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Sonography in Neurosurgery: History, Current Applications, and Future Innovations. 神经外科中的超声技术:历史、当前应用和未来创新。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
Eleanor C Smith, Osama N Kashlan, Yamaan S Saadeh
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引用次数: 0
Advantages of DOC Technique to Evaluate Distal Biceps Tendon Injuries. 评估肱二头肌远端肌腱损伤的 DOC 技术的优势。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
David M Koppy, Nicholas A Ott, Christopher J Dorvault
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引用次数: 0
Photon-Counting CT Binning and Electronic Noise Reduction. 光子计数 CT 分选和电子降噪。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
Kevin L Wininger
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引用次数: 0
Cardiovascular Effects From Venous Blood Pooling in the Lower Limbs During Prolonged Sitting. 久坐时下肢静脉血液蓄积对心血管的影响
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
Kathleen Stanford, Alexander Pomeroy, Lee Stoner

Purpose: To investigate whether venous blood pooling in the lower limbs from prolonged sitting induces harmful cardiovascular effects by reducing stroke volume (SV) and cardiac output (CO).

Methods: A randomized crossover trial involving 16 participants (mean age = 24.8 years ± 6.0 years, 44% women, 1 dropout) was conducted. The trial consisted of 2 conditions: cuff and noncuff, both involving 2 hours of prolonged sitting with tourniquets placed proximal to each knee. In the cuff condition, the tourniquets were inflated to subdiastolic pressure, allowing arterial inflow but preventing venous outflow. Venous blood pooling was assessed by measuring calf circumference. Cardiac Doppler sonography was used to measure CO, SV, and heart rate (HR) before and after the sitting period.

Results: Although the interaction effect between venous blood pooling and CO was not statistically significant (P = .190), there was a significant main effect for time (effect size [ES] = 0.36, β = -0.238, 5.42% decrease). A medium-sized time-by-condition interaction effect for SV was observed (ES = 0.37, β = 6.165), with a 5.87% decrease in the cuff condition and a 2.81% increase in the noncuff condition. Furthermore, there was a large interaction effect for venous blood pooling as measured by calf circumference (ES = 1.98, β = -0.987), with a 3.69% increase in the cuff condition and a 0.03% increase in the noncuff condition.

Discussion: Understanding the physiological adaptations that occur during prolonged sitting can provide insight into how and how often to interrupt sitting to prevent deleterious cardiovascular effects. SV decreased during the sitting period of 120 minutes in the cuff condition and increased slightly during in the noncuff condition. However, the changes in CO and HR were more variable and were not perfectly in line with the authors' hypotheses.

Conclusion: The findings indicate that as venous blood pooling increases during prolonged sitting, SV decreases, suggesting venous blood pooling influences certain hemodynamic changes associated with prolonged sitting.

目的:研究久坐是否会导致下肢静脉血淤积,从而降低每搏量(SV)和心输出量(CO),从而对心血管产生有害影响:16 名参与者(平均年龄为 24.8 岁 ± 6.0 岁,44% 为女性,1 人退出)参加了随机交叉试验。试验包括两种情况:带止血带和不带止血带,均涉及长时间坐立 2 小时,并在每个膝关节近端放置止血带。在袖带条件下,止血带充气至舒张压以下,允许动脉血流入,但阻止静脉血流出。通过测量小腿围度来评估静脉血淤积情况。使用心脏多普勒超声仪测量坐位前后的 CO、SV 和心率(HR):虽然静脉血池和 CO 之间的交互效应在统计学上不显著(P = .190),但时间具有显著的主效应(效应大小 [ES] = 0.36,β = -0.238,下降 5.42%)。在 SV 方面,观察到中等程度的时间-条件交互效应(ES = 0.37,β = 6.165),袖带条件下减少 5.87%,非袖带条件下增加 2.81%。此外,以小腿围度衡量的静脉血池存在较大的交互效应(ES = 1.98,β = -0.987),袖带条件下增加 3.69%,非袖带条件下增加 0.03%:讨论:了解久坐时发生的生理适应可以帮助人们了解如何以及多长时间中断久坐以防止对心血管造成有害影响。在袖带条件下,SV 在 120 分钟的静坐期间有所下降,而在非袖带条件下则略有上升。然而,一氧化碳和心率的变化较为多变,与作者的假设并不完全一致:研究结果表明,随着久坐时静脉血蓄积量的增加,SV 会降低,这表明静脉血蓄积会影响与久坐相关的某些血液动力学变化。
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引用次数: 0
Good Reads. 好书
IF 0.8 Q4 Medicine Pub Date : 2024-03-01
Rebecca G Hamm
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引用次数: 0
Evaluation of IVIM in the Spinal Cord of Multiple Sclerosis Patients. 评估多发性硬化症患者脊髓中的 IVIM。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
Brian Johnson, Christine Heales

Purpose: To evaluate the ability of intravoxel incoherent motion (IVIM), a perfusion-weighted imaging technique, to differentiate microcirculation changes in the spinal cord of patients with multiple sclerosis (MS) compared with healthy individuals.

Methods: Fifteen healthy individuals and 15 individuals with MS underwent IVIM magnetic resonance (MR) imaging using a 3 T scanner with 2-D axial gradient recalled echo and 2-D axial diffusion-weighted imaging (DWI) sequences. The MR images underwent segmentation to produce white matter and gray matter regions of interest. IVIM metrics for perfusion fraction, pseudo-diffusion coefficients, water-diffusion coefficients, and signal without diffusion encoding were calculated using DWI data. An unpaired t test was performed on these IVIM metrics to compare imaging of healthy individuals with imaging of individuals with MS.

Results: No significant differences between images from healthy individuals and individuals with MS were found for any IVIM metric. The lowest P values calculated (.082 and .055) were in the white matter region of interest perfusion fraction and pseudo-diffusion measurements. The gray matter region of interest had the highest P value.

Discussion: The findings in this study are consistent with current perfusion-weighted imaging literature focused on MS in the brain. The gray matter in MS patients in this study showed reduced perfusion compared with healthy individuals.

Conclusion: IVIM is a promising imaging technique for the evaluation of the spinal cord in MS patients. It has the potential to provide valuable information on microvascular perfusion and diffusion in the spinal cord, which might be related to disease progression and response to treatment.

目的:评估体细胞内不连贯运动(IVIM)--一种灌注加权成像技术--与健康人相比区分多发性硬化症(MS)患者脊髓微循环变化的能力:15名健康人和15名多发性硬化症患者使用3 T扫描仪和二维轴向梯度回波及二维轴向弥散加权成像(DWI)序列进行了IVIM磁共振(MR)成像。核磁共振图像经过分割后产生白质和灰质感兴趣区。利用 DWI 数据计算了灌注分数、伪扩散系数、水扩散系数和无扩散编码信号的 IVIM 指标。对这些 IVIM 指标进行非配对 t 检验,以比较健康人的成像与多发性硬化症患者的成像:结果:健康人与多发性硬化症患者的成像在任何 IVIM 指标上都没有发现明显差异。计算出的最低 P 值(0.082 和 0.055)出现在白质感兴趣区灌注分数和假扩散测量中。灰质感兴趣区的 P 值最高:讨论:本研究的结果与目前以脑部多发性硬化症为重点的灌注加权成像文献一致。本研究中多发性硬化症患者的灰质与健康人相比灌注减少:IVIM是评估多发性硬化症患者脊髓的一种很有前景的成像技术。它有可能提供脊髓微血管灌注和弥散的有价值信息,这些信息可能与疾病进展和治疗反应有关。
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引用次数: 0
Examining Factors Associated With Student Attrition in a Diagnostic Medical Sonography Program. 研究医学超声诊断专业学生流失的相关因素。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
Jennifer Grace Clark, Jeffrey Fannin
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引用次数: 0
Effects of Mentoring and Belongingness in The Clinical Setting. 指导和归属感在临床环境中的影响。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-03-01
Jodi-Ann Douglas
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引用次数: 0
Evaluation of Technologist-Controlled Factors Used During CT Kidney Stone Examinations. 评估 CT 肾结石检查中使用的技术人员控制因素。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-01-01
Kristin Seitz

Purpose: To identify technologist-controlled factors to decrease dose and improve image quality and evaluate their use during computed tomography (CT) kidney stone examinations.

Methods: Online scholarly databases were searched to acquire peer-reviewed, published articles involving methods of optimizing radiation dose during CT. These articles were reviewed, and the technologist-controlled factors identified were protocol selection, patient centering in the bore, and scan length. The author retrospectively reviewed CT kidney stone examinations performed at a free-standing emergency department to evaluate the use of these factors.

Results: Technologists consistently chose the correct scan protocol. Reviewed literature was used to determine the acceptable variance for positioning at isocenter and overscanning beyond anatomical landmarks. All patient positioning was off-center in the vertical direction, and in 3 of those examinations, patient positioning was off-center more than the 3 cm threshold. Horizontal off-center positioning was less frequent. All examinations had some amount of overscan, with 73.1% of patients being overscanned more than the determined threshold of 10% of total scan length.

Discussion: Accurate labeling of protocols at the console assist technologists in choosing protocols correctly. Technologists were inconsistent with patient centering and scan range. The amount of which images were off-center was consistent with previous research studies, while the amount of overscan was less than that found in previous studies.

Conclusion: Technologists have an important role in optimizing patient radiation dose. Education and quality assurance could help technologists gain awareness of these factors and use them effectively.

目的:确定由技术人员控制的降低剂量和提高图像质量的因素,并评估这些因素在计算机断层扫描(CT)肾结石检查中的应用情况:对在线学术数据库进行了搜索,以获取经同行评审的、已发表的、涉及 CT 期间辐射剂量优化方法的文章。对这些文章进行了审查,确定了由技术人员控制的因素,包括方案选择、患者在孔内的中心位置和扫描长度。作者回顾性地查看了在一家独立急诊科进行的肾结石 CT 检查,以评估这些因素的使用情况:结果:技术人员始终选择了正确的扫描方案。回顾性文献被用来确定等中心定位和解剖标志物以外的过度扫描的可接受差异。所有患者在垂直方向上的定位都偏离了中心,其中有 3 次检查中,患者的定位偏离中心超过了 3 厘米的阈值。水平方向偏离中心的情况较少。所有检查都存在一定程度的过扫描,73.1%的患者过扫描超过了确定的阈值,即扫描总长度的 10%:讨论:在控制台上准确标注协议有助于技术员正确选择协议。技术员对患者居中和扫描范围的把握不一致。图像偏离中心的数量与之前的研究结果一致,而过度扫描的数量则少于之前的研究结果:结论:技术人员在优化患者辐射剂量方面发挥着重要作用。教育和质量保证可以帮助技术人员了解这些因素并有效利用它们。
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引用次数: 0
Imaging Evidence of Eating Disorders. 饮食失调的影像证据。
IF 0.7 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-01-01
McKenzie Mitchell
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引用次数: 0
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Radiologic Technology
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