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1.
J Evol Biol ; 29(10): 2054-2069, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27369460

RESUMEN

It is widely accepted that insular terrestrial biodiversity progresses with island age because colonization and diversification proceed over time. Here, we assessed whether this principle extends to oceanic island streams. We examined rangewide mtDNA sequence variation in four stream-dwelling species across the Hawaiian archipelago to characterize the relationship between colonization and demographic expansion, and to determine whether either factor reflects island age. We found that colonization and demographic expansion are not related and that neither corresponds to island age. The snail Neritina granosa exhibited the oldest colonization time (~2.713 mya) and time since demographic expansion (~282 kya), likely reflecting a preference for lotic habitats most prevalent on young islands. Conversely, gobioid fishes (Awaous stamineus, Eleotris sandwicensis and Sicyopterus stimpsoni) colonized the archipelago only ~0.411-0.935 mya, suggesting ecological opportunities for colonization in this group were temporally constrained. These findings indicate that stream communities form across colonization windows, underscoring the importance of ecological opportunities in shaping island freshwater diversity.


Asunto(s)
Organismos Acuáticos , Biodiversidad , Animales , Agua Dulce , Hawaii , Perciformes , Dinámica Poblacional , Caracoles
2.
Ultraschall Med ; 37(1): 74-81, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26251995

RESUMEN

PURPOSE: To verify the reproducibility of contrast-enhanced ultrasound (CEUS) quantification results of two different high-end ultrasound systems and to evaluate the clinical utility of the method in patients with Crohn's disease (CD). MATERIALS AND METHODS: 18 patients with histologically confirmed CD (36.8 % women, 63.2 % men; mean age 43.7 ±â€Š14.1 years) and wall segments thicker than 5 mm were recruited. CEUS quantification and conventional ultrasound investigation were performed under standardized settings using Toshiba Aplio500 and Siemens Acuson S3000 high-end ultrasound systems. CEUS was performed at a low mechanical index of 0.1 after bolus application of 4.8 ml of SonoVue(®) contrast medium. The recorded DICOM clips were quantified using VueBox(®) (version 4.3) calculating 11 quantitative parameters. Subsequently, CEUS quantification and conventional ultrasound results were analyzed. RESULTS: Correlation of quantitative parameters between the Aplio500 and AcusonS3000 systems for peak enhancement (PE), rise time (RT), wash-in-rate (WiR) and quality of fit (QOF) yielded significance levels of p < 0.05 and p < 0.0001 for wash-in-wash-out area under the curve (WiWoAUC). Spearman rank test showed moderate levels of correlation for PE, RT, WiR and QOF (r = 0.5, 0.49, 0.49 and 0.5 respectively), and high correlation for WiWoAUC (r = 0.89) between the two ultrasound systems. CONCLUSION: Due to multiple uncontrollable affecting factors, the method of CEUS quantification by VueBox in the intestine cannot be recommended for device-independent multicenter studies. Therefore we suggest to use identical ultrasound systems and probes as well as to establish adequate reference ROIS, like a AIF-ROI.


Asunto(s)
Medios de Contraste , Enfermedad de Crohn/diagnóstico por imagen , Diseño de Equipo/instrumentación , Íleon/irrigación sanguínea , Íleon/diagnóstico por imagen , Mucosa Intestinal/irrigación sanguínea , Mucosa Intestinal/diagnóstico por imagen , Microvasos/diagnóstico por imagen , Fosfolípidos , Hexafluoruro de Azufre , Ultrasonografía Doppler en Color/instrumentación , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Sensibilidad y Especificidad , Estadística como Asunto
3.
J Econ Entomol ; 115(3): 844-851, 2022 06 08.
Artículo en Inglés | MEDLINE | ID: mdl-35391487

RESUMEN

Invasive insects can cause catastrophic damage to ecosystems and cost billions of dollars each year due to management expenses and lost revenue. Rapid detection is an important step to prevent invasive insects from spreading, but improvements in detection capabilities are needed for bulk collections like those from sticky traps. Here we present a bulk DNA extraction method designed for the detection of Phthorimaea absoluta Meyrick (Lepidoptera: Gelechiidae), an invasive moth that can decimate tomato crops. We test the extraction method for insect specimens on sticky traps, subjected to different temperature and humidity conditions, and among mock insect communities left in the field for up to 21 d. We find that the extraction method yielded high success (>92%) in recovering target DNA across field and lab trials, without a decline in recovery after three weeks, across all treatments. These results may have a large impact on tomato growing regions where P. absoluta is in the early stages of invasion or not yet present. The extraction method can also be used to improve detection capabilities for other bulk insect collections, especially those using sticky traps, to the benefit of pest surveys and biodiversity studies.


Asunto(s)
Lepidópteros , Mariposas Nocturnas , Solanum lycopersicum , Animales , Productos Agrícolas , Ecosistema , Insectos
4.
Appl Environ Microbiol ; 77(12): 3930-7, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21515727

RESUMEN

The species Xanthomonas oryzae is comprised of two designated pathovars, both of which cause economically significant diseases of rice in Asia and Africa. Although X. oryzae is not considered endemic in the United States, an X. oryzae-like bacterium was isolated from U.S. rice and southern cutgrass in the late 1980s. The U.S. strains were weakly pathogenic and genetically distinct from characterized X. oryzae pathovars. In the current study, a draft genome sequence from two U.S. Xanthomonas strains revealed that the U.S. strains form a novel clade within the X. oryzae species, distinct from all strains known to cause significant yield loss. Comparative genome analysis revealed several putative gene clusters specific to the U.S. strains and supported previous reports that the U.S. strains lack transcriptional activator-like (TAL) effectors. In addition to phylogenetic and comparative analyses, the genome sequence was used for designing robust U.S. strain-specific primers, demonstrating the usefulness of a draft genome sequence in the rapid development of diagnostic tools.


Asunto(s)
Variación Genética , Genoma Bacteriano , Oryza/microbiología , Xanthomonas/clasificación , Xanthomonas/genética , Análisis por Conglomerados , ADN Bacteriano/química , ADN Bacteriano/genética , Genotipo , Datos de Secuencia Molecular , Filogenia , Poaceae/microbiología , Análisis de Secuencia de ADN , Estados Unidos , Xanthomonas/aislamiento & purificación
5.
Transl Psychiatry ; 5: e651, 2015 Oct 06.
Artículo en Inglés | MEDLINE | ID: mdl-26440539

RESUMEN

We conducted a 1000 Genomes-imputed genome-wide association study (GWAS) meta-analysis for nicotine dependence, defined by the Fagerström Test for Nicotine Dependence in 17 074 ever smokers from five European-ancestry samples. We followed up novel variants in 7469 ever smokers from five independent European-ancestry samples. We identified genome-wide significant association in the alpha-4 nicotinic receptor subunit (CHRNA4) gene on chromosome 20q13: lowest P=8.0 × 10(-9) across all the samples for rs2273500-C (frequency=0.15; odds ratio=1.12 and 95% confidence interval=1.08-1.17 for severe vs mild dependence). rs2273500-C, a splice site acceptor variant resulting in an alternate CHRNA4 transcript predicted to be targeted for nonsense-mediated decay, was associated with decreased CHRNA4 expression in physiologically normal human brains (lowest P=7.3 × 10(-4)). Importantly, rs2273500-C was associated with increased lung cancer risk (N=28 998, odds ratio=1.06 and 95% confidence interval=1.00-1.12), likely through its effect on smoking, as rs2273500-C was no longer associated with lung cancer after adjustment for smoking. Using criteria for smoking behavior that encompass more than the single 'cigarettes per day' item, we identified a common CHRNA4 variant with important regulatory properties that contributes to nicotine dependence and smoking-related consequences.


Asunto(s)
Receptores Nicotínicos/genética , Tabaquismo/genética , Femenino , Predisposición Genética a la Enfermedad , Estudio de Asociación del Genoma Completo , Humanos , Masculino , Polimorfismo de Nucleótido Simple , Sitios de Empalme de ARN , Población Blanca/genética
6.
Med Phys ; 21(8): 1287-91, 1994 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-7799873

RESUMEN

The unique geometry of electron-beam CT (EBCT) scanners produces radiation dose profiles with widths which can be considerably different from the corresponding nominal scan width. Additionally, EBCT scanners produce both complex (multiple-slice) and narrow (3 mm) radiation profiles. This work describes the measurement of the axial dose distribution from EBCT within a scattering phantom using film dosimetry methods, which offer increased convenience and spatial resolution compared to thermoluminescent dosimetry (TLD) techniques. Therapy localization film was cut into 8 x 220 mm strips and placed within specially constructed light-tight holders for placement within the cavities of a CT Dose Index (CTDI) phantom. The film was calibrated using a conventional overhead x-ray tube with spectral characteristics matched to the EBCT scanner (130 kVp, 10 mm A1 HVL). The films were digitized at five samples per mm and calibrated dose profiles plotted as a function of z-axis position. Errors due to angle-of-incidence and beam hardening were estimated to be less than 5% and 10%, respectively. The integral exposure under film dose profiles agreed with ion-chamber measurements to within 15%. Exposures measured along the radiation profile differed from TLD measurements by an average of 5%. The film technique provided acceptable accuracy and convenience in comparison to conventional TLD methods, and allowed high spatial-resolution measurement of EBCT radiation dose profiles.


Asunto(s)
Dosimetría por Película , Modelos Teóricos , Tomógrafos Computarizados por Rayos X , Tomografía Computarizada por Rayos X/instrumentación , Electrones , Diseño de Equipo , Humanos , Mediciones Luminiscentes , Tomografía Computarizada por Rayos X/métodos
7.
Med Phys ; 26(11): 2223-30, 1999 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-10587202

RESUMEN

Our purpose in this study was to characterize the performance of a recently introduced multi-slice CT scanner (LightSpeed QX/i, Version 1.0, General Electric Medical Systems) in comparison to a single-slice scanner from the same manufacturer (HiSpeed CT/i, Version 4.0). To facilitate this comparison, a refined definition of pitch is introduced which accommodates multi-slice CT systems, yet maintains the existing relationships between pitch, patient dose, and image quality. The following performance parameters were assessed: radiation and slice sensitivity profiles, low-contrast and limiting spatial resolution, image uniformity and noise, CT number and geometric accuracy, and dose. The multi-slice system was tested in axial (1, 2, or 4 images per gantry rotation) and HQ (Pitch = 0.75) and HS (Pitch = 1.5) helical modes. Axial and helical acquisition speed and limiting spatial resolution (0.8-s exposure) were improved on the multi-slice system. Slice sensitivity profiles, image noise, CT number accuracy and uniformity, and low-contrast resolution were similar. In some HS-helical modes, helical artifacts and geometric distortion were more pronounced with a different appearance. Radiation slice profiles and doses were larger on the multi-slice system at all scan widths. For a typical abdomen and pelvis exam, the central and surface body doses for 5-mm helical scans were higher on the multi-slice system by approximately 50%. The increase in surface CTDI values (with respect to the single-slice system) was greatest for the 4 x 1.25-mm detector configuration (190% for head, 240% for body) and least for the 4 x 5-mm configuration (53% for head, 76% for body). Preliminary testing of version 1.1 software demonstrated reduced doses on the multi-slice scanner, where the increase in body surface CTDI values (with respect to the single-slice system) was 105% for the 4 x 1.25-mm detector configuration and 10% for the 4 x 5-mm configuration. In summary, the axial and HQ-helical modes of the multi-slice system provided excellent image quality and a substantial reduction in exam time and tube loading, although at varying degrees of increased dose relative to the single-slice scanner.


Asunto(s)
Intensificación de Imagen Radiográfica/métodos , Tomógrafos Computarizados por Rayos X , Tomografía Computarizada por Rayos X/instrumentación , Tomografía Computarizada por Rayos X/métodos , Resinas Acrílicas , Aire , Artefactos , Modelos Lineales , Ensayo de Materiales , Fantasmas de Imagen , Polietileno , Politetrafluoroetileno , Sensibilidad y Especificidad , Tomografía Computarizada por Rayos X/efectos adversos
8.
Med Phys ; 27(8): 1915-9, 2000 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10984237

RESUMEN

The purpose of this paper is to determine the accuracy and reproducibility of two noninvasive methods of measuring half-value layer (HVL), ring and localization, compared with an invasive technique (suspending tube rotation). The ring method uses concentric aluminum rings about a CTDI ionization chamber at isocenter. Data were acquired using axial CT protocols (rotating x-ray tube, stationary patient table). The localization technique uses square aluminum sheets secured to the gantry shroud to filter the radiation beam, and a CTDI chamber suspended externally at isocenter. Data were acquired using localization image protocols (stationary x-ray tube, moving patient table). The invasive technique was similar to the localization technique except that the ion chamber was placed on the patient table and the tube rotation disabled using service software. Data for all techniques were collected on the same CT system. Independent data sets were collected to determine reproducibility. Sensitivity to ionization chamber lateral displacement from isocenter was investigated. Measured HVLs (mm aluminum, mean+/-std, n=4) were 7.19+/-0.03 (ring); 7.17+/-0.04 (localization); and 7.24+/-0.02 (service mode), which were not significantly different (p = 0.05). Displacing the chamber from isocenter changes the HVL, depending on the bow-tie filter, by as much as 5 mm aluminum. Aluminum filter to ion chamber distances of 25-35 cm provided accurate results. Both noninvasive techniques were accurate and reproducible at isocenter. However, the measured HVL was dependent upon the bow-tie filter and the lateral displacement of the ionization chamber with respect to isocenter. Greater than 2 cm off of isocenter, the ring technique did not provide accurate HVL measurements.


Asunto(s)
Tomografía Computarizada por Rayos X/instrumentación , Tomografía Computarizada por Rayos X/métodos , Aluminio , Calibración , Iones , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Rayos X
9.
Med Phys ; 21(2): 175-84, 1994 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8177150

RESUMEN

Single kernel scatter correction algorithms are based on the model that the scatter field can be predicted by convolution of the primary intensity (Iprim) with a spatially invariant scatter point-spread function (PSF). Practical limitations (Iprim unknown) suggest the substitution of the total detected intensity (Idet) for Iprim as the source image in the convolution. In regions of high scatter fraction (SF), Idet is a poor approximation of Iprim, thereby causing an overestimation of scatter originating in the region. This contributes to errors in estimating detected scatter in the mediastinum and neighboring regions. A technique using a regionally variable point-spread function that significantly reduces RMS error in estimation of the primary image as compared to the single PSF method is investigated. The regionally variable convolution method employs a larger PSF in the mediastinum and a smaller PSF in the lungs to reduce the error in estimating the scatter throughout the image. The method to allow for patient differences has also been expanded and various implementations of these methods have been compared. Results show that the dual-kernel algorithm is always more effective than an equivalent single-kernel algorithm. The dual-kernel algorithm using a predicted scatter fraction curve gives an overall RMS error in the primary of as low as 20.8% which is equivalent to 8.7% RMS error in the scatter. The dual-kernel method using a predicted scatter fraction curve approaches the accuracy of the single-kernel method using patient specific scatter measurements. Because using individual scatter measurements is a less desirable method for clinical use, we feel that the dual-kernel algorithm which uses two regions specific convolution kernels and a variable scatter fraction curve is the preferable method.


Asunto(s)
Algoritmos , Imagen Radiográfica por Emisión de Doble Fotón , Dispersión de Radiación , Humanos
10.
Br J Radiol ; 74(878): 195-202, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11718396

RESUMEN

Artefacts on radiographic images are distracting and may compromise accurate diagnosis. Although most artefacts that occur in conventional radiography have become familiar, computed radiography (CR) systems produce artefacts that differ from those found in conventional radiography. We have encountered a variety of artefacts in CR images that were produced from four different models plate reader. These artefacts have been identified and traced to the imaging plate, plate reader, image processing software or laser printer or to operator error. Understanding the potential sources of CR artefacts will aid in identifying and resolving problems quickly and help prevent future occurrences.


Asunto(s)
Artefactos , Intensificación de Imagen Radiográfica , Humanos , Procesamiento de Imagen Asistido por Computador , Impresión , Tecnología Radiológica
11.
J Periodontol ; 51(10): 607-13, 1980 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-6934288

RESUMEN

This study included 99 patients. Seventy-four of these participated in the Oral Disease Control program at Emory University School of Dentistry and 25 control patients did not. Those who completed the Oral Disease Control program were examined and scored from 2 to 24 months afterward. The Patient Hygiene Performance Scoring was used. It was found that there was no significant difference in levels of plaque between subjects who completed the Oral Disease Program and those who did not participate. Also, the patient's knowledge of the causes of dental caries and gingival disease bore no significant relationship to the amount of plaque present. Further, certain selected hygiene habits had no significant effect on plaque level. The patients studied were enthusiastic about the control program and developed an increased awareness of oral disease control. However, this study confirms others that demonstrate the need for repeated professional reinforcement in any effective oral disease control program.


Asunto(s)
Enfermedades de la Boca/prevención & control , Higiene Bucal , Enfermedades Dentales/prevención & control , Adolescente , Adulto , Actitud Frente a la Salud , Placa Dental/diagnóstico , Placa Dental/prevención & control , Estudios de Evaluación como Asunto , Femenino , Educación en Salud Dental , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad
12.
Radiographics ; 17(5): 1259-68, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9308113

RESUMEN

The x-ray tube serves the function of creating x-ray photons from electric energy supplied by the x-ray generator. The process of creating the x-ray beam is very inefficient, with only 1% of the electric energy converted to x-ray photons and the remaining 99% converted to heat in the x-ray tube assembly. Thus, to produce sufficient x-ray output for diagnostic imaging, the x-ray tube must withstand and dissipate a substantial heat load, a requirement that affects the design and composition of the x-ray tube. The major x-ray tube components are the cathode and anode assemblies, the tube envelope, the rotor and stator (for rotating anode systems), and the tube housing. The design of the x-ray tube determines the basic characteristics of the x-ray beam such as focal spot size, x-ray field uniformity, and the x-ray energy spectrum. These x-ray beam characteristics are important because they affect radiologic parameters such as spatial resolution, image contrast, and patient dose.


Asunto(s)
Tecnología Radiológica , Rayos X
13.
Radiology ; 192(3): 637-43, 1994 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8058927

RESUMEN

PURPOSE: To measure the radiation dose profile, multiple-scan average dose (MSAD), and computed tomography dose index (CTDI) for electron beam CT and to determine the accuracy of ionization-chamber and manufacturer estimates of patient dose. MATERIALS AND METHODS: High-resolution dose profiles along the longitudinal axis were acquired at several positions within the scan plane with use of radiographic film. The full-width-at-half-maximum values, peak radiation dose, CTDI, and MSAD were calculated from the digitized film profiles. CTDI was also measured with an ionization chamber. RESULTS: The full-width-half-maximum value of the radiation profiles were significantly wider than the nominal scan width for the 6-mm single-section and 8-mm multisection modes. In the single-section mode, the CTDI underestimated the MSAD by 15%-30%. The multisection radiation profile was nonuniform and asymmetric. CONCLUSION: Patient doses in electron beam CT are approximately 125% of the ionization-chamber CTDI measurements in the single-section mode. For the multisection mode, the average patient dose over the scan volume is approximately 70%-85% of the ionization-chamber CTDI measurements.


Asunto(s)
Dosis de Radiación , Tomografía Computarizada por Rayos X , Humanos
14.
Radiographics ; 20(6): 1675-81, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11112822

RESUMEN

To visually demonstrate the effective temporal resolution of subsecond conventional (slip-ring) and electron-beam computed tomographic (CT) systems, two phantoms containing high-contrast test objects were scanned with a slip-ring CT system (effective exposure time, 0.5 second) and an electron-beam CT system (exposure time, 0.1 second). Images were acquired of each phantom at rest, during translation along the x axis at speeds of 10-100 mm/sec, and during rotation about isocenter at speeds of 0.1 and 0.5 revolution per second. Motion artifacts and loss of spatial resolution were judged to be absent, noticeable, or severe. For 0.5-second conventional CT images, motion artifacts and loss of spatial resolution were noticeable at 10 mm/sec and 0.1 revolution per second and were severe at speeds greater than or equal to 20 mm/sec and at 0.5 revolution per second. For 0.1-second electron-beam CT scans, noticeable, but not severe, motion artifacts and loss of spatial resolution occurred at speeds between 40 and 100 mm/sec and at 0.5 revolution per second. Over the range of physiologic speeds examined, the images provide visually compelling evidence of the effect of improving temporal resolution in CT.


Asunto(s)
Artefactos , Tomografía Computarizada por Rayos X/métodos , Fantasmas de Imagen , Factores de Tiempo
15.
AJR Am J Roentgenol ; 162(2): 271-8, 1994 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8310908

RESUMEN

OBJECTIVE: We evaluated a single-exposure, phosphor-plate, dual-energy imaging device that produces, in addition to conventional chest radiographs, both tissue- and bone-selective images. Our purpose was to determine whether dual-energy radiography was more accurate than routine chest radiography for detection and characterization of pulmonary nodules. SUBJECTS AND METHODS: Two hundred patients undergoing chest CT were asked to volunteer to have dual-energy and conventional chest radiographs obtained immediately before or after their CT scan. Radiographs from a subset of 50 of these patients with 116 CT-detected nodules and 10 patients with normal findings on CT scans of the chest were presented to the observers for the nodule detection study. Similarly, radiographs from a subset of 29 patients with 20 calcified and 20 uncalcified nodules were presented to five observers to determine nodule calcification. Dual-energy images were produced by filtering the X-ray tube output with a gadolinium sheet while using a multiple phosphor plate receptor. A dual-energy triad of images consisting of a conventional image, a tissue-selective image, and a bone-selective image were produced. The conventional chest radiographs and dual-energy image sets were presented to observers in random order. Data from a free response receiver operating curve and a receiver operating curve were generated for nodule detection and characterization, respectively. RESULTS: By using the dual-energy images, all five observers improved their ability to diagnose pulmonary nodules (p = .0005) and to characterize nodules as calcified (p = .005). CONCLUSION: By eliminating rib shadows with tissue-selective images and enhancing calcified structures with bone-selective images, dual-energy chest radiography improved the ability of all observers, regardless of expertise, to detect and characterize pulmonary nodules.


Asunto(s)
Pulmón/diagnóstico por imagen , Imagen Radiográfica por Emisión de Doble Fotón , Nódulo Pulmonar Solitario/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Reacciones Falso Positivas , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Persona de Mediana Edad , Variaciones Dependientes del Observador , Curva ROC , Costillas/diagnóstico por imagen , Nódulo Pulmonar Solitario/epidemiología
16.
J Ultrasound Med ; 14(4): 273-7, 1995 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-7602684

RESUMEN

A blood-mimicking flow phantom was used to evaluate the precision of velocity measurements acquired using 25 pulsed Doppler ultrasonographic units from four vendors. Measurements were made at four constant flow rates (12 to 50 cm/s peak velocity). The average standard deviation values of the peak and time-averaged velocities among all units and all flow rates were found to be 7 and 9% of the mean, respectively, while the corresponding values for a subgroup of 20 identical units were 5 and 8%. Considered in conjunction with other published data, this suggests that units should be calibrated to an institutional standard at the time of acceptance testing.


Asunto(s)
Velocidad del Flujo Sanguíneo , Vasos Sanguíneos/diagnóstico por imagen , Modelos Estructurales , Ultrasonografía Doppler/instrumentación , Vasos Sanguíneos/fisiología , Calibración , Humanos , Control de Calidad , Reproducibilidad de los Resultados , Ultrasonografía Doppler/normas
17.
Radiology ; 219(2): 515-20, 2001 May.
Artículo en Inglés | MEDLINE | ID: mdl-11323481

RESUMEN

PURPOSE: To determine the benefits and safety of computed tomographic (CT) fluoroscopy when compared with conventional CT for the guidance of interventional radiologic procedures. MATERIALS AND METHODS: Data on 203 consecutive percutaneous interventional procedures performed with use of CT fluoroscopic guidance and 99 consecutive procedures with conventional CT guidance were obtained from a questionnaire completed by the radiologists and CT technologists who performed the procedures. The questionnaire specifically addressed radiation dose measurements to patients and personnel, total procedure time, total CT fluoroscopy time, mode of CT fluoroscopic guidance (continuous versus intermittent), success of procedure, major complications, type of procedure (biopsy, aspiration, or drainage), site of procedure, and level of operator experience. RESULTS: The median calculated patient absorbed dose per procedure and the median procedure time with CT fluoroscopy were 94% less and 32% less, respectively, than those measurements with conventional CT scanning (P <.05). An intermittent mode of image acquisition was used in 97% of the 203 cases. This resulted in personnel radiation dosimetric readings below measurable levels in all cases. CONCLUSION: As implemented at the authors' institution, use of CT fluoroscopy for the guidance of interventional radiologic procedures markedly decreased patient radiation dose and total procedure time compared with use of conventional CT guidance.


Asunto(s)
Fluoroscopía , Radiografía Intervencional , Tomografía Computarizada por Rayos X , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dosis de Radiación , Radiografía Intervencional/efectos adversos , Radiografía Intervencional/métodos , Encuestas y Cuestionarios , Factores de Tiempo
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