelvis three-dimensional kinematics in able-bodied subjects during gait.

    Directory of Open Access Journals (Sweden)

    Alberto Leardini

    Full Text Available It has been shown that an original attitude in forward or backward inclination of the trunk is maintained at gait initiation and during locomotion, and that this affects lower limb loading patterns. However, no studies have shown the extent to which shoulder, thorax and pelvis three-dimensional kinematics are modified during gait due to this sagittal inclination attitude. Thirty young healthy volunteers were analyzed during level walking with video-based motion analysis. Reflecting markers were mounted on anatomical landmarks to form a two-marker shoulder line segment, and a four-marker thorax and pelvis segments. Absolute and relative spatial rotations were calculated, for a total of 11 degrees of freedom. The subjects were divided into two groups of 15 according to the median of mean thorax inclination angle over the gait cycle. Preliminary MANOVA analysis assessed whether gender was an independent variable. Then two-factor nested ANOVA was used to test the possible effect of thorax inclination on body segments, planes of motion and gait periods, separately. There was no significant difference in all anthropometric and spatio-temporal parameters between the two groups, except for subject mass. The three-dimensional kinematics of the thorax and pelvis were not affected by gender. Nested ANOVA revealed group effect in all segment rotations apart those at the pelvis, in the sagittal and frontal planes, and at the push-off. Attitudes in sagittal thorax inclination altered trunk segments kinematics during gait. Subjects with a backward thorax showed less thorax-to-pelvis motion, but more shoulder-to-thorax and thorax-to-laboratory motion, less motion in flexion/extension and in lateral bending, and also less motion during push-off. This contributes to the understanding of forward propulsion and sideways load transfer mechanisms, fundamental for the maintenance of balance and the risk of falling.

  10. Gallium imaging of esophageal carcinoma: Increased sensitivity with lateral views of the thorax

    International Nuclear Information System (INIS)

    Sostre, S.; Romero, I.; Rivera, J.V.; Baez, L.; Cintron, E.

    1990-01-01

    Ga-67 imaging has not been very successful in the detection of esophageal carcinoma. In most reports, sensitivity for the primary tumor ranged from 25-61%, but imaging had been done only in anterior and posterior (A-P) projections. We performed gallium scans in 30 patients with esophageal carcinoma, adding lateral views to the routine A-P projections, to study the effect of lateral views on tumor detection. The A-P views detected only 57% of the tumors while the right lateral visualized 89%, and the left lateral detected 100%. Some lesions may be hidden by the sternum and the spine in the routine A-P views. Previous disappointments with Ga-67 imaging of esophageal carcinoma were probably due to this technical factor. Being gallium-avid, esophageal tumors deserve further studies with this agent to determine the role of Ga-67 imaging in this condition. These studies should be performed with multiple views of the thorax or, better yet, with SPECT imaging of the chest, to circumvent the problem of sternum and spine interference

  11. Characterization and validation of the thorax phantom Lungman for dose assessment in chest radiography optimization studies.

    Science.gov (United States)

    Rodríguez Pérez, Sunay; Marshall, Nicholas William; Struelens, Lara; Bosmans, Hilde

    2018-01-01

    This work concerns the validation of the Kyoto-Kagaku thorax anthropomorphic phantom Lungman for use in chest radiography optimization. The equivalence in terms of polymethyl methacrylate (PMMA) was established for the lung and mediastinum regions of the phantom. Patient chest examination data acquired under automatic exposure control were collated over a 2-year period for a standard x-ray room. Parameters surveyed included exposure index, air kerma area product, and exposure time, which were compared with Lungman values. Finally, a voxel model was developed by segmenting computed tomography images of the phantom and implemented in PENELOPE/penEasy Monte Carlo code to compare phantom tissue-equivalent materials with materials from ICRP Publication 89 in terms of organ dose. PMMA equivalence varied depending on tube voltage, from 9.5 to 10.0 cm and from 13.5 to 13.7 cm, for the lungs and mediastinum regions, respectively. For the survey, close agreement was found between the phantom and the patients' median values (deviations lay between 8% and 14%). Differences in lung doses, an important organ for optimization in chest radiography, were below 13% when comparing the use of phantom tissue-equivalent materials versus ICRP materials. The study confirms the value of the Lungman for chest optimization studies.

  12. Functional capacities of lungs and thorax in beagles after prolonged residence at 3,100 m.

    Science.gov (United States)

    Johnson, R L; Cassidy, S S; Grover, R F; Schutte, J E; Epstein, R H

    1985-12-01

    Functional capacities of the lungs and thorax in beagles taken to high altitude as adults for 33 mo or in beagles raised from puppies at high altitude were compared with functional capacities in corresponding sets of beagles kept simultaneously at sea level. Comparisons were made after reacclimatization to sea level. Lung volumes, airway pressures, esophageal pressures, CO diffusing capacities (DLCO), pulmonary blood flow, and lung tissue volume (Vt) were measured by a rebreathing technique at inspired volumes ranging from 15 to 90 ml/kg. In beagles raised from puppies we measured anatomical distribution of intrathoracic air and tissue using X-ray computed tomography at transpulmonary pressures of 20 cm H2O. Lung and thoracic distensibility, DLCO, and Vt were not different between beagles that had been kept at high altitude for 33 mo as adults and control subjects kept simultaneously at sea level. Lung distensibility, DLCO, and Vt were significantly greater in beagles raised at high altitude than control subjects raised simultaneously at sea level. Thoracic distensibility was not increased in beagles raised at high altitude; the larger lung volume was accommodated by a lower diaphragm, not a larger rib cage.

  13. Using 3D printing techniques to create an anthropomorphic thorax phantom for medical imaging purposes.

    Science.gov (United States)

    Hazelaar, Colien; van Eijnatten, Maureen; Dahele, Max; Wolff, Jan; Forouzanfar, Tymour; Slotman, Ben; Verbakel, Wilko F A R

    2018-01-01

    Imaging phantoms are widely used for testing and optimization of imaging devices without the need to expose humans to irradiation. However, commercially available phantoms are commonly manufactured in simple, generic forms and sizes and therefore do not resemble the clinical situation for many patients. Using 3D printing techniques, we created a life-size phantom based on a clinical CT scan of the thorax from a patient with lung cancer. It was assembled from bony structures printed in gypsum, lung structures consisting of airways, blood vessels >1 mm, and outer lung surface, three lung tumors printed in nylon, and soft tissues represented by silicone (poured into a 3D-printed mold). Kilovoltage x-ray and CT images of the phantom closely resemble those of the real patient in terms of size, shapes, and structures. Surface comparison using 3D models obtained from the phantom and the 3D models used for printing showed mean differences 3D printing and molding techniques. The phantom closely resembles a real patient in terms of spatial accuracy and is currently being used to evaluate x-ray-based imaging quality and positional verification techniques for radiotherapy. © 2017 American Association of Physicists in Medicine.

  14. Radiation to the head, neck, and upper thorax of the young and thyroid neoplasia

    International Nuclear Information System (INIS)

    Schreiner, R.L.

    1976-01-01

    It is now generally accepted that an association exists between external radiation administered to the head, neck and upper thorax of infants, children and adolescents and the subsequent development of neoplastic changes in the thyroid gland. Until recent years external radiation was frequently administered to shrink an enlarged thymus, or for the treatment of tonsillitis, adenoiditis, hearing loss, hemangioma, acne, tinea capitis and other conditions. During the course of these treatments, the thyroid gland was exposed to scattered radiation. It is stressed that the use of external radiation therapy was then accepted practice and its value was attested by many. The likelihood of adverse effects was not initially apparent, primarily because of the long periods of time between the administration of the therapy and the recognition of changes in the thyroid. The availability and effectiveness of other therapeutic measures and the growing concern about the delayed effects of radiation therapy when administered to the young for relatively benign conditions has, in recent years, largely eliminated use of this form of therapy, except in a few unusual conditions

  15. Comparison of cone beam SPECT with conventional SPECT by means of cardiac-thorax phantom

    International Nuclear Information System (INIS)

    McGrath, M.A.; Manglos, S.H.

    1989-01-01

    Because of poor energy characteristics of Tl-201 used for myocardial perfusion imaging, the high sensitivity of cone-beam collimation is highly desirable. Using a cardiac-thorax phantom, the authors have compared single photon emission computed tomographic (SPECT) images obtained with a cone-beam collimator to those from a parallel hole collimator commonly used for thallium studies. A water-filled circular phantom with a cardiac insert was imaged. The myocardial shell was filled with Tl-201 (220 μCi). Two solid inserts within the myocardium simulated perfusion defects. The phantom ignores truncation effects in this preliminary experiment. For the authors' collimator, the resolution was designed to be similar to the authors' all-purpose, parallel-hole collimator at 10 cm. The focal length was 50 cm. The experimental protocol was chosen to be similar to their clinical protocol. A filtered back projection algorithm was used for cone-beam data. The same algorithm was used for the parallel-hole data, but with focal length set to infinity

  16. Modifications of the thorax radiography after postoperative irradiation in mammary carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Scheier, M; Rhomberg, W; Schelling, F

    1987-02-01

    The radiogenic modifications of the thorax radiography were evaluated in 100 patients irradiated postoperatively for mammary carcinoma between January, 1980 and March, 1983. No adjuvant chemotherapy was given. A telecobalt unit was used for the irradiations. A computer-assisted planning (Evados) was applied in order to obtain an individual optimization especially for the fields situated at the thoracic walls. The average focal doses to the thoracic wall and the regional lymph nodes were between 50 and 52 Gy. Taking into consideration all modifications visualized by radiography, 65% of patients had subacute radiogenic reactions in the lungs, especially in the apex fields. In general the modifications had no clinical importance. Only seven patients presented more severe forms of pneumonitis with clinical symptoms. Fibroses were developed only in the apex fields; infraclavicular infiltrations were seen only in exceptional cases. There were no costal necroses, essential pleural reactions, or radiogenic enlargements of the heart shadow. The rate of pulmonary reactions with clinical symptoms is reduced as compared with former techniques, e.g. opposing tangential fields. The knowledge of anamnesis and typical radiographic modifications should help to avoid problems of differentiation between apex reactions and tuberculosis.

  17. First identification of nanoparticles on thorax, abdomen and wings of the worker bee Apis dorsata Fabricius

    Directory of Open Access Journals (Sweden)

    Bhattacharyya Atanu

    2016-06-01

    Full Text Available The presence of nanoparticles on the body of the honeybee Apis dorsata Fabricius, was investigated for the first time to better understand the bee’s behaviour. These have been observed by using Scanning Electron Microscopy (SEM, Transmission Electron Microscopy (TEM and confirmed by Atomic Force Microscopy (AFM. Our study clearly denotes that the Indian rock honey bee Apis dorsata possess calcium silicate and calcium phosphate nanoparticles on its body surface of 5-50 nm in diameter. In particular, the nanoparticles on the abdomen and thorax of A. dorsata have an average diameter of about 10 nanometers and they are smaller than those found on wings of the same bees which are about 20 nanometers. The nanoparticles found are different of the ones previously observed on honey bees or other insects. The origin and role of these natural nanoparticles on the body of the Indian rock bee need to be to be further investigated; more research in the subject might raise important aspects in relation to the conservation of these unique pollinators.

  18. Influence of thorax irradiation on the survival of mice with spontaneous or artificial lung metastases from a transplantable mammary adenocarcinoma

    International Nuclear Information System (INIS)

    Wondergem, J.; Haveman, J.; van der Schueren, E.

    1985-01-01

    The effect of thorax irradiation on lung metastases, either occurring spontaneously from a primary mammary adenocarcinoma (M8013X) transplanted on the leg or artificially induced by intravenous injection of tumor cells was studied. Increasing the interval between the moment at which lung metastases are supposed to originate and the thorax irradiation resulted in a rapid decrease of the effectiveness of this treatment in preventing the development of lung metastases. Increasing the radiation dose led to an increased number of cures; however, an increased number of mice dying of lethal lung damage was also observed. Irradiation of the lungs of mice with 5 or 10 Gy, 24 hours, 7 days or 14 days prior to i.v. injection with tumor cells, did not significantly increase the number of mice with lung metastases. Immunological resistance against the tumor played a role in our experiments with both spontaneous and artificial lung metastases

  19. Thorax irradiation triggers a local and systemic accumulation of immunosuppressive CD4+ FoxP3+ regulatory T cells

    International Nuclear Information System (INIS)

    Wirsdörfer, Florian; Cappuccini, Federica; Niazman, Muska; Leve, Simone de; Westendorf, Astrid M; Lüdemann, Lutz; Stuschke, Martin; Jendrossek, Verena

    2014-01-01

    Lymphocyte infiltration is a common feature of radiation-induced pneumonitis and fibrosis, but their contribution to the pathogenic processes is still unclear. Here, we addressed the impact of thorax irradiation on the T cell compartment with a focus on immunosuppressive regulatory T cells (Treg). C57BL/6 wild type mice (WT) received anesthesia only (sham controls, 0 Gy) or were exposed to a single dose of whole thorax irradiation (15 Gy). Immune cells from lung tissue, spleen, and cervical lymph nodes were collected 10 to 84 days post-irradiation and phenotypically characterized by flow cytometry. Whole thorax irradiation provoked an increased influx of CD3+ T cells at 42 and 84 days post-irradiation. In contrast, local irradiation caused a sustained reduction in CD3+ T cells in peripheral lymphoid tissues. Interestingly, we observed a significant local and systemic increase in the fraction of CD4+ T cells expressing the transcription factor forkhead box P3 (FoxP3), the phenotypic marker for murine Treg, at day 21 post-irradiation. The accumulation of Treg was associated with increased levels of T cells expressing surface proteins characteristic for recruitment and immunosuppressive activity, e.g. CD103, CTLA-4 and CD73. Importantly, Treg isolated at this time point were able to suppress CD4+ effector T cells to a similar extent as Treg isolated from control mice. The response of the adaptive immune system to whole thorax irradiation is characterized by local immunoactivation and systemic immunosuppression. The transient accumulation of immunosuppressive CD4+ FoxP3+ Treg may be required to protect the lung against excessive inflammation-induced tissue damage. Further investigations shall define the mechanisms underlying the accumulation of Treg and their role for the pathogenesis of radiation-induced lung disease

  20. Tumores primarios de la pared torácica Primary tumors of the thorax wall

    Directory of Open Access Journals (Sweden)

    Bárbaro Agustín Armas Pérez

    2011-09-01

    Full Text Available Introducción: se revisan aspectos teóricos en los tumores primarios de la pared torácica, sobre todo en la clasificación y en aspectos clínicos, diagnósticos y terapéuticos, con el propósito de conocer los resultados del tratamiento en el centro. Métodos: se realizó un estudio retrospectivo descriptivo para analizar los resultados del tratamiento quirúrgico en 22 pacientes (muestra con tumores primarios de la pared torácica, en un período de 15 años (enero de 1993 a diciembre de 2008, en los servicios de cirugía general y ortopedia del Hospital "Amalia Simoni" de Camagüey. Resultados: hubo ligero predominio del sexo femenino y del grupo de edad entre 17 a 44 años (media 39,4, la comorbilidad que predominó fue la hipertensión arterial, el hemitórax derecho fue el más afectado, y las costillas de la 1 a la 4 las más lesionadas, y predominaron las afecciones benignas, entre ellas, el osteocondroma. El tratamiento más utilizado fue la resección quirúrgica, y la complicación posoperatoria que predominó fue la bronconeumonía. El índice de recidiva tumoral fue alto, no siempre por cáncer. Hubo 4 fallecidos por enfermedad maligna avanzada, y no se presentaron muertes perioperatorias. Conclusiones: fueron comparados los resultados con los de otros reportes y se hallaron puntos de coincidencia en diversos aspectos, pero también discrepantes, se trata de unificar criterios para mejorar el diagnóstico y los resultados del tratamiento en estos enfermos. La mayoría de los pacientes no presentaron complicaciones, y la recidiva tumoral estuvo por encima de lo esperado. La resección tumoral siempre debe ser amplia. El resultado global fue satisfactorio.Introduction: the theoretical features in the primary tumors of the thorax wall, especially in the classification and clinical, diagnostic y therapeutical features were reviewed to know the results of treatment in our institution. Methods: a descriptive and retrospective study was

  1. Gallium scans of the thorax in patients with acquired immune deficiency syndrome (AIDS): Description and utilization

    Energy Technology Data Exchange (ETDEWEB)

    Le, G.; Chen, D.C.P.; Siegel, M.E.

    1984-01-01

    The pattern of distribution of gallium uptake in the thorax was investigated in patients (pts) with AIDS. Eleven pts (ages 18-53), all active homosexual males suspected of having acute pulmonary infection were studied. Ga lung scans were performed at 24-48 and/or 72 hrs. post injection. The diagnosis of AIDS was based on appropriate clinical and laboratory findings. The Ga activity in the lung was graded from zero = background to 4+ which is > liver activity. Eight of eleven pts have positive Ga scan while seven of eleven pts had positive CXR. Six pts had both positive CXR and Ga scan. One pt had a positive Ga scan with negative CXR, and one with positive CXR and negative Ga scan. The positive Ga scans included 3 pts with 4+ diffuse uptake, two pts with 2+ diffuse uptake, two pts with 1+ diffuse uptake, and two with hilar node uptake. Three pts have focal increased uptake superimposed on diffuse uptake. Two pts with 4+ diffuse uptake had mild abnormality on their CXR. One pt with 4+ uptake in the initial scan shows decreased activity on follow-up with clinical improvement after therapy. Thus, all but two pts with positive Ga scans had diffuse lung uptake. These two patients alone had B cell immunoblastic sarcoma and oral candidiasis. The pattern of Ga lung uptake in pts with AIDS reveal that a majority of positive scans are diffuse (6/8) and the intensity may suggest more active disease than CXR (2 normal) and, thus, the study may be useful in detecting changes from atypical pulmonary infection in this population.

  2. Gallium scans of the thorax in patients with acquired immune deficiency syndrome (AIDS): Description and utilization

    International Nuclear Information System (INIS)

    Le, G.; Chen, D.C.P.; Siegel, M.E.

    1984-01-01

    The pattern of distribution of gallium uptake in the thorax was investigated in patients (pts) with AIDS. Eleven pts (ages 18-53), all active homosexual males suspected of having acute pulmonary infection were studied. Ga lung scans were performed at 24-48 and/or 72 hrs. post injection. The diagnosis of AIDS was based on appropriate clinical and laboratory findings. The Ga activity in the lung was graded from zero = background to 4+ which is > liver activity. Eight of eleven pts have positive Ga scan while seven of eleven pts had positive CXR. Six pts had both positive CXR and Ga scan. One pt had a positive Ga scan with negative CXR, and one with positive CXR and negative Ga scan. The positive Ga scans included 3 pts with 4+ diffuse uptake, two pts with 2+ diffuse uptake, two pts with 1+ diffuse uptake, and two with hilar node uptake. Three pts have focal increased uptake superimposed on diffuse uptake. Two pts with 4+ diffuse uptake had mild abnormality on their CXR. One pt with 4+ uptake in the initial scan shows decreased activity on follow-up with clinical improvement after therapy. Thus, all but two pts with positive Ga scans had diffuse lung uptake. These two patients alone had B cell immunoblastic sarcoma and oral candidiasis. The pattern of Ga lung uptake in pts with AIDS reveal that a majority of positive scans are diffuse (6/8) and the intensity may suggest more active disease than CXR (2 normal) and, thus, the study may be useful in detecting changes from atypical pulmonary infection in this population

  3. Persistent candidemia in major burn patients: radiologic findings of the thorax

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eil Seong; Lee, Kwan Seop; Kang, Ik Won [Hallym Univ. College of Medicine, Seoul (Korea, Republic of)

    1997-04-01

    To describe radiologic findings of burn-associated persistent candidemia of the thorax. This study included 42 patients with major burns in whom blood culture had shown the presence for more than 24 hours of persistent candidemia. The duration of positive culture for candidiasis ranged from two to 67 days(mean, 15 days). Radiographic(n=42) and thin-section CT findings(n=13) were retrospectively analyzed. The onset, pattern, size, distribution and persistence of parenchymal abnormalities as well as the presence or absence of pleural effusions, mediastinal lymphadenopathy and cardiomegaly were assessed. On chest radiographs, positive findings were noticed in 61.9%(26/42) and on thin-section CT, in 76.9%(10/13). The most frequent radiographic finding was pulmonary nodule(s), observed in 14 patients(33.3%); in 13, these were bilateral. Bronchovascular bundle thickening(n=6, 14.3%), consolidation(n=4, 9.5%), cardiomegaly(n=6, 14.3%) and pleural effusion(n=4, 9.5%) were also observed. Those lesions appeared eight to 129 days(mean, 33 days) after the burn. Radiographic abnormalities persisted for seven to 115(mean, 35) days, regardless of the treatment. Thin-section CT showed parenchymal abnormalities in 10/13 patients(76.9%) and subpleural nodules of less than 1cm in diameter and without halo in all patients. Cardiomegaly, pleural effusion and mediastinal adenopathy were observed on CT in 5(38.5%), 4(30.8%) and 2(15.4%) of the 13 patients, respectively. In a high proportion of patients with burn-associated candidemia, chest radiograph and thin-section CT findings were positive. The most frequent radiographic parenchymal abnormality was multiple bilateral nodules.

  4. Persistent candidemia in major burn patients: radiologic findings of the thorax

    International Nuclear Information System (INIS)

    Lee, Eil Seong; Lee, Kwan Seop; Kang, Ik Won

    1997-01-01

    To describe radiologic findings of burn-associated persistent candidemia of the thorax. This study included 42 patients with major burns in whom blood culture had shown the presence for more than 24 hours of persistent candidemia. The duration of positive culture for candidiasis ranged from two to 67 days(mean, 15 days). Radiographic(n=42) and thin-section CT findings(n=13) were retrospectively analyzed. The onset, pattern, size, distribution and persistence of parenchymal abnormalities as well as the presence or absence of pleural effusions, mediastinal lymphadenopathy and cardiomegaly were assessed. On chest radiographs, positive findings were noticed in 61.9%(26/42) and on thin-section CT, in 76.9%(10/13). The most frequent radiographic finding was pulmonary nodule(s), observed in 14 patients(33.3%); in 13, these were bilateral. Bronchovascular bundle thickening(n=6, 14.3%), consolidation(n=4, 9.5%), cardiomegaly(n=6, 14.3%) and pleural effusion(n=4, 9.5%) were also observed. Those lesions appeared eight to 129 days(mean, 33 days) after the burn. Radiographic abnormalities persisted for seven to 115(mean, 35) days, regardless of the treatment. Thin-section CT showed parenchymal abnormalities in 10/13 patients(76.9%) and subpleural nodules of less than 1cm in diameter and without halo in all patients. Cardiomegaly, pleural effusion and mediastinal adenopathy were observed on CT in 5(38.5%), 4(30.8%) and 2(15.4%) of the 13 patients, respectively. In a high proportion of patients with burn-associated candidemia, chest radiograph and thin-section CT findings were positive. The most frequent radiographic parenchymal abnormality was multiple bilateral nodules

  5. Aspects of radiation protection during chest X-radiography; Strahlenhygienische Aspekte bei der Roentgenuntersuchung des Thorax

    Energy Technology Data Exchange (ETDEWEB)

    Seidenbusch, M.C.; Schneider, K. [Dr. von Haunersches Kinderspital, Klinikum der Universitaet Muenchen, Institut fuer Klinische Radiologie - Kinderradiologie, Muenchen (Germany)

    2015-07-15

    Radiation safety in conventional X-ray diagnostics is based on the concepts of justification, optimization of an X-ray examination and limitation of the radiation exposure achieved during the examination. Optimization of an X-ray examination has to be considered as a multimodal process in which all technical components of the X-ray equipment have to be adapted to each other and also have to be adapted to the anthropometric characteristics of patients and the clinical indications. In this article the technical components of a conventional pediatric chest X-radiograph are presented, and recommendations for optimizing chest X-rays in children are provided. The following measures are of prime importance: correct x-ray beam limitation, using the posteroanterior projection when possible and not using anti-scatter grids in children under approximately 8 years old. In pediatric radiology chest x-rays that are taken not at the peak of inspiration can also be of some diagnostic significance. Optimization of an X-ray examination inevitably results in the limitation of radiation exposure. (orig.) [German] Die Strahlenhygiene in der konventionellen radiologischen Diagnostik basiert auf der Trias Rechtfertigung, Optimierung bzw. Limitierung der Roentgenuntersuchung bzw. Strahlenexposition. Die Optimierung einer Roentgenuntersuchung ist als multimodaler Prozess aufzufassen, in welchem saemtliche technische Komponenten der Roentgeneinrichtung sowohl miteinander als auch mit den anthropometrischen Eigenschaften des Patienten und der klinischen Fragestellung abzustimmen sind. Im vorliegenden Beitrag werden die technischen Komponenten bei der konventionellen Roentgenuntersuchung des paediatrischen Thorax in ihrer Beziehung zueinander dargestellt und Empfehlungen fuer eine Optimierung der konventionellen Thoraxaufnahme bei Kindern ausgesprochen. Die wichtigsten Massnahmen bestehen in einer korrekten Einblendung, in der Anfertigung der Aufnahmen im posteroanterioren Strahlengang und im

  6. Evaluation of a method for correction of scatter radiation in thorax cone beam CT; Evaluation d'une methode de correction du rayonnement diffuse en tomographie du thorax avec faisceau conique

    Energy Technology Data Exchange (ETDEWEB)

    Rinkel, J.; Dinten, J.M. [CEA Grenoble (DTBS/STD), Lab. d' Electronique et de Technologie de l' Informatique, LETI, 38 (France); Esteve, F. [European Synchrotron Radiation Facility (ESRF), 38 - Grenoble (France)

    2004-07-01

    Purpose: Cone beam CT (CBCT) enables three-dimensional imaging with isotropic resolution. X-ray scatter estimation is a big challenge for quantitative CBCT imaging of thorax: scatter level is significantly higher on cone beam systems compared to collimated fan beam systems. The effects of this scattered radiation are cupping artefacts, streaks, and quantification inaccuracies. The beam stops conventional scatter estimation approach can be used for CBCT but leads to a significant increase in terms of dose and acquisition time. At CEA-LETI has been developed an original scatter management process without supplementary acquisition. Methods and Materials: This Analytical Plus Indexing-based method (API) of scatter correction in CBCT is based on scatter calibration through offline acquisitions with beam stops on lucite plates, combined to an analytical transformation issued from physical equations. This approach has been applied with success in bone densitometry and mammography. To evaluate this method in CBCT, acquisitions from a thorax phantom with and without beam stops have been performed. To compare different scatter correction approaches, Feldkamp algorithm has been applied on rough data corrected from scatter by API and by beam stops approaches. Results: The API method provides results in good agreement with the beam stops array approach, suppressing cupping artefact. Otherwise influence of the scatter correction method on the noise in the reconstructed images has been evaluated. Conclusion: The results indicate that the API method is effective for quantitative CBCT imaging of thorax. Compared to a beam stops array method it needs a lower x-ray dose and shortens acquisition time. (authors)

  7. Design of a multimodal ({sup 1}H/{sup 23}Na MR/CT) anthropomorphic thorax phantom

    Energy Technology Data Exchange (ETDEWEB)

    Neumann, Wiebke; Lietzmann, Florian; Schad, Lothar R.; Zoellner, Frank G. [Heidelberg Univ., Mannheim (Germany). Computer Assisted Clinical Medicine

    2017-08-01

    This work proposes a modular, anthropomorphic MR and CT thorax phantom that enables the comparison of experimental studies for quantitative evaluation of deformable, multimodal image registration algorithms and realistic multi-nuclear MR imaging techniques. A human thorax phantom was developed with insertable modules representing lung, liver, ribs and additional tracking spheres. The quality of human tissue mimicking characteristics was evaluated for {sup 1}H and {sup 23}Na MR as well as CT imaging. The position of landmarks in the lung lobes was tracked during CT image acquisition at several positions during breathing cycles. {sup 1}H MR measurements of the liver were repeated after seven months to determine long term stability. The modules possess HU, T{sub 1} and T{sub 2} values comparable to human tissues (lung module: -756 ± 148 HU, artificial ribs: 218 ± 56 HU (low CaCO{sub 3} concentration) and 339 ± 121 (high CaCO{sub 3} concentration), liver module: T{sub 1} = 790 ± 28 ms, T{sub 2} = 65 ± 1 ms). Motion analysis showed that the landmarks in the lung lobes follow a 3D trajectory similar to human breathing motion. The tracking spheres are well detectable in both CT and MRI. The parameters of the tracking spheres can be adjusted in the following ranges to result in a distinct signal: HU values from 150 to 900 HU, T{sub 1} relaxation time from 550 ms to 2000 ms, T{sub 2} relaxation time from 40 ms to 200 ms. The presented anthropomorphic multimodal thorax phantom fulfills the demands of a simple, inexpensive system with interchangeable components. In future, the modular design allows for complementing the present set up with additional modules focusing on specific research targets such as perfusion studies, {sup 23}Na MR quantification experiments and an increasing level of complexity for motion studies.

  8. [Leonardo da Vinci the first human body imaging specialist. A brief communication on the thorax oseum images].

    Science.gov (United States)

    Cicero, Raúl; Criales, José Luis; Cardoso, Manuel

    2009-01-01

    The impressive development of computed tomography (CT) techniques such as the three dimensional helical CT produces a spatial image of the thoracic skull. At the beginning of the 16th century Leonardo da Vinci drew with great precision the thorax oseum. These drawings show an outstanding similarity with the images obtained by three dimensional helical CT. The cumbersome task of the Renaissance genius is a prime example of the careful study of human anatomy. Modern imaging techniques require perfect anatomic knowledge of the human body in order to generate exact interpretations of images. Leonardo's example is alive for anybody devoted to modern imaging studies.

  9. Distribution patterns of inhaled polydisperse 147Pm fused clay particles in the beagle dog thorax with and without lavage therapy

    International Nuclear Information System (INIS)

    Snipes, M.B.; Runkle, G.E.; Muggenburg, B.A.; Hulbert, A.J.

    1974-01-01

    An experiment was designed to examine dispersion and retention patterns for polydisperse aerosols of fused montmorillonite clay particles labeled with 147 Pm. Fourteen dogs were exposed and scheduled for serial sacrifice at 0, 8, 64, and 365 days post-exposure. Experimental procedures included producing a series of slices through the thorax at approximately 1 cm intervals and obtaining a series of autoradiograms and 35 mm color transparencies for each set of thorax slices to define (1) the average doses to lung, lung lobes, and other tissues of interest, (2) the number of hot spots of activity per unit volume in the lung, and (3) a size distribution for these hot spots. Comparable data will be analyzed for 4 additional dogs subjected to lavage therapy to remove a portion of the burden from either the left or right lung using 1 or 5 treatments. Totals of 31 to 71 percent of the initial left or right lung burden were removed by the lavage therapy but only preliminary observations are completed on the autoradiography data. (U.S.)

  10. Influence of the measuring condition on vibrocardiographic signals acquired on the thorax with a laser Doppler vibrometer

    Science.gov (United States)

    Mignanelli, L.; Bauer, G.; Klarmann, M.; Wang, H.; Rembe, C.

    2017-07-01

    Velocity signals acquired with a Laser Doppler Vibrometer on the thorax (Optical Vibrocardiography) contain important information, which have a relation to cardiovascular parameters and cardiovascular diseases. The acquired signal results in a superimposition of vibrations originated from different sources of the human body. Since we study the vibration generated by the heart to reliably detect a characteristic time interval corresponding to the PR interval in the ECG, these disturbance have to be removed by filtering. Moreover, the Laser Doppler Vibrometer measures only in the direction of the laser beam and, thus, the velocity signal is only a projection of the tridimensional movement of the thorax. This work presents an analysis of the influences of the filters and of the measurement direction on the characteristic time interval in Vibrocardiographic signals. Our analysis results in recommended settings for filters and we demonstrate that reliable detection of vibrocardiographic parameters is possible within an angle deviation of 30° in respect to the perpendicular irradiation on the front side of the subject.

  11. Calculations of radiation fields and monkey mid-head and mid-thorax responses in AFRRI-TRIGA reactor facility experiments

    International Nuclear Information System (INIS)

    Johnson, J.O.; Emmett, M.B.; Pace, J.V. III.

    1983-07-01

    A computational study was performed to characterize the radiation exposure fields and the mid-head and mid-thorax response functions for monkeys irradiated in the Armed Forces Radiobiological Research Institute (AFRRI) reactor exposure facilities. Discrete ordinates radiation transport calculations were performed in one-dimensional spherical geometry to obtain the energy spectra of the neutrons and gamma rays entering the room through various spectrum modifiers and reaching the irradiation position. Adjoint calculations performed in two-dimensional cylindrical geometry yielded the mid-head and mid-thorax response functions, which were then folded with flux spectra to obtain the monkey mid-head and mid-thorax doses (kerma rates) received at the irradiation position. The results of the study are presented both as graphs and as tables. The resulting spectral shapes compared favorably with previous work; however, the magnitudes of the fluxes did not. The differences in the magnitudes may be due to the normalization factor used

  12. Evaluation of organ doses and specific k effective dose of 64-slice CT thorax examination using an adult anthropomorphic phantom

    International Nuclear Information System (INIS)

    Hashim, S.; Karim, M.K.A.; Bakar, K.A.; Sabarudin, A.; Chin, A.W; Saripan, M.I.; Bradley, D.A.

    2016-01-01

    The magnitude of radiation dose in computed tomography (CT) depends on the scan acquisition parameters, investigated herein using an anthropomorphic phantom (RANDO®) and thermoluminescence dosimeters (TLD). Specific interest was in the organ doses resulting from CT thorax examination, the specific k coefficient for effective dose estimation for particular protocols also being determined. For measurement of doses representing five main organs (thyroid, lung, liver, esophagus and skin), TLD-100 (LiF:Mg, Ti) were inserted into selected holes in a phantom slab. Five CT thorax protocols were investigated, one routine (R1) and four that were modified protocols (R2 to R5). Organ doses were ranked from greatest to least, found to lie in the order: thyroid>skin>lung>liver>breast. The greatest dose, for thyroid at 25 mGy, was that in use of R1 while the lowest, at 8.8 mGy, was in breast tissue using R3. Effective dose (E) was estimated using three standard methods: the International Commission on Radiological Protection (ICRP)-103 recommendation (E103), the computational phantom CT-EXPO (E(CTEXPO)) method, and the dose-length product (DLP) based approach. E103 k factors were constant for all protocols, ~8% less than that of the universal k factor. Due to inconsistency in tube potential and pitch factor the k factors from CTEXPO were found to vary between 0.015 and 0.010 for protocols R3 and R5. With considerable variation between scan acquisition parameters and organ doses, optimization of practice is necessary in order to reduce patient organ dose. - Highlights: • Using TLD-100 dosimeters and a RANDO phantom 5 CT thorax protocol organ doses were assessed. • The specific k coefficient for effective dose estimation of protocols differed with approach. • Organ dose was observed to decrease in the order: thyroid>skin>lung>liver>breast. • E103 k factors were constant for all protocols, lower by ~8% compared to the universal k factor.

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

    International Nuclear Information System (INIS)

    Patino O, Maria Olga; Gomez Ramirez, Rafael

    1993-01-01

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

  14. Diagnostic significance of rib series in minor thorax trauma compared to plain chest film and computed tomography.

    Science.gov (United States)

    Hoffstetter, Patrick; Dornia, Christian; Schäfer, Stephan; Wagner, Merle; Dendl, Lena M; Stroszczynski, Christian; Schreyer, Andreas G

    2014-01-01

    Rib series (RS) are a special radiological technique to improve the visualization of the bony parts of the chest. The aim of this study was to evaluate the diagnostic accuracy of rib series in minor thorax trauma. Retrospective study of 56 patients who received RS, 39 patients where additionally evaluated by plain chest film (PCF). All patients underwent a computed tomography (CT) of the chest. RS and PCF were re-read independently by three radiologists, the results were compared with the CT as goldstandard. Sensitivity, specificity, negative and positive predictive value were calculated. Significance in the differences of findings was determined by McNemar test, interobserver variability by Cohens kappa test. 56 patients were evaluated (34 men, 22 women, mean age =61 y.). In 22 patients one or more rib fracture could be identified by CT. In 18 of these cases (82%) the correct diagnosis was made by RS, in 16 cases (73%) the correct number of involved ribs was detected. These differences were significant (p = 0.03). Specificity was 100%, negative and positive predictive value were 85% and 100%. Kappa values for the interobserver agreement was 0.92-0.96. Sensitivity of PCF was 46% and was significantly lower (p = 0.008) compared to CT. Rib series does not seem to be an useful examination in evaluating minor thorax trauma. CT seems to be the method of choice to detect rib fractures, but the clinical value of the radiological proof has to be discussed and investigated in larger follow up studies.

  15. Whole thorax irradiation of non-human primates induces persistent nuclear damage and gene expression changes in peripheral blood cells.

    Directory of Open Access Journals (Sweden)

    Shanaz A Ghandhi

    Full Text Available We investigated the cytogenetic and gene expression responses of peripheral blood cells of non-human primates (NHP, Macaca mulatta that were whole-thorax irradiated with a single dose of 10 Gy. In this model, partial irradiation of NHPs in the thoracic region (Whole Thorax Lung Irradiation, WTLI allows the study of late radiation-induced lung injury, while avoiding acute radiation syndromes related to hematopoietic and gastrointestinal injury. A transient drop in circulating lymphocytes and platelets was seen by 9 days, followed by elevations in respiratory rate, circulating neutrophils, lymphocytes, and monocytes at 60-100 days, corresponding to computed tomography (CT and histologic evidence of pneumonitis, and elective euthanasia of four animals. To evaluate long-term DNA damage in NHP peripheral blood lymphocytes after 10 Gy WTLI, we used the cytokinesis-block micronucleus (CBMN assay to measure chromosomal aberrations as post-mitotic micronuclei in blood samples collected up to 8 months after irradiation. Regression analysis showed significant induction of micronuclei in NHP blood cells that persisted with a gradual decline over the 8-month study period, suggesting long-term DNA damage in blood lymphocytes after WTLI. We also report transcriptomic changes in blood up to 30 days after WTLI. We isolated total RNA from peripheral blood at 3 days before and then at 2, 5 and 30 days after irradiation. We identified 1187 transcripts that were significantly changed across the 30-day time course. From changes in gene expression, we identified biological processes related to immune responses, which persisted across the 30-day study. Response to oxygen-containing compounds and bacteria were implicated by gene-expression changes at the earliest day 2 and latest, day 30 time-points. Gene expression changes suggest a persistent altered state of the immune system, specifically response to infection, for at least a month after WTLI.

  16. Angiotensin converting enzyme inhibitors mitigate collagen synthesis induced by a single dose of radiation to the whole thorax

    International Nuclear Information System (INIS)

    Kma, L.; Gao, F.; Fish, B.L.; Moulder, J.E.; Jacobs, E.R.; Medhora, M.

    2012-01-01

    Our long-term goal is to use angiotensin converting enzyme (ACE) inhibitors to mitigate the increase in lung collagen synthesis that is induced by irradiation to the lung, which could result from accidental exposure or radiological terrorism. Rats (WAG/RijCmcr) were given a single dose of 13 Gy (dose rate of 1.43 Gy/min) of X-irradiation to the thorax. Three structurally-different ACE inhibitors, captopril, enalapril and fosinopril were provided in drinking water beginning 1 week after irradiation. Rats that survived acute pneumonitis (at 6-12 weeks) were evaluated monthly for synthesis of lung collagen. Other endpoints included breathing rate, wet to dry lung weight ratio, and analysis of lung structure. Treatment with captopril (145-207 mg/m 2 /day) or enalapril (19-28 mg/m 2 /day), but not fosinopril (19-28 mg/m 2 /day), decreased morbidity from acute pneumonitis. Lung collagen in the surviving irradiated rats was increased over that of controls by 7 months after irradiation. This increase in collagen synthesis was not observed in rats treated with any of the three ACE inhibitors. Analysis of the lung morphology at 7 months supports the efficacy of ACE inhibitors against radiation-induced fibrosis. The effectiveness of fosinopril against fibrosis, but not against acute pneumonitis, suggests that pulmonary fibrosis may not be a simple consequence of injury during acute pneumonitis. In summary, three structurally-different ACE inhibitors mitigate the increase in collagen synthesis 7 months following irradiation of the whole thorax and do so, even when therapy is started one week after irradiation. (author)

  17. Corpuls cpr resuscitation device generates superior emulated flows and pressures than LUCAS II in a mechanical thorax model.

    Science.gov (United States)

    Eichhorn, S; Mendoza Garcia, A; Polski, M; Spindler, J; Stroh, A; Heller, M; Lange, R; Krane, M

    2017-06-01

    The provision of sufficient chest compression is among the most important factors influencing patient survival during cardiopulmonary resuscitation (CPR). One approach to optimize the quality of chest compressions is to use mechanical-resuscitation devices. The aim of this study was to compare a new device for chest compression (corpuls cpr) with an established device (LUCAS II). We used a mechanical thorax model consisting of a chest with variable stiffness and an integrated heart chamber which generated blood flow dependent on the compression depth and waveform. The method of blood-flow generation could be changed between direct cardiac-compression mode and thoracic-pump mode. Different chest-stiffness settings and compression modes were tested to generate various blood-flow profiles. Additionally, an endurance test at high stiffness was performed to measure overall performance and compression consistency. Both resuscitation machines were able to compress the model thorax with a frequency of 100/min and a depth of 5 cm, independent of the chosen chest stiffness. Both devices passed the endurance test without difficulty. The corpuls cpr device was able to generate about 10-40% more blood flow than the LUCAS II device, depending on the model settings. In most scenarios, the corpuls cpr device also generated a higher blood pressure than the LUCAS II. The peak compression forces during CPR were about 30% higher using the corpuls cpr device than with the LUCAS II. In this study, the corpuls cpr device had improved blood flow and pressure outcomes than the LUCAS II device. Further examination in an animal model is required to prove the findings of this preliminary study.

  18. Whole thorax irradiation of non-human primates induces persistent nuclear damage and gene expression changes in peripheral blood cells.

    Science.gov (United States)

    Ghandhi, Shanaz A; Turner, Helen C; Shuryak, Igor; Dugan, Gregory O; Bourland, J Daniel; Olson, John D; Tooze, Janet A; Morton, Shad R; Batinic-Haberle, Ines; Cline, J Mark; Amundson, Sally A

    2018-01-01

    We investigated the cytogenetic and gene expression responses of peripheral blood cells of non-human primates (NHP, Macaca mulatta) that were whole-thorax irradiated with a single dose of 10 Gy. In this model, partial irradiation of NHPs in the thoracic region (Whole Thorax Lung Irradiation, WTLI) allows the study of late radiation-induced lung injury, while avoiding acute radiation syndromes related to hematopoietic and gastrointestinal injury. A transient drop in circulating lymphocytes and platelets was seen by 9 days, followed by elevations in respiratory rate, circulating neutrophils, lymphocytes, and monocytes at 60-100 days, corresponding to computed tomography (CT) and histologic evidence of pneumonitis, and elective euthanasia of four animals. To evaluate long-term DNA damage in NHP peripheral blood lymphocytes after 10 Gy WTLI, we used the cytokinesis-block micronucleus (CBMN) assay to measure chromosomal aberrations as post-mitotic micronuclei in blood samples collected up to 8 months after irradiation. Regression analysis showed significant induction of micronuclei in NHP blood cells that persisted with a gradual decline over the 8-month study period, suggesting long-term DNA damage in blood lymphocytes after WTLI. We also report transcriptomic changes in blood up to 30 days after WTLI. We isolated total RNA from peripheral blood at 3 days before and then at 2, 5 and 30 days after irradiation. We identified 1187 transcripts that were significantly changed across the 30-day time course. From changes in gene expression, we identified biological processes related to immune responses, which persisted across the 30-day study. Response to oxygen-containing compounds and bacteria were implicated by gene-expression changes at the earliest day 2 and latest, day 30 time-points. Gene expression changes suggest a persistent altered state of the immune system, specifically response to infection, for at least a month after WTLI.

  19. Continuous total intravenous anesthesia, using propofol and fentanyl in an open-thorax rabbit model: evaluation of cardiac contractile function and biochemical assessment

    NARCIS (Netherlands)

    de Mulder, P. A.; van Kerckhoven, R. J.; Adriaensen, H. F.; Gillebert, T. C.; de Hert, S. G.

    1997-01-01

    Effects are reported of an anesthetic protocol involving use of predetermined intravenous (i.v.)-administered drug doses during acute experimental procedures in vagotomized, New Zealand White rabbits with open thorax (n = 20) in a nonsurvival study. After induction of anesthesia by intramuscular

  20. Cranking up the heat: relationships between energetically costly song features and the increase in thorax temperature in male crickets and katydids.

    Science.gov (United States)

    Erregger, Bettina; Kovac, Helmut; Stabentheiner, Anton; Hartbauer, Manfred; Römer, Heinrich; Schmidt, Arne K D

    2017-07-15

    Sexual displays of acoustically signalling insects are used in the context of mate attraction and mate choice. While energetic investment in sound production can increase the reproductive success of the sender, this entails metabolic costs. Resource allocation to sexually selected, reproductive traits can trade off against allocation to naturally selected traits (e.g. growth, immunity) when individuals' energy budgets are limited. Estimating the magnitude of the costs invested in acoustic signalling is necessary to understand this trade-off and its influence on fitness and life history. To compare the costs associated with acoustic signalling for two ensiferan species, we simultaneously took respiratory measurements to record the rate of CO 2 production and used infrared thermography to measure the increase in thorax temperature. Furthermore, to identify what combinations of acoustic parameters were energetically costly for the sender, we recorded the calling songs of 22 different cricket and katydid species for a comparative analysis and measured their thorax temperature while they sang. Acoustic signalling was energetically costly for Mecopoda sp. and Anurogryllus muticus , requiring a 12- and 16-fold increase over resting levels in the CO 2 production rate. Moreover, calling increased thorax temperature, on average by 7.6 and 5.8°C, respectively. We found that the song intensity and effective calling rate, not simply the chirp/trill duty cycle or the pulse rate alone, were good predictors for the thorax temperature increase in males. © 2017. Published by The Company of Biologists Ltd.

  1. The genetics of green thorax, a new larval colour mutant, non-linked with ruby - eye locus in the malaria mosquito, Anopheles stephensi.

    Science.gov (United States)

    Sanil, D; Shetty, N J

    2009-06-01

    Anopheles stephensi, an important vector of malaria continues to be distributed widely in the Indian subcontinent. The natural vigour of the species combined with its new tolerance, indeed resistance to insecticides has made it obligatory that we look for control methods involving genetic manipulation. Hence, there is an immediate need for greater understanding of the genetics of this vector species. One of the requirements for such genetic studies is the establishment of naturally occurring mutants, establishment of the genetic basis for the same and use of such mutants in the genetic transformation studies and other genetic control programme(s). This paper describes the isolation and genetic studies of a larval colour mutant, green thorax (gt), and linkage studies involving another autosomal recessive mutant ruby- eye (ru) in An. stephensi. After the initial discovery, the mutant green thorax was crossed inter se and pure homozygous stock of the mutant was established. The stock of the mutant ruby- eye, which has been maintained as a pure stock in the laboratory. Crosses were made between the wild type and mutant, green thorax to determine the mode of inheritance of green thorax. For linkage studies, crosses were made between the mutant green thorax and another autosomal recessive mutant ruby-eye. The percentage cross-over was calculated for the genes linkage relationship for gt and gt ru. Results of crosses between mutant and wild type showed that the inheritance of green thorax (gt) in An. stephensi is monofactorial in nature. The gt allele is recessive to wild type and is autosomal. The linkage studies showed no linkage between ru and gt. The mutant gt represents an excellent marker for An. stephensi as it is expressed in late III instar stage of larvae and is prominent in IV instar and pupal stages with complete penetrance and high viability. The said mutant could be easily identified without the aid of a microscope. This mutant can be used extensively to

  2. Measurement of entrance surface dose on an anthropomorphic thorax phantom using a miniature fiber-optic dosimeter.

    Science.gov (United States)

    Yoo, Wook Jae; Shin, Sang Hun; Jeon, Dayeong; Hong, Seunghan; Sim, Hyeok In; Kim, Seon Geun; Jang, Kyoung Won; Cho, Seunghyun; Youn, Won Sik; Lee, Bongsoo

    2014-04-01

    A miniature fiber-optic dosimeter (FOD) system was fabricated using a plastic scintillating fiber, a plastic optical fiber, and a multi-pixel photon counter to measure real-time entrance surface dose (ESD) during radiation diagnosis. Under varying exposure parameters of a digital radiography (DR) system, we measured the scintillating light related to the ESD using the sensing probe of the FOD, which was placed at the center of the beam field on an anthropomorphic thorax phantom. Also, we obtained DR images using a flat panel detector of the DR system to evaluate the effects of the dosimeter on image artifacts during posteroanterior (PA) chest radiography. From the experimental results, the scintillation output signals of the FOD were similar to the ESDs including backscatter simultaneously obtained using a semiconductor dosimeter. We demonstrated that the proposed miniature FOD can be used to measure real-time ESDs with minimization of DR image artifacts in the X-ray energy range of diagnostic radiology.

  3. Etiologic evaluation of patients with dysphagia admitted to ENT and Thorax surgery wards of Ghaem Hospital, Mashhad, Northeast of Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Naeimi

    2009-04-01

    Full Text Available ntroduction: Dysphagia is a common chief complain of various diseases with different benign or malignant etiologies. Iran is one of countries with a high incidence rate of esophageal cancer. The aim of this study was to evaluate the common causes of dysphagia for earlier diagnosis and treatment of this disease and reduction of its morbidity and mortality rate. Materials and Methods: In this descriptive study, we analyzed the etiology of dysphagia in 200 patients who were admitted to ENT and thorax surgery wards of Mashhad Ghaem Hospital during 2005-2007. Results: Of 200 patients, 79 patients were female and 121 patients were male. The most prevalent cause of dysphagia in these patients was esophageal SCC and the most common endoscopic presentation was the ulcerative view. Other common etiologic factors were esophageal stenosis, adenocarcinoma, mediastinal tumors, achalasia, lyomyoma, sarcoma and diffuse esophageal spasm, respectively. Conclusion: According to these results, the complaint of dysphagia with or without odinophagia has particular clinical importance, especially in our country with high frequency of esophageal malignancies.

  4. A New Calibration Methodology for Thorax and Upper Limbs Motion Capture in Children Using Magneto and Inertial Sensors

    Directory of Open Access Journals (Sweden)

    Luca Ricci

    2014-01-01

    Full Text Available Recent advances in wearable sensor technologies for motion capture have produced devices, mainly based on magneto and inertial measurement units (M-IMU, that are now suitable for out-of-the-lab use with children. In fact, the reduced size, weight and the wireless connectivity meet the requirement of minimum obtrusivity and give scientists the possibility to analyze children’s motion in daily life contexts. Typical use of magneto and inertial measurement units (M-IMU motion capture systems is based on attaching a sensing unit to each body segment of interest. The correct use of this setup requires a specific calibration methodology that allows mapping measurements from the sensors’ frames of reference into useful kinematic information in the human limbs’ frames of reference. The present work addresses this specific issue, presenting a calibration protocol to capture the kinematics of the upper limbs and thorax in typically developing (TD children. The proposed method allows the construction, on each body segment, of a meaningful system of coordinates that are representative of real physiological motions and that are referred to as functional frames (FFs. We will also present a novel cost function for the Levenberg–Marquardt algorithm, to retrieve the rotation matrices between each sensor frame (SF and the corresponding FF. Reported results on a group of 40 children suggest that the method is repeatable and reliable, opening the way to the extensive use of this technology for out-of-the-lab motion capture in children.

  5. Dosimetric impact of interplay effect in lung IMRT and VMAT treatment using in-house dynamic thorax phantom

    International Nuclear Information System (INIS)

    Mukhlisin; Pawiro, S A

    2016-01-01

    Tumor motion due to patient's respiratory is a significant problem in radiotherapy treatment of lung cancer. The purpose of this project is to study the interplay effect through dosimetry verification between the calculated and delivered dose, as well as the dosimetric impact of leaf interplay with breathing-induced tumor motion in IMRT and VMAT treatment. In this study, a dynamic thorax phantom was designed and constructed for dosimetry measurement. The phantom had a linear sinusoidal tumor motion toward superior-inferior direction with variation of amplitudes and periods. TLD-100 LiF:Mg,Ti and Gafchromic EBT2 film were used to measure dose in the midpoint target and the spinal cord. The IMRT and VMAT treatment had prescription dose of 200 cGy per fraction. The dosimetric impact due to interplay effect during IMRT and VMAT treatment were resulted in the range of 0.5% to -6.6% and 0.9% to -5.3% of target dose reduction, respectively. Meanwhile, mean dose deviation of spinal cord in IMRT and VMAT treatment were around 1.0% to -6.9% and 0.9% to -6.3%, respectively. The results showed that if respiratory management technique were not implemented, the presence of lung tumor motion during dose delivery in IMRT and VMAT treatment causes dose discrepancies inside tumor volume. (paper)

  6. Posture with elevated and extended thorax. The influence of the position on some haemodynamic and ventilatory parameters under general anaesthesia.

    Science.gov (United States)

    Videbaek, F

    1980-12-01

    The effects of a change in posture from flat supine to supine with elevated and extended thorax have been investigated in 12 healthy patients under general anaesthesia prior to elective surgery on the stomach. The following parameters were measured: pulse rate, mean arterial blood pressure (MABP), central venous pressure (CVP), ventilation pressure, oesophageal pressure, and arterial oxygen and carbon dioxide tensions. Changes were measured as deviations from initial values before the change of position at 4 and 15 min after the change. One patient (8%) had a 31% fall in MABP and a 87% fall in CVP, requiring treatment outside the standard procedure, but acceptable values were obtained by simple means. Eleven patients showed only minor changes: a mean initial rise in pulse rate of 10% and a fall in CVP of 25%, after which the pulse rate returned to the initial level and the CVP remained stable. MABP was unchanged, as were ventilation pressure, oesophageal pressure and gas tensions. On the basis of reports in the literature and findings in this study, it is concluded that otherwise healthy patients tolerate the posture well, the slight risk of haemodynamic complications being outweighed by the surgical advantages. This posture should be used with caution in patients who may be haemodynamically unable to compensate.

  7. Measurement of Entrance Surface Dose on an Anthropomorphic Thorax Phantom Using a Miniature Fiber-Optic Dosimeter

    Directory of Open Access Journals (Sweden)

    Wook Jae Yoo

    2014-04-01

    Full Text Available A miniature fiber-optic dosimeter (FOD system was fabricated using a plastic scintillating fiber, a plastic optical fiber, and a multi-pixel photon counter to measure real-time entrance surface dose (ESD during radiation diagnosis. Under varying exposure parameters of a digital radiography (DR system, we measured the scintillating light related to the ESD using the sensing probe of the FOD, which was placed at the center of the beam field on an anthropomorphic thorax phantom. Also, we obtained DR images using a flat panel detector of the DR system to evaluate the effects of the dosimeter on image artifacts during posteroanterior (PA chest radiography. From the experimental results, the scintillation output signals of the FOD were similar to the ESDs including backscatter simultaneously obtained using a semiconductor dosimeter. We demonstrated that the proposed miniature FOD can be used to measure real-time ESDs with minimization of DR image artifacts in the X-ray energy range of diagnostic radiology.

  8. Interactive 3-dimensional registration of stand-along 18F-FDG whole-body PET with CT in the thorax

    International Nuclear Information System (INIS)

    Zhang Xiangsong; Tang Anwu; He Zuoxiang

    2004-01-01

    Objective: To establish a method of 3-dimensional volume fusion of stand-alone 18 F-fluorodeoxyglucose (FDG) PET with CT in the thorax. Methods: 18 F-FDG PET and CT studies were performed on 8 patients with lung cancer. CT raw data were reconstructed into three dimensional volume data. The mutual positioning of the volume data of PET and CT was repeatedly adjusted according to the inner marker of apparent anatomical structures and lesions until the accurate registrations were obtained. The registered PET study was then displayed on a hot metal scale overlaid on top of the gray scale CT study. Results: All of the 25 lesions on 18 F-FDG PET imaging in 8 patients were correctly located on CT images using the software of three dimension volumetric fusion of stand-alone 18 F-FDG PET with CT in the thorax. The software can be run in a PC computer, and the whole computational performance time of the software algorithm is less than 10 min for one patient. Conclusion: This technique can correctly locate the FDG uptake lesions in the thorax. (authors)

  9. Surface imaging, portal imaging, and skin marker set-up vs. CBCT for radiotherapy of the thorax and pelvis

    Energy Technology Data Exchange (ETDEWEB)

    Pallotta, Stefania; Bucciolini, Marta [Universita degli Studi di Firenze, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, Florence (Italy); AOU Careggi, Sezione di Fisica Medica, Florence (Italy); Vanzi, Eleonora; Marrazzo, Livia [AOU Careggi, Sezione di Fisica Medica, Florence (Italy); Simontacchi, Gabriele; Paiar, Fabiola [AOU Careggi, Sezione di Radioterapia, Florence (Italy); Ceroti, Marco [ISPO, U.O. Epidemiologia Molecolare e Nutrizionale, Florence (Italy); Livi, Lorenzo [Universita degli Studi di Firenze, Dipartimento di Scienze Biomediche Sperimentali e Cliniche, Florence (Italy); AOU Careggi, Sezione di Radioterapia, Florence (Italy)

    2015-09-15

    The aim of this study was to compare surface imaging, portal imaging, and skin marker set-up in radiotherapy of thoracic and pelvic regions, using cone beam computed tomography (CBCT) data as the gold standard. Twenty patients were included in this study. CBCT, surface acquisition (SA), and two orthogonal portal images (PI) were acquired during the first four treatment sessions. Patient set-up corrections, obtained by registering the planning CT with CBCT, were used as the gold standard. Registration results of the PI and SA were evaluated and compared with those obtained with CBCT. The advantage derived from using SA or PI verification systems over a skin marker set-up was also quantified. A statistically significant difference between PI and SA (in favour of PI) was observed in seven patients undergoing treatment of the pelvic region and in two patients undergoing treatment of the thoracic region. The use of SA or PI, compared with a skin marker set-up, improved patient positioning in 50% and 57 % of the thoracic fractions, respectively. For pelvic fractions, the use of PI was beneficial in 73 % of the cases, while the use of SA was beneficial in only 45 %. Patient positioning worsened with SA, particularly along longitudinal and vertical directions. PI yielded more accurate registration results than SA for both pelvic and thoracic fractions. Compared with the skin marker set-up, PI performances were superior to SA for pelvic fractions while comparable results were obtained for thoracic fractions. (orig.) [German] Ziel dieser Studie ist der Vergleich der Patientenpositionierung mittels der 3-D/4-D-Erfassung der Patientenoberflaeche durch ein Abtastsystem, kV/MV-Verifikationsaufnahmen mit Hochenergiebildsystemen und Markierungen auf der Haut bei Bestrahlungen im Thorax- bzw. Beckenbereich. Als Goldstandard zum Vergleich dienten CBCT(''cone beam computed tomography'')-Aufnahmen. Die Studie basiert auf Untersuchungen an 20 Patienten. Es wurden

  10. Neoplastic and other pathologic effects of fractionated fast neutrons or photons on the thorax and anterior abdomen of beagles

    International Nuclear Information System (INIS)

    Zook, B.C.; Bradley, E.W.; Casarett, G.W.; Rogers, C.C.

    1986-01-01

    Thirty-nine adult male beagle dogs received either fast-neutron or photon irradiation to the right hemithorax and right rostral abdomen. Twenty-four dogs (six per group) received fast neutrons (15 MeV) to total doses of 1000, 1500, 2250, or 3375 cGy in four fractions per week for six weeks. Fifteen dogs received 3000, 4500, or 6750 cGy of photons in an identical fractionation pattern. One photon-irradiated dog and 13 neutron-irradiated dogs died or were euthanatized because of hepatic and gastrointestinal disturbances 47 to 708 days after irradiation; 20 dogs died of other causes. These 34 dogs were necropsied and have been studied microscopically; the remaining five dogs are still alive seven years after irradiation. Neutron-induced lesions included hemorrhage, necrosis, fibrosis, and atrophy of the heart, liver, pancreas, pylorus, duodenum, and kidney. All lesions were associated with degenerative and occlusive vascular changes including coronary arteriosclerosis. The relative biological effectiveness (RBE) of fast neutrons, assessed by clinical signs and by gross and microscopic pathology, is between 3 and 4.5 for pancreas, ∼4.5 for heart, pylorus, duodenum, and kidney, and greater than 6.75 for liver. Ten malignancies and two benign tumors developed in the irradiated field of six of 12 neutron-exposed dogs that survived over one year after irradiation. Two malignancies and one benign tumor arose in three of 12 photon-exposed dogs surviving over one year postirradiation. Only one neoplasm developed in the same field in 11 nonirradiated controls or in 62 dogs irradiated at sites other than the thorax or abdomen. The neutron RBE for neoplasia is approximately 6.75. 85 refs., 8 figs., 3 tabs

  11. Diseases of the thorax

    International Nuclear Information System (INIS)

    Kido, C.; Tanaka, H.

    1983-01-01

    This paper covers the following topics: right-sided aortic arch; pneumonia; thoracic dissecting aneurysum; right subclavian aneurysm; pericardial cyst; thymoma; thymic cyst; mediastinal neurinoma; pulmonary abscess; old pneumothorax; pulmonary tuberculosis; squamous cell carcinoma of the right lung; adenocarcinoma of the left lung; vasculomyosarcoma of the right lung; pulmonary bulla; and tumor of the thoracic wall

  12. The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students.

    Science.gov (United States)

    Tuzer, Hilal; Dinc, Leyla; Elcin, Melih

    2016-10-01

    Existing research literature indicates that the use of various simulation techniques in the training of physical examination skills develops students' cognitive and psychomotor abilities in a realistic learning environment while improving patient safety. The study aimed to compare the effects of the use of a high-fidelity simulator and standardized patients on the knowledge and skills of students conducting thorax-lungs and cardiac examinations, and to explore the students' views and learning experiences. A mixed-method explanatory sequential design. The study was conducted in the Simulation Laboratory of a Nursing School, the Training Center at the Faculty of Medicine, and in the inpatient clinics of the Education and Research Hospital. Fifty-two fourth-year nursing students. Students were randomly assigned to Group I and Group II. The students in Group 1 attended the thorax-lungs and cardiac examination training using a high-fidelity simulator, while the students in Group 2 using standardized patients. After the training sessions, all students practiced their skills on real patients in the clinical setting under the supervision of the investigator. Knowledge and performance scores of all students increased following the simulation activities; however, the students that worked with standardized patients achieved significantly higher knowledge scores than those that worked with the high-fidelity simulator; however, there was no significant difference in performance scores between the groups. The mean performance scores of students on real patients were significantly higher compared to the post-simulation assessment scores (psimulator in increasing the knowledge scores of students on thorax-lungs and cardiac examinations; however, practice on real patients increased performance scores of all students without any significant difference in two groups. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. TU-F-CAMPUS-I-02: Validation of a CT X-Ray Source Characterization Technique for Dose Computation Using An Anthropomorphic Thorax Phantom

    Energy Technology Data Exchange (ETDEWEB)

    Sommerville, M; Tambasco, M [San Diego State University, San Diego, CA (United States); Poirier, Y [CancerCare Manitoba, Winnipeg, MB (Canada)

    2015-06-15

    Purpose: To experimentally validate a rotational kV x-ray source characterization technique by computing CT dose in an anthropomorphic thorax phantom using an in-house dose computation algorithm (kVDoseCalc). Methods: The lateral variation in incident energy spectra of a GE Optima big bore CT scanner was found by measuring the HVL along the internal, full bow-tie filter axis. The HVL and kVp were used to generate the x-ray spectra using Spektr software, while beam fluence was derived by dividing the integral product of the spectra and in-air mass-energy absorption coefficients by in-air dose measurements along the bow-tie filter axis. Beams produced by the GE Optima scanner were modeled at 80 and 140 kVp tube settings. kVDoseCalc calculates dose by solving the linear Boltzmann transport equation using a combination of deterministic and stochastic methods. Relative doses in an anthropomorphic thorax phantom (E2E SBRT Phantom) irradiated by the GE Optima scanner were measured using a (0.015 cc) PTW Freiburg ionization chamber, and compared to computations from kVDoseCalc. Results: The agreement in relative dose between dose computation and measurement for points of interest (POIs) within the primary path of the beam was within experimental uncertainty for both energies, however points outside the primary beam were not. The average absolute percent difference for POIs within the primary path of the beam was 1.37% and 5.16% for 80 and 140 kVp, respectively. The minimum and maximum absolute percent difference for both energies and all POIs within the primary path of the beam was 0.151% and 6.41%, respectively. Conclusion: The CT x-ray source characterization technique based on HVL measurements and kVp can be used to accurately compute CT dose in an anthropomorphic thorax phantom.

  14. Successful radiofrequency catheter ablation assisted by the CartoSound® system for outflow tract origin nonsustained ventricular tachycardia in a patient with a severely deformed thorax

    Directory of Open Access Journals (Sweden)

    Naoaki Onishi

    2014-02-01

    Full Text Available We report the case of a 72-year-old man with a nonsustained ventricular tachycardia and a history of palpitations. He had a severely deformed thorax since childhood due to spinal caries. An integrated computed tomography image of the outflow tract region from the CartoSound® system revealed the detailed anatomical information around the origin of the tachycardia and that the left anterior descending coronary artery was very close (<10 mm to the target site. We carefully ablated that site with a 3.5-mm cooled-tip catheter while confirming it in the sound view, and succeeded without any complications.

  15. Optionen für eine vernetzte interdisziplinäre Prävention am Beispiel berufsbedingter Hautkrankheiten

    Directory of Open Access Journals (Sweden)

    John, Swen Malte

    2008-06-01

    Full Text Available Occupational dermatoses (OD have topped the list of occupational diseases in Germany for years. Presently, approximately 16,000 new OD cases are officially reported to public statutory employers’ liability insurance bodies, each year. The disease burden is high not only for individuals but also for society as a whole. Estimated annual economic costs in Germany due to sick-leave and lack of productivity due to OD are more than 1.5 billion euros. Thus, in recent years, various pilot initiatives aiming to improve prevention of occupational skin diseases (of various degrees of severity have been developed and recently evaluated in Osnabrück. These activities have been funded by statutory employers’ liability insurance schemes. Concepts underpinning these initiatives include multidisciplinary skin protection teaching programs for various high-risk professions, which turned out to be pivotal for the success of these projects. A corollary of this work is a nationwide multi-step intervention approach currently implemented by the public statutory insurance system. This approach offers quick preventive help for all levels of severity of OD. These nation-wide activities are accompanied by a national Prevention Campaign: Skin 2007/2008 (Figure 1 (Fig. 1, which focuses mainly on primary prevention. Despite the high prevalence of OD and its poor prognosis, little is known about the molecular mechanisms underlying individual susceptibility to develop chronic irritant dermatitis. Skin irritation tests are thus far of only limited value. Presently, our institution, in collaboration with Amsterdam universities, focuses on immunogenetic risk factors potentially involved in individual susceptibility to OD in order to improve pre-employment counseling and predictive skin testing. For early secondary prevention, the so-called dermatologist’s procedure was recently up-dated in order to provide more rapid dermatological consultation. Additionally, combined outpatient dermatological and educational intervention seminars (secondary individual prevention, SIP are offered to affected employees. We recently demonstrated the sustainability of the SIP approach in hairdressing for periods of up to 10 years. For those cases of OD, in which the abovementioned outpatient prevention measures are not sufficiently successful, specific interdisciplinary inpatient prevention measures have been developed (tertiary individual prevention, or TIP. TIP represents the ultima ratio within the hierarchical prevention concept of the Osnabrück Model. TIP comprises 2–3 weeks of inpatient dermatological diagnostics and treatment as well as intensive health-related pedagogic and psychological counseling. Subsequent to this, 3 consecutive weeks of outpatient treatment are given by a local dermatologist. Each patient remains on sick-leave for a total of 6 weeks to allow full barrier recovery. A total of 764 out of 1164 (66% TIP patients treated in our university, followed-up regularly by a local dermatologist for up to 1 year, were successful in remaining in their respective (risk- professions as assessed by questionnaire 1 year after discharge. Recently obtained SIP and TIP data reveal that there are reliable, evidence-based options for multidisciplinary prevention and patient management of OD, using a combined approach by a network of clinics, practices and statutory social insurance bodies. A multicentre study, which aims to further standardize TIP and evaluate sustainability of prevention in more depth (3-year dermatological follow-up of 1000 OD patients is currently being conducted in Germany.

  16. Radiography of the equine thorax and its differential diagnosis relevance; Die differenzialdiagnostische Bedeutung der röntgenologischen Thoraxuntersuchung beim Pferd

    Energy Technology Data Exchange (ETDEWEB)

    Klein, H. J. [Klinik fuer Pferde, Tieraerztliche Hochschule Hannover (Germany); Offeney, F.

    1990-07-01

    Commonly chronic obstructive pulmonary disease (COPD) is the cause of dyspnoe or loss of performance in the horse. Tracheobronchoscopy, cytology of tracheobronchial aspirates, interpleural pressure measurement, and arterial blood gas analysis improved diagnosis of equine respiratory disorders. Yet some intrathoraeie diseases, especially chronic pneumonia, are differential diagnosis problems. Radiography of the thorax improves the diagnosis of pneumonia and some other intrathoraeie diseases. The technique of the radiography of the thorax is described and radiographic findings in 166 horses suffering from respiratory diseases are evaluated. Theses horses showed pathologic radiographic findings caused by COPD (n =61), pneumonia (67), pleuritis (12), exercise-induced pulmonary haemorrhage (8), aspiration pneumonia (7), hydrothorax (6), pneumothorax (2), lung abseess (1); mediastinal tumor (1), and diaphragmatie hernia (1) [German] Die chronisch obstruktive Bronchitis (COB) ist die häufigste Ursache von Atembeschwerden oder Leistungsmangel beim Pferd. Tracheobronchoskopie, Tracheobronchialsekretzytologie, interpleurale Druckmessung und arterielle Blutgasanalyse verbesserten die Diagnostik respiratorischer Erkrankungen. Dennoch bestehen Probleme hinsichtlich der Differentialdiagnose zur COB, und zwar insbesondere bei chronischen Pneumonien. Die röntgenologische Thoraxuntersuchung verbessert die Diagnose von Pneumonien und einigen anderen intrathorakalen Erkrankungen. Die Technik der röntgenologischen Thoraxuntersuchung wird beschrieben, und die Befunde von 166 Pferden mit Erkrankungen der Atemorgane werden ausgewertet. Diese Pferde zeigten pathologische Röntgenbefunde als Folge einer COB (n =61), einer Pneumonie (67), einer Pleuritis (12), eines belastungsinduzierten Lungenblutens (8), einer Aspirationspneumonie (7), eines Hydrothorax (6), eines Pneumothorax (2), eines Lungenabszesses (1), eines mediastinalen Tumors (1) und einer Zwerchfellhernie (1)

  17. High energy (42-66 MeV reactions) fast neutron dose optimization studies in the head and neck, thorax, upper abdomen, pelvis and extremities

    International Nuclear Information System (INIS)

    Griffin, T.W.; Laramore, G.E.; Maor, M.H.; Hendrickson, F.R.; Parker, R.G.; Davis, L.W.

    1990-01-01

    550 Patients were entered into a set of dose-searching studies designed to determine normal tissue tolerances to high energy (42-66 MeV reactions) fast neutrons delivered in 12 equal fractions over 4 weeks. Patients were stratified by treatment facility and then randomized to receive 16, 18 or 20 Gy for tumors located in the upper abdomen or pelvis, and 18, 20 or 22 Gy for tumors located in the head and neck, thorax or extremities. Following completion of the randomized protocols, additional patients were studied at the 20.4 Gy level in the head and neck, thorax and pelvis. Normal tissue effect scoring was accomplished using the RTOG-EORTC acute and late normal tissue effect scales. Acute Grade 3+ toxicity rates in the head and neck were 19 per cent for 20/20.4 Gy and 20 per cent for 22 Gy. Time adjusted late toxicity rates in the head and neck at 12 months were 15 per cent for 20/20.4 Gy and 0 per cent for 22 Gy. The 18 Gy treatment arm of the head and neck protocol was dropped early in the study after only two patients were accrued. For cases treated in the thorax, acute Grade 3+ toxicity rates were 6 per cent for 18 Gy, 15 per cent for 20/20.4 Gy and 7 per cent for 22 Gy. Late toxicity rates at 12 months were 0 per cent for 18 Gy, 11 per cent for 20/20.4 Gy and 18 per cent for 22 Gy. Acute Grade 3+ toxicity rates in the upper abdomen were 0 per cent for 16 Gy, 18 per cent for 18 Gy and 12 per cent for 20 Gy. There were no Grade 3+ late toxicities in the upper abdomen. In the pelvis acute Grade 3+ toxicity rates were 0 per cent for 16 Gy, 3 per cent for 18 Gy and 3 per cent for 20/20.4 Gy. Late Grade 3+ toxicities at 24 months were 20 per cent for 16 Gy, 5 per cent for 18 Gy and 24 per cent for 20/20.4 Gy. In the extremities, acute Grade 3+ toxicity rates were 7 per cent for 20 Gy and 21 per cent for 22 Gy, while at 12 months, late Grade 3+ toxicity rates were 14 and 35 per cent respectively. The 18 Gy treatment arm of the extremities protocol was dropped early

  18. SU-D-BRE-01: A Realistic Breathing Phantom of the Thorax for Testing New Motion Mitigation Techniques with Scanning Proton Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Perrin, R; Peroni, M; Bernatowicz, K; Zakova, M; Knopf, A; Safai, S [Paul Scherrer Institut, Psi-villigen, Aargau (Switzerland); Parkel, T [CSEM, Swiss Centre of Electronics and Microtechnology, Landquart, Graubunden (Switzerland)

    2014-06-01

    Purpose: A prototype breathing phantom (named LuCa) has been developed which simulates the anatomy and motion of a patient thorax.In this work, we describe the results of the first commissioning tests with LuCa. Methods: The phantom provides a close representation of the human thorax. The lungs,contained within a tissue-equivalent ribcage and skin,are made from a polymer foam,which is inflated and deflated using a custommade ventilator. A tumor is simulated using a wooden ball with cutplanes for placing GafChromic films. The ventilator,controlled with Labview software,simulates a full range of breathing motion types.Commissioning tests were performed to assess its performance using imaging (CT and radiographic) and film dosimetry as follows:i)maximum Tumor excursion at acceptable pressure ranges, ii)tumor Motion repeatability between breathing periods,iii)reproducibility between measurement days,iv)tumor-to-surface motion correlation and v)reproducibility of film positioning in phantom. Results: The phantom can generate repeatable motion patterns with sin{sup 4},sin,breath-hold (tumor amplitude repeatability <0.5mm over 10min),aswell as patient-specific motion types. Maximum excursions of the tumor are 20mm and 14mm for the large and small tumor inserts respectively. Amplitude reproducibility (Coefficient of Variation) averaged at 16% for the workable pressure range over 2 months. Good correlation between tumor and surface motion was found with R{sup 2}=0.92. Reproducibility of film positioning within the thorax was within 0.9mm, and maximum 3° error from the coronal plane. Film measurements revealed that the film repositioning error yields relative errors in the mean dose over the planned target volume (PTV) of up to 2.5% and 4.5% for films at the center and on the edge of the PTV respectively. Conclusion: Commissioning tests have shown that the LuCa phantom can produce tumor motion with excellent repeatability. However,a poorer performance in reproducibility of

  19. Multi-institutional Quantitative Evaluation and Clinical Validation of Smart Probabilistic Image Contouring Engine (SPICE) Autosegmentation of Target Structures and Normal Tissues on Computer Tomography Images in the Head and Neck, Thorax, Liver, and Male Pelvis Areas

    NARCIS (Netherlands)

    Zhu, Mingyao; Bzdusek, Karl; Brink, Carsten; Eriksen, Jesper Grau; Hansen, Olfred; Jensen, Helle Anita; Gay, Hiram A.; Thorstad, Wade; Widder, Joachim; Brouwer, Charlotte L.; Steenbakkers, Roel J. H. M.; Vanhauten, Hubertus A. M.; Cao, Jeffrey Q.; McBrayne, Gail; Patel, Salil H.; Cannon, Donald M.; Hardcastle, Nicholas; Tome, Wolfgang A.; Guckenberg, Matthias; Parikh, Parag J.

    2013-01-01

    Purpose: Clinical validation and quantitative evaluation of computed tomography (CT) image autosegmentation using Smart Probabilistic Image Contouring Engine (SPICE). Methods and Materials: CT images of 125 treated patients (32 head and neck [HN], 40 thorax, 23 liver, and 30 prostate) in 7

  20. Simulated Online Adaptive Magnetic Resonance–Guided Stereotactic Body Radiation Therapy for the Treatment of Oligometastatic Disease of the Abdomen and Central Thorax: Characterization of Potential Advantages

    Energy Technology Data Exchange (ETDEWEB)

    Henke, Lauren; Kashani, Rojano; Yang, Deshan; Zhao, Tianyu; Green, Olga; Olsen, Lindsey; Rodriguez, Vivian; Wooten, H. Omar; Li, H. Harold; Hu, Yanle; Bradley, Jeffrey; Robinson, Clifford; Parikh, Parag; Michalski, Jeff; Mutic, Sasa [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri (United States); Olsen, Jeffrey R., E-mail: Jeffrey.R.Olsen@ucdenver.edu [Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado (United States)

    2016-12-01

    Purpose: To characterize potential advantages of online-adaptive magnetic resonance (MR)-guided stereotactic body radiation therapy (SBRT) to treat oligometastatic disease of the non-liver abdomen and central thorax. Methods and Materials: Ten patients treated with RT for unresectable primary or oligometastatic disease of the non-liver abdomen (n=5) or central thorax (n=5) underwent imaging throughout treatment on a clinical MR image guided RT system. The SBRT plans were created on the basis of tumor/organ at risk (OAR) anatomy at initial computed tomography simulation (P{sub I}), and simulated adaptive plans were created on the basis of observed MR image set tumor/OAR “anatomy of the day” (P{sub A}). Each P{sub A} was planned under workflow constraints to simulate online-adaptive RT. Prescribed dose was 50 Gy/5 fractions, with goal coverage of 95% planning target volume (PTV) by 95% of the prescription, subject to hard OAR constraints. The P{sub I} was applied to each MR dataset and compared with P{sub A} to evaluate changes in dose delivered to tumor/OARs, with dose escalation when possible. Results: Hard OAR constraints were met for all P{sub Is} based on anatomy from initial computed tomography simulation, and all P{sub As} based on anatomy from each daily MR image set. Application of the P{sub I} to anatomy of the day caused OAR constraint violation in 19 of 30 cases. Adaptive planning increased PTV coverage in 21 of 30 cases, including 14 cases in which hard OAR constraints were violated by the nonadaptive plan. For 9 P{sub A} cases, decreased PTV coverage was required to meet hard OAR constraints that would have been violated in a nonadaptive setting. Conclusions: Online-adaptive MRI-guided SBRT may allow PTV dose escalation and/or simultaneous OAR sparing compared with nonadaptive SBRT. A prospective clinical trial is underway at our institution to evaluate clinical outcomes of this technique.

  1. Assessment of uncertainties in the lung activity measurement of low-energy photon emitters using Monte Carlo simulation of ICRP male thorax voxel phantom.

    Science.gov (United States)

    Nadar, M Y; Akar, D K; Rao, D D; Kulkarni, M S; Pradeepkumar, K S

    2015-12-01

    Assessment of intake due to long-lived actinides by inhalation pathway is carried out by lung monitoring of the radiation workers inside totally shielded steel room using sensitive detection systems such as Phoswich and an array of HPGe detectors. In this paper, uncertainties in the lung activity estimation due to positional errors, chest wall thickness (CWT) and detector background variation are evaluated. First, calibration factors (CFs) of Phoswich and an array of three HPGe detectors are estimated by incorporating ICRP male thorax voxel phantom and detectors in Monte Carlo code 'FLUKA'. CFs are estimated for the uniform source distribution in lungs of the phantom for various photon energies. The variation in the CFs for positional errors of ±0.5, 1 and 1.5 cm in horizontal and vertical direction along the chest are studied. The positional errors are also evaluated by resizing the voxel phantom. Combined uncertainties are estimated at different energies using the uncertainties due to CWT, detector positioning, detector background variation of an uncontaminated adult person and counting statistics in the form of scattering factors (SFs). SFs are found to decrease with increase in energy. With HPGe array, highest SF of 1.84 is found at 18 keV. It reduces to 1.36 at 238 keV. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  2. Multi-institutional Quantitative Evaluation and Clinical Validation of Smart Probabilistic Image Contouring Engine (SPICE) Autosegmentation of Target Structures and Normal Tissues on Computer Tomography Images in the Head and Neck, Thorax, Liver, and Male Pelvis Areas

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Mingyao [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri (United States); Bzdusek, Karl [Philips Healthcare, Fitchburg, Wisconsin (United States); Brink, Carsten [Institute of Clinical Research, University of Southern Denmark, Odense (Denmark); Laboratory of Radiation Physics, Odense University Hospital, Odense (Denmark); Eriksen, Jesper Grau [Department of Oncology, Odense University Hospital, Odense (Denmark); Hansen, Olfred [Institute of Clinical Research, University of Southern Denmark, Odense (Denmark); Department of Oncology, Odense University Hospital, Odense (Denmark); Jensen, Helle Anita [Department of Oncology, Odense University Hospital, Odense (Denmark); Gay, Hiram A.; Thorstad, Wade [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri (United States); Widder, Joachim; Brouwer, Charlotte L.; Steenbakkers, Roel J.H.M.; Vanhauten, Hubertus A.M. [Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen (Netherlands); Cao, Jeffrey Q.; McBrayne, Gail [London Regional Cancer Centre, Ontario (Canada); Patel, Salil H. [Department of Radiation Oncology, Rhode Island Hospital, Providence, Rhode Island (United States); Cannon, Donald M. [Department of Human Oncology, University of Wisconsin—Madison (United States); Hardcastle, Nicholas [Department of Physical Science, Peter MacCallum Cancer Centre, Melbourne (Australia); Tomé, Wolfgang A. [Montefiore Medical Center and Institute of Onco-Physics, Albert Einstein College of Medicine, Bronx, New York (United States); Guckenberg, Matthias [University of Würzburg, Department of Radiation Oncology, Würzburg (Germany); Parikh, Parag J., E-mail: pparikh@radonc.wustl.edu [Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri (United States)

    2013-11-15

    Purpose: Clinical validation and quantitative evaluation of computed tomography (CT) image autosegmentation using Smart Probabilistic Image Contouring Engine (SPICE). Methods and Materials: CT images of 125 treated patients (32 head and neck [HN], 40 thorax, 23 liver, and 30 prostate) in 7 independent institutions were autosegmented using SPICE and computational times were recorded. The number of structures autocontoured were 25 for the HN, 7 for the thorax, 3 for the liver, and 6 for the male pelvis regions. Using the clinical contours as reference, autocontours of 22 selected structures were quantitatively evaluated using Dice Similarity Coefficient (DSC) and Mean Slice-wise Hausdorff Distance (MSHD). All 40 autocontours were evaluated by a radiation oncologist from the institution that treated the patients. Results: The mean computational times to autosegment all the structures using SPICE were 3.1 to 11.1 minutes per patient. For the HN region, the mean DSC was >0.70 for all evaluated structures, and the MSHD ranged from 3.2 to 10.0 mm. For the thorax region, the mean DSC was 0.95 for the lungs and 0.90 for the heart, and the MSHD ranged from 2.8 to 12.8 mm. For the liver region, the mean DSC was >0.92 for all structures, and the MSHD ranged from 5.2 to 15.9 mm. For the male pelvis region, the mean DSC was >0.76 for all structures, and the MSHD ranged from 4.8 to 10.5 mm. Out of the 40 autocontoured structures reviews by experts, 25 were scored useful as autocontoured or with minor edits for at least 90% of the patients and 33 were scored useful autocontoured or with minor edits for at least 80% of the patients. Conclusions: Compared with manual contouring, autosegmentation using SPICE for the HN, thorax, liver, and male pelvis regions is efficient and shows significant promise for clinical utility.

  3. Multi-institutional Quantitative Evaluation and Clinical Validation of Smart Probabilistic Image Contouring Engine (SPICE) Autosegmentation of Target Structures and Normal Tissues on Computer Tomography Images in the Head and Neck, Thorax, Liver, and Male Pelvis Areas

    International Nuclear Information System (INIS)

    Zhu, Mingyao; Bzdusek, Karl; Brink, Carsten; Eriksen, Jesper Grau; Hansen, Olfred; Jensen, Helle Anita; Gay, Hiram A.; Thorstad, Wade; Widder, Joachim; Brouwer, Charlotte L.; Steenbakkers, Roel J.H.M.; Vanhauten, Hubertus A.M.; Cao, Jeffrey Q.; McBrayne, Gail; Patel, Salil H.; Cannon, Donald M.; Hardcastle, Nicholas; Tomé, Wolfgang A.; Guckenberg, Matthias; Parikh, Parag J.

    2013-01-01

    Purpose: Clinical validation and quantitative evaluation of computed tomography (CT) image autosegmentation using Smart Probabilistic Image Contouring Engine (SPICE). Methods and Materials: CT images of 125 treated patients (32 head and neck [HN], 40 thorax, 23 liver, and 30 prostate) in 7 independent institutions were autosegmented using SPICE and computational times were recorded. The number of structures autocontoured were 25 for the HN, 7 for the thorax, 3 for the liver, and 6 for the male pelvis regions. Using the clinical contours as reference, autocontours of 22 selected structures were quantitatively evaluated using Dice Similarity Coefficient (DSC) and Mean Slice-wise Hausdorff Distance (MSHD). All 40 autocontours were evaluated by a radiation oncologist from the institution that treated the patients. Results: The mean computational times to autosegment all the structures using SPICE were 3.1 to 11.1 minutes per patient. For the HN region, the mean DSC was >0.70 for all evaluated structures, and the MSHD ranged from 3.2 to 10.0 mm. For the thorax region, the mean DSC was 0.95 for the lungs and 0.90 for the heart, and the MSHD ranged from 2.8 to 12.8 mm. For the liver region, the mean DSC was >0.92 for all structures, and the MSHD ranged from 5.2 to 15.9 mm. For the male pelvis region, the mean DSC was >0.76 for all structures, and the MSHD ranged from 4.8 to 10.5 mm. Out of the 40 autocontoured structures reviews by experts, 25 were scored useful as autocontoured or with minor edits for at least 90% of the patients and 33 were scored useful autocontoured or with minor edits for at least 80% of the patients. Conclusions: Compared with manual contouring, autosegmentation using SPICE for the HN, thorax, liver, and male pelvis regions is efficient and shows significant promise for clinical utility

  4. Simple Factors Associated With Radiation-Induced Lung Toxicity After Stereotactic Body Radiation Therapy of the Thorax: A Pooled Analysis of 88 Studies

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, Jing [Department of Radiation Oncology, GRU Cancer Center/Medical College of Georgia, Georgia Regents University, Augusta, Georgia (United States); Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan (China); Yorke, Ellen D. [Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York (United States); Li, Ling [Department of Radiation Oncology, GRU Cancer Center/Medical College of Georgia, Georgia Regents University, Augusta, Georgia (United States); Department of Shanghai Cancer Hospital, Fudan University, Shanghai (China); Kavanagh, Brian D. [Department of Radiation Oncology, University of Colorado, Denver, Colorado (United States); Li, X. Allen [Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin (United States); Das, Shiva [Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina (United States); Miften, Moyed [Department of Radiation Oncology, University of Colorado, Denver, Colorado (United States); Rimner, Andreas [Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York City, New York (United States); Campbell, Jeffrey [Department of Radiation Oncology, GRU Cancer Center/Medical College of Georgia, Georgia Regents University, Augusta, Georgia (United States); Xue, Jinyu [Department of Radiation Oncology, MD Anderson Cancer Center at Cooper, Camden, New Jersey (United States); Jackson, Andrew [Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York (United States); Grimm, Jimm [Bott Cancer Center, Holy Redeemer Hospital, Meadowbrook, Pennsylvania (United States); Milano, Michael T. [Department of Radiation Oncology, University of Rochester, Rochester, New York (United States); and others

    2016-08-01

    Purpose: To study the risk factors for radiation-induced lung toxicity (RILT) after stereotactic body radiation therapy (SBRT) of the thorax. Methods and Materials: Published studies on lung toxicity in patients with early-stage non–small cell lung cancer (NSCLC) or metastatic lung tumors treated with SBRT were pooled and analyzed. The primary endpoint was RILT, including pneumonitis and fibrosis. Data of RILT and risk factors were extracted from each study, and rates of grade 2 to 5 (G2+) and grade 3 to 5 (G3+) RILT were computed. Patient, tumor, and dosimetric factors were analyzed for their correlation with RILT. Results: Eighty-eight studies (7752 patients) that reported RILT incidence were eligible. The pooled rates of G2+ and G3+ RILT from all 88 studies were 9.1% (95% confidence interval [CI]: 7.15-11.4) and 1.8% (95% CI: 1.3-2.5), respectively. The median of median tumor sizes was 2.3 (range, 1.4-4.1) cm. Among the factors analyzed, older patient age (P=.044) and larger tumor size (the greatest diameter) were significantly correlated with higher rates of G2+ (P=.049) and G3+ RILT (P=.001). Patients with stage IA versus stage IB NSCLC had significantly lower risks of G2+ RILT (8.3% vs 17.1%, odds ratio = 0.43, 95% CI: 0.29-0.64, P<.0001). Among studies that provided detailed dosimetric data, the pooled analysis demonstrated a significantly higher mean lung dose (MLD) (P=.027) and V20 (P=.019) in patients with G2+ RILT than in those with grade 0 to 1 RILT. Conclusions: The overall rate of RILT is relatively low after thoracic SBRT. Older age and larger tumor size are significant adverse risk factors for RILT. Lung dosimetry, specifically lung V20 and MLD, also significantly affect RILT risk.

  5. Occupational tumors of the thorax

    International Nuclear Information System (INIS)

    Kraus, T.; Mueller-Lux, A.

    2004-01-01

    It is estimated that about 4% of cancer mortality is attributed to occupational risk factors. Due to long latency periods it is often difficult to establish causal relationships. Thoracal cancer accounts for about 88% of all compensated occupational cancers in Germany. Most important exposures and diseases are asbestos-related lung cancer, asbestos-related malignant mesothelioma and radiation induced lung cancer (by Radon and its decay products). Lung cancer caused by nickel compounds, hexavalent chromium, arsenic and its compounds, coke oven gases and polycyclic aromatic hydrocarbons are rare. Silica-dust induced lung cancer can be compensated as occupational disease if a silicosis is present. In Germany every physician is obliged to notify a suspected occupational cancer as well as other occupational diseases. (orig.) [de

  6. Displacement of structures in the thorax from expiration to inspiration as estimated by computed tomography and a 3-D treatment planning system

    International Nuclear Information System (INIS)

    Garmon, Pamela; Huang, David; Lutz, Steve; Zwicker, Robert

    1996-01-01

    Purpose/Objective: The spread of image based three dimensional treatment planning and conformal radiotherapy have brought new attention to the problems of patient motion during treatment. Recent studies of the effects of breathing on the motion of internal structures have led to the suggestion that gated irradiation might improve the therapeutic benefits of conformal therapy. In the present work we investigate the displacement of tumor and other structures in the thorax with breathing in order to assess further the potential benefit of gating in the treatment of lung tumors. Materials and Methods: Thoracic CT scans were obtained for patients immediately after inspiration and after expiration. Tumor positions were assessed by computing the centers of the outlined volumes for both inspiration and expiration. Effects of breathing motion along the longitudinal direction were evaluated by using a three dimensional treatment planning system to measure the distances between scans where the top of the diaphragm was present. Displacement within the transverse direction was assessed by measuring the positions of the field skin markers, the aorta and the esophagus. Results: Movement of the centers of the tumor volumes as computed by reconstructed volumes was measured to be 0.7-1.2cm. The magnitude of this movement was greatest for tumors in the mid to lower region of the lung and was primarily in the direction of superior to inferior combined with anterior to posterior. Displacement of the diaphragm ranged 1-3 cm with breathing. Displacement of the aorta and esophagus was measured to be 0.2-1.5 cm. Movement of these structures was only analyzed transversely and showed displacement to the patients' left and posterior upon expiration. The magnitude did not appear to correlate with position relative to the diaphragm. Patients with less diaphragm movement also had smaller tidal volumes and conversely, patients with larger diaphragm displacement had greater tidal volumes

  7. Value of multislice computed tomography angiography of the thorax in preparation for catheter ablation for the treatment of atrial fibrillation: The impact of unexpected cardiac and extracardiac findings on patient care

    Energy Technology Data Exchange (ETDEWEB)

    Wissner, Erik; Wellnitz, Clinton V.; Srivathsan, Komandoor; Scott, Luis R. [Mayo Clinic Arizona - Mayo Clinic Hospital, Cardiovascular Diseases, 5777 East Mayo Boulevard, Phoenix, AZ 85054 (United States); Altemose, Gregory T. [Mayo Clinic Arizona - Mayo Clinic Hospital, Cardiovascular Diseases, 5777 East Mayo Boulevard, Phoenix, AZ 85054 (United States)], E-mail: altemose.gregory@mayo.edu

    2009-11-15

    Objective: In patients referred for catheter ablation for the treatment of atrial fibrillation, multislice computed tomography angiography of the thorax is routinely performed to assess pulmonary vein anatomy. We sought to investigate the incidence of unexpected cardiac and extracardiac findings in this select patient population and to establish how these findings influence subsequent patient care. Methods: Ninety-five patients (mean age 62 {+-} 10 years, 35% female) referred to our institution for ablation therapy for atrial fibrillation between July 2003 and October 2007 underwent multislice computed tomography angiography of the thorax. Radiologists interpreted all images. Need for additional testing, consultation and eventual diagnosis were assessed by electronic record review. Results: A total of 83 (5 cardiac, 78 extracardiac) unexpected findings were observed in 50/95 (53%) of patients. The findings prompted 23 additional tests (5 cardiac, 18 noncardiac) in 15/95 (16%) of patients and 8 subsequent referrals in 7/95 (7%) patients. In 6 patients the findings significantly altered future patient care and resulted in postponement of ablation therapy in 4 patients. In 2 patients, extracardiac findings (pulmonary emboli and adenocarcinoma of the lung) were of potentially life-saving consequence. Conclusions: In patients undergoing multislice computed tomography angiography of the thorax in anticipation of planned catheter ablation therapy for the treatment of atrial fibrillation, unexpected findings are common and of potentially significant value. In comparison, there is a higher prevalence of unexpected extracardiac, rather than cardiac findings. Further investigation of these findings may lead to postponement of ablation therapy, but may also be of potentially lifesaving consequence.

  8. Value of multislice computed tomography angiography of the thorax in preparation for catheter ablation for the treatment of atrial fibrillation: The impact of unexpected cardiac and extracardiac findings on patient care

    International Nuclear Information System (INIS)

    Wissner, Erik; Wellnitz, Clinton V.; Srivathsan, Komandoor; Scott, Luis R.; Altemose, Gregory T.

    2009-01-01

    Objective: In patients referred for catheter ablation for the treatment of atrial fibrillation, multislice computed tomography angiography of the thorax is routinely performed to assess pulmonary vein anatomy. We sought to investigate the incidence of unexpected cardiac and extracardiac findings in this select patient population and to establish how these findings influence subsequent patient care. Methods: Ninety-five patients (mean age 62 ± 10 years, 35% female) referred to our institution for ablation therapy for atrial fibrillation between July 2003 and October 2007 underwent multislice computed tomography angiography of the thorax. Radiologists interpreted all images. Need for additional testing, consultation and eventual diagnosis were assessed by electronic record review. Results: A total of 83 (5 cardiac, 78 extracardiac) unexpected findings were observed in 50/95 (53%) of patients. The findings prompted 23 additional tests (5 cardiac, 18 noncardiac) in 15/95 (16%) of patients and 8 subsequent referrals in 7/95 (7%) patients. In 6 patients the findings significantly altered future patient care and resulted in postponement of ablation therapy in 4 patients. In 2 patients, extracardiac findings (pulmonary emboli and adenocarcinoma of the lung) were of potentially life-saving consequence. Conclusions: In patients undergoing multislice computed tomography angiography of the thorax in anticipation of planned catheter ablation therapy for the treatment of atrial fibrillation, unexpected findings are common and of potentially significant value. In comparison, there is a higher prevalence of unexpected extracardiac, rather than cardiac findings. Further investigation of these findings may lead to postponement of ablation therapy, but may also be of potentially lifesaving consequence.

  9. Dose evaluation and risk estimation for secondary cancer in contralateral breast and a study of correlation between thorax shape and dose to organs at risk following tangentially breast irradiation during deep inspiration breath-hold and free breathing

    International Nuclear Information System (INIS)

    Johansen, Safora; Vikstroem, Johan; Blihovde Hjelstuen, Mari Helene; Mjaaland, Ingvil; Dybvik, Kjell Ivar; Olsen, Dag Rune

    2011-01-01

    Purpose: To assess the impact of using breathing adapted radiotherapy on contralateral breast (CB) dose, to relate the thorax shape with the dose to the organs at risk (OARs) and to predict the risk for induced malignancies in CB using linear and non-linear models, following tangential irradiation of breast. Material and methods. Sixteen patients with stage I-II breast cancer treatment planned with tangential fields using deep inspiration breath hold (DIBH) and free breathing (FB) techniques were included in this analysis. The dose results mainly based on DVH analysis were compared. Four parameters were defined to describe thoracic shape. Excess relative risk (ERR) for cancer induction in CB, employing linear and non-linear models was calculated. Results. Average CB volumes exposed to a dose of 1 Gy is 1.3 times higher in DIBH plans than in FB plans. No significant difference in average V3Gy and V5Gy for DIBH and FB plans is observed. The average mean CB dose for DIBH and FB plans is 0.33 and 0.28 Gy, respectively. No correlation between thorax shape parameters and mean OARs dose is observed. The estimated average mean ERR with linear model is lower in FB plans (0.12) than for the DIBH plans (0.14). The estimated ERR with non-linear model is 0.14 for DIBH plans and 0.15 for FB plans. Conclusion. No significant difference in CB dose between DIBH and FB plans is observed. The four thorax shape parameters defined in this study can not be related to the dose at OARs using DIBH and FB radiation techniques. The ERR estimates for secondary CB cancer are nearly the same for FB and DIBH planning when using a linear and non-linear risk prediction models

  10. Analysis of the results of CAT of thorax with bronchiectasis protocol, period 2000-2001 Hospital Calderon Guardia; Analisis de los resultados de TAC de torax con protocolo de bonquiectasias, periodo 2000-2001 Hospital Calderon Guardia

    Energy Technology Data Exchange (ETDEWEB)

    Pacheco Segura, Maureen [Costa Rica

    2003-07-01

    This investigation analyses the computerized axial tomography (CAT) of thorax with protocol of bronchiectasis. It was carried out in the Servicio de Radiologia e Imagenes Medicas of the Hospital Calderon Guardia, Costa Rica. The bronchiectasis is the abnormal permanent expansion of the bronchial tuber and is important to diagnose it because the patient can suffer of pulmonary infections, these can be accompanied by bronchial blood flow and hemoptysis. When they are disseminated can be associated with significant obstruction of the aerial tract. When they are gotten into focus can be confused with neoplasia and other diseases. From the bronchiectasis diagnosis it is used methods of image such as x-ray of thorax, bronchography and computerized axial tomography (CAT) of thorax, usually the diagnosis is confirmed by means of a computerized axial tomography (CAT); which is the image of election to establish the presence and extension of the bronchiectasis. In addition, this study analyzes the radiological clinical relation in the patients which were performed the computerized axial tomography (CAT) of thorax with protocol of bronchiectasis and it identifies the most suitable radiological technique to obtain a satisfactory result in the computerized axial tomography with protocol of bronchiectasis. [Spanish] En esta investigacion se analiza la tomografia axial computarizada (TAC) de torax con protocolo de bronquiectasis realizada en el Servicio de Radiologia e Imagenes Medicas del Hospital Calderon Guardia, Costa Rica. Las bronquiectasias se definen como la dilatacion permanente anormal de los bronquios y es importante diagnosticarlas porque el paciente puede sufrir de infecciones pulmonares. Ademas, estas pueden acompanarse de flujo sanguineo bronquial y hemoptisis. Cuando estan diseminadas se pueden asociar con obstruccion significativa de la via aerea. Si estan focalizadas se pueden confundir con neoplasias u otras enfermedades. Para el diagnostico de bronquiectasias

  11. Evolution of the dose values and image quality for the X-ray of thorax postero/anterior in mature patients of the service of imagenology of the Hospital Dr. Juan Noe of Arica

    International Nuclear Information System (INIS)

    Ubeda, Carlos; Galaz, Sergio; Leyton, Fernando; Delgado, Otto; Espinosa, Alfonso; Inzulza, Alonso; Ramirez, Raul; Blanco, Daniel; Oyarzun, Carlos

    2008-01-01

    Full text: International Atomic Energy Agency defined guidance level for medical exposure, for the exams of general radiology, reason why the objective of the present work was to evaluate the evolution of the doses for the radiological exam of thorax posterior/anterior among the years 2005 at 2007. The used design was of traverse, descriptive, analytic and comparative type. The study population corresponded to 2 groups of 50 patients selected at random, of both sexes that attended the imagenology service of the public hospital Dr. Juan Noe Crevanni of the city of Arica, to be carried out a X-ray of thorax posterior/anterior. The first group of patients corresponded the participants in the project ARCAL LXXV (Determination of guidance level for Conventional Radiology and Interventionist) carried out in the year 2005. The second group of patients was those incorporate ones during the year 2007 to the project RLA/9/057 (Radiological Protection of Patient in Medical Exhibitions). Both investigations were sponsored by the International Atomic Energy Agency, The Institute of Health Publishes and the Chilean Commission of Nuclear Energy. The stages of the study were divided in: characterization of the yield of the teams, taking of exams, evaluation image quality, estimate of the dose values and statistical analysis. The mean values from entrance surface air kerma for the radiological exam of thorax posterior/anterior vary of 0,14 mGy (S.D. 0.29) to 0.08 mGy (S.D. 0.31), among the years 2005 and 2007 respectively, being this significant difference (p=0.001). Both values are inferior to the value recommended in the Adenda III of the BSS. As for the proportions of execution of the approaches of image quality this it was of 0.95 for the project ARCAL LXXV and 0.92 for the project RLA/9/057, without being this significant difference. The continuous evaluation of the guidance level for medical exposure, associated to the quality of the images constitutes an estimator on the

  12. Study on behavior of car and driver in the very small commuter car made of FRP during collision using scale model. Under the consideration of thorax deformation of driver using airbag; FRP sei mokei ni yoru FRP sei chokeiryo jissha shototsuji no kuruma to join no anzensei ni kansuru kenkyu. Kyobu henkei tokusei wo yusuru join ni taisuru air gab no koka

    Energy Technology Data Exchange (ETDEWEB)

    Sakai, H; Morisawa, M; Yoshino, T [Musashi Institute of Technology, Tokyo (Japan); Sato, T [Keio University, Tokyo (Japan); Ishizuki, H [Satake Co., Tokyo (Japan)

    1997-10-01

    In this study, after having performed simulation which took up scale models substituting for full scale model of commuter car made of FRP, we carried out collision tests to barrier. Here, we made enquiries about the occupant safety by changing the collision speed and the deformation characteristics of the seat belt, during head-on barrier collision using one-fifth scale models. We sought for the occupant`s safe combinations among the deformation characteristics of airbag and the thorax deformation. In this case, the degree of the occupants injury were estimated using HIC values, 3msecG and maximum deformation of the thorax. 7 refs., 5 figs.

  13. 双源CT双能量胸部虚拟平扫的应用价值%Application of dual energy virtual non-contrast CT of dual source CT in thorax

    Institute of Scientific and Technical Information of China (English)

    江杰; 何波; 张俊; 韩丹

    2012-01-01

    To investigate the clinical feasibility of dual energy virtual non-contrast CT (VNC) of dual source CT in the thorax in comparison with conventional plain scan. Methods In total of 155 patients suspected with thorax diseases were performed conventional plain scan and dual energy enhanced scan. VNC images were obtained through post-processing. Mean CT values, SNR, image quality, detectability of lesions and radiation dosage were compared between the conventional plain scan and VNC. Results In VNC images, mean CT value in pulmonary artery trunk was higher than conventional plain scan (P0. 05). SNR of VNC was higher than that of conventional plain scan (P0. 05). VNC and conventional plain scan had similar performance for the detection of lesions, except some calcified lesions (6/21) and small lymph nodes (3/37) near the superior vena cava were not identified in VNC, while the other lesions can be shown. The radiation dosage of VNC were slightly higher than conventional plain scan (P<0. 05). Conclusion Dual energy enhanced scan in the thorax could get enhanced images and VNC images in one scan. VNC images could not affect image quality and detectability of lesions, significantly reduce the radiation dosage, which has a potential clinical value in the thorax.%目的 通过对比胸部常规平扫与双源CT双能量虚拟平扫(VNC),探讨VNC临床应用的可行性.方法 对155例怀疑胸部疾病的患者行常规CT平扫和双能CT增强扫描,后处理得到VNC图像,对VNC和常规平扫平均CT值、SNR、图像质量、病灶显示情况、辐射剂量等方面进行比较.结果 肺动脉干处平均CT值VNC高于常规平扫(P<0.05),而左心室及脊柱后方肌肉处差异均无统计学意义(P均>0.05). VNC ROI选在肺动脉干、左心室、脊柱后方肌肉的图像SNR均高于常规平扫(P<0.05). VNC图像质量与常规平扫比较差异无统计学意义(P>0.05).VNC的病灶显示情况类似,除部分钙化灶(6/21)

  14. Dual-phase 99mTc-MIBI scintigraphy with delayed neck and thorax SPECT/CT and bone scintigraphy in patients with primary hyperparathyroidism. Correlation with clinical or pathological variables

    International Nuclear Information System (INIS)

    Qiu, Zhongling; Shen, Chentian; Zhu, Ruisen; Luo, Quanyong; Wu, Bo

    2014-01-01

    The purpose of this study was to assess the relationship between 99m Tc-MIBI and 99m Tc-MDP bone scintigraphy and clinical or pathological variables, including preoperative serum PTH levels and tumor diameter, in patients with newly diagnosed PHPT. Dual phase 99m Tc-MIBI planar scintigraphy was performed in 244 patients with PHPT. Of these patients, 155 underwent 99m Tc-MDP bone scintigraphy to detect bone changes before parathyroidectomy. Factors influencing 99m Tc-MIBI scintigraphy and 99m Tc-MDP bone scintigraphy detection rate were assessed using univariate and multivariate logistic regression analysis; optimal cutoff values for predicting positive 99m Tc-MIBI and 99m Tc-MDP bone scintigraphy were evaluated using ROC analysis. Among 244 patients, 174 (71.31%) patients with 181 foci had a positive 99m Tc-MIBI planar scintigraphy; delayed neck and thorax SPECT/CT could identify and locate the 99m Tc-MIBI lesions but could not find more lesions than planar scintigraphy. 70 (28.69%) patients had a negative 99m Tc-MIBI planar scintigraphy. Tumor diameter, serum PTH level and symptoms were statistically significant predictive factors in predicting positive 9m Tc-MIBI scintigraphy both univariate and multivariate logistic regression analyses. The optimal thresholds for tumor diameter and serum PTH by ROC analysis were 1.03 cm and 127.60 ng/L, respectively. Among 155 patients with bone scintigraphy, 99m Tc-MDP bone scintigraphy showed positive finding in 80 (51.61%) patients and negative finding in 75 patients. Univariate logistic regression analysis showed that patient age, sex, tumor diameter and PTH level (≥150 ng/L) were statistically significant in predicting positive 99m Tc-MDP bone scintigraphy. Multivariate logistic regression analysis showed both tumor diameter and PTH ≥150 ng/L were statistically significant in predicting positive 99m Tc-MDP bone scintigraphy. The optimal thresholds for tumor diameter and serum PTH by ROC analysis were 1.96 cm and 163

  15. Application of the Voxeldose software for dosimetric evaluation on the thyroid during thorax-AP irradiation considering the peak voltages (k Vp) most used in diagnostic X-ray

    International Nuclear Information System (INIS)

    Vieira, I.F.; Vieira, J.W.; Leal Neto, V.

    2009-01-01

    The evaluation of the absorbed dose distribution can be obtained through a computational model of exposures (ECM), being one the main difficulties at the specific dosimetric evaluation such as the radiodiagnostic, coupling the Monte Carlo computer code, developed for general use, to a anthropomorphic model. This problem can be solved by the software used in this paper, the VoxelDose, and it consists of an algorithm for X-ray diagnostic sources with the Monte Carlo EGS4 code coupled to the voxel anthropomorphic phantoms MAX (Male Adult voXel) and FAX (Female Adult voXel). The graphic interface allows the user to insert the mos common exams parameters, and to execute the simulation, obtaining conversion coefficients and the estimative of the deposited energy on organs/tissues radio sensible during the routine procedures. The data obtained were organized into graphics showing the thyroid equivalent dose, which is a radio sensible with 20 g mass and a weight factor of 5 %, compared with the effective dose during an irradiation of thorax-AP

  16. Re-evaluation of lung to thorax transverse area ratio immediately before birth in predicting postnatal short-term outcomes of fetuses with isolated left-sided congenital diaphragmatic hernia: A single center analysis.

    Science.gov (United States)

    Kido, Saki; Hidaka, Nobuhiro; Sato, Yuka; Fujita, Yasuyuki; Miyoshi, Kina; Nagata, Kouji; Taguchi, Tomoaki; Kato, Kiyoko

    2018-05-01

    We aimed to investigate whether the lung-to-thorax transverse area ratio (LTR) immediately before birth is of diagnostic value for the prediction of postnatal short-term outcomes in cases of isolated left-sided congenital diaphragmatic hernia (CDH). We retrospectively reviewed the cases of fetal isolated left-sided CDH managed at our institution between April 2008 and July 2016. We divided the patients into two groups based on LTR immediately before birth, using a cut-off value of 0.08. We compared the proportions of subjects within the two groups who survived until discharge using Fisher's exact test. Further, using Spearman's rank correlation, we assessed whether LTR was correlated with length of stay, duration of mechanical ventilation, and supplemental oxygen. Twenty-nine subjects were included (five with LTR < 0.08, and 24 with LTR ≥ 0.08). The proportion of subjects surviving until discharge was 40% (2/5) for patients with LTR < 0.08, as compared with 96% (23/24) for those with LTR ≥ 0.08. LTR measured immediately before birth was negatively correlated with the postnatal length of stay (Spearman's rank correlation coefficient, rs = -0.486), and the duration of supplemental oxygen (rs = -0.537). Further, the duration of mechanical ventilation was longer in patients with a lower LTR value. LTR immediately before birth is useful for the prediction of postnatal short-term outcomes in fetuses with isolated left-sided CDH. In particular, patients with prenatal LTR value less than 0.08 are at increased risk of postnatal death. © 2017 Japanese Teratology Society.

  17. Reliability analysis of visual ranking of coronary artery calcification on low-dose CT of the thorax for lung cancer screening: comparison with ECG-gated calcium scoring CT.

    Science.gov (United States)

    Kim, Yoon Kyung; Sung, Yon Mi; Cho, So Hyun; Park, Young Nam; Choi, Hye-Young

    2014-12-01

    Coronary artery calcification (CAC) is frequently detected on low-dose CT (LDCT) of the thorax. Concurrent assessment of CAC and lung cancer screening using LDCT is beneficial in terms of cost and radiation dose reduction. The aim of our study was to evaluate the reliability of visual ranking of positive CAC on LDCT compared to Agatston score (AS) on electrocardiogram (ECG)-gated calcium scoring CT. We studied 576 patients who were consecutively registered for health screening and undergoing both LDCT and ECG-gated calcium scoring CT. We excluded subjects with an AS of zero. The final study cohort included 117 patients with CAC (97 men; mean age, 53.4 ± 8.5). AS was used as the gold standard (mean score 166.0; range 0.4-3,719.3). Two board-certified radiologists and two radiology residents participated in an observer performance study. Visual ranking of CAC was performed according to four categories (1-10, 11-100, 101-400, and 401 or higher) for coronary artery disease risk stratification. Weighted kappa statistics were used to measure the degree of reliability on visual ranking of CAC on LDCT. The degree of reliability on visual ranking of CAC on LDCT compared to ECG-gated calcium scoring CT was excellent for board-certified radiologists and good for radiology residents. A high degree of association was observed with 71.6% of visual rankings in the same category as the Agatston category and 98.9% varying by no more than one category. Visual ranking of positive CAC on LDCT is reliable for predicting AS rank categorization.

  18. CT and MRI of the thorax

    International Nuclear Information System (INIS)

    Zerhouni, E.A.

    1990-01-01

    This book addresses a variety of topics in thoracic imaging, including magnetic resonance (MR) imaging in thoracic lymphoma; focal and high-resolution computed tomography (CT) of diffuse lung disease; imaging and disorders of the pleura, diaphragm, and mediastinum; and the increasingly important topic of the immunocompromised patient. Eight case studies close out the volume

  19. Postoperative X-ray morphology: Thorax

    International Nuclear Information System (INIS)

    Vogel, H.

    1987-01-01

    The publication focuses on the X-ray morphology of lungs. While one chapter is dedicated to the diagnoses obtained during the postoperative case of patients operated for the lungs a second chapter deals with the X-ray diagnosis of patients during the first days after lung surgery. Chapter 3 discusses the postoperative medical care of patients in medical intensive case units after operations other than lung surgery. The parallels between the critical care of patients after heart surgery and the critical care after operations other than heart surgery explain their simultaneous discussion in one chapter. Some diagnoses refer to patients subjected to long-term oxygen breathing and patients after abdomen and bone joint surgery. These are parallels between the volume 'Postoperative X-ray morphology: Blood vessels' and the chapter 'Heart' dealing with the coronary vessels; postoperative changes due to cogenital vitiae belong to pediatric radiology. The oesophagus dealt with in 'mediastinum und mediastinal organs' is also discussed in the volume on 'Postoperative X-ray morphology: Abdomen.' In order to avoid repetitions both chapters represent but a selection of facts. The publication focuses on the medical care of adult heat patients after cardiac valve surgery and coronary bypass surgery on the basis of native diagnostics. Methods of a more radical nature (for example those preceding re-operations) are only mentioned briefly. (orig./MG) [de

  20. 头颈胸部恶性肿瘤92例营养状况分析%Nutritional Status of 92 Patients With Head- neck and Thorax Carcinoma

    Institute of Scientific and Technical Information of China (English)

    于凤梅; 饶志勇; 柳园; 羊长青; 胡雯

    2011-01-01

    Objective To investigate the nutritional status of carcinoma patients with cross sectional survey and provide evidence for clinical nutrition therapy. Methods The nutritional status of 92 patients with head - neck and thorax carcinoma were evaluated by Subjective Global Assessment (SGA) , and were conducted laboratory examination, anthropometry and the measurements of body composition. Results The incidence rate of malnutri-tion was 29.4% by SGA, and it was differed in different cancer types and clinical stages, which were 22. 7% -37. 5% and 11.1% -38. 5% respectively. There was some correlation between SGA and most classic nutritional indexes (r =0. 212 -0. 422, P <0. 05) . Except total lymphocyte count and extracellular water, edema score in malnutrition patients was higher than those in patients with normal nutrition ( P < 0. 05 ) , and the rest indexes were lower ( P < 0. 05 ) . Conclusion Carcinoma patients have certain malnutrition, so early and continuous nutritional evaluation should be practised by many indexes in order to work out nutritionalscheme correspondingly.%目的 横断面调查头颈胸部肿瘤患者的营养状况,为临床营养治疗提供依据.方法 采用主观全面评价法(SGA)对92例头颈胸部恶性肿瘤患者进行营养调查,并测定生化指标、人体测量指标及人体成分指标.结果 92例头颈胸部恶性肿瘤患者SGA评定营养不良的发生率为29.4%,不同肿瘤类型及临床分期营养不良的发生率也不同,分别为22.7% ~ 37.5%和11.1% ~38.5%;SGA与多数传统营养指标之间有相关性(r=0.212 ~0.422,P<0.05);生化、人体测量及人体成分指标比较,除淋巴细胞总数及细胞外水无差异外,营养不良组水肿指数高于营养正常组(P<0.05),其他指标均低于营养正常组(P<0.05).结论 恶性肿瘤患者存在一定程度的营养不良,应结合多种指标早期持续地监测恶性肿瘤患者的营养状况,从而制定相应的营养治疗方案.

  1. HISTOLOGIC STRUCTURE OF THE BIOLOGICALLY ACTIVE SKIN SPOTS OF THE THORAX OF DOGS Гистологическое строение кожи биологически активных точек грудной клетки собак

    OpenAIRE

    Ostyakova M. E.

    2013-01-01

    In the article, we gave the review of the results of histological research of the biologically active skin points of the thorax of dogs. The results of the morphology of the skin with the biologically active spots and without them were discussed

  2. Standardization of thorax, skull and pelvis radiographic images

    International Nuclear Information System (INIS)

    Pina, D.R.; Ghilardi Netto, T.; Trad, C.S.; Brochi, M.A. Corte; Duarte, S.B.; Pina, S.R.

    2001-01-01

    The radiographic techniques for production of chest, skull and pelvis exam were determined for the standard patient. These techniques produced the quality image with smaller dose, for a standard patient, at any conventional X-ray equipment. The radiographic contrast produced for these techniques was measured utilizing the realistic-analytic phantom and classified as an ideal radiographic contrast. This work has the aim to keep the standard of the quality image, for any thickness of patients usually found in clinic routine of the radiodiagnosis service, satisfying the relation risk-benefit for the patient and cost- benefit for the institution. (author)

  3. Hydatidecyster i thorax. En vigtig differentialdiagnose til tuberkulose blandt indvandrere

    DEFF Research Database (Denmark)

    Bygbjerg, I C; Jensen, F; Hviid, L B

    2000-01-01

    into the thoracic muscle is described in a young immigrant from Morocco to Europe (Denmark). Hydatid cyst is an important differential diagnosis from tuberculosis in immigrants from areas with endemic echinococcosis and tuberculosis, such as North Africa and the Middle East. Udgivelsesdato: 2000-Nov-13...

  4. Sound transmission in porcine thorax through airway insonification

    Science.gov (United States)

    Dai, Zoujun; Mansy, Hansen A.; Henry, Brian M.; Sandler, Richard H.; Balk, Robert A.; Royston, Thomas J.

    2015-01-01

    Many pulmonary injuries and pathologies may lead to structural and functional changes in the lungs resulting in measurable sound transmission changes on the chest surface. Additionally, noninvasive imaging of externally driven mechanical wave motion in the chest (e.g., using magnetic resonance elastography) can provide information about lung structural property changes and, hence, may be of diagnostic value. In the present study, a comprehensive computational simulation (in silico) model was developed to simulate sound wave propagation in the airways, lung, and chest wall under normal and pneumothorax conditions. Experiments were carried out to validate the model. Here, sound waves with frequency content from 50 to 700 Hz were introduced into airways of five porcine subjects via an endotracheal tube, and transmitted waves were measured by scanning laser Doppler vibrometry at the chest wall surface. The computational model predictions of decreased sound transmission with pneumothorax were consistent with experimental measurements. The in silico model can also be used to visualize wave propagation inside and on the chest wall surface for other pulmonary pathologies, which may help in developing and interpreting diagnostic procedures that utilize sound and vibration. PMID:26280512

  5. 49 CFR 572.124 - Thorax assembly and test procedure.

    Science.gov (United States)

    2010-10-01

    ... test procedure in paragraph (c) of this section: (1) The maximum sternum displacement (compression... displacement but before reaching the minimum required 38.0 mm (1.5 in) sternum displacement limit shall not exceed 1500 N (337.2 lbf). (2) The internal hysteresis of the ribcage in each impact as determined by the...

  6. 49 CFR 572.134 - Thorax assembly and test procedure.

    Science.gov (United States)

    2010-10-01

    ...: (1) Maximum sternum displacement (compression) relative to the spine, measured with chest deflection... displacement but before reaching the minimum required 50.0 mm (1.97 in) sternum displacement limit shall not exceed 4600 N. (2) The internal hysteresis of the ribcage in each impact as determined by the plot of...

  7. Cine MRI of the thorax in patients with pectus excavatum

    International Nuclear Information System (INIS)

    Herrmann, K.A.; Zech, C.J.; Schoenberg, S.O.; Reiser, M.F.; Strauss, T.; Hatz, R.

    2006-01-01

    Morphologic and dynamic assessment of respiratory chest kinetics was performed in patients with pectus excavatum deformity (PE) using dynamic MRI: cine MRI. Seven consecutive patients with PE (aged 20.3 years±4.0) and ten healthy volunteers of comparable age underwent real-time cine MRI of the chest during breathing on a 1.5 T MR scanner (Magnetom Sonata, Siemens Medical Systems, Erlangen, Germany) using a standard phased array body coil and a half-Fourier single-shot turbo spin echo sequence (HASTE) for dynamic imaging. During deep inspiration and expiration, single-shot sequences were performed in one slice level over 20 s at a frequency of 1 image/s covering the entire thoracic cage in three orientations. Morphology and chest kinetics in patients with PE were analyzed and compared with normal values, and typical patterns of chest kinetics were noted. Three different types of chest morphology in PE were identified: (1) the generally flattened thoracic cage, (2) the ''tilted'' sternum, and (3) the focally deepened sternum. Three patterns of motion correspond to these morphological types: (1) elevation of the sternum and the anterior thoracic wall, (2) angulated elevation of the parasternal rib cage with persistent deepening of the sternum resembling a ''wing beat'' movement, and (3) increased diaphragmatic movements with limited chest wall dynamics. Cine MRI is an adequate radiation-free diagnostic modality for the dynamic imaging of both chest morphology and chest wall kinetics in patients with PE. The pectus severity index can easily be determined and three typical movement patterns of chest wall kinetics identified. (orig.) [de

  8. Sound transmission in porcine thorax through airway insonification.

    Science.gov (United States)

    Peng, Ying; Dai, Zoujun; Mansy, Hansen A; Henry, Brian M; Sandler, Richard H; Balk, Robert A; Royston, Thomas J

    2016-04-01

    Many pulmonary injuries and pathologies may lead to structural and functional changes in the lungs resulting in measurable sound transmission changes on the chest surface. Additionally, noninvasive imaging of externally driven mechanical wave motion in the chest (e.g., using magnetic resonance elastography) can provide information about lung structural property changes and, hence, may be of diagnostic value. In the present study, a comprehensive computational simulation (in silico) model was developed to simulate sound wave propagation in the airways, lung, and chest wall under normal and pneumothorax conditions. Experiments were carried out to validate the model. Here, sound waves with frequency content from 50 to 700 Hz were introduced into airways of five porcine subjects via an endotracheal tube, and transmitted waves were measured by scanning laser Doppler vibrometry at the chest wall surface. The computational model predictions of decreased sound transmission with pneumothorax were consistent with experimental measurements. The in silico model can also be used to visualize wave propagation inside and on the chest wall surface for other pulmonary pathologies, which may help in developing and interpreting diagnostic procedures that utilize sound and vibration.

  9. AIDS: radiologic findings in the thorax and abdomen

    International Nuclear Information System (INIS)

    Langer, M.; Langer, R.

    1993-01-01

    Thoracic manifestation of AIDS are initially diagnosed on plain film studies. Pneumocystis carinii infections are characterised by bi-hilar streaky, interstitial and diffuse micronodular infiltrations. These findings are best seen on thoracic CT examinations. Thoracic Kaposi sarcoma is characterized by larger, rounded interstitial infiltrations. In abdominal AIDS ultrasound is the first screening method. It detects equally well lymph nodes in Kaposi sarcoma as in all lymphomas and opportunistic infections. CT can differentiate between mycobacterium tuberculosis and mycobacterium avium intracellulare infections, because of the central low-density lymphoma in tuberculosis. (orig.)

  10. Pelvis-thorax coordination in the transverse plane during gait

    NARCIS (Netherlands)

    Lamoth, C.J.C.; Beek, Peter J.; Meijer, O.G.

    2002-01-01

    The coordination between horizontal pelvic and thoracic rotations during treadmill walking was studied in ten subjects. Previous studies have considered the relative phase using the mean to characterize coordination mode, and the S.D. as an index of its stability. However, to use S.D. of relative

  11. Blunt chest trauma: bony injury in the thorax.

    Science.gov (United States)

    Zreik, Nasri H; Francis, Irene; Ray, Arun; Rogers, Benedict A; Ricketts, David M

    2016-02-01

    The management of blunt chest trauma is an evolving concept with no clear current guidelines. This article explores the bony injuries associated with this, focusing on rib fractures and flail segments and the themes around investigation and best management.

  12. 49 CFR 572.195 - Thorax with arm.

    Science.gov (United States)

    2010-10-01

    ... dummy is in vertical orientation. (4) Push the dummy at the knees and at mid-sternum of the upper torso with just sufficient horizontally oriented force towards the seat back until the back of the upper torso is in contact with the seat back. (5) While maintaining the dummy's position as specified in...

  13. Radiological observations of the thorax and abdomen of the piglet

    International Nuclear Information System (INIS)

    Wood, A.K.W.

    1985-01-01

    A contrast radiographic study of the urinary and gastrointestinal system was carried out in 43 animals, with the aid of barium sulfate, orally for esophageal, stomach, small intestine and large intestine studies; barium sulfate as an enema to complete the large intestine studies; sodium and meglumine diatrizoate intravenously for urography and iodipamide meglumine intravenously for cholecystography. Both unanesthetized and anesthetized or tranquilized animals were used in the study. The results of the study are illustrated, and contrasted with studies of a similar nature in other animals

  14. Optimization of the quality and dose in thorax general radiology

    International Nuclear Information System (INIS)

    Hwang, Suy Ferreira

    2001-01-01

    Image quality and radiation dose at skin entrance in chest radiography were studied for three exposure protocols, denoted as 1, 2 and 3. Protocol 1 represents the most used technique in radiology services in our country. This technique consists of the following parameters: 81 kV tube voltage, anti-scatter grid and 2 m focus-film distance. Protocol 2 uses the same parameters of the Protocol 1, without grid. Protocol 3 uses I 33kV without grid and 3,5 m focus-film distance. In Protocols 2 and 3 a 30 em air gap was used between patient and film. Two samples of 50 patients were radiographed in two different facilities, herein denoted 1 and 2. Protocol 1 was used in facility I to radiograph the first patient sample, and Protocols 2 and 3 were used in facility 2 to radiograph the second patient sample. Three experts in chest radiology evaluated the obtained chest images according anatomical quality criteria for this examination. For each patient exposure the radiation dose at skin entrance was measured. In this work, a chest phantom, containing test objects to evaluate quantitatively image quality, was made. The phantom was radiographed with the three protocols herein investigated. Results of this study showed clearly that Protocol 3 presents an average dose at skin entrance about half than Protocol 2 and about one third of Protocol 1. In regard to chest radiographic images and radiation dose, it was statistically demonstrated that the Protocol 3 is better than Protocols 1 and 2, with the improvement of the image quality and patient dose reduction in order of 3 times. This work also discusses the perspective of using optimized exposure technique proposed by Protocol 3 as an alternative technique far chest radiographic examinations to those currently used in our diagnostic radiology facilities. (author)

  15. Uso de fijador externo en la inestabilidad de la pared torácica anterior (volet esternal: Presentación de un caso Use of the external fixative in the instability of the anterior thoraxic wall (sternal volet: A case report

    Directory of Open Access Journals (Sweden)

    Orestes N Mederos Curbelo

    2005-03-01

    Full Text Available Se presenta un paciente con inestabilidad de la pared torácica anterior y esternón tratado previamente con un dispositivo creado por los autores en 1995 para el volet costal. Las costillas artificiales externas del dispositivo, diseñado para el cerclaje subperióstico, actúan como elemento de fijación y han conseguido resultados satisfactorios. Se presenta un paciente, que producto de un accidente automovilístico, sufre lesiones en cráneo, tórax, abdomen y extremidades, entre las que resaltan contusión cerebral, lesión hepática, fractura de fémur e inestabilidad de la pared torácica anterior. Esta última requirió de prioridad extrema, pues habría llevado rápidamente al paciente a la insuficiencia respiratoria de no ser solucionado el problema. Se realizó la estabilización externa mediante un equipo que se utiliza en nuestro hospital, reutilizable y aplicable en cualquier inestabilidad torácica independientemente de la localización de esta. El fijador se confecciona con láminas de duraluminio maleables que permiten su adaptabilidad e introduce una forma de tratamiento en las lesiones torácicas bilaterales con inestabilidad esternal, situación compleja en la que puede resultar un instrumento valioso de tratamientoA patient with instability of the anterior thoracic wall and sternum previously treated with a device created by the authors in 1995 for the costal volet, is presented. The artificial external ribs of the device designed for subperiosteous cerclage act as a fixation element with satisfactory results. The case of a patient that due to a car accident suffers from lesions in the cranium, thorax, abdomen and limbs, among which cerebral contusion, liver lesion, femur fracture and instability of the anterior thoracic wall stand out, is reported. Maximum priority was given to the instability of the anterior thoracic wall, since it could have rapidly led to respiratory failure if the problem would have not been solved. The

  16. Uncommon presentation of cryptogenic organizing pneumonia with miliary pattern in the thorax; Ungewoehnliche Manifestation einer kryptogen organisierenden Pneumonie mit miliarem Verschattungsmuster im Thorax

    Energy Technology Data Exchange (ETDEWEB)

    Langen, H.J.; Biewener, C. [Missionsaerztliche Klinik, Radiologische Abteilung, Wuerzburg (Germany); Ruediger, T. [Universitaet Wuerzburg, Pathologisches Institut, Wuerzburg (Germany); Jany, B. [Missionsaerztliche Klinik, Abteilung fuer Innere Medizin, Wuerzburg (Germany)

    2008-03-15

    A 28-year-old female with worsening dyspnea showed miliary nodules of 2 mm in diameter on chest X-ray and high-resolution CT (HRCT). Histological evaluation and clinical outcome revealed an uncommon presentation of cryptogenic organizing pneumonia. (orig.) [German] Bei einer 28-jaehrigen Patientin mit zunehmender Dyspnoe wurden auf der Thoraxroentgenaufnahme und in der hochaufloesenden CT (HRCT) homogen verteilte monomorphe miliare Fleckschatten von ca. 2 mm Durchmesser nachgewiesen. Die histologische Sicherung und der klinische Verlauf ergaben eine kryptogen organisierende Pneumonie, die sich bildmorphologisch ungewoehnlicherweise nur mit miliaren Knoetchen manifestierte. (orig.)

  17. A population based statistical model for daily geometric variations in the thorax

    NARCIS (Netherlands)

    Szeto, Yenny Z.; Witte, Marnix G.; van Herk, Marcel; Sonke, Jan-Jakob

    2017-01-01

    To develop a population based statistical model of the systematic interfraction geometric variations between the planning CT and first treatment week of lung cancer patients for inclusion as uncertainty term in future probabilistic planning. Deformable image registrations between the planning CT and

  18. What Can Computed Tomography Scans of the Thorax Show after Breast Surgery?

    Directory of Open Access Journals (Sweden)

    Afsaneh Alikhassi

    2016-06-01

    Full Text Available Background: Postoperative breast abnormalities after breast conserving surgery or modified radical mastectomy are frequently overlooked and inaccurately assessed or reported using multidetector computed tomography (MDCT. These inaccurate results may have legal ramifications for the clinicians, cause patients avoidable anxiety, and lead to additional unnecessary diagnostic follow-up testing and costs.Methods: The patients with a history of breast cancer who had undergone breast-conserving surgery or modified radical mastectomy up to 6 months prior to undergoing a thoracic MDCT scan consented and enrolled in this study. These patients underwent a thoracic MDCT scan either because of respiratory or cardiac clinical symptoms or as part of breast cancer staging.Results: Forty women were included in this study. Different postoperative breast changes observed on thoracic MDCT scans including fibrous scar tissue, fat necrosis, seroma, abscess, hematoma, and recurrent and residual tumor were described.Conclusions: MDCT scans offer sufficient evidence in many postoperative cases to allow a confident diagnosis. General radiologists who review thoracic MDCT scans should know how to characterize breast lesions incidentally found on MDCT scans after breast surgeries. This information would enhance the value of the radiologist’s report for appropriate case management.

  19. Local recidivation of operated breast cancer after electron cineroentgenotherapy of the thorax wall

    International Nuclear Information System (INIS)

    Mutschler, J.

    1986-01-01

    Of 354 patients undergoing radiotherapy up to 31 Dec 1982, 268 comparable cases were examined with regard to local recurrences, metastases, and general health status. The incidence of local recurrences suggested a higher efficiency of this technique as compared with the formerly applied technique of 4-field high-voltage therapy. Medial or central tumours were found to have an almost significantly loss favourable prognosis, which suggests a first spread remote metastases via the parastermal lymphatic vessels. The other 86 patients were analyzed descriptively according to subgroups. Radiolesions of the skin and lungs were not significantly less or more frequent than with other radiotherapies. Electron cineroentgenotherapy is well tolerated even by pre-exposed skin: The Tuebingen experience so far proves the acceptability of the new technique. (orig./MG) [de

  20. Radio-protective aprons during radiological examinations of the thorax: An optimum strategy

    International Nuclear Information System (INIS)

    Jackson, G.; Brennan, P. C.

    2006-01-01

    The current work investigates the most effective type/position of aprons for postero-anterior (PA) and lateral projections of the chest. Two apron-types were investigated: 'Mavig' half apron and Amray light plus' wrap-around apron. The half apron was positioned at the X-ray tube or image receptor side of an anthropomorphic phantom for PA and lateral projections. Radiation dose at positions corresponding to ovaries, uterus and testes was measured with thermoluminescent dosemeters. The wrap-around apron offers a higher level of protection for PA and lateral projections compared with the half apron, regardless of where the latter was positioned, with dose reductions of up to 88% compared with no apron. For the PA position, the half apron should be positioned in a gender-specific way, facing the X-ray tube for females and the image receptor for males. With all apron types/positions, gonadal dose is still clearly evident, from internal scatter, emphasising the importance of other protective practices such as collimation. (authors)

  1. Evaluation of the Thorax of Manduca Sexta for Flapping Wing Micro Air Vehicle Applications

    Science.gov (United States)

    2012-12-01

    subject to the effects of low Reynolds number flight. These effects extend from wind gusts to unstable aerodynamic flow and viscous dominated flow (Shyy...operate as a mechanical spring damper at resonance during flapping flight (Bolsman 2010). For wing actuation, the M.sexta has two fairly simple and...freshly eclosed moth a surface to climb up, which is an absolute necessity. The moth must climb off of the ground in order to pump fluids through

  2. Interventional diagnostic procedures on the thorax and mediastinum under CT control

    International Nuclear Information System (INIS)

    Stoyanov, K.; Zakhariev, A.; Kalev, D.; Balev, B.; Dimov, D.; Mitishev, I.; Radkov, I.; Yanchev, Ya.

    1991-01-01

    Results are reported of 70 transthoracic aspiration biopsies (TTAB) made under ultrasound, X-ray and computed tomographic (CT) control. The technique of performing the manipulation is described. Special attention is paid on the preliminary preparation of the patient and its realization by a crew consisting in an interventional X-ray physician, a terapeutist, a cytopatologist and a surgical nurse. The most frequently observed complication is pneumothorax, so that very important is the preparedness of the crew for catether decompression if necessary. Advantages of TTAB made under CT control are pointed out. 12 refs., 3 figs

  3. Investigations of sensitivity and resolution of ECG and MCG in a realistically shaped thorax model

    International Nuclear Information System (INIS)

    Mäntynen, Ville; Konttila, Teijo; Stenroos, Matti

    2014-01-01

    Solving the inverse problem of electrocardiography (ECG) and magnetocardiography (MCG) is often referred to as cardiac source imaging. Spatial properties of ECG and MCG as imaging systems are, however, not well known. In this modelling study, we investigate the sensitivity and point-spread function (PSF) of ECG, MCG, and combined ECG+MCG as a function of source position and orientation, globally around the ventricles: signal topographies are modelled using a realistically-shaped volume conductor model, and the inverse problem is solved using a distributed source model and linear source estimation with minimal use of prior information. The results show that the sensitivity depends not only on the modality but also on the location and orientation of the source and that the sensitivity distribution is clearly reflected in the PSF. MCG can better characterize tangential anterior sources (with respect to the heart surface), while ECG excels with normally-oriented and posterior sources. Compared to either modality used alone, the sensitivity of combined ECG+MCG is less dependent on source orientation per source location, leading to better source estimates. Thus, for maximal sensitivity and optimal source estimation, the electric and magnetic measurements should be combined. (paper)

  4. Transdiaphragmatic Approach to Attenuate Porto-Azygos Shunts Inserting in the Thorax.

    Science.gov (United States)

    Or, Matan; Kitshoff, Adriaan; Devriendt, Nausikaa; De Ridder, Marianne; Quist-Rybachuk, Galena; de Rooster, Hilde

    2016-11-01

    To describe the surgical technique and document the application of a transdiaphragmatic approach to attenuate porto-azygos shunts inserting in the thoracic section of the azygos vein. Cadaveric study and prospective case series. Canine cadavers (n=6) and client-owned dogs with porto-azygos shunts inserting in the thoracic section of the azygos vein (n=9). In the cadavers, the azygos vein was filled with aqueous latex. Landmarks were established for creating a safe transdiaphragmatic approach to the caudal intrathoracic portion of the azygos vein. In the clinical cases, porto-azygos communication was diagnosed by trans-splenic portal scintigraphy. All shunts were attenuated close to their insertion site via ventral midline celiotomy and a transdiaphragmatic approach to the shunt. Perioperative complications were recorded. A 3-5 cm incision, 0.5-1 cm ventral and lateral to the level of the aortic hiatus, was made in the pars lumbalis part of the diaphragm. Stay sutures at both sides of the diaphragmatic incision were placed to open up the incision and a retractor was used to push the esophagus away from the aorta. Intrathoracic insertion of the shunt was confirmed intraoperative. Exposure of the shunt insertion site at the azygos vein was excellent in all clinical cases. No intraoperative or postoperative complications were encountered. If thoracic attenuation of a porto-azygos shunt is considered, a transdiaphragmatic approach exposes the insertion site for shunt attenuation. This approach is straightforward, without unnecessary abdominal organ manipulation, and since attenuates at the insertion, avoids missing additional contributing branches. © Copyright 2016 by The American College of Veterinary Surgeons.

  5. Evaluation of the Thorax of Manduca sexta for Flapping Wing Micro Air Vehicle Applications

    Science.gov (United States)

    2012-03-01

    consisting of the sternal and pleural plates, was modeled as a braced structure because it is much stiffer than the tergal plate and does not bend...more than 45 minutes. This is long enough to kill the specimen without crystallizing most of the liquid in the muscles. This method was only used for

  6. Time-resolved plastic scintillator dosimetry in a dynamic thorax phantom

    DEFF Research Database (Denmark)

    Sibolt, Patrik; Andersen, Claus E.; Ottosson, Wiviann

    2017-01-01

    in a lung. The phantom motion was controlled by a script in-house developed using LabVIEW (National Instruments) and synchronized with the in-house developed ME40 scintillator dosimetry system (DTU Nutech). The dose in the center of the tumor was measured, using a BCF-60 plastic scintillator detector (Saint...

  7. Gorham syndrome of the thorax and cervical spine: CT and MRI findings

    International Nuclear Information System (INIS)

    Chung, C.; Yu, J.S.; Resnick, D.; Vaughan, L.M.; Haghighi, P.

    1997-01-01

    Gorham syndrome is a rare disorder that is characterized by local osseous invasion and surrounding soft tissues by an angiomatous mass, eventually causing lysis of the affected bone. To date, only four cases have reported the MR imaging appearance of this disease and the findings have been variable. We present a case involving the cervical and thoracic spine and part of the osseous hemithorax with attention to the MR findings. (orig.). With 4 figs

  8. Vertical field MR imaging of upper thorax and spine in small children

    International Nuclear Information System (INIS)

    Brockstedt, S.; Malmgren, N.; Malmgren, L.; Ivarsson, M.L.; Larsson, E.M.; Holtaas, S.; Staahlberg, F.

    1993-01-01

    To improve image quality in a vertical field MR imaging unit, operating at low field strength (0.3 T), we have designed a half-elliptical coil for use in the upper thoracic region of small children. Our intention was also to shorten the examination time, which until now has been long, because several scans with different coils have been necessary to cover the thoracic region. The experimental coil is designed so that a child's shoulders fit into the central region. The coil consists of 2 serially connected cable-loops, mounted on a foam rubber vest. The coil performance was tested in a phantom and improvements relative to standard coils were demonstrated in in vivo studies. The results indicate that by using the half-elliptical coil, the signal-to-noise (S/N) ratio can be improved by a factor of 2 to 3 in the thoracic region of a child. (orig.)

  9. Automatic 2D segmentation of airways in thorax computed tomography images

    International Nuclear Information System (INIS)

    Cavalcante, Tarique da Silveira; Cortez, Paulo Cesar; Almeida, Thomaz Maia de; Felix, John Hebert da Silva; Holanda, Marcelo Alcantara

    2013-01-01

    Introduction: much of the world population is affected by pulmonary diseases, such as the bronchial asthma, bronchitis and bronchiectasis. The bronchial diagnosis is based on the airways state. In this sense, the automatic segmentation of the airways in Computed Tomography (CT) scans is a critical step in the aid to diagnosis of these diseases. Methods: this paper evaluates algorithms for airway automatic segmentation, using Neural Network Multilayer Perceptron (MLP) and Lung Densities Analysis (LDA) for detecting airways, along with Region Growing (RG), Active Contour Method (ACM) Balloon and Topology Adaptive to segment them. Results: we obtained results in three stages: comparative analysis of the detection algorithms MLP and LDA, with a gold standard acquired by three physicians with expertise in CT imaging of the chest; comparative analysis of segmentation algorithms ACM Balloon, ACM Topology Adaptive, MLP and RG; and evaluation of possible combinations between segmentation and detection algorithms, resulting in the complete method for automatic segmentation of the airways in 2D. Conclusion: the low incidence of false negative and the significant reduction of false positive, results in similarity coefficient and sensitivity exceeding 91% and 87% respectively, for a combination of algorithms with satisfactory segmentation quality. (author)

  10. Optimization and objective and subjective analysis of thorax image for computerized radiology

    International Nuclear Information System (INIS)

    Velo, Alexandre F.; Miranda, Jose Ricardo A.

    2013-01-01

    This research aimed at optimizing computational chest radiographic images (in previous posterior projection-PA). To this end, we used a homogeneous patient equivalent phantom in Computational Imaging System calibration, in order to obtain a satisfactory noise signal relation for a diagnosis, adjusting to a minimum dose received by the patient. The techniques have been applied in an anthropomorphic phantom (RANDO). The images obtained were evaluated by a radiologist, which identified the best image to determine possible pathologies (fracture or pneumonia). The technique were quantified objectively (Detective Quantum Efficiency - DQE, Modulation Transfer Function MTF, Noise Power Spectrum, NPS). Comparing optimized techniques with the clinical routine, it is concluded that all provide doses below reference levels. However the choice of the best technique for viewing possible pneumonia and/or fracture, was determined based on the first 3D (Dose, Diagnostic, Dollar) and regarded as gold standard. This image presented a reduction of dose and loading of tube around 70.5% and 80% respectively when compared with the clinical routine

  11. Transcutaneous migration of foreign body into thorax in children: A report of two cases

    Directory of Open Access Journals (Sweden)

    Bothra Jyoti

    2016-11-01

    Full Text Available Inhalation and ingestion of foreign bodies is common in pediatric age group. However transcutaneous migration of sharps into the lung parenchyma is rarely reported and can be hazardous. We report two such cases with details on the diagnosis and the treatment modalities used for the management.

  12. CT scan findings of fungal pneumonia; Diagnose der Pilzpneumonie in der Thorax-CT

    Energy Technology Data Exchange (ETDEWEB)

    Heckmann, M.; Uder, M.; Bautz, W.; Heinrich, M. [Erlangen-Nuernberg Univ., Erlangen (Germany). Inst. fuer Diagnostische Radiologie

    2008-07-01

    The importance of fungal infection of the lung in immunocompromised patients has increased substantially during the last decades. Numerically the most patients are those with neutropenia, e.g. patients with malignancies or solid organ and stem cell transplantation, chemotherapy, corticosteroid use and HIV infection. Although fungal infections can occur in immunocompetent patients, their frequency in this population is rare. The clinical symptoms such as fever accompanied with non-productive cough are unspecific. In some patients progression to hypoxemia and dyspnea may occur rapidly. In spite of improved antifungal therapy morbidity and mortality of these infections are still high. Therefore an early and non-invasive diagnosis is very important. That is why CT and even better High-Resolution-CT (HR-CT) is a very important modality in examining immunocompromised patients with a probability of fungal infection. CT is everywhere available and, as a non-invasive method, able to give the relevant diagnose efficiently. This paper should give an overview about the radiologic findings and possible differential diagnosis of diverse pulmonary fungal infections in CT. Pneumonias caused by Aspergillus, Cryptococcus, Candida, Histoplasma, Mucor and Geotrichum capitatum are illustrated. (orig.)

  13. Automatic intrinsic cardiac and respiratory gating from cone-beam CT scans of the thorax region

    Science.gov (United States)

    Hahn, Andreas; Sauppe, Sebastian; Lell, Michael; Kachelrieß, Marc

    2016-03-01

    We present a new algorithm that allows for raw data-based automated cardiac and respiratory intrinsic gating in cone-beam CT scans. It can be summarized in three steps: First, a median filter is applied to an initially reconstructed volume. The forward projection of this volume contains less motion information and is subtracted from the original projections. This results in new raw data that contain only moving and not static anatomy like bones, that would otherwise impede the cardiac or respiratory signal acquisition. All further steps are applied to these modified raw data. Second, the raw data are cropped to a region of interest (ROI). The ROI in the raw data is determined by the forward projection of a binary volume of interest (VOI) that includes the diaphragm for respiratory gating and most of the edge of the heart for cardiac gating. Third, the mean gray value in this ROI is calculated for every projection and the respiratory/cardiac signal is acquired using a bandpass filter. Steps two and three are carried out simultaneously for 64 or 1440 overlapping VOI inside the body for the respiratory or cardiac signal respectively. The signals acquired from each ROI are compared and the most consistent one is chosen as the desired cardiac or respiratory motion signal. Consistency is assessed by the standard deviation of the time between two maxima. The robustness and efficiency of the method is evaluated using simulated and measured patient data by computing the standard deviation of the mean signal difference between the ground truth and the intrinsic signal.

  14. Retrospective Analysis of 513 Cases Diagnosed with Rib Fracture Secondary to Blunt Thorax Trauma

    Directory of Open Access Journals (Sweden)

    Serdar Ozkan

    2017-05-01

    Full Text Available Aim: This study aimed to analyze blunt chest trauma cases who were diagnosed with rib fracture and to examine the regional differences likely to appear in trauma cases and treatment approaches. Material and Method: 513 cases who applied to the Emergency Service and Department of Thoracic Surgery between October 2013 and December 2014 due to blunt trauma and were diagnosed with rib fracture were retrospectively examined. The cases were evaluated in terms of etiological factors, thoracic, and other system injuries accompanying the rib fracture, prognosis, and the treatments applied. Results: Isolated rib fracture was present in 266 of the cases. Thoracic organ injuries such as pneumothorax, hemothorax, hemopneumothorax, lung contusion, or laceration and sternal fracture accompanying the rib fracture were present in 247 of the cases. While one or two rib fractures were detected in 298 cases, six or more rib fractures were present in 28 cases. 78.2% of hemothorax cases, 85.3% of pneumothorax cases, 95.4% of hemopneumothorax cases, 81.8% of bilateral pneumothorax cases, 26% of bilateral hemothorax cases, and 71.4% of bilateral hemopneumothorax cases were treated by applying tube thoracostomy. 129 cases diagnosed with thoracic organ injury in addition to rib fracture but not subjected to surgical intervention, and 266 cases diagnosed with isolated rib fracture were discharged with full recovery after appropriate medical treatment. Discussion: Most of the rib fractures occurring due to blunt trauma are treated successfully with medical treatments and conservative approaches and do not need advanced surgical treatments.

  15. Prise en charge des traumatismes fermes du thorax chez l'adulte au ...

    African Journals Online (AJOL)

    We performed a retrospective study on 348 files of patients hospitalised for closed thoracic trauma during 10 years (1990-1999). The objective was ... hemothorax and 49 (14.08%) cases of pneumothorax. 53 (15.23%) chest tube were placed.

  16. Segmentation of organs at risk in CT volumes of head, thorax, abdomen, and pelvis

    Science.gov (United States)

    Han, Miaofei; Ma, Jinfeng; Li, Yan; Li, Meiling; Song, Yanli; Li, Qiang

    2015-03-01

    Accurate segmentation of organs at risk (OARs) is a key step in treatment planning system (TPS) of image guided radiation therapy. We are developing three classes of methods to segment 17 organs at risk throughout the whole body, including brain, brain stem, eyes, mandible, temporomandibular joints, parotid glands, spinal cord, lungs, trachea, heart, livers, kidneys, spleen, prostate, rectum, femoral heads, and skin. The three classes of segmentation methods include (1) threshold-based methods for organs of large contrast with adjacent structures such as lungs, trachea, and skin; (2) context-driven Generalized Hough Transform-based methods combined with graph cut algorithm for robust localization and segmentation of liver, kidneys and spleen; and (3) atlas and registration-based methods for segmentation of heart and all organs in CT volumes of head and pelvis. The segmentation accuracy for the seventeen organs was subjectively evaluated by two medical experts in three levels of score: 0, poor (unusable in clinical practice); 1, acceptable (minor revision needed); and 2, good (nearly no revision needed). A database was collected from Ruijin Hospital, Huashan Hospital, and Xuhui Central Hospital in Shanghai, China, including 127 head scans, 203 thoracic scans, 154 abdominal scans, and 73 pelvic scans. The percentages of "good" segmentation results were 97.6%, 92.9%, 81.1%, 87.4%, 85.0%, 78.7%, 94.1%, 91.1%, 81.3%, 86.7%, 82.5%, 86.4%, 79.9%, 72.6%, 68.5%, 93.2%, 96.9% for brain, brain stem, eyes, mandible, temporomandibular joints, parotid glands, spinal cord, lungs, trachea, heart, livers, kidneys, spleen, prostate, rectum, femoral heads, and skin, respectively. Various organs at risk can be reliably segmented from CT scans by use of the three classes of segmentation methods.

  17. PET-CT: current applications and new developments in the thorax.

    Science.gov (United States)

    Erasmus, Jeremy J; Mawlawi, Osama; Howard, Brandon; Patz, Edward F

    2014-02-01

    Positron emission tomography computed tomography(PET-CT) imaging has emerged as an essential clinical diagnostic tool in the evaluation of thoracic abnormalities. Currently, its primary role is for tumor imaging; it helps to differentiate benign from malignant nodules, stage tumors, determine response, and follow patients after therapy is complete. It has also been used for nononcologic diseases, but the indications are less well defined. PET is a fundamental component of the molecular imaging initiative, and as new more specific imaging probes and better instrumentation are developed, PET-CT is certain to improve diagnostic accuracy and become even more integrated into the imaging armamentarium. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  18. Evaluation of skin entrance dose imparted on pediatric patients by thorax exams

    International Nuclear Information System (INIS)

    Oliveira, Mercia L.; Khoury, Helen; Drexler, Guenter; GSF-National Research Center for Environment and Health, Neuherberg; Barros, Edison

    2001-01-01

    In this work the results of a survey of skin entrance dose imparted on pediatric patients are present. Positioning the thermo luminescence dosimeters in contact with the patient's skin, in the center of the incident X-ray beam, collected the skin entrance dose data. The patients were grouped in five age groups: infants, 1,1 to 4 years, 4,1 to 6 years, 6,1 to 10 years and older than 10 years. The results show that the average of skin entrance doses is very higher as compared to the European Community Commission reference levels and to other values found in literature. (author)

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

    International Nuclear Information System (INIS)

    Alonso, Thêssa Cristina

    2016-01-01

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

  20. Cone-beam CT angiography of the thorax. An experimental study

    International Nuclear Information System (INIS)

    Yoshida, Katsuya; Shimada, Kazuhiro; Tadokoro, Hiroyuki

    1999-01-01

    The authors recently developed a cone-beam computed tomography (CT) scanner and this report presents their evaluation of its potential for thoracic vascular imaging. An X-ray tube and a video-fluoroscopic system were rotated around the objects and 360 projected images were collected in a 12-s scan. Each image was digitized and a 3 dimensional (D) image (256 x 256 x 256 voxel volume with a voxel dimension of 0.9 x 0.9 x 0.9 mm) was reconstructed. Two different 3D-CT angiographies were investigated in 2 pigs: right atriography and thoracic aortography. Each pig was anesthetized, mechanically ventilated and positioned within the scanner. Contrast agent was infused through the right atrium or the aortic root at a rate of 3 ml/s during the scan. The right atriography scan clearly delineated the anatomy of the pulmonary artery, heart chambers and thoracic aorta. The thoracic aortography scan also clearly delineated the aortic anatomy including the internal thoracic and intercostal arteries. In conclusion, cone-beam CT angiography is potentially useful for thoracic vascular imaging. (author)

  1. Regional Lung Density Changes After Radiation Therapy for Tumors in and Around Thorax

    International Nuclear Information System (INIS)

    Ma Jinli; Zhang Junan; Zhou Sumin; Hubbs, Jessica L.; Foltz, Rodney J.; Hollis, Donna R.; Light, Kim L.; Wong, Terence Z.; Kelsey, Christopher R.; Marks, Lawrence B.

    2010-01-01

    Purpose: To study the temporal nature of regional lung density changes and to assess whether the dose-dependent nature of these changes is associated with patient- and treatment-associated factors. Methods and Materials: Between 1991 and 2004, 118 patients with interpretable pre- and post-radiation therapy (RT) chest computed tomography (CT) scans were evaluated. Changes in regional lung density were related to regional dose to define a dose-response curve (DRC) for RT-induced lung injury using three-dimensional planning tools and image fusion. Multiple post-RT follow-up CT scans were evaluated by fitting linear-quadratic models of density changes on dose with time as the covariate. Various patient- and treatment-related factors were examined as well. Results: There was a dose-dependent increase in regional lung density at nearly all post-RT follow-up intervals. The population volume-weighted changes evolved over the initial 6-month period after RT and reached a plateau thereafter (p < 0.001). On univariate analysis, patient age greater than 65 years (p = 0.003) and/or the use of pre-RT surgery (p < 0.001) were associated with significantly greater changes in CT density at both 6 and 12 months after RT, but the magnitude of this effect was modest. Conclusions: There appears to be a temporal nature for the dose-dependent increases in lung density. Nondosimetric clinical factors tend to have no, or a modest, impact on these changes.

  2. Deciduoid mesothelioma of the thorax: A comprehensive review of the scientific literature.

    Science.gov (United States)

    Paliogiannis, Panagiotis; Putzu, Carlo; Ginesu, Giorgio Carlo; Cossu, Maria Laura; Feo, Claudio Francesco; Attene, Federico; Scognamillo, Fabrizio; Nonnis, Rita; Cossu, Antonio; Palmieri, Giuseppe; Pirina, Pietro; Fois, Alessandro

    2018-03-01

    Deciduoid mesothelioma is a rare variant of malignant epithelioid mesothelioma. It often involves the peritoneum, but also thoracic cases have been reported. The aim of the present review is to describe the demographic, clinical, radiological, and pathological features of such a rare variant of thoracic mesothelioma, and the state of the art regarding the therapeutic approaches currently available. English-language articles published from 1985 to June 2016, and related to thoracic deciduoid mesothelioma cases were retrieved using the Pubmed database. The search terms were "mesothelioma," "thoracic mesothelioma," "epithelial mesothelioma," "pleural mesothelioma," and "deciduoid mesothelioma." Forty-four cases included in 16 articles, published in the period under investigation, were analyzed in detail. The mean age of the patients was 63 years, and the male to female ratio 1.7:1. Approximately 58% had exposure to asbestos, and 73% had a smoking history; familiarity was rarely reported. The most common anatomical site of origin was the right pleura, and the most frequent clinical manifestations were chest pain, dyspnea, cough, and weight loss. Thoracic X-ray and computed tomography were the imaging techniques most employed for diagnosis and surgical planning. The pathological diagnosis was obtained by examination of surgical or biopsy specimens in most cases. The best treatment strategy of deciduoid mesothelioma is a matter of debate; nevertheless a multidisciplinary approach is currently the best option for the choice of the adequate therapeutic scheme. © 2017 John Wiley & Sons Ltd.

  3. A-V Delay Versus Cardiac Output Measured with Thorax Bioimpedance Monitor

    Czech Academy of Sciences Publication Activity Database

    Vondra, Vlastimil; Halámek, Josef; Viščor, Ivo; Jurák, Pavel; Novák, M.; Lipoldová, J.

    2008-01-01

    Roč. 6, č. 1 (2008), s. 73 ISSN 1556-7451. [World Congress on Heart Disease /14./. 26.07.2008-29.07.2008, Toronto] Institutional research plan: CEZ:AV0Z20650511 Keywords : atrio-ventricular delay * resynchronization therapy * impedance cardiography * cardiac output Subject RIV: FA - Cardiovascular Disease s incl. Cardiotharic Surgery

  4. High intensification screen-film systems in thorax radiography: a clinical comparison

    International Nuclear Information System (INIS)

    Schaefer, C.B.; Sokiranski, R.; Claussen, C.D.

    1995-01-01

    Objective: The quality of chest images was evaluated for a conventional screen-film system, a new asymmetric screen-film system, and a new uv screen-film system. Materials and Methods: 138 Chest radiographs (69 p.a., 69 lateral) obtained with three different high intensification screen-film combinations were compared. Film density and film contrast were measured. Three readers graded the image quality according to 16 criteria. Results: The asymmetric film-screen combination Insight HC showed the lowest film contrast, the best exposure range, and a elevated film density in the mediastinal area. The asymmetric screen-film system was ranked by all three observers as being substantially better in image quality. Conclusion: Compared to conventional screen-film systems, the new screen-film systems can improve the image quality of chest radiographs. Therefore, the new high intensification screen-film combinations can be used as a low cost alternative to the Amber technique and digital radiography. (orig.) [de

  5. Surface imaging, portal imaging, and skin marker set-up vs. CBCT for radiotherapy of the thorax and pelvis

    International Nuclear Information System (INIS)

    Pallotta, Stefania; Bucciolini, Marta; Vanzi, Eleonora; Marrazzo, Livia; Simontacchi, Gabriele; Paiar, Fabiola; Ceroti, Marco; Livi, Lorenzo

    2015-01-01

    The aim of this study was to compare surface imaging, portal imaging, and skin marker set-up in radiotherapy of thoracic and pelvic regions, using cone beam computed tomography (CBCT) data as the gold standard. Twenty patients were included in this study. CBCT, surface acquisition (SA), and two orthogonal portal images (PI) were acquired during the first four treatment sessions. Patient set-up corrections, obtained by registering the planning CT with CBCT, were used as the gold standard. Registration results of the PI and SA were evaluated and compared with those obtained with CBCT. The advantage derived from using SA or PI verification systems over a skin marker set-up was also quantified. A statistically significant difference between PI and SA (in favour of PI) was observed in seven patients undergoing treatment of the pelvic region and in two patients undergoing treatment of the thoracic region. The use of SA or PI, compared with a skin marker set-up, improved patient positioning in 50% and 57 % of the thoracic fractions, respectively. For pelvic fractions, the use of PI was beneficial in 73 % of the cases, while the use of SA was beneficial in only 45 %. Patient positioning worsened with SA, particularly along longitudinal and vertical directions. PI yielded more accurate registration results than SA for both pelvic and thoracic fractions. Compared with the skin marker set-up, PI performances were superior to SA for pelvic fractions while comparable results were obtained for thoracic fractions. (orig.) [de

  6. PROSPECT: Profiling of Resistance Patterns & Oncogenic Signaling Pathways in Evaluation of Cancers of the Thorax and Therapeutic Target Identification

    Science.gov (United States)

    2012-06-01

    blot depicting ETS2 suppression by RNA interference. Quantification of colony formation on plastic (B), migration (C) and invasion (D and E) in...high p-eIF2a protein expression and longer survival on stage I and all stages (Figure 3D and 3F). There is no significant association was observed...and then transferred to nitro- cellulose membranes. The membranes were blocked with TBS containing 5% nonfat dried milk and then probed in PBS

  7. Development and validation of a human biomechanical model for rib fracture and thorax injuries in blunt impact.

    Science.gov (United States)

    Cai, Zhihua; Lan, Fengchong; Chen, Jiqing

    2015-07-01

    From 1990 to approximately 50,000-120,000 people die annually of road traffic accidents in China. Traffic accidents are the main cause of death of Chinese adults aged 15-45 years. This study aimed to determine the biomechanical response and injury tolerance of the human body in traffic accidents. The subject was a 35-year-old male with a height of 170 cm, weight of 70 kg and Chinese characteristics at the 50th percentile. Geometry was generated by computed tomography and magnetic resonance imaging. A human-body biomechanical model was then developed. The model featured in great detail the main anatomical characteristics of skeletal tissues, soft tissues and internal organs, including the head, neck, shoulder, thoracic cage, abdomen, spine, pelvis, pleurae and lungs, heart, aorta, arms, legs, and other muscle tissues and skeletons. The material properties of all tissues in the human body model were obtained from the literature. Material properties were developed in the LS-DYNA code to simulate the mechanical behaviour of the biological tissues in the human body. The model was validated against cadaver responses to frontal and side impact. The predicted model response reasonably agreed with the experimental data, and the model can further be used to evaluate thoracic injury in real-world crashes. We believe that the transportation industry can use numerical models in the future to simultaneously reduce physical testing and improve automotive safety.

  8. Tumor and normal tissue motion in the thorax during respiration: Analysis of volumetric and positional variations using 4D CT

    International Nuclear Information System (INIS)

    Weiss, Elisabeth; Wijesooriya, Krishni; Dill, S. Vaughn; Keall, Paul J.

    2007-01-01

    Purpose: To investigate temporospatial variations of tumor and normal tissue during respiration in lung cancer patients. Methods and Materials: In 14 patients, gross tumor volume (GTV) and normal tissue structures were manually contoured on four-dimensional computed tomography (4D-CT) scans. Structures were evaluated for volume changes, centroid (center of mass) motion, and phase dependence of variations relative to inspiration. Only volumetrically complete structures were used for analysis (lung in 2, heart in 8, all other structures in >10 patients). Results: During respiration, the magnitude of contoured volumes varied up to 62.5% for GTVs, 25.5% for lungs, and 12.6% for hearts. The range of maximum three-dimensional centroid movement for individual patients was 1.3-24.0 mm for GTV, 2.4-7.9 mm for heart, 5.2-12.0 mm for lungs, 0.3-5.5 mm for skin markers, 2.9-10.0 mm for trachea, and 6.6-21.7 mm for diaphragm. During respiration, the centroid positions of normal structures varied relative to the centroid position of the respective GTV by 1.5-8.1 mm for heart, 2.9-9.3 mm for lungs, 1.2-9.2 mm for skin markers, 0.9-7.1 mm for trachea, and 2.7-16.4 mm for diaphragm. Conclusion: Using 4D-CT, volumetric changes, positional alterations as well as changes in the position of contoured structures relative to the GTV were observed with large variations between individual patients. Although the interpretation of 4D-CT data has considerable uncertainty because of 4D-CT artifacts, observer variations, and the limited acquisition time, the findings might have a significant impact on treatment planning

  9. [Hybrid 3-D rendering of the thorax and surface-based virtual bronchoscopy in surgical and interventional therapy control].

    Science.gov (United States)

    Seemann, M D; Gebicke, K; Luboldt, W; Albes, J M; Vollmar, J; Schäfer, J F; Beinert, T; Englmeier, K H; Bitzer, M; Claussen, C D

    2001-07-01

    The aim of this study was to demonstrate the possibilities of a hybrid rendering method, the combination of a color-coded surface and volume rendering method, with the feasibility of performing surface-based virtual endoscopy with different representation models in the operative and interventional therapy control of the chest. In 6 consecutive patients with partial lung resection (n = 2) and lung transplantation (n = 4) a thin-section spiral computed tomography of the chest was performed. The tracheobronchial system and the introduced metallic stents were visualized using a color-coded surface rendering method. The remaining thoracic structures were visualized using a volume rendering method. For virtual bronchoscopy, the tracheobronchial system was visualized using a triangle surface model, a shaded-surface model and a transparent shaded-surface model. The hybrid 3D visualization uses the advantages of both the color-coded surface and volume rendering methods and facilitates a clear representation of the tracheobronchial system and the complex topographical relationship of morphological and pathological changes without loss of diagnostic information. Performing virtual bronchoscopy with the transparent shaded-surface model facilitates a reasonable to optimal, simultaneous visualization and assessment of the surface structure of the tracheobronchial system and the surrounding mediastinal structures and lesions. Hybrid rendering relieve the morphological assessment of anatomical and pathological changes without the need for time-consuming detailed analysis and presentation of source images. Performing virtual bronchoscopy with a transparent shaded-surface model offers a promising alternative to flexible fiberoptic bronchoscopy.

  10. Profiling of Resistance Patterns & Oncogenic Signaling Pathways in Evaluation of Cancers of the Thorax and Therapeutic Target Identification

    Science.gov (United States)

    2010-06-01

    23: 9361–9374. Huang PH, Mukasa A, Bonavia R, Flynn RA, Brewer ZE, Cavenee WK et al. (2007). Quantitative analysis of EGFRvIII cellular signaling...cisplatin mediated by the copper transporter Ctr1 in yeast and mammals. Proc Natl Acad Sci U S A 2002;99: 14298-302. 25. Song IS, Savaraj N

  11. Hounsfield unit recovery in clinical cone beam CT images of the thorax acquired for image guided radiation therapy

    DEFF Research Database (Denmark)

    Thing, Rune Slot; Bernchou, Uffe; Mainegra-Hing, Ernesto

    2016-01-01

    -correspondence with the planning CT images, and total volume HU error. Artefacts are reduced and CT-like HUs are recovered in the artefact corrected CBCT images. Visual inspection confirms that artefacts are indeed suppressed by the proposed method, and the HU root mean square difference between reconstructed CBCTs...

  12. Pulmonary artery hypertension in chronic obstructive lung disease. The validity of morphometric tests in radiodiagnosis of the thorax

    Energy Technology Data Exchange (ETDEWEB)

    Dinkel, E; Mundinger, A; Reinbold, W D; Wuertemberger, G

    1989-06-01

    Standard biplane chest X-rays were tested for the validity of morphometric criteria in the diagnosis of pulmonary artery hypertension. Twenty-seven patients suffering from chronic obstructive lung disease were examined and compared with a control group without cardiopulmonary disease. The diameter of the right and left pulmonary artery, pulmonary conus and the hilar-to-thoracic ratio were significantly increased in patients with chronic obstructive lung disease (p<0.0001). Measurement of the right pulmonary artery was 19.7+-3.9 mm compared to 13.6+-1.2 mm of the control group; mean hilar thoracic index was 0.35 compared to 0.31. Thus if the width of the descending branch of the right pulmonary artery was above 16 mm, pulmonary arterial hypertension was suggested, with a specificity of almost 100%, although the sensitivity of the diagnosis was only 59%. The mean pulmonary arterial pressure obtained by right heart catheterization correlated poorly with the morphometric criteria obtained. (orig.).

  13. Radiographic image quality and dose at thorax, abdomen and skull of patients at HC-FMB-UNESP

    International Nuclear Information System (INIS)

    Alvarez, Matheus; Giacomini, Guilherme; Bacchim Neto, Fernando A.; Alves, Allan F.F.; Velo, Alexandre F.; Miranda, Jose R.A.; Pina, Diana R. de

    2013-01-01

    ICRP 103 specifies reference dose levels to be used during radiographic exams. Usually, the radiographer qualitative determines the best radiographic technique (kV and mAs) in order to obtain better image quality with the lowest dose. The objective of this study was to evaluate the doses used in examination of the chest, abdomen and skull in patients of different physical sizes, and infer about the amount of dose required to maintain acceptable radiological contrast in patients of different physical sizes. Techniques used by experienced radiographers of HC-FMB-UNESP for examinations of the chest (PA), abdomen (AP) and skull (AP) for patients of different thickness (small, medium and thick body) were obtained. Dose measurements were performed referring to all kV/mAs combinations. PMMA phantoms were placed below the ionization chamber. The Signal Difference Noise Ratio (SDNR) of the images of the phantoms were calculated from an area of contrast and a region of normal tissue. The Figure of Merit (FoM) was calculated for each of the exam modality. Measured FoM decreased according to the thickness of the chest and abdomen, indicating the need to increase the dose level to maintain the same level of image contrast. Patients thicker usually end up getting more than twice the dose of lean patients. Required image quality levels for correct diagnosis should be obtained using dose levels as low as reasonably practicable examination. These factors highlight the need for a program of quality assurance and effective dose studies in actual service. (author)

  14. Diagnoses accuracy in the detection of abnormalities in the thorax x-ray: Teleradiology vs. conventional radiology

    International Nuclear Information System (INIS)

    Moron, Fanny Emilia; Melendez, Patricia; Martinez, Carlos Eli

    1998-01-01

    Background: introduction of teleradiology in Colombia is very recent and its operative characteristics and reliability are unknown. Objective: to evaluate intra and interobserver concordance in the interpretation of digitized chest x-ray films and to compare diagnostic Accuracy of teleradiology and film screen interpretation. Design: cross-sectional study for evaluation or concordance and operative characteristics of a diagnostic test. Patients and methods: convenience sample of 40 chest films. Independent lecture of digitized images for each radiologist to evaluate interobserver concordance: second lecture of digitized images for evaluation of intraobserver concordance. Generation of a gold standard diagnosis with a consensus interpretation of film screens, comparison of operative characteristics of teleradiology and conventional interpretation, using as a reference the gold standard (consensus lectures) and comparison of diagnostic precision using receiver operating characteristics curves (ROC curves). Results: agreements and concordance were significant higher than expected in both evaluations (inter and intraobserver). Sensitivity of teleradiology was similar to sensitivity of film screen interpretation and areas under ROC curves were not statistically different. Conclusions: concordance in the interpretation of chest radiological studies are significant in a teleradiology system and diagnostic utility of teleradiology is the same as conventional film screen interpretation. Accuracy and reliability of teleradiology are optimal

  15. PROSPECT: Profiling of Resistance Patterns Oncogenic Signaling Pathways in Evaluation of Cancers of the Thorax and Therapeutic Target Identification

    Science.gov (United States)

    2011-06-01

    low-dose AZA decreased the incidence of tobacco carcinogen–induced lung neo- plasms by 30%, the HDAC inhibitor phenylbutyrate alone was ineffective...immunohistochemical results were resolved by means of a joint review of the slides using a multiheaded microscope. Standard transmission electron microscopy was...respectively. Electron microscope studies demonstrated numerous mitochondria that occupied most of the cell cytoplasm. A large number of

  16. Reducing Radiation Doses in Female Breast and Lung during CT Examinations of Thorax: A new Technique in two Scanners

    Directory of Open Access Journals (Sweden)

    Mehnati P.

    2017-09-01

    Full Text Available Background: Chest CT is a commonly used examination for the diagnosis of lung diseases, but a breast within the scanned field is nearly never the organ of interest. Objective: The purpose of this study is to compare the female breast and lung doses using split and standard protocols in chest CT scanning. Materials and Methods: The sliced chest and breast female phantoms were used. CT exams were performed using a single-slice (SS- and a 16 multi-slice (MS- CT scanner at 100 kVp and 120 kVp. Two different protocols, including standard and split protocols, were selected for scanning. The breast and lung doses were measured using thermo-luminescence dosimeters which were inserted into different layers of the chest and breast phantoms. The differences in breast and lung radiation doses in two protocols were studied in two scanners, analyzed by SPSS software and compared by t-test. Results: Breast dose by split scanning technique reduced 11% and 31% in SS- and MS- CT. Also, the radiation dose of lung tissue in this method decreased 18% and 54% in SS- and MS- CT, respectively. Moreover, there was a significant difference (p< 0.0001 in the breast and lung radiation doses between standard and split scanning protocols. Conclusion: The application of a split scan technique instead of standard protocol has a considerable potential to reduce breast and lung doses in SS- and MS- CT scanners. If split scanning protocol is associated with an optimum kV and MSCT, the maximum dose decline will be provided.

  17. Accuracy of a commercial optical 3D surface imaging system for realignment of patients for radiotherapy of the thorax

    International Nuclear Information System (INIS)

    Schoeffel, Philipp J; Harms, Wolfgang; Sroka-Perez, Gabriele; Schlegel, Wolfgang; Karger, Christian P

    2007-01-01

    Accurate and reproducible patient setup is a prerequisite to fractionated radiotherapy. To evaluate the applicability and technical performance of a commercial 3D surface imaging system for repositioning of breast cancer patients, measurements were performed in a rigid anthropomorphic phantom as well as in healthy volunteers. The camera system records a respiration-gated surface model of the imaged object, which may be registered to a previously recorded reference model. A transformation is provided, which may be applied to the treatment couch to correct the setup of the patient. The system showed a high stability and detected pre-defined shifts of phantoms and healthy volunteers with an accuracy of 0.40 ± 0.26 mm and 1.02 ± 0.51 mm, respectively (spatial deviation between pre-defined shift and suggested correction). The accuracy of the suggested rotational correction around the vertical axis was always better than 0.3 0 in phantom measurements and 0.8 0 in volunteers, respectively. Comparison of the suggested setup correction with that detected by a second and independently operated marker-based optical system provided consistent results. The results demonstrate that the camera system provides highly accurate setup corrections in a phantom and healthy volunteers. The most efficient use of the system for improving the setup accuracy in breast cancer patients has to be investigated in routine patient treatments

  18. PROSPECT (Profiling of Resistance Patterns & Oncogenic Signaling Pathways in Evaluation of Cancers of the Thorax and Therapeutic Target Identification

    Science.gov (United States)

    2009-06-01

    Department of Bioinformatics and Computational Biology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.; 2. Instituto de Tecnologia ...States of America, 2 Instituto de Tecnologia Quı́mica e Biológica, Universidade Nova de Lisboa, Lisboa, Portugal, 3 Department of Thoracic/Head and

  19. A 4D global respiratory motion model of the thorax based on CT images: A proof of concept.

    Science.gov (United States)

    Fayad, Hadi; Gilles, Marlene; Pan, Tinsu; Visvikis, Dimitris

    2018-05-17

    Respiratory motion reduces the sensitivity and specificity of medical images especially in the thoracic and abdominal areas. It may affect applications such as cancer diagnostic imaging and/or radiation therapy (RT). Solutions to this issue include modeling of the respiratory motion in order to optimize both diagnostic and therapeutic protocols. Personalized motion modeling required patient-specific four-dimensional (4D) imaging which in the case of 4D computed tomography (4D CT) acquisition is associated with an increased dose. The goal of this work was to develop a global respiratory motion model capable of relating external patient surface motion to internal structure motion without the need for a patient-specific 4D CT acquisition. The proposed global model is based on principal component analysis and can be adjusted to a given patient anatomy using only one or two static CT images in conjunction with a respiratory synchronized patient external surface motion. It is based on the relation between the internal motion described using deformation fields obtained by registering 4D CT images and patient surface maps obtained either from optical imaging devices or extracted from CT image-based patient skin segmentation. 4D CT images of six patients were used to generate the global motion model which was validated by adapting it on four different patients having skin segmented surfaces and two other patients having time of flight camera acquired surfaces. The reproducibility of the proposed model was also assessed on two patients with two 4D CT series acquired within 2 weeks of each other. Profile comparison shows the efficacy of the global respiratory motion model and an improvement while using two CT images in order to adapt the model. This was confirmed by the correlation coefficient with a mean correlation of 0.9 and 0.95 while using one or two CT images respectively and when comparing acquired to model generated 4D CT images. For the four patients with segmented surfaces, expert validation indicates an error of 2.35 ± 0.26 mm compared to 6.07 ± 0.76 mm when using a simple interpolation between full inspiration (FI) and full expiration (FE) CT only; i.e., without specific modeling of the respiratory motion. For the two patients with acquired surfaces, this error was of 2.48 ± 0.18 mm. In terms of reproducibility, model error changes of 0.12 and 0.17 mm were measured for the two patients concerned. The framework for the derivation of a global respiratory motion model was developed. A single or two static CT images and associated patient surface motion, as a surrogate measure, are only needed to personalize the model. This model accuracy and reproducibility were assessed by comparing acquired vs model generated 4D CT images. Future work will consist of assessing extensively the proposed model for radiotherapy applications. © 2018 American Association of Physicists in Medicine.

  20. Five-dimensional motion compensation for respiratory and cardiac motion with cone-beam CT of the thorax region

    Science.gov (United States)

    Sauppe, Sebastian; Hahn, Andreas; Brehm, Marcus; Paysan, Pascal; Seghers, Dieter; Kachelrieß, Marc

    2016-03-01

    We propose an adapted method of our previously published five-dimensional (5D) motion compensation (MoCo) algorithm1, developed for micro-CT imaging of small animals, to provide for the first time motion artifact-free 5D cone-beam CT (CBCT) images from a conventional flat detector-based CBCT scan of clinical patients. Image quality of retrospectively respiratory- and cardiac-gated volumes from flat detector CBCT scans is deteriorated by severe sparse projection artifacts. These artifacts further complicate motion estimation, as it is required for MoCo image reconstruction. For high quality 5D CBCT images at the same x-ray dose and the same number of projections as todays 3D CBCT we developed a double MoCo approach based on motion vector fields (MVFs) for respiratory and cardiac motion. In a first step our already published four-dimensional (4D) artifact-specific cyclic motion-compensation (acMoCo) approach is applied to compensate for the respiratory patient motion. With this information a cyclic phase-gated deformable heart registration algorithm is applied to the respiratory motion-compensated 4D CBCT data, thus resulting in cardiac MVFs. We apply these MVFs on double-gated images and thereby respiratory and cardiac motion-compensated 5D CBCT images are obtained. Our 5D MoCo approach processing patient data acquired with the TrueBeam 4D CBCT system (Varian Medical Systems). Our double MoCo approach turned out to be very efficient and removed nearly all streak artifacts due to making use of 100% of the projection data for each reconstructed frame. The 5D MoCo patient data show fine details and no motion blurring, even in regions close to the heart where motion is fastest.

  1. A Firm and Painful Plaque on the Thorax: The Role of Ultrasound in the Detection of Foreign Bodies.

    Science.gov (United States)

    Garrido-Ríos, Anastasia A; Echeverria-García, Begoña; Álvarez-Garrido, Helena; Borbujo, Jesús

    2016-02-01

    The presence of a subcutaneous foreign body may not be easily suspected after the initial history and exploration of the patient. The authors report a 54-year-old male who came to the Department of Dermatology, Hospital Universitario de Fuenlabrada, Madrid, Spain with a firm plaque, fixed to deep structures, which showed several draining orifices over the costal grid. After several tests, the authors performed an ultrasonography that revealed the presence of a fistula from a foreign body secondary to a previously untreated costal fracture that occurred several years before. The authors believe ultrasonography is a readily available and useful tool that may help dermatologists in daily clinical practice, with the advantage of being a noninvasive test.

  2. Investigations of Anatomical Variations of the Thorax and Heart, and Anatomical Knowledge for First Year Medical Dental and Podiatry Students

    Science.gov (United States)

    Verenna, Anne-Marie

    2013-01-01

    The universal presence of anatomy in healthcare professions is undeniable. It is a cornerstone to each of the clinical and basic sciences. Therefore, further expansion of current anatomical knowledge and effective methods to teach anatomy is essential. In this work, the relationship of the dorsal scapular artery with the trunks of the brachial…

  3. Frontal impact response of a virtual low percentile six years old human thorax developed by automatic down-scaling

    Directory of Open Access Journals (Sweden)

    Špička J.

    2015-06-01

    Full Text Available Traffic accidents cause one of the highest numbers of severe injuries in the whole population spectrum. The numbers of deaths and seriously injured citizens prove that traffic accidents and their consequences are still a serious problem to be solved. The paper contributes to the field of vehicle safety technology with a virtual approach. Exploitation of the previously developed scaling algorithm enables the creation of a specific anthropometric model based on a validated reference model. The aim of the paper is to prove the biofidelity of the small percentile six years old virtual human model developed by automatic down-scaling in a frontal impact. For the automatically developed six years old virtual specific anthropometric model, the Kroell impact test is simulated and the results are compared to the experimental data. The chosen approach shows good correspondence of the scaled model performance to the experimental corridors.

  4. CT guided biopsies as a part of the investigations in findings in the lung and thorax wall

    DEFF Research Database (Denmark)

    Vagn-Hansen, Chris Aksel; Pedersen, Malene Roland Vils; Rafaelsen, Søren Rafael

    was performed. Results: In 86 % of the biopsies, the tissue material was found sufficient. In 32 % of the biopsies there was a complication, mostly pneumothorax (30%), but in only 15 % of the 520 cases chest drainage was needed. There was one death in a known cancer patient with severe reduced lung and cardiac...... function. Patients with more than 10 cigarette pack years had a complication risk twice as high compared to patients with less pack years. We found that the risk of pneumothorax rises the further the lesion is from the skin surface, the smaller the lesions are and when the patient is biopsied in a lateral...... position. We found a higher risk of complications in females. Conclusion: CT guided biopsy is an excellent tool in the analysis of lesions in the lungs. This study clearly shows that the risk of developing a pneumothorax is significantly higher among smokers and former smokers with more than 10 pack years....

  5. Giant desmoid tumour of the thorax following latissimus dorsi and implant breast reconstruction: case report and review of the literature

    LENUS (Irish Health Repository)

    Collins, AM

    2017-03-01

    The case of a giant thoracic desmoid tumour in a 44-year-old woman, who presented two years following a breast reconstruction with a latissimus dorsi (LD) flap and implant, is reported. Clinical findings included a rapidly growing, painless mass. Computed tomography (CT) suggested skin and intercostal soft tissue invasion. The tumour was resected en bloc with the LD muscle, implant capsule and underlying rib segments. The resultant thoracic and abdominal wall defects were reconstructed with Dualmesh® and polypropylene meshes respectively. There was no evidence of recurrence at thirty-six months follow-up.

  6. Cardiac pathologies incidentally detected with non-gated chest CT; Inzidentelle Pathologien des Herzens im Thorax-CT

    Energy Technology Data Exchange (ETDEWEB)

    Scherer, Axel; Kroepil, P.; Lanzman, R.S.; Moedder, U. [Inst. fuer Radiologie, Universitaetsklinikum Duesseldorf, Heinrich-Heine-Univ. (Germany); Choy, G.; Abbara, S. [Cardiovascular Imaging Section, Massachusetts General Hospital, Harvard Medical School (United States)

    2009-12-15

    Cardiac imaging using electrocardiogram-gated multi-detector computed tomography (MDCT) permits noninvasive diagnosis of congenital and acquired cardiac pathologies and has thus become increasingly important in the last years. Several studies investigated the incidence and relevance of incidental extracardiac structures within the lungs, mediastinum, chest wall, and abdomen with gated coronary CT. This resulted in the general acceptance of the review of extracardiac structures as a routine component of coronary CT interpretation. On the other hand radiologists tend to neglect pericardial and cardiac pathologies in non-gated chest CT, which is primarily performed for the evaluation of the respiratory system or for tumor staging. Since the introduction of multi-detector spiral CT technology, the incidental detection of cardiac and pericardial findings has become possible using non-gated chest CT. This article reviews the imaging appearances and differential diagnostic considerations of incidental cardiac entities that may be encountered in non-gated chest CT. (orig.)

  7. Kerma in the air at entry surface in thorax pediatric examinations at public hospital in Parana, Brazil

    International Nuclear Information System (INIS)

    Santos, Amanda; Porto, Lorena; Bunick, Ana; Paschuk, Sergei; Denyak, Valeriy; Schelin, Hugo; Tilly, Joao; Khoury, Helen

    2011-01-01

    This work consisted in the evaluation of the entrance skin air kerma (ESAK) in pediatric chest x-ray examinations. A study of 186 exams in anterior-posterior, posterior-anterior and lateral projections was carried out for patients with ages ranging from 0 to 15 years. The ESAK was measured with the DoseCal software and Li-Fl thermoluminescent dosimeters. The results were compared with measurements done recently at the same place and with the reference dose values established by the European Community. It was observed that the optimization of the technique and the routine changes suggested in the previous study were not maintained. The charge (mAs) and the ESAK values found in the present study were much higher than the previous one, and the voltage (kVp) values found was lower. The results suggest that the implementation of the Quality Assurance Program could adequate these parameters to the established levels and keep the pediatric examinations more uniform. (author)

  8. Initial experiences in clinical application of the THORAX-FD: flat-panel detector radiography in thoracic diagnosis

    International Nuclear Information System (INIS)

    Herrmann, K.A.; Staebler, A.; Bonel, H.; Kulinna, C.; Holzknecht, N.; Reiser, M.F.; Geiger, B.; Boehm, S.; Maschke, M.

    2000-01-01

    The flat-panel detector closes the gap between radiography and the digital diagnostics equipment currently in use. In addition to the dose reduction that can be expected, the availability of diagnostic information in digital form enables the user to optimize the clinical workflow and to network radiography directly with a digital archiving and communication system. (orig.)

  9. Calculating concentration of inhaled radiolabeled particles from external gamma counting: External counting efficiency and attenuation coefficient of thorax

    International Nuclear Information System (INIS)

    Langenback, E.G.; Foster, W.M.; Bergofsky, E.H.

    1989-01-01

    We determined the overall external counting efficiency of radiolabeled particles deposited in the sheep lung. This efficiency permits the noninvasive calculation of the number of particles and microcuries from gamma-scintillation lung images of the live sheep. Additionally, we have calculated the attenuation of gamma radiation (120 keV) by the posterior chest wall and the gamma-scintillation camera collection efficiency of radiation emitted from the lung. Four methods were employed in our experiments: (1) by light microscopic counting of discrete carbonized polystyrene particles with a count median diameter (CMD) of 2.85 microns and tagged with cobalt-57, we delineated a linear relationship between the number of particles and the emitted counts per minute (cpm) detected by well scintillation counting; (2) from this conversion relationship we determined the number of particles inhaled and deposited in the lungs by scintillation counting fragments of dissected lung at autopsy; (3) we defined a linear association between the number of particles or microcuries contained in the lung and the emitted radiation as cpm detected by a gamma scintillation camera in the live sheep prior to autopsy; and (4) we compared the emitted radiation from the lungs of the live sheep to that of whole excised lungs in order to calculate the attenuation coefficient (ac) of the chest wall. The mean external counting efficiency was 4.00 X 10(4) particles/cpm (5.1 X 10(-3) microCi/cpm), the camera collection efficiency was 1 cpm/10(4) disintegrations per minute (dpm), and the ac had a mean of 0.178/cm. The external counting efficiency remained relatively constant over a range of particles and microcuries, permitting a more general use of this ratio to estimate number of particles or microcuries depositing after inhalation in a large mammalian lung if a similarly collimated gamma camera system is used

  10. Evaluation of radioprotection conditions and patient dose in thorax exams carried out in a public children's hospital in Belo Horizonte, MG, Brazil

    International Nuclear Information System (INIS)

    Lacerda, Marco A.S.; Silva, Teogenes A. da; Guedes, Elton C.; Khoury, Helen J.; Azevedo, Ana C.P.

    2005-01-01

    We conducted a survey of the conditions of radiation protection, radiographic techniques, dose and risk for pediatric patients undergoing chest X-rays exams in a children's hospital in Belo Horizonte-MG, Brazil. From a total of 125 chest exams (projections AP and PA) were noted the patient data (gender, weight, and age) and parameters of radiographic technique (kV, mAs and distance focus-skin). I was also evaluated the working procedures and the conditions of radiation protection. The values of input air kerma (K a,e ) and effective dose (E) were determined using the DoseCal software developed by Radiological Protection Center of Saint Georges's Hospital in London. With respect to the procedures and conditions for radiation protection, many aspects of Portaria 453 are not considered. The use of radiographic techniques with high values of mAs and low voltage values are not according with the quality criteria adopted by the European Community (EC). The values of Ka for patients aged 1 to 5 years varied between 51 μGy and 64 μGy, below the reference levels proposed by the EC. For patients over 5 years old, the values of Ka were substantially higher than those for other patients. The results allow to conclude that there is a need for optimization of the procedures adopted in order to reduce the dose and the risk to patients

  11. Coronary imaging quality in routine ECG-gated multidetector CT examinations of the entire thorax: preliminary experience with a 64-slice CT system in 133 patients

    International Nuclear Information System (INIS)

    Delhaye, Damien; Remy-Jardin, Martine; Salem, Randa; Teisseire, Antoine; Khalil, Chadi; Remy, Jacques; Delannoy-Deken, Valerie; Duhamel, Alain

    2007-01-01

    To evaluate image quality in the assessment of the coronary arteries during routine ECG-gated multidetector CT (MDCT) of the chest. One hundred and thirty three patients in sinus rhythm underwent an ECG-gated CT angiographic examination of the entire chest without β-blockers with a 64-slice CT system. In 127 patients (95%), it was possible to assess the coronary arteries partially or totally; coronary artery imaging failed in six patients (5%), leading to a detailed description of the coronary arteries in 127 patients. Considering ten coronary artery segments per patient, 75% of coronary segments were assessable (948/1270 segments). When the distal segments were excluded from the analysis (i.e., seven coronary segments evaluated per patient), the percentage of assessable segments was 86% (768/889 proximal and mid coronary segments) and reached 93% (474/508) when assessing proximal segments exclusively. The mean number of assessable segments was significantly higher in patients with a heart rate ≤80 bpm (n=95) than in patients with a heart rate >80 bpm (n=38) (p<0.002). Proximal and mid-coronary segments can be adequately assessed during a whole-chest ECG-gated CT angiographic examination without administration of β-blockers in patients with a heart rate below 80 bpm. (orig.)

  12. Effect of reconstruction methods and x-ray tube current–time product on nodule detection in an anthropomorphic thorax phantom: A crossed-modality JAFROC observer study

    Energy Technology Data Exchange (ETDEWEB)

    Thompson, J. D., E-mail: j.d.thompson@salford.ac.uk [Directorate of Radiography, University of Salford, Frederick Road Campus, Salford, Greater Manchester M6 6PU, United Kingdom and Department of Radiology, Furness General Hospital, University Hospitals of Morecambe Bay NHS Foundation Trust, Dalton Lane, Barrow-in-Furness LA14 4LF (United Kingdom); Chakraborty, D. P. [Department of Radiology, University of Pittsburgh, FARP Building, Room 212, 3362 Fifth Avenue, Pittsburgh, Pennsylvania 15213 (United States); Szczepura, K.; Tootell, A. K. [Directorate of Radiography, University of Salford, Frederick Road Campus, Salford, Greater Manchester M6 6PU (United Kingdom); Vamvakas, I. [Department of Radiology, Christie Hospitals NHS Foundation Trust, 550 Wilmslow Road, Manchester M20 4BX (United Kingdom); Manning, D. J. [Faculty of Health and Medicine, Lancaster Medical School, Furness College, Lancaster University, Lancaster LA1 4YG (United Kingdom); Hogg, P. [Directorate of Radiography, University of Salford, Frederick Road Campus, Salford, Greater Manchester M6 6PU, United Kingdom and Department of Radiography, Karolinksa Institute, Solnavägen 1, Solna 171 77 (Sweden)

    2016-03-15

    Purpose: To evaluate nodule detection in an anthropomorphic chest phantom in computed tomography (CT) images reconstructed with adaptive iterative dose reduction 3D (AIDR{sup 3D}) and filtered back projection (FBP) over a range of tube current–time product (mAs). Methods: Two phantoms were used in this study: (i) an anthropomorphic chest phantom was loaded with spherical simulated nodules of 5, 8, 10, and 12 mm in diameter and +100, −630, and −800 Hounsfield units electron density; this would generate CT images for the observer study; (ii) a whole-body dosimetry verification phantom was used to ultimately estimate effective dose and risk according to the model of the BEIR VII committee. Both phantoms were scanned over a mAs range (10, 20, 30, and 40), while all other acquisition parameters remained constant. Images were reconstructed with both AIDR{sup 3D} and FBP. For the observer study, 34 normal cases (no nodules) and 34 abnormal cases (containing 1–3 nodules, mean 1.35 ± 0.54) were chosen. Eleven observers evaluated images from all mAs and reconstruction methods under the free-response paradigm. A crossed-modality jackknife alternative free-response operating characteristic (JAFROC) analysis method was developed for data analysis, averaging data over the two factors influencing nodule detection in this study: mAs and image reconstruction (AIDR{sup 3D} or FBP). A Bonferroni correction was applied and the threshold for declaring significance was set at 0.025 to maintain the overall probability of Type I error at α = 0.05. Contrast-to-noise (CNR) was also measured for all nodules and evaluated by a linear least squares analysis. Results: For random-reader fixed-case crossed-modality JAFROC analysis, there was no significant difference in nodule detection between AIDR{sup 3D} and FBP when data were averaged over mAs [F(1, 10) = 0.08, p = 0.789]. However, when data were averaged over reconstruction methods, a significant difference was seen between multiple pairs of mAs settings [F(3, 30) = 15.96, p < 0.001]. Measurements of effective dose and effective risk showed the expected linear dependence on mAs. Nodule CNR was statistically higher for simulated nodules on images reconstructed with AIDR{sup 3D} (p < 0.001). Conclusions: No significant difference in nodule detection performance was demonstrated between images reconstructed with FBP and AIDR{sup 3D}. mAs was found to influence nodule detection, though further work is required for dose optimization.

  13. Evaluation of setup accuracy for NSCLC patients; studying the impact of different types of cone-beam CT matches based on whole thorax, columna vertebralis, and GTV

    DEFF Research Database (Denmark)

    Ottosson, W.; Baker, M.; Hedman, Mattias

    2010-01-01

    Purpose. The aim of this study is to evaluate the patient setup accuracy by investigating the impact of different types of CBCT matches, performed with 3 (translations only) or 6 (including rotations) degrees-of-freedom (DOF). The purpose is also to calculate and compare CTV to PTV margins based...

  14. Focal breast lesions in clinical CT examinations of the chest. A retrospective analysis; Senologische Befunde bei CT-Untersuchungen des Thorax. Eine retrospektive Auswertung

    Energy Technology Data Exchange (ETDEWEB)

    Krug, Kathrin Barbara; Houbois, Christian; Grinstein, Olga; Borggrefe, Jan; Puesken, Michael; Maintz, David [Cologne Univ. Medical School, Cologne (Germany). Dept. of Diagnostical and Interventional Radiology; Hanstein, Bettina; Malter, Wolfram [Cologne Univ. Medical School, Cologne (Germany). Breast Center and Dept. of Obstetrics and Gynecology; Hellmich, Martin [Cologne Univ. (Germany). Inst. of Medical Statistics, Informatics and Epidemiology

    2017-10-15

    Based on radiological reports, the percentage of breast cancers visualized as incidental findings in routine CT examinations is estimated at ≤2%. In view of the rising number of CT examinations and the high prevalence of breast cancer, it was the goal of the present study to verify the frequency and image morphology of false-negative senological CT findings. All first contrast-enhanced CT examinations of the chest in adult female patients carried out in 2012 were retrospectively included. A senior radiologist systematically assessed the presence of breast lesions on all CT images using the BI-RADS system. All BI-RADS ≥3 notations were evaluated by a second senior radiologist. A consensus was obtained in case of differing BI-RADS assessments. Reference diagnoses were elaborated based on all available clinical, radiological and pathological data. The findings of the CT reports were classified according to the BI-RADS system and were compared with the retrospective consensus findings as well as with the reference diagnoses. The range of indications comprised a broad spectrum including staging and follow-up examinations of solid tumors/lymphoma (N = 701, 59.9 %) and vascular (190, 16.2 %), inflammatory (48, 4.1 %) and pulmonologic (22, 1.9 %) issues. BI-RADS 1/2 classifications were present in 92.5 % and BI-RADS 6 classifications were assessed in 1.7 % of the 1170 included examinations. 68 patients (5.8 %) had at least one lesion retrospectively classified as BI-RADS 3 - 5. The histological potential was known in 57 of these lesions as benign (46, 3.9 %) or malignant (11, 0.9 %). 13 BI-RADS 4/5 consensus assessments (1.1 %) were false-positive. 2 of the 10 lesions classified as being malignant based on the further clinical and radiological course were not mentioned in the written CT reports (0.2 %). Both false-negative CT reports were therapeutically and prognostically irrelevant. The relative frequency of BI-RADS 3 - 5 findings was 5.8 %. It reflects the situation encountered in clinical imaging for primarily non-senologic questions and therefore differs from what would be expected in a dedicated screening program. The rates of known false-positive BI-RADS 4/5 findings in the retrospective evaluations (1.1 %) and of false-negative findings in the written CT reports (0.2 %) reflect the different diagnostic approaches of image-based senological screening and radiological examinations indicated in order to solve clinical problems not primarily concerning the breast region. Statements regarding the prevalence of clinically occult breast cancers can only be made with caution in the presented, highly selective group of patients due to the often incomplete visualization of breast tissue and the retrospective approach. Key points Intramammary mass and non-mass lesions needing clarification may be present in up to 5.8 % of all contrast enhanced CT-examinations of the female chest. Irregular forms, unscharp/spiculated margins, inhomogeneous matrices and a pronounced contrast medium enhancement point towards a malignant genesis of an intramammary mass or non-mass lesion. The results of the study highlight the importance of paying systematical and targeted attention on senological additional findings in CT-examinations of the chest also in other clinical settings than that of the included patients in a clinic with oncological main focus.

  15. Pitfalls in diagnostic imaging and assessment of benign asbestos-related thoracic diseases; Fallstricke in der radiologischen Diagnostik und Begutachtung der benignen asbestbedingten Erkrankungen des Thorax

    Energy Technology Data Exchange (ETDEWEB)

    Rehbock, B. [Praxis fuer Diagnostische Radiologie am St.-Hedwig-Krankenhaus Berlin-Mitte, Berlin (Germany). Diagnostische Radiologie; Hofmann-Preiss, K. [Radiologische Gemeinschaftspraxis Erlangen (Germany). Radiologische Diagnostik; Kraus, T. [Universitaetsklinikum der RWTH Aachen (Germany). Inst. fuer Arbeits- und Sozialmedizin

    2012-05-15

    The recognition of asbestos-related diseases of the lung and/or pleura as an occupational disease is of psychosocial, medical and legal importance to the insured person. Radiological imaging is an essential part of the assessment and requires an increasingly high level of competence in the field of radiological diagnosis of pneumoconiosis in interdisciplinary collaboration with occupational medicine and pneumonology. The chest radiogram remains an integral part of basic diagnostic procedures in asbestos-related diseases of the lungs and/or pleura. Its importance lies in the detection of extended pleural changes as well as substantial fibrosis. The inherent low sensitivity and specificity of projection radiography is taken into account by the increasing use of multi-slice high resolution (HR) CT (in low dose technique). Radiological pitfalls in pleural plaque assessment with respect to plain chest X-ray concern all structures that superimpose on the pleural circumference, particularly the anatomical layers of the chest wall (extra-pleural fatty tissue, muscles, thoracic skeleton) as well as other pulmonary findings that can only be reliably assigned using CT. Even if state-of the-art CT is applied, asymmetries and abnormal expression of anatomical structures and variants (e.g. muscles and blood vessels) can lead to false-positive findings. The interstitial fibrosis of asbestosis, manifested as usual interstitial pneumonia (UIP) is non-pathognomonic for asbestosis. Therefore, parietal pleural thickening as a coincident finding to UIP is considered as being the main feature and a highly suggestive indicator of asbestosis in patients with a history of asbestos exposure. (orig.)

  16. Modulation of the Rho/ROCK pathway in heart and lung after thorax irradiation reveals targets to improve normal tissue toxicity.

    Science.gov (United States)

    Monceau, Virginie; Pasinetti, Nadia; Schupp, Charlotte; Pouzoulet, Fred; Opolon, Paule; Vozenin, Marie-Catherine

    2010-11-01

    The medical options available to prevent or treat radiation-induced injury are scarce and developing effective countermeasures is still an open research field. In addition, more than half of cancer patients are treated with radiation therapy, which displays a high antitumor efficacy but can cause, albeit rarely, disabling long-term toxicities including radiation fibrosis. Progress has been made in the definition of molecular pathways associated with normal tissue toxicity that suggest potentially effective therapeutic targets. Targeting the Rho/ROCK pathway seems a promising anti-fibrotic approach, at least in the gut; the current study was performed to assess whether this target was relevant to the prevention and/or treatment of injury to the main thoracic organs, namely heart and lungs. First, we showed activation of two important fibrogenic pathways (Smad and Rho/ROCK) in response to radiation-exposure to adult cardiomyocytes; we extended these observations in vivo to the heart and lungs of mice, 15 and 30 weeks post-irradiation. We correlated this fibrogenic molecular imprint with alteration of heart physiology and long-term remodelling of pulmonary and cardiac histological structures. Lastly, cardiac and pulmonary radiation injury and bleomycin-induced pulmonary fibrosis were successfully modulated using Rho/ROCK inhibitors (statins and Y-27632) and this was associated with a normalization of fibrogenic markers. In conclusion, the present paper shows for the first time, activation of Rho/ROCK and Smad pathways in pulmonary and cardiac radiation-induced delayed injury. Our findings thereby reveal a safe and efficient therapeutic opportunity for the abrogation of late thoracic radiation injury, potentially usable either before or after radiation exposure; this approach is especially attractive in (1) the radiation oncology setting, as it does not interfere with prior anti-cancer treatment and in (2) radioprotection, as applicable to the treatment of established radiation injury, for example in the case of radiation accidents or acts of terrorism.

  17. Unexpected finding of T-cell lymphoma in a previously healthy 16-year-old patient after a thorax trauma: a case report

    DEFF Research Database (Denmark)

    Bach Okholm-Hansen, Anna; Brorson, Stig

    2014-01-01

    INTRODUCTION: We describe the clinical course and emphasize the difficulties in diagnosing T-cell lymphoblastic lymphoma. The differential diagnostic difficulties have previously been described in regard to pneumonia, but to the best of the authors' knowledge this is the first case report to desc...... relevant to pediatricians, surgeons, anesthesiologists, and general practitioners....

  18. A Randomized Trial to Assess the Contribution of a Novel Thorax Support Vest (Corset) in Preventing Mechanical Complications of Median Sternotomy.

    Science.gov (United States)

    Caimmi, Philippe P; Sabbatini, Maurizio; Kapetanakis, Emmanouil I; Cantone, Silvia; Ferraz, Marcus V; Cannas, Mario; Tesler, Ugo F

    2017-06-01

    Mechanical complications of median sternotomy may cause significant morbidity and mortality in cardiac surgical patients. This study was aimed at assessing the role of Posthorax support vest (Epple, Inc., Vienna, Austria) in the prevention of sternal complications and the improvement of anatomical healing in patients at high risk for mechanical sternal dehiscence after cardiac surgery by mean of median sternotomy. A prospective, randomized, study was performed and 310 patients with predisposing factors for sternal dehiscence after sternotomy for cardiac surgery were included. The patients were divided into two groups: patients who received the Posthorax support vest after surgery, and patients who did not. Primary variables assessed included the incidence of mechanical sternal complications, the quality of sternal healing, the rate of re-operation, the duration of hospitalization, rate and duration of hospital, re-admission for sternal complications. Secondary variables assessed were the post-operative pain, the number of requests for supplemental analgesia and the quality of life measured by means of the EQ-5D format. Patients using vest demonstrated a lower incidence of mechanical sternal complications, a better anatomical sternum healing, lower hospital stay, no re-operations for sternal dehiscence before discharge and lower re-admissions for mechanical sternal complication. In addition, patients using a vest reported a better quality of life with better freedom from limitations in mobility, self-care, and pain. Our findings demonstrate that the use of the Posthorax vest reduces post-sternotomy mechanical complications and improves the healing of the sternotomy, the clinical course, and the post-operative quality of life.

  19. 胸部CT虚拟平扫技术的可行性%Feasibility of Virtual Non-enhanced CT of the Thorax

    Institute of Scientific and Technical Information of China (English)

    刘姝芩; 谢明国; 侯中华; 彭波

    2016-01-01

    目的 比较胸部常规平扫与虚拟平扫(VNC)图像质量,探讨能谱CT胸部VNC临床应用的可行性.资料与方法 收集60例胸部病变患者,常规平扫后开启能谱模式进行动、静脉双期增强扫描,增强图像经后处理得到4组VNC图像:动脉期水基图、动脉期抑碘图、静脉期水基图、静脉期抑碘图;比较常规平扫与4组VNC的噪声、对比噪声比(CNR)、钙化灶显示率、图像质量主观评分及有效辐射剂量.结果 常规平扫、动脉期水基图、动脉期抑碘图、静脉期水基图、静脉期抑碘图噪声分别为17.54±6.22、15.46±2.78、19.69±6.61、15.44±3.84、19.78±6.08,差异有统计学意义(F=6.195,P<0.05),水基图噪声低于抑碘图;常规平扫与4组VNC的CNR 比较,差异无统计学意义(F=1.925,P>0.05);常规平扫与4组VNC主观评分比较,差异有统计学意义(H=92.170,P<0.05),VNC中静脉期抑碘图主观评分最高;以常规平扫为基准,VNC对钙化灶检出率为86.7%,采用VNC可较常规胸部CT增强扫描减少约31%的有效辐射剂量.结论 VNC图像噪声略高于常规平扫,对细小钙化灶的检出率较常规平扫低,不同类型胸部VNC中静脉期抑碘图的图像质量最佳,由于明显降低患者有效辐射剂量,胸部VNC可在临床工作中推广使用.

  20. Modulation of the ρ/rock pathway in heart and lung after thorax irradiation reveals targets to improve normal tissue toxicity

    International Nuclear Information System (INIS)

    Monceau, V.; Pasinetti, N.; Schupp, C.; Pouzoulet, F.; Opolon, P.; Vozenin, M.C.

    2010-01-01

    The medical options available to prevent or treat radiation-induced injury are scarce and developing effective countermeasures is still an open research field. In addition, more than half of cancer patients are treated with radiation therapy, which displays a high antitumor efficacy but can cause, albeit rarely, disabling long-term toxicities including radiation fibrosis. Progress has been made in the definition of molecular pathways associated with normal tissue toxicity that suggest potentially effective therapeutic targets. Targeting the Rho/ROCK pathway seems a promising anti-fibrotic approach, at least in the gut; the current study was performed to assess whether this target was relevant to the prevention and/or treatment of injury to the main thoracic organs, namely heart and lungs. First, we showed activation of two important fibro-genic pathways (Smad and Rho/ROCK) in response to radiation-exposure to adult cardio-myocytes; we extended these observations in vivo to the heart and lungs of mice, 15 and 30 weeks post-irradiation. We correlated this fibro-genic molecular imprint with alteration of heart physiology and long-term remodelling of pulmonary and cardiac histological structures. Lastly, cardiac and pulmonary radiation injury and bleomycin-induced pulmonary fibrosis were successfully modulated using Rho/ROCK inhibitors (statins and Y-27632) and this was associated with a normalization of fibro-genic markers. In conclusion, the present paper shows for the first time, activation of Rho/ROCK and Smad pathways in pulmonary and cardiac radiation-induced delayed injury. Our findings thereby reveal a safe and efficient therapeutic opportunity for the abrogation of late thoracic radiation injury, potentially usable either before or after radiation exposure; this approach is especially attractive in (1) the radiation oncology setting, as it does not interfere with prior anti-cancer treatment and in (2) radioprotection, as applicable to the treatment of established radiation injury, for example in the case of radiation accidents or acts of terrorism. (authors)

  1. Development of a external exposure computational model for studying of input dose in skin for radiographs of thorax and vertebral column

    International Nuclear Information System (INIS)

    Muniz, Bianca C.; Menezes, Claudio J.M.; Vieira, Jose W.

    2014-01-01

    The dosimetric measurements do not always happen directly in the human body. Therefore, these assessments can be performed using anthropomorphic models (phantoms) evidencing models computational exposure (MCE) using techniques of Monte Carlo Method for virtual simulations. These processing techniques coupled with more powerful and affordable computers make the Monte Carlo method one of the tools most used worldwide in radiation transport area. In this work, the Monte Carlo EGS4 program was used to develop a computer model of external exposure to study the entrance skin dose for chest and column X-radiography and, aiming to optimize these practices by reducing doses to patients, professionals involved and the general public. The results obtained experimentally with the electrometer Radcal, model 9015, associated with the ionization chamber for radiology model 10X5-6, showed that the proposed computational model can be used in quality assurance programs in radiodiagnostic, evaluating the entrance skin dose when varying parameters of the radiation beam such as kilo voltage peak (kVp), current-time product (mAs), total filtration and distance surface source (DFS), optimizing the practices in radiodiagnostic and meeting the current regulation

  2. Automatic 2D segmentation of airways in thorax computed tomography images; Segmentacao automatica 2D de vias aereas em imagens de tomografia computadorizada do torax

    Energy Technology Data Exchange (ETDEWEB)

    Cavalcante, Tarique da Silveira; Cortez, Paulo Cesar; Almeida, Thomaz Maia de, E-mail: tarique@lesc.ufc.br [Universidade Federal do Ceara (UFC), Fortaleza, CE (Brazil). Dept. de Engenharia de Teleinformatica; Felix, John Hebert da Silva [Universidade da Integracao Internacional da Lusofonia Afro-Brasileira (UNILAB), Redencao, CE (Brazil). Departamento de Energias; Holanda, Marcelo Alcantara [Universidade Federal do Ceara (UFC), Fortaleza, CE (Brazil). Fac. de Medicina

    2013-07-01

    Introduction: much of the world population is affected by pulmonary diseases, such as the bronchial asthma, bronchitis and bronchiectasis. The bronchial diagnosis is based on the airways state. In this sense, the automatic segmentation of the airways in Computed Tomography (CT) scans is a critical step in the aid to diagnosis of these diseases. Methods: this paper evaluates algorithms for airway automatic segmentation, using Neural Network Multilayer Perceptron (MLP) and Lung Densities Analysis (LDA) for detecting airways, along with Region Growing (RG), Active Contour Method (ACM) Balloon and Topology Adaptive to segment them. Results: we obtained results in three stages: comparative analysis of the detection algorithms MLP and LDA, with a gold standard acquired by three physicians with expertise in CT imaging of the chest; comparative analysis of segmentation algorithms ACM Balloon, ACM Topology Adaptive, MLP and RG; and evaluation of possible combinations between segmentation and detection algorithms, resulting in the complete method for automatic segmentation of the airways in 2D. Conclusion: the low incidence of false negative and the significant reduction of false positive, results in similarity coefficient and sensitivity exceeding 91% and 87% respectively, for a combination of algorithms with satisfactory segmentation quality. (author)

  3. Therapeutic options in chronic heart failure. Findings on chest X-ray; Nicht medikamentoese Therapieoptionen der chronischen Herzinsuffizienz. Befunde in der Projektionsradiografie des Thorax

    Energy Technology Data Exchange (ETDEWEB)

    Granitz, M.R.; Meissnitzer, T.; Meissnitzer, M.W.; Hergan, K.; Altenberger, J.; Granitz, C. [Uniklinikum Salzburg - Landeskrankenhaus (Austria)

    2016-05-15

    The contribution covers drugless therapeutic options for chronic heart failure: the implantable cardioverter/defibrillator (ICD), the cardiac resynchronization therapy (CRT), the interventional catheter treatment of functional mitral insufficiency, and mechanical heart supporting systems and heart transplantation.

  4. Novel 755-nm diode laser vs. conventional 755-nm scanned alexandrite laser: Side-by-side comparison pilot study for thorax and axillary hair removal.

    Science.gov (United States)

    Paasch, Uwe; Wagner, Justinus A; Paasch, Hartmut W

    2015-01-01

    Alexandrite (755 nm) and diode lasers (800-810 nm) are commonly used for hair removal. The alexandrite laser technology is somewhat cumbersome whereas new diode lasers are more robust. Recently, alexandrite-like 755 nm wavelength diodes became available. To compare the efficacy, tolerability, and subject satisfaction of a 755 nm diode laser operated in conventional (HR) and non-conventional in-motion (SHR) modes with a conventional scanned alexandrite 755 nm laser for chest and axillary hair removal. A prospective, single-center, proof of principle study was designed to evaluate the safety, efficacy and handling of a 755 nm diode laser system in comparison to a standard alexandrite 755 nm scanning hair removal laser. The new 755 nm diode is suitable to be used in SHR and HR mode and has been tested for its safety, efficacy and handling in a volunteer with success. Overall, both systems showed a high efficacy in hair reduction (88.8% 755 nm diode laser vs. 77.7% 755 nm alexandrite laser). Also, during the study period, no severe adverse effects were reported. The new 755 nm diode laser is as effective and safe as the traditional 755 nm alexandrite laser. Additionally, treatment with the 755 nm diode laser with HR and SHR modes was found to be less painful.

  5. Pocket altas of sectional anatomy - Computed tomography and magnetic resonance imaging. Vol. 2. Thorax, heart, abdomen, and pelvis. 3rd. rev. and upd. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Moeller, T.B.; Reif, E. [Caritas Hospital, Dillingen (Germany). Dept. of Radiology

    2007-07-01

    Known to radiologists around the world for its superior illustrations and practical features, the Pocket Atlas of Sectional Anatomy now reflects the very latest in imaging technology. In the clinic, this compact book is the perfect navigational tool for radiologists and technicians working with CT and MRI. Highlights of Volume II: - Many CT and MR images of the highest quality, presented alongside brilliant full-color drawings, now enhanced with cardiac imaging. - More than 440 illustrations. - Didactic approach and consistent format throughout - one slice per page pair. - Consistent color coding, making it easy to identify individual structures across contiguous sections. (orig.)

  6. Chronic intersticial lung disease in the horse- Findings in arterial bloodgas analysis, tracheobronchial mucus cytology and radiological examination of the thorax; Chronisch interstitielle Lungenerkrankung beim Pferd - Blutgasanalytische, sekretzytolytische und röntgenologische Befunde

    Energy Technology Data Exchange (ETDEWEB)

    Dieckmann, M. [Klinik fuer Pferde, Tieraerztliche Hochschule Hannover (Germany); Klein, H. J.; Deegen, E.

    1990-07-01

    In 12 horses chronic interstitial lung disease was diagnosed. All horses were referrred because of unexplained loss of performance. In general there was no history of respiratory problems; 4 horses showed nasal discharge and 2 horses coughed. Results of arterial bloodgas analysis, tracheobronchial mucus cytology and radiological examination of the lungs were found in a typical combination, and they were different from results found generally in horses suffering from chronic obstructive pulmonary disease. Mean value of arterial partial pressure of oxygen was 100,6 mm Hg, arterial partial pressure of carbon dioxide was 45,1 mm Hg and alveolo-arterial difference in oxygen 5,1 mm Hg, respectively. In tracheobronchial aspirates pulmonary alveolar macrophages and neutrophil granulocytes were found in a relation of 2,6 : 1. Chest radiographs of all horses showed diffuse interstitial pattern throughout the lung.

  7. Comparative analysis of 99mTc-depreotide and 99mTc-EDDA/HYNIC-TOC thorax scintigrams acquired for the purpose of differential diagnosis of solitary pulmonary nodules

    International Nuclear Information System (INIS)

    Plachcinska, A.; Kusmierek, J.; Mikolajczak, R.; Kozak, J.; Rzeszutek, K.

    2006-01-01

    Aiming at comparison of diagnostic efficacy of 2 radiopharmaceuticals: 99m Tc-depreotide (Neospect, Amersham) and 99m Tc-EDDA/HYNIC-Tyr3-octreotide (Tektrotyd, Polatom), in differentiation between malignant and benign etiology of solitary pulmonary nodules (SPNs), radionuclide studies with 2 radiotracers were performed in 18 patients. For both radiopharmaceuticals the same acquisition and processing protocols were applied. Studies were acquired with SPECT technique, after administration of 740 MBq of activity. Scintigrams were assessed visually, as: positive (+), equivocal (±) and negative (-). Additionally, uptake intensity of both radiotracers in nodules was assessed semiquantitatively, using a tumour-to-background ratio. Verification of scintigraphic results was based in 14 cases upon a pathological examination of tumour samples (histopathology) and in the remaining 4 - on clinical observation and bacteriological studies. Normal scintigrams obtained with both diopharmaceuticals differed significantly. 99m Tc-depreotide was markedly accumulated in spine, sternum, ribs and lungs (mean lung/heart ratio = 2.2). This accumulation was not observed on 99m Tc- -EDDA/HYNIC-TOC scintigrams (mean lung/heart ratio = 0.7). In 6 patients a malignant etiology - lung cancer - was revealed (5 - adenocarcinoma, 1 - squamous cell) and the other 12 cases turned out to be benign (4 hamartomas, 3 tuberculomas, a tuberculous infiltrate, an alien body with inflammatory reaction, a hyperplasia of lymphatic tissue and 2 cases of unknown etiology, from which one had a stable size and the other resolved during a 6 month observation period). In all 6 cases of lung cancer positive results were obtained with both tracers. Moreover, in 2 patients metastases in mediastinum could be observed on scintigrams obtained with both radiopharmaceuticals. From among 12 cases of benign etiology 6 99m Tc-depreotide scintigrams were true negative, 1 - equivocal and 5 - false positive, whereas 6 99m Tc-EDDA/HYNIC-TOC scintigrams were true negative, 4 - equivocal and 2 false positive. Moreover, 99m Tc-depreotide additionally revealed mediastinal and hilar lesions in 9 patients with benign lesions and 99m Tc-EDDA/HYNIC-TOC - in 8. A visual comparison of scintigrams revealed a higher quality of 99m Tc-Depreotide images in comparison with 99m Tc-EDDA/HYNIC-TOC ones. 99m Tc-Depreotide showed a higher than 99m Tc-EDDA/HYNIC-TOC accumulation in lung tumours compared with blood pool (heart) - 4.5 (s.d. 1.05) and 1.8 (s.d. 0.29), respectively (p 99m Tc-EDDA/HYNIC-TOC scintigrams than on 99m Tc-depreotide ones (16.4% vs. 11.4%; p 99m Tc-depreotide scintigrams probably leads to a lower specificity. Better statistical quality of 99m Tc-depreotide scintigrams facilitates their interpretation and a distinct outline of lungs simplify localization of lesions. A substantial number of false positive lesions in mediastinal and hilar regions in patients without a neoplastic process hamper the usefulness of both radiotracers for effective detection of lung cancer metastases to lymph nodes. (author)

  8. Comparative analysis of 99mTc-depreotide and 99mTc-EDDA/HYNIC-TOC thorax scintigrams acquired for the purpose of differential diagnosis of solitary pulmonary nodules.

    Science.gov (United States)

    Płachcińska, Anna; Mikołajczak, Renata; Kozak, Józef; Rzeszutek, Katarzyna; Kuśmierek, Jacek

    2006-01-01

    Aiming at comparison of diagnostic efficacy of 2 radiopharmaceuticals: 99mTc-depreotide (Neospect, Amersham) and 99mTc-EDDA/HYNIC-Tyr3-octreotide (Tektrotyd, Polatom), in differentiation between malignant and benign etiology of solitary pulmonary nodules (SPNs), radionuclide studies with 2 radiotracers were performed in 18 patients. For both radiopharmaceuticals the same acquisition and processing protocols were applied. Studies were acquired with SPECT technique, after administration of 740 MBq of activity. Scintigrams were assessed visually, as: positive (+), equivocal (+/-) and negative (-). Additionally, uptake intensity of both radiotracers in nodules was assessed semiquantitatively, using a tumour-to-background ratio. Verification of scintigraphic results was based in 14 cases upon a pathological examination of tumour samples (histopathology) and in the remaining 4 - on clinical observation and bacteriological studies. Normal scintigrams obtained with both radiopharmaceuticals differed significantly. 99mTc-depreotide was markedly accumulated in spine, sternum, ribs and lungs (mean lung/heart ratio = 2.2). This accumulation was not observed on 99mTc- -EDDA/HYNIC-TOC scintigrams (mean lung/heart ratio = 0.7). In 6 patients a malignant etiology--lung cancer--was revealed (5--adenocarcinoma, 1--squamous cell) and the other 12 cases turned out to be benign (4 hamartomas, 3 tuberculomas, a tuberculous infiltrate, an alien body with inflammatory reaction, a hyperplasia of lymphatic tissue and 2 cases of unknown etiology, from which one had a stable size and the other resolved during a 6 month observation period). In all 6 cases of lung cancer positive results were obtained with both tracers. Moreover, in 2 patients metastases in mediastinum could be observed on scintigrams obtained with both radiopharmaceuticals. From among 12 cases of benign etiology 6 99mTc-depreotide scintigrams were true negative, 1--equivocal and 5--false positive, whereas 6 99mTc-EDDA/HYNIC-TOC scintigrams were true negative, 4--equivocal and 2 false positive. Moreover, 99mTc-depreotide additionally revealed mediastinal and hilar lesions in 9 patients with benign lesions and 99mTc-EDDA/HYNIC-TOC - in 8. A visual comparison of scintigrams revealed a higher quality of 99mTc-Depreotide images in comparison with 99mTc-EDDA/HYNIC-TOC ones. 99mTc-Depreotide showed a higher than 99mTc-EDDA/HYNIC-TOC accumulation in lung tumours compared with blood pool (heart) - 4.5 (s.d. 1.05) and 1.8 (s.d. 0.29), respectively (p EDDA/HYNIC-TOC scintigrams than on 99mTc-depreotide ones (16.4% vs. 11.4%; p < 0.01). Although both radiopharmaceuticals show similar diagnostic efficacy in differentiation of SPNs, a tendency toward a higher number of false positive results on 99mTc-depreotide scintigrams probably leads to a lower specificity. Better statistical quality of 99mTc-depreotide scintigrams facilitates their interpretation and a distinct outline of lungs simplify localization of lesions. A substantial number of false positive lesions in mediastinal and hilar regions in patients without a neoplastic process hamper the usefulness of both radiotracers for effective detection of lung cancer metastases to lymph nodes.

  9. CT-morphological characterization of respiratory syncytial virus (RSV) pneumonia in immune-compromised adults; Morphologische Charakterisierung und Verlaufsbeurteilung von Respiratory Syncytial Virus (RSV) Pneumonien bei immunkompromittierten Erwachsenen in der Thorax-CT

    Energy Technology Data Exchange (ETDEWEB)

    Mayer, J.L.; Kauczor, H.U. [Univ. Hospital Heidelberg (Germany). Diagnostic and Interventional Radiology; Lehners, N.; Egerer, G. [Univ. Hospital Heidelberg (Germany). Internal Medicine V of Hematology, Oncoloy and Rheumatology; Heussel, C.P. [Thoracic Hospital at Univ. Hospital Heidelberg (Germany). Diagnostic and Interventional Radiology with Nuclear Medicine

    2014-07-15

    Characterization and follow-up evaluation of chest CT of RSV pneumonia in immune-compromised adults during a seasonal epidemic. Retrospective analysis of 132 chest CT examinations of 51 adult immune-compromised patients (29 m/22f, diameter 58 years) with clinical signs of pneumonia and positive RSV test in winter 2011/2012. Two experienced chest radiologists evaluated the morphology (bronchial wall thickening, tree-in-bud, nodules, halo, ground-glass opacities, consolidations, pleural fluid) of the CT scans by consensus. Pathological findings were in 86 % of the chest CT scans: Areas of ground-glass attenuation in 64 %, consolidations in 56 %, nodules in 55 % (diameter 8 mm in maximal diameter, with halo in 71 %), pleural fluid in 44 % (diameter 2 cm), tree-in-bud in 36 %, bronchial wall thickening in 27 % and more than one morphological finding in 72 %. There were no pathological CT findings in 14 % of patients with clinical symptoms of pneumonia because these patients did not undergo follow-up. Radiological progression was found in 45 % of patients and regression in 33 % in follow-up examinations. In 37 % an additional examination of the paranasal sinuses was performed and showed sinusitis in 63 % of cases. 90 % of the patients had sinusitis as well as pneumonia. In addition to RSV, a further pathogenic agent was found in bronchoalveolar lavage of five patients (Aspergillus spec., herpes simplex virus, Pseudomonas aeruginosa). The most characteristic signs in chest CT scans were at the beginning of pneumonia with nodules and tree-in-bud often combined with bronchial wall thickening. The following CT scans showed characteristic but not pathognomonic chest CT findings of RSV pneumonia. These morphological findings should be recognized seasonally (winter) especially at the beginning of the case of pneumonia. RSV-associated additional sinusitis is probably common and should be noticed.

  10. Multi-institutional Quantitative Evaluation and Clinical Validation of Smart Probabilistic Image Contouring Engine (SPICE) Autosegmentation of Target Structures and Normal Tissues on Computer Tomography Images in the Head and Neck, Thorax, Liver, and Male Pelvis Areas

    DEFF Research Database (Denmark)

    Zhu, Mingyao; Bzdusek, Karl; Brink, Carsten

    2013-01-01

    Clinical validation and quantitative evaluation of computed tomography (CT) image autosegmentation using Smart Probabilistic Image Contouring Engine (SPICE).......Clinical validation and quantitative evaluation of computed tomography (CT) image autosegmentation using Smart Probabilistic Image Contouring Engine (SPICE)....

  11. Kerma in the air at entry surface in thorax pediatric examinations at public hospital in Parana, Brazil; Kerma no ar na superficie de entrada em exames pediatricos de torax em hospital publico no Parana, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Amanda; Porto, Lorena; Bunick, Ana; Paschuk, Sergei; Denyak, Valeriy, E-mail: schelin@utfpr.edu.b [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Schelin, Hugo; Tilly, Joao, E-mail: joao.tilly@derax.com.b [DERAX Desenvolvimento Radiologico, Curitiba, PR (Brazil); Khoury, Helen, E-mail: hjkhoury@gmail.co [Universidade Federal de Pernambuco (DOIN/UFPE), Recife, PE (Brazil). Dept. de Energia Nuclear. Grupo de Dosimetria e Instrumentacao Nuclear; Ferreira, Jose [Universidade Estadual do Oeste do Parana (UNIOESTE), Cascavel, PR (Brazil)

    2011-07-01

    This work consisted in the evaluation of the entrance skin air kerma (ESAK) in pediatric chest x-ray examinations. A study of 186 exams in anterior-posterior, posterior-anterior and lateral projections was carried out for patients with ages ranging from 0 to 15 years. The ESAK was measured with the DoseCal software and Li-Fl thermoluminescent dosimeters. The results were compared with measurements done recently at the same place and with the reference dose values established by the European Community. It was observed that the optimization of the technique and the routine changes suggested in the previous study were not maintained. The charge (mAs) and the ESAK values found in the present study were much higher than the previous one, and the voltage (kVp) values found was lower. The results suggest that the implementation of the Quality Assurance Program could adequate these parameters to the established levels and keep the pediatric examinations more uniform. (author)

  12. Étude anatomique d'une espèce de lémurien (Eulemur fulvus) : coupes topographiques et tomodensitométriques du thorax, de l'abdomen et du bassin. Application à la pratique de l'échographie du cœur et des reins

    OpenAIRE

    Raharison, Fidiniaina

    2008-01-01

    L'objectif de notre étude est d'élaborer un document de référence mettant en relation l'anatomie, l'imagerie et la clinique du lémurien brun (Eulemur fulvus) et débouchant sur des mesures échographiques normales des reins et du cœur. Les études anatomique et tomodensitométrique ont été effectuées sur deux lémuriens et l'étude échographique sous différents modes sur 16 animaux après anesthésie. Les coupes anatomiques et tomodensitométriques nous ont permis de préciser la position et la conform...

  13. Development of a external exposure computational model for studying of input dose in skin for radiographs of thorax and vertebral column; Desenvolvimento de um modelo computacional de exposicao externa para estudo da dose de entrada na pele para radiografias de torax e coluna

    Energy Technology Data Exchange (ETDEWEB)

    Muniz, Bianca C.; Menezes, Claudio J.M., E-mail: bianca.cm95@gmail.com, E-mail: cjmm@cnen.gov.br [Centro Regional de Ciencias Nucleares do Nordeste (CRCN-NE/CNEN-PE), Recife, PE (Brazil); Vieira, Jose W., E-mail: jwvieira@br.inter.net [Instituto Federal de Educacao, Ciencia e Tecnologia de Pernambuco (IFPE), Recife, PE (Brazil)

    2014-07-01

    The dosimetric measurements do not always happen directly in the human body. Therefore, these assessments can be performed using anthropomorphic models (phantoms) evidencing models computational exposure (MCE) using techniques of Monte Carlo Method for virtual simulations. These processing techniques coupled with more powerful and affordable computers make the Monte Carlo method one of the tools most used worldwide in radiation transport area. In this work, the Monte Carlo EGS4 program was used to develop a computer model of external exposure to study the entrance skin dose for chest and column X-radiography and, aiming to optimize these practices by reducing doses to patients, professionals involved and the general public. The results obtained experimentally with the electrometer Radcal, model 9015, associated with the ionization chamber for radiology model 10X5-6, showed that the proposed computational model can be used in quality assurance programs in radiodiagnostic, evaluating the entrance skin dose when varying parameters of the radiation beam such as kilo voltage peak (kVp), current-time product (mAs), total filtration and distance surface source (DFS), optimizing the practices in radiodiagnostic and meeting the current regulation.

  14. Significance of findings of both emergency chest X-ray and thoracic computed tomography routinely performed at the emergency unit in 102 polytrauma patients. A prospective study; Relevanz der Befunde von Thoraxroentgen und Thorax-CT im routinemaessigen Schockraumeinsatz bei 102 polytraumatisierten Patienten. Eine prospektive Studie

    Energy Technology Data Exchange (ETDEWEB)

    Grieser, T.; Buehne, K.H.; Haeuser, H.; Bohndorf, K. [Zentralklinikum Augsburg (Germany). Klinik fuer Diagnostische Radiologie und Neuroradiologie

    2001-01-01

    Purpose: To evaluate prospectively whether and to what extent both thoracic computed tomography (Tx-CT) and supine X-ray of the chest (Rx-Tx) are able to show additional findings that are therapeutically relevant. Patients and Methods: According to a fixed study protocol, we performed Rx-Tx and Tx-CT in 102 consecutive, haemodynamically stable polytrauma patients (mean age, 41.2 yrs; age range, 12-93 yrs). Findings of therapeutical relevance drawn from both Tx-CT and Rx-Tx, and urgent interventions indicated by an attending trauma team were documented on a standardized evaluation sheet immediately. Any change in the patient's management that is different from routine life-saving procedures, and any therapeutical intervention done in the emergency room or elsewhere (operating theatre, angiographic facility) were considered therapeutically relevant. Results: Of 102 patients, 43 (42.2%) had a total of 51 therapeutically relevant findings. Rx-Tx alone yielded 23 relevant findings (45.1%) in 23 patients (22.5%). Of them, Tx-CT has shown additional important findings in 7 patients (30.4%). When Tx-CT alone is considered, it revealed 22 new findings of therapeutical relevance (43.2%) in 20 patients (46.5%). Altogether, Tx-CT was able to show 30 relevant findings in 27 patients, i.e., there was a therapeutical benefit for 26.5% of all polytrauma patients included. Most frequently, there was a need for chest-tube insertion (n=29). Conclusions: Polytrauma patients if haemodynamically stable may profit from computed tomography of the chest when therapeutically relevant thoracic injuries are looked for or early therapeutical interventions are to be checked. However, chest X-ray should stay as a 'front-line' screening method because of its superbly quick feasibility and availability. (orig.) [German] Ziel: Die prospektive Studie soll klaeren, ob und inwieweit eine Thoraxcomputertomographie (Tx-CT) unter Schockraumbedingungen gegenueber der Roentgen-Thoraxuebersicht (Roe-Tx) zusaetzliche Befunde zeigen kann, die von therapeutischer Relevanz sind. Patienten und Methodik: Bei 102 konsekutiven polytraumatisierten, aber haemodynamisch stabilen Patienten (Durchschnittsalter 41,2 Jahre, Altersbereich 12 bis 93 Jahre) wurden gemaess eines festgelegten Protokolls ein Roe-Tx und eine Tx-CT durchgefuehrt. Therapierelevante Befunde und die konsekutiv vom Traumateam veranlassten dringlichen Interventionen wurden in einem standardisiertem Erfassungsbogen dokumentiert. Als therapierelevant wurde jede Aenderung oder Ergaenzung im Management des Polytraumapatienten gewertet, die von der allgemein ueblichen Basistherapie abwich und dringliche Eingriffe im Schockraum oder im OP bzw. im Angiographieraum notwendig machten. Ergebnisse: 43 von 102 Patienten (42,2%) hatten insgesamt 51 therapierelevante Befunde. Der Roe-Tx allein ergab bei 23 Patienten (22,5%) 23 relevante Befunde (45,1%). Bei 7 dieser 23 Patienten (30,4%) zeigte das Tx-CT im Vergleich zu Roe-Tx noch weitere therapierelevante Ergebnisse. Das Tx-CT allein identifizierte 22 neue therapierelevante Befunde (43,2% bei 20 Patienten, 46,5%). Insgesamt zeigte das Tx-CT 30 relevante Befunde bei 27 Patienten, so dass 26,5% aller 102 Polytraumapatienten vom Tx-CT profitierten. Haeufigstes therapierelevantes Ergebnis stellte die Thoraxdrainageanlage dar (n=29). Zusammenfassung: Haemo-dynamisch stabile polytraumatisierte Patienten profitieren von der Durchfuehrung des Tx-CT bezueglich der Detektion therapierelevanter thorakaler Verletzungen bzw. der Kontrolle fruehzeitig erfolgter therapeutischer Interventionen. Dennoch sollte der Roe-Tx aufgrund seiner unuebertroffenen schnellen Durchfuehr- und Verfuegbarkeit auch weiterhin die primaere Screening-Methode der Wahl bleiben. (orig.)

  15. Influence of using high kV and low m As techniques in the dose of patients submitted to X ray thorax examinations; Influencia do uso de tecnicas de alto kV e baixo mAs na dose em pacientes submetidos a exames de raios X de torax

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Paulo Marcio Campos de, E-mail: pmco@cdtn.b [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Dept. de Engenharia Nuclear. Programa de Pos-Graduacao em Ciencias e Tecnicas Nucleares; Squair, Peterson Lima; Lacerda, Marco Aurelio de Sousa; Silva, Teogenes Augusto da, E-mail: pls@cdtn.b, E-mail: masl@cdtn.b, E-mail: silvata@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2011-07-01

    Dosimetric studies of patients subject to radiodiagnostic have got a special attention in Brazil although they are not required by the Brazilian legislation. However, in several Brazilian clinics there have been observed the use of techniques with lower peak voltage and higher electric charges values in spite the European Commission recommends the high voltages with low electric charge values in order to reduce the patient dose. This work compares three methodologies for evaluating the organ absorbed doses in patients undergoing chest x-rays at two techniques (80 k Vp and 10 m As; 120 k Vp and 2 m As): the PCXMC and CALDose{sub X} Monte Carlo based software and experimental measurements with T L dosimeters in a anthropomorphic phantom. The experimental measurements showed the technique with high voltage was dose reduced by approximately 60% in the entrance skin in relation to low voltage technique and the software showed similar dose reduction, shows the importance of adopting techniques which have high voltage values and low electrical charges, unlike usually found on chest x-rays in some hospitals and clinics in Brazil. (author)

  16. Estimation of the Joint Patient Condition Occurrence Frequencies from Operation Iraqi Freedom and Operation Enduring Freedom. Volume I: Development of Methodology

    Science.gov (United States)

    2011-03-28

    Chest PCOF Vol. 1: Development of Methodology 18 Supplemented BM To more accurately describe combat trauma , a slight modification was made to the BM... Pneumothorax without Open Wound into Thorax INTERNAL ORGAN CHEST 860.1 Traumatic Pneumothorax with open Wound into Thorax INTERNAL ORGAN CHEST ...with Open Wound into Thorax INTERNAL ORGAN CHEST PCOF Vol. 1: Development of Methodology 31 DMMPO ICD-9 codes Trauma category Anatomical location

  17. Studies of Infection and Dissemination of Rift Valley Fever Virus in Mosquitoes.

    Science.gov (United States)

    1991-10-15

    SHEET Slide Code Epidermis: Head Thorax Abdomen Fat Body: Head Thorax peripheral visceral Abdomen Alimentary Canal: Epithelium Muscles Esophagous...by in situ hybridization. Am J Trop Med Hyg, 40: 561-8. Stiller D, 1990. Application of biotechnology for the diagnosis and control of ticks and tick

  18. The acquired immunodeficiency syndrome (AIDS). 4

    International Nuclear Information System (INIS)

    Witt, C.

    1987-01-01

    The diagnostic relevance of bronchological examination methods in addition to lung function and X-ray thorax diagnostics as well as 67 Ga thorax scintigraphy in AIDS patients suffering from pneumocystis carinii pneumonia are discussed. Data on the diagnostic strategy regarding pneumological conditions as well as in the out-patient care of HIV-infected and of AIDS patients are presented. (author)

  19. Arthropod pattern theory and Cambrian trilobites

    NARCIS (Netherlands)

    Sundberg, Frederick A.

    1995-01-01

    An analysis of duplomere (= segment) distribution within the cephalon, thorax, and pygidium of Cambrian trilobites was undertaken to determine if the Arthropod Pattern Theory (APT) proposed by Schram & Emerson (1991) applies to Cambrian trilobites. The boundary of the cephalon/thorax occurs within

  20. 49 CFR 572.78 - Performance test conditions.

    Science.gov (United States)

    2010-10-01

    ... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ANTHROPOMORPHIC TEST DEVICES 6-Year-Old Child § 572.78...), § 572.74 (thorax), § 572.75 (lumbar spine, abdomen, and pelvis), and § 572.76 (limbs), position the.... (3) For the thorax, lumbar spine, and knee tests, the horizontal surface is without a back support as...

  1. Thoracic radiographic anatomy in goats | Makungu | Tanzania ...

    African Journals Online (AJOL)

    The aim of this study was to describe the normal radiographic anatomy of the thorax of small East African goats as a reference for clinical use. Radiography of the thorax was performed under general anaesthesia in 10 healthy small East African goats. Right lateral (RL), left lateral (LL), dorsoventral (DV) and ventrodorsal ...

  2. Genetic variability and phenotypic plasticity of metric thoracic traits in an invasive drosophilid in America.

    Science.gov (United States)

    Bitner-Mathé, Blanche Christine; David, Jean Robert

    2015-08-01

    Thermal phenotypic plasticity of 5 metric thoracic traits (3 related to size and 2 to pigmentation) was investigated in Zaprionus indianus with an isofemale line design. Three of these traits are investigated for the first time in a drosophilid, i.e. thorax width and width of pigmented longitudinal white and black stripes. The reaction norms of white and black stripes were completely different: white stripes were insensitive to growth temperature while the black stripes exhibited a strong linear decrease with increasing temperatures. Thorax width exhibited a concave reaction norm, analogous but not identical to those of wing length and thorax length: the temperatures of maximum value were different, the highest being for thorax width. All traits exhibited a significant heritable variability and a low evolvability. Sexual dimorphism was very variable among traits, being nil for white stripes and thorax width, and around 1.13 for black stripes. The ratio thorax length to thorax width (an elongation index) was always >1, showing that males have a more rounded thorax at all temperatures. Black stripes revealed a significant increase of sexual dimorphism with increasing temperature. Shape indices, i.e. ratios between size traits all exhibited a linear decrease with temperature, the least sensitive being the elongation index. All these results illustrate the complexity of developmental processes but also the analytical strength of biometrical plasticity studies in an eco-devo perspective.

  3. Our Experiences with Chest Trauma Patients in Syrian Civil War

    Directory of Open Access Journals (Sweden)

    Samil Gunay

    2014-03-01

    Full Text Available Aim: Thoracic surgery is a branch, the efficiency of which is unquestionable for war. And during the civil war in Syria, thoracic surgery specialists have been feeling this efficiency so closely. So we want to share our experiences on patients sent from this region. Material and Method: The cases comprised of 41 patients in total, 33 men and 8 women, between the ages of 16-75, who were brought from Syria between the dates of August 2012 %u2013 November 2013. The files of the patients were received from archive. Results: Except 11 isolated thorax trauma patients, it was determined thorax and abdomen injuries at 9 patients (21.9%, thorax and extremity injuries at 8 patients (19.5%, thorax and vertebra injuries at 3 patients (7.3%, thorax, abdomen and cranium injuries at 5 patients (12.1%, thorax, abdomen and eye injuries at one patient (2.4%, thorax, abdomen and vertebra injuries at 3 patients (7.3%, thorax, abdomen and extremity injuries at one patient (2.4%. Discussion: Thoracic surgery is a lifesaving branch in case of fast and effectual medical intervention to injuries during war.

  4. Genetic variability of sexual size dimorphism in a natural population ...

    Indian Academy of Sciences (India)

    In a homogeneous sample of 30 lines of Drosophila melanogaster, both indices provided similar intraclass correlations, on average 0.21, significantly greater than zero but lower than those for the traits themselves: 0.50 and 0.36 for wing and thorax length respectively. Wing and thorax length were strongly positively ...

  5. Electrical admittance for filling of the heart during lower body negative pressure in humans

    DEFF Research Database (Denmark)

    Cai, Yujia; Holm, S; Jenstrup, M

    2000-01-01

    To evaluate whether electrical admittance of intracellular water is applicable for monitoring filling of the heart, we determined the difference in intracellular water in the thorax (Thorax(ICW)), measured as the reciprocal value of the electrical impedance for the thorax at 1.5 and 100 kHz during...... lower body negative pressure (LBNP) in humans. Changes in Thorax(ICW) were compared with positron emission tomography-determined C(15)O-labeled erythrocytes over the heart. During -40 mmHg LBNP, the blood volume of the heart decreased by 21 +/- 3% as the erythrocyte volume was reduced by 20 +/- 2.......6 to 40.9 +/- 5.0 S. 10(-4); P = 0.08). The correlation between Thorax(ICW) and heart erythrocyte volume was 0.84 (P electrical admittance of intracellular water can be applied to evaluate changes in blood volume of the heart during LBNP in humans....

  6. Individual difficulties and resources – a qualitative analysis in patients with advanced lung cancer and their relatives

    Directory of Open Access Journals (Sweden)

    Sparla A

    2016-10-01

    Full Text Available Anika Sparla,1 Sebastian Flach-Vorgang,1 Matthias Villalobos,2 Katja Krug,1 Martina Kamradt,1 Kadiatou Coulibaly,1 Joachim Szecsenyi,1 Michael Thomas,2 Sinikka Gusset-Bährer,2 Dominik Ose1,3 1Department of General Practice and Health Services Research, Heidelberg University Hospital, 2Internistische Onkologie der Thoraxtumoren, Thoraxklinik im Universitätsklinikum Heidelberg, Translational Lung Research Center Heidelberg (TLRC-H, Member of the German Center for Lung Research, Heidelberg, Germany; 3University of Utah, Department of Population Health Sciences, Health System Innovation and Research, Salt Lake City, UT, USA Purpose: Lung cancer is a disease with a high percentage of patients diagnosed in an advanced stage. In a situation of palliative treatment, both patients and their relatives experience diverse types of distress and burden. Little research has been done to identify the individual difficulties and resources for patients with advanced lung cancer and their relatives. Especially, standardized questionnaire-based exploration may not assess the specific distressing issues that pertain to each individual on a personal level. The purpose of this qualitative study is to explore and compare individual difficulties and resources for lung cancer patients and their relatives within the palliative care context.Methods: Data were collected by qualitative interviews. A total of 18 participants, nine patients diagnosed with advanced lung cancer (International Classification of Diseases, tenth edition, diagnosis C-34, stage IV starting or receiving palliative treatment and nine relatives, were interviewed. Data were interpreted through qualitative content analysis.Results: We identified four main categories of difficulties: communication and conflicts, home and everyday life, thinking about cancer, and treatment trajectory. In general, difficulties were related to interpersonal relationships as well as to impact of chemotherapy. Family

  7. Sled Tests Using the Hybrid III Rail Safety ATD and Workstation Tables for Passenger Trains

    Science.gov (United States)

    2017-08-01

    The Hybrid III Rail Safety (H3-RS) anthropomorphic test device (ATD) is a crash test dummy developed in the United Kingdom to evaluate abdomen and lower thorax injuries that occur when passengers impact workstation tables during train accidents. The ...

  8. Chest MRI

    Science.gov (United States)

    ... resonance imaging - chest; NMR - chest; MRI of the thorax; Thoracic MRI Patient Instructions ... Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology. In: Broaddus VC, Mason RJ, Ernst JD, et ...

  9. variations in dimensions and shape of thoracic cage with aging

    African Journals Online (AJOL)

    the rib cage dimensions, the shape and cross- ..... Figure 6: CT axial section of thorax, showing the internal thoracic dimensions and shape at different age .... Dean J, Koehler R, Schleien C, Michael J, Chantarojanasiri T, Rogers M, Traystman ...

  10. [Diaphragm dysfunction in patients with chronic obstructive pulmonary disease

    NARCIS (Netherlands)

    Verheul, A.J.; Dekhuijzen, P.N.R.

    2003-01-01

    Chronic obstructive pulmonary disease (COPD) is characterised by alterations in the airways and lung parenchyma resulting in an increased respiratory workload. Besides an increased load and hyperinflation of the thorax, additional factors, such as systemic inflammation, oxidative stress, hypoxia and

  11. Post-traumatic diaphragmatic hernias – importance of basic ...

    African Journals Online (AJOL)

    2013-05-02

    May 2, 2013 ... sustained several years previously in a motor vehicle accident. He complained of ... thorax, pleural space occupation and old fractures of left ribs. 8 - 9. ... history.[5] Herniation of other abdominal structures is likely to co-exist.

  12. Symmetrical parahiliar infiltrated, cough and dyspnoea

    International Nuclear Information System (INIS)

    Giraldo Estrada, Horacio; Escalante, Hector

    2004-01-01

    It is the case a patient to who is diagnosed symmetrical parahiliar infiltrated; initially she is diagnosed lymphoma Hodgkin, treaty with radiotherapy and chemotherapy, but the X rays of the thorax demonstrated parahiliars and paramediastinals infiltrated

  13. Acoustic Sensor for Voice with Embedded Physiology

    National Research Council Canada - National Science Library

    Scanlon, Michael

    1999-01-01

    .... It is low cost and comfortable to wear for extended periods. When the sensor pad is in contact with a patient's thorax, neck, or temple region, sounds can be immediately and continuously monitored...

  14. BTS guideline for the investigation and management of malignant pleural mesothelioma.

    Science.gov (United States)

    Woolhouse, Ian; Bishop, Lesley; Darlison, Liz; de Fonseka, Duneesha; Edey, Anthony; Edwards, John; Faivre-Finn, Corinne; Fennell, Dean A; Holmes, Steve; Kerr, Keith M; Nakas, Apostolos; Peel, Tim; Rahman, Najib M; Slade, Mark; Steele, Jeremy; Tsim, Selina; Maskell, Nick A

    2018-01-01

    The full guideline for the investigation and management of malignant pleural mesothelioma is published in Thorax . The following is a summary of the recommendations and good practice points. The sections referred to in the summary refer to the full guideline.

  15. Essentials of clinical MRI; Essentials der klinischen MRT

    Energy Technology Data Exchange (ETDEWEB)

    Attenberger, Ulrike I.; Schoenberg, Stefan O. (eds.) [Heidelberg Univ. Universitaetsmedizin Mannheim (Germany). Inst. fuer Klinische Radiologie und Nuklearmedizin; Runge, Val M. [Univ. of Texas Medical Branch (UTMB), Galveston, TX (United States). Dept. of Radiology; Morelli, John N. [Texas A and M Univ., Temple, TX (United States). Dept. of Radiology

    2011-07-01

    The text book on practical magnetic resonance imaging includes the following chapters: brain; cervical spine; thoracic spine; lumbar spine; head and neck; heart and thorax; mammary glands; abdomen and pelvis; musculoskeletal system; MRI contrast media; magnetic resonance angiography.

  16. Monte Carlo simulation of response of a phoswich detector to 241Am in the lungs of a mathematical phantom

    International Nuclear Information System (INIS)

    Bhati, Sharda

    2009-01-01

    To simulate photon transport in the thorax region of the MIRD phantom for a given uniform source distribution of 241 Am in the lungs of the phantom and to compute the pulse height response of a 20 cm dia phoswich detector located right above the lungs on the thorax surface. The total peak counts in the simulated pulse height spectrum of 241 Am can be used to compute the calibration factors of the phoswich for estimation of the lung burdens of 241 Am

  17. Mediastinal tuberculosis presenting as traction diverticulum of the esophagus

    Directory of Open Access Journals (Sweden)

    Rastogi Anurag

    2007-01-01

    Full Text Available A 7-year-old male presented with history of low-grade fever, epigastric pain and dysphagia. Ultrasound of abdomen and thorax revealed presence of paraesophageal lymphadenopathy. ′Barium swallow′ and computerized tomography scan thorax with oral contrast suggested a provisional diagnosis of paraesophageal diverticulum. Esophagoscopy was normal. Endoscopic ultrasonography with biopsy confirmed tuberculosis. The patient was started on four-drug antitubercular treatment.

  18. Subcutaneous emphysema during status astmaticus

    International Nuclear Information System (INIS)

    Schwarz, E.

    1985-01-01

    Spontaneous subcutaneous accumulations of air in the soft parts of the thorax during an asthmatic crisis (status asthmaticus) are rarely seen. The pathomechanism of the phenomenon, which may lead to the formation of an emphysema of the soft parts via the pneumomediastinum, is discussed, and the possible complications which must be taken into account are pointed out. The value of radiological examination of the thorax in children suffering from asthma bronchiale, is explained briefly. (orig.) [de

  19. Evaluation of skin entry kerma in radiological examinations at the Hospital de Clinicas, Parana, Brazil; Avaliacao de kerma de entrada na pele em exames radiologicos no Hospital de Clinicas do Parana, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Porto, Lorena E.; Schelin, Hugo R.; Santos, Amanda C. dos; Bunick, Ana Paula; Paschuk, Sergei; Denyak, Valeriy [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Tilly Junior, Joao G. [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Hospital de Clinicas; Khoury, Helen J., E-mail: khoury@ufpe.b [Universidade Federal de Pernambuco (UFPE/DEN), Recife, PE (Brazil). Dept. de Energia Nuclear

    2011-10-26

    This paper evaluates the skin entry dose of pediatric and adults patients when submitted to radiological examinations at the Hospital de Clinicas do Parana, Brazil, as part integrate of the data assessment of International Atomic Energy Agency (IAEA) for Latin America. It was performed measurements of dose for evaluation of skin entry kerma in pediatric patients in thorax AP/PA examinations, adults of thorax in AP/PA, cranio caudal mammography and median lateral and patients of computerized tomography in examination of head, thorax and abdomen. The obtained data demonstrate the necessity of verification of diagnostic analysis standards. The great value amplitudes demonstrate the incompatibility of examination executions with those recommended by the literature. The dose values presented partially inside the range recommended and the other over the expected for the due examination when compared with the literature

  20. Evaluation of skin entry kerma in radiological examinations at the Hospital de Clinicas, Parana, Brazil

    International Nuclear Information System (INIS)

    Porto, Lorena E.; Schelin, Hugo R.; Santos, Amanda C. dos; Bunick, Ana Paula; Paschuk, Sergei; Denyak, Valeriy; Tilly Junior, Joao G.; Khoury, Helen J.

    2011-01-01

    This paper evaluates the skin entry dose of pediatric and adults patients when submitted to radiological examinations at the Hospital de Clinicas do Parana, Brazil, as part integrate of the data assessment of International Atomic Energy Agency (IAEA) for Latin America. It was performed measurements of dose for evaluation of skin entry kerma in pediatric patients in thorax AP/PA examinations, adults of thorax in AP/PA, cranio caudal mammography and median lateral and patients of computerized tomography in examination of head, thorax and abdomen. The obtained data demonstrate the necessity of verification of diagnostic analysis standards. The great value amplitudes demonstrate the incompatibility of examination executions with those recommended by the literature. The dose values presented partially inside the range recommended and the other over the expected for the due examination when compared with the literature

  1. Optimization of protocols and increase the life of the tube of X rays in computer tomography;Otimizacao de protocolos e aumento dsa vida util do tubo de raios X em tomografia computadorizada

    Energy Technology Data Exchange (ETDEWEB)

    Viero, A.P. [Centro Universitario Franciscano, Santa Maria, RS (Brazil); Botelho, Marcel Z.; Torunsky, Caroline G. [STAFF - Solucoes em Fisica Medica e Radioprotecao, Santa Maria, RS (Brazil); Paula, V. [Clinica Radiologica Caridade (DIX), Santa Maria, RS (Brazil)

    2009-07-01

    The objective of this study was to evaluate the reduction of the radiation dose and X-ray tube heating in computed tomography exams. Exams of the skull, abdomen and thorax were evaluated. It was verified that the technique used could be changed, suggesting new protocols and comparing image quality, radiation dose and X-ray tube heating. A mAs reduction could be done without compromising the diagnostic quality bringing a decrease up to 21,92% in the dose of skull exams, 20,25% for the examinations, abdomen and 22,06% for the examinations of thorax. The reduction on the X-ray tube heating for skull, abdomen and thorax exams was approximately 22,2%, 20,0% and 22,2% respectively. It is concluded that a change on the described protocols will cause a significant reduction dose delivered to patients and on X-ray tube heating without compromising the diagnosis. (author)

  2. Mature cystic Theratome. Presentation of a case

    International Nuclear Information System (INIS)

    Rivera B, Aura Lucia; Carrillo B, Jorge Alberto; Ojeda L, Paulina

    2004-01-01

    The case of a patient of five months of age is presented, to which was diagnosed cystic theratome, initially was assisted in another institution to present consistent square of four days in dry cough and sialorrea. It was managed initially with pneumonia diagnosis and spill paraneumonic. The x-ray of initial thorax demonstrated an opacity committing the two inferior thirds of the left hemithorax, with obliteration of the costofrenic angle and contralateral deviation of the cardio mediastinum, later on another thorax x-ray to the entrance with diagnostic impression of sepsis of lung origin and pneumonia suspicion with spill associate pleural, was practiced closed thoracotomy, obtaining 60 cc of sallow liquid. For the persistence of the opacity basal left in the control x-ray, he was practiced thorax tomography. For the presence of multiple densities and the localization of the lesion it outlines the possibility of cystic theratome

  3. Totally implantable vascular access device (TIVAD) placement: a modified technique that takes post-procedure aesthetic aspects into account.

    Science.gov (United States)

    Liberale, Gabriel

    2017-04-01

    Major progress has been made in breast cancer reconstruction surgery. The standard technique for totally implanted vascular access device (TIVAD) implantation generally requires an incision for port insertion on the anterior part of the thorax that leaves a scar in the middle of the neckline in patients who have undergone mastectomy with complex breast reconstruction. The aim of this technical note is to report our revised surgical technique for TIVAD placement. In patients with breast cancer, we take a lateralized approach, performing an oblique incision on the lowest part of the deltopectoral groove. This allows us to introduce the port and to place it on the anterolateral part of the thorax, thus avoiding an unaesthetic scar on the anterior part of the thorax. Our modified technique for TIVAD implantation is described.

  4. Delayed development of radiation sickness in animals following partial exposure

    International Nuclear Information System (INIS)

    Vershinina, S.F.; Markochev, A.V.

    1995-01-01

    Causes of reduction of the life span of animals after partial exposure of the head, thorax, and abdomen are analyzed. Pulmonosclerosis and cardiosclerosis were mainly responsible for animal death following partial radiation exposure of the thorax; these conditions appreciably shortened the life span of the animals. After exposure of the head deaths were due to pneumonias which negligibly reduced the duration of life. Exposure of the abdomen led to the development of diabetes mellitus which shortened the life span by half. 18 refs., 1 tab

  5. Pediatric cardiology. Clinical and practical experiences with heart diseases of children, juveniles and young adults; Kinderkardiologie. Klinik und Praxis der Herzerkrankungen bei Kindern, Jugendlichen und jungen Erwachsenen

    Energy Technology Data Exchange (ETDEWEB)

    Haas, Nikolaus A. [Herz- und Diabeteszentrum NRW, Bad Oeynhausen (Germany). Klinik fuer angeborene Herzfehler; Kleideiter, Ulrich [Klinik fuer Kinder- und Jugendmedizin, Coesfeld (Germany)

    2011-07-01

    The book on pediatric cardiology covers the following chapters: (I) Fundamentals and diagnostics: pediatric cardiologic anamnesis, electrocardiograms, thorax X-radiography, MRT and CT of the heart, nuclear medical diagnostics, exercise tests, heart catheter examination, electrophysiological tests. (II) Leading symptoms: Cyanosis, cardiac murmur, thorax pain, palpitation, syncopes. (III) Disease pictures: congenital heart defects, acquired heart defects, cardiomyopathies, heart rhythm disturbances, heart insufficiency, arterial hypertension, pulmonary hypertension, other heart involving syndromes. (IV) Therapy: Catheter interventional therapy, post-surgical pediatric cardiac therapy, surgery involving the life-support machine, mechanical cardiovascular support systems, initial treatment of newborns with critical heart defects, heart transplantation, vaccination of children with heart diseases, medicinal therapy.

  6. Use of Chest Computed Tomography in Stable Patients with Blunt Thoracic Trauma: Clinical and Forensic Perspective

    Directory of Open Access Journals (Sweden)

    Makbule Ergin

    2011-01-01

    fractures were the most common injury. Thorax computed tomography was significantly superior to chest radiography in detecting pneumothorax , hemothorax and lung contusion. Eightyone life threatening lesions were detected and 50 (61%; pneumothorax 13, hemothorax 24, lung contusion 9,and pneumomediastinum 4 of these lesions could not be detected with plain chest radiography. The clinical management [in 15 patients (30%], and the forensic assesment was changed [in 14 (28%] patients were changed.  Conclusion:We concluded that using Computed Tomography of the thorax in thoracic travmas prive meticulous assesment in management of patients and forens icissues.

  7. Characterization of Human Torso Vascular Morphometry in Normotensive and Hypotensive Trauma Patients

    Science.gov (United States)

    2017-09-01

    20454 CT  THORAX  W  IV  CONTRAST 5/1/11  19:10 49 American  IndianF 120 73 DOD  normotensive 20455 CT  THORAX  W  IV  CONTRAST 5...70. Muscle Health/Sarcopenia Bone Health 6 0 o   72. Obesity  –  Fat  Characteriza4on   unroll   unroll   CT  images   SubQ...one of the following: American Indian (4), Asian (33), African American (145), Hispanic (30), Other (39), Pacific Islander (1), Caucasian (1395), or

  8. Pediatric cardiology. Clinical and practical experiences with heart diseases of children, juveniles and young adults

    International Nuclear Information System (INIS)

    Haas, Nikolaus A.

    2011-01-01

    The book on pediatric cardiology covers the following chapters: (I) Fundamentals and diagnostics: pediatric cardiologic anamnesis, electrocardiograms, thorax X-radiography, MRT and CT of the heart, nuclear medical diagnostics, exercise tests, heart catheter examination, electrophysiological tests. (II) Leading symptoms: Cyanosis, cardiac murmur, thorax pain, palpitation, syncopes. (III) Disease pictures: congenital heart defects, acquired heart defects, cardiomyopathies, heart rhythm disturbances, heart insufficiency, arterial hypertension, pulmonary hypertension, other heart involving syndromes. (IV) Therapy: Catheter interventional therapy, post-surgical pediatric cardiac therapy, surgery involving the life-support machine, mechanical cardiovascular support systems, initial treatment of newborns with critical heart defects, heart transplantation, vaccination of children with heart diseases, medicinal therapy.

  9. Design of fiber optic based respiratory sensor for newborn incubator application

    Science.gov (United States)

    Dhia, Arika; Devara, Kresna; Abuzairi, Tomy; Poespawati, N. R.; Purnamaningsih, Retno W.

    2018-02-01

    This paper reports the design of respiratory sensor using fiber optic for newborn incubator application. The sensor works based on light intensity losses difference obtained due to thorax movement during respiration. The output of the sensor launched to support electronic circuits to be processed in Arduino Uno microcontroler such that the real-time respiratory rate (breath per minute) can be presented on LCD. Experiment results using thorax expansion of newborn simulator show that the system is able to measure respiratory rate from 10 up to 130 breaths per minute with 0.595% error and 0.2% hysteresis error.

  10. Management of malignant pleural effusions.

    LENUS (Irish Health Repository)

    Uzbeck, Mateen H

    2010-06-01

    Malignant pleural effusions are a common clinical problem in patients with primary thoracic malignancy and metastatic malignancy to the thorax. Symptoms can be debilitating and can impair tolerance of anticancer therapy. This article presents a comprehensive review of pharmaceutical and nonpharmaceutical approaches to the management of malignant pleural effusion, and a novel algorithm for management based on patients\\' performance status.

  11. Chylous ascites and chylothorax: a case study

    African Journals Online (AJOL)

    2010-09-07

    Sep 7, 2010 ... find out the possible etiology. It showed bilateral ... abdominal process such as nephrotic syndrome, hy- pothyroidism, cirrhosis of the liver, abdominal opera- tions, and pancreatitis (1). In our patient, CT of thorax and abdomen were not contributory. The treatment of the chylothorax and chylous ascites.

  12. (Pyralidae, Lepidoptera) from southern Africa

    African Journals Online (AJOL)

    1990-12-18

    Dec 18, 1990 ... Head, thorax and abdomen above dark grey, under- side and legs a lighter grey. Forewings (Figure 15) dade: grey, in some specimens without any pattern, in others there is a vague pattern consisting of a broad black antemedial band and of a postmedial band: a zigzagged black line, starting near apex of ...

  13. How Insect Flight Steering Muscles Work

    OpenAIRE

    Walker, Simon M.; Schwyn, Daniel A.; Mokso, Rajmund; Wicklein, Martina; Müller, Tonya; Doube, Michael; Stampanoni, Marco; Krapp, Holger G.; Taylor, Graham K.

    2014-01-01

    Dipteran flies are amongst the smallest and most agile of flying animals. Their wings are driven indirectly by large power muscles, which cause cyclical deformations of the thorax that are amplified through the intricate wing hinge. Asymmetric flight manoeuvres are controlled by 13 pairs of steering muscles acting directly on the wing articulations. Collectively the steering muscles account for

  14. CASE SERIES Substantive incidental cardiac findings revealed by ...

    African Journals Online (AJOL)

    For years, the technological limitations inherent in CT imaging of the thorax meant that the heart was an ill-defined and largely ignored. 'space-filler' between the lungs. With the advent of multi-detector CT scanning (MDCT) in the late 1990s, and shortened imaging times, it has now become possible to clearly identify cardiac ...

  15. 49 CFR 572.146 - Test conditions and instrumentation.

    Science.gov (United States)

    2010-10-01

    ... transducer location as shown in drawing 210-0000. A lower neck transducer as specified in drawing SA 572-S19...) Head acceleration—Class 1000 (2) Neck (i) Force—Class 1000 (ii) Moments—Class 600 (iii) Pendulum acceleration—Class 180 (iv) Rotation potentiometer response (if used)—CFC 60. (3) Thorax: (i) Rib/sternum...

  16. Home-care treatment of swimmer syndrome in a miniature schnauzer dog.

    Science.gov (United States)

    Kim, Sun-A; Na, Ki-Jeong; Cho, Jong-Ki; Shin, Nam-Shik

    2013-09-01

    A 50-day-old, female miniature schnauzer dog was presented for astasia, dorsoventral flattening of the thorax, hypoplasia of hind-limb muscles, stiffness of hind-limb joints, paddling leg motion, and panting. The dog was diagnosed with swimmers syndrome. The dog recovered completely following 40 days of home-care treatment that involved environmental and nutritional management along with intensive physiotherapy.

  17. First experiences of thoracoscopy in a diagnostic protocol in some respiratory diseases of the horse

    International Nuclear Information System (INIS)

    Spadari, A.; Casadio Tozzi, A.; Venturini, A.; Lucani, A.

    2004-01-01

    Two horses with respiratory difficulties underwent monolateral thoracoscopy in standing position. The direct visualization inside the thorax confirmed the presence of exudate, granted a perfect visualization of a part of the lung and helped the insertion of a drainage without damaging any pulmonary structures [it

  18. Deliberate, repeated self-administration of metallic mercury injection: case report and review of the literature

    International Nuclear Information System (INIS)

    Givica-Perez, A.; Santana-Montesdeoca, J.M.; Diaz-Sanchez, M.; Martinez-Lagares, F.J.; Castaneda, W.R.

    2001-01-01

    Self-administration of metallic mercury through the intravenous route is rare. This event has been reported in psychiatric patients and in suicide attempts. We report a case of successive intravenous self-injections of mercury demonstrated by plain film radiographs and CT scans of the thorax and abdomen. (orig.)

  19. Les traumatismes du diaphragme en urgence clinique et ...

    African Journals Online (AJOL)

    The male predominance was clean with a sex ratio of 5. The middle age ... The exam clinic and the x-ray standard of the thorax permit the diagnosis. ... La coupole droite était lésée dans 45,2% des cas et dans 54,8% la lésion était à gauche.

  20. Aberrant right subclavian artery aneurysm confirmed by computerized tomography. Aneurisma de arteria subclavia derecha aberrante

    Energy Technology Data Exchange (ETDEWEB)

    Arteche, M.D.; Tejera, E.; Vega-Hazas, G.

    1991-01-01

    We present a case of aberrant right subclavian artery aneurysm in an asymptomatic woman. This disorder was found by chance in a thorax radiography due to an upper right mediastinal mass. CT confirmed the vascular anomaly as well as the aneurysm occurrence. (Author)

  1. Comparison of radiographic technique by computer simulation

    International Nuclear Information System (INIS)

    Brochi, M.A.C.; Ghilardi Neto, T.

    1989-01-01

    A computational algorithm to compare radiographic techniques (KVp, mAs and filters) is developed based in the fixation of parameters that defines the images, such as optical density and constrast. Before the experience, the results were used in a radiography of thorax. (author) [pt

  2. Kinematics of a Head-Neck Model Simulating Whiplash

    Science.gov (United States)

    Colicchia, Giuseppe; Zollman, Dean; Wiesner, Hartmut; Sen, Ahmet Ilhan

    2008-01-01

    A whiplash event is a relative motion between the head and torso that occurs in rear-end automobile collisions. In particular, the large inertia of the head results in a horizontal translation relative to the thorax. This paper describes a simulation of the motion of the head and neck during a rear-end (whiplash) collision. A head-neck model that…

  3. Thoracic skeletal imaging

    International Nuclear Information System (INIS)

    Scott, W.W.; Scott, P.D.; Trerotola, S.O.

    1990-01-01

    This book reviews the radiographic presentations of all hard and soft tissue disorders of the thorax. The signposts for diagnosis are described and all imaging modalities are included. Topics include: breast carcinoma metastasis to the bones of the chest, polio, scoliosis, ancylosis spondylitis, lung cancer with rib metastases

  4. A case of spontaneous hypoglycaemia and impaired glucose tolerance in the same patient.

    LENUS (Irish Health Repository)

    Thabit, Hood

    2012-01-31

    We present a rare case of an insulin-like growth factor-2 (IGF-2)-secreting tumour of the thorax. This patient demonstrated the combination of fasting hypoglycaemia and impaired glucose tolerance on oral glucose tolerance testing, which has not been previously described in this condition. A review of the literature of IGF-2-secreting intrathoracic tumours is presented here.

  5. Tuberculosis mimicking lung cancer

    Directory of Open Access Journals (Sweden)

    I. Hammen

    2015-01-01

    Our case report presents two patients, who were referred to the Thorax diagnostic centre at the Department of Respiratory Medicine, Odense University Hospital, with presumptive diagnosis of neoplasm and had proved lung TB with no evidence of malignancy instead. In the first case diagnosis was confirmed after thoracotomy, in the second case after bronchoscopy.

  6. Asphyxiating thoracic dysplasia

    International Nuclear Information System (INIS)

    Franzcr, J.; Kozlowski, K.

    2008-01-01

    Asphyxiating Thoracic Dysplasia is the most frequent form of Small Thorax - Short Rib Syndromes. Asphyxiating Thoracic Dysplasia in two patients with different clinical course is reported. Radiographic examination is the only method to diagnose Asphyxiating Thoracic Dysplasia with certainty. The correct diagnosis is important for prognostication and genetic counseling. It also excludes the necessity of further, often expensive investigations. (author)

  7. Numerical investigations of rib fracture failure models in different dynamic loading conditions.

    Science.gov (United States)

    Wang, Fang; Yang, Jikuang; Miller, Karol; Li, Guibing; Joldes, Grand R; Doyle, Barry; Wittek, Adam

    2016-01-01

    Rib fracture is one of the most common thoracic injuries in vehicle traffic accidents that can result in fatalities associated with seriously injured internal organs. A failure model is critical when modelling rib fracture to predict such injuries. Different rib failure models have been proposed in prediction of thorax injuries. However, the biofidelity of the fracture failure models when varying the loading conditions and the effects of a rib fracture failure model on prediction of thoracic injuries have been studied only to a limited extent. Therefore, this study aimed to investigate the effects of three rib failure models on prediction of thoracic injuries using a previously validated finite element model of the human thorax. The performance and biofidelity of each rib failure model were first evaluated by modelling rib responses to different loading conditions in two experimental configurations: (1) the three-point bending on the specimen taken from rib and (2) the anterior-posterior dynamic loading to an entire bony part of the rib. Furthermore, the simulation of the rib failure behaviour in the frontal impact to an entire thorax was conducted at varying velocities and the effects of the failure models were analysed with respect to the severity of rib cage damages. Simulation results demonstrated that the responses of the thorax model are similar to the general trends of the rib fracture responses reported in the experimental literature. However, they also indicated that the accuracy of the rib fracture prediction using a given failure model varies for different loading conditions.

  8. Definition, discrimination, diagnosis and treatment of central breathing disturbances during sleep

    DEFF Research Database (Denmark)

    Randerath, Winfried; Verbraecken, Johan; Andreas, Stefan

    2017-01-01

    or neuromuscular diseases, or severe diseases of lung or thorax. These statements report the results of an European Respiratory Society Task Force addressing actual diagnostic and therapeutic standards. The statements are based on a systematic review of the literature and a systematic two-step decision process...

  9. Thermal biology of Pacific cicada killers, Sphecius convallis Patton, in the Upper Sonoran Desert.

    Science.gov (United States)

    Coelho, Joseph R; Holliday, Charles W; Hastings, Jon M; Phillips, Christy M

    2016-04-01

    A comprehensive investigation of the Pacific cicada killer, Sphecius convallis Patton, was undertaken to examine the behavioral and physiological mechanisms by which they are able to complete their life cycle in the thermal extremes of the Upper Sonoran Desert. S. convallis were endothermic, exhibiting elevated and relatively constant thorax temperatures during many activities. Males basked in trees at dawn to warm up, then used a variety of behaviors and perching strategies to maintain thorax temperature during territorial behavior. The thorax temperature of females was highest during provisioning and orientation flights, somewhat lower while investigating burrows, and lowest while digging burrows. The optimal thorax temperature for flight was about 40°C, which was approximated most closely by males resting in the shade during the afternoon. In mating clusters, the mated male was the hottest, the female was coolest and the other males were intermediate. Wasps lost about 5% of body mass during heating treatments, and may use evaporative water loss for cooling. Pacific cicada killers use a complex suite of behavioral and physiological adaptations to regulate body temperature during their nesting season. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. A Computational Study of the Respiratory Airflow Characteristics in Normal and Obstructed Human Airways

    Science.gov (United States)

    2014-01-01

    46] Y.S. Tzeng, K. Lutchen, M. Albert , The difference in ventilation heterogeneity between asthmatic and healthy subjects quantified using...endurance and diaphragmatic activation in patients with chronic airflow limitation, Thorax 44 (1989) 903–912. [52] V.K. Sidhaye, K.S. Schweitzer , M.J

  11. Disease: H01241 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available is defined as a protrusion of abdominal viscera into the thorax through an abnormal opening or defect that is present at birth...le in the development of CDH. It has been reported that a patient who has nonsense mutation in FOG2/ ZFPM2, died at birth

  12. Case report

    African Journals Online (AJOL)

    abp

    2015-01-05

    Jan 5, 2015 ... appearance with pendulous ear lobes and lax skin (Figure 1). His thorax is deformed with scoliosis. There was a right-sided, reducible, inguinal hernia ... also termed occipital horn syndrome which is allelic to menkes disease. In our patient, there was no history of any similar problem in any of the family ...

  13. Idiopathic pulmonary fibrosis and collagen vascular diseases - high resolution CT findings

    International Nuclear Information System (INIS)

    Ferreira Neto, Armando Leao; Mogami, Roberto; Marchiori, Edson; Capone, Domenico

    1996-01-01

    The aspects of the thorax high-resolution computed tomography of 15 patients with idiopathic pulmonary fibrosis and 11 patients with collagen vascular diseases are described and characterized mainly by the presence of reticular lesions with little cysts predominantly in the periphery and lower lobes. They may be associated with ground-glass lesions that, as usual, means areas of alveolitis. (author)

  14. Lateral thoracotomy and cellophane banding of a congenital portoazygous shunt in a dog

    International Nuclear Information System (INIS)

    Harari, J.; Lincoln, J.; Alexander, J.; Miller, J.

    1990-01-01

    Portoazygous venous shunt was identified in the caudodorsal aspect of the thorax in a young basset hound. During thoracotomy, the anomalous vessel was encircled with sterile cellophane tape. The vein became occluded based on postoperative radiographic examination and improved clinical function five weeks after surgery

  15. Mid-ventilation CT scan construction from four-dimensional respiration-correlated CT scans for radiotherapy planning of lung cancer patients

    NARCIS (Netherlands)

    Wolthaus, Jochem W. H.; Schneider, Christoph; Sonke, Jan-Jakob; van Herk, Marcel; Belderbos, José S. A.; Rossi, Maddalena M. G.; Lebesque, Joos V.; Damen, Eugène M. F.

    2006-01-01

    PURPOSE: Four-dimensional (4D) respiration-correlated imaging techniques can be used to obtain (respiration) artifact-free computed tomography (CT) images of the thorax. Current radiotherapy planning systems, however, do not accommodate 4D-CT data. The purpose of this study was to develop a simple,

  16. Two K versus 4 K storage phosphor chest radiography: detection performance and image quality

    NARCIS (Netherlands)

    Koelblinger, Claus; Prokop, Mathias; Weber, Michael; Sailer, Johannes; Cartes-Zumelzu, Fabiola; Schaefer-Prokop, Cornelia

    2007-01-01

    The purpose of this study was to evaluate the effect of matrix size (4-K versus 2-K) in digital storage phosphor chest radiographs on image quality and on the detection of CT-proven thoracic abnormalities. In 85 patients who underwent a CT of the thorax, we obtained two additional posteroanterior

  17. Influence of computer tomography on radiological diagnostics of malignant tumors

    Energy Technology Data Exchange (ETDEWEB)

    Gerhardt, P.; Glueck, E.; Siems, H.

    1981-01-01

    A survey is presented of the present status of cancer diagnostics in the following organs and organ systems: neurocranium, visceral cranium and base of skull, larynx and thyroid, thorax, pancreas, retroperitoneum, kidneys and adrenal glands, pelvis, and skeletal system. The rank of computer tomography is compared with those of other examination techniques.

  18. A case of bilateral elastofibroma dorsi

    Directory of Open Access Journals (Sweden)

    Erdoğan Dadaş

    2014-06-01

    Full Text Available Elastofibroma dorsi is a rare soft tissue tumor. Friction of scapula to chest wall excessively in manuel laborers or genetic factors may be responsible for consist of elastofibroma dorsi. Thorax computerized tomography and magnetic resonance imaging are most frequent used imaging methods in diagnosis of elastofibroma dorsi. Surgical excision is a good treatment opsion for cases with symptomatic.

  19. Bilateral elastofibroma dorsi olgusu

    OpenAIRE

    Dadaş, Erdoğan; Petik, Bülent; Akatlı, Ayşe Nur; Çolak, Deniz

    2015-01-01

    Elastofibroma dorsi is a rare soft tissue tumor. Friction of scapula to chest wall excessively in manuel laborers or genetic factors may be responsible for consist of elastofibroma dorsi. Thorax computerized tomography and magnetic resonance imaging are most frequent used imaging methods in diagnosis of elastofibroma dorsi. Surgical excision is a good treatment opsion for cases with symptomatic.

  20. GETDB: 112040 [GETDB

    Lifescience Database Archive (English)

    Full Text Available NP line. Received from the National Institute of Genetics. CyUW14 - 1 - - 0 - weak stripe tr sg, tr thorax -... Comments NP line. Received from the National Institute of Genetics. Balancer CyUW14 Link to Clone Table - N

  1. Clinical applications of PET-CT in nuclear medicine to medical specialists

    International Nuclear Information System (INIS)

    2012-08-01

    This regional training course about Clinical Applications of PET-Tc in nuclear medicine include: imaging, pathology, scintigraphy, computed tomography, radiology, endoscopy, magnetic resonance, biopsy, and histology. It also describes pathologies and diseases of organs and bone structures such as: musculoskeletal and osseous damage, tumors, fibroids, metastasize, neoplasm, adenopathies and cancer of liver, brain, glands, kidney, neck, thorax, lungs, uterus, ovaries, craniums, hypophysis etc

  2. Radiology trainer. Surgical ambulance. Revision 2. rev. and enl. ed.

    International Nuclear Information System (INIS)

    Ackermann, Ole; Barkhausen, Joerg

    2013-01-01

    The radiology trainer for surgical ambulance includes informative X-ray imaging examples for the following issues: zygoma, nasal bone, spinal cord, clavicle, shoulder, upper arms, elbow, forearms, wrist, hand, phalanx, thorax, sternum, pelvis, abdomen, hips, femur, knee, lower leg, ankle, feet.

  3. Imaging with a multiplane multiwire proportional chamber using heavy ion beams

    International Nuclear Information System (INIS)

    Chu, W.T.; Alonso, J.R.; Tobias, C.A.

    1982-01-01

    A 16-plane multiwire proportional chamber has been developed to accurately map intensity profiles of heavy ion beams at the Bevalac. The imaging capability of the system has been tested for reconstruction of 3-dimensional representation of a canine thorax region using heavy ion beams

  4. Promising results in treating lymphoma in young people

    Science.gov (United States)

    Patients with a type of cancer known as primary mediastinal B-cell lymphoma who received infusions of chemotherapy, but who did not have radiation therapy to an area of the thorax known as the mediastinum, had excellent outcomes, according to clinical tri

  5. Dissecting aneurysm of arch and descending thoracic aorta presenting as a left sided hemorrhagic pleural effusion

    Directory of Open Access Journals (Sweden)

    Shamim Shelley

    2010-01-01

    Full Text Available The most common cause of massive hemorrhagic effusion is malignancy. Herein we present a case of dissecting aneurysm of descending thoracic aorta presenting initially with shortness of breath due to left sided massive pleural effusion. Effusion was hemorrhagic in nature with high hematocrit value. CT scan of thorax with CT angiogram was done and that revealed the diagnosis.

  6. 78 FR 69943 - Anthropomorphic Test Devices; Q3s 3-Year-Old Child Side Impact Test Dummy, Incorporation by...

    Science.gov (United States)

    2013-11-21

    ... airbag tests, Stapp Car Crash Journal, V44: 25-50. Since the Q3 had yet to show it was suitable for side... on May 2, 2002, 67 FR 21836. In early 2002, NHTSA tested a prototype version of the Q3s.\\6\\ NHTSA..., durability, and biofidelity. We determined that the thorax of the prototype appeared biofidelic and...

  7. Primary biliary cirrhosis and scleroderma complicated by Barrett's ...

    African Journals Online (AJOL)

    1991-04-06

    Apr 6, 1991 ... primary biliary cirrhosis, CREST syndrome, and chronic pancreatitis. Thorax. 1983; 38: 316-317. 9. Okano Y, Nisbikai M, Sato A. Scleroderma, primary biliary cirrhosis, and. Sjogren's syndrome after cosmetic breast augmentation with silicone injec- tion: a case reporfof possible human adjuvant disease.

  8. Atlas of axial, sagittal and coronal anatomy with CT and MRI

    International Nuclear Information System (INIS)

    Christoforidis, A.J.

    1988-01-01

    This book correlates CT scans and nuclear magnetic resonance images with cross sections of all parts of the body-head and neck, thorax, abdomen, male and female pelvis and extremities. Cross sections are fixed, and images are made from the sections to provide exact section-to-scan correlation. Shows all three cross-sectional axes. Includes selected pathologic cases to demonstrate technique

  9. PHYSICAL ADAPTATION OF CHILDREN TO LIFE AT HIGH-ALTITUDE

    NARCIS (Netherlands)

    DEMEER, K; HEYMANS, HSA; ZIJLSTRA, WG

    Children permanently exposed to hypoxia at altitudes of > 3000 m above sea level show a phenotypical form of adaptation. Under these environmental conditions, oxygen uptake in the lungs is enhanced by increases in ventilation, lung compliance, and pulmonary diffusion. Lung and thorax volumes in

  10. Single-surgeon Extensile Approach and Fixation of Thoraco-lumbar ...

    African Journals Online (AJOL)

    Background: Extensile approaches to the thoracic and lumbar spine are required for tumours, fractures, malignancies, deformity corrections and degenerative diseases. The body cavities (thorax and abdomen) require different approaches depending on the primary pathology and the desired exposure plus fixation method.

  11. Description of a new species of the Lepidopterous genus Thestias

    NARCIS (Netherlands)

    Eecke, van R.

    1912-01-01

    Uppersurface of body black-gray; undersurface of head with palpi and of thorax pale yellow, that of abdomen white; legs yellow, tarsi brownish; antennae black above, white beneath, the tip pale brown; eyes brown. The base of the forewing is covered with a grayish brown dust; the top is equally

  12. Computed tomography of surface related radionuclide distributions ('BONN'-tomography)

    International Nuclear Information System (INIS)

    Bockisch, A.; Koenig, R.

    1989-01-01

    A method called the 'BONN' tomography is described to produce planar projections of circular activity distributions using standard single photon emission computed tomography. The clinical value of the method is demonstrated for bone scans of the jaw, thorax, and pelvis. Numerical or projection-related problems are discussed. (orig.) [de

  13. Quality of Intensity Modulated Radiation Therapy Treatment Plans Using a (60)Co Magnetic Resonance Image Guidance Radiation Therapy System

    DEFF Research Database (Denmark)

    Wooten, H Omar; Green, Olga; Yang, Min

    2015-01-01

    : The ViewRay treatment planning system (Oakwood Village, OH) was used to create (60)Co IMRT treatment plans for 33 cancer patients with disease in the abdominal, pelvic, thorax, and head and neck regions using physician-specified patient-specific target coverage and organ at risk (OAR) objectives. Backup...

  14. 49 CFR 572.21 - Test conditions and instrumentation.

    Science.gov (United States)

    2010-10-01

    ...-Year-Old Child § 572.21 Test conditions and instrumentation. (a)(1) The test probe used for head and... surface of the lumbar spine, and 0.3 inches dorsal to the accelerometer mounting plate surface. (1) The.... For thorax and lumbar spine tests, the seating surface is without the back support as shown in Figures...

  15. Injury patterns in polytraumatized children and consequences for the emergency room management

    DEFF Research Database (Denmark)

    Zwingmann, J; Schmal, H; Mehlhorn, A

    2010-01-01

    of the head was done in 41%. Thorax injuries were found in 63% with 57% with an AIS ≥ 3 and in 11% a thoracic drainage was needed. Abdominal trauma was found in 34% (surgery 4%) with an AIS ≥ 3 in 32%. Fractures of the spine occurred in 14% (surgery 5%) with an AIS ≥ 3 in 4% and pelvic injuries were diagnosed...

  16. Proceedings of the International Symposium on Subtypes of Muscarinic Receptors (5th), Held in Newport Beach, California, October 22-24, 1992.

    Science.gov (United States)

    1993-02-22

    AHMED , Chest 96 1285-1291 (1991). 29. P.J. BARNES, Thorax 44 161-167 (1989). 30. P.W. IND, C.M.S. DIXON, R.W. FULLER and P.J. BARNES, Am Rev Respir...mechanism by which muscarinic agonists, such as pilocarpiný_ lower the intraocular pressure of glaucoma patients. Pharmacological studies with subtype

  17. Reproducible positioning in chest X-ray radiography

    International Nuclear Information System (INIS)

    1974-01-01

    A device is described that can be used to ensure reproducibility in the positioning of the patient during X-ray radiography of the thorax. Signals are taken from an electrocardiographic monitor and from a device recording the respiratory cycle. Radiography is performed only when two preselected signals coincide

  18. Monte Carlo simulation of in-vivo measurement of lung contamination; Simulacion Monte Carlo de medida in-vivo de contaminacion en pulmon

    Energy Technology Data Exchange (ETDEWEB)

    Moraleda, M.; Gomez-Ros, J. M.; Lopez, M. A.; Navarro, J. F.; Broggio, D.

    2011-07-01

    This paper describes the technique used to simulate in-vivo measurement of lung contaminated with enriched uranium using an anthropomorphic phantom of thorax. This work was carried out as part of an international intercomparison between different institutions within collaborative actions EURADOS promoted.

  19. Tracheobroncopathia Osteochondroplastica: Three Case Reports ...

    African Journals Online (AJOL)

    2017-05-16

    May 16, 2017 ... Generally chest radiography is normal, so thorax computed tomography can be remarkable ... and tracheobronchial calcinosis must be remembered in differential diagnosis. Also ossifications in submucosa and proof of bone marrow in histopathological ... nodular lesions the largest of which was 5 mm were.

  20. On unrecorded varieties of Coptengis Sheppardi, Crotch and of C. Pascoii, Crotch

    NARCIS (Netherlands)

    Gorham, H.S.

    1890-01-01

    There are in the Leyden Museum eleven specimens of a Coptengis which in all respects agrees with C. sheppardi except that the thorax and elytra are wholly unspotted, one might have thought that these, which are all from Morotai (Bernstein), would prove to be a distinct species; and I believe in fact

  1. Turner/Down mosaicism

    African Journals Online (AJOL)

    Brushfield Spots and flat nasal bridge. The mouth and teeth were normal. The thorax, cardiovascular system and external genitalia were normal. The upper limbs showed a simian palmar crease in the left hand, moderate brachydactylia and clinodactyly. The first two toes of the left foot were widely spaced. Moderate hallux ...

  2. MAQUETTE ORL Décembre 2004

    African Journals Online (AJOL)

    Le bilan d'extension doit donc comporter systématiquement une radiographie du thorax, une échographie abdominale et une scintigraphie osseuse. Le pronostic du carcinome adénoïde kystique, tumeur plus agressive, est grevé d'une lourde mortalité à court terme. (10). Notre patiente est toujours en vie au terme de deux.

  3. Adenovirus 36 DNA in Adipose Tissue of Patient with Unusual Visceral Obesity

    Science.gov (United States)

    Salehian, Behrouz; Forman, Stephen J.; Kandeel, Fouad R.; Bruner, Denise E.; He, Jia

    2010-01-01

    Massive adipose tissue depositions in the abdomen and thorax sufficient to interfere with respiration developed in a patient with multiple medical problems. Biopsy of adipose tissue identified human adenovirus 36 (Adv 36) DNA. Adv 36 causes adipogenesis in animals and humans. Development of massive lipomatosis may be caused by Adv 36. PMID:20409382

  4. Wrong decisions in radiology. Analysis of causes and strategies for error prevention

    International Nuclear Information System (INIS)

    Lackner, Klaus-Juergen; Krug, Kathrin Barbara

    2009-01-01

    The book covers observations on errors concerning radiological decisions within a ten-year period. The compiled information is supposed to prevent similar errors in the future. The case studies cover the following issues: cranium, thorax, mamma, abdomen (liver, pancreas, colon), (gastrointestinal tract, urogenital tract), spinal cord, skeleton and blood vessels.

  5. Differential diagnosis in the pediatric radiology

    International Nuclear Information System (INIS)

    Rijn, Rick R. van; Blickmann, Johan G.

    2012-01-01

    The book on differential diagnosis in the pediatric radiology covers the following issues: (1) Thorax, mediastinum, heart ad large blood vessels. (2) Abdomen and gastrointestinal tract. (3) Urogenital tract. (4) Skull, intracranial space and spinal cord. (5) Skeleton, bone joints and soft tissue. (6) Normative values.

  6. Descriptions of Indoerythrops typicus gen. nov., sp. nov. and Pleureythrops inscita new record from Indian waters (Crustacea: Mysidacea)

    Digital Repository Service at National Institute of Oceanography (India)

    Panampunnayil, S.U.

    77°22.5'E, 50-0 m. HT net. Description General form short and robust, cephalothorax wider than abdomen, conspicuous waist between thorax and abdomen present. Anterior margin of carapace produced in front into broad subtruncate rostral plate covering...

  7. Geometry parameters for musculoskeletal modelling of the shoulder system

    NARCIS (Netherlands)

    Van der Helm, F C; Veeger, DirkJan (H. E. J.); Pronk, G M; Van der Woude, L H; Rozendal, R H

    A dynamical finite-element model of the shoulder mechanism consisting of thorax, clavicula, scapula and humerus is outlined. The parameters needed for the model are obtained in a cadaver experiment consisting of both shoulders of seven cadavers. In this paper, in particular, the derivation of

  8. Prioritization of the Oral (Ingestive) Hazard of Industrial Chemicals

    Science.gov (United States)

    2011-10-28

    or Respiration - respiratory obstruction VCVN1* "Vrednie chemichescie veshestva. Neorganicheskie soedinenia elementov I-IV groopp" (Hazardous...section Lungs, Thorax, or Respiration - respiratory depression Gastrointestinal - changes in structure or function of esophagus MJAUAJ Medical Journal...impaired Nutritional and Gross Metabolic - metabolic alkalosis JTCTDW Journal of Toxicology, Clinical Toxicology. 33 Sodium chloride #(T3) 7647-14-5 LD50

  9. Journal de la Recherche Scientifique de l'Université de Lomé - Vol ...

    African Journals Online (AJOL)

    Journal de la Recherche Scientifique de l'Universite de Lome. ... la prise en charge médicale des enfants au Togo : profils et conditions techniques de realisation. ... Radiographie standard du thorax dans le diagnostic de la toux chez l'adulte · EMAIL ... Neurocysticercose et vih a propos de 4 cas observes aux chu de lome ...

  10. Influence of periodic heartbeat reversal and abdominal movements on hemocoelic and tracheal pressure in resting blowflies Calliphora vicina.

    Science.gov (United States)

    Wasserthal, Lutz Thilo

    2012-01-15

    In Calliphoridae and Drosophilidae, the dorsal vessel (heart and aorta with associated venous channels) is the only connection between the thorax and the abdomen. Hemolymph oscillates between the compartments by periodic heartbeat reversal, but both the mechanism and its influence on hemocoelic and tracheal pressure have remained unclear. The pumping direction of the heart regularly reverses, with a higher pulse rate during backward compared with forward pumping. A sequence of forward and backward pulse periods lasts approximately 34 s. Pulse rate, direction, velocity and the duration of heartbeat periods were determined by thermistor and electrophysiological measurements. For the first time, heartbeat-induced pressure changes were measured in the hemocoel and in the tracheal system of the thorax and the abdomen. The tracheal pressure changed from sub-atmospheric during backward heartbeat to supra-atmospheric during forward heartbeat in the thorax and inversely in the abdomen. The heartbeat reversals were coordinated with slow abdominal movements with a pumping stroke at the beginning of the forward pulse period. The pressure effect of the pumping stroke was visible only in the abdomen. Periodic hemolymph shift and abdominal movements resulted in pressure changes in the hemocoel and tracheal system alternating in the thorax and abdomen, suggesting an effect on respiratory gas exchange.

  11. Scintigraphic diagnosis of spleen complication; Diagnostic scintigraphique d'une splenose thoracique

    Energy Technology Data Exchange (ETDEWEB)

    Viau, P.; Tessonnier, L.; Bussiere, F. [Centre Antoine-Lacassagne, Nice, (France); Darcourt, J. [CHU de Nice, (France)

    2009-05-15

    The thorax splenosis does not justify an invasive exploration. The certainty diagnosis lies on the scintigraphy with denatured labelled erythrocytes or labelled colloids that are less specific but propose an efficient alternative. The SPECT-T.D.M. seems to be the prime examination for this diagnosis. (N.C.)

  12. Effect of staff training on radiation dose in pediatric CT.

    Science.gov (United States)

    Hojreh, Azadeh; Weber, Michael; Homolka, Peter

    2015-08-01

    To evaluate the efficacy of staff training on radiation doses applied in pediatric CT scans. Pediatric patient doses from five CT scanners before (1426 scans) and after staff training (2566 scans) were compared statistically. Examinations included cranial CT (CCT), thoracic, abdomen-pelvis, and trunk scans. Dose length products (DLPs) per series were extracted from CT dose reports archived in the PACS. A pooled analysis of non-traumatic scans revealed a statistically significant reduction in the dose for cranial, thoracic, and abdomen/pelvis scans (p0.05). The percentage of scans performed with DLPs exceeding the German DRLs was reduced from 41% to 7% (CCT), 19% to 5% (thorax-CT), from 9% to zero (abdominal-pelvis CT), and 26% to zero (trunk; DRL taken as summed DRLs for thorax plus abdomen-pelvis, reduced by 20% accounting for overlap). Comparison with Austrian DRLs - available only for CCT and thorax CT - showed a reduction from 21% to 3% (CCT), and 15 to 2% (thorax CT). Staff training together with application of DRLs provide an efficient approach for optimizing radiation dose in pediatric CT practice. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  13. Two new species of the Longicorn genus Thermonotus, Gahan

    NARCIS (Netherlands)

    Ritsema Cz., C.

    1896-01-01

    Length from the antennary tubers to the apex of the elytra 20 mm., breadth at the shoulders 8 mm., width of the thorax from point to point of the lateral spines 8 mm. Brick red, the apical half of the mandibles, the eyes and antennae, the apex of the femora, the entire tibiae and tarsi, and the

  14. Detection of acute myocardial infarction in spontaneously hypertensive rats by /sup 99m/Tc-Pyrrolidino methyl tetracycline

    Energy Technology Data Exchange (ETDEWEB)

    Zmbova, B; Tadzer, I; Stakic, D; Bogdanova, V; Stojanova, D

    1983-01-01

    The myocardial infarct induced by isoproterenol in spontaneously hypertensive rats accumulates higher activities of /sup 99/sup(m)Tc-PM tetracycline compared with the cardiac infarct in normotensive rats caused by the same method. The isoproterenol model of the myocardial necrosis was induced in intact rats without opening the thorax and is a convenient method for experimental radioisotope studies.

  15. A case of mediastinum tumor

    International Nuclear Information System (INIS)

    Guariglia, S.N.; Schultz, R.; Funari, M.B.G.; Menezes Neto, J.R. de

    1989-01-01

    A patient with a tumor in the anterior mediastinum is presented. The patient ununderswent chest X-ray studies and thorax CT which demonstrated a large mass involving the heart and compressing the lungs. A malignant teratoma was eventually diagnosed by anatomopathologic examination. (author) [pt

  16. Primary thyroid cancer after a first tumour in childhood (the Childhood Cancer Survivor Study): a nested case-control study

    NARCIS (Netherlands)

    Sigurdson, Alice J.; Ronckers, Cécile M.; Mertens, Ann C.; Stovall, Marilyn; Smith, Susan A.; Liu, Yan; Berkow, Roger L.; Hammond, Sue; Neglia, Joseph P.; Meadows, Anna T.; Sklar, Charles A.; Robison, Leslie L.; Inskip, Peter D.

    2005-01-01

    Survivors of malignant disease in childhood who have had radiotherapy to the head, neck, or upper thorax have an increased risk of subsequent primary thyroid cancer, but the magnitude of risk over the therapeutic dose range has not been well established. We aimed to quantify the long-term risk of

  17. Monitoring the monitors: tubes and lines on chest radiographs

    International Nuclear Information System (INIS)

    Wunderbaldinger, P. . patrick.wunderbaldinger@univie.ac.at

    2001-01-01

    Chest radiography is essential to evaluate the placement and position of tubes and lines in patients treated in intensive care units, such as central venous and arterial catheters, endotracheal and nasogastric tubes, thorax drains, cardiac pacemakers and defibrillators. Radiologic findings with respect to normal positioning, wrong positioning, and complications are described and illustrated. (author)

  18. Erratum REML estimates of genetic parameters of sexual ...

    Indian Academy of Sciences (India)

    Unknown

    dimorphism for wing and thorax length in. Drosophila melanogaster. Sandrine Mignon-Grasteau, Jean David, Patricia Gibert, Hélène Legout, Georges Pétavy, Brigitte Moreteau and Catherine Beaumont. J. Genet. 83, 163–170. The printed article (August 2004 issue) has a wrong figure 5. The correct figure 5 is printed below.

  19. The influence of computer tomography on radiological diagnostics of malignant tumors

    International Nuclear Information System (INIS)

    Gerhardt, P.; Glueck, E.; Siems, H.

    1981-01-01

    A survey is presented of the present status of cancer diagnostics in the following organs and organ systems: neurocranium, visceral cranium and base of skull, larynx and thyroid, thorax, pancreas, retroperitoneum, kidneys and adrenal glands, pelvis, and skeletal system. The rank of computer tomography is compared with those of other examination techniques. (HT) [de

  20. Malignant mesothelioma

    Directory of Open Access Journals (Sweden)

    Suzanne Alkul

    2016-04-01

    Full Text Available Seventy percent of patients with malignant mesothelioma have had exposure to asbestos fibers. Other patients without this exposure have had chronic pleural inflammation or received radiation to the thorax. Occasionally patients present with no obvious exposure history relevant to the development of malignant mesothelioma. This diagnosis needs to be in the differential diagnosis of all patients with unexplained pleural disease.

  1. Multicenter evaluation of rectal cancer reimaging post neoadjuvant (MERRION) therapy.

    LENUS (Irish Health Repository)

    Hanly, Ann M

    2014-04-01

    The aim of this study was to evaluate the utility of reimaging rectal cancer post-CRT (chemoradiotherapy) with magnetic resonance (MR) imaging of the pelvis for local staging and computed tomography of thorax, abdomen, and pelvis (CT TAP) to identify distant metastases.

  2. Thermal phenotypic plasticity of body size in Drosophila ...

    Indian Academy of Sciences (India)

    ... body size in Drosophila melanogaster: sexual dimorphism and genetic correlations. Jean R. David, Amir Yassin, Jean-Claude Moreteau, Helene Legout and Brigitte Moreteau. J. Genet. 90, 295–302. Table 1. Correlations between wing and thorax length at the within (n = 420) and between line level (n = 30). Temperature.

  3. Pocket book on setting techniques for medical imaging. X-ray diagnostics, angiography, CT, MRT. 4. rev. and enl. ed.; Taschenatlas Einstelltechnik. Roentgendiagnostik, Angiografie, CT, MRT

    Energy Technology Data Exchange (ETDEWEB)

    Moeller, Torsten B.; Reif, Emil [Caritas-Krankenhaus, Dillingen/Saar (Germany)

    2009-07-01

    The pocketbook on setting techniques for medical imaging is concerned with the problem to prepare appropriate images for diagnostic purposes using modern high-technology instruments like x-ray diagnostics, angiography, computerized tomography and magnetic resonance tomography. The following issues are covered: Head, spinal column, upper extremities, lower extremities, thorax, gastrointestinal tract, intravenous organ examination, angiography, computerized tomography, NMR imaging.

  4. Generalities of anomalous CT chest non tumoral

    International Nuclear Information System (INIS)

    Dibarboure, L.

    2012-01-01

    This presentation is about the generalities of multidetector CT in the pulmonary, the diaphragmatic, the pleural and the mediastinum pathology.These techniques as well as the virtual endoscopy allow visualize volumetric thorax reconstructions, brain diseases, opacities, radiolucent images, respiratory and vascular diseases, pneumonia, embolism, AIDS stage, tuberculosis, tumors, etc

  5. Effects of a neonicotinoid pesticide on thermoregulation of African honey bees (Apis mellifera scutellata).

    Science.gov (United States)

    Tosi, Simone; Démares, Fabien J; Nicolson, Susan W; Medrzycki, Piotr; Pirk, Christian W W; Human, Hannelie

    Thiamethoxam is a widely used neonicotinoid pesticide that, as agonist of the nicotinic acetylcholine receptors, has been shown to elicit a variety of sublethal effects in honey bees. However, information concerning neonicotinoid effects on honey bee thermoregulation is lacking. Thermoregulation is an essential ability for the honey bee that guarantees the success of foraging and many in-hive tasks, especially brood rearing. We tested the effects of acute exposure to thiamethoxam (0.2, 1, 2ng/bee) on the thorax temperatures of foragers exposed to low (22°C) and high (33°C) temperature environments. Thiamethoxam significantly altered honey bee thorax temperature at all doses tested; the effects elicited varied depending on the environmental temperature and pesticide dose to which individuals were exposed. When bees were exposed to the high temperature environment, the high dose of thiamethoxam increased their thorax temperature 1-2h after exposure. When bees were exposed to the low temperature, the higher doses of the neonicotinoid reduced bee thorax temperatures 60-90min after treatment. In both experiments, the neonicotinoid decreased the temperature of bees the day following the exposure. After a cold shock (5min at 4°C), the two higher doses elicited a decrease of the thorax temperature, while the lower dose caused an increase, compared to the control. These alterations in thermoregulation caused by thiamethoxam may affect bee foraging activity and a variety of in-hive tasks, likely leading to negative consequences at the colony level. Our results shed light on sublethal effect of pesticides which our bees have to deal with. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Use of dew-point hygrometry, direct sweat collection, and measurement of body water losses to determine sweating rates in exercising horses.

    Science.gov (United States)

    Kingston, J K; Geor, R J; McCutcheon, L J

    1997-02-01

    To compare dew-point hygrometry, direct sweat collection, and measurement of body water loss as methods for determination of sweating rate (SR) in exercising horses. 6 exercise-trained Thoroughbreds. SR was measured in 6 horses exercising at 40% of the speed that elicited maximum oxygen consumption for 45 km, with a 15-minute rest at the end of each 15-km phase. Each horse completed 2 exercise trials. Dew-point hygrometry, as a method of local SR determination, was validated in vitro by measurement of rate of evaporative water loss. During exercise, local SR was determined every 10 minutes by the following 2 methods: (1) dew-point hygrometry on the neck and lateral area of the thorax, and (2) on the basis of the volume of sweat collected from a sealed plastic pouch attached to the lateral area of the thorax. Mean whole body SR was calculated from total body water loss incurred during exercise. Evaporation rate measured by use of dew-point hygrometry was significantly correlated (r2 = 0.92) with the actual rate of evaporative water loss. There was a similar pattern of change in SR measured by dew-point hygrometry on the neck and lateral area of the thorax during exercise, with a significantly higher SR on the neck. The SR measured on the thorax by direct sweat collection and by dew-point hygrometry were of similar magnitude. Mean whole body SR calculated from total body water loss was not significantly different from mean whole body SR estimated from direct sweat collection or dew-point hygrometry measurements on the thorax. Dew-point hygrometry and direct sweat collection are useful methods for determination of local SR in horses during prolonged, steady-state exercise in moderate ambient conditions. Both methods of local SR determination provide an accurate estimated of whole body SR.

  7. SU-E-T-06: A Comparison of IMRT Treatment of Esophageal Carcinoma in Elekta-Precise and Varian23EX Linac

    Energy Technology Data Exchange (ETDEWEB)

    Bai, W; Fan, X; Qiu, R; Qiao, X; Zhang, R [Hebei Medical University Fourth Hospital, Shijiazhuang, Hebei (China)

    2014-06-01

    Purpose: To compare and analyze the characteristics of static intensity-modulated radiotherapy (IMRT) plans designed on Elekta and Varian Linac in different esophageal cancer(EC), exploring advantages and disadvantages of different vendor Linac, thus can be better serve for clinical. Methods: Twenty-four patients with EC were selected, including 6 cases located in the cervical, upper, middle and the lower thorax, respectively. Two IMRT plans were generated with the Oncentra planning system: in Elekta and Varian Linac, prescription dose of 60Gy in 30 fractions to the PTV. We examined the dose-volume histogram parameters of PTV and the organs at risk (OAR) such as lungs, spinal cord and heart, and additional Monitor units(MU), treatment time, Homogeneity index(HI), Conformity index(CI) and Gamma index comparisons were performed. Results: All plans resulted in abundant dose coverage of PTV for EC of different locations. The doses to PTV, HI and OAR in Elekta plans were not statistically different in comparison with Varian plans, with the following exceptions: in cervical, upper and lower thoracic EC the PTV's CI, and in middle thorax EC PTV's D2, D50, V105 and PTV-average were better in Elekta plans than in Varian plans. In the cervical, upper and the middle thorax EC, treatment time were significantly decreased in Varian plans as against Elekta plans, while in the lower thoracic EC treatment time were no striking difference. MUs and gamma index were similar between the two Linac plans. Conclusion: For the the middle thorax EC Varian plans is better than Elekta plans, not only in treatment time but in the PTV dose; while for the lower thorax EC Elekta plans is the first choice for better CI; for the other part of the EC usually Elekta plans can increase the CI, while Varian plans can reduce treatment time, can be selected according to the actual situation of the patient treatment.

  8. Different coordination and flexibility of the spine and pelvis during lateral bending between young and older adults.

    Science.gov (United States)

    Sung, Paul S

    2016-04-01

    This study examined coordination of the spine and pelvis during lateral bending of the trunk in older adults. Thirty-four healthy subjects (17 young and 17 older adults) demonstrated lateral bending at a controlled speed while holding a bar at approximately 180 degrees of shoulder flexion. Kinematic data collection was completed on the thoracic spine, lumbar spine, and pelvis. The coupling angle was calculated to examine the thorax-lumbar, lumbar-pelvis, and thorax-pelvis coordination patterns. The older adults demonstrated a reduced range of motion (ROM) of the lumbar spine, while both groups revealed similar ROM in the thorax and in the pelvis. The coupling angle between the straightening and bending phases was different only for the older adults in the thorax-lumbar (23.4±8.0 vs. -1.6±4.4, p=0.004) and the lumbar-pelvis (65.4±7.2 vs. 86.1±7.8, p=0.001) coordination. However, there was no group difference in the thorax-pelvis coordination. These findings indicate that age-related changes in the lumbar region affect coordination patterns only during the bending phase. The older adults preserved a similar pattern of movement to the young adults during the straightening phase, but the coordination variability of the coupling angles was greater for the older adults than for the young adults. This movement pattern suggests that the older adults lacked consistent trunk control in an attempt to optimize lateral bending coordination. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Lessons from a large trauma center: impact of blunt chest trauma in polytrauma patients-still a relevant problem?

    Science.gov (United States)

    Chrysou, Konstantina; Halat, Gabriel; Hoksch, Beatrix; Schmid, Ralph A; Kocher, Gregor J

    2017-04-20

    Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome of polytrauma patients with blunt chest trauma in order to help improve management, prevent complications and decrease polytrauma patients' mortality. In this retrospective study we included all polytrauma patients with blunt chest trauma admitted to our tertiary care center emergency department for a 2-year period, from June 2012 until May 2014. Data collection included details of treatment and outcome. Patients with chest trauma and Injury Severity Score (ISS) ≥18 and Abbreviated Injury Scale (AIS) >2 in more than one body region were included. A total of 110 polytrauma patients with blunt chest injury were evaluated. 82 of them were males and median age was 48.5 years. Car accidents, falls from a height and motorbike accidents were the most common causes (>75%) for blunt chest trauma. Rib fractures, pneumothorax and pulmonary contusion were the most common chest injuries. Most patients (64.5%) sustained a serious chest injury (AIS thorax 3), 19.1% a severe chest injury (AIS thorax 4) and 15.5% a moderate chest injury (AIS thorax 2). 90% of patients with blunt chest trauma were treated conservatively. Chest tube insertion was indicated in 54.5% of patients. The need for chest tube was significantly higher among the AIS thorax 4 group in comparison to the AIS groups 3 and 2 (p < 0.001). Also, admission to the ICU was directly related to the severity of the AIS thorax (p < 0.001). The severity of chest trauma did not correlate with ICU length of stay, intubation days, complications or mortality. Although 84.5% of patients suffered from serious or even severe chest injury, neither in the conservative nor in the surgically treated group a significant impact of injury severity on ICU stay, intubation days, complications or mortality was observed. AIS

  10. Plastination of whole-body slices: a new aid in cross-sectional anatomy, demonstrated for thoracic organs in dogs

    International Nuclear Information System (INIS)

    Polgar, M.; Probst, A.; Koenig, H.E.; Sora, M.-C.

    2003-01-01

    Plastic-embedded, transparent serially sectioned slices from the canine thorax were compared wit cross-sections, made with the commonly used technique and computed tomograms. Three Beagles, at the age of seven months, were cut into 4 mm thick slices and plastinated with the epoxy resin Biodur E12. The area of the thorax was examined macro-scopically and scrutinized closely. Survey and magnification photographs were taken. Compared with the commonly used prepared sections the E12-slices proved to be transparent, hard, dry, odourless, resistant and show unlimited durability. Good color maintenance of the specimens makes differentiation of the organs easy. The leading of the blood vessels, nerves and other conductions of the thoracal cavity can be followed from section to section. The colorful images help to interpret CT and MRI and provide good learning aids for clinicians and students. (author)

  11. Clavicle fractures - incidence of supraclavicular nerve injury

    Directory of Open Access Journals (Sweden)

    Pedro Jose Labronici

    2013-08-01

    Full Text Available OBJECTIVE: To analyze retrospectively 309 fractures in the clavicle and the relation with injury of the supraclavicular nerve after trauma. METHODS: It was analyzed 309 patients with 312 clavicle fractures. The Edinburgh classification was used. Four patients had fractures in the medial aspect of the clavicle, 33 in the lateral aspect and 272 in the diaphyseal aspect and three bilateral fractures. RESULTS: 255 patients were analyzed and five had paresthesia in the anterior aspect of the thorax. Four patients had type 2 B2 fracture and one type 2 B1 fracture. All patients showed spontaneous improvement, in the mean average of 3 months after the trauma. CONCLUSION: Clavicle fractures and/ or shoulder surgeries can injure the lateral, intermediary or medial branches of the supraclavicular nerve and cause alteration of sensibility in the anterior aspect of the thorax. Knowledge of the anatomy of the nerve branches helps avoid problems in this region.

  12. Prenatal diagnosis of conjoined twins by magnetic resonance imaging: report of two cases

    International Nuclear Information System (INIS)

    Souza, Alex Sandro Rolland de; Medeiros, Cynthia Coelho de; Lins, Glaucia Virginia de Queiroz; Noronha Neto, Carlos; Lima, Marcelo Marques de Souza

    2006-01-01

    Conjoined twins have a rare prevalence and special curiosity among physicians and the general population. The reported frequency varies from 1:50,000 to 1:200,000 pregnancies. Its early diagnosis becomes very important when we think about pregnancy management, method of delivery and neonatal care. We describe two cases of conjoined twins diagnosed by ultrasound and magnetic resonance during prenatal care with the aim to better studying the fetus anatomy. The first conjoined twins were cephalopagus sharing head, thorax and abdominal wall and with two pelvis and four arms and four legs. The second were thoracopagus, united by thorax and part of abdomen. Magnetic resonance imaging contribution was not important to diagnose conjoined twins. However, it was useful to describe the shared organs, contributing to define fetal outcome. (author)

  13. Penetrating abdomino-thoracic injury with an iron rod: An anaesthetic challenge

    Directory of Open Access Journals (Sweden)

    Kiranpreet Kaur

    2014-01-01

    Full Text Available Penetrating abdomino-thoracic injuries are potentially life-threatening due to the associated haemorrhagic shock and visceral injury. The management of these injuries poses specific challenges in pre-hospital care, transport, and management strategies. We report a 35-year-old male having impalement injury of the left thorax and left upper arm with a metallic rod used for construction of the house after a fall from height. One rod penetrated thorax from left shoulder and exit point was present just above the iliac crest and second rod was seen piercing left upper arm. Patient was successfully managed without any intraoperative, post-operative surgical complications, neurological damage or permanent injuries.

  14. Technical investigation of cerebral blood flow measurements using the Patlak plot method. A contrivance for positioning of the gamma camera at data collection in radionuclide angiography

    Energy Technology Data Exchange (ETDEWEB)

    Takaki, Akihiro; Okada, Kazuhiro; Urata, Johji; Yonehara, Toshiro [Saiseikai Kumamoto Hospital (Japan); Mizuta, Yoshihiko

    1999-02-01

    The time-activity curve for the aortic arch obtained from radionuclide angiography (RNA) is handled as an input function parameter according to the method of Matsuda et al., which determines regional cerebral blood flow non-invasively. The data are collected from a frontal view of the thorax captured by RNA by their method, however we encountered a case in which it was difficult to identify aortic arch in the data collection from the frontal view. The precise identification of the aortic arch was implemented when the RNA data were collected from the left anterior oblique view of the thorax. No significant difference was noted in the measured values between the data collection from the frontal view and from the left anterior oblique view. Our method seems to be useful modification of the Patlak plot method. (author)

  15. Definitive identification of magnetite nanoparticles in the abdomen of the honeybee Apis mellifera

    Energy Technology Data Exchange (ETDEWEB)

    Desoil, M [Biological Physics Department, University of Mons-Hainaut (Belgium); Gillis, P [Biological Physics Department, University of Mons-Hainaut (Belgium); Gossuin, Y [Biological Physics Department, University of Mons-Hainaut (Belgium); Pankhurst, Q A [London Centre for Nanotechnology, University College London, London WC1E 7HN (United Kingdom); Hautot, D [London Centre for Nanotechnology, University College London, London WC1E 7HN (United Kingdom); Institute for Science and Technology in Medicine, Keele University, Thornburrow Drive, Hartshill, Stoke-en-Trent, ST4 7QB (United Kingdom)

    2005-01-01

    The biogenic magnetic properties of the honeybee Apis mellifera were investigated with a view to understanding the bee's physiological response to magnetic fields. The magnetisations of bee abdomens on one hand, and heads and thoraxes on the other hand, were measured separately as functions of temperature and field. Both the antiferromagnetic responses of the ferrihydrite cores of the iron storage protein ferritin, and the ferrimagnetic responses of nanoscale magnetite (Fe{sub 3}O{sub 4}) particles, were observed. Relatively large magnetite particles (ca. 30 nm or more), capable of retaining a remanent magnetisation at room temperature, were found in the abdomens, but were absent in the heads and thoraxes. In both samples, more than 98% of the iron atoms were due to ferritin.

  16. Diagnosis of pulmonary infections with HIV (+) patients. Brought of aerosol DTPA-Tc99m and of Ga67 citrate

    International Nuclear Information System (INIS)

    Banzo, I.; Quirce, R.; Serrano, J.; Jimenez, J.; Tabuenca, O.; Carril, J.M.

    1993-01-01

    The pulmonary clearance of aerosol DTPA-Tc99m is a technology easy to use, well support by patients with immediate results. With the pneumonia at Pneumocystis Carinii (PPC), the clearance is more sensitive and more specific than the thoracic scintigraphy with Ga67. Used with a thorax radiography, results will lead to three directions: High probability of PPC, di phasic curve and very fast T50, equal inferior to 5,10 mn. Low probability of PPC, monoexponential curve and abnormal thorax radiography or di phasic curve with a value T50 superior to 5,10 mn. With these patients other explorations will be made (Ga67, biopsy) and if possible search pulmonary tuberculosis. Extra pulmonary pathology: monoexponential curve associated with a normal thoracic radiography. 2 figs

  17. Positioning devices for patients

    International Nuclear Information System (INIS)

    Heavens, M.

    1981-01-01

    It has been suggested that it is very important to position patients reproducibly at different stages of radiotherapy treatment planning and treatment, or similar procedures. Devices have been described for positioning a patient's upper and lower thorax. This invention provides reproducible positioning for a female patient's breasts, for example in planning treatment of and treating breast tumours. The patient is placed prone, using for example an upper thorax device. A support device is placed central to and beneath her breasts to partially displace them outwards. The device may be triangular in section with one apex contacting the chest wall at the sternum. Restraining straps may be provided to hold the breasts against the support device. Means may be provided to take a healthy breast from the path of radiation through the tumour. (author)

  18. Effects of lung elasticity on the sound propagation in the lung

    International Nuclear Information System (INIS)

    Yoneda, Takahiro; Wada, Shigeo; Nakamura, Masanori; Horii, Noriaki; Mizushima, Koichiro

    2011-01-01

    Sound propagation in the lung was simulated for gaining insight into its acoustic properties. A thorax model consisting of lung parenchyma, thoracic bones, trachea and other tissues was made from human CT images. Acoustic nature of the lung parenchyma and bones was expressed with the Biot model of poroelastic material, whereas trachea and tissues were modeled with gas and an elastic material. A point sound source of white noises was placed in the first bifurcation of trachea. The sound propagation in the thorax model was simulated in a frequency domain. The results demonstrated the significant attenuation of sound especially in frequencies larger than 1,000 Hz. Simulations with a stiffened lung demonstrated suppression of the sound attenuation for higher frequencies observed in the normal lung. These results indicate that the normal lung has the nature of a low-pass filter, and stiffening helps the sound at higher frequencies to propagate without attenuations. (author)

  19. Experimental determination of foetal doses received during conventional X rays explorations of troncus. Influence of the lead apron

    International Nuclear Information System (INIS)

    Pifarre, X.; Brualla, L.; Ruiz, J.; Escalada, C.; Planes, D.; Paredes, M.C.

    2001-01-01

    The aim of this paper is to assess the real doses received by pregnant women during some X rays conventional explorations of thorax and abdomen. The procedure that has been used is the measurement of doses by the use of thermoluminescent dosimeters located on the uterus position of a Random Phantom, and simulating different conventional X rays explorations. The results of such measurements are compared with other data published in ICRP 34, which were our reference. We have obtained smaller doses with the measurements than those derived from ICRP 34. The causes of these differences are analysed. The influence of the use of lead apron to protect abdomen during thorax examination is also analysed, computing the real value of this protection. We conclude that it seems interesting to obtain measurements of theses doses with our own equipment and techniques, because it offers a more realistic approximation to real doses received by patients. (author)

  20. Paperback atlas of anatomical sectional images: Computerized tomography and NMR imaging. Vol. 1. Head, neck, vertebral column, joints; Taschenatlas der Schnittbildanatomie: Computertomographie und Kernspintomographie. Bd. 1. Kopf, Hals, Wirbelsaeule, Gelenke

    Energy Technology Data Exchange (ETDEWEB)

    Moeller, T.B. [Caritas-Krankenhaus, Dillingen (Germany); Reif, E. [Caritas-Krankenhaus, Dillingen (Germany)

    1993-12-31

    Using the nomenclature relating to X-ray findings, the paperback atlas provides a concise, yet accurate description of fine anatomical structures visualized by sectional imaging procedures. Each of the approx. 250 sample images shown for the regions of the head (including neurocranium), vertebral column, neck, thorax, abdomen and muscosceletal system (including joints) is supplemented with a drawing that permits an immediate identification of any structure of interest. (orig.) [Deutsch] Der Taschenatlas beschreibt komprimiert und unter Verwendung der roentgenspezifischen Nomenklatur die anatomischen Details der Schnittbilddiagnostik. Jedem der rund 250 exemplarischen Schnittbilder aus den Bereichen Kopf (inkl. Neurokranium), Wirbelsaeule, Hals, Thorax, Abdomen und muskuloskeletalem System (inkl. Gelenke) ist eine Zeichnung zugeordnet, die das rasche Auffinden der jeweils gesuchten Struktur ermoeglicht. (orig.)

  1. Dysphagia lusorium in elderly: A case report

    Science.gov (United States)

    Kantarceken, Bulent; Bulbuloglu, Ertan; Yuksel, Murvet; Cetinkaya, Ali

    2004-01-01

    AIM: Late unset of dysphagia due to vascular abnormalities is a rare condition. We aimed to present a case of right subclavian artery abnormalities caused dysphagia in the elderly. METHODS: A 68-year-old female was admitted with dysphagia seven months ago. Upper endoscopic procedures and routine examinations could not demonstrate any etiology. Multislice computed thorax tomography was performed for probable extra- esophagial lesions. RESULTS: Multislice computed thorax tomography showed right subclavian artery abnormality and esophagial compression with this aberrant artery. CONCLUSION: Causes of dysphagia in the elderly are commonly malignancies, strictures and/or motility disorders. If routine examinations and endoscopic procedures fail to show any etiology, rare vascular abnormalities can be considered in such patients. Multislice computed tomography is a usefull choice in such conditions. PMID:15285045

  2. An unusual case of rapidly progressive contractures: Case report and brief review

    Directory of Open Access Journals (Sweden)

    Subasree R

    2008-01-01

    Full Text Available An 8-year-old boy, diagnosed as cervical dystonia, was referred to our tertiary center. After a trivial trauma he had developed painful lumps in the axial region, which was followed by restricted movements of neck, shoulder, and abdominal muscles over 4 months. He had kyphoscoliosis, torticollis, rigid abdomen, and multiple muscle contractures. He also had short great toes. A detailed skeletal survey showed calcification in the soft tissues surrounding the shoulder anterior chest wall, thorax, and paraspinal muscles; there was also beaking of vertebrae, which was confirmed by CT thorax. This report showcases the diagnostic challenge posed by myositis ossificans progressiva, which can rarely cause rapidly progressing muscle contractures. A brief review of literature is also presented.

  3. External marker-based fusion of functional and morphological images

    International Nuclear Information System (INIS)

    Kremp, S.; Schaefer, A.; Alexander, C.; Kirsch, C.M.

    1999-01-01

    The fusion of image data resulting from methods oriented toward morphology like CT, MRI with functional information coming from nuclear medicine (SPECT, PET) is frequently applied to allow for a better association between functional findings and anatomical structures. A new software was developed to provide image fusion using PET, SPECT, MRI and CT data within a short processing periode for brain as well as whole body examinations in particular thorax and abdomen. The software utilizes external markers (brain) or anatomical landmarks (thorax) for correlation. The fusion requires a periode of approx. 15 min. The examples shown emphasize the high gain in diagnostic information by fusing image data of anatomical and functional methods. (orig.) [de

  4. An asymptomatic needle in the left ventricular anterolateral wall: a prison inmate's strange radio antenna.

    Science.gov (United States)

    Akpinar, Ibrahim; Sayin, Muhammet Rasit; Karabag, Turgut; Dogan, Sait Mesut; Aydin, Mustafa

    2012-09-01

    A foreign body such as a needle in the heart can be life-threatening. While this may occur accidentally, needles may be inserted into the body by psychiatric patients or in cases involving domestic violence. A needle can migrate through the thorax toward the heart. In drug users, needles may also reach the right ventricle via the peripheral veins. Cardiac injury can occur via the esophagus after swallowing a needle. The clinical outcome may vary from an asymptomatic situation to tamponade or shock, depending on how severely the cardiac structures are affected. In injuries involving the thorax, pneumothorax may cause sudden shortness of breath. Here, we report the case of a 34-year-old male prison inmate who accidentally lodged a pin in his left ventricle while asleep. As he has refused surgery, it was decided to follow the patient carefully. © 2012, Wiley Periodicals, Inc.

  5. Duodenal ulcers as an abscopal effect of thoracic irradiation in mice

    International Nuclear Information System (INIS)

    Michalowski, A.; Burgin, J.

    1982-01-01

    Female CFLP mice irradiated to their thorax with either x-rays or fast neutrons developed peptic ulcers within 8 days of exposure. The steep x-ray dose/response curve for induction of duodenal ulcer gave an ED 50 of approximately 14.5 Gu. As little as 6 Gy of fast neutrons was effective in some cases, but the neutron ED 50 exceeded that for x-rays. The ulcers represented an abscopal effect of thoracic irradiation. Scattered radiation as simulated by whole-body x-ray treatment (1 to 5 Gy) caused a dose-dependent decrease in the frequency of duodenal lesions, possibly by decreasing gastric secretion. The greater amount of scattered radiation accompanying fast neutron exposure of the thorax was presumably responsible for the shallower dose/response curve of ulcer induction than that seen with x-rays

  6. Swyer-James-Macleod's syndrome. A case report

    International Nuclear Information System (INIS)

    Pacheco C, Dario; Ojeda Leon, Paulina; Varo Acosta, Humberto; Salcedo Veles, Patricia; Salazar Juan Carlos

    1998-01-01

    This is a case report about a 67 years-old female patient with respiratory syndrome of 8 years with cough and dyspnoea. End-inspiration crackles in the pulmonary auscultation were found in left hemi thorax. Chest x-ray in expiration and inspiration showed hyperluscency and air trapping in the same hemi-thorax. Chest high-resolution CT revealed a low sized, oligohemic left lung with cylindrical bronchiectasis. Perfusion scintigraphy 99Tc labeled showed markedly left lung hypo-perfusion. Mild obstructive process was found in pulmonary function test. Lung biopsy of lingula reported bronchiolitis obliterans. Considered all the results that were obtained from clinical, x-ray and histopathology, a diagnosis of Swyer-James-Macleods syndrome was made

  7. Computed tomography of chest wall abscess

    International Nuclear Information System (INIS)

    Ikezoe, Junpei; Morimoto, Shizuo; Akira, Masanori

    1986-01-01

    Inflammatory lesions of the chest wall become less common because of the improvement of antibiotics and chemotherapeutic agents. Over a 5-year period, 7 patients with chest wall inflammatory diseases underwent chest computed tomography. These were 2 tuberculous pericostal abscesses, 2 empyema necessitatis, 1 spinal caries, and 2 bacterial chest wall abscesses (unknown organisms). Computed tomography (CT) helped in demonstrating the density, border, site, and extent of the lesions. CT images also demonstrated the accompaning abnormalities which included bone changes, pleural calcification, or old tuberculous changes of the lung. CT was very effective to demonstrate the communicating portions from the inside of the bony thorax to the outside of the bony thorax in 2 empyema necessitatis. (author)

  8. Using NURBS type phantoms for the investigation of morphological factors affecting pulmonary anthropo-radiometry

    International Nuclear Information System (INIS)

    Farah, J.; Broggio, D.; Franck, D.

    2010-01-01

    As existing phantoms used for the calibration of dosimetry measurements, notably in anthropo-radiometry, exhibit a poor anatomic realism because of their crude geometries, compositions and densities, and some other drawbacks, the authors, within the frame of improvement of calibration techniques, report the combined use of Mesh and NURBS-type phantoms (Non Uniform Rational B-Splines) which allow smooth shapes and finer geometries to be replicated. More precisely, they report the application of this type of phantoms to the modelling of a thorax and of a ribcage. They describe the protocols used to generate these phantoms and how some variations are introduced to take morphological characteristics (for example a female thorax) as well as various gamma ray distributions into account. Results are discussed in terms of validation of phantoms, and morphology variation

  9. Computed tomography and blood gas analysis of anesthetized bloodhounds with induced pneumothorax

    International Nuclear Information System (INIS)

    Walker, M.; Hartsfield, S.; Matthews, N.; White, G.; Slater, M.; Thoos, J.

    1993-01-01

    Increasingly severe degrees of pneumothorax were produced in 6 adult anesthetized bloodhounds. Computed tomography (CT) of the thorax was performed on each dog to evaluate the effects of pneumo thorax on thoracic and on pulmonary cross-sectional area (TA and PA). Arterial PO 2 (PaO 2 ) and PCO 2 (PaCO 2 ), heart rate (HR), and mean arterial blood pressure (MAP) were determined and related to the severity of pneumothorax. Volumes of air equal to 1, 1.5 and 2 times functional residual capacity of the lung produced approximately 33%, 40%, and 50% reductions in pulmonary area respectively. These amounts of atelectasis correspond to a radiographically “moderate” degree of pneumothorax. As severity of pneumothorax increased, thoracic area consistently increased, PaO 2 consistently decreased, and PaCO 2 consistently increased, with all being statistically significant relationships (p 0.2)

  10. TRAUMATIC GASTROPLEURAL FISTULA COMPLICATED BY EMPYEMA AND PNEUMOTHORAX

    Directory of Open Access Journals (Sweden)

    Vijay Kumar

    2015-02-01

    Full Text Available We herein report a case of traumatic gastropleural fistula complicated by empyema and pneumothorax which is a rare entity. A 22 year old male was admitted with alleged history of stab injury to left lower chest. Patient was f ound to have left sided pneumothorax, for which intercostal drainage tube was inserted and the patient stabilised. Chest radiograph taken three days after the chest tube insertion showed persistent hydropneumothorax for which the patient underwent a contra st enhanced computed tomography of thorax (CECT. CECT of thorax revealed herniation of fundus of stomach through a defect in the left dome of diaphragm into the left thoracic cavity with leakage of oral contrast into the left pleural cavity. Preoperative diagnosis of gastropleural fistula was made and the same was confirmed in the intraoperative findings. The patient underwent laparotomy with repair of the diaphragmatic defect and closure of the gastric perforation. The patient made an uneventful recovery

  11. Multidetector row CT for imaging the paediatric tracheobronchial tree

    International Nuclear Information System (INIS)

    Papaioannou, Georgia; Young, Carolyn; Owens, Catherine M.

    2007-01-01

    The introduction of multidetector row computed tomography (MDCT) scanners has altered the approach to imaging the paediatric thorax. In an environment where the rapid acquisition of CT data allows general hospitals to image children instead of referring them to specialist paediatric centres, it is vital that general radiologists have access to protocols appropriate for paediatric applications. Thus a dramatic reduction in the delivered radiation dose is ensured with optimal contrast bolus delivery and timing, and inappropriate repetition of the scans is avoided. This article focuses on the main principles of volumetric CT imaging that apply generically to all MDCT scanners. We describe the reconstruction techniques for imaging the paediatric thorax and the low-dose protocols used in our institution on a 16-slice detector CT scanner. Examples of the commonest clinical applications are also given. (orig.)

  12. Long term treatment with gabapentin in an animal model of chronic neuropathic pain

    DEFF Research Database (Denmark)

    Baastrup, C. S.; Andrews, N.; Wegener, Gregers

    2013-01-01

    . Daily treatment with gabapentin 30 mg/kg sc. or saline for 6 consecutive weeks. Mechanical sensitivity thresholds (MST) to von Frey stimulation of hindpaws and thorax measured by both reflex withdrawal and supra-spinal responses. Anxiety-like behaviour using the openfield paradigm. Drug effect...... was measured after initial dose, 1 and 6 weeks of treatment. Preliminary results show that saline-treated SCC animals (N=10) have significantly lower MST with supra-spinal responses on the thorax compared to saline-treated shams (N=10), and gabapentin-treated SCC (N=10) and sham animals (N=10) throughout...... the study. The SCC animals had significantly decreased MST with reflex responses on the hindpaws in the two first time points compared with gabapentin-treated SCC animals (and both sham groups). There was no effect of injury on the MST with supra-spinal responses on the hindpaws and thus no effect...

  13. Radiation doses in angiography in the University Hospital of Caracas

    International Nuclear Information System (INIS)

    Diaz Aponte, Angel R.

    2001-01-01

    In the present work is evaluated, in angiography procedures carried out in the Radiology Department of the University Hospital of Caracas, the radiation dose received by the exposed professional when they carry out these explorations invasive and the followed norms of radiological protection during the exploration. The measurement was carried out on the exposed professional conformed by a medical interventionist, a medical assistant (resident), a nurse and a technical radiologist. Dosimeters TL was placed in the inter-orbital line at level of the crystalline lens, on thyroid, on the hands, thorax, breast, and on the gonads. The maximum values of dose (in mGy) that were measured: 1,84 at level of the crystalline lens; 1,24 on thyroid; 9,04 on the right hand; 65,04 on hand left; 0,07 on thorax; 0,07 on Breast; 0,07 for ovaries; and smaller than 0,04 for testicle. (author)

  14. Definitive identification of magnetite nanoparticles in the abdomen of the honeybee Apis mellifera

    Science.gov (United States)

    Desoil, M.; Gillis, P.; Gossuin, Y.; Pankhurst, Q. A.; Hautot, D.

    2005-01-01

    The biogenic magnetic properties of the honeybee Apis mellifera were investigated with a view to understanding the bee's physiological response to magnetic fields. The magnetisations of bee abdomens on one hand, and heads and thoraxes on the other hand, were measured separately as functions of temperature and field. Both the antiferromagnetic responses of the ferrihydrite cores of the iron storage protein ferritin, and the ferrimagnetic responses of nanoscale magnetite (Fe3O4) particles, were observed. Relatively large magnetite particles (ca. 30 nm or more), capable of retaining a remanent magnetisation at room temperature, were found in the abdomens, but were absent in the heads and thoraxes. In both samples, more than 98% of the iron atoms were due to ferritin.

  15. Definitive identification of magnetite nanoparticles in the abdomen of the honeybee Apis mellifera

    International Nuclear Information System (INIS)

    Desoil, M; Gillis, P; Gossuin, Y; Pankhurst, Q A; Hautot, D

    2005-01-01

    The biogenic magnetic properties of the honeybee Apis mellifera were investigated with a view to understanding the bee's physiological response to magnetic fields. The magnetisations of bee abdomens on one hand, and heads and thoraxes on the other hand, were measured separately as functions of temperature and field. Both the antiferromagnetic responses of the ferrihydrite cores of the iron storage protein ferritin, and the ferrimagnetic responses of nanoscale magnetite (Fe 3 O 4 ) particles, were observed. Relatively large magnetite particles (ca. 30 nm or more), capable of retaining a remanent magnetisation at room temperature, were found in the abdomens, but were absent in the heads and thoraxes. In both samples, more than 98% of the iron atoms were due to ferritin

  16. Thoracic ROM measurement system with visual bio-feedback: system design and biofeedback evaluation.

    Science.gov (United States)

    Ando, Takeshi; Kawamura, Kazuya; Fujitani, Junko; Koike, Tomokazu; Fujimoto, Masashi; Fujie, Masakatsu G

    2011-01-01

    Patients with diseases such as chronic obstructive pulmonary disease (COPD) need to improve their thorax mobility. Thoracic ROM is one of the simplest and most useful indexes to evaluate the respiratory function. In this paper, we have proposed the prototype of a simple thoracic ROM measurement system with real-time visual bio-feedback in the chest expansion test. In this system, the thoracic ROM is measured using a wire-type linear encoder whose wire is wrapped around the thorax. In this paper, firstly, the repeatability and reliability of measured thoracic ROM was confirmed as a first report of the developed prototype. Secondly, we analyzed the effect of the bio-feedback system on the respiratory function. The result of the experiment showed that it was easier to maintain a large and stable thoracic ROM during deep breathing by using the real-time visual biofeedback system of the thoracic ROM.

  17. Prenatal diagnosis of conjoined twins by magnetic resonance imaging: report of two cases; Diagnostico pre-natal de gemeos unidos com uso da ressonancia nuclear magnetica: relato de dois casos

    Energy Technology Data Exchange (ETDEWEB)

    Souza, Alex Sandro Rolland de; Medeiros, Cynthia Coelho de; Lins, Glaucia Virginia de Queiroz [Instituto Materno Infantil Professor Fernando Figueira (IMIP), Recife, PE (Brazil); Noronha Neto, Carlos [Centro Integrado de Saude Amaury de Medeiros (CISAM), Recife, PE (Brazil); Lima, Marcelo Marques de Souza [Universidade Federal de Sao Paulo (UNIFESP/EPM), Sao Paulo, SP (Brazil)]. E-mail: alexrolland@uol.com.br

    2006-07-15

    Conjoined twins have a rare prevalence and special curiosity among physicians and the general population. The reported frequency varies from 1:50,000 to 1:200,000 pregnancies. Its early diagnosis becomes very important when we think about pregnancy management, method of delivery and neonatal care. We describe two cases of conjoined twins diagnosed by ultrasound and magnetic resonance during prenatal care with the aim to better studying the fetus anatomy. The first conjoined twins were cephalopagus sharing head, thorax and abdominal wall and with two pelvis and four arms and four legs. The second were thoracopagus, united by thorax and part of abdomen. Magnetic resonance imaging contribution was not important to diagnose conjoined twins. However, it was useful to describe the shared organs, contributing to define fetal outcome. (author)

  18. Vertebral scale system to measure canine heart size in radiographs

    International Nuclear Information System (INIS)

    Buchanan, J.W.; Bucheler, J.

    1995-01-01

    A method for measuring canine heart size in radiographs was developed on the basis that there is a good correlation between heart size and body length regardless of the conformation of the thorax. The lengths of the long and short axes of the heart of 100 clinically normal dogs were determined with calipers, and the dimensions were scaled against the length of vertebrae dorsal to the heart beginning with T4. The sum of the long and short axes of the heart expressed as vertebral heart size was 9.7 +/- 0.5 vertebrae. The differences between dogs with a wide or deep thorax, males and females, and right or left lateral recumbency were not significant. The caudal vena cava was 0.75 vertebrae +/- 0.13 in comparison to the length of the vertebra over the tracheal bifurcation

  19. Corrected body surface potential mapping.

    Science.gov (United States)

    Krenzke, Gerhard; Kindt, Carsten; Hetzer, Roland

    2007-02-01

    In the method for body surface potential mapping described here, the influence of thorax shape on measured ECG values is corrected. The distances of the ECG electrodes from the electrical heart midpoint are determined using a special device for ECG recording. These distances are used to correct the ECG values as if they had been measured on the surface of a sphere with a radius of 10 cm with its midpoint localized at the electrical heart midpoint. The equipotential lines of the electrical heart field are represented on the virtual surface of such a sphere. It is demonstrated that the character of a dipole field is better represented if the influence of the thorax shape is reduced. The site of the virtual reference electrode is also important for the dipole character of the representation of the electrical heart field.

  20. Role of volume rendered 3-D computed tomography in conservative management of trauma-related thoracic injuries.

    LENUS (Irish Health Repository)

    OʼLeary, Donal Peter

    2012-09-01

    Pneumatic nail guns are a tool used commonly in the construction industry and are widely available. Accidental injuries from nail guns are common, and several cases of suicide using a nail gun have been reported. Computed tomographic (CT) imaging, together with echocardiography, has been shown to be the gold standard for investigation of these cases. We present a case of a 55-year-old man who presented to the accident and emergency unit of a community hospital following an accidental pneumatic nail gun injury to his thorax. Volume-rendered CT of the thorax allowed an accurate assessment of the thoracic injuries sustained by this patient. As there was no evidence of any acute life-threatening injury, a sternotomy was avoided and the patient was observed closely until discharge. In conclusion, volume-rendered 3-dimensional CT can greatly help in the decision to avoid an unnecessary sternotomy in patients with a thoracic nail gun injury.

  1. The fourth incision: a cosmetic autopsy incision technique.

    Science.gov (United States)

    Patowary, Amarjyoti

    2010-03-01

    Autopsy procedure includes thorough external examination as well as internal examination including opening of all the body cavities for proper visualization of all the visceral organs. As such, there remains incision marks with stitches which harts the sentiment of the already traumatized relatives of the deceased. Moreover, it looks odd especially in cases of otherwise healthy dead bodies. So, autopsy incisions should be such that, we can get maximum possible visualization of the body cavities, particularly the thorax and abdomen, and at the same time the incision as well as the stitch marks are also hidden. This article is aimed to describe few modifications in the autopsy incisions for opening the thorax and abdomen and also proper visualization of the neck structures during autopsy where the incisions and the stitches are kept hidden.

  2. In vivo regional quantitation of intrathoracic /sup 99m/Tc using SPECT: concise communication

    International Nuclear Information System (INIS)

    Osborne, D.; Jaszczak, R.; Coleman, R.E.; Greer, K.; Lischko, M.

    1982-01-01

    A whole-body single-photon emission computed tomographic system (SPECT) was used to quantitate the activities of a series of /sup 99m/Tc point sources in the dog's thorax and to evaluate attenuation of a uniform esophageal line source containing a known concentration of /sup 99m/Tc. A first-order attenuation correction and an empirically derived attenuation coefficient of 0.09 cm-1 were used in the SPECT analyses of the intrathoracic point sources. The relationship between SPECT measurements of multiple point-source activities and the same sources measured in air was linear over a range of 100 to 1000 muCi (slope 1.08; R2 coefficient of determination 0.97). These data are sufficiently accurate to allow an estimate of the regional activity of radiopharmaceutical in the dog's thorax and justify their use in experimental quantitation of regional pulmonary perfusion

  3. Roentgen signs in diagnostic imaging. Vol. 4/1: The chest. Pt. 1

    International Nuclear Information System (INIS)

    Meschan, I.; Farrer-Meschan, R.M.

    1991-01-01

    This first part of two of the volume on biomedical radiography of the thorax primarily deals with the roentgenography of the body regions and organs mentioned in the title augmentation. Chapters: Introduction. Patient positioning, projections, pathological findings, terminology. Chaper 1, Upper respiratory tract and lungs. Chapter 2, Radiography of the diaphragm, pleura, the osseous thorax, and the upper respiratory tract (excluding the larynx). Chapter 3, Mammography. Chapter 4, Laryngography. Chapter 5, Radiographic signs of pathological changes in the lungs - a survey. Chapter 6, Radiographic signs of respiratory illness in newborns, infants and children. Chapter 7, Unsharp, homogenous shadows in the lung parenchyma. Chapter 8, Roentgendiagnosis of round foci in the lung. Chapter 9, Linear and reticular lung shadows. Chapter 10, Diffuse and focal changes of the lung parenchyma with enhanced radiolucency. Non-roentgenographic imaging methods, such as CT, NMR imaging or nuclear medicine, are discussed only occasionally. (orig./MG) With 1590 figs., 61 tabs [de

  4. Evaluation of the enter surface dose, dose in organ and E effective dose, received by personnel and patients in studies of endoscopic retrograde cholangeopancreatography in the General Hospital of Mexico; Evaluacion de la dosis de entrada superficie, dosis en organo y dosis efectiva E, recibidas por personal y pacientes en estudios de colangiopancreatografia retrograda endoscopica en el Hospital General de Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Reyes, S; Gama T, G [Calidad XXI SA de CV, Zacatecas 67-007 Col. Roma, 06700 Mexico D.F. (Mexico); Beristain, M; Espino, H [Hospital General de Mexico, Dr. Balmis 148, Col. Doctores, 06726 Mexico D.F. (Mexico)

    2006-07-01

    The ESD for patient and personal is measured: gastroenterologuist endoscopist G1, A1 Assistant and A2 instrumentist that carried out 22 independent therapeutic procedures of CPRE, in a fluoroscopy equipment Toshiba trademark with tube under the table, operated in automatic exposure mode, CAE to average tensions of 80 kVp. The measurement is carried out with film dosemeters of double emulsion Kodak Type 2 trademark, calibrated in terms of H{sup *} for the energy of the {sup 137} Cs, first it is determined the films sensitivity like function of the optical density DO, and second the ESD for the effective energy of the radiation beam (50 keV), in three different points from the dosemeter (C, D and H). The films was placed for the personnel in: right hand, front (eye), thyroid and thorax (under D and out F of the lead apron); in the case of the patient three positions were used: thorax, hepatic region and pelvis. The mean values of the ESD and it standard deviation SD in mGy units are determined by: study, personnel, film position in doctor and patient, dosemeter measurement point. The calculated doses in organ are also determined for the patient in the thorax region, liverwort and pelvis its are agreement with the NRPB SR 262 report. Finally the H{sub E} and E for medical personnel and patients are estimated demonstrating that its are not exceeded the annual dose limits for the case of the OEP. In the case of the the OEP have for the D thorax an ESD{sub max} = 0.04 mGy that one corresponds an H{sub E} = 0.02 and E = 0.01 mSv. (Author)

  5. 96. German Roentgen congress of the DRG. Program with abstracts; 96. Deutscher Roentgenkongress der DRG. Vollstaendiges Program mit Abstracts

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-05-15

    The volume contains the program and the abstracts of the 96th German Roentgen congress of the DRG covering the following issues: profession and environment caused diseases, medical imaging - image processing - software, experimental radiology, whole-body diagnostics, gastro- and abdomen diagnostics, vascular diagnostics, device technology, heart diagnostics, interventional radiology (vascular diseases, oncology, others), pediatric radiology, contrast agents, head- and neck diagnostics, molecular imaging, musco-skeletal diagnostics, neuroradiology, emergency diagnostics - intensive care, oncologic imaging, quality management, radiation protection, thorax diagnostics.

  6. Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review

    OpenAIRE

    Jaramillo, Paula M.; Montoya, Jaime A.; Mejia, David A.; Pereira Warr, Salin

    2018-01-01

    Introduction. Surgery for cardiac trauma is considered fatal and for wounds of the colon by associated sepsis is normally considered; however, conservative management of many traumatic lesions of different injured organs has progressed over the years. Presentation of the Case. A 65-year-old male patient presented with multiple shotgun wounds on the left upper limb, thorax, and abdomen. On evaluation, he was hemodynamically stable with normal sinus rhythm and normal blood pressure, no dyspnea,...

  7. Normal position and malposition of the heart

    International Nuclear Information System (INIS)

    Andresen, J.H.; Eggert Hansen, T.

    1980-01-01

    The main types of heart positions and the malpositions are described as demonstrated on plain films of the thorax. Special attention is drawn to the situs ambiguous with the poly- or asplenia which may be recognized from hypoarterial or epiarterial position of the main bronchi and their equal lengths and courses. This diagnosis is important because of the frequent accompanying congenital cardiac malformations and in respect to the planning of angiocardiography. (orig.) [de

  8. Diagnostic radiology of thoracic diseases. Textbook and atlas. 4. compl. rev. and enl. ed.; Radiologische Diagnostik der Thoraxerkrankungen. Lehrbuch und Atlas

    Energy Technology Data Exchange (ETDEWEB)

    Lange, Sebastian

    2010-07-01

    The book on diagnostic radiology of thoracic diseases covers the following topics: diagnostic techniques and normal diagnostic findings using x-ray radiography, CT, scintigraphy, angiography, bronchography, ultrasonography and NMR imaging; malformations; infections; emphysema, chronic lung diseases and asthma; inhalation damage and pneumoconiosis; neoplasm; vascular diseases; thorax injuries, pleura diseases, heart diseases, mediastinum diseases; midriff diseases; thoracic wall diseases; pathological pattern in CT; radiological indications and differential diagnostics; thoracic interventions.

  9. Late survival in Ellis–van Creveld syndrome – A case report

    Directory of Open Access Journals (Sweden)

    Trinath Mishra

    2012-07-01

    Full Text Available Ellis–van Creveld syndrome (EVC is an autosomal recessive disorder characterized by chondrodystrophy, polydactyly, ectodermal dysplasia, and cardiac anomalies. Acromelic shortening of upper and lower limbs, genu valgum, multiple frenula, deformed teeth, short ribs and narrow thorax and congenital heart diseases complete the picture. The patients with the syndrome rarely survive into adulthood. Here, we report a lady with EVC presenting for the first time in middle age.

  10. Traumatic chylothorax in a young child: Case report and management

    Directory of Open Access Journals (Sweden)

    Haiko K. Jahn

    2017-06-01

    Discussion: Initial management of chylothorax is conservative with tube thoracostomy drainage and fat free diet. Traumatic chylothroax is a rare complication following chest trauma and can take days to develop and to become clinically apparent. It is therefore important to be vigilant for potential late complications in blunt chest trauma in children, especially if there are extensive rib fractures, a sign of major transmission of force to the thorax.

  11. Ultrasonography as a better diagnostic efficiency in rib fracture

    OpenAIRE

    UZUN, Metin; BEKSAÇ, Burak; KARATAŞ, Adnan; KÜÇÜKDURMAZ, Fatih; KIRCALI, Bahar ANAYURDU; TETİK, Cihangir

    2013-01-01

    In this study, our aim was to demonstrate the need of use of ultrasonography in rib fractures in order not to face medicolegal problems. One hundred patients admitted to our emergency service with mild to moderate blunt thorax trauma were included in our study prospectively. The inclusion criteria were pain upon palpation of ribs, deep inspiration, coughing but no any other pathologies like a pneumothorax, hemothorax. All patients are evaluated with ultrasonography (USG) and direct X-rays. X-...

  12. Mature teratoma of the posterior mediastinum

    Energy Technology Data Exchange (ETDEWEB)

    Kurosaki, Y.; Tanaka, Y.O.; Itai, Y. [Department of Radiology, Institute of Clinical Medicine, University of Tsukuba, Tsukuba-shi, Ibaraki-ken 305 (Japan)

    1998-02-01

    The vast majority of germ cell tumors in the thorax arise at or near the thymus. We report a case of a 41-year-old man with mature teratoma of the posterior mediastinum. He was asymptomatic and was incidentally found to have a posterior mediastinal mass. Computed tomography was helpful in suggesting a diagnosis of mature teratoma by demonstrating the presence of fat and calcification. The differential diagnosis included neurogenic tumors, liposarcoma, and extramedullary hematopoiesis. (orig.) With 2 figs., 18 refs.

  13. Mature teratoma of the posterior mediastinum

    International Nuclear Information System (INIS)

    Kurosaki, Y.; Tanaka, Y.O.; Itai, Y.

    1998-01-01

    The vast majority of germ cell tumors in the thorax arise at or near the thymus. We report a case of a 41-year-old man with mature teratoma of the posterior mediastinum. He was asymptomatic and was incidentally found to have a posterior mediastinal mass. Computed tomography was helpful in suggesting a diagnosis of mature teratoma by demonstrating the presence of fat and calcification. The differential diagnosis included neurogenic tumors, liposarcoma, and extramedullary hematopoiesis. (orig.)

  14. Features of physical development of youths - freshmen.

    Directory of Open Access Journals (Sweden)

    Gnatyuk T.M.

    2011-02-01

    Full Text Available It is shown the results of study of indexes of physical development of youths - freshmen. It is conducted the estimation of builds on the methods of Pinye and development of thorax on the methods of Erisman. By means of indexes the individual proper indexes of physical development are expected. Set, that all youths have insufficient development of skeletal musculature. Indexes which require the correction of physical education facilities are certain.

  15. Association of radiotherapy and chemotherapy in limited small cell lung cancers: interest of alternating protocols

    International Nuclear Information System (INIS)

    Le Chevalier, T.; Arriagada, R.; Ruffie, P.; Cremoux, H. de; Douillard, J.Y.; Tuchais, C.; Chomy, P.; Riviere, A.; Tarayre, M.

    1992-01-01

    From 1980, alternating protocols of chemotherapy and thorax radiotherapy in limited small cell lung cancers have been elaborated in order to control locally the disease, to improve the total survival and to reduce the toxicity that are bound the simultaneous treatments of chemotherapy and radiotherapy. Thanks to these protocols, the two-year survival rate is 27% and the five-year survival rate, 16%

  16. An analysis of 214 cases of rib fractures

    OpenAIRE

    Karadayi, Sule; Nadir, Aydin; Sahin, Ekber; Celik, Burcin; Arslan, Sulhattin; Kaptanoglu, Melih

    2011-01-01

    INTRODUCTION: Rib fractures are the most common type of injury associated with trauma to the thorax. In this study, we investigated whether morbidity and mortality rates increased in correlation with the number of fractured ribs. MATERIALS AND METHODS: Data from 214 patients with rib fractures who applied or were referred to our clinic between January 2007 and December 2008 were retrospectively evaluated. The patients were allocated into three groups according to the number of fractures: 1) p...

  17. Venous chest anatomy: clinical implications

    International Nuclear Information System (INIS)

    Chasen, M.H.; Charnsangavej, C.

    1998-01-01

    This article provides a practical approach to the clinical implications and importance of understanding the collateral venous anatomy of the thorax. Routine radiography, conventional venography, computed tomography (CT), and magnetic resonance (MR) imaging studies provide correlative anatomic models for the demonstration of how interconnecting collateral vascular networks within the thorax maintain venous stability at all times. Five major systems comprise the collateral venous network of the thorax ( Fig. 1 ). These include the paravertebral, azygos-hemiazygos, internal mammary, lateral thoracic, and anterior jugular venous systems (AJVS). The five systems are presented in the following sequence: (a) a brief introduction to the importance of catheter position and malposition in understanding access to the thoracic venous system, (b) the anatomy of the azygos-hemiazygos systems and their relationship with the paravertebral plexus, (c) the importance of the AJVS, (d) 'loop' concepts interconnecting the internal mammary and azygos-hemiazygos systems by means of the lateral thoracic and intercostal veins, and (e) the interconnecting venous networks on the thoracic side of the thoracoabdominal junction. Certain aspects of the venous anatomy of the thorax will not be discussed in this chapter and include (a) the intra-abdominal anastomoses between the superior and inferior vena cavae (IVC) via the internal mammary, lateral thoracic, and azygos-hemiazygos systems (beyond the scope of this article), (b) potential collateral vessels involving vertebral, parascapular, thyroidal, thymic, and other smaller veins that might anastomose with the major systems, and (c) anatomic variants and pitfalls that may mimic pathologic conditions (space limitations). (Copyright (c) 1998 Elsevier Science B.V., Amsterdam. All rights reserved.)

  18. Radiological demonstration of Dracunculus medinensis

    Energy Technology Data Exchange (ETDEWEB)

    Koischwitz, D.; Distelmaier, W.

    1984-03-01

    Atypical linear or convoluted calcification in the subcutaneous tissues of patients from tropical areas in Africa and Asia may be caused by D. medinensis. The radiological appearances and differential diagnosis are described. Dead, calcified worms may occur in the soft tissues of the thorax, abdomen, pelvis or extremities and may cause complications due to a foreign body reaction, particularly when related to major joints. 5 figs.

  19. Paperback atlas of anatomical sectional images: Computerized tomography and NMR imaging. Vol. 1. Head, neck, vertebral column, joints

    International Nuclear Information System (INIS)

    Moeller, T.B.; Reif, E.

    1993-01-01

    Using the nomenclature relating to X-ray findings, the paperback atlas provides a concise, yet accurate description of fine anatomical structures visualized by sectional imaging procedures. Each of the approx. 250 sample images shown for the regions of the head (including neurocranium), vertebral column, neck, thorax, abdomen and muscosceletal system (including joints) is supplemented with a drawing that permits an immediate identification of any structure of interest. (orig.) [de

  20. Center for Micro Air Vehicle Studies

    Science.gov (United States)

    2013-02-01

    from a Gauss - Seidel method to a different iterative process to allow pressures to converge properly. Additionally, the updates to the Cradle...the thorax. After many design iterations , including variations in spring count and spring constants, a feasible model was selected based on the...wings. Many iterations of this wing were made to prevent breakage. The iterations involved increasing spar thicknesses, which increased the weight of

  1. In vivo formation and repair of DNA double-strand breaks after computed tomography examinations

    OpenAIRE

    Löbrich, Markus; Rief, Nicole; Kühne, Martin; Heckmann, Martina; Fleckenstein, Jochen; Rübe, Christian; Uder, Michael

    2005-01-01

    Ionizing radiation can lead to a variety of deleterious effects in humans, most importantly to the induction of cancer. DNA double-strand breaks (DSBs) are among the most significant genetic lesions introduced by ionizing radiation that can initiate carcinogenesis. We have enumerated γ-H2AX foci as a measure for DSBs in lymphocytes from individuals undergoing computed tomography examination of the thorax and/or the abdomen. The number of DSBs induced by computed tomography examination was fou...

  2. Congenital asymptomatic diaphragmatic hernias in adults: a case series.

    Science.gov (United States)

    Bianchi, Enrica; Mancini, Paola; De Vito, Stefania; Pompili, Elena; Taurone, Samanta; Guerrisi, Isabella; Guerrisi, Antonino; D'Andrea, Vito; Cantisani, Vito; Artico, Marco

    2013-05-13

    Congenital diaphragmatic hernia is a major malformation occasionally found in newborns and babies. Congenital diaphragmatic hernia is defined by the presence of an orifice in the diaphragm, more often to the left and posterolateral, that permits the herniation of abdominal contents into the thorax. The aim of this case series is to provide information on the presentation, diagnosis and outcome of three patients with late-presenting congenital diaphragmatic hernias. The diagnosis of congenital diaphragmatic hernia is based on clinical investigation and is confirmed by plain X-ray films and computed tomography scans. In the present report three cases of asymptomatic abdominal viscera herniation within the thorax are described. The first case concerns herniation of some loops of the large intestine into the left hemi-thorax in a 75-year-old Caucasian Italian woman. The second case concerns a rare type of herniation in the right side of the thorax of the right kidney with a part of the liver parenchyma in a 57-year-old Caucasian Italian woman. The third case concerns herniation of the stomach and bowel into the left side of the chest with compression of the left lung in a 32-year-old Caucasian Italian man. This type of hernia may appear later in life, because of concomitant respiratory or gastrointestinal disease, or it may be an incidental finding in asymptomatic adults, such as in the three cases featured here. Patients who present with late diaphragmatic hernias complain of a wide variety of symptoms, and diagnosis may be difficult. Additional investigation and research appear necessary to better explain the development and progression of this type of disease.

  3. 76. German radiology congress. Book of abstracts and posters

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This issue presents the abstracts and posters of the 76th German radiology congress held from 24-27 May 1995. The session topics are the abdomen, general radiology and interventional radiology, the thorax, cardiovascular system, neck, head, mamma, muscles and skeleton, neuroradiology, pediatrics, nuclear medicine, radiotherapy, computer applications, diagnostic techniques, physics, and radiobiology. Further information given includes videos, a multimedia forum, a historical poster session, and an author index. (VHE) [de

  4. BNP ist ANP, Endothelin und Noradrenalin als Prognoseindikator bei chronisch herzinsuffizienten Patienten überlegen

    OpenAIRE

    Zugck C; Gerhards A; Haass M; Katz N; Kell R; Krüger C; Schellberg D

    2001-01-01

    Zu den etablierten Prognoseindikatoren bei Patienten mit chronischer Herzinsuffizienz zählen der Herz-Thorax-Quotient in der Röntgen-Thoraxaufnahme (HTQ), die linksventrikuläre Ejektionsfraktion (LVEF) und die maximale Sauerstoffaufnahme unter Belastung (VO2max). Darüber hinaus wird zahlreichen neurohumoralen Parametern eine prognostische Wertigkeit zugeschrieben. An 166 Patienten mit chronischer Herzinsuffizienz (Alter 54 ± 9 Jahre; 70 % dilatative Kardiomyopathie; 30 % KHK; LVEF 21 ± 9 %) ...

  5. Pulmonary scintigraphy by citrate of Ga67 for HIV(+) patients or AIDS

    International Nuclear Information System (INIS)

    Daumal, J.; Pena, C.; Mata, F.; Paternostro, C.; Penafiel, A.

    1993-01-01

    Pulmonary scintigraphy with citrate of gallium 67 is useful when combined with a thorax radiography to establish the presence of an infection. When the two examinations are negative we can conclude there is no infection, but if the radiography is positive with a scintiscanning negative the most possible diagnosis is tuberculosis. If the scintiscanning is positive with a diffuse model we can envisage a pneumonia by Pneumocystis Carinii and if the model is ganglionic we can think to tuberculosis. 4 tabs

  6. Pulmonary scintigraphy by citrate of Ga67 for HIV(+) patients or AIDS. Scintigraphie pulmonaire au citrate de Ga67 chez des patients VIH(+) ou sida

    Energy Technology Data Exchange (ETDEWEB)

    Daumal, J.; Pena, C.; Mata, F.; Paternostro, C.; Penafiel, A. (Hopital Son Dureta, Palma de Mallorca (Spain))

    1993-04-01

    Pulmonary scintigraphy with citrate of gallium 67 is useful when combined with a thorax radiography to establish the presence of an infection. When the two examinations are negative we can conclude there is no infection, but if the radiography is positive with a scintiscanning negative the most possible diagnosis is tuberculosis. If the scintiscanning is positive with a diffuse model we can envisage a pneumonia by Pneumocystis Carinii and if the model is ganglionic we can think to tuberculosis. 4 tabs.

  7. Fibroleiomioma hamartomatoso múltiple pulmonar

    Directory of Open Access Journals (Sweden)

    Hernán Zarate Galeano

    1986-04-01

    Full Text Available A case of P .M.H.F.L. is reported in a 55 year old woman, who was admitted to Bogota's St. Clara Hospital, with respiratory symptoms over a ten year period RX of the thorax revealed multiple bilateral nodules. She underwent antituberculosis treatment for five years without clinical or radiological improvement. A biopsy allowed us to make a definitive diagnosis. We surveyed the literature, the pathological findings and the treatment of P.M.H.F.L.

  8. German congress on X-ray radiography 1981. Deutscher Roentgenkongress 1981

    Energy Technology Data Exchange (ETDEWEB)

    1981-01-01

    The book contains abstracts of 280 papers read at the 1981 German X-ray Congress - some abstracts, unfortunately, are not given. The following subjects were discussed: Diagnosis of internal injuries, traumatic lesions of the skull and brain, diagnosis in orthopaedics and ophthalmology, gastric examinations, diagnosis of pancreatitis due to alcoholism, ultrasonographic diagnosis, biopsy, CT diagnosis of the pelvis and nephro-urology, CT-diagnosis of the thorax, radiotherapy, nuclear medicine, radiobiology, radiological techniques and other subjects.

  9. Liquid in the major incision

    International Nuclear Information System (INIS)

    Herrera Jaramillo, Diego Alberto; Ortega Jaramillo, Hector

    2003-01-01

    We present the case of a patient with spill pleural extending in the left major incision. In the chest thorax PA, we could observe one of the complex radiographic appearances that take the reconfiguration of fluid in this localization, being this appearance dependent of the patient's position. Some points are also discussed on the anatomy of the major incisions and some of their radiographic characteristics

  10. Chest-wall thickness and percent thoracic fat estimation by B-mode ultrasound: system and procedure review

    International Nuclear Information System (INIS)

    Berger, C.D.; Lane, B.H.; Dunsmore, M.R.

    1983-02-01

    Accurate measurement of chest wall thickness is necessary for estimation of lung burden of transuranic elements in humans. To achieve tis capability, the ORNL Whole Body Counter has acquired a B-mode ultrasonic imaging system for defining the structure within the thorax of the body. This report contains a review of the ultrasound system in use at the ORNL Whole Body Counter, including its theory of operation, and te procedure for use of the system. Future developmental plans are also presented

  11. Visual Hallucinations in a Patient with Horner's Syndrome Secondary to Internal Carotid Dissection

    OpenAIRE

    Amardeep Singh; Panteleimon Mortzos; Torben Lykke Sørensen

    2014-01-01

    A 67-year-old female presented with post-ganglionic Horner's syndrome. In addition to the classical symptoms of Horner's syndrome, the patient reported experiencing frightening complex visual and auditory hallucinations on two different occasions. Magnetic resonance angiography of the cerebrum, neck and upper thorax revealed internal carotid dissection. The symptoms and hallucinatory experiences resolved soon after antiplatelet therapy was commenced. We propose peduncular hallucinosis as the ...

  12. Teratogenicity, Mutagenicity, and Effects of Grade 2 Diesel Fuel on Reproduction in a Single Generation of Rats.

    Science.gov (United States)

    1987-10-01

    nation. The first had a distorted cranium and short body. The second had divided cranial plates, cervical vetebra, and upper thoracic vertebra (Figure...intestine and fat. A fourth fetus in this litter was examined viscerally and had adiaphramatic hernia , and a fifth fetus had greatly distended ventricles...cranium and short body, the bottom fetus has divided cranium, cervical vertebra, and upper thorax vertebra. 14 0DI ~ -:% % Lac ’ ’L apparent cranial

  13. Roentgenologic features of the Meckel syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Seppaenen, U.; Herva, R.

    1983-09-21

    The Meckel syndrome is an autosomal recessive lethal malformation syndrome. The main features are multicystic dysplastic kidneys, microcephaly with occipital encephalocele and polydactyly. This paper describes 6 new cases, with special reference to skeletal findings in postmortem total body radiographs Microcephaly with an occipital bone defect and encephalocele or hydrocephaly (1/6), short upper extremities, bell-shaped thorax with abdominal distension and postaxial polydactyly in the hands and feet were constant findings in these cases.

  14. Megaesophagus in two cats.

    Science.gov (United States)

    Hoenig, M; Mahaffey, M B; Parnell, P G; Styles, M E

    1990-03-01

    Megaesophagus was diagnosed in 2 cats. Both had a history of regurgitation, and one was dyspneic. Radiography of the thorax and abdomen revealed generalized megaesophagus and gastric distention with gas. There was no esophageal motility during fluoroscopic observation. The prognosis for cats with megaesophagus is guarded. Although they may be satisfactory pets, cats with this condition should not be used for breeding because the condition is believed to be inherited through recessive genes.

  15. F-18-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography Appearance of Extramedullary Hematopoesis in a Case of Primary Myelofibrosis

    Science.gov (United States)

    Mukherjee, Anirban; Bal, Chandrasekhar; Tripathi, Madhavi; Das, Chandan Jyoti; Shamim, Shamim Ahmed

    2017-01-01

    A 44-year-old female with known primary myelofibrosis presented with shortness of breath. High Resolution Computed Tomography thorax revealed large heterogeneously enhancing extraparenchymal soft tissue density mass involving bilateral lung fields. F-18-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography revealed mildly FDG avid soft tissue density mass with specks of calcification involving bilateral lung fields, liver, and spleen. Subsequent histopathologic evaluation from the right lung mass was suggestive of extramedullary hematopoesis. PMID:28533647

  16. Coumafuryl (Fumarin) toxicity in chicks.

    Science.gov (United States)

    Munger, L L; Su, J J; Barnes, H J

    1993-01-01

    Coumafuryl (Fumarin) toxicity was diagnosed in chickens less than 1 week of age. Mortality rate was 100%. Necropsy showed crops and gizzards to be full of feed. There was diffuse hemorrhage and unclotted blood in the abdomen and thorax. Histological examination showed congestion and hemorrhage. Chemical analysis of crop and gizzard contents contained approximately 340 ppm coumafuryl. The source of the coumafuryl was found to be the wood-straw mats in the chick boxes.

  17. Radiographic abnormalities of ribs in β-thalassemic children

    International Nuclear Information System (INIS)

    Singcharoen, T.; Piyachon, C.; Kulapongs, P.

    1988-01-01

    Bone change is one of the most outstanding manifestations of marrow hyperplasia in thalassemia patients. In the thorax, marrow hyperplasia widens the ribs, thins the cortices, and erases most of their trabecular patterns. Thus, a variety of radiologic changes of the ribs have been described. The chest radiographs of 33 Thai children with β-thalassemia major were reviewed, and a spectrum of rib changes were observed

  18. Determination of the dose index in computerized tomography using thermoluminescent dosemeters; Determinacion del indice de dosis en tomografia computada usando dosimetros termoluminiscentes

    Energy Technology Data Exchange (ETDEWEB)

    Azorin, J.C.; Calderon, A. [Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada-IPN, 11500 Mexico D.F. (Mexico); Azorin, J. [UAM-I, 09340 Mexico D.F. (Mexico)

    2004-07-01

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

  19. Exercises in diagnostic radiology. Vol. 1. 4. rev. ed.

    International Nuclear Information System (INIS)

    Squire, L.F.; Colaiace, W.M.; Strutynsky, N.

    1983-01-01

    Intention of this book is to impart - by means of numerous exercises to be done - knowledge about radiology. It shall be used around the termination of the study of medicine, more or less in the sense of a self-test and supplement of the previous lectures and previously revised text books. The exercises of this first volume proceed from a certain knowledge about thorax radiology to be present. (orig./MG) [de

  20. Transatlantic Comparison of CT Radiation Doses in the Era of Radiation Dose-Tracking Software.

    Science.gov (United States)

    Parakh, Anushri; Euler, Andre; Szucs-Farkas, Zsolt; Schindera, Sebastian T

    2017-12-01

    The purpose of this study is to compare diagnostic reference levels from a local European CT dose registry, using radiation-tracking software from a large patient sample, with preexisting European and North American diagnostic reference levels. Data (n = 43,761 CT scans obtained over the course of 2 years) for the European local CT dose registry were obtained from eight CT scanners at six institutions. Means, medians, and interquartile ranges of volumetric CT dose index (CTDI vol ), dose-length product (DLP), size-specific dose estimate, and effective dose values for CT examinations of the head, paranasal sinuses, thorax, pulmonary angiogram, abdomen-pelvis, renal-colic, thorax-abdomen-pelvis, and thoracoabdominal angiogram were obtained using radiation-tracking software. Metrics from this registry were compared with diagnostic reference levels from Canada and California (published in 2015), the American College of Radiology (ACR) dose index registry (2015), and national diagnostic reference levels from local CT dose registries in Switzerland (2010), the United Kingdom (2011), and Portugal (2015). Our local registry had a lower 75th percentile CTDI vol for all protocols than did the individual internationally sourced data. Compared with our study, the ACR dose index registry had higher 75th percentile CTDI vol values by 55% for head, 240% for thorax, 28% for abdomen-pelvis, 42% for thorax-abdomen-pelvis, 128% for pulmonary angiogram, 138% for renal-colic, and 58% for paranasal sinus studies. Our local registry had lower diagnostic reference level values than did existing European and North American diagnostic reference levels. Automated radiation-tracking software could be used to establish and update existing diagnostic reference levels because they are capable of analyzing large datasets meaningfully.

  1. Radiation dose and cancer risk from pediatric CT examinations on 64-slice CT: A phantom study

    International Nuclear Information System (INIS)

    Feng Shiting; Law, Martin Wai-Ming; Huang Bingsheng; Ng, Sherry; Li Ziping; Meng Quanfei; Khong, Pek-Lan

    2010-01-01

    Objective: To measure the radiation dose from CT scans in an anthropomorphic phantom using a 64-slice MDCT, and to estimate the associated cancer risk. Materials and methods: Organ doses were measured with a 5-year-old phantom and thermoluminescent dosimeters. Four protocols; head CT, thorax CT, abdomen CT and pelvis CT were studied. Cancer risks, in the form of lifetime attributable risk (LAR) of cancer incidence, were estimated by linear extrapolation using the organ radiation doses and the LAR data. Results: The effective doses for head, thorax, abdomen and pelvis CT, were 0.7 mSv, 3.5 mSv, 3.0 mSv, 1.3 mSv respectively. The organs with the highest dose were; for head CT, salivary gland (22.33 mGy); for thorax CT, breast (7.89 mGy); for abdomen CT, colon (6.62 mGy); for pelvis CT, bladder (4.28 mGy). The corresponding LARs for boys and girls were 0.015-0.053% and 0.034-0.155% respectively. The organs with highest LARs were; for head CT, thyroid gland (0.003% for boys, 0.015% for girls); for thorax CT, lung for boys (0.014%) and breast for girls (0.069%); for abdomen CT, colon for boys (0.017%) and lung for girls (0.016%); for pelvis CT, bladder for both boys and girls (0.008%). Conclusion: The effective doses from these common pediatric CT examinations ranged from 0.7 mSv to 3.5 mSv and the associated lifetime cancer risks were found to be up to 0.16%, with some organs of higher radiosensitivity including breast, thyroid gland, colon and lungs.

  2. Retrospectieve studie van 20 honden en 1 kat met tetanus (2001-2008)

    OpenAIRE

    Naert, Liesbeth; Van Meervenne, Sofie; Van Soens, Iris; Bhatti, Sofie; Martlé, Valentine; De Decker, Steven; Vanhaesebrouck, An; Van Ham, Luc

    2009-01-01

    In 20 dogs and I cat a diagnosis of tetanus was made based on the typical clinical signs and a possible wound history. In 7 animals a tooth abnormality was considered as the entrance way of the bacteria. By means of radiography of the thorax several animals were evaluated for the presence of possible complications such as aspiration pneumonia, megaoesophagus or hiatal hernia. The treatment existed mainly of metronidazole as an antibiotic, acetylpromazine to control the muscle spasms and addit...

  3. Ultrasonographic measurement of fetal growth parameters over three successive pregnancies in a captive Malayan tapir (Tapirus indicus).

    Science.gov (United States)

    Hoyer, M J; van Engeldorp Gastelaars, H M D

    2014-01-01

    This study was conducted to establish representative curves that allow evaluation of fetal growth and estimation of gestational age from measurement of fetal structures by ultrasound in Malayan tapirs (Tapirus indicus). Three pregnancies (i.e. 3 fetuses) were examined in one female Malayan tapir. Transabdominal ultrasonographic examination was performed without anesthesia from 79 ± 8 days to 281 ± 48 days (mean ± S.D.) post mating. To assess fetal growth attempts were made to measure biparietal diameter (BPD), head length (HL), thorax diameter A (TDA), thorax height A (THA), thorax diameter B (TDB), thorax height B (THB), abdomen diameter (AD), abdomen height (AH), humerus length (HUL) and Crown rump length (CRL). The value of each parameter as an estimator of gestational age was assessed by ease of observation and the length of time the parameter was measurable throughout gestation. The most precise predictors for gestational age in this study were BPD and CRL (weeks 10-20 of gestation), as well as AD and AH (weeks 14-43 of gestation). The parameters TDB, THB and HUL (weeks 15-41 of gestation) gave almost as good predictions. Fetal viability was assessed by identifying a fetal heartbeat and movement. All pregnancies resulted in normal deliveries and healthy offspring. The ultrasound examination was well tolerated by the female. The gestation lengths (399 ± 3 days) were within reported ranges. The serial transabdominal ultrasound, without the need for anesthesia, was an effective method to evaluate fetal growth, development and well being in a Malayan tapir. © 2014 Wiley Periodicals, Inc.

  4. CT and MR Imaging Findings of Lymphangioleiomyomatosis Involving the Uterus and Pelvic Cavity

    International Nuclear Information System (INIS)

    Kim, You Sung; Rha, Sung Eun; Byun, Jae Young; Lee, Ah Won; Park, Jong Sup

    2011-01-01

    Lymphangioleiomyomatosis (LAM) is a rare idiopathic disease and this is characterized by a proliferation of abnormal smooth muscle cells in the lungs and in the lymphatic system of the thorax and retroperitoneum. The female genital tract is rarely affected by LAM. We report here on the CT and MR imaging findings of extensive LAM involving the uterus and pelvic cavity, and this was seen as multiple cystic uterine and parauterine masses with internal hemorrhage in a young female with tuberous sclerosis complex

  5. Radiology. 3. rev. and enl. ed.

    International Nuclear Information System (INIS)

    Reiser, Maximilian; Kuhn, Fritz-Peter; Debus, Juergen

    2011-01-01

    The text book on radiology covers the following issues: Part A: General radiology: Fundamental physics: radiation biology; radiation protection fundamentals: radiologic methods; radiotherapy; nuclear medicine. Part B: Special radiology: Thorax; heart; urogenital tract and retroperitoneum; vascular system and interventional radiology; esophagus, stomach, small and large intestines; liver, biliary system, pancreas and spleen; mammary glands; central nervous system; spinal cord and spinal canal; basis of the skull, facial bones and eye socket; neck; pediatric imaging diagnostics.

  6. CT and MR Imaging Findings of Lymphangioleiomyomatosis Involving the Uterus and Pelvic Cavity

    Energy Technology Data Exchange (ETDEWEB)

    Kim, You Sung; Rha, Sung Eun; Byun, Jae Young; Lee, Ah Won; Park, Jong Sup [Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)

    2011-04-15

    Lymphangioleiomyomatosis (LAM) is a rare idiopathic disease and this is characterized by a proliferation of abnormal smooth muscle cells in the lungs and in the lymphatic system of the thorax and retroperitoneum. The female genital tract is rarely affected by LAM. We report here on the CT and MR imaging findings of extensive LAM involving the uterus and pelvic cavity, and this was seen as multiple cystic uterine and parauterine masses with internal hemorrhage in a young female with tuberous sclerosis complex

  7. Idiopathic pulmonary fibrosis and collagen vascular diseases - high resolution CT findings; Pneumopatias intersticiais difusas idiopaticas e associadas a colagenoses - aspectos da tomografia computadorizada de alta resolucao

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira Neto, Armando Leao; Mogami, Roberto [Universidade do Estado, Rio de Janeiro, RJ (Brazil). Centro Biomedico. Inst. de Radiologia; Marchiori, Edson [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Inst. Biomedico. Dept. de Radiologia; Capone, Domenico [Universidade Estadual, Rio de Janeiro, RJ (Brazil). Dept. de Penumologia

    1996-09-01

    The aspects of the thorax high-resolution computed tomography of 15 patients with idiopathic pulmonary fibrosis and 11 patients with collagen vascular diseases are described and characterized mainly by the presence of reticular lesions with little cysts predominantly in the periphery and lower lobes. They may be associated with ground-glass lesions that, as usual, means areas of alveolitis. (author) 31 refs., 5 figs.

  8. Evaluation of the enter surface dose, dose in organ and E effective dose, received by personnel and patients in studies of endoscopic retrograde cholangeopancreatography in the General Hospital of Mexico

    International Nuclear Information System (INIS)

    Reyes, S.; Gama T, G.; Beristain, M.; Espino, H.

    2006-01-01

    The ESD for patient and personal is measured: gastroenterologuist endoscopist G1, A1 Assistant and A2 instrumentist that carried out 22 independent therapeutic procedures of CPRE, in a fluoroscopy equipment Toshiba trademark with tube under the table, operated in automatic exposure mode, CAE to average tensions of 80 kVp. The measurement is carried out with film dosemeters of double emulsion Kodak Type 2 trademark, calibrated in terms of H * for the energy of the 137 Cs, first it is determined the films sensitivity like function of the optical density DO, and second the ESD for the effective energy of the radiation beam (50 keV), in three different points from the dosemeter (C, D and H). The films was placed for the personnel in: right hand, front (eye), thyroid and thorax (under D and out F of the lead apron); in the case of the patient three positions were used: thorax, hepatic region and pelvis. The mean values of the ESD and it standard deviation SD in mGy units are determined by: study, personnel, film position in doctor and patient, dosemeter measurement point. The calculated doses in organ are also determined for the patient in the thorax region, liverwort and pelvis its are agreement with the NRPB SR 262 report. Finally the H E and E for medical personnel and patients are estimated demonstrating that its are not exceeded the annual dose limits for the case of the OEP. In the case of the the OEP have for the D thorax an ESD max = 0.04 mGy that one corresponds an H E = 0.02 and E = 0.01 mSv. (Author)

  9. Imperfect twinning - evaluation by imaging methods; Gemelidade imperfeita - avaliacao pelos metodos de imagem

    Energy Technology Data Exchange (ETDEWEB)

    Teixeira, Arildo Correa; Julio, Hamilton [Parana Univ., Curitiba, PR (Brazil). Hospital das Clinicas. Disciplina de Ginecologia e Obstetricia; Mazer, Sergio; Urban, Linei Augusta Brolini Delle [Parana Univ., Curitiba, PR (Brazil). Hospital das Clinicas. Servico de Radiologia]. E-mail: lineiurban@hotmail.com

    2003-02-01

    Conjoined twins are rare malformations and a challenge for both radiologists and pediatric surgeons. Antenatal evaluation is essential for the identification of anatomic fusions and other associated abnormalities, which will enable an adequate surgical planning and the assessment of fetal prognosis. The authors present the clinical and imaging findings of thoracopagus twins, joined by the anterior portion of the thorax, sharing the heart and the liver. Diagnosis was made by ultrasonography and confirmed with fetal magnetic resonance imaging. (author)

  10. 14. Congress of the Hungarian radiologists

    International Nuclear Information System (INIS)

    Soos, Jozsef

    1988-01-01

    At the conference 250 papers were presented in various fields of medical radiology. After the plenary session, the subjects of the separate topical sessions were radiological applications in neuro-traumatology, pathological bone fractures, injuries of blood vessels, ARDS, injuries of thorax, abdomen and pelvis, pediatric traumatology, injuries of bones and joints, and radiotherapy of metastases. The abstracts of the individual papers presented are contained in the conference publication. (R.P.)

  11. [A review of progress of real-time tumor tracking radiotherapy technology based on dynamic multi-leaf collimator].

    Science.gov (United States)

    Liu, Fubo; Li, Guangjun; Shen, Jiuling; Li, Ligin; Bai, Sen

    2017-02-01

    While radiation treatment to patients with tumors in thorax and abdomen is being performed, further improvement of radiation accuracy is restricted by the tumor intra-fractional motion due to respiration. Real-time tumor tracking radiation is an optimal solution to tumor intra-fractional motion. A review of the progress of real-time dynamic multi-leaf collimator(DMLC) tracking is provided in the present review, including DMLC tracking method, time lag of DMLC tracking system, and dosimetric verification.

  12. Use of butterflies as nontarget insect test species and the acute toxicity and hazard of mosquito control insecticides.

    Science.gov (United States)

    Hoang, Tham C; Pryor, Rachel L; Rand, Gary M; Frakes, Robert A

    2011-04-01

    Honeybees are the standard insect test species used for toxicity testing of pesticides on nontarget insects for the U.S. Environmental Protection Agency (U.S. EPA) under the Federal Insecticide Fungicide and Rodenticide Act (FIFRA). Butterflies are another important insect order and a valued ecological resource in pollination. The current study conducted acute toxicity tests with naled, permethrin, and dichlorvos on fifth larval instar (caterpillars) and adults of different native Florida, USA, butterfly species to determine median lethal doses (24-h LD50), because limited acute toxicity data are available with this major insect group. Thorax- and wing-only applications of each insecticide were conducted. Based on LD50s, thorax and wing application exposures were acutely toxic to both caterpillars and adults. Permethrin was the most acutely toxic insecticide after thorax exposure to fifth instars and adult butterflies. However, no generalization on acute toxicity (sensitivity) of the insecticides could be concluded based on exposures to fifth instars versus adult butterflies or on thorax versus wing exposures of adult butterflies. A comparison of LD50s of the butterflies from this study (caterpillars and adults) with honeybee LD50s for the adult mosquito insecticides on a µg/organism or µg/g basis indicates that several butterfly species are more sensitive to these insecticides than are honeybees. A comparison of species sensitivity distributions for all three insecticides shows that permethrin had the lowest 10th percentile. Using a hazard quotient approach indicates that both permethrin and naled applications in the field may present potential acute hazards to butterflies, whereas no acute hazard of dichlorvos is apparent in butterflies. Butterflies should be considered as potential test organisms when nontarget insect testing of pesticides is suggested under FIFRA. Copyright © 2011 SETAC.

  13. Normal tissue consequences

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    This chapter discusses radiotherapy planning and irradiation effects on the following: pelvis (bone, bone marrow, muscles, genital organs, urinary bladder, urethra, ureter, small intestine, rectum, anus); abdomen (stomach, liver, small intestine, kidneys, adrenal glands, pancreas, spleen); thorax (respiratory system, esophagus, heart, ribs, breasts, brachial plexus, spinal cord); head and neck (salivary glands, teeth, mandible, mucosa, ears, eyes, facial muscles, larynx, thyroid gland, pituitary gland, brain, spinal cord); central nervous system (brain, optic nerves, pituitary gland, scalp, skull, spinal cord); and the extremities

  14. Introducing the new BTS Guideline: Management of non-tuberculous mycobacterial pulmonary disease (NTM-PD).

    Science.gov (United States)

    Haworth, Charles S; Floto, R Andres

    2017-11-01

    The new BTS Guidelines for the management of non-tuberculous mycobacterial pulmonary disease combine the best available evidence with expert consensus to generate a set of pragmatic Guidelines, published as a supplement to this issue of Thorax, to assist in the management of these challenging infections. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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

    International Nuclear Information System (INIS)

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

    2004-01-01

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

  16. Pyothorax induced by an intrathoracic foreign body in a miniature dachshund: Migration of a popsicle stick from the stomach

    OpenAIRE

    CHOI, Yi-Don; HAN, Hyun-Jung

    2017-01-01

    A four-year-old dachshund presented with a two-week history of pyrexia, depression, and cough. Four months earlier, the owner observed the dog swallow a whole popsicle stick, but the animal showed no clinical signs at that time. Radiography, ultrasonography, and computed tomography confirmed an intrathoracic linear foreign body and pleural effusion in the right thorax. The pleural fluid was bloody and purulent, and contained inflammatory cells and Escherichia coli. The dog was diagnosed with ...

  17. Effect of staff training on radiation dose in pediatric CT

    Energy Technology Data Exchange (ETDEWEB)

    Hojreh, Azadeh, E-mail: azadeh.hojreh@meduniwien.ac.at [Medical University of Vienna, Department of Biological Imaging and Image-guided Therapy, Division of General and Paediatric Radiology, Waehringer Guertel 18–20, A-1090 Vienna (Austria); Weber, Michael, E-mail: michael.Weber@Meduniwien.Ac.At [Medical University of Vienna, Department of Biomedical Imaging and Image-guided Therapy, Division of General and Paediatric Radiology, Waehringer Guertel 18–20, A-1090 Vienna (Austria); Homolka, Peter, E-mail: peter.Homolka@Meduniwien.Ac.At [Medical University of Vienna, Centre for Medical Physics and Biomedical Engineering, Waehringer Guertel 18–20, A-1090 Vienna (Austria)

    2015-08-15

    Highlights: • Pediatric patient CT doses were compared before and after staff training. • Staff training increasing dose awareness resulted in patient dose reduction. • Application of DRL reduced number of CT's with unusually high doses. • Continuous education and training are effective regarding dose optimization. - Abstract: Objective: To evaluate the efficacy of staff training on radiation doses applied in pediatric CT scans. Methods: Pediatric patient doses from five CT scanners before (1426 scans) and after staff training (2566 scans) were compared statistically. Examinations included cranial CT (CCT), thoracic, abdomen–pelvis, and trunk scans. Dose length products (DLPs) per series were extracted from CT dose reports archived in the PACS. Results: A pooled analysis of non-traumatic scans revealed a statistically significant reduction in the dose for cranial, thoracic, and abdomen/pelvis scans (p < 0.01). This trend could be demonstrated also for trunk scans, however, significance could not be established due to low patient frequencies (p > 0.05). The percentage of scans performed with DLPs exceeding the German DRLs was reduced from 41% to 7% (CCT), 19% to 5% (thorax-CT), from 9% to zero (abdominal–pelvis CT), and 26% to zero (trunk; DRL taken as summed DRLs for thorax plus abdomen–pelvis, reduced by 20% accounting for overlap). Comparison with Austrian DRLs – available only for CCT and thorax CT – showed a reduction from 21% to 3% (CCT), and 15 to 2% (thorax CT). Conclusions: Staff training together with application of DRLs provide an efficient approach for optimizing radiation dose in pediatric CT practice.

  18. Beware of the devastating pulmonary aspergillosis syndromes In certain environments

    LENUS (Irish Health Repository)

    Kooblall, M

    2016-02-01

    Nowadays with more stem cell transplants and immunosuppressive therapies there has been a rise in pulmonary aspergillosis syndromes. The following illustrates such a case. A 49 year old man had a past history of ankylosing spondylitis with a bilateral hip replacement. He was also on surveillance for a superficial bladder tumour since 2007. His chest x-ray in 2008 was normal. In 2010 his CXR showed patchy opacification in the right apex. CT thorax confirm fibrotic changes.

  19. Optimization of the dose absorbed in pediatric CT studies according to the methodology of the report n. 204 of the AAPM; Optimizacion de la dosis absorbida en estudios de TC pediatricos segun la metodologia del report n. 204 de la AAPM

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez Rodriguez, J.; Arino Gil, A.; Mateos Salvador, P.; Rodriguez, B.; Font Gelabert, J. C.

    2013-07-01

    The objective of this study is to determine the SSDE for a sample of pediatric patients grouped into 4 ranges of ages for different anatomical locations: skull, thorax, and abdomen. The SSDE values obtained are compared with the diagnostic levels of reference (NDR) for different countries 4 (expressed in CTDIvol). The goodness of the SSDE as parameter is evaluated to estimate the dose in CT. (Author)

  20. Multiple lymphatic cervical cysts

    International Nuclear Information System (INIS)

    Jordan, J.; Piotrowski, S.; Zalewska-Rzezniczak, I.

    1994-01-01

    Authors described a case of 60 year-old woman with multiple lateral neck cysts. 4 cysts were located in the supraclavicular region of lateral neck triangle. During histopathological studies of postoperative specimens a cystic hygroma diagnosis was established. The fact, that cystic lymphangioma occurred in an adult woman, was interesting. The authors stress the necessity of preoperative evaluation of tumor size in view of the possibility of its penetration into the thorax. The CT examination may be useful in these cases. (author)

  1. Test tools of physics radiography children as a support for safety radiation and safety patients

    International Nuclear Information System (INIS)

    Siti Masrochah; Yeti Kartikasari; Ardi Soesilo Wibowo

    2013-01-01

    Radiographic examination of the thorax children aged 1-3 years have a high sufficiently failure. This failure is caused by the movement and difficulty positioning the patient, resulting in the risk of repeat radiographs to patient safety particularly unnecessary radiation risks. It is therefore necessary to develop research on children design fixation devices. This research aims to create a design tool fixation on radiographs children to support radiation safety and patient safety. This research is a descriptive exploratory approach to tool design. The independent variables were the design tools, variable tool function test results, and radiographic variables controlled thorax. The procedure is done by designing data collection tools, further trials with 20 samples. Processing and analysis of data is done by calculating the performance assessment tool scores with range 1-3. The results showed that the design tool of fixation in the form of standard radiographic cassette equipped with chairs and some form of seat belt fixation. The procedure uses a tool fixation is routine radiographic follow thorax child in an upright position. Function test results aids fixation is to have an average score of 2.66, which means good. While the test results for each component, the majority of respondents stated that the reliability of the device is quite good with a score of 2.45 (60 %), convenience tool with a score of 2.60 (70 %), quality of the radiographs did not incontinence of the thorax radiograph with a score 2.55 (85 %), the child protection (security) with a score of 2.70 (70 %), good design aesthetic design with a score of 2.80 (80 %), addition of radiation from the others on the use of these tools do not need with a score of 2.80 (80 %), and there is no additional radiation due to repetitions with a score of 2.85 (90 %). (author)

  2. Radiology. 3. rev. and enl. ed.; Radiologie

    Energy Technology Data Exchange (ETDEWEB)

    Reiser, Maximilian [Klinikum der Universitaet Muenchen (Germany). Inst. fuer Klinische Radiologie; Kuhn, Fritz-Peter [Klinikum Kassel (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Debus, Juergen [Radiologische Universitaetsklinik, Heidelberg (Germany). Abt. Radioonkologie und Strahlentherapie

    2011-07-01

    The text book on radiology covers the following issues: Part A: General radiology: Fundamental physics: radiation biology; radiation protection fundamentals: radiologic methods; radiotherapy; nuclear medicine. Part B: Special radiology: Thorax; heart; urogenital tract and retroperitoneum; vascular system and interventional radiology; esophagus, stomach, small and large intestines; liver, biliary system, pancreas and spleen; mammary glands; central nervous system; spinal cord and spinal canal; basis of the skull, facial bones and eye socket; neck; pediatric imaging diagnostics.

  3. A case report of corgenotal cystic adenomatoid malformation

    International Nuclear Information System (INIS)

    Jun, Soon Ae; Cha, Kyung Sub; Chi, Je Geun

    1987-01-01

    Congenital cystic adnomatoid malformation (CCAM) is rare pulmonary cystic disease. CCAM has been detected on prematurity, stillborn and respiratory distress infant or child by chest X-ray film and CT scan. One case of CCAM diagnosed in utero at gestational age 22 weeks is reported with sonographic findings and autopsy findings. Ultrasonographic findings are large cystic lesion in fetal thorax and fetal hydrops without hydramnios. The survival of these infants is very poor despite accurate prenatal diagnosis and maximal postnatal care

  4. Developing Novel Therapeutic Approaches in Small Cell Lung Carcinoma Using Genetically Engineered Mouse Models and Human Circulating Tumor Cells

    Science.gov (United States)

    2016-12-01

    ABT-263 (Fig. 2I and SI Appendix, Fig. S6A). We therefore sought to identify pharmacological strategies that could suppress MCL-1 levels and increase...resonance imaging ( MRI ) of the thorax was performed 1 day before starting treatment and on day 21 of treatment, and lung tumor volumes pre- and...spread on MRI were included in the analysis. Tumors progressed in all untreated animals (n = 7), although we observed significant variability in the

  5. Roentgenologic features of the Meckel syndrome

    International Nuclear Information System (INIS)

    Seppaenen, U.; Herva, R.

    1983-01-01

    The Meckel syndrome is an autosomal recessive lethal malformation syndrome. The main features are multicystic dysplastic kidneys, microcephaly with occipital encephalocele and polydactyly. This paper describes 6 new cases, with special reference to skeletal findings in postmortem total body radiographs Microcephaly with an occipital bone defect and encephalocele or hydrocephaly [1/6], short upper extremities, bell-shaped thorax with abdominal distension and postaxial polydactyly in the hands and feet were constant findings in these cases. (orig.)

  6. Automated four-dimensional Monte Carlo workflow using log files and real-time motion monitoring

    DEFF Research Database (Denmark)

    Sibolt, Patrik; Cronholm, R.O.; Heath, E.

    2017-01-01

    been developed in python. The workflow has been tested and verified using an in-house developed dosimetry system comprised of a dynamic thorax phantom constructed for plastic scintillator dosimetry. The workflow is directly compatible with any treatment planning system and can also be triggered...... by the appearance of linac log files. It has minimum user interaction and, with the use of linac log files, it provides a method for verification of the actually delivered dose in the patient geometry....

  7. Pulmonary Paragonimiasis, a rare cause of haemoptysis

    Directory of Open Access Journals (Sweden)

    Debeshwar Singh Chingakham

    2016-01-01

    Full Text Available It is a case of persistent haemoptysis presented at the OPD of the Department of Respiratory Medicine. The HRCT thorax picture showed a mass like subpleural nodule in the right lower lobe of the lung with central cavitation and adjacent bronchiectasis. CT-guided FNAC of the nodule showed oval shaped eggs of Paragonimus species in the smear prepared. Paragonimus eggs were found in the sputum and specific serological test for Paragonimus was also positive.

  8. Modeling DNA?damage-induced pneumopathy in mice: insight from danger signaling cascades

    OpenAIRE

    Wirsd?rfer, Florian; Jendrossek, Verena

    2017-01-01

    Radiation-induced pneumonitis and fibrosis represent severe and dose-limiting side effects in the radiotherapy of thorax-associated neoplasms leading to decreased quality of life or - as a consequence of treatment with suboptimal radiation doses - to fatal outcomes by local recurrence or metastatic disease. It is assumed that the initial radiation-induced damage to the resident cells triggers a multifaceted damage-signalling cascade in irradiated normal tissues including a multifactorial secr...

  9. Dose-effect studies with inhaled plutonium in beagles

    International Nuclear Information System (INIS)

    Anon.

    1982-01-01

    Data are presented for all dogs employed in current life-span dose effect studies with inhaled 239 PuO 2 , and 239 Pu nitrate. Information is presented on the estimated initial alveolar deposition, based on external thorax counts and on estimated lung weights at time of exposure. Information is also provided on the current interpretation of the most prominent clinical-pathological features associated with the death of animals

  10. A Rare Clinical Presentation of Darier’s Disease

    OpenAIRE

    Ferizi, Mybera; Begolli-Gerqari, Antigona; Luzar, Bostjan; Kurshumliu, Fisnik; Ferizi, Mergita

    2013-01-01

    Darier’s disease, also known as keratosis follicularis or dyskeratosis follicularis, is a rare disorder of keratinization. It is an autosomal dominant genodermatosis with high penetrance and variable expressivity. Its manifestation appears as hyperkeratotic papules, primarily affecting seborrheic areas on the head, neck, and thorax and less frequently on the oral mucosa. When oral manifestations are present, the palatal and alveolar mucosae are primarily affected. They are usually asymptomat...

  11. Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study.

    Science.gov (United States)

    Fagevik Olsén, Monika; Slobo, Margareta; Klarin, Lena; Caragounis, Eva-Corina; Pazooki, David; Granhed, Hans

    2016-10-28

    There is scarce knowledge of physical function and pain due to multiple rib fractures following trauma. The purpose of this follow-up was to assess respiratory and physical function, pain, range of movement and kinesiophobia in patients with multiple rib fractures who had undergone stabilizing surgery and compare with conservatively managed patients. A consecutive series of 31 patients with multiple rib fractures who had undergone stabilizing surgery were assessed >1 year after the trauma concerning respiratory and physical function, pain, range of movement in the shoulders and thorax, shoulder function and kinesiophobia. For comparison, 30 patients who were treated conservatively were evaluated with the same outcome measures. The results concerning pain, lung function, shoulder function and level of physical activity were similar in the two groups. The patients who had undergone surgery had a significantly larger range of motion in the thorax (p pain, better thoracic range of motion and physical function which would indicate that surgery is preferable. If operation technique could improve in the future with a less invasive approach, it would presumably decrease post-operative pain and the benefit of surgery would be greater than the morbidity of surgery. Patients undergoing surgery have a similar long-term recovery to those who are treated conservatively except for a better range of motion in the thorax and fewer limitations in physical function. Surgery seems to be beneficial for some patients, the question remains which patients. FoU i Sverige (R&D in Sweden), No 106121.

  12. Image quality and doses on selected studies of conventional radiology in designed hospitals

    International Nuclear Information System (INIS)

    Cardenas Herrera, Juan; Martinez Gonzalez, Alina; Machado Tejeda, Adalberto; Mora Machado, Roxana de la; Pedroso, Luis; Martinez Acosta, Ubaldo; Fiqueroa Garcia, Luisa M.

    2008-01-01

    The medical exposures have a significant contribution to the doses received by the population, although it has been given minor attention than to other exposure forms, despite of existing potentialities of reducing doses to the patients as consequence of these applications. In the last years the scientific community and international organizations have defined requirements to contribute to that the doses to the patients are the minimum ones necessary to achieve their diagnostic objective. The present work gives the results obtained in the evaluation of the image quality and doses for exams of thorax PA, lumbar spine AP and lumbar spine lateral, carried out in 2 university hospitals of Havana, as well as the contribution on this investigation to the establishment of the guidance levels in the country. During the investigation it took as reference for the reference for the evaluation of the image quality of the radiological studies the emitted criteria by European Union. The behavior of these approaches for the case of the thorax studies presented its biggest difficulties with the achievement of the approaches related with the visualization of breathing structures, being the execution percentages lower than the remaining countries of the region. In general the behaviour of the approaches of quality image in the ARCAL project. The behaviour of the image quality approaches are associated to different technical factors. The obtained results of doses for thorax PA are bigger than the recommended International Standards Basics in both hospitals. (author)

  13. Lung abscess-etiology, diagnostic and treatment options.

    Science.gov (United States)

    Kuhajda, Ivan; Zarogoulidis, Konstantinos; Tsirgogianni, Katerina; Tsavlis, Drosos; Kioumis, Ioannis; Kosmidis, Christoforos; Tsakiridis, Kosmas; Mpakas, Andrew; Zarogoulidis, Paul; Zissimopoulos, Athanasios; Baloukas, Dimitris; Kuhajda, Danijela

    2015-08-01

    Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) containing necrotic debris or fluid caused by microbial infection. It can be caused by aspiration, which may occur during altered consciousness and it usually causes a pus-filled cavity. Moreover, alcoholism is the most common condition predisposing to lung abscesses. Lung abscess is considered primary (60%) when it results from existing lung parenchymal process and is termed secondary when it complicates another process, e.g., vascular emboli or follows rupture of extrapulmonary abscess into lung. There are several imaging techniques which can identify the material inside the thorax such as computerized tomography (CT) scan of the thorax and ultrasound of the thorax. Broad spectrum antibiotic to cover mixed flora is the mainstay of treatment. Pulmonary physiotherapy and postural drainage are also important. Surgical procedures are required in selective patients for drainage or pulmonary resection. In the current review we will present all current information from diagnosis to treatment.

  14. Radiation safety concerns and diagnostic reference levels for computed tomography scanners in Tamil Nadu

    International Nuclear Information System (INIS)

    Livingstone, Roshan S.; Dinakaran, Paul M.

    2011-01-01

    Radiation safety in computed tomography (CT) scanners is of concern due its widespread use in the field of radiological imaging. This study intends to evaluate radiation doses imparted to patients undergoing thorax, abdomen and pelvic CT examinations and formulate regional diagnostic reference levels (DRL) in Tamil Nadu, South India. In-site CT dose measurement was performed in 127 CT scanners in Tamil Nadu for a period of 2 years as a part of the Atomic Energy Regulatory Board (AERB)-funded project. Out of the 127 CT scanners,13 were conventional; 53 single-slice helical scanners (SSHS); 44 multislice CT (MSCT) scanners; and 17 refurbished scanners. CT dose index (CTDI) was measured using a 32-cm polymethyl methacrylate (PMMA)-body phantom in each CT scanner. Dose length product (DLP) for different anatomical regions was generated using CTDI values. The regional DRLs for thorax, abdomen and pelvis examinations were 557, 521 and 294 mGy cm, respectively. The mean effective dose was estimated using the DLP values and was found to be 8.04, 6.69 and 4.79 mSv for thorax, abdomen and pelvic CT examinations, respectively. The establishment of DRLs in this study is the first step towards optimization of CT doses in the Indian context. (author)

  15. Influence of 'optical illusion' on the detectability of pneumothorax in diagnosis for chest CT images. Substantiation by visual psychological simulation images

    International Nuclear Information System (INIS)

    Henmi, Shuichi

    2008-01-01

    Some cases have been reported in which an optical illusion of lightness perception influences the detectability in diagnosis of low-density hematoma in head CT images in addition to the visual impression of the photographic density of the brain. Therefore, in this study, the author attempted to compare the detectability in diagnosis for chest images with pneumothorax using visual subjective evaluation, and investigated the influence of optical illusion on that detectability in diagnosis. Results indicated that in the window setting of lung, on such an occasion when the low-absorption free space with pneumothorax forms a crescent or the reduced lung borders on the chest-wall, an optical illusion in which the visual impression on the difference of the film contrast between the lung and the low-absorption free space with pneumothorax was psychologically emphasized when contrast was observed. In all cases the detectability in diagnosis for original images with the white thorax and mediastinum was superior to virtual images. Further, in case of the virtual double window setting of lung, thorax, and mediastinum, under the influence of the difference in the radiological anatomy of thorax and mediastinum as a result of the grouping theories of lightness computation, an optical illusion different from the original images was observed. (author)

  16. The Biomechanics of the Modern Golf Swing: Implications for Lower Back Injuries.

    Science.gov (United States)

    Cole, Michael H; Grimshaw, Paul N

    2016-03-01

    The modern golf swing is a complex and asymmetrical movement that places an emphasis on restricting pelvic turn while increasing thorax rotation during the backswing to generate higher clubhead speeds at impact. Increasing thorax rotation relative to pelvic rotation preloads the trunk muscles by accentuating their length and allowing them to use the energy stored in their elastic elements to produce more power. As the thorax and pelvis turn back towards the ball during the downswing, more skilled golfers are known to laterally slide their pelvis toward the target, which further contributes to final clubhead speed. However, despite the apparent performance benefits associated with these sequences, it has been argued that the lumbar spine is incapable of safely accommodating the forces they produce. This notion supports a link between the repeated performance of the golf swing and the development of golf-related low back injuries. Of the complaints reported by golfers, low back injuries continue to be the most prevalent, but the mechanism of these injuries is still poorly understood. This review highlights that there is a paucity of research directly evaluating the apparent link between the modern golf swing and golf-related low back pain. Furthermore, there has been a general lack of consensus within the literature with respect to the methods used to objectively assess the golf swing and the methods used to derived common outcome measures. Future research would benefit from a clear set of guidelines to help reduce the variability between studies.

  17. Value of Multidetector Computed Tomography in Assessing Blunt Multitrauma Patients

    Energy Technology Data Exchange (ETDEWEB)

    Ahvenjaervi, L.; Mattila, L.; Ojala, R.; Tervonen, O. [Oulu Univ. Hospital (Finland). Dept. of Diagnostic Radiology

    2005-04-01

    Purpose: To find out if multidetector computed tomography (MDCT), using a dedicated trauma protocol, provides sufficient diagnostic information of the injuries of blunt multitrauma patients to enable the planning of treatment for all body compartments. Material and Methods: One-hundred-and-thirty-three patients exposed to high-energy trauma were referred and scanned with the standardized MDCT multitrauma protocol. The imaging protocol consisted of axial scanning of the head and helical scanning of the facial bones, cervical spine, thorax, abdomen, and pelvis. The scanning times were 12 s for the head, 19-21 s for the facial bones and cervical spine (1 mm collimation), and 32-50 s for the thorax, abdomen, and pelvis (2 mm collimation). One-hundred-and-forty milliliters of non-iodinated contrast material (300 mg I/ml) was administered intravenously at 3 ml/s. Results: Ninety-nine of the patients (74%) had at least one finding consistent with trauma. The most frequent findings were in the thorax in 58 patients (44%). Nineteen false-negative findings and two false-positive findings were made. The overall sensitivity of MDCT was 94%, specificity 100%, and accuracy 97%. Conclusion: MDCT is accurate in the assessment of blunt multitrauma patients. The decision to treat the patient can be made on the basis of MDCT with a reasonable level of certainty.

  18. Evaluation of dose from kV cone-beam computed tomography during radiotherapy: a comparison of methodologies

    Science.gov (United States)

    Buckley, J.; Wilkinson, D.; Malaroda, A.; Metcalfe, P.

    2017-01-01

    Three alternative methodologies to the Computed-Tomography Dose Index for the evaluation of Cone-Beam Computed Tomography dose are compared, the Cone-Beam Dose Index, IAEA Human Health Report No. 5 recommended methodology and the AAPM Task Group 111 recommended methodology. The protocols were evaluated for Pelvis and Thorax scan modes on Varian® On-Board Imager and Truebeam kV XI imaging systems. The weighted planar average dose was highest for the AAPM methodology across all scans, with the CBDI being the second highest overall. A 17.96% and 1.14% decrease from the TG-111 protocol to the IAEA and CBDI protocols for the Pelvis mode and 18.15% and 13.10% decrease for the Thorax mode were observed for the XI system. For the OBI system, the variation was 16.46% and 7.14% for Pelvis mode and 15.93% to the CBDI protocol in Thorax mode respectively.

  19. The prevalence of adrenal incidentaloma in routine clinical practice.

    LENUS (Irish Health Repository)

    Davenport, Colin

    2011-03-10

    The prevalence of adrenal incidentaloma (AI) on computed tomography (CT) in the general population has been reported to be as high as 4.2%. However, many of the previous studies in this field utilised a prospective approach with analysis of CT scans performed by one or more radiologists with a specialist interest in adrenal tumours and a specific focus on identifying the presence of an adrenal mass. A typical radiology department, with a focus on the patient\\'s presenting complaint as opposed to the adrenal gland, may not be expected to diagnose as many adrenal incidentalomas as would be identified in a dedicated research protocol. We hypothesised that the number of AI reported in routine clinical practice is significantly lower than the published figures would suggest. We retrospectively reviewed the reports of all CT thorax and abdomen scans performed in our hospital over a 2 year period. 3,099 patients underwent imaging, with 3,705 scans performed. The median age was 63 years (range 18-98). Thirty-seven true AI were diagnosed during the time period studied. Twenty-two were diagnosed by CT abdomen (22\\/2,227) and 12 by CT thorax (12\\/1,478), a prevalence of 0.98 and 0.81% with CT abdomen and thorax, respectively, for AI in routine clinical practice.

  20. The prevalence of adrenal incidentaloma in routine clinical practice.

    LENUS (Irish Health Repository)

    Davenport, Colin

    2012-02-01

    The prevalence of adrenal incidentaloma (AI) on computed tomography (CT) in the general population has been reported to be as high as 4.2%. However, many of the previous studies in this field utilised a prospective approach with analysis of CT scans performed by one or more radiologists with a specialist interest in adrenal tumours and a specific focus on identifying the presence of an adrenal mass. A typical radiology department, with a focus on the patient\\'s presenting complaint as opposed to the adrenal gland, may not be expected to diagnose as many adrenal incidentalomas as would be identified in a dedicated research protocol. We hypothesised that the number of AI reported in routine clinical practice is significantly lower than the published figures would suggest. We retrospectively reviewed the reports of all CT thorax and abdomen scans performed in our hospital over a 2 year period. 3,099 patients underwent imaging, with 3,705 scans performed. The median age was 63 years (range 18-98). Thirty-seven true AI were diagnosed during the time period studied. Twenty-two were diagnosed by CT abdomen (22\\/2,227) and 12 by CT thorax (12\\/1,478), a prevalence of 0.98 and 0.81% with CT abdomen and thorax, respectively, for AI in routine clinical practice.

  1. The earliest history of diaphragm physiology.

    Science.gov (United States)

    Derenne, J P; Debru, A; Grassino, A E; Whitelaw, W A

    1994-12-01

    The diaphragm was recognized as a distinct anatomical structure in the earliest Greek writings. However, the precise description of wounds suffered by warriors during the Trojan war by Homer was not tied to any particular function. The diaphragm was assimilated to the region that harbours thought. The first physiologic explanations of respiration by Empedocles in the 5th century BC and the concepts introduced by Plato and Hippocrates did not include a significant participation of the diaphragm. Aristole was the first to link respiration to a particular organ and a specific movement of the thorax. However, he considered that it was the heart which caused the lungs to expand by heating them, and the lungs in turn forced the thorax to dilate, a concept which was to survive until the 17th century. As in Aristole's theory the diaphragm played no role in respiration and was just a fence separating the thorax from the abdomen. A major break through occurred in Alexandria in the 4th and 3rd century BC: Herophilus was the first to recognize that muscles were the agents of movement and Erasistratus performed animal experiments which showed that the respiratory muscles were the agents of respiratory movements, thus opening the way to the later discoveries of Galen.

  2. Assessing breathing motion by shape matching of lung and diaphragm surfaces

    Science.gov (United States)

    Urschler, Martin; Bischof, Horst

    2005-04-01

    Studying complex thorax breating motion is an important research topic for accurate fusion of functional and anatomical data, radiotherapy planning or reduction of breathing motion artifacts. We investigate segmented CT lung, airway and diaphragm surfaces at several different breathing states between Functional Residual and Total Lung Capacity. In general, it is hard to robustly derive corresponding shape features like curvature maxima from lung and diaphragm surfaces since diaphragm and rib cage muscles tend to deform the elastic lung tissue such that e.g. ridges might disappear. A novel registration method based on the shape context approach for shape matching is presented where we extend shape context to 3D surfaces. The shape context approach was reported as a promising method for matching 2D shapes without relying on extracted shape features. We use the point correspondences for a non-rigid thin-plate-spline registration to get deformation fields that describe the movement of lung and diaphragm. Our validation consists of experiments on phantom and real sheep thorax data sets. Phantom experiments make use of shapes that are manipulated with known transformations that simulate breathing behaviour. Real thorax data experiments use a data set showing lungs and diaphragm at 5 distinct breathing states, where we compare subsets of the data sets and qualitatively and quantitatively asses the registration performance by using manually identified corresponding landmarks.

  3. Mis-specified cells die by an active gene-directed process, and inhibition of this death results in cell fate transformation in Drosophila

    Science.gov (United States)

    Werz, Christian; Lee, Tom V.; Lee, Peter L.; Lackey, Melinda; Bolduc, Clare; Stein, David S.; Bergmann, Andreas

    2009-01-01

    Summary Incorrectly specified or mis-specified cells often undergo cell death or are transformed to adopt a different cell fate during development. The underlying cause for this distinction is largely unknown. In many developmental mutants in Drosophila, large numbers of mis-specified cells die synchronously, providing a convenient model for analysis of this phenomenon. The maternal mutant bicoid is particularly useful model with which to address this issue because its mutant phenotype is a combination of both transformation of tissue (acron to telson) and cell death in the presumptive head and thorax regions. We show that a subset of these mis-specified cells die through an active gene-directed process involving transcriptional upregulation of the cell death inducer hid. Upregulation of hid also occurs in oskar mutants and other segmentation mutants. In hid bicoid double mutants, mis-specified cells in the presumptive head and thorax survive and continue to develop, but they are transformed to adopt a different cell fate. We provide evidence that the terminal torso signaling pathway protects the mis-specified telson tissue in bicoid mutants from hid-induced cell death, whereas mis-specified cells in the head and thorax die, presumably because equivalent survival signals are lacking. These data support a model whereby mis-specification can be tolerated if a survival pathway is provided, resulting in cellular transformation. PMID:16280349

  4. Configuration and localization of the nipple-areola complex in men.

    Science.gov (United States)

    Beer, G M; Budi, S; Seifert, B; Morgenthaler, W; Infanger, M; Meyer, V E

    2001-12-01

    The causes of bilateral absence of the nipple-areola complex in men are seldom congenital, but attributable rather to destruction as a result of trauma, or after mastectomy in female-to-male transsexuals and in male breast cancer, or after the correction of extreme bilateral gynecomastia. Such a bilateral loss becomes a major reconstructive challenge with respect to the configuration and localization of a new nipple-areola complex. Because there is very little information available in the literature, we carried out a cross-sectional study on the configuration and localization of the nipple-areola complex in men.A total of 100 healthy men aged 20 to 36 years were examined under standardized conditions. The first part of the study dealt with the configuration of the nipple-areola complex (dimensions, round or oval shape). The second part concentrated on the localization of the complex on the thoracic wall with respect to anatomic landmarks and in correlation to various parameters such as weight and height of the body, circumference of the thorax, length of sternum, and position in the intercostal space. Of the 100 subjects examined, 91 had oval and seven had a round nipple-areola complex. An asymmetry between the right and the left side was found in two cases. The mean ratio of the horizontal/vertical diameter of an oval nipple-areola complex was 27:20 mm and the mean diameter for a round nipple-areola complex was 23 mm. The center of the nipple-areola complex was in the fourth intercostal space in 75 percent and in the fifth intercostal space in 23 percent of the subjects. To localize the nipple-areola complex on the thoracic wall de novo, at least two reproducible measurements proved to be necessary, composed of a horizontal line (distance from the midsternal line to the nipple = A) and a vertical line (distance from the sternal notch to the intersection of line A, = B). The closest correlation for the horizontal distance A was given by the circumference of the

  5. Operator radiation exposure during right or left transradial coronary angiography: A phantom study

    International Nuclear Information System (INIS)

    Sciahbasi, Alessandro; Rigattieri, Stefano; Sarandrea, Alessandro; Cera, Maria; Di Russo, Cristian; Fedele, Silvio; Romano, Silvio; Pugliese, Francesco Rocco; Penco, Maria

    2015-01-01

    Background: Previous studies showed a possible lower radiation dose absorbed by operators comparing LRA and RRA for percutaneous coronary procedures. The reasons of this lower radiation dose are not well known. The aim of this study was to evaluate the radiation dose absorbed by operators comparing left with right radial access (LRA and RRA respectively) during a simulated diagnostic coronary angiography using a phantom. Methods: A coronary angiography examination was simulated on a phantom by 5 operators using eight projections with 5 seconds fluoroscopy each. Each operator was equipped with 4 electronic dosimeters placed at thorax, at left wrist, at left head and at hip level. Radiation doses were expressed in picosievert and normalized by dose area product. Results: LRA compared to RRA was associated with a significant lower operator dose at wrist (36 pSv/cGYcm"2 [IQR 18–59 pSv/cGYcm"2] and 48 pSv/cGYcm"2 [IQR 22–148 pSv/cGYcm"2] respectively, p = 0.01) and thorax (3 pSv/cGYcm"2 [IQR 2–5 pSv/cGYcm"2] and 10 pSv/cGYcm"2 [6–23 pSv/cGYcm"2] respectively, p < 0.001) but with a significant higher radiation dose at hip level (102 pSv/cGYcm"2 [IQR 44–199 pSv/cGYcm"2] and 67 pSv/cGYcm"2 [IQR 39–132 pSv/cGYcm"2] respectively, p = 0.02). Conversely the radiation dose at left side of the head did not show significant differences between the two approaches. Conclusions: In this phantom study simulating a diagnostic coronarography the use of LRA compared to RRA was associated with a significant lower radiation dose at wrist and thorax but with an increased dose at hip level. Summary: To evaluate the radiation dose absorbed by operators comparing left with right radial access (LRA and RRA respectively) we simulated a diagnostic coronary angiography using a dedicated phantom. Operators were equipped with dedicated electronic dosimeters at wrist, hip, head and thorax level. LRA compared to RRA was associated with a significant lower operator dose at wrist and thorax

  6. Variation of gunshot injury patterns in mortality associated with human rights abuses and armed conflict: an exploratory study.

    Science.gov (United States)

    Baraybar, Jose Pablo

    2015-09-01

    The analysis of the distribution of gunshot injuries in a sample of 777 sets of human remains of proven human rights abuse from Somaliland, the Balkans and Peru is compared to frequencies of injuries sustained by combatants in contemporary conflicts reported in the literature. Principal Component Analysis (PCA) reduced the data to three components accounting for 82.94% of the variance. The first component with 38.31% of variance shows segments Arms and thorax/abdomen to be positively correlated (0.887 and 0.662, respectively); the segment head/neck is strongly correlated (0.951) to the second component while the segment thorax/abdomen shows a low, negative correlation (-0.388). Finally in the third component only the legs are strongly correlated (0.991). Data was further subjected to a K-means cluster analysis to determine the likely groupings combining the four types of injuries. Each of the three clusters reproduced similar patterns observed in the PCA: Cluster 1 shows the prevalence of injuries to the thorax/abdomen and extremities in addition to injuries to the head/neck; Cluster 2 shows injuries to the head/neck and Cluster 3 injuries to the thorax/abdomen and a lower representation of the arms and legs. Most of the cases (70.5%), irrespective of geography and type of site (attack or detention), were grouped into Cluster 2. Such comparison shows that in human rights abuse, irrespective of their geography, gunshot injuries tend to follow a pattern favouring the head/neck and thorax/abdomen areas over the extremities, the reverse pattern observed in contemporary combat operations. In those settings gunshot wound trauma is the second cause of mortality/morbidity (after fragmenting ammunition) and its distribution concentrates on the extremities, thorax/abdomen and head; following the pattern of protective armour when it is used. Considering that human rights abuses are often presented as encounters between two armed groups in the context of counter

  7. Seed loss in prostate brachytherapy. Operator dependency and impact on dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    El-Bared, Nancy; Sebbag, Natanel; Beliveau-Nadeau, Dominic; Hervieux, Yannick; Larouche, Renee; Taussky, Daniel; Delouya, Guila [Centre hospitalier de l' Universite de Montreal - Hopital Notre-Dame, Departement de Radio-Oncologie, Montreal, QC (Canada)

    2016-05-15

    The aim of our study was to review seed loss and its impact on dosimetry as well as the influence of the treating physician on seed loss and dosimetry in patients treated with prostate brachytherapy using permanent loose {sup 125}I implant. We analyzed 1087 consecutive patients treated by two physicians between July 2005 and April 2015 at a single institution. Pelvic fluoroscopic imaging was done 30 days post implant and a chest X-ray when seed loss was observed. Seed loss occurred in 19.4 % of patients: in 20.0 % of implants done by the most experienced physician and in 17.2 % by the less experienced physician (p = 0.4) and migration to the thorax occurred in 5.9 % (6.9 vs. 2.2 %, p = 0.004). The mean seed loss rate was 0.57 % [standard deviation (SD) 1.39] and the mean rate of seeds in the thorax was 0.14 % (SD 0.65). The most experienced physician had a higher mean number of seeds lost: 0.36 versus 0.25 (p = 0.055), and a higher mean number of seed migration to the thorax: 0.1 versus 0.02 (p < 0.001). When at least one seed was lost, a decrease of 4.2 Gy (p < 0.001) in the D90 and a decrease of 3.5 % (p = 0.002) in the V150 was observed. We found a significant decrease in V150 and D90 with the occurrence of seed loss. Furthermore, we found a difference in seed migration among the physicians demonstrating that seed loss is operator dependant. (orig.) [German] Wir analysierten den Prozentsatz des Seed-Verlusts sowie den Einfluss von Arzterfahrung und Seed-Abgang auf die Dosimetrie bei Patienten, die mit einer Prostata-Brachytherapie mit permanent beweglichen {sup 125}I-Implantaten behandelt wurden. Eingeschlossen in diese Studie wurden alle zwischen Juli 2005 und April 2015 an unserem Krankenhaus von zwei Aerzten konsekutiv behandelten 1087 Patienten. Anhand fluoroskopischer Bilder wurden noch vorhandene Seeds 30 Tage nach dem Eingriff gezaehlt. Bei unvollstaendiger Seed-Anzahl wurde ein Thorax-Roentgenbild angefertigt. In 19% der Patienten ging mindestens ein

  8. Kinetics and sites of destruction of 111In-oxine-labeled platelets in idiopathic thrombocytopenic purpura: a quantitative study

    International Nuclear Information System (INIS)

    Heyns, A.D.; Loetter, M.G.; Badenhorst, P.N.; de Kock, F.; Pieters, H.; Herbst, C.; van Reenen, O.R.; Kotze, H.; Minnaar, P.C.

    1982-01-01

    Kinetics and quantification of the sites of destruction of 111 In-oxine-labeled autologous platelets were investigated in eight patients with idiopathic thrombocytopenic purpura. The mean platelet count was 17 +/- 9 X 10(9)/liter; platelets were separated by differential centrifugation and labeled with 5.6 +/- 2.5 MBq 111 In. Whole body and organ 111 In-platelet distribution was quantitated with a scintillation camera and a computer-assisted imaging system acquisition matrix. Areas of interest were selected with the computer and organ 111 In-radioactivity expressed as a percentage of whole body activity. Mean platelet survival was 49.5 +/- 29.6 hr and the survival curves were exponential. Equilibrium percentage organ 111 In-radioactivity was (normal values in parentheses): spleen 33.7 +/- 8.8 (31.1 +/- 10.2); liver 16.1 +/- 9.5 (13.1 +/- 1.3); thorax 22.8 +/- 3.7 (28.2 +/- 5.6). Percentage organ 111 In-activity at the time when labeled platelets had disappeared from the circulation was: spleen 44.5 +/- 16.4 (40 +/- 16); liver 16.0 +/- 11.5 (32.4 +/- 7.2); thorax 19.7 +/- 6.0 (17.7 +/- 10.3). Thorax activity corresponds to bone marrow radioactivity. Three patterns of platelet sequestration were evident. Three patients had mainly splenic sequestration, two mainly hepatic sequestration, and three diffuse reticuloendothelial system sequestration with a major component of platelets destroyed in the bone marrow. Splenectomy was performed in two patients. The pattern of 111 In-platelet sequestration was not predictive of response of glucocorticoid therapy or indicative of the necessity for splenectomy. Quantitative 111 In-labeled autologous platelet kinetic studies provide a new tool for the investigation of platelet disorders.U

  9. Does size matter? - Thermoregulation of 'heavyweight' and 'lightweight' wasps (Vespa crabro and Vespula sp.).

    Science.gov (United States)

    Kovac, Helmut; Stabentheiner, Anton

    2012-09-15

    In insect groups with the ability of endothermy, the thermoregulatory capacity has a direct relation to body mass. To verify this relationship in vespine wasps, we compared the thermoregulation of hornets (Vespa crabro), the largest species of wasps in Central Europe, with two smaller wasps (Vespula vulgaris and Vespula germanica) in the entire range of ambient temperature (T(a): ~0-40°C) where the insects exhibited foraging flights.Despite the great difference in body weight of Vespula (V. vulgaris: 84.1±19.0 mg, V. germanica: 74.1±9.6 mg) and Vespa (477.5±59.9 mg), they exhibited similarities in the dependence of thorax temperature on T(a) on their arrival (mean T(th) = 30-40°C) and departure (mean T(th) = 33-40°C) at the nest entrance. However, the hornets' thorax temperature was up to 2.5°C higher upon arrival and up to 3°C lower at departure. The thorax temperature excess (T(th)-T(a)) above ambient air of about 5-18°C indicates a high endothermic capacity in both hornets and wasps. Heat gain from solar radiation elevated the temperature excess by up to 1°C. Results show that hornets and wasps are able to regulate their body temperature quite well, even during flight. A comparison of flight temperature with literature reports on other vespine wasps revealed a dependence of the T(th) on the body mass in species weighing less than about 200 mg.

  10. Does size matter? – Thermoregulation of ‘heavyweight’ and ‘lightweight’ wasps (Vespa crabro and Vespula sp.)

    Science.gov (United States)

    Kovac, Helmut; Stabentheiner, Anton

    2012-01-01

    Summary In insect groups with the ability of endothermy, the thermoregulatory capacity has a direct relation to body mass. To verify this relationship in vespine wasps, we compared the thermoregulation of hornets (Vespa crabro), the largest species of wasps in Central Europe, with two smaller wasps (Vespula vulgaris and Vespula germanica) in the entire range of ambient temperature (Ta: ∼0–40°C) where the insects exhibited foraging flights. Despite the great difference in body weight of Vespula (V. vulgaris: 84.1±19.0 mg, V. germanica: 74.1±9.6 mg) and Vespa (477.5±59.9 mg), they exhibited similarities in the dependence of thorax temperature on Ta on their arrival (mean Tth  =  30–40°C) and departure (mean Tth  =  33–40°C) at the nest entrance. However, the hornets' thorax temperature was up to 2.5°C higher upon arrival and up to 3°C lower at departure. The thorax temperature excess (Tth−Ta) above ambient air of about 5–18°C indicates a high endothermic capacity in both hornets and wasps. Heat gain from solar radiation elevated the temperature excess by up to 1°C. Results show that hornets and wasps are able to regulate their body temperature quite well, even during flight. A comparison of flight temperature with literature reports on other vespine wasps revealed a dependence of the Tth on the body mass in species weighing less than about 200 mg. PMID:23162695

  11. Role of Scintigraphy with Technetium-99m Depreotide in the Diagnosis and Management of Patients with Suspected Lung Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Axelsson, R.; Herlin, G.; Baaaath, M.; Aspelin, P.; Koelbeck, K.G. (Div. of Radiology, Dept. of Clinical Science, Intervention and Technology (CLINTEC), and Div. of Pulmonary Medicine and Allergology, Dept. of Medicine, Karolinska Inst., Stockholm (Sweden))

    2008-04-15

    Background: In Sweden, there are over 3000 new lung cancer cases every year. There are still numerous patients with undetermined lesions after routine diagnostic evaluation by clinical examination, chest radiography, computed tomography (CT) of the thorax, and bronchoscopy. An appropriate method for further diagnostic workup is therefore needed. Purpose: To evaluate the diagnostic value of the somatostatin analogue depreotide in patients with suspected lung cancer, and to determine in which clinical settings it would be beneficial to use 99mTc-depreotide scintigraphy. Material and Methods: We included 99 consecutive patients referred to our hospital with suspected lung cancer. A clinical examination, bronchoscopy, chest radiography, CT of the thorax and upper abdomen, and scintigraphy were done. Scintigraphy was performed after injection of 740 MBq 99mTc depreotide with tomographical imaging of the thorax and whole-body scanning. The diagnostic outcome of the scintigrams was compared to CT, using morphology or clinical outcome as the endpoint. Results: 99mTc-depreotide uptake was found in 62 out of 66 malignancies, including 57 of 58 primary lung cancer cases. Two cases of lung metastasis (one from a colon cancer and one from an adenoid cystic carcinoma originating in the palate) and one rib chondrosarcoma did not show depreotide uptake. There were 33 patients with benign lesions, of whom 16 displayed false-positive 99mTc-depreotide uptake, whereof 11 were pneumonias. Tc-99m-depreotide uptake was absent in 17 patients with benign lesions, including all 10 hamartomas. The sensitivity in detecting malignancy was 94%, and in detecting lung cancer 98%. The specificity was calculated based on two sets of data. When all cases were used, the specificity was 52%. If the 12 pneumonias are excluded, the specificity was 77%. Conclusion: 99mTc-depreotide scintigraphy has a high sensitivity in detecting lung cancer. The method is useful in decision-making with respect to

  12. SU-F-I-12: Region-Specific Dictionary Learning for Low-Dose X-Ray CT Reconstruction

    International Nuclear Information System (INIS)

    Xu, Q; Han, H; Xing, L

    2016-01-01

    Purpose: Dictionary learning based method has attracted more and more attentions in low-dose CT due to the superior performance on suppressing noise and preserving structural details. Considering the structures and noise vary from region to region in one imaging object, we propose a region-specific dictionary learning method to improve the low-dose CT reconstruction. Methods: A set of normal-dose images was used for dictionary learning. Segmentations were performed on these images, so that the training patch sets corresponding to different regions can be extracted out. After that, region-specific dictionaries were learned from these training sets. For the low-dose CT reconstruction, a conventional reconstruction, such as filtered back-projection (FBP), was performed firstly, and then segmentation was followed to segment the image into different regions. Sparsity constraints of each region based on its dictionary were used as regularization terms. The regularization parameters were selected adaptively according to different regions. A low-dose human thorax dataset was used to evaluate the proposed method. The single dictionary based method was performed for comparison. Results: Since the lung region is very different from the other part of thorax, two dictionaries corresponding to lung region and the rest part of thorax respectively were learned to better express the structural details and avoid artifacts. With only one dictionary some artifact appeared in the body region caused by the spot atoms corresponding to the structures in the lung region. And also some structure in the lung regions cannot be recovered well by only one dictionary. The quantitative indices of the result by the proposed method were also improved a little compared to the single dictionary based method. Conclusion: Region-specific dictionary can make the dictionary more adaptive to different region characteristics, which is much desirable for enhancing the performance of dictionary learning

  13. Three-dimensional morphometrics of thoracic vertebrae in Neandertals and the fossil evidence from El Sidrón (Asturias, Northern Spain).

    Science.gov (United States)

    Bastir, Markus; García Martínez, Daniel; Rios, Luis; Higuero, Antonio; Barash, Alon; Martelli, Sandra; García Tabernero, Antonio; Estalrrich, Almudena; Huguet, Rosa; de la Rasilla, Marco; Rosas, Antonio

    2017-07-01

    Well preserved thoracic vertebrae of Neandertals are rare. However, such fossils are important as their three-dimensional (3D) spatial configuration can contribute to the understanding of the size and shape of the thoracic spine and the entire thorax. This is because the vertebral body and transverse processes provide the articulation and attachment sites for the ribs. Dorsal orientation of the transverse processes relative to the vertebral body also rotates the attached ribs in a way that could affect thorax width. Previous research indicates possible evidence for greater dorsal orientation of the transverse processes and small vertebral body heights in Neandertals, but their 3D vertebral structure has not yet been addressed. Here we present 15 new vertebral remains from the El Sidrón Neandertals (Asturias, Northern Spain) and used 3D geometric morphometrics to address the above issues by comparing two particularly well preserved El Sidrón remains (SD-1619, SD-1641) with thoracic vertebrae from other Neandertals and a sample of anatomically modern humans. Centroid sizes of El Sidrón vertebrae are within the human range. Neandertals have larger T1 and probably also T2. The El Sidrón vertebrae are similar in 3D shape to those of other Neandertals, which differ from Homo sapiens particularly in central-lower regions (T6-T10) of the thoracic spine. Differences include more dorsally and cranially oriented transverse processes, less caudally oriented spinous processes, and vertebral bodies that are anteroposteriorly and craniocaudally short. The results fit with current reconstructions of Neandertal thorax morphology. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Micro x-ray absorption spectroscopic analysis of arsenic localization and biotransformation in Chironomus riparius Meigen (Diptera: Chironomidae) and Culex tarsalis Coquillett (Culicidae)

    International Nuclear Information System (INIS)

    Mogren, Christina L.; Webb, Samuel M.; Walton, William E.; Trumble, John T.

    2013-01-01

    The distribution and speciation of arsenic (As) were analyzed in individuals of various life stages of a midge, Chironomus riparius, and the mosquito Culex tarsalis exposed to 1000 μg/l arsenate. X-ray absorption spectroscopy (XAS) revealed that C. riparius larvae accumulate As in their midgut, with inorganic arsenate [As(V)] being the predominant form, followed by arsenite [As(III)] and an As-thiol. Reduced concentrations of As in pupal and adult stages of C. riparius indicate excretion of As between the larval and pupal stages. In adults, As was limited to the thorax, and the predominant form was an As-thiol. In Cx. tarsalis, As was not found in high enough concentrations to determine As speciation, but the element was distributed throughout the larva. In adults, As was concentrated in the thorax and eyes of adults. These results have implications for understanding the biotransformation of As and its movement from aquatic to terrestrial environments. -- Highlights: •C. riparius larvae reduced arsenate to arsenite in the midgut. •C. riparius larvae accumulated As in the midgut, with 27% as a transformed As-thiol. •C. riparius adults retained As in the thorax, with 53% as As-thiol. •Larvae of Cx. tarsalis did not have a specific site of As accumulation. •Low concentrations of As in adults suggest reduced terrestrial transfer potential. -- Arsenic accumulation and biotransformation in aquatic insects is variable, but the location and speciation of As provides insight into the detoxification mechanisms of aquatic Diptera

  15. Comparison of the quality of chest compressions on a dressed versus an undressed manikin: A controlled, randomised, cross-over simulation study

    Directory of Open Access Journals (Sweden)

    Brindley Peter G

    2010-03-01

    Full Text Available Abstract Background Undressing the chest of a cardiac arrest victim may delay the initiation of chest compressions. Furthermore, expecting laypeople to undress the chest may increase bystander reluctance to perform cardiopulmonary resuscitation (CPR. Both of these factors might conceivably decrease survival following cardiac arrest. Therefore, the aim of this study was to examine if the presence or absence of clothes affected the quality of chest compressions during CPR on a simulator manikin. Methods Thirty laypeople and 18 firefighters were randomised to start CPR on the thorax of a manikin that was either clothed (three layers or not. Data were obtained via recordings from the manikin and audio- and video-recordings. Measurements were: maximum compression depth; compression rate; percentage of compressions with correct hand positioning; percentage of compressions with complete release (≤ 10 mm, and percentage of compressions of the correct depth (range 40-50 mm. Laypeople were given a four-hour European Resuscitation Council standardised course in basic life support and tested immediately after. Firefighters were tested without additional training. Mock cardiac arrest scenarios consisted of three minutes of CPR separated by 15 minutes of rest. Results No significant differences were found between CPR performed on an undressed manikin compared to a dressed manikin, for laypeople or firefighters. However, undressing the manikin was associated with a mean delay in the initiation of chest compressions by laypeople of 23 seconds (N = 15, 95% CI: 19;27. Conclusions In this simulator manikin study, there was no benefit gained in terms of how well CPR was performed by undressing the thorax. Furthermore, undressing the thorax delayed initiation of CPR by laypeople, which might be clinically detrimental for survival.

  16. Role of Scintigraphy with Technetium-99m Depreotide in the Diagnosis and Management of Patients with Suspected Lung Cancer

    International Nuclear Information System (INIS)

    Axelsson, R.; Herlin, G.; Baaaath, M.; Aspelin, P.; Koelbeck, K.G.

    2008-01-01

    Background: In Sweden, there are over 3000 new lung cancer cases every year. There are still numerous patients with undetermined lesions after routine diagnostic evaluation by clinical examination, chest radiography, computed tomography (CT) of the thorax, and bronchoscopy. An appropriate method for further diagnostic workup is therefore needed. Purpose: To evaluate the diagnostic value of the somatostatin analogue depreotide in patients with suspected lung cancer, and to determine in which clinical settings it would be beneficial to use 99m Tc-depreotide scintigraphy. Material and Methods: We included 99 consecutive patients referred to our hospital with suspected lung cancer. A clinical examination, bronchoscopy, chest radiography, CT of the thorax and upper abdomen, and scintigraphy were done. Scintigraphy was performed after injection of 740 MBq 99m Tc depreotide with tomographical imaging of the thorax and whole-body scanning. The diagnostic outcome of the scintigrams was compared to CT, using morphology or clinical outcome as the endpoint. Results: 99m Tc-depreotide uptake was found in 62 out of 66 malignancies, including 57 of 58 primary lung cancer cases. Two cases of lung metastasis (one from a colon cancer and one from an adenoid cystic carcinoma originating in the palate) and one rib chondrosarcoma did not show depreotide uptake. There were 33 patients with benign lesions, of whom 16 displayed false-positive 99m Tc-depreotide uptake, whereof 11 were pneumonias. Tc-99m-depreotide uptake was absent in 17 patients with benign lesions, including all 10 hamartomas. The sensitivity in detecting malignancy was 94%, and in detecting lung cancer 98%. The specificity was calculated based on two sets of data. When all cases were used, the specificity was 52%. If the 12 pneumonias are excluded, the specificity was 77%. Conclusion: 99m Tc-depreotide scintigraphy has a high sensitivity in detecting lung cancer. The method is useful in decision-making with respect to

  17. What Is the Best Way to Contour Lung Tumors on PET Scans? Multiobserver Validation of a Gradient-Based Method Using a NSCLC Digital PET Phantom

    International Nuclear Information System (INIS)

    Werner-Wasik, Maria; Nelson, Arden D.; Choi, Walter; Arai, Yoshio; Faulhaber, Peter F.; Kang, Patrick; Almeida, Fabio D.; Xiao, Ying; Ohri, Nitin; Brockway, Kristin D.; Piper, Jonathan W.; Nelson, Aaron S.

    2012-01-01

    Purpose: To evaluate the accuracy and consistency of a gradient-based positron emission tomography (PET) segmentation method, GRADIENT, compared with manual (MANUAL) and constant threshold (THRESHOLD) methods. Methods and Materials: Contouring accuracy was evaluated with sphere phantoms and clinically realistic Monte Carlo PET phantoms of the thorax. The sphere phantoms were 10–37 mm in diameter and were acquired at five institutions emulating clinical conditions. One institution also acquired a sphere phantom with multiple source-to-background ratios of 2:1, 5:1, 10:1, 20:1, and 70:1. One observer segmented (contoured) each sphere with GRADIENT and THRESHOLD from 25% to 50% at 5% increments. Subsequently, seven physicians segmented 31 lesions (7–264 mL) from 25 digital thorax phantoms using GRADIENT, THRESHOLD, and MANUAL. Results: For spheres 20 mm (p < 0.065) and <20 mm (p < 0.015). For digital thorax phantoms, GRADIENT was the most accurate (p < 0.01), with a mean absolute % error in volume of 10.99% (11.9% SD), followed by 25% THRESHOLD at 17.5% (29.4% SD), and MANUAL at 19.5% (17.2% SD). GRADIENT had the least systematic bias, with a mean % error in volume of –0.05% (16.2% SD) compared with 25% THRESHOLD at –2.1% (34.2% SD) and MANUAL at –16.3% (20.2% SD; p value <0.01). Interobserver variability was reduced using GRADIENT compared with both 25% THRESHOLD and MANUAL (p value <0.01, Levene’s test). Conclusion: GRADIENT was the most accurate and consistent technique for target volume contouring. GRADIENT was also the most robust for varying imaging conditions. GRADIENT has the potential to play an important role for tumor delineation in radiation therapy planning and response assessment.

  18. Does size matter? – Thermoregulation of ‘heavyweight’ and ‘lightweight’ wasps (Vespa crabro and Vespula sp.

    Directory of Open Access Journals (Sweden)

    Helmut Kovac

    2012-07-01

    In insect groups with the ability of endothermy, the thermoregulatory capacity has a direct relation to body mass. To verify this relationship in vespine wasps, we compared the thermoregulation of hornets (Vespa crabro, the largest species of wasps in Central Europe, with two smaller wasps (Vespula vulgaris and Vespula germanica in the entire range of ambient temperature (Ta: ∼0–40°C where the insects exhibited foraging flights. Despite the great difference in body weight of Vespula (V. vulgaris: 84.1±19.0 mg, V. germanica: 74.1±9.6 mg and Vespa (477.5±59.9 mg, they exhibited similarities in the dependence of thorax temperature on Ta on their arrival (mean Tth  =  30–40°C and departure (mean Tth  =  33–40°C at the nest entrance. However, the hornets' thorax temperature was up to 2.5°C higher upon arrival and up to 3°C lower at departure. The thorax temperature excess (Tth−Ta above ambient air of about 5–18°C indicates a high endothermic capacity in both hornets and wasps. Heat gain from solar radiation elevated the temperature excess by up to 1°C. Results show that hornets and wasps are able to regulate their body temperature quite well, even during flight. A comparison of flight temperature with literature reports on other vespine wasps revealed a dependence of the Tth on the body mass in species weighing less than about 200 mg.

  19. Assessment of Patients’ Entrance Skin Dose from Diagnostic X-ray Examinations at Public Hospitals of Akwa Ibom State, Nigeria

    Directory of Open Access Journals (Sweden)

    Esen Nsikan U

    2015-07-01

    Full Text Available Introduction High doses of ionizing radiation can lead to adverse health outcomes such as cancer induction in humans. Although the consequences are less evident at very low radiation doses, the associated risks are of societal importance. This study aimed at assessing entrance skin doses (ESDs in patients undergoing selected diagnostic X-ray examinations at public hospitals of Akwa Ibom State, Nigeria. Materials and Methods In total, six examinations were performed on 720 patients in this study.   CALDose_X5 software program was used in estimating ESDs based on patients’ information and technical exposure parameters. Results The estimated ESDs ranged from 0.59 to 0.61 mGy for PA and RLAT projections of the thorax, respectively. ESDs for the AP and RLAT projections of the cranium were 1.65 and 1.48 mGy, respectively. Also, ESD values for the AP view of the abdomen and pelvis were 1.89 and 1.88 mGy, respectively. The mean effective dose was within the range of 0.021-0.075 mGy for the thorax (mean= 0.037, 0.008-0.045 mGy for the cranium (mean= 0.016, 0.215-0.225 mGy for the abdomen (mean= 0.219 and 0.101-0.119 mGy for the pelvis (mean= 0.112. Conclusion The obtained results were comparable to the international reference dose levels, except for the PA projection of the thorax. Therefore, quality assurance programs are required in diagnostic X-ray units of Nigeria hospitals. The obtained findings add to the available data and can help authorities establish reference dose levels for diagnostic radiography in Nigeria.

  20. Cutaneous melanoma: hints from occupational risks by anatomic site in Swedish men

    Science.gov (United States)

    Perez-Gomez, B; Pollan, M; Gustavsson, P; Plato, N; Aragones, N; Lopez-Abente, G

    2004-01-01

    Aims: To improve knowledge of the epidemiology of melanoma by comparing occupational risks of cutaneous melanoma (CM) by anatomic site in Swedish workers. Methods: Male workers employed in 1970 and living in the country in 1960 were followed up from 1971 to 1989 using the Swedish Registers of Death and Cancer. A more specifically exposed subcohort included men reporting the same occupation in 1960 and 1970. For each location, occupational risk ratios (RRs) were extracted from Poisson regression models adjusted by age, period, town size, and geographical area. To diminish the influence of socioeconomic factors, intrasector analyses, comparing only jobs belonging to the same occupational sector, were performed. Risk patterns for different locations were compared. Results: High RRs for different sites were found among workers exposed to UV sources (dentists, physiotherapists, and lithographers), and sun exposed workers (harbour masters, and lighthouse/related work). Risk excesses were seen in fur tailors, tanners/fur dressers, patternmakers/cutters, electrical fitters/wiremen, telephone/telegraph installers/repairmen, and some glass/pottery/tile workers. Results for lower and upper limbs were significantly correlated but somewhat independent of those found in thorax, the most frequent location. Correlation between head/neck and thorax was moderate. Specific risk excesses were found for rolling mill workers in head/neck, for chimney sweeps in upper limbs, and for aircraft pilots/navigators/flight engineers in lower limbs. Conclusions: High RRs in the trunk among occupations with UV exposure from artificial sources suggest an effect not restricted to exposed sites. An unusual distribution of cases and RRs in chimney sweeps, rolling-mill, or glass/pottery/tile workers suggests local effects of exposures. The not previously reported risk excess in this job and in fur related processes, and the RR in electrical fitters and telephone/telegraph installers deserve further