DIGESTIVE ENDOSCOPY, Issue 3 2007
Massimo De Filippo
An aorto-enteric fistula is a serious complication of abdominal aortic aneurysm. Acute upper gastrointestinal bleeding may be a life-threatening condition that calls for immediate diagnosis and action. Morbidity and mortality remain high despite progress in diagnosis and therapeutic procedures. In the literature, the aorto-enteric fistula diagnostic suspicion by multidetector computed tomography scan is assumed on the basis of the interruption of the aortic wall, with the presence of duodenal gas situated to tightened contact with the aorta. We report a patient with an aorto-duodenal fistula associated with inflammatory abdominal aortic aneurysm detected by gastro-duodenoscopy and multidetector computed tomography scan, with gas found in the lumen of the abdominal aorta, between the aneurysm wall and the thrombus. [source]

NEUTRON TOMOGRAPHY AS A VALUABLE TOOL FOR THE NON-DESTRUCTIVE ANALYSIS OF HISTORICAL BRONZE SCULPTURES

ARCHAEOMETRY, Issue 2 2010
E. H. LEHMANN
This paper explains, with the example of a Roman object (the ,Mars from Oberweningen', Switzerland), why neutrons can be used preferentially for the non-destructive analysis of metallic objects of relatively large size. This method is superior to the conventional X-ray tomography method due to the higher penetration ability in metals such as copper, tin and even lead. With this method, differing materials can also easily be differentiated. In this way, the inner and outer structures of objects can be observed with the help of tools based on mathematical algorithms. Slices at arbitrary positions and segmentation of different material clusters aid the understanding of manufacturing processes and can describe the present preservation status. This helps in selecting optimal and additional conservation measures in museums for further preservation. Beside the qualitative overview on structure and inner properties of the objects, quantitative information can be derived about material content and composition. This method and the subsequently needed facilities for this method are available at PSI for similar studies on demand. [source]

USING OPTICAL COHERENCE TOMOGRAPHY TO EXAMINE THE SUBSURFACE MORPHOLOGY OF CHINESE GLAZES

ARCHAEOMETRY, Issue 5 2009
M.-L. YANG
Optical coherence tomography (OCT), a new method for ceramics research, is a nondestructive, three-dimensional tomography system, which provides subsurface morphology visualization of samples based on the refractive index or dielectric constant differences in the target specimen. In this study, seven shards from different Chinese kilns of Song and Yuan dynasties (10,14th centuries) were scanned to visualize the subsurface morphology of their glazes. The images revealed unique phase assemblage modes in different samples. The results suggest OCT may be used to identify ceramics and provide information about their manufacturing technology. [source]

SIGNIFICANCE OF 18F-FLUORODEOXYGLUCOSE POSITRON-EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY FOR THE POSTOPERATIVE SURVEILLANCE OF ADVANCED RENAL CELL CARCINOMA

BJU INTERNATIONAL, Issue 1 2010
Varun Shandal
No abstract is available for this article. [source]

Three-Dimensional Surface Texture Characterization of Portland Cement Concrete Pavements

COMPUTER-AIDED CIVIL AND INFRASTRUCTURE ENGINEERING, Issue 3 2007
Ala Abbas
Ten PCC field cores of varying surface textures were included in the analysis. X-ray Computed Tomography (CT) was used to scan the upper portion of these cores, resulting in a stack of two-dimensional grayscale images. Image processing techniques were utilized to isolate the void pixels from the solid pixels and reconstruct the three-dimensional surface topography. The resulting three-dimensional surfaces were reduced to two-dimensional "map of heights" images, whereby the grayscale intensity of each pixel within the image represented the vertical location of the surface at that point with respect to the lowest point on the surface. The "map of heights" images were analyzed using four mathematical methods, namely the Hessian model, the Fast Fourier transform (FFT), the wavelet analysis, and the power spectral density (PSD). Results obtained using these methods were compared to the mean profile depth (MPD) computed in accordance with ASTM E1845. [source]

Dopamine release in ventral striatum of pathological gamblers losing money

ACTA PSYCHIATRICA SCANDINAVICA, Issue 4 2010
J. Linnet
Linnet J, Peterson E, Doudet DJ, Gjedde A, Møller A. Dopamine release in ventral striatum of pathological gamblers losing money. Objective:, To investigate dopaminergic neurotransmission in relation to monetary reward and punishment in pathological gambling. Pathological gamblers (PG) often continue gambling despite losses, known as ,chasing one's losses'. We therefore hypothesized that losing money would be associated with increased dopamine release in the ventral striatum of PG compared with healthy controls (HC). Method:, We used Positron Emission Tomography (PET) with [11C]raclopride to measure dopamine release in the ventral striatum of 16 PG and 15 HC playing the Iowa Gambling Task (IGT). Results:, PG who lost money had significantly increased dopamine release in the left ventral striatum compared with HC. PG and HC who won money did not differ in dopamine release. Conclusion:, Our findings suggest a dopaminergic basis of monetary losses in pathological gambling, which might explain loss-chasing behavior. The findings may have implications for the understanding of dopamine dysfunctions and impaired decision-making in pathological gambling and substance-related addictions. [source]

The Risk of Intra-abdominal Injuries in Pediatric Patients with Stable Blunt Abdominal Trauma and Negative Abdominal Computed Tomography

ACADEMIC EMERGENCY MEDICINE, Issue 5 2010
Jeffrey Hom MD
Abstract Objectives:, This review examines the prevalence of intra-abdominal injuries (IAI) and the negative predictive value (NPV) of an abdominal computed tomography (CT) in children who present with blunt abdominal trauma. Methods:, MEDLINE, EMBASE, and Cochrane Library databases were searched. Studies were selected if they enrolled children with blunt abdominal trauma from the emergency department (ED) with significant mechanism of injury requiring an abdominal CT. The primary outcome measure was the rate of IAI in patients with negative initial abdominal CT. The secondary outcome measure was the number of laparotomies, angiographic embolizations, or repeat abdominal CTs in those with negative initial abdominal CTs. Results:, Three studies met the inclusion criteria, comprising a total of 2,596 patients. The overall rate of IAI after a negative abdominal CT was 0.19% (95% confidence interval [CI] = 0.08% to 0.44%). The overall NPV of abdominal CT was 99.8% (95% CI = 99.6% to 99.9%). There were five patients (0.19%, 95% CI = 0.08% to 0.45%) who required additional intervention despite their initial negative CTs: one therapeutic laparotomy for bowel rupture, one diagnostic laparotomy for mesenteric hematoma and serosal tear, and three repeat abdominal CTs (one splenic and two renal injuries). None of the patients in the latter group required surgery or blood transfusion. Conclusions:, The rate of IAI after blunt abdominal trauma with negative CT in children is low. Abdominal CT has a high NPV. The review shows that it might be safe to discharge a stable child home after a negative abdominal CT. ACADEMIC EMERGENCY MEDICINE 2010; 17:469,475 © 2010 by the Society for Academic Emergency Medicine [source]

The Impact of a Concurrent Trauma Alert Evaluation on Time to Head Computed Tomography in Patients with Suspected Stroke

ACADEMIC EMERGENCY MEDICINE, Issue 3 2006
Esther H. Chen MD
Background: Emergency department (ED) overcrowding threatens quality of care by delaying the time to diagnosis and treatment of patients with time-sensitive diseases, such as acute stroke. Objective: The authors hypothesized that the presence of a trauma alert evaluation would impede the time to head computed tomography (hCT) in patients with stroke-like symptoms. Methods: This was a secondary analysis of prospectively collected data on patients with potential stroke who received an hCT in an urban trauma center ED from January 1, 2004, to November 30, 2004. Structured data collection included historical and examination items, National Institutes of Health (NIH) stroke scale score, laboratory and radiographic results, and final diagnosis. Admitted patients were followed in hospital. Patients who presented within one hour following a trauma evaluation were compared with patients who presented without concurrent trauma for triage time until completion of hCT. Chi-square, t-tests, and 95% confidence intervals (95% CIs) were used for comparisons. Results: The 171 patients enrolled had a mean (± standard deviation) age of 60.7 (± 7) years; 60% were female; and 58% were African American. Of these, 72 patients had a significant cerebrovascular event (38 [22%] ischemic stroke, 25 [15%] transient ischemic attack, seven [4%] intracranial hemorrhage, one [0.6%] subarachnoid hemorrhage, and one [0.6%] subdural hematoma). The remaining diagnoses included 4.6% migraine, 2.3% seizure, 2.9% syncope, 2.3% Bell's palsy, and 2.9% vertigo. There was no significant difference in time to hCT in patients who presented during a trauma activation and those who did not (99 minutes [interquartile range (IQR) = 24,156] vs. 101 minutes [IQR = 43,151.5]; p = 0.537). In subgroup analysis of patients with a significant cerebrovascular event, times to hCT were also similar (24 minutes [IQR = 12,99] vs. 61 minutes [IQR = 15,126]; p = 0.26). Conclusions: In the authors' institution, the presence of concurrent trauma evaluation does not delay CT imaging of patients with potential stroke. [source]

Impact of Helical Computed Tomography on the Outcomes of Emergency Department Patients with Suspected Appendicitis

ACADEMIC EMERGENCY MEDICINE, Issue 8 2003
Sam S. Torbati MD
Abstract Objectives: To assess the impact of an emergency department (ED) guideline employing selective use of helical computed tomography (CT) on clinical outcomes of female patients with suspected appendicitis. Methods: All patients presenting with suspected appendicitis were prospectively enrolled and managed in accordance with a guideline incorporating selective use of helical CT. Although not the objective of this investigation, male patients were included for purposes of comparison. Patients with clinically evident appendicitis were referred to the surgical service, and patients with equivocal presentations were studied with helical CT. Patients were followed to final surgical or clinical outcomes. Outcome measures included time from ED presentation to laparotomy and rate of appendiceal perforation. These measures were compared with those of a historical cohort of patients preceding the use of helical CT. Results: A total of 310 consecutive patients with suspected appendicitis were enrolled; 92 had appendicitis. Sixty patients were referred to the surgical service without helical CT, and 41 had appendicitis (68%). Helical CT was performed on 250 patients; 51 had appendicitis (20%). For males, the mean interval from ED presentation to laparotomy was 559 minutes (95% CI = 444 to 674 minutes) during guideline use and 480 minutes (95% CI = 405 to 555 minutes) before. This interval for females was 433 minutes (95% CI = 326 to 540 minutes) during guideline use and 710 minutes (95% CI = 558 to 862 minutes) before. Appendiceal perforation rate for males was 0.25 (95% CI = 0.14 to 0.36) during guideline use and 0.38 (95% CI = 0.29 to 0.47) before; perforation rate for females was 0.06 (95% CI =,0.05 to 0.17) during guideline use and 0.23 (95% CI = 0.14 to 0.32) before. Helical CT had 92% sensitivity, 97% specificity, and 96% accuracy in diagnosing appendicitis. Conclusions: Helical CT is highly accurate in detecting appendicitis in patients with equivocal ED presentations. The use of a guideline employing selective helical CT was associated with a decline in the time from ED presentation to operative intervention in females. [source]

Detection of artificially induced vertical radicular fractures using Tuned Aperture Computed Tomography

EUROPEAN JOURNAL OF ORAL SCIENCES, Issue 6 2001
Madhu K. Nair
This study compared the accuracy of three imaging modalities for the detection of artificially induced vertical root fractures (VRF) on teeth in cadaver mandibles. Fifty-four single-rooted, endodontically treated mandibular teeth being prepared to carry posts were evaluated using direct digital radiography (DDI) with a Schick sensor, unprocessed Tuned Aperture Computed Tomography® (TACT-U) images and iteratively restored TACT (TACT-IR) images. Twenty-eight of these teeth had been subjected to fracture induction using an apically driven force. Nine basis images were used for each TACT image generation. Eight observers used a five-point confidence rating scale to record the confidence with which they considered a fracture to be present or not. Sensitivity and specificity values were computed and receiver operating characteristic (ROC) curves were generated. The areas under the curves (Az) used as an indication of the diagnostic accuracy of the imaging system were as follows: DDI: 0.37; TACT-U: 0.77 and TACT-IR: 0.81. DDI was significantly inferior to the TACT modalities. Differences in detection efficacy based on observers and observation sessions were noted on ANOVA and post-hoc Tukey's tests. This study indicates that TACT is the imaging modality of choice for VRF in endodontically treated teeth. [source]

Analytical Modelling of the Radiative Properties of Metallic Foams: Contribution of X-Ray Tomography

ADVANCED ENGINEERING MATERIALS, Issue 4 2008
M. Loretz
Two metallic foams exhibiting a similar porosity but different cell sizes have been characterized using X-ray tomography. The images have been processed and analysed to retrieve the morphological properties required for the calculation of the radiative properties such as the extinction coefficient. The multiple possibilities of using the X-ray tomography method rather than conventional optical methods like SEM have been quantified. The extinction coefficient has then been determined from two approaches. First, the resulting morphological properties have been used as the input data of the conventional independent scattering theory. A special emphasis is put on the determination of morphological properties and their influence on the results. In the second approach, an original method is also proposed in order to determine the extinction coefficient of highly porous open cell metal foams, from the tomographic images and without any calculation or hypothesis. Results show a good agreement with the extinction coefficient obtained from experimental measurements. Our novel method enables to reduce uncertainties considerably. [source]

Volume Organization of Polymer and Hybrid Solar Cells as Revealed by Electron Tomography

ADVANCED FUNCTIONAL MATERIALS, Issue 19 2010
Svetlana S. van Bavel
Abstract Polymer and hybrid solar cells have the potential to become the leading technology of the 21st century in conversion of sun light to electrical energy because their ease processing from solution producing printable devices in a roll-to-roll fashion with high speed and low cost. The performance of such devices critically depends on the nanoscale organization of the photoactive layer, which is composed of at least two functional materials: the electron donor and the electron acceptor forming a so-called bulk heterojunction; however, control of its volume morphology still is a challenge. In this context, advanced analytical tools are required that are able to provide information on the local volume morphology of the photoactive layer with nanometer resolution. In this report electron tomography is introduced as the technique able to explore the 3D morphology of polymer and hybrid solar cells and the first results achieved are critically discussed. [source]

What Are the Unintended Consequences of Changing the Diagnostic Paradigm for Subarachnoid Hemorrhage After Brain Computed Tomography to Computed Tomographic Angiography in Place of Lumbar Puncture?

ACADEMIC EMERGENCY MEDICINE, Issue 9 2010
Jonathan A. Edlow MD
First page of article [source]

Basin-Scale Transmissivity and Storativity Estimation Using Hydraulic Tomography

GROUND WATER, Issue 5 2008
Kristopher L Kuhlman
While tomographic inversion has been successfully applied to laboratory- and field-scale tests, here we address the new issue of scale that arises when extending the method to a basin. Specifically, we apply the hydraulic tomography (HT) concept to jointly interpret four multiwell aquifer tests in a synthetic basin to illustrate the superiority of this approach to a more traditional Theis analysis of the same tests. Transmissivity and storativity are estimated for each element of a regional numerical model using the geostatistically based sequential successive linear estimator (SSLE) inverse solution method. We find that HT inversion is an effective strategy for incorporating data from potentially disparate aquifer tests into a basin-wide aquifer property estimate. The robustness of the SSLE algorithm is investigated by considering the effects of noisy observations, changing the variance of the true aquifer parameters, and supplying incorrect initial and boundary conditions to the inverse model. Ground water flow velocities and total confined storage are used as metrics to compare true and estimated parameter fields; they quantify the effectiveness of HT and SSLE compared to a Theis solution methodology. We discuss alternative software that can be used for implementing tomography inversion. [source]

Prevalence of Herniation and Intracranial Shift on Cranial Tomography in Patients With Subarachnoid Hemorrhage and a Normal Neurologic Examination

ACADEMIC EMERGENCY MEDICINE, Issue 4 2010
Larry J. Baraff MD
Abstract Objectives:, Patients frequently present to the emergency department (ED) with headache. Those with sudden severe headache are often evaluated for spontaneous subarachnoid hemorrhage (SAH) with noncontrast cranial computed tomography (CT) followed by lumbar puncture (LP). The authors postulated that in patients without neurologic symptoms or signs, physicians could forgo noncontrast cranial CT and proceed directly to LP. The authors sought to define the safety of this option by having senior neuroradiologists rereview all cranial CTs in a group of such patients for evidence of brain herniation or midline shift. Methods:, This was a retrospective study that included all patients with a normal neurologic examination and nontraumatic SAH diagnosed by CT presenting to a tertiary care medical center from August 1, 2001, to December 31, 2004. Two neuroradiologists, blinded to clinical information and outcomes, rereviewed the initial ED head CT for evidence of herniation or midline shift. Results:, Of the 172 patients who presented to the ED with spontaneous SAH diagnoses by cranial CT, 78 had normal neurologic examinations. Of these, 73 had initial ED CTs available for review. Four of the 73 (5%; 95% confidence interval [CI] = 2% to 13%) had evidence of brain herniation or midline shift, including three (4%; 95% CI = 1% to 12%) with herniation. In only one of these patients was herniation or shift noted on the initial radiology report. Conclusions:, Awake and alert patients with a normal neurologic examination and SAH may have brain herniation and/or midline shift. Therefore, cranial CT should be obtained before LP in all patients with suspected SAH. ACADEMIC EMERGENCY MEDICINE 2010; 17:423,428 © 2010 by the Society for Academic Emergency Medicine [source]

Tomography of temperature gradient metamorphism of snow and associated changes in heat conductivity

HYDROLOGICAL PROCESSES, Issue 18 2004
Martin Schneebeli
Abstract Temperature gradient metamorphism is one of the dominant processes changing the structure of natural dry snow. The structure of snow regulates the thermal and mechanical properties. Physical models and numerical simulations of the evolution of the snow cover require a thorough understanding of the interplay between structure and physical properties. The structure of snow and the heat conductivity were measured simultaneously without disturbance in a miniature snow breeder. The structure was measured by microtomography, and heat conductivity by measuring heat fluxes and temperatures. A temperature gradient from 25 to 100 K m,1 was applied to the snow. The snow density range of the samples varied from 150 to 500 kg m,3. The density in the observed volume remained constant during the experiments under temperature gradient conditions. The structure was analysed with respect to the size of typical ice structures and air pores, specific surface area, curvature and anisotropy of the ice matrix. The temporal changes in structure and heat conductivity are compared. The heat conductivity changed by as much as twice its initial value, caused by changes in structure and texture, but not due to changes in density. This shows the enormous importance of structure in the evolution of the heat conductivity. The observed changes are not in good agreement with the current understanding of the metamorphic process, because heat conductivity increased during temperature gradient metamorphism, instead of the expected decrease due to a shrinking of the bonds. We also observed a plateau in the evolution of the heat conductivity coefficient, which indicates a quasi-steady state of the structural evolution with respect to thermophysical properties of snow. Copyright © 2004 John Wiley & Sons, Ltd. [source]

Can Computed Tomography Angiography of the Brain Replace Lumbar Puncture in the Evaluation of Acute-onset Headache After a Negative Noncontrast Cranial Computed Tomography Scan?

ACADEMIC EMERGENCY MEDICINE, Issue 4 2010
Robert F. McCormack MD
Abstract Objectives:, The primary goal of evaluation for acute-onset headache is to exclude aneurysmal subarachnoid hemorrhage (SAH). Noncontrast cranial computed tomography (CT), followed by lumbar puncture (LP) if the CT is negative, is the current standard of care. Computed tomography angiography (CTA) of the brain has become more available and more sensitive for the detection of cerebral aneurysms. This study addresses the role of CT/CTA versus CT/LP in the diagnostic workup of acute-onset headache. Methods:, This article reviews the recent literature for the prevalence of SAH in emergency department (ED) headache patients, the sensitivity of CT for diagnosing acute SAH, and the sensitivity and specificity of CTA for cerebral aneurysms. An equivalence study comparing CT/LP and CT/CTA would require 3,000 + subjects. As an alternative, the authors constructed a mathematical probability model to determine the posttest probability of excluding aneurysmal or arterial venous malformation (AVM) SAH with a CT/CTA strategy. Results:, SAH prevalence in ED headache patients was conservatively estimated at 15%. Representative studies reported CT sensitivity for SAH to be 91% (95% confidence interval [CI] = 82% to 97%) and sensitivity of CTA for aneurysm to be 97.9% (95% CI = 88.9% to 99.9%). Based on these data, the posttest probability of excluding aneurysmal SAH after a negative CT/CTA was 99.43% (95% CI = 98.86% to 99.81%). Conclusions:, CT followed by CTA can exclude SAH with a greater than 99% posttest probability. In ED patients complaining of acute-onset headache without significant SAH risk factors, CT/CTA may offer a less invasive and more specific diagnostic paradigm. If one chooses to offer LP after CT/CTA, informed consent for LP should put the pretest risk of a missed aneurysmal SAH at less than 1%. ACADEMIC EMERGENCY MEDICINE 2010; 17:444,451 © 2010 by the Society for Academic Emergency Medicine [source]

Correlative 3D Microscopy: CLSM and FIB/SEM Tomography

IMAGING & MICROSCOPY (ELECTRONIC), Issue 3 2008
A Study of Cellular Entry of Vaccinia Virus
Abstract Subcellular structural investigation on single cells or tissue samples requires the coupling of optimal structural preservation with detailed imaging at the light and electron microscopic level. To apply light microscopy (FLM, CLSM) and electron microscopy (SEM, FIB/SEM, TEM) imaging modes to the identical sample area has become available with the establishment of chemical preparation, or freeze-substitution protocols after high pressure freezing, adapted to retain fluorophores. One and the same structure can now be investigated at mm to nm range in 2D and 3D in a multimodal set-up [1, 2]. In combination with live cell imaging prior to immobilisation, this approach becomes a powerful tool in life science, e.g. in the development of new anti-viral strategies, as this requires detailed information on the replication cycle of viruses and their interaction with their host cells. [source]

In reply to Commentary: "What Are the Unintended Consequences of Changing the Diagnostic Paradigm for Subarachnoid Hemorrhage After Brain Computed Tomography to Computed Topographic Angiography in Place of Lumbar Puncture?"

ACADEMIC EMERGENCY MEDICINE, Issue 9 2010
Robert F. McCormack MD
No abstract is available for this article. [source]

The functional neuroanatomy of geriatric depression

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 8 2009
Gwenn S. Smith
Abstract Objective Positron Emission Tomography (PET) studies of cerebral glucose metabolism have demonstrated sensitivity in evaluating the functional neuroanatomy of treatment response variability in depression, as well as in the early detection of functional changes associated with incipient cognitive decline. The evaluation of cerebral glucose metabolism in late life depression may have implications for understanding treatment response variability, as well as evaluating the neurobiological basis of depression in late life as a risk factor for dementia. Methods Sixteen patients with geriatric depression and 13 comparison subjects underwent resting PET studies of cerebral glucose metabolism, as well as magnetic resonance (MR) imaging scans to evaluate brain structure. Results Cerebral glucose metabolism was elevated in geriatric depressed patients relative to comparison subjects in anterior (right and left superior frontal gyrus) and posterior (precuneus, inferior parietal lobule) cortical regions. Cerebral atrophy (increased cerebrospinal fluid [CSF] and decreased grey and white matter volumes) were observed in some of these regions, as well. Regional cerebral metabolism was positively correlated with severity of depression and anxiety symptoms. Conclusions In contrast to decreased metabolism observed in normal aging and neurodegenerative conditions such as Alzheimer's disease, cortical glucose metabolism was increased in geriatric depressed patients relative to demographically matched controls, particularly in brain regions in which cerebral atrophy was observed, which may represent a compensatory response. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Three-Dimensional Computed Tomography X-Radiographic Investigation of a 17th-Century Watch from the Wreck of the Swan, off Duart Point, Mull, Scotland

INTERNATIONAL JOURNAL OF NAUTICAL ARCHAEOLOGY, Issue 1 2010
Lore G. Troalen
The objects recovered from the Swan have already been the subject of a number of publications. The aim of this article is to provide an in-depth study of the pocket-watch, using Three Dimensional Computed Tomography (3D-CT) X-ray scanning. The structural information that survived exceeded expectations and made a virtual reconstruction of the mechanism possible. The very high resolution provided by the scan enabled the engraving of the maker's name to be visualised and confirmed the date of the watch. © 2009 The Authors [source]

Monitoring of glucose permeability in monkey skin in vivo using Optical Coherence Tomography

JOURNAL OF BIOPHOTONICS, Issue 1-2 2010
Mohamad G. Ghosn
Abstract Topical trans-dermal delivery of drugs has proven to be a promising route for treatment of many dermatological diseases. The aim of this study is to monitor and quantify the permeability rate of glucose solutions in rhesus monkey skin noninvasively in vivo as a primate model for drug diffusion. A time-domain Optical Coherence Tomography (OCT) system was used to image the diffusion of glucose in the skin of anesthetized monkeys for which the permeability rate was calculated. From 5 experiments on 4 different monkeys, the permeability for glucose-20% was found to be (4.41 ± 0.28) 10,6 cm/sec. The results suggest that OCT might be utilized for the noninvasive study of molecular diffusion in the multilayered biological tissues in vivo. (© 2010 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source]

Risedronate Preserves Trabecular Architecture and Increases Bone Strength in Vertebra of Ovariectomized Minipigs as Measured by Three-Dimensional Microcomputed Tomography,,

JOURNAL OF BONE AND MINERAL RESEARCH, Issue 7 2002
Babul Borah Ph.D.
Abstract Risedronate reduces the risk of new vertebral fractures up to 70% within 1 year of treatment in patients with osteoporosis. Both increases in bone mass and preservation of bone architecture are thought to contribute to antifracture effects. Our objectives were to determine the effects of risedronate on trabecular bone mass and architecture and to determine the relative contributions of mass and architecture to strength in the vertebra of ovariectomized (OVX) minipigs. The minipigs were OVX at 18 months of age and were treated daily for 18 months with either vehicle or risedronate at doses of 0.5 mg/kg per day or 2.5 mg/kg per day. The three-dimensional (3D) bone architecture of the L4 vertebral cores of Sinclair S1 minipigs was evaluated by 3D microcomputed tomography (,CT). Compared with the OVX control, the vertebral bone volume (bone volume/tissue volume [BV/TV]) was higher in both treated groups (p < 0.05). The architectural changes were more significant at the 2.5-mg/kg dose and were more prevalent at the cranial-caudal ends compared with the midsection. At the higher dose, the trabecular thickness (Tb.Th), trabecular number (Tb.N), and connectivity were higher, and marrow star volume (Ma.St.V) and trabecular separation (Tb.Sp) were lower (p < 0.05). The trabecular separation variation index(TSVI), a new measure to approximate structural variations, was smaller in the 2.5-mg/kg-treated group (p < 0.05). In this group, a significant preservation of trabeculae orthogonal to the cranial-caudal axis was confirmed by a decrease in the degree of anisotropy (DA) and an increase in the percent Cross-strut (%Cross-strut; p < 0.05). Both normalized maximum load (strength) and normalized stiffness of the same vertebral cores were higher in the 2.5-mg/kg risedronate group compared with the OVX group (p < 0.05). BV/TV alone could explain 76% of the variability of the bone strength. The combination of bone volume and architectural variables explained >90% of the strength. The study showed that risedronate preserved trabecular architecture in the vertebra of OVX minipigs, and that bone strength is tightly coupled to bone mass and architecture. [source]

Clinical Application of PET/CT Fusion Imaging for Three-Dimensional Myocardial Scar and Left Ventricular Anatomy during Ventricular Tachycardia Ablation

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 6 2009
JING TIAN M.D., Ph.D.
Background: Image integration has the potential to display three-dimensional (3D) scar anatomy and facilitate substrate characterization for ventricular tachycardia (VT) ablation. However, the current generation of clinical mapping systems cannot display 3D left ventricle (LV) anatomy with embedded 3D scar reconstructions or allow display of border zone and high-resolution anatomic scar features. Objective: This study reports the first clinical experience with a mapping system allowing an integrated display of 3D LV anatomy with detailed 2D/3D scar and border zone reconstruction. Methods: Ten patients scheduled for VT ablation underwent contrast-enhanced computed tomography (CT) and Rubidium-82 perfusion/F-18 Fluorodeoxyglucose metabolic Positron Emission Tomography (PET) imaging to reconstruct 3D LV and scar anatomy. LV and scar models were co-registered using a 3D mapping system and analyzed with a 17-segment model. Metabolic thresholding was used to reconstruct the 3D border zone. Real-time display of CT images was performed during ablation. Results: Co-registration (error 4.3 ± 0.7 mm) allowed simultaneous visualization of 3D LV anatomy and embedded scar and guided additional voltage mapping. Segments containing homogenous or partial scar correlated in 94.4% and 85.7% between voltage maps and 3D PET scar reconstructions, respectively. Voltage-defined scar and normal myocardium had relative FDG uptakes of 40 ± 13% and 89 ± 30% (P < 0.05). The 3D border zone correlated best with a 46% metabolic threshold. Real-time display of registered high-resolution CT images allowed the simultaneous characterization of scar-related anatomic changes. Conclusion: Integration of PET/CT reconstruction allows simultaneous 3D display of myocardial scar and border zone embedded into the LV anatomy as well as the display of detailed scar anatomy. Multimodality imaging may enable a new image-guided approach to substrate-guided VT ablation. [source]

Correlation of Left Atrial Diameter by Echocardiography and Left Atrial Volume by Computed Tomography

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 2 2009
IRENE HOF M.D.
Introduction: For patients undergoing catheter ablation of atrial fibrillation (AF), left atrial size is a predictor of recurrence of AF during follow-up. For this reason, major clinical trials have used a left atrial diameter (LAD) of more than 5.0 or 5.5 cm, assessed by echocardiography, as an exclusion criterion for patients deemed candidates for ablation of AF. However, whether LAD accurately reflects true left atrial size has not been systematically investigated. Therefore, the purpose of this study was to test the hypothesis that LAD, measured by echocardiography, accurately correlates to left atrial volume measured by computed tomography (CT). Methods and Results: We included 50 patients (mean age 56 ± 12 years, five female) with symptomatic AF (40% paroxysmal, 60% persistent), referred for catheter ablation. In each patient, transthoracic echocardiography was performed. Additionally, all patients underwent CT using a 64-slice CT scanner. Left atrial volume was calculated by manually tracing left atrial area on each CT cross-sectional image. Patients had a mean LAD measured by echocardiography of 4.5 ± 0.7 cm, ranging from 2.9 to 5.7 cm. Left atrial volume measured by CT ranged from 67 mL to 270 mL with a mean value of 146 ± 49 mL. A poor correlation was noted between LAD and left atrial volume, r = 0.49 (P < 0.001). Conclusion: LAD measured by echocardiography correlates poorly with left atrial volume measured by CT in patients with AF. As a result, selecting patients with AF for treatment with catheter ablation should not be based on an echocardiographic-derived LAD alone. [source]

The Role of Positron Emission Tomography in Evaluation of Alterations in Cardiac Efficiency after Cardiac Resynchronization Therapy

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 2 2008
CLAUDIA YPENBURG M.D.
No abstract is available for this article. [source]

Anatomy of the Pulmonary Veins in Patients with Atrial Fibrillation and Effects of Segmental Ostial Ablation Analyzed by Computed Tomography

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 2 2003
CHRISTOPH SCHARF M.D.
Pulmonary Vein Anatomy.Introduction: The anatomic arrangement of pulmonary veins (PVs) is variable. No prior studies have quantitatively analyzed the effects of segmental ostial ablation on the PVs. The aim of this study was to determine the effect of segmental ostial radiofrequency ablation on PV anatomy in patients with atrial fibrillation (AF). Methods and Results: Three-dimensional models of the PVs were constructed from computed tomographic (CT) scans in 58 patients with AF undergoing segmental ostial ablation to isolate the PVs and in 10 control subjects without a history of AF. CT scans were repeated approximately 4 months later. PV and left atrial dimensions were measured with digital calipers. Four separate PV ostia were present in 47 subjects; 3 ostia were present in 2 subjects; and 5 ostia were present in 9 subjects. The superior PVs had a larger ostium than the inferior PVs. Patients with AF had a larger left atrial area between the PV ostia and larger ostial diameters than the controls. Segmental ostial ablation resulted in a 1.5 ± 3.2 mm narrowing of the ostial diameter. A 28% to 61% focal stenosis was present 7.6 ± 2.2 mm from the ostium in 3% of 128 isolated PVs. There were no instances of symptomatic PV stenosis during a mean follow-up of 245 ± 105 days. Conclusion: CT of the PVs allows identification of anatomic variants prior to catheter ablation procedures. Segmental ostial ablation results in a significant but small reduction in ostial diameter. Focal stenosis occurs infrequently and is attributable to delivery of radiofrequency energy within the PV. (J Cardiovasc Electrophysiol, Vol. 14, pp. 150-155, February 2003) [source]

A Novel Approach to Study Biscuits and Breadsticks Using X-Ray Computed Tomography

JOURNAL OF FOOD SCIENCE, Issue 6 2010
P. Frisullo
Abstract:, In this study X-ray microtomography (,CT) was used for analysis of the microstructure of 6 different types of Italian biscuits and 3 types of Italian breadsticks. Appropriate quantitative 3-D parameters describing the microstructure were calculated, such as the structure thickness (ST), the object structure volume ratio (OSVR), the degree of anisotropy (DA), and the percentage object volume (POV). Sensory analysis was also performed to discriminate samples on the basis of texture characteristics. A correlation between microstructural data (OSVR for biscuits and OSVR, POV, and DA for breadsticks) and sample crunchiness was also found. Results obtained from the current study showed that analysis at a microscopic level could be useful to the food industry, as the accurate calculation of number, dimension, and distribution of pores in the products could be used to improve the sensorial properties of food. Further study by ,CT could be carried out to correlate microstructure to specific ingredients and process conditions to allow obtaining more tailored food. [source]

Multislice Computed Tomography of the First Rib: A Useful Technique for Bone Age Assessment

JOURNAL OF FORENSIC SCIENCES, Issue 4 2010
Guillaume Moskovitch M.S.
Abstract:, Macroscopic study of the first rib has been described by Kunos et al. as an efficient method of age estimation. We retrospectively reviewed a test sample of 160 first right ribs obtained from multislice computed tomography (MSCT) clinical investigations of living individuals aged 15,30 years old. Based on the descriptions of Kunos et al., we analyzed the morphological appearance of the sternal end of the first rib on two- and three-dimensional MSCT reconstructions and defined changes in appearance in stages (from 2 to 5). We also studied the calcification and ossification of the costal cartilage as an independent feature. By statistical analysis (ANOVA), we determined for each gender the correlation between the estimated stage of the costal face, the appearance of the costal cartilage, and the documented age of the subjects. We demonstrated that MSCT of the first rib appears to be an efficient noninvasive modality for bone age estimation. [source]

Electron Tomography in Plant Cell Biology

JOURNAL OF INTEGRATIVE PLANT BIOLOGY, Issue 8 2007
Thomas J. Haas
Abstract This review focuses on the contribution of electron tomography-based techniques to our understanding of cellular processes in plant cells. Electron microscopy techniques have evolved to provide better three-dimensional resolution and improved preservation of the subcellular components. In particular, the combination of cryofixation/freeze substitution and electron tomography have allowed plant cell biologists to image organelles and macromolecular complexes in their native cellular context with unprecedented three-dimensional resolution (4,7 nm). Until now, electron tomography has been applied in plant cell biology for the study of cytokinesis, Golgi structure and trafficking, formation of plant endosome/prevacuolar compartments, and organization of photosynthetic membranes. We discuss in this review the new insights that these tomographic studies have brought to the plant biology field. [source]