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1.
Pediatr Obes ; 15(7): e12624, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32062862

RESUMO

BACKGROUND: Pharmacological treatment options for adolescents with obesity are very limited. Glucagon-like-peptide-1 (GLP-1) receptor agonist could be a treatment option for adolescent obesity. OBJECTIVE: To investigate the effect of exenatide extended release on body mass index (BMI)-SDS as primary outcome, and glucose metabolism, cardiometabolic risk factors, liver steatosis, and other BMI metrics as secondary outcomes, and its safety and tolerability in adolescents with obesity. METHODS: Six-month, randomized, double-blinded, parallel, placebo-controlled clinical trial in patients (n = 44, 10-18 years, females n = 22) with BMI-SDS > 2.0 or age-adapted-BMI > 30 kg/m2 according to WHO were included. Patients received lifestyle intervention and were randomized to exenatide extended release 2 mg (n = 22) or placebo (n = 22) subcutaneous injections given once weekly. Oral glucose tolerance tests (OGTT) were conducted at the beginning and end of the intervention. RESULTS: Exenatide reduced (P < .05) BMI-SDS (-0.09; -0.18, 0.00), % BMI 95th percentile (-2.9%; -5.4, -0.3), weight (-3 kg; -5.8, -0.1), waist circumference (-3.2 cm; -5.8, -0.7), subcutaneous adipose tissue (-552 cm3 ; -989, -114), 2-hour-glucose during OGTT (-15.3 mg/dL; -27.5, -3.1), total cholesterol (11.6 mg/dL; -21.7, -1.5), and BMI (-0.83 kg/m2 ; -1.68, 0.01) without significant change in liver fat content (-1.36; -3.12, 0.4; P = .06) in comparison to placebo. Safety and tolerability profiles were comparable to placebo with the exception of mild adverse events being more frequent in exenatide-treated patients. CONCLUSIONS: Treatment of adolescents with severe obesity with extended-release exenatide is generally well tolerated and leads to a modest reduction in BMI metrics and improvement in glucose tolerance and cholesterol. The study indicates that the treatment provides additional beneficial effects beyond BMI reduction for the patient group.


Assuntos
Fármacos Antiobesidade/uso terapêutico , Exenatida/uso terapêutico , Obesidade Infantil/tratamento farmacológico , Adolescente , Índice de Massa Corporal , Criança , Método Duplo-Cego , Feminino , Teste de Tolerância a Glucose , Humanos , Masculino , Obesidade Infantil/metabolismo
2.
Med Phys ; 39(6Part24): 3916-3917, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28518678

RESUMO

Combined PET/CT imaging has become a routine imaging technique in diagnostic radiology and nuclear medicine alike. In this regard a thorough understanding of this modality's quality assurance and control procedures including acceptance testing is a necessary pre-requisite to ensure the optimal performance of this imaging modality. This session is designed to explain the QA and QC procedures for a PET/CT scanner with examples from two different manufacturers. The session will also cover the frequency of these tests and the elements to implement a QA/QC program for PET/CT imaging. Finally the session will cover the NEMA standard for acceptance testing of PET scanners and their meanings as well as additional recommended tests for hybrid (PET/CT) systems. LEARNING OBJECTIVES: 1. Summarize the signal processing steps for coincidence detection 2. Understand the components of a daily QA procedure 3. Identify and trouble shoot possible sources of failure in daily QA 4. List the recommended frequency of QA/QC tests 5. Describe the process of scanner calibration 6. Name the different components of the NEMA test used for PET acceptance testing 7. Understand the meaning of the results of the NEMA tests.

3.
Med Phys ; 39(6Part8): 3691, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28518934

RESUMO

PURPOSE: To examine the impact of 4D-PET on target volume delineation of upper-abdominal tumors, versus conventional un-gated PET. METHODS: Four patients with upper-abdominal tumors underwent respiratory-correlated FDG PET/CT scanning (4D-PET) as part of a continuing IRB-approved research protocol. Internal target volumes of FDG-avid tumors were contoured on the 4D-PET and conventional un-gated PET by a radiation oncologist who is a specialist in gastro-intestinal tumors. To create the 4D-PET ITV, the end-inhale and end-exhale 4D-PET phases were used. The relative volumes and volumetric overlaps of the 4D and un-gated target volumes were examined. Additionally, 4D-PET was used to measure the motion of the tumors. RESULTS: Of the four patients who were imaged, one showed minimal motion (〈 3 mm in any direction) and one showed minimal FDG avidity; these were removed from further analysis. Of the two tumors which showed significant motion and FDG uptake, 4D-PET volumes were 28% and 21% larger than un-gated PET volumes. The un-gated PET volumes were almost entirely contained within the 4D-PET volumes (95% and 93% for the two tumors). Tumors appeared to deform as well as translate with breathing, although this could be due to varying intra-gate motion rather than actual physiological deformation. The superior-inferior borders of the tumors exhibited the most motion, with displacements of 5.6 mm and 6.4 mm. CONCLUSIONS: 4D-PET can be used to estimate the motion of FDG-avid upper-abdominal tumors. Use of 4D-PET increases the size of target volumes compared to un-gated PET in a subset of upper-abdominal cancer patients. Direct measurement of tumor motion and deformation by 4D-PET imaging could allow the use of patient-specific margins rather than population-based margins, potentially leading to increased target coverage and reduced normal tissue irradiation.

4.
Med Phys ; 39(6Part28): 3970-3971, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28519634

RESUMO

PURPOSE: To examine the efficacy and accuracy of respiratory-gated positron emission tomography (4D-PET) maximum intensity projections (MIPs) in segmenting mobile tumor internal target volumes (ITVs) through a phantom study. METHODS: An acrylic phantom was used for PET list-mode acquisition, consisting of 11C-filled spheres affixed inside a cylinder containing an 18-fluorodeoxyglucose solution. The phantom was attached to a robotic arm that underwent 1D motion based on clinically-derived patient breathing trajectories. An amplitude-based gating was performed on sequential list-mode sub-files of varying signal-to-background ratios, and PET-MIPs were generated from the gated images. ITVs were segmented by first denoising and deblurring images using a custom post-processing module and then applying an absolute SUV threshold. ITV accuracy was assessed using the volume recovery fraction (VRF) - the ratio of measured ITV to true volume occupied by the moving phantom spheres - which was used to compare PET-MIP, ungated PET, and static sphere images. In addition, the effects of tumor trajectories, number of gating windows, and margin additions were investigated. RESULTS: VRFs of ITVs generated from PET-MIPs were consistently higher than those from ungated PET. They also demonstrated a closer agreement to VRFs of static spheres (up to 99% similarity vs. 72% for ungated PET), suggesting that tumor motion had very little effect on the accuracy of PET-MIP measurements. Trajectories with higher amplitude and baseline drift decreased VRF by up to 14% for both PET-MIP and ungated PET. Increasing the number of gating windows (up to eight windows) resulted in higher VRFs for PET-MIPs without producing excessive image noise. PET-MIPs required a smaller margin addition than ungated PET to achieve a better overlap with the ground truth ITV. CONCLUSIONS: Compared to ungated PET, PET-MIPs are not significantly affected by tumor motion. 4D-PET imaging is a promising and viable methodology to better delineate mobile tumor volumes.

5.
Med Phys ; 39(6Part5): 3644, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28517659

RESUMO

PURPOSE: Whole Body PET scans are acquired at multiple axial positions, where the acquisition time at each position is constant. Although the acquisition time is adjusted for patient weight, the varying amount of attenuation and activity distribution for different sections, the image S/N can vary significantly. The aim of this work is to investigate the use of variable bed position scan times in WB-PET to equalize the Signal-to-Noise ratio in the axial direction. METHODS: Simulations of activity and attenuation distributions based on whole body CT scans were performed. Phantoms of different cross sections were also simulated and imaged. Image noise was estimated by generating multiple noise replicates by adding Poisson noise to the emission sinograms for the simulated images, and using a bootstrap method for the phantom patient measurements. By comparing the square of image noise (SD/Mean) for all the image slices, the acquisition time for each section could be adjusted to yield uniform image noise for all slices. The image noise was also compared to the average AC factors through the center of each body slice. RESULTS: A polynomial function was found for both simulations and the measurements to accurately describe image noise as a function of AC factors. Using this relationship, the acquisition time at each axial position can be adjusted to produce images of relatively uniform S/N, independent of cross sectional thickness. This was confirmed in phantom and patient data. CONCLUSIONS: The noise properties of WB-PET images can be equalized axially by adjusting the acquisition time according to the amount of attenuation. The acquisition time can be reduced in areas of lower attenuation and increased in more absorbing sections Since there is a correlation of the image noise and the CT-derived AC factors, the acquisition times can quickly calculated using a simple functional relationship.

6.
Reprod Domest Anim ; 44(1): 128-31, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18992103

RESUMO

We compared the serological status of Brucella canis and canine herpesvirus-1 (CHV-1) in Finnish breeding kennels with and without reproductive problems. Dogs from kennels with reproductive problems had significantly higher CHV-1 titres than dogs from kennels having no reproductive problems (p < 0.001). In dogs from kennels with reproductive problems 100% (32/32) had positive titres, whereas in dogs from kennels without reproductive problems 65% (22/34) had positive titres. The median titre for dogs from kennels with reproductive problems was 1 : 160 and for dogs from kennels without reproductive problems 1 : 80. The high prevalence of positive CHV-1 titres in this study indicates that prevention of the disease is difficult and reinforces the need to minimize the reproductive problems caused by CHV-1. All 388 dogs from 94 kennels had negative B. canis titres.


Assuntos
Brucella canis/imunologia , Brucelose/veterinária , Doenças do Cão/microbiologia , Infecções por Herpesviridae/veterinária , Herpesvirus Canídeo 1/imunologia , Reprodução , Aborto Animal/microbiologia , Aborto Animal/virologia , Animais , Anticorpos Antibacterianos/sangue , Anticorpos Antivirais/sangue , Cruzamento , Brucelose/diagnóstico , Brucelose/epidemiologia , Doenças do Cão/virologia , Cães , Feminino , Reabsorção do Feto/microbiologia , Reabsorção do Feto/veterinária , Finlândia/epidemiologia , Infecções por Herpesviridae/diagnóstico , Infecções por Herpesviridae/epidemiologia , Infertilidade Feminina/microbiologia , Infertilidade Feminina/veterinária , Tamanho da Ninhada de Vivíparos , Gravidez , Estudos Soroepidemiológicos , Natimorto/veterinária
7.
Reprod Domest Anim ; 41(2): 95-7, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16519712

RESUMO

The effects of artificial insemination (AI) using sexed sperm on pregnancy rates have seldom been studied in lactating dairy cows on commercial dairy farms. We evaluated pregnancy results after AI of 306 lactating dairy cows, of which 157 were inseminated with 2x10(6) frozen/thawed sexed sperm and 149 with 15x10(6) frozen/thawed unsexed sperm. The average pregnancy and calving rates were 21.0% and 20% for the sexed-sperm AIs and 46% and 45% for the unseparated control-sperm AIs respectively (p<0.001). The proportion of female calves derived from sexed-sperm AI was 82% compared with 49% for control AI (p<0.01). The proportion of live and healthy calves in single births was 100% for sexed-sperm AI and 97% for control AI (p>0.05). Our results indicate that AI with low-dose sexed sperm under field conditions in commercial dairy herds without oestrus synchronization results in significantly reduced pregnancy rates compared with normal-dose AI. Improved insemination strategies combined with increased sperm doses are needed before the use of sexed sperm can be of any significant benefit for the dairy and beef industry.


Assuntos
Bovinos/fisiologia , Inseminação Artificial/veterinária , Taxa de Gravidez , Processos de Determinação Sexual , Contagem de Espermatozoides/veterinária , Animais , Indústria de Laticínios/métodos , Sincronização do Estro , Feminino , Lactação/fisiologia , Masculino , Gravidez , Resultado da Gravidez/veterinária , Espermatozoides/fisiologia
8.
Phys Med Biol ; 48(8): 979-94, 2003 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-12741496

RESUMO

The optimization of spatial resolution is a critical consideration in the design of small-diameter positron emission tomography (PET) scanners for animal imaging, and is often addressed with Monte Carlo simulations. As a faster and simpler solution, we have developed a new analytical model of the PET detector response function, and implemented the model for a small single-slice, multilayer PET scanner. The accuracy of the model has been assessed by comparison with both Monte Carlo simulations and experimental measurements published in the literature. Results from the analytical model agreed well with the Monte Carlo method, being noise free and two to three orders of magnitude faster. The only major discrepancy was a slight underestimation of the width of the point spread function by the analytical method as inter-crystal scatter is neglected. We observed good agreement between the predictions of the model and experimental measurements. For two large-diameter scanners additional discrepancies were seen due to photon acollinearity, which is not considered in the model. We have shown that the simple and fast analytical detector response function model can provide accurate estimates of spatial resolution for small-diameter PET scanners, and could be a useful tool for several applications, complementing or cross-validating other simulation methods.


Assuntos
Algoritmos , Aumento da Imagem/métodos , Imageamento Tridimensional/métodos , Modelos Teóricos , Tomografia Computadorizada de Emissão/instrumentação , Tomografia Computadorizada de Emissão/métodos , Transdutores , Animais , Simulação por Computador , Aumento da Imagem/instrumentação , Imageamento Tridimensional/instrumentação , Controle de Qualidade , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
9.
Theriogenology ; 58(8): 1497-502, 2002 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-12374120

RESUMO

The daily quality control of semen at a Finnish artificial insemination (AI) bull station is based on subjective motility and sperm morphology of young bulls entering the semen collection program. Semen quality dropped suddenly in autumn 1998. During 5 consecutive months, the number of rejected ejaculates and discarded frozen semen batches due to poor motility increased, and the number of all forms of abnormal spermatozoa increased. However, for the accepted ejaculates, a 60 day nonretum rate was normal. The summer of 1998 in Finland was rainy, and the hay used in the AI station was visibly moldy. Immunoassay and gas chromatography-mass spectrometry (GC-MS) detected Fusarium mycotoxins HT-2 and T-2, but no zearalenone in the hay. Occurrence of mycotoxins such as T-2 and HT-2 in the moldy hay coincided with, and may have been responsible for the impaired semen quality in AI bulls. This case report will draw the attention to the possible hazards when feeding moldy hay.


Assuntos
Ração Animal/efeitos adversos , Bovinos/fisiologia , Micotoxinas/efeitos adversos , Espermatozoides/fisiologia , Animais , Cruzamento , Bovinos/metabolismo , Finlândia , Masculino , Micotoxinas/metabolismo , Estações do Ano , Motilidade dos Espermatozoides/fisiologia
10.
Theriogenology ; 56(4): 677-84, 2001 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-11572448

RESUMO

The artificial insemination (AI) industry is in need of an objective and rapid, but inexpensive method to evaluate frozen thawed bull semen ejaculates. This study presents a new fluorescence method that uses an automatized fluorometer and fluorophore stain propidium iodide that stains only those cells with damaged membranes. The fluorescence of the semen sample and the totally killed subsample were measured simultaneously, and viability was calculated. Every semen batch was analyzed before use in AI. For fertility evaluation, the nonreturn rates (NR%) obtained from 92,120 inseminations with the analyzed batches were recorded from 166 bulls (436 batches). This study confirms a 3.9% better NR% for the Finnish Holstein-Friesian breed than for Finnish Ayrshire. There was a clear seasonality in NR%: it differed (5.3%) significantly, being best in summer to autumn (June to October) and lowest in winter (January to March). The fluorometer method was fast and easy. The correlation between the total number of viable spermatozoa in an insemination dose and field fertility was low but significant (r = 0.051, P = 0.016), suggesting that the plasma membrane integrity evaluation can serve as a cost-beneficial quality control method of frozen-thawed semen at bull stations.


Assuntos
Bovinos/fisiologia , Fertilidade/fisiologia , Fluorometria/veterinária , Espermatozoides/fisiologia , Animais , Membrana Celular/fisiologia , Feminino , Corantes Fluorescentes/química , Fluorometria/métodos , Inseminação Artificial/veterinária , Análise dos Mínimos Quadrados , Masculino , Microscopia de Fluorescência/veterinária , Gravidez , Propídio/química , Estações do Ano , Espermatozoides/citologia
11.
J Nucl Med ; 42(8): 1225-34, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11483684

RESUMO

UNLABELLED: 9-[4-[(18)F]fluoro-3-(hydroxymethyl)butyl]guanine ([(18)F]FHBG) has been used as a reporter probe to image expression of herpes simplex virus type-1 thymidine kinase (HSV1-tk) reporter gene in living animals. Our aim was to study the kinetics, biodistribution, stability, dosimetry, and safety of [(18)F]FHBG in healthy human volunteers, preparatory to imaging patients undergoing HSV1-tk gene therapy. METHODS: [(18)F]FHBG was synthesized with a specific activity of 37,000--444,000 GBq/mmol and a radiochemical purity > 99%. Ten healthy volunteers consented to participate in the study. A transmission scan was obtained before bolus injection of 70.3--229.4 MBq [(18)F]FHBG into a hand vein, followed by dynamic PET imaging with 4 consecutive emission scans. Warmed hand-vein blood was withdrawn at various times after injection for blood time--activity measurements. Electrocardiography, blood pressure, and blood and urine pharmacologic parameters were measured before and after injection of the [(18)F]FHBG tracer (n = 5). The stability of [(18)F]FHBG in the urine was analyzed. Attenuation-corrected images were reconstructed using the ordered-subsets expectation maximization algorithm. Image region-of-interest time-activity data were used with the MIRD program to estimate absorbed radiation dosages. RESULTS: [(18)F]FHBG had rapid blood clearance; only 8.42% +/- 4.76% (mean +/- SD) of the peak blood activity remained at approximately 30 min. The average ratio of plasma activity to whole-blood activity during the study was 0.91 +/- 0.04. Penetration of [(18)F]FHBG across the blood-brain barrier was not observed. The primary routes of clearance were renal and hepatobiliary. High activities were observed in the bladder, gut, liver, and kidneys, but <0.0002% of the injected dose per gram was observed in other tissues. In the urine, 83% of activity 180 min after injection was stable [(18)F]FHBG. Blood and urine pharmacologic parameters did not change significantly after injection of the [(18)F]FHBG tracer. The bladder absorbed the highest radiation dose. CONCLUSION: [(18)F]FHBG has the desirable in vivo characteristics of stability, rapid blood clearance, low background signal, biosafety, and acceptable radiation dosimetry in humans. This study forms the foundation for using [(18)F]FHBG in applications to monitor HSV1-tk reporter gene expression.


Assuntos
Regulação Enzimológica da Expressão Gênica/genética , Genes Reporter , Guanina , Herpesvirus Humano 1/enzimologia , Compostos Radiofarmacêuticos , Timidina Quinase/genética , Adulto , Calibragem , Feminino , Guanina/efeitos adversos , Guanina/análogos & derivados , Guanina/farmacocinética , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Radiometria , Compostos Radiofarmacêuticos/efeitos adversos , Compostos Radiofarmacêuticos/farmacocinética , Timidina Quinase/biossíntese , Distribuição Tecidual , Tomografia Computadorizada de Emissão
12.
Phys Med Biol ; 45(11): 3253-66, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11098902

RESUMO

Normalization coefficients in three-dimensional positron emission tomography (3D PET) are affected by parameters such as camera geometry and the design and arrangement of the block detectors. In this work, normalization components for three whole-body 3D-capable tomographs (the GE Advance, the Siemens/CTI962/HR+ and the Siemens/CTI951R) are compared by means of a series of scans using uniform cylindrical and rotating line sources. Where applicable, the manufacturers' normalization methods are validated, and it is shown that these methods can be improved upon by using previously published normalization protocols. Those architectural differences between the three tomographs that affect normalization are discussed with a view to drawing more general conclusions about the effect of machine architecture on normalization. The data presented suggest that uniformity of system response becomes easier to achieve as the uniformity of crystal response within the detector block is improved.


Assuntos
Tomografia Computadorizada de Emissão/instrumentação , Humanos , Processamento de Imagem Assistida por Computador , Modelos Estatísticos
13.
Eur J Nucl Med ; 27(7): 766-77, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10952488

RESUMO

Dosimetry studies in patients with non-Hodgkin's lymphoma were performed to estimate the radiation absorbed dose to normal organs and bone marrow from 90Y-Zevalin (yttrium-90 ibritumomab tiuxetan, IDEC-Y2B8) treatment in this phase I/II, multicenter trial. The trial was designed to determine the dose of Rituximab (chimeric anti-CD20, Rituxan, IDEC-C2B8, MabThera), the unlabeled antibody given prior to the radioconjugate to clear peripheral blood B cells and optimize distribution, and to determine the maximum tolerated dose of 90Y-Zevalin [7.4, 11, or 15 MBq/kg (0.2, 0.3, or 0.4 mCi/kg)]. Patients received (111)In-Zevalin (indium-111 ibritumomab tiuxetan, IDEC-In2B8 ) on day 0 followed by a therapeutic dose of 90Y-Zevalin on day 7. Both doses were preceded by an infusion of the chimeric, unlabeled antibody Rituximab. Following administration of (111)In-Zevalin, serial anterior/posterior whole-body scans were acquired. Major-organ radioactivity versus time estimates were calculated using regions of interest. Residence times were computed and entered into the MIRDOSE3 computer software program to calculate estimated radiation absorbed dose to each organ. Initial analyses of estimated radiation absorbed dose were completed at the clinical site. An additional, centralized dosimetry analysis was performed subsequently to provide a consistent analysis of data collected from the seven clinical sites. In all patients with dosimetry data (n=56), normal organ and red marrow radiation absorbed doses were estimated to be well under the protocol-defined upper limit of 20 Gy and 3 Gy, respectively. Median estimated radiation absorbed dose was 3.4 Gy to liver (range 1.2-7.8 Gy), 2.6 Gy to lungs (range 0.72-4.4 Gy), and 0.38 Gy to kidneys (range 0.07-0.61 Gy). Median estimated tumor radiation absorbed dose was 17 Gy (range 5.8-67 Gy). No correlation was noted between hematologic toxicity and the following variables: red marrow radiation absorbed dose, blood T(1/2), blood AUC, plasma T(1/2), and plasma AUC. It is concluded that 90Y-Zevalin administered at nonmyeloablative maximum tolerated doses results in acceptable radiation absorbed doses to normal organs. The only toxicity of note is hematologic and is not correlated to red marrow radiation absorbed dose estimates or T(1/2), reflecting that hematologic toxicity is dependent on bone marrow reserve in this heavily pretreated population.


Assuntos
Anticorpos Monoclonais/uso terapêutico , Antineoplásicos/uso terapêutico , Linfoma de Células B/radioterapia , Radioimunoterapia , Radioisótopos de Ítrio/uso terapêutico , Anticorpos Monoclonais/administração & dosagem , Anticorpos Monoclonais Murinos , Medula Óssea/efeitos da radiação , Humanos , Linfoma Folicular/radioterapia , Linfoma não Hodgkin/radioterapia , Radiometria , Rituximab
14.
IEEE Trans Inf Technol Biomed ; 4(2): 108-15, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10866409

RESUMO

A web-based video transmission of images from CT and MRI consoles was implemented in an Intranet environment for real-time monitoring of ongoing procedures. Images captured from the consoles are compressed to video resolution and broadcast through a web server. When called upon, the attending radiologists can view these live images on any computer within the secured Intranet network. With adequate compression, these images can be displayed simultaneously in different locations at a rate of 2 to 5 images/s through a standard local-area network. While the quality of the images was insufficient for diagnostic purposes, our users survey showed that they were suitable for supervising a procedure, positioning the imaging slices, and for routine quality checking before completion of a study. The system was implemented at UCLA to monitor nine CT's and six MRI's distributed in four different buildings. This system significantly improved the radiologists productivity by saving valuable time spent in trips between reading rooms and examination rooms. It also improved patient care and throughput by reducing the time spent waiting for the radiologists to check a study before removing the patient from the scanner.


Assuntos
Internet , Imageamento por Ressonância Magnética/métodos , Tomografia Computadorizada por Raios X/métodos , Gravação de Videoteipe , Interface Usuário-Computador
16.
J Small Anim Pract ; 38(11): 506-12, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9403810

RESUMO

The results of testicular aspirate cytology taken from clinical patients with a history of infertility were compared with the clinical and histological findings. Azoospermia was the most common and the most rewarding indication for the examination. Samples were also taken from cases with suspected testicular tumours, orchitis, epididymitis, severe oligo- and teratozoospermia, lack of libido and unilateral testicular atrophy. Histological and cytological findings were found to correlate well. Identification of cell types from normal germinal epithelium was relatively easy. No immediate adverse effects of aspiration were noted. Five normospermic dogs were monitored for two to six months after aspiration, and there were no marked deleterious effects on testicular consistency, testicular histology or semen characteristics. Testicular cytology obtained by fine needle aspiration may, at least to some extent, be used to assist clinical diagnosis, especially in azoospermic dogs and dogs with palpable changes of testicular tissue.


Assuntos
Biópsia por Agulha/veterinária , Doenças do Cão/diagnóstico , Doenças do Cão/patologia , Infertilidade Masculina/veterinária , Testículo/patologia , Animais , Atrofia/complicações , Atrofia/diagnóstico , Atrofia/veterinária , Biópsia por Agulha/métodos , Criptorquidismo/complicações , Criptorquidismo/diagnóstico , Criptorquidismo/veterinária , Doenças do Cão/etiologia , Cães , Infertilidade Masculina/diagnóstico , Infertilidade Masculina/patologia , Masculino , Oligospermia/complicações , Oligospermia/diagnóstico , Oligospermia/veterinária , Orquite/complicações , Orquite/diagnóstico , Orquite/veterinária , Sêmen/citologia , Doenças Testiculares/complicações , Doenças Testiculares/diagnóstico , Doenças Testiculares/veterinária , Neoplasias Testiculares/complicações , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/veterinária , Fatores de Tempo
17.
J Nucl Med ; 38(3): 343-8, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9074514

RESUMO

UNLABELLED: Accurate staging of Hodgkin's disease (HD) and non-Hodgkin's lymphoma (NHL) is important for treatment management. In this study, the utility of 2-[18F]fluoro-2-deoxy-D-glucose (FDG) whole-body PET was evaluated as an imaging modality for initial staging or restaging of 7 HD and 11 NHL patients. METHODS: Whole-body PET-based staging results were compared to the patient's clinical stage based on conventional staging studies, which included combinations of CT of the chest, abdomen and pelvis, MRI scans, gallium scans, lymphangiograms, staging laparatomies and bone scans. RESULTS: Accurate staging was performed in 17 of 18 patients using a whole-body PET-based staging algorithm compared to the conventional staging algorithm in 15 of 18 patients. In 5 of 18 patients, whole-body PET-based staging showed additional lesions not detected by conventional staging modalities, whereas conventional staging demonstrated additional lesions in 4 of 18 patients not detected by whole-body PET. The total cost of conventional staging was $66,292 for 16 CT chest scans, 16 CT abdominal/pelvis scans, three limited MRI scans, four bone scans, five gallium scans, two laparotomies and one lymphangiogram. In contrast, scans cost $36,250 for 18 whole-body PET studies and additional selected correlative studies: one plain film radiograph, one limited CT, one bone marrow scan, one upper GI and one endoscopy. CONCLUSION: A whole-body FDG-PET-based staging algorithm may be an accurate and cost-effective method for staging or restaging HD and NHL.


Assuntos
Desoxiglucose/análogos & derivados , Radioisótopos de Flúor , Doença de Hodgkin/diagnóstico por imagem , Linfoma não Hodgkin/diagnóstico por imagem , Tomografia Computadorizada de Emissão/métodos , Adolescente , Adulto , Idoso , Algoritmos , Biópsia , Feminino , Fluordesoxiglucose F18 , Custos de Cuidados de Saúde , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Valor Preditivo dos Testes , Estudos Prospectivos , Tomografia Computadorizada de Emissão/economia
18.
Andrologia ; 29(1): 49-55, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9049012

RESUMO

The semen of a 3-year-old golden retriever was examined for breeding purposes. When the morphology of the spermatozoa was analysed for the first time, 37% were observed to have giant heads. In most of the giant heads, a diadem defect was also found. The dog was successfully used for breeding. On re-examination, the percentage of giant heads was found to be greater than before. The right testicle exhibited tissue softening. To determine the reason for the defect, an aspiration needle biopsy was performed and ultrasound examination undertaken. In the biopsy smears, both normal spermatozoa and spermatozoa with giant heads were found. On ultrasonography, the echogenicities of both testicles were the same, and normal. DNA flow cytometry was performed to determine the DNA content of the spermatozoa. Two populations of sperm cells were detected, one having a median fluorescent intensity twice as high as that of normal spermatozoa, suggesting a diploid DNA content. Transmission electron microscopy (TEM) was performed to find out whether the altered intensity correlated with the ultrastructure of the spermatozoa. The nuclei of the sperm heads showed a normal chromatin condensation. Semen quality became worse over a period of 2 years, with 60% giant heads in the last sample. The process was considered to be progressive spermatogenic degeneration with diploidy. Relatives examined did not suggest any hereditary predisposition to the problem. The male was still fertile at the time of the last sample collected and sired a litter of 10 healthy puppies.


Assuntos
Diploide , Espermatozoides/ultraestrutura , Animais , Biópsia por Agulha , Cães , Citometria de Fluxo , Processamento de Imagem Assistida por Computador , Masculino , Microscopia Eletrônica , Sêmen/citologia
19.
Theriogenology ; 48(4): 687-98, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16728163

RESUMO

Combining the traditional morphologic evaluation of spermatozoa with computer assisted image analysis adds randomness, objectivity, repeatability and accuracy to morphometric measurements. We collected semen from 10 fertile, normospermic dogs aged 1 to 7 yr and from 3 teratozoospermic breed-matched dogs. Sperm head morphology was examined in Giemsa-stained smears by light microscopy, using a computer-assisted image analyzer and by transmission electron microscopy. We found significant variation in sperm head area, length, width and degree of roundness among normospermic individual dogs, indicating that it would be necessary to examine many more dogs before the size and shape of normal dog spermatozoa could be determined. The normospermic dogs were used as controls for the teratozoospermic cases. Case 1: A 2-yr-old subfertile Cavalier King Charles Spaniel had semen with small and narrow-based sperm heads and a proximal cytoplasmic droplet in most of the spermatozoa. With the image analysis system, sperm heads were shown to be smaller and more oval than in normospermic dogs. The variatons in size and shape were similar in magnitude to those of control dogs. An examined infertile half-brother had similar semen quality. Case 2: A 3-yr-old Petit Basset Griffon Vendeen with 2 unsuccesfull matings exhibited spermatozoa with severe abnormalities. Measured by image analyzer, sperm heads were irregular in shape and very small in area. One of the two littermates examined had semen of the same quality as the case dog. Case 3: A 3-yr-old fertile Golden Retriever had semen with giant sperm heads in about 50% of spermatozoa. Image analyzing results revealed 2 populations of different sized sperm heads. Giant heads consisted of 52.2% of all spermatozoa. The results of the study reported here suggest that the image analysis technique may be useful in evaluating structural changes in sperm morphology, supplementing visual assessment that is used in conventional methods.

20.
J Small Anim Pract ; 38(12): 547-50, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9444635

RESUMO

The reproductive performance of 25 male Irish wolfhounds was examined in a two-year follow-up study. Results of a previous study showed that 37 Irish wolfhounds had lower libidos, smaller testicles and poorer semen quality than 67 control dogs examined. This study was undertaken to determine whether fertility parameters had changed after a further two years. Forty-four dogs of 21 breeds were used as controls. No change in libido was observed in either group after two years; the Irish wolfhounds still exhibited lower libidos than the control dogs. In both studies, the Irish wolfhounds showed a softening of testicular tissue with a significantly higher incidence than control dogs. This difference became more marked after two years. Semen quality had declined in Irish wolfhounds and the differences between the two groups became more accentuated. Inbreeding coefficients for the Irish wolfhounds were low, suggesting that this was a factor contributing to the poor reproductive function. However, several Irish wolfhounds had been ill during the follow-up period which, together with the decline in reproductive efficiency, may reflect a change due to ageing.


Assuntos
Cães/fisiologia , Fertilidade/fisiologia , Envelhecimento/fisiologia , Animais , Cruzamento , Doenças do Cão/epidemiologia , Doenças do Cão/patologia , Doenças do Cão/fisiopatologia , Cães/anatomia & histologia , Seguimentos , Infertilidade Masculina/epidemiologia , Infertilidade Masculina/fisiopatologia , Infertilidade Masculina/veterinária , Libido/fisiologia , Masculino , Sêmen/fisiologia , Comportamento Sexual Animal/fisiologia , Testículo/anatomia & histologia , Testículo/patologia
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