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Role of Digital Assessment in Wound Management 数字化评估在伤口管理中的作用
Pub Date : 2022-12-30 DOI: 10.17140/roj-6-136
J. A. Chakiath, R. Chittoria, N. Kerakada, N. Thomas, Barathkumar S. Parthiban, Adithyakevin James, P. Chakkravarthy
Aim The aim of this study was to assess the role of digital planimetry in accurate measurement of wound size and guide in wound bed preparation in our patient. The calculation of wound surface area was done by using ImageJ software. Methods In our study, digital planimetry was used to measure the wound size using ImageJ software. Results In our study, digital planimetry helped inaccurate measurement of wound and helped to plan measures to decrease the wound size. Conclusion Digital assessment and ImageJ is a simple, easy, cost-effective technique of accurate wound measurement for wound management.
目的探讨数字平面测量在准确测量创面尺寸和指导创面准备中的作用。采用ImageJ软件计算创面面积。方法采用数字平面测量法,利用ImageJ软件测量创面大小。结果在我们的研究中,数字平面测量可以帮助不准确的测量创面,并有助于计划减少创面尺寸的措施。结论数字评估和ImageJ是一种简单、简便、经济、准确的创面测量技术,可用于创面管理。
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引用次数: 0
Role of Low-Level Laser Therapy as an Adjuvant in Functional Rehabilitation of Patients with Joint Stiffness in Post-Burn Contracture 低水平激光治疗在烧伤后挛缩关节僵硬患者功能康复中的辅助作用
Pub Date : 2022-12-30 DOI: 10.17140/roj-6-135
M. Vijayaragavan, R. Chittoria, N. Thomas, N. Kerakada, Sanikommu D. Reddy, Mannoj Kumar, S. H. Reddy
Introduction Post-burn contracture is a known sequelae of burn injuries involving neck, axilla, elbow, and hand. There are many methods which are used as adjuvant in rehabilitation of post-burn contracture patients. The low-level laser therapy (LLLT) is one of the methods that can be used as an adjuvant in rehabilitation of joint stiffness following burns and but with very few data available from India. In this article we share our experience of using LLLT for functional rehabilitation of a patient with joint stiffness following postburn contracture. Materials and Methods This study was conducted in a burns centre in a tertiary care institute in South India. Informed consent and departmental ethical committee clearance were obtained prior to study. The subject was a young boy with no known co-morbidities with stiffness of metacarpophalangeal and interphalangeal joint of index and middle finger of right hand. Patient was treated with contracture release with full thickness skin graft. The patient received low-level laser therapy to induce collagenolysis and to increase the movement of the joints. Each joint received laser therapy for duration of 125-second every time for 15-minutes for 2 sessions in a span of 4-days. Result LLLT has been found to be useful in early rehabilitation of post-burn contracture patients with joint stiffness. No side effects were observed during the study. Conclusion The LLLT is an effective, safe, and non-invasive adjuvant in functional rehabilitation of our patient with joint stiffness following post-burn contracture. We suggest further study including multiple subjects and a control group for validation of the result.
摘要烧伤后挛缩是颈部、腋窝、肘部和手部烧伤的常见后遗症。烧伤后挛缩患者辅助康复的方法有很多。低水平激光治疗(LLLT)是烧伤后关节僵硬康复的辅助治疗方法之一,但印度的数据很少。在这篇文章中,我们分享了我们使用LLLT治疗烧伤后挛缩后关节僵硬患者功能康复的经验。材料和方法本研究是在印度南部三级保健机构的烧伤中心进行的。在研究前获得知情同意和部门伦理委员会的批准。研究对象是一名年轻男孩,无已知合并症,右手食指和中指掌指关节和指间关节僵硬。采用全层植皮松解挛缩。患者接受低水平激光治疗以诱导胶原溶解并增加关节活动。每个关节接受激光治疗,每次持续125秒,每次15分钟,共2次,为期4天。结果LLLT在烧伤后挛缩伴关节僵硬患者的早期康复治疗中有一定的应用价值。研究期间未观察到任何副作用。结论LLLT对于烧伤挛缩后关节僵硬患者的功能康复是一种有效、安全、无创的辅助手段。我们建议进行进一步的研究,包括多受试者和对照组,以验证结果。
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引用次数: 0
Current State of Gonadal Shielding in Medical Imaging: A Review 性腺屏蔽在医学影像中的研究现状综述
Pub Date : 2022-12-30 DOI: 10.17140/roj-6-137
Julie Ho, E. Seeram, Edel Doyle, Simone Roberts, John Mc Inerney
Introduction In recent times the benefits of using gonadal shielding have been brought into question. Several professional bodies have released positional statements in support of ceasing the use of gonadal shields. However, in Australia the regulatory authority for radiation has not commented to date. This literature review aims to explore the risks and benefits of using lead protection and to establish the current state of the use of gonadal shields in clinical practice. Methods A search of the literature was conducted using online databases under the subject “Medical Imaging and Radiation Sciences”. Key terms and phrases included “lead protection”, “plain film imaging”, “lead shielding”, “gonadal shielding”, “X-ray”, “radiography”, “pelvic radiography”, “radiation protection”, “methods”, “education” and “gonadal shielding”. Articles pertaining to radiation therapy, literature reviews and those not in English were excluded. Results and Discussion Gonad shields are often poorly used despite agreement of what constitutes accurate and inaccurate shielding. Inaccurate shielding relates to both inappropriate size and inaccurate positioning of shields. Retrospective studies demonstrated a higher incidence of inaccurate gonadal shield placement in females compared to males. Inaccurate shielding had implications for patients such as obscuration of important anatomy and pathology and increased radiation dose if repeat X-rays were required to correct positioning errors. Shield design innovation was identified as a future area of research that could assist with overcoming these errors. Where gonad shielding was found to be of benefit in patients with conditions that require regular follow-up imaging. This is especially important in conditions affecting children and adolescents who have increased radiosensitivity and longer life expectancy. Conclusion Studies have demonstrated high incidence of inaccurately positioned gonad shields for female patients, which leads to repeated X-ray images and increased dose to patients. However, shielding has been shown to be beneficial for patients requiring frequent X-ray examinations to reduce cumulative radiation dose. Establishing a standardised protocol regarding the application of gonadal shields, supported by regulatory agencies, is imperative.
近年来,使用性腺屏蔽的好处受到了质疑。一些专业机构已经发表立场声明,支持停止使用性腺盾牌。然而,澳大利亚的辐射监管机构迄今尚未发表评论。本文献综述旨在探讨使用铅保护的风险和益处,并建立在临床实践中使用性腺屏障的现状。方法以“医学影像与放射科学”为主题,在网上数据库中检索相关文献。关键词包括“铅保护”、“平片成像”、“铅屏蔽”、“性腺屏蔽”、“x光”、“放射照相”、“盆腔造影”、“辐射防护”、“方法”、“教育”和“性腺屏蔽”。与放射治疗有关的文章、文献综述和非英文的文章被排除在外。结果和讨论性腺屏蔽通常使用不当,尽管什么构成准确和不准确的屏蔽达成一致。屏蔽不准确既与屏蔽尺寸不合适有关,也与屏蔽位置不准确有关。回顾性研究表明,与男性相比,女性性腺屏蔽放置不准确的发生率更高。不准确的屏蔽会对患者造成影响,例如遮蔽重要的解剖和病理,如果需要重复x光来纠正定位错误,则会增加辐射剂量。盾构设计创新被确定为未来的研究领域,可以帮助克服这些错误。发现性腺屏蔽对需要定期随访成像的患者有益。这对于影响放射敏感性增加和预期寿命较长的儿童和青少年的情况尤其重要。结论研究表明,女性患者性腺盾牌定位不准确的发生率高,导致x线影像重复,患者剂量增加。然而,屏蔽已被证明对需要频繁x光检查以减少累积辐射剂量的患者有益。在监管机构的支持下,建立一个关于性腺屏障应用的标准化方案是必不可少的。
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引用次数: 0
The Use of Lead Protection for Staff in Mobile Radiographic Settings: Can Staff Abandon Its Use? 工作人员在移动放射照相装置中使用铅保护装置:工作人员可以放弃使用吗?
Pub Date : 2021-12-31 DOI: 10.17140/roj-5-134
Carla Muñoz, E. Seeram, John Mc Inerney
The use of lead protection in patient contexts has recently come under scrutiny, with organisations moving towards ceasing its use in plain film radiography. The use of lead shielding in protecting staff in low-dose settings, such as plain film and mobile radiography, is therefore an important aspect of practice to be reviewed. The objective of this review is to evaluate the use of lead shielding in protecting staff in plain film and mobile radiography, while also exploring the evolution of occupational doses and perceptions of lead protection. While literature is limited on the use of lead protection for staff in mobile settings, lead protection has been shown to reduce staff and adjacent patient dose from scatter. Furthermore, despite the increased frequency of medical imaging procedures in contemporary radiography, the occupational doses of medical radiation workers have reduced over time. With literature demonstrating gaps in current understandings of radiobiological mechanisms at low doses, the linear no-threshold model utilised to estimate radiation risk and develop protection standards cannot be rejected. Thus, this review finds the need for further research to be undertaken to improve risk estimates at low doses in larger cohorts of medical radiation workers, for the demonstration of long-term effects from occupational exposure, prior to ceasing staff lead protection.
在病人环境中使用铅保护最近受到审查,各组织正朝着停止在平片放射照相中使用铅保护的方向发展。因此,在低剂量环境中使用铅屏蔽来保护工作人员,例如普通胶片和移动放射照相,是需要审查的一个重要方面。本综述的目的是评估铅屏蔽在普通胶片和移动放射照相中保护工作人员方面的使用,同时也探讨职业剂量的演变和对铅保护的认识。虽然关于在移动环境中对工作人员使用铅保护的文献有限,但铅保护已被证明可以减少工作人员和邻近患者的剂量分散。此外,尽管现代放射摄影中医学成像程序的频率增加,但医疗放射工作者的职业剂量随着时间的推移而减少。由于文献表明目前对低剂量辐射生物学机制的理解存在差距,因此不能拒绝用于估计辐射风险和制定防护标准的线性无阈值模型。因此,本次审查发现,需要进行进一步研究,以改进对较大医疗辐射工作人员群体低剂量辐射的风险估计,以证明在停止工作人员铅防护之前职业照射的长期影响。
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引用次数: 0
The Emergency Coil Embolization of Iatrogenic Injury to Carotid with Supraclinoid Pseudoaneurysm and Carotid Cavernous Fistula: A Case Report 急诊线圈栓塞治疗医源性颈动脉损伤伴颈线上假性动脉瘤及颈动脉海绵状瘘1例
Pub Date : 2021-12-31 DOI: 10.17140/roj-5-133
Shivaji M Pole, J. Taneja, I. Ansari
Carotid cavernous fistulae (CCF) are unique communication between the cavernous segment of the internal carotid artery (ICA) and the cavernous sinus. CCF are rare and result from traumatic skull base fractures (0.2-0.8%). CCF resulting from iatrogenic intradural traumatic aneurysms are not common, and they are hard to treat using a surgical approach. This report presents the case of a female patient with iatrogenic CCF, which resulted from proximal ICA injury. The CCF was successfully treated using the endovascular coil embolization. The patient has reported improvement in her vision, one-year follow-up routine has indicated no recurrence with this technique.
颈动脉海绵状瘘(CCF)是颈内动脉海绵状段与海绵窦之间的独特通道。CCF是罕见的,由外伤性颅底骨折引起(0.2% -0.8%)。医源性外伤性硬膜内动脉瘤引起的CCF并不常见,而且很难用外科方法治疗。本报告报告了一位女性患者的医源性CCF,这是由近端ICA损伤引起的。采用血管内线圈栓塞术成功治疗CCF。患者报告视力有所改善,一年的随访常规显示该技术无复发。
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引用次数: 0
Study of Analysis the Sensitivity of the Computational Environment for Radiological Research Field Size Based on Two Dimensional Dose Distribution for Water Phantom Cases 基于二维剂量分布的水影病例辐射研究场尺寸计算环境敏感性分析研究
Pub Date : 2020-12-31 DOI: 10.17140/ROJ-4-130
Y. Hardiyanti, Thareq Barasabha, C. Anam, N. Novitrian, F. Haryanto, A. Waris
Purpose This study analysed the sensitivity of the field size from variations in the target volume dimensions, depth, and position. The variations in the target volume analysis were used to determine the width of the field size. Thus, the quality control of the radiation beam can be obtained. Materials and Methods The computed tomography (CT) image of the IBA Dose 1 type of water phantom consists of 350 slices. Variations in the dimension of the target volume were modelled in 10×10×10 cm3, 10×12×10 cm3 , 10.2×10×10.2 cm3, and 15×15×15 cm3. Beam parameters use one beam of irradiation on the central axis 0°, 6 MV energy, 100 cm source-skin distance (SSD), beamlet delta x, and y set to 0.1 cm. Dose distribution in the form of the XZ isodose curve and dose profile was used to observe the field size. Results In this study, the isodose curve was successfully displayed in the XZ isodose curve. The field size’s sensitivity has been successfully reviewed from variations of the target volume, depth, and position. The target X and Z direction analysis is used in determining the width and length of the field size. Conclusion The analysis related to the field size sensitivity study was obtained from a relatively valid calculation. The field size was evaluated with variations in depth of 1.5 cm, 5 cm, 10 cm, and variations in positions of 10 cm, 12 cm, 14 cm, 18 cm, and 20 cm. This study will be used as a reference to validate the distribution of computational environment for radiotherapy research (CERR) dose in the future. Thus, the accuracy of the dose calculation can be obtained.
目的分析靶体尺寸、深度和位置变化对靶场大小的敏感性。目标体积的变化分析用于确定场大小的宽度。从而实现对辐射光束的质量控制。材料与方法IBA剂量1型水影的CT图像由350片组成。目标体积的尺寸变化用10×10×10 cm3, 10×12×10 cm3, 10.2×10×10.2 cm3和15×15×15 cm3进行建模。光束参数采用一束辐照在中心轴上0°,6 MV能量,100 cm源肤距离(SSD),束流x和y设置为0.1 cm。剂量分布以XZ等剂量曲线和剂量分布曲线的形式来观察场的大小。结果本研究成功地将等剂量曲线显示在XZ等剂量曲线上。根据目标体积、深度和位置的变化,成功地评估了场大小的灵敏度。目标X和Z方向分析用于确定场尺寸的宽度和长度。结论野外尺寸敏感性研究的相关分析是相对有效的计算结果。以1.5 cm、5 cm、10 cm的深度变化以及10 cm、12 cm、14 cm、18 cm和20 cm的位置变化来评估田间大小。本研究将为今后验证放射研究计算环境(CERR)剂量分布提供参考。从而可以获得剂量计算的准确性。
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引用次数: 0
Calculation of Photons Reaction Rate Resulting at 120 kVp X-ray Tube Voltage and 1 mAs as Function to Digital Imaging and Communications in Medicine Pixel Numbers Using Monte Carlo N-Particle Transport and a Voxel Model of a 29-Year-Old Patient 利用蒙特卡罗n粒子输运和29岁患者体素模型计算120 kVp x射线管电压和1 mAs下光子反应速率对医学数字成像和通信像素数的影响
Pub Date : 2020-12-31 DOI: 10.17140/ROJ-4-131
T. A. Shdeed
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引用次数: 0
Radio Histological Treatment of Endometrial Hyperplasia: A Case Report 子宫内膜增生的放射组织学治疗1例报告
Pub Date : 2020-12-31 DOI: 10.17140/ROJ-4-132
Priscila Falla Berganza, Master’s Degree in Radiology, M. D. Molina, María A. P. Dahinten, M. Ramos, Master’s Degree in Gynecology
Endometrial hyperplasia is defined as the pathological condition caused by hyper plastic changes at the level of the glandular and stromal structures of the endometrium that are part of the lining of the endometrial cavity. Atypical endometrial hyperplasia can cause an essential problem because it is considered a precursor of endometrial cancer. The early diagnosis of precancerous endometrial lesions and the exclusion of pre-existing endometrial carcinomas are necessary for patients’ optimal management. The following is a case of a 50-year-old Guatemalan patient with a three-day history of vaginal bleeding. The transvaginal ultrasound reports endometrial thickening suggestive of endometrial hyperplasia. The diagnosis was confirmed with histology. The treatment offered was surgery without indicating any medication.
子宫内膜增生被定义为子宫内膜腺体和间质结构的高度塑性变化引起的病理状态,子宫内膜是子宫内膜的一部分。非典型子宫内膜增生可以引起一个重要的问题,因为它被认为是子宫内膜癌的前兆。早期诊断子宫内膜癌前病变并排除已有的子宫内膜癌是对患者进行最佳治疗的必要条件。以下是一例50岁危地马拉患者,有三天阴道出血史。经阴道超声报告子宫内膜增厚提示子宫内膜增生。组织学证实了诊断。提供的治疗是手术,没有任何药物。
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引用次数: 0
The Use of Artificial Intelligence in Computed Tomography Image Reconstruction: A Systematic Review 人工智能在计算机断层扫描图像重建中的应用:系统综述
Pub Date : 2020-12-31 DOI: 10.17140/ROJ-4-129
Theresa Lee, M. Imaging, E. Seeram
Background Current image reconstruction techniques in computed tomography (CT) such as filtered back-projection (FBP) and iterative reconstruction (IR) have limited use in low-dose CT imaging due to poor image quality and reconstruction times not fit for clinical implementation. Hence, with the increasing need for radiation dose reductions in CT, the use of artificial intelligence (AI) in image reconstruction has been an area of growing interest. Aim The aim of this review is to examine the use of AI in CT image reconstruction and its effectiveness in enabling further dose reductions through improvements in image quality of low-dose CT images. Method A review of the literature from 2016 to 2020 was conducted using the databases Scopus, Ovid MEDLINE, and PubMed. A subsequent search of several well-known journals was performed to obtain additional information. After careful assessment, articles were excluded if they were not obtainable from the databases or not available in English. Results This review found that deep learning-based algorithms demonstrate promising results in improving the image quality of low-dose images through noise suppression, artefact reduction, and structure preservation in addition to optimising IR methods. Conclusion In conclusion, with the two AI-based CT systems currently in clinical use showing favourable benefits, it is expected that AI algorithms will continue to proliferate and enable significant dose reductions in CT imaging.
当前计算机断层扫描(CT)中的图像重建技术,如滤波反投影(FBP)和迭代重建(IR),由于图像质量差和重建时间不适合临床应用,在低剂量CT成像中的应用有限。因此,随着CT辐射剂量降低需求的增加,人工智能(AI)在图像重建中的应用已成为人们越来越感兴趣的领域。本综述的目的是研究人工智能在CT图像重建中的应用,以及通过提高低剂量CT图像的图像质量来进一步降低剂量的有效性。方法采用Scopus、Ovid MEDLINE和PubMed数据库对2016 - 2020年的文献进行回顾性分析。随后,为了获得更多的信息,我们检索了几本知名期刊。经过仔细评估,数据库中没有或没有英文版本的文章被排除在外。本综述发现,除了优化红外方法外,基于深度学习的算法在通过抑制噪声、减少伪影和保持结构来改善低剂量图像质量方面显示出有希望的结果。总之,目前临床使用的两种基于人工智能的CT系统显示出良好的效果,预计人工智能算法将继续普及,并使CT成像的剂量显著降低。
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引用次数: 0
IR Playbook - A Comprehensive Introduction to Interventional Radiology: A Book Review IR手册-介入放射学的综合介绍:书评
Pub Date : 2018-12-30 DOI: 10.17140/ROJ-3-122
Samuel Q Armstrong
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引用次数: 4
期刊
Radiology - open journal
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