Clinical validation of high-resolution fast spin-echo MR colonography after colon distention with air.

To evaluate the feasibility of MR colonography (MRC) with air using two-dimensional (2D) T1-weighted fast spin-echo (T1wFSE) in patients scheduled for conventional colonoscopy (CC) after classic bowel preparation, and assess the ability of the technique to detect colonic lesions. The distention was sufficient for diagnosis, and the technique provided adequate delineation of the wall in the majority of segments. Residual fluid obscured the wall in different segments, especially in the ascending and descending colon (supine position) and in the cecum, transverse, and sigmoid colon (prone position). These findings were consistent with CT colonography. MRC visualized three lesions, missed one lesion >10 mm, visualized none of four lesions <5 mm, and yielded one false-positive lesion (5-10 mm). Missed lesions can be due to inconsistency in the slice positions between consecutive breath-holds, which is inherent to the multishot technique. Residual fluid may have obscured the smaller lesions. The shortcomings of the technique are limited coverage and signal drop-off at the borders of the field of view (FOV). Before multishot 2D T1wFSE colonography can become a valid screening method, improved patient preparation and a more practical technique are needed.

Using interactive videodiscs to teach gross anatomy to undergraduates at the Ohio State University.

To determine whether interactive-videodisc lessons can effectively replace some of the labor-intensive laboratories in human gross anatomy, pre-nursing and allied-medical-professions undergraduates at The Ohio State University were randomly assigned to either a traditional cadaver-demonstration lab or an interactive-videodisc computer lab covering the same material. In a one-unit pilot study in the autumn quarter of 1989 (involving 190 students) and a full-quarter course in the spring quarter of 1991 (283 students), the performances of the computer-lab students were not significantly different from those of the students in the traditional cadaver-demonstration-lab groups.

Profile of the breast center: one year's experience.

The Grant Regional Breast Center (GRBC) has proven to be an effective means to offer radiologic breast exam. Not only has the service been very well received by patients but it has also shown a profit for the institution. The numbers are too small to show that there has been an increase in early screening. The numbers do suggest, however, that there has been an increased access to screening. Hopefully, this increased access and awareness will lead to increased early detection and increased long-term survival.

Lung cancer in Newfoundland, Canada.

In this study 1,466 cases of primary lung cancer diagnosed between 1974 and 1983 and reported to the Provincial Tumour Registry, were reviewed. The incidence of lung cancer in Newfoundland has been lower than that in Canada as a whole. The age-adjusted rates for Canadian males and females were 56 and 14 per 100,000 compared to 45 and 7 in Newfoundland. Census division rates showed no association with socioeconomic indicators. The rate in one census division was higher (63 vs 53) most probably because of the higher risk of men who worked in the St. Lawrence fluorspar mines. Although Newfoundland's current smoking rates (39% of men over 15 and 29% of women over 15) are high, this is not reflected in lung cancer rates. Smoking was not widely accepted in rural areas until the time of World War II, and Newfoundland's lower rates may be due to this delay in exposure.

Teratogenic effects on the CD-1 mouse embryo exposed to concurrent doses of ethanol and aspirin.

Human fetal alcohol syndrome characteristics have been seen in the mouse fetus by several investigators who dosed the dam with only one or two doses of alcohol. The purpose of this study was to determine if the fetal effects of acute doses of alcohol (ethanol) are altered by aspirin. CD-1 mice were given two IP doses of a 25% v/v solution of 95% ethanol/saline (2.5 hours apart) and intubated with 250 mg/kg aspirin. The treatment regimen, begun at 8 days, 4 hours gestation, consisted of either aspirin pretreatment 1 hour before or posttreatment 1 hour after the ethanol. Control animals were treated similarly and included vehicle only, ethanol/vehicle, and aspirin/vehicle groups. One group was untreated. On gestational day 18, the dams were killed and the uterine horns were examined for live, dead, and resorbed fetuses. The live were weighed and examined for external malformations and either skeletal or visceral abnormalities. With the litter as the unit of analysis, no significant difference was found in the number of dead and resorbed among groups. There was a significant difference (P less than .01) in average fetal weight in the aspirin-pretreated group. When the total number of fetuses affected was considered, the aspirin pretreatment group showed significantly (P less than .05) more external and visceral malformations. The skeletal examination revealed a significant (P less than .05) difference in anomalies plus delayed ossification in both groups treated with the aspirin/ethanol combination. No significant differences were seen in any category in the groups receiving aspirin alone or ethanol alone. These results indicate an additive effect of aspirin and ethanol on the developing CD-1 mouse fetus.

Hepatic artery ligation and portal vein infusion for liver metastases from colon cancer.

Localized treatment of liver metastases from colon cancer has yielded better results than has systemic therapy. We report 19 patients with metastatic colon cancer whose bulk disease was limited to the liver, but was not amenable to surgical resection. Many of these patients had poor prognostic features: 14 had greater than 30% replacement of the liver, five had poorly differentiated tumor, and five had previously failed to respond to systemic chemotherapy. All were treated with hepatic artery ligation and portal vein infusion of chemotherapy (mitomycin C and 5-fluorouracil). Two patients (10%) died within one month postoperatively. The remaining 17 patients all improved clinically and demonstrated a marked decrease in carcinoembryonic antigen (CEA) levels. Based on follow-up physical exam, liver function tests, computed tomographic scan, and/or laparotomy, there were two complete responses, ten partial responses, four improved, and one indeterminate, for an objective response rate of 63%. Median survival of all patients was 13 months after hepatic artery ligation, and 14 months after diagnosis of liver metastases, with four patients still alive at 13+, 16+, 41+, and 61+ months after hepatic artery ligation. We believe that this form of therapy is an effective, well-tolerated alternative for patients with unresectable liver metastases.