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Algorithm and software to determine anenlarged liver using reliable and validmeasurements 使用可靠和有效的测量方法确定肝肿大的算法和软件
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000059
S. Parsa
Thank you very much for giving me the chance to present my point of view about the method of calculating liver size: Size of the liver is a significant indicator for recognition of illness in liver. Size of liver is also very important in planning surgery and treatments of liver. The liver has multiple functions, and many illnesses are caused by hepatomegaly. There are many methods to determine liver size; area. Liver volume is a better measure to represents the entire liver, rather than linear measurements in x, y plan. MRI and CT are both valid in the determination of liver volume; however, they are expensive to perform. CT scan has also x-ray which causes risk of cancer [1].
非常感谢您给我这个机会来介绍我对肝脏大小计算方法的看法:肝脏的大小是识别肝脏疾病的重要指标。肝脏的大小对肝脏的手术和治疗也很重要。肝脏有多种功能,许多疾病都是由肝肿大引起的。确定肝脏大小的方法有很多;区域。肝脏体积比x, y平面的线性测量更能代表整个肝脏。MRI和CT对肝脏体积的测定均有效;然而,它们的执行成本很高。CT扫描也有x射线,这可能会导致癌症。
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引用次数: 0
A rare case of incidentally detected renal replacement lipomatosis 偶然发现肾脏替代脂肪瘤病1例
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000063
Sanjib K. Das
We present a case of incidentally detected renal replacement lipomatosis in an Indian patient of 90 years who presented to us for chest evaluation. On Chest X-ray, we didn't find any chest abnormality except scoliosis. A staghorn calculus of size 5.5*3.7 cm was noted in left kidney for which a noncontrast CT scan was ordered. NCCT revealed a staghorn calculus in left renal pelvis with replacement lipomatosis, atrophic cortical parenchyma and patchy areas of low attenuation in renal parenchyma.
我们提出一个病例偶然发现肾脏替代脂肪瘤病在一个印度病人90岁谁提出了胸部评估。在胸部x光片上,除了脊柱侧凸外,我们没有发现任何胸部异常。左肾见鹿角结石,大小5.5*3.7 cm,行CT平扫。NCCT示左肾盂鹿角结石伴替代性脂肪瘤,皮质实质萎缩,肾实质呈斑片状低衰减区。
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引用次数: 0
Correction of the angular emissivity ofhuman skin for clinical thermal imaging 临床热成像中人体皮肤角发射率的校正
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000068
Boaz Arnon, Kahana Oria, Y. Arieli
Clinical thermal imaging is based on the postulation that cancerous tissue is warmer due to enhanced metabolism and increased blood supply. The thermal map of a skin is obtained by imaging the skin by a thermal camera where the amounts of heat energy received by the camera's detectors are interpreted in terms of a distribution of the skin temperature. However, it is well known that the amount of heat energy emitted by a surface also depends on the emissivity of the surface. Theoretical and experimental results have shown that the emissivity depends on the viewing angle of the surface, i.e., the angle between the imaging axis and the normal to the surface. These results indicate a significant fall in the emissivity when the viewing angle is increased beyond 60°, which leads to inaccurate temperature mapping. In our study, several human bodies were thermal mapped in incrementally varying angle from 0° to 90° and the thermal maps were compared. The acquired experimental data was processed to obtain a correction formula for calibrating the measurement error due to the emissivity dependence on the viewing angle. Using the correction formula, the measurements at different viewing angles were calibrated, compared and statistically tested to assess the empirical correction formula.
临床热成像是基于这样一种假设,即由于代谢增强和血液供应增加,癌组织变暖。皮肤的热图是通过热像仪对皮肤进行成像获得的,热像仪的探测器接收的热能量根据皮肤温度的分布进行解释。然而,众所周知,表面发出的热能也取决于表面的发射率。理论和实验结果表明,发射率取决于表面的视角,即成像轴与表面法线之间的夹角。这些结果表明,当视角增加到60°以上时,发射率会显著下降,从而导致温度映射不准确。在我们的研究中,对几个人体进行了从0°到90°的增量角度的热图绘制,并对热图进行了比较。对采集到的实验数据进行处理,得到校正发射率随观测角度变化而产生的测量误差的修正公式。利用修正公式,对不同视角下的测量值进行校准、比较和统计检验,以评估经验修正公式。
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引用次数: 2
Role of CT volumetry following gastricplication surgery in morbid obesity:Initial experience in correlatingpostoperative gastric pouch volumewith clinical weight loss 胃狭窄手术后CT体积测量在病态肥胖中的作用:术后胃袋体积与临床体重减轻的初步研究
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000065
Wessam AbdelrahmanElzayat, Mona ElKalioubie, M. Hassan
Background: Laparoscopic greater curve gastric plication (LGCP) surgery recently emerged as a new bariatric procedure, currently marketed for weight reduction especially in poor developing countries. Objective: The objective of this pilot study was to present initial results of correlation between CT volumetric variations in the residual gastric pouch following LGCP with weight loss in morbidly obese Egyptian patients over a one-year follow-up period. Patients & methods: Forty morbidly obese females (mean age 33.8 +/- 9.1) underwent LGCP. Abdominal multi-slice computed tomography (MSCT) was done, immediately after oral administration of effervescent granules at 1 & 12 months postoperatively. Gastric pouch volumes were measured on 3-dimensional (3-D) masks and correlated with weight loss. Results: All surgeries were performed safely with significant decrease in the mean weight at 1 year follow-up relative to mean pre-operative weight (p=0.0010) and 1 month post-operative weight (p=0.0091). CT evaluation of gastric volumes following LGCP was successful in all cases. The mean CT volume of the gastric pouch at 1 year followup showed significant increase relative to mean volume at 1 month post-operative (p=0.0024). After 1 year, a non significant weak negative correlation was found between the percentage of gastric pouch volume increase and the percentage of weight loss (r=-0.0656, p=0.86). Conclusion: LGCP is safe and successful in achieving significant weight loss in obese Egyptian patients at a low cost. 3-D MSCT volumetry allows non-invasive, important anatomical evaluation, helpful in the postoperative follow-up. Further evaluations with greater samples and longer follow-up will help confirm clinical relevance.
背景:腹腔镜大弯曲胃应用手术(LGCP)最近成为一种新的减肥手术,目前在市场上用于减肥,特别是在贫穷的发展中国家。目的:这项初步研究的目的是在为期一年的随访期间,对埃及病态肥胖患者进行LGCP后残余胃袋的CT体积变化与体重减轻之间的相关性进行初步研究。患者与方法:40例病态肥胖女性(平均年龄33.8±9.1岁)行LGCP。术后1个月和12个月口服泡腾性颗粒后立即进行腹部多层计算机断层扫描(MSCT)。在三维(3-D)面罩上测量胃袋体积,并与体重减轻相关。结果:所有手术均安全进行,随访1年的平均体重相对于术前平均体重(p=0.0010)和术后1个月的平均体重(p=0.0091)均显著下降。所有病例LGCP术后胃容量的CT评估均成功。术后1年随访胃袋CT平均体积较术后1个月平均体积明显增大(p=0.0024)。1年后,胃袋体积增加百分比与体重减轻百分比呈不显著的弱负相关(r=-0.0656, p=0.86)。结论:LGCP在埃及肥胖患者中安全且成功地实现了低成本的显著减肥。3-D MSCT体积测量是非侵入性的,重要的解剖评估,有助于术后随访。更多样本和更长时间随访的进一步评估将有助于确认临床相关性。
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引用次数: 1
Tension pneumothorax due toesophageal perforation 食管穿孔致紧张性气胸
Pub Date : 2017-01-01 DOI: 10.14303/Imaging-Medicine.1000055
A. Gonzalo, Blanca Martinez JuanMarin
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引用次数: 0
Pathologic fracture of the proximal tibiathrough a bone graft donor site 胫骨近端经骨移植供体部位的病理性骨折
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000050
L. Phillips
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引用次数: 0
Real-time ultrasound imaging of complex skeletal defects and fractures Preliminary results 复杂骨骼缺损和骨折的实时超声成像初步结果
Pub Date : 2017-01-01 DOI: 10.14303/Imaging-Medicine.1000047
B. Parmar, A. Chaudhry, B. Weiner, E. Sabonghy, R. TasciottiERighetti
We report preliminary results on the use of ultrasound imaging techniques for real-time assessment of intact bones and bones with different types of fractures in animal samples ex vivo. Methods: Twenty-three cases of intact tibias and sixteen cases of fractured tibias obtained from rabbit, chicken and sheep samples were 2D and 3D scanned using a Sonix RP diagnostic ultrasound system and the results were statistically analyzed. Results: We report representative 2D and 3D results obtained for intact and fractured tibias in selected ex vivo rabbit, chicken and sheep animal samples. In selected cases, X-rays and CT data are also reported for a visual comparison with the ultrasound images. These preliminary results suggest that 2D and 3D real-time ultrasound imaging techniques have the potential to provide non-invasive and fast visualization of cortical defects in different types of bones. Conclusion: This study indicates that ultrasound imaging techniques can be used for a prompt assessment of bone defects including fractures and controlled defects. Off-line, more advanced image processing and analysis techniques can be used to further refine and improve the quality of the 3D ultrasound images especially in the case of bones located in deep tissues.
我们报告了超声成像技术在动物样本中实时评估完整骨和不同类型骨折的初步结果。方法:采用Sonix RP超声诊断系统对兔、鸡、羊的23例完整胫骨和16例骨折胫骨进行二维和三维扫描,并对扫描结果进行统计分析。结果:我们报告了在兔、鸡和羊的离体动物样本中获得的完整和骨折胫骨的代表性二维和三维结果。在选定的病例中,也报告了x射线和CT数据,以便与超声图像进行视觉比较。这些初步结果表明,二维和三维实时超声成像技术有潜力提供不同类型骨骼皮质缺陷的非侵入性和快速可视化。结论:本研究提示超声成像技术可用于骨缺损的快速评估,包括骨折和控制缺损。离线,更先进的图像处理和分析技术可以用来进一步完善和提高三维超声图像的质量,特别是在骨骼位于深层组织的情况下。
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引用次数: 1
Magnetic resonance imaging fatty liver changes following surgical, lifestyle or drug treatments in obese, non-alcoholicfatty liver disease or non-alcoholic steatohepatitis subjects 肥胖、非酒精性脂肪性肝病或非酒精性脂肪性肝炎患者手术、生活方式或药物治疗后的磁共振成像脂肪肝改变
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000085
M. Tengowski, Thomas Fuerst Claude B Sirlin
With an increasing insulin resistance and obesity epidemic, various intervention trials aiming to reduce liver fat levels are using non-invasive MRI methods as alternatives to repeated biopsies to measure the changes in liver fat levels in controlled clinical trials. MRI and MRS exploit differences in the resonance frequencies of signals from protons in fat and water to quantify liver, fat depot and/or muscle fractional fat content in a highly reproducible manner. Various clinical trials have reported the baseline liver fat values and ranges along with the changes in fat levels following different surgical, nutritional, lifestyle or pharmaceutical interventions.
随着胰岛素抵抗和肥胖流行的增加,各种旨在降低肝脏脂肪水平的干预试验在对照临床试验中使用非侵入性MRI方法作为重复活检的替代方法来测量肝脏脂肪水平的变化。MRI和MRS利用脂肪和水中质子信号的共振频率差异,以高度可重复的方式量化肝脏、脂肪库和/或肌肉的脂肪含量。各种临床试验报告了肝脏脂肪的基线值和范围,以及不同手术、营养、生活方式或药物干预后脂肪水平的变化。
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引用次数: 2
The radiological features of tracheal rupture following endotracheal intubation 气管插管后气管破裂的影像学特征
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000074
C. Aguilar, Fidel Rampersad Aaron Baldeo Singh
We present a case study of a 30 year old female patient who experienced excessive retching and vomiting. This occurred after receiving oral fluids 5h after receiving general anaesthetic for an elective orthopaedic surgical procedure (open reduction and internal fixation for a right proximal radial fracture). The pre-procedure chest radiograph prior to surgery was normal. A chest radiograph performed 6 hours after extubation showed significant subcutaneous emphysema within the neck and upper chest, as well as pneumomediastinum. There was no evidence of oesophageal rupture on water-soluble contrast swallow. Multislice CT chest confirmed the presence of subcutaneous emphysema in the neck and chest and pneumomediastinum. Tracheal rupture was also demonstrated on CT and confirmed on flexible bronchoscopy. The patient had conservative management. Repeat flexible bronchoscopy approximately two weeks later showed healing of the tracheal tear. Repeat chest radiograph, two weeks later, showed no residual pneumomediastinum and almost complete resolution of the subcutaneous emphysema.
我们提出一个病例研究的30岁女性患者谁经历了过度的干呕和呕吐。这发生在接受选择性骨科手术(右侧桡骨近端骨折切开复位内固定)全麻5小时后接受口服液体后。术前胸片检查正常。拔管6小时后的胸片显示颈部和胸部上部有明显的皮下肺气肿,以及纵隔气肿。水溶性造影剂未见食管破裂。多层螺旋CT胸部证实颈部、胸部皮下肺气肿及纵隔气肿。气管破裂也在CT上显示,并在柔性支气管镜下证实。患者接受保守治疗。大约两周后再次进行支气管镜检查显示气管撕裂愈合。两周后复查胸片,无纵隔残余气肿,皮下肺气肿几乎完全消退。
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引用次数: 0
Breast Cancer Heterogeneity Analysis as Index of Response to Treatment Using MRI Images: A Review 乳腺癌异质性分析作为MRI图像治疗反应的指标:综述
Pub Date : 2017-01-01 DOI: 10.14303/IMAGING-MEDICINE.1000069
M. Adoui, S. Drisis, M. A. Larhmam, Marc Lemort Mohammed Benjelloun
Purpose: Breast tumor structure contains a high degree of heterogeneity. This heterogeneity has been correlated with the level of tumor response to neoadjuvant chemotherapy. A significant number of studies using magnetic resonance imaging have looked into the quantification of intra tumor heterogeneity in breast cancer. Nevertheless, a limited number of these studies have specifi-cally looked at evaluating breast cancer heterogeneity as a biomarker of response to treatment. Methods: In this paper, several heterogeneity quantification methods, which have studied breast cancer response to treatment through MR images, will be presented. Important methodological and technological techniques using experimental design, such as histogram analysis, texture analysis and parametric response mapping (PRM), will be explored. Results: Data acquisition, the number of patients, the number of treatment cycles, and other analysis will be discussed for each presented research case. Furthermore, some proposed methods will be evaluated on our institution MRI dataset, collected between 2013 and 2016. Conclusion: This paper can be used as a guideline for investigators working on breast cancer het-erogeneity as a biomarker of response to treatment.
目的:乳腺肿瘤结构具有高度的异质性。这种异质性与肿瘤对新辅助化疗的反应水平有关。大量的研究使用磁共振成像研究了乳腺癌肿瘤内异质性的量化。然而,这些研究中有有限数量的研究专门将评估乳腺癌异质性作为对治疗反应的生物标志物。方法:本文将介绍几种异质性量化方法,这些方法通过MR图像研究了乳腺癌对治疗的反应。使用实验设计的重要方法和技术技术,如直方图分析,纹理分析和参数响应映射(PRM),将被探索。结果:数据采集,患者数量,治疗周期数,以及其他分析将讨论每个提出的研究案例。此外,我们将在2013年至2016年收集的机构MRI数据集上评估一些建议的方法。结论:本文可为研究乳腺癌异质性作为治疗反应的生物标志物提供指导。
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引用次数: 14
期刊
Imaging in Medicine
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