scholarly journals Head to head comparison of [99mTc]Tc(CO)3(NTA) and [99mTc]Tc-MAG3 in patients with suspected obstruction

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Andrew T. Taylor ◽  
Malgorzata Lipowska ◽  
Raghuveer K. Halkar
Keyword(s):  
Gall Bladder ◽  
Intravenous Injection ◽  
Nitrilotriacetic Acid ◽  
Diuretic Renography ◽  
Background Ratio ◽  
Significant Difference ◽  
Bladder Activity ◽  
Rapid Clearance ◽  
Left And Right ◽  
Voided Volume

Abstract Purpose 99mTc-tricarbonyl-nitrilotriacetic acid, [99mTc]Tc(CO)3(NTA), is a new 99mTc-renal radiopharmaceutical with a clearance equal to that of 131I-ortho-iodohippuran, [131I]I-OIH. Our purpose was to compare the performance of [99mTc]Tc(CO)3(NTA) and [99mTc]Tc-MAG3 in patients with suspected obstruction. Methods [99mTc]Tc(CO)3(NTA) was prepared with commercially available NTA ligand and CRS Isolink kit, and isolated by HPLC. Eighteen adult patients referred for diuretic renography received an intravenous injection of approximately 40 mg of furosemide 15 min prior to either [99mTc]Tc(CO)3(NTA) or [99mTc]Tc-MAG3 (mean activity of 47 ± 4.4 MBq). Data were acquired for 24 min followed by an anterior image of the liver and gall bladder and a measure of voided volume. Patients received a second furosemide injection equal to one third of the original dose followed fifteen minutes later by administration of the alternate tracer, mean activity of 320 ± 34 MBq. Clearances were measured using a camera-based technique. Results The clearance of NTA was greater than that of MAG3, 331 ± 146 versus 271 ± 105 mL/min/1.73 m2, respectively, p < 0.0001. The kidney to background ratio for NTA was greater than that of MAG3 for both left and right kidneys, p < 0.001; the 20 min/maximum count ratio was significantly less, p < 0.0001. There was no significant difference in the voiding volumes following NTA and MAG3 administration, 598 ± 237 mL versus 498 ± 170 mL, respectively, p = 0.07. Gall bladder activity was not observed with NTA but was present in 6/17 MAG3 studies. Images and renogram curves were comparable except for two patients where the NTA study excluded obstruction but the MAG3 study suggested an indeterminate or obstructed kidney. Conclusions Unlike MAG3, NTA is not eliminated via the hepatobiliary track. Moreover, NTA has a higher kidney to background ratio and more rapid clearance than MAG3. These advantages should allow more robust camera-based clearance measurements and may lead to better discrimination between obstructed and non-obstructed kidneys.

Head to Head Comparison of 99mTc(CO)3(NTA) and 99mTc-MAG3 in Patients with Suspected Obstruction

2021 ◽  
Author(s):  
Andrew Taylor ◽  
Malgorzata Lipowska ◽  
Raghuveer K. Halkar
Keyword(s):  
Gall Bladder ◽  
Intravenous Injection ◽  
Nitrilotriacetic Acid ◽  
Diuretic Renography ◽  
Background Ratio ◽  
Significant Difference ◽  
Bladder Activity ◽  
Rapid Clearance ◽  
Left And Right ◽  
Voided Volume

Abstract Purpose 99mTc-tricarbonyl-nitrilotriacetic acid, 99mTc(CO)3(NTA), is a new 99mTc-renal radiopharmaceutical with a clearance equal to that of 131I-ortho-iodohippuran. Our purpose was to compare the performance of 99mTc(CO)3(NTA) and 99mTc-MAG3 in patients with suspected obstruction.Methods 99mTc(CO)3(NTA) was prepared with commercially available NTA and CRS Isolink kit, and isolated by HPLC. Eighteen adult patients referred for diuretic renography received an intravenous injection of approximately 40 mg of furosemide 15 min prior to either 99mTc(CO)3(NTA) or 99mTc-MAG3 (mean activity of 47 ± 4.4 MBq). Data were acquired for 24 minutes followed by an anterior image of the liver and gall bladder and a measure of voided volume. Patients received a second furosemide injection equal to one third of the original dose followed fifteen minutes later by administration of the alternate tracer, mean activity of 320 ± 34 MBq. Clearances were measured using a camera-based technique.Results The clearance of 99mTc(CO)3(NTA) was greater than that of 99mTc-MAG3, 331 ± 146 vs 271 ± 105 mL/min/1.73 m2, respectively, p < 0.0001. The kidney to background ratio for 99mTc(CO)3(NTA) was greater than that of 99mTc-MAG3 for both left and right kidneys, p < 0.001; the 20 min/maximum count ratio was significantly less, p < 0.0001. There was no significant difference in the voiding volumes following 99mTc(CO)3(NTA) and 99mTc-MAG3 administration, 598 ± 237 mL vs 498 ± 170 mL, respectively, p = 0.07. Gall bladder activity was not observed with 99mTc(CO)3(NTA) but was present in 6/17 99mTc-MAG3 studies. Images and renogram curves were comparable except for two patients where the 99mTc(CO)3(NTA) study excluded obstruction but the 99mTc-MAG3 study suggested an indeterminate or obstructed kidney.Conclusions Unlike 99mTc-MAG3, 99mTc(CO)3(NTA) is not eliminated via the hepatobiliary track. Moreover, 99mTc(CO)3(NTA has a higher kidney to background ratio and more rapid clearance than 99mTc-MAG3. These advantages should allow more robust camera-based clearance measurements and may lead to better discrimination between obstructed and non-obstructed kidneys.

Localization of radiomagnesium in puppies: radioautographic study of heart and bone

1962 ◽  
Vol 202 (3) ◽  
pp. 584-588 ◽  
Author(s):  
Warren Glaser ◽  
William D. Gibbs
Keyword(s):  
Right Ventricular ◽  
Intravenous Injection ◽  
Interventricular Septum ◽  
Significant Difference ◽  
Left And Right

Densitometer scans were made of radioautographic images of puppies' hearts and bones produced by magnesium 28. The puppies' renal pedicles were ligated prior to intravenous injection of radioactive magnesium. The puppies were killed 15–20 hr after injection. The densitometer scanning of the heart radioautographs showed the highest densities present in the interventricular septum followed by the left and right ventricular walls. These data are in agreement with those reported for radioassay of magnesium 28 in the heart. The radioautographic images of femurs of puppies showed highest densities produced by magnesium 28 present in the epiphyseal line. Assays for magnesium 28 confirmed that the epiphyseal line contained higher concentrations of the radioisotope than did the diaphyses or epiphyses. There was no statistically significant difference between concentrations of radiomagnesium in epiphyses and diaphyses. Binding of magnesium to protein was found to be 16.3% when determined by ultrafiltration through cellophane.

scholarly journals The Relationship between Foot Status and Motor Status in Preschool Children: A Simple, Comparative Observational Study

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 936
Author(s):  
Milan Kojić ◽  
Branka Protić Gava ◽  
Milan Bajin ◽  
Marko Vasiljević ◽  
Jasmina Bašić ◽  
...  
Keyword(s):  
Preschool Children ◽  
Observational Study ◽  
Total Sample ◽  
Nonparametric Tests ◽  
Significance Level ◽  
Flat Feet ◽  
Significant Difference ◽  
Left And Right ◽  
The Relationship

Background: The research objective of the study is to determine the differences in the manifestation of the motor status of normally fed preschool test subjects, classified into groups according to foot status. Methods: This is a simple, comparative observational study. Preschool children included in this study have been subjected to anthropometric measurements in order to determine BMI, tests for motor skills assessment (running at 20 m from a high start, standing broad jump, backwards polygon, rectangular seated forward bend, plate tapping, sit-ups for 60 s, and bent arm hang), and a determination of foot status. The total sample was comprised of 202 test subjects who attended a regular sports program, aged 3.9 to 6.5 years of decimal age (M = 141; Age = 5.3 ± 0.74; Height = 117.3 ± 7.1; Weight = 22 ± 3.7; F = 61; Age = 5.1 ± 0.73; Height = 114.9 ± 7.4; Weight = 21.2 ± 3.8), of which 153 (75.7%) were normally fed, 6 (3%) were undernourished, 30 were overweight (14.9%), and 13 were obese (6.4%). Results: In the total sample, 30 (14.9%) subjects had normal arch feet, 90 (44.6%) high arched feet, and 41 (20.3%) flat feet. We found 41 (20.3%) subjects who had different left and right foot statuses within this sample. The data were processed by means of nonparametric tests (the Kruskal–Wallis and Mann–Whitney U tests) at a significance level p ≤ 0.05. Conclusion: The results show that there is a statistically significant difference between groups of subjects with different foot statuses in the manifestation of motor status in most tests, with a significance level of p ≤ 0.01, and in tests of sit-ups for 60 s and the bent arm hang, there is a statistically significant difference, the level of which is p ≤ 0.05. It is only in the inclination test of rectangular seated forward bend that no statistically significant difference was displayed.

Somatosensory Evoked Potentials in Schizophrenia a Lateralisation Study

1990 ◽  
Vol 157 (6) ◽  
pp. 881-887 ◽  
Author(s):  
Paul Furlong ◽  
Paul Barczak ◽  
Gwilym Hayes ◽  
Graham Harding
Keyword(s):  
Index Finger ◽  
Objective Measure ◽  
Control Group ◽  
Temporal Region ◽  
Control Groups ◽  
Significant Difference ◽  
Schizophrenic Patients ◽  
Left And Right ◽  
And Control ◽  
Stimulation Of

The SSEPs obtained from 19 schizophrenics defined by RDC, DSM–III and PSE criteria Were compared with those from a control group of healthy volunteers. Previous findings of an abnormal lack of lateralising response in schizophrenic patients were not replicated. No significant difference in either amplitude or morphology between the traces obtained from the two groups were recorded. Ipsilateral and contralateral latencies for stimulation of the left and right index finger showed no significant difference in peak latency for any component between patient and control group. When mean peak-to-peak amplitudes were plotted the contralateral component was always greater in amplitude than the ipsilateral one. An objective measure of the degree of lateralisation, the percentage lateralisation quotient, showed no lateralisation differences between the patient and control groups. A case of myogenic contamination of ipsilateral components was observed calling into doubt findings where no temporal region monitoring has been performed.

scholarly journals Study of Second and Fourth Digit Lengths and Their Ratios With Physical Attributes in Nepali Population

2018 ◽  
Vol 16 (2) ◽  
pp. 78-81
Author(s):  
Biswas Satyal ◽  
Abhishek Satyal
Keyword(s):  
Ring Finger ◽  
The Body ◽  
Behavioral Traits ◽  
Digit Ratios ◽  
Hand Deformities ◽  
Significant Difference ◽  
Physical Attributes ◽  
Physical Traits ◽  
Left And Right ◽  
Males And Females

Introduction: The ratio of the lengths of the index and the ring finger (2D:4D ratio) is generally different between men and women. A number of studies have shown a correlation between the 2D:4D digit ratio and various physical and behavioral traits. The aim of the present study is to investigate the association of the index (2nd) and ring (4th) digit ratios with some physical traits in Nepal population. Material & Method: 200 students (100 males and 100 females) between ages of 18 years and above were randomly selected with exclusion of those with hand deformities. The digit lengths were measured from the basal crease to the tips usingvernier calipers. The 2D:4D ratios were determined for each subject while height and weight were used to calculate the body mass index and data analyzed. The study was conducted between January 2018 to November 2018. Result: The result of the anthropometric study of the differences in index (2D) and ring (4D) and their ratios shows that there was a significant difference between the length of index finger (2D), ring finger (4D) and the ratios of right hand's 2D:4D in both males and females. There was appositive correlation between the second digit length and Height and weight in males and females both on right and left sides. The 2D:4D ratio for both left and right hand did not show any positive correlation with height, weight or BMI of an individual.

scholarly journals A radiological evaluation of alveolar bone regeneration between the left and right mandibles and maxillae of the Chacma baboon

2016 ◽  
Vol 87 (1) ◽  
Author(s):  
Marthinus J. Kotze ◽  
Kurt-W. Bütow ◽  
Steve A. Olorunju ◽  
Harry F. Kotze
Keyword(s):  
Healing Rate ◽  
Alveolar Bone ◽  
Sufficient Information ◽  
Digital Radiology ◽  
Grey Scale ◽  
Lack Of Information ◽  
Significant Difference ◽  
Left And Right ◽  
Maxilla And Mandible ◽  
The Right

There is a lack of information in comparing the healing rate between the left and right sides of the maxilla and mandible. Osteogenesis of alveolar bone was evaluated with digital radiology by comparing differences in bone density (BD) at different time points within the left and right maxilla and mandible. Alveolar bone defects were created in five healthy Chacma baboons. Standardised x-ray images were acquired over time and the densities of the selected trauma areas were measured pre-operatively, post-operatively and at 3 and 6 weeks post-operatively. Differences in densities were statistically tested. There was no significant difference when the grey scale averages of the combined first and fourth quadrants (right side) and combined second and third quadrants (left side) were compared pre-operatively (t = 0.70), immediately post-operatively (t = 0.34), 3 weeks post-operatively (t = 0.40) and 6 weeks post-operatively (t = 0.66). There was also no significant difference between the values for the first and second quadrants (maxilla) pre-operatively (t = 0.37), immediately post-operatively (t = 0.30), 3 weeks post-operatively (t = 0.30) and 6 weeks post-operatively (t = 0.38); the third and fourth quadrants (mandible) were also not significantly different pre-operatively (t = 0.29), immediately post-operatively (t = 0.69), 3 weeks post-operatively (t = 0.07) and 6 weeks postoperatively (t = 0.06). However, the results showed an increased predisposition of the right side to regenerate faster than the left side and indicated sufficient information to investigate the effect of laterality and preferred side of mastication on the rate of healing and alveolar BD in the maxilla and mandible.

scholarly journals The outcome of ablation for non-paroxysmal atrial fibrillation targeting spatiotemporal electrogram dispersion compared with ganglionated plexi ablation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
K Sakata ◽  
T Tanaka ◽  
S Yamashita ◽  
K Yamashiro
Keyword(s):  
Atrial Fibrillation ◽  
Study Groups ◽  
Atrial Arrhythmia ◽  
Single Procedure ◽  
Ganglionated Plexi ◽  
Kaplan Meier ◽  
Significant Difference ◽  
Left And Right ◽  
Fibrillatory Conduction ◽  
And Control

Abstract Background Although catheter ablation targeting ganglionated plexi (GP) playing an important role in formation of triggers and substrates of atrial fibrillation (AF) has been reported as one of the effective ablation strategies in non-paroxysmal AF (non-PAF) patients, its effectiveness varies among the study groups. More recently, ablation targeting spatiotemporal electrogram dispersion (STED) areas, assumed to contain AF drivers in forms of rotational activation is proposed. However, the optimal ablation strategy for non-PAF is still controversial since the exact mechanisms of non-PAF are not well understood. Purpose To investigate the effectiveness of GP ablation for autonomic modification and STED ablation for modulation of AF drivers. Methods Consecutive 149 non-PAF patients who underwent STED ablation in our center were enrolled. We detected STED areas within the whole left and right atrium during AF using PentaRay®, and ablated them. If AF was terminated during STED ablation, we finished the procedure without burning the remaining STED areas. If not, electrical cardioversion was applied. The outcome was compared with that in consecutive 156 non-PAF patients undergoing GP ablation previously in our center. Results (1) The clinical characteristics were comparable between two groups (see Table). (2) A Kaplan-Meier curve showed that there was no significant difference between the freedom rates from non-PAF/non-paroxysmal atrial tachycardia (non-PAT) after single procedure in STED group and GP group (Figure, left). (3) However, the freedom rates from non-PAT in STED group was significantly lower than that GP group (Figure, right). Conclusions The recurrence type of atrial arrhythmia after ablation was remarkably different between ablation of STED and GP. STED ablation might eliminate fibrillatory conduction and control AF driver in patients with non-PAF. Freedom from atrial arrhythmia Funding Acknowledgement Type of funding source: None

scholarly journals A Study on the Optimization of High School Buildings for Evacuation Safety: Classroom Layout and Ramps in Korea

2021 ◽  
Vol 12 (5) ◽  
pp. 358-368
Author(s):  
Chang-Jun Choi, Ha-Sung Kong
Keyword(s):  
High School ◽  
Grade Level ◽  
School Buildings ◽  
Layout Analysis ◽  
The Third ◽  
School Year ◽  
Significant Difference ◽  
Left And Right ◽  
Evacuation Safety ◽  
The Right

This study used the Pathfinder program to evaluate evacuation safety by assuming evacuation training in high school buildings and changing classroom layout. Analysis of the final evacuation requirements for Scenario 2, which currently has a concentration of classrooms on the third floor of the building, showed that Scenario 2 reduced 29.6 seconds to 173.9 seconds compared to Scenario 1's 203.5 seconds. However, the analysis of Scenario 3, in which 10 classrooms and personnel of three grades were placed equally on the left and right sides of the building, showed that the final evacuation requirements were reduced 3.9 seconds to 170.0 seconds compared to Scenario 2, but there was no significant difference. Scenario 3, which has more the efficiency of school year operation by placing classroom layout on the same floor by grade level than Scenario 2, in which more classrooms and students were placed downstairs. In each scenario, an analysis of the final evacuation requirements showed that the evacuation exit T1 on the left side of the building was 28 seconds or more shorter than T3 on the right side of the building. Therefore, it was analyzed that proper classroom layout and ramp facilities in high school buildings ensure evacuation safety

scholarly journals Changes in the Stiffness of Thigh Muscles in the Left and Right Limbs During Six Weeks of Plyometric Training in Volleyball Players

2018 ◽  
Vol 25 (2) ◽  
pp. 20-24 ◽  
Author(s):  
Dariusz Mroczek ◽  
Edward Superlak ◽  
Marek Konefał ◽  
Krzysztof Maćkała ◽  
Paweł Chmura ◽  
...  
Keyword(s):  
Good Method ◽  
Optimal Level ◽  
Muscle Stiffness ◽  
Plyometric Training ◽  
Thigh Muscles ◽  
Left Limb ◽  
Significant Difference ◽  
Volleyball Players ◽  
Left And Right ◽  
The Right

Abstract Introduction. Monitoring muscle stiffness in athletes can be a good method of assessing fatigue caused by high training loads, and the early detection of fatigue can help prevent the occurrence of micro-trauma in the muscles that can cause contusions. The research carried out by Wilson et al. [1] confirmed that an optimal level of muscle stiffness is significantly correlated with high muscle loads. The aim of the current study was to determine changes in muscle stiffness of the left and right thighs during six weeks of plyometric training (PT) in volleyball players. Material and methods. The study involved 16 volleyball players from the second-league Opole University of Technology Club (age = 21.12 ± 1.66 years, height = 191.62 ± 5.73 cm, and weight = 86.25 ± 6.66 kg) with at least five years of competitive experience (7.5 ± 2.44 years). Muscle stiffness was measured during three stages of the plyometric training using a MYOTON PRO device (Estonia). Results. An RM-ANOVA analysis showed a significant difference in the resting stiffness of the semitendinosus (posterior thigh) muscles of the left and right limbs before the plyometric training began, but no significant differences were found in the stiffness of these muscles in the fourth or sixth weeks of training. The results of the measurement performed for the anterior muscles of the thigh did not reveal a significant difference in the stiffness of the left limb compared to that of the right limb in subsequent weeks of training. Conclusion. The loads used in plyometric training in volleyball players caused a decrease in the differences in muscle stiffness between the left and right limbs, and in both limbs, adaptation trended towards an increase or a decrease in stiffness.

The occurrence of Diplostomum spathaceum metacercariae in the freshwater drum, Aplodinotus grunniens

1989 ◽  
Vol 67 (11) ◽  
pp. 2853-2856 ◽  
Author(s):  
Gregory H. Leno ◽  
Harry L. Holloway Jr.
Keyword(s):  
Worm Burden ◽  
Infection Intensity ◽  
Female Fish ◽  
Body Width ◽  
Aplodinotus Grunniens ◽  
The North ◽  
Diplostomum Spathaceum ◽  
Significant Difference ◽  
Left And Right ◽  
Freshwater Drum

Strigeoid metacercariae from the lenses of freshwater drum, Aplodinotus grunniens, were morphometrically analyzed and compared with those of the North American subspecies of Diplostomum spathaceum: Diplostomum spathaceum indistinctum and Diplostomum spathaceum huronense. The metacercariae resembled D. s. indistinctum in mean body length, mean body width, oral sucker size, and holdfast size. Prevalence of infection in drum was 99% and intensity ranged from 0 to 260 worms per fish (mean ± SD = 35 ± 32). A significant difference (P < 0.05) in mean intensity between male and female fish was observed, with females harboring a greater worm burden (i.e., 43 in females versus 24 in males). Differences in infection intensity between left and right lenses from all fish were not significant (P > 0.05); however, the degree of asymmetry between left and right lenses of individual fish was highly significant (P < 0.005) according to heterogeneity χ2 analysis. In this case, neither left nor right lenses were consistently favored.

Sign in / Sign up

Export Citation Format

Share Document