scholarly journals Management of Two Unusual Patients With Vascular Anomalies

Author(s):  
Reza Erfanian ◽  
Saeed Sohrabpour ◽  
Farrokh Heidari ◽  
Saeed Shakiba

Vascular anomalies form a significant portion of congenital defects and venous malformations are the most prevalent type among adults. Multiple imaging modalities have been proposed for pre-operation assessments. Although some studies have reported Magnetic Resonance Imaging (MRI) as the most valuable modality, in many situations, CT scan remains the equipment of choice due to its availability. In each case, a precise assessment of the malformation is needed. In two cases mentioned in our study, prior to the operations, only a monophasic CT scan was performed that resulted in missing evidence of severity and extent of venous malformation. One of the imaging procedures is a three-phase CT scan. Although in the monophasic CT scans, a delay of 65 seconds is applied, in three-phase CT, both filling in and washing out are notable, which gives three-phase CT a more predictive value about flow pattern over monophasic CT.

2021 ◽  
pp. 028418512110510
Author(s):  
Yousef W Nielsen ◽  
Henrik S Thomsen

This review focuses on the trends in contrast media (CM) research published in Acta Radiologica during the last 100 years, since the first edition in 1921. The main topics covered are the developments of iodine- and gadolinium-based CM. Other topics include manganese-based CM for magnetic resonance imaging (MRI) and barium for the investigation of the alimentary tract. From a historic point of view, special CM for use in cholegraphy and myelography are addressed in the review. Today, these imaging procedures are obsolete due to the development of computed tomography, MRI, and ultrasound. The historical use of radioactive thorium-based CM for angiography is also addressed. Furthermore, publications on adverse reactions to CM are reviewed.


2020 ◽  
Vol 27 (3) ◽  
pp. 352-361 ◽  
Author(s):  
Silvanose Biju ◽  
Tatjana N. Parac-Vogt

Paramagnetic Lanthanide ions incorporated into nano- architectures are emerging as a versatile platform for Magnetic Resonance Imaging (MRI) contrast agents due to their strong contrast enhancement effects combined with the platform capability to include multiple imaging modalities. This short review examines the application of lanthanide based nanoarchitectures (nanoparticles and nano- assemblies) in the development of multifunctional probes for single and multimodal imaging involving high field MRI as one imaging modality.


2019 ◽  
Vol 142 (2) ◽  
Author(s):  
Thien-Khoi N. Phung ◽  
Christopher D. Waters ◽  
Jeffrey W. Holmes

Abstract Creating patient-specific models of the heart is a promising approach for predicting outcomes in response to congenital malformations, injury, or disease, as well as an important tool for developing and customizing therapies. However, integrating multimodal imaging data to construct patient-specific models is a nontrivial task. Here, we propose an approach that employs a prolate spheroidal coordinate system to interpolate information from multiple imaging datasets and map those data onto a single geometric model of the left ventricle (LV). We demonstrate the mapping of the location and transmural extent of postinfarction scar segmented from late gadolinium enhancement (LGE) magnetic resonance imaging (MRI), as well as mechanical activation calculated from displacement encoding with stimulated echoes (DENSE) MRI. As a supplement to this paper, we provide MATLAB and Python versions of the routines employed here for download from SimTK.


Author(s):  
Yongsheng Hu ◽  
Liyi Zhang

In recent decades, magnetic resonance imaging (MRI) has attracted attention in radiation therapy as the only modality. This nontrivial task requires the application of pseudo computed tomography (PCT) generation methods. On the one hand, the electron density information provided by the CT scan is critical for calculating the 3D dose distribution of tissues. On the other hand, the bone image provided by the CT is precise enough for the construction of a radiograph. Lately, the use of MRI/CT has combined all of the soft tissue contrast merits which are contributed by the MRI and the virtue of CT imaging. However, owing to the unbalance of voxel-intensities in the MRI and CT scan, the MRI/CT workflow also has shortcomings. Inspired by the random forest-based PCT estimation, this paper investigated the potential of the 3D group feature as the input of the random forest regression, which is based on the 3D block-matching method, taking the correlated central voxel as the target. Four types of features including the voxel level, sub-regional level, whole cubic level with adaptive weighted conjunction and compressed level were introduced to attain the robust features. The group-based random forest regression was then utilized to obtain the approximated PCT only from corresponding MRI, and the feature is extracted from the 3D cubic MRI patches and mapped to the 3D cubic CT patch, which helps in decreasing the computation difficulty, representing the MR patches into an anatomical feature space. The alternative regression forest was used in solving the regression task for enhancing the prediction power compared with the random forest. The proposed method could efficiently capture the correlation that is observable between the CT as well as the MR images on the basis of the alternative random forest (ARF) with cubic features, and the experimental results show the performance and effectiveness of the proposed method compared with the recent learning-based and atlas-based (AB) methods


Author(s):  
Raydeen M Busse

Abstract Although ultrasound is the primary imaging modality for most gynecologic diagnoses and conditions, knowledge of other diagnostic imaging procedures is important to gynecologists, emergency room physicians and radiologists who care for women of all ages. Since the early 1960s when ultrasound was introduced for the use in obstetrics and gynecology, other imaging techniques have rapidly come into play due to the tremendous advances in computer technology and in the field of engineering. It behooves us to become familiar and knowledgeable about the differences in these imaging techniques in order to gather the most information in the shortest amount of time to care for patients in the most efficient and cost-effective way. This review is meant for the use of most practicing physicians that are exposed to common as well as uncommon gynecologic conditions; therefore the primary imaging modalities discussed in this paper are limited to ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Objectives Understanding of the strengths and limitations of ultrasound, MRI and CT Obtaining knowledge of when to apply the most appropriate imaging technique for a certain clinical situations


2020 ◽  
pp. 1-7
Author(s):  
Blaurock-Busch Eleonore

Gadolinium-Based Contrast Agents (GBCA) are intravenous drugs used in diagnostic imaging procedures to enhance the quality of Magnetic Resonance Imaging (MRI) or Magnetic Resonance Angiography (MRA). FDA alerts concerning potential side effects increased patient and medical concerns. More recent FDA information indicate that ionic gadolinium is released from some GBCAs, potentially causing gadolinium toxicity. We checked if gadolinium is excreted renally without intervention after previous administration of GBCAs, and if chelating agents are effective in removing gadolinium that may have remained in the body after GBCA administration. Through the evaluation of our internal database and the studies of others, we concluded that no clear consensus exists at this time. While the DTPAs may be the choice of chelators for the removal of gadolinium from the human body, further studies are needed to prove this. It seems clear, however, that microcyclic GBCAs provide a lesser risk of causing gadolinium retention and gadolinium toxicity symptoms.


1994 ◽  
Vol 1 (2-3) ◽  
pp. 87-106 ◽  
Author(s):  
Robert A. Bulman

Up to about the early 1980s it was perhaps still possible to summarize in a review of a moderate length the development of the medicinal applications of chelation chemistry and the exploitation of such chemistry in regulating the metal ion concentrations in the body. However, in the last few years there has a great surge in the development of chelation chemistry and its usage in medicine and related areas of life sciences research. It is no longer the case that such a review primarily concentrates upon the use of chelating agents in removing toxic metals from the body but it must now cover the use of chelating agents in the imaging procedures nuclear medicine and magnetic resonance imaging (MRI), the use of chelating agents in unravelling the biochemistry of reactive oxidative species (ROS) and the control and measurement of intracellular calcium ions. It is in the recent applications that there have been the greatest developments over the last ten years.


Neurosurgery ◽  
1991 ◽  
Vol 29 (2) ◽  
pp. 223-226 ◽  
Author(s):  
Erik Van de Kelft ◽  
Michel Van Vyve

Abstract Chronic perineal pain is an often encountered problem that is difficult to evaluate. Based on a series of 17 patients in whom urological, gynecological, and anorectal pathology was excluded, the authors compared magnetic resonance imaging (MRI) with computed tomographic (CT) scan with myelography in the investigation of chronic perineal pain. After a clinical neurological examination, patients underwent radiodiagnostic imaging of both techniques. Thirteen patients (76%) had one or more sacral meningeal cysts (MC) on MRI scan, whereas CT scan with myelography of the lumbar and sacral region revealed 7 patients (41%) with sacral MC. Sacral MC may be the etiology of chronic perineal pain in many instances, and MRI scan appears to be superior to CT scan with myelography in demonstrating sacral MC. Ten patients with sacral MC were operated on with moderate to excellent results 6 months after operation. Early postoperative results are encouraging, but further follow-up and larger series are required.


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