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1.
Adv Mater ; 29(41)2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28906570

RESUMEN

Dispersions of nanoscale precipitates in metallic alloys have been known to play a key role in strengthening, by increasing their strain hardenability and providing resistance to deformation. Although these phenomena have been extensively investigated in the last century, the traditional approaches employed in the past have not rendered an authoritative microstructural understanding in such materials. The effect of the precipitates' inherent complex morphology and their 3D spatial distribution on evolution and deformation behavior have often been precluded. This study reports, for the first time, implementation of synchrotron-based hard X-ray nanotomography in Al-Cu alloys to measure kinetics of different nanoscale phases in 3D, and reveals insights behind some of the observed novel phase transformation reactions. The experimental results of the present study reconcile with coarsening models from the Lifshitz-Slyozov-Wagner theory to an unprecedented extent, thereby establishing a new paradigm for thermodynamic analysis of precipitate assemblies. Finally, this study sheds light on the possibilities for establishing new theories for dislocation-particle interactions, based on the limitations of using the Orowan equation in estimating precipitation strengthening.

2.
Oper Dent ; 40(2): 218-23, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25268042

RESUMEN

The aim of this study was to analyze the anticaries potential of pit and fissure sealants containing amorphous calcium phosphate (ACP) by synchrotron microtomography. Bovine enamel blocks (4×4 mm; n=50) were selected through surface hardness (Knoop) analysis. Slabs were obtained through cross-sections taken 1 mm from the border of the enamel. Five indentations, spaced 100 µm apart, were made 300 µm from the border. Ten specimens were prepared for each tested material (Ultraseal XT plus TM, Aegis, Embrace, Vitremer and Experimental Sealant). The materials were randomly attached to the sectioned surfaces of the enamel blocks and fixed with sticky wax. The specimens were submitted to pH cycling. After that, the surface hardness (SH1) was determined, and the blocks were submitted to synchrotron microcomputed tomography analysis to calculate the mineral concentration (ΔgHAp cm(-3)) at different areas of the enamel. The comparison between the SH1 and ΔgHAp cm(-3) showed a correlation for all groups (r=0.840; p<0.001). The fluoride groups presented positive values of ΔgHAp cm(-3), indicating a mineral gain that was observed mainly in the outer part of the enamel. The ACP showed mineral loss in the outer enamel compared with fluoride groups, although it inhibited the demineralization in the deeper areas of enamel. The combination of two remineralizing agents (fluoride and ACP) was highly effective in preventing demineralization.


Asunto(s)
Fosfatos de Calcio/uso terapéutico , Caries Dental/prevención & control , Selladores de Fosas y Fisuras/uso terapéutico , Animales , Bovinos , Tomografía con Microscopio Electrónico/métodos , Sincrotrones , Desmineralización Dental/diagnóstico por imagen , Desmineralización Dental/prevención & control
3.
J Micromech Microeng ; 22(10): 105007, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23066175

RESUMEN

We describe the design and fabrication trials of x-ray absorption gratings of 200 nm period and up to 100:1 depth-to-period ratios for full-field hard x-ray imaging applications. Hard x-ray phase-contrast imaging relies on gratings of ultra-small periods and sufficient depth to achieve high sensitivity. Current grating designs utilize lithographic processes to produce periodic vertical structures, where grating periods below 2.0 µm are difficult due to the extreme aspect ratios of the structures. In our design, multiple bilayers of x-ray transparent and opaque materials are deposited on a staircase substrate, and mostly on the floor surfaces of the steps only. When illuminated by an x-ray beam horizontally, the multilayer stack on each step functions as a micro-grating whose grating period is the thickness of a bilayer. The array of micro-gratings over the length of the staircase works as a single grating over a large area when continuity conditions are met. Since the layers can be nanometers thick and many microns wide, this design allows sub-micron grating periods and sufficient grating depth to modulate hard x-rays. We present the details of the fabrication process and diffraction profiles and contact radiography images showing successful intensity modulation of a 25 keV x-ray beam.

4.
Rev Sci Instrum ; 82(4): 043706, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21529012

RESUMEN

Synchrotron-radiation-based microcomputed-tomography (SR-µCT) is a powerful tool for yielding 3D structural information of high spatial and contrast resolution about a specimen preserved in its natural state. A large number of projection views are required currently for yielding SR-µCT images by use of existing algorithms without significant artifacts. When a wet biological specimen is imaged, synchrotron x-ray radiation from a large number of projection views can result in significant structural deformation within the specimen. A possible approach to reducing imaging time and specimen deformation is to decrease the number of projection views. In the work, using reconstruction algorithms developed recently for medical computed tomography (CT), we investigate and demonstrate image reconstruction from sparse-view data acquired in SR-µCT. Numerical results of our study suggest that images of practical value can be obtained from data acquired at a number of projection views significantly lower than those used currently in a typical SR-µCT imaging experiment.


Asunto(s)
Procesamiento de Imagen Asistido por Computador/métodos , Sincrotrones , Microtomografía por Rayos X/instrumentación , Algoritmos , Estándares de Referencia , Microtomografía por Rayos X/normas
5.
Bone ; 47(5): 866-71, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20691298

RESUMEN

Tomographic reconstructions of sections of human femoral bone were created from x-ray data sets taken using synchrotron radiation of 26.4 keV and with isotropic voxels 1.47 µm on a side. We demonstrate that it is possible to segment the data to isolate both the osteocyte lacunae and the Haversian canals in the bone as well as identifying osteon boundaries. From this information a wealth of data relating to bone structure becomes available. The data were used to map the spatial positions of the osteocyte lacunae, relative to the Haversian canals and of the osteon boundaries. The dimensions and volume of the imaged osteocyte lacunae were measured for close to 10,000 lacunae. When averaged over the 11 osteons measured, osteocyte densities varied from 4×10(4)per mm(3) close to the Haversian canals to about 9×10(4)per mm(3) at 80% of osteon radius. The nearest-neighbour distances varied from 10 µm to 40 µm with a peak at 23 µm and an approximately normal distribution. The distribution of lacunar long-axis length was also approximately normal with a small positive skew and the peak value was 8 µm with a range from 3 µm to 20 µm. The most significant finding from this study was that the distribution of the measured volumes of osteocyte lacunae had two distinct peaks, one at 200 µm(3) and a second at 330 µm(3).


Asunto(s)
Fémur/citología , Fémur/diagnóstico por imagen , Osteocitos/diagnóstico por imagen , Microtomografía por Rayos X/métodos , Adulto , Humanos , Masculino , Adulto Joven
6.
Caries Res ; 43(5): 359-65, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19648747

RESUMEN

This study analyzed degrees of demineralization in bovine enamel using synchrotron microcomputed tomography (SMCT) and hardness measurements (Knoop hardness number, KHN). For 5 days, 40 bovine enamel blocks were individually subjected to a pH cycling model and treatment with fluoride dentifrices (placebo, 275, 550 and 1,100 microg F/g) diluted in deionized water twice a day. Surface hardness number and cross-sectional profiles of hardness and mineral concentration (by SMCT) were determined. Integrated hardness (KHN x microm) for sound and demineralized specimens was calculated and subtracted to give the integrated loss of hardness (DeltaKHN) for the lesions. Increasing fluoride concentration in the dentifrices led to higher values for surface hardness after pH cycling and mineral concentration (g(HAp) cm(-3)), and lower values for DeltaKHN (p < 0.05). From the present results, it may be concluded that hardness measurements revealed demineralization in all groups, which was lower in groups treated with dentifrice with a higher F concentration. SMCT and hardness measurements gave similar results in areas with higher demineralization, but diverged in areas with lower demineralization.


Asunto(s)
Esmalte Dental/patología , Pruebas de Dureza/métodos , Desmineralización Dental/patología , Microtomografía por Rayos X/métodos , Animales , Bovinos , Modelos Animales de Enfermedad , Fluoruros Tópicos/uso terapéutico , Sincrotrones , Desmineralización Dental/prevención & control , Remineralización Dental/métodos
7.
Nature ; 459(7249): 974-7, 2009 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-19536262

RESUMEN

The feedback between fluid migration and rock deformation in mid-crustal shear zones is acknowledged as being critical for earthquake nucleation, the initiation of subduction zones and the formation of mineral deposits. The importance of this poorly understood feedback is further highlighted by evidence for shear-zone-controlled advective flow of fluids in the ductile lower crust and the recognition that deformation-induced grain-scale porosity is a key to large-scale geodynamics. Fluid migration in the middle crust cannot be explained in terms of classical concepts. The environment is considered too hot for a dynamic fracture-sustained permeability as in the upper crust, and fluid pathways are generally too deformed to be controlled by equilibrium wetting angles that apply to hotter, deeper environments. Here we present evidence that mechanical and chemical potentials control a syndeformational porosity generation in mid-crustal shear zones. High-resolution synchrotron X-ray tomography and scanning electron microscopy observations allow us to formulate a model for fluid migration in shear zones where a permeable porosity is dynamically created by viscous grain-boundary sliding, creep cavitation, dissolution and precipitation. We propose that syndeformational fluid migration in our 'granular fluid pump' model is a self-sustained process controlled by the explicit role of the rate of entropy production of the underlying irreversible mechanical and chemical microprocesses. The model explains fluid transfer through the middle crust, where strain localization in the creep regime is required for plate tectonics, the formation of giant ore deposits, mantle degassing and earthquake nucleation. Our findings provide a key component for the understanding of creep instabilities in the middle crust.

8.
Radiol Med ; 113(4): 477-85, 2008 Jun.
Artículo en Inglés, Italiano | MEDLINE | ID: mdl-18536871

RESUMEN

The implementation of a database of digitised mammograms is discussed. The digitised images were collected beginning in 1999 by a community of physicists in collaboration with radiologists in several Italian hospitals as a first step in developing and implementing a computer-aided detection (CAD) system. All 3,369 mammograms were collected from 967 patients and classified according to lesion type and morphology, breast tissue and pathology type. A dedicated graphical user interface was developed to visualise and process mammograms to support the medical diagnosis directly on a high-resolution screen. The database has been the starting point for developing other medical imaging applications, such as a breast CAD, currently being upgraded and optimised for use in a distributed environment with grid services, in the framework of the Instituto Nazionale di Fisicia Nucleare (INFN)-funded Medical Applications on a Grid Infrastructure Connection (MAGIC)-5 project.


Asunto(s)
Neoplasias de la Mama/diagnóstico por imagen , Bases de Datos Factuales , Mamografía/métodos , Interpretación de Imagen Radiográfica Asistida por Computador , Adulto , Anciano , Femenino , Humanos , Italia , Persona de Mediana Edad , Intensificación de Imagen Radiográfica , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Estudios Retrospectivos , Sensibilidad y Especificidad , Tomografía Computarizada por Rayos X
9.
J Struct Biol ; 161(2): 144-50, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18006333

RESUMEN

High energy synchrotron X-ray scattering was developed for reconstruction of specimen cross-sections. The technique was applied to a model specimen of cortical bone containing a capillary tube of silicon, and reconstructions were produced with either full diffraction rings or texture-related subsets of a given ring. The carbonated apatite (cAp) 00.2 and 22.2 reconstructions and the Si 311 reconstructions agreed with absorption-based reconstructions from the measured X-ray transmissivity recorded during diffraction pattern acquisition and from reconstructions produced subsequently of the same specimen using a commercial microCT (microComputed Tomography) scanner.


Asunto(s)
Huesos/diagnóstico por imagen , Dispersión de Radiación , Tomografía por Rayos X/métodos , Animales , Conejos
10.
Artículo en Inglés | MEDLINE | ID: mdl-18002337

RESUMEN

Spontaneous EEG patterns are studied to detect migraine patients both during the attack and in headache-free periods. The EEG signals are analyzed through the wavelets and both scale-dependent and scale-independent features are computed to characterize the patterns. The classification is carried out by a supervised neural network. The efficiency of the method is evaluated through the Receiver Operating Characteristic (ROC) analysis and the Wilcoxon-Mann-Whitney (WMW) test. Although a high discrimination is observed with one single neural output, a complete separation among MwA patients and healthy subjects is obtained when a scatter plot is drawn in the plane of two suitable neural outputs.


Asunto(s)
Encéfalo/patología , Electroencefalografía/instrumentación , Trastornos Migrañosos/diagnóstico , Trastornos Migrañosos/patología , Adolescente , Adulto , Anciano , Electroencefalografía/métodos , Diseño de Equipo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Neurológicos , Red Nerviosa , Neuronas/patología , Curva ROC
11.
Rev Sci Instrum ; 78(5): 053701, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17552819

RESUMEN

We examine a direct filtered back projection approach that is suitable for the reconstruction of weakly absorbing homogeneous phase objects. Like recent similar approaches this method needs only one intensity image in each projection without the requirement for an intermediate step of phase retrieval. We tested the method using simulation and experimental results. Simulation results show good quantitative reconstruction which includes the correct refractive index value and distribution of the sample. However, experimental result still indicates the presence of artifacts.


Asunto(s)
Algoritmos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Imagenología Tridimensional/métodos , Tomografía Óptica/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
12.
Med Phys ; 34(12): 4901-10, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18196815

RESUMEN

A computer-aided detection (CAD) system for the selection of lung nodules in computer tomography (CT) images is presented. The system is based on region growing (RG) algorithms and a new active contour model (ACM), implementing a local convex hull, able to draw the correct contour of the lung parenchyma and to include the pleural nodules. The CAD consists of three steps: (1) the lung parenchymal volume is segmented by means of a RG algorithm; the pleural nodules are included through the new ACM technique; (2) a RG algorithm is iteratively applied to the previously segmented volume in order to detect the candidate nodules; (3) a double-threshold cut and a neural network are applied to reduce the false positives (FPs). After having set the parameters on a clinical CT, the system works on whole scans, without the need for any manual selection. The CT database was recorded at the Pisa center of the ITALUNG-CT trial, the first Italian randomized controlled trial for the screening of the lung cancer. The detection rate of the system is 88.5% with 6.6 FPs/CT on 15 CT scans (about 4700 sectional images) with 26 nodules: 15 internal and 11 pleural. A reduction to 2.47 FPs/CT is achieved at 80% efficiency.


Asunto(s)
Diagnóstico por Computador/métodos , Pulmón/diagnóstico por imagen , Pulmón/patología , Modelos Biológicos , Dosis de Radiación , Tomografía Computarizada por Rayos X , Algoritmos , Humanos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/diagnóstico por imagen , Redes Neurales de la Computación , Curva ROC
13.
Med Phys ; 33(8): 3066-75, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16964885

RESUMEN

Mass localization plays a crucial role in computer-aided detection (CAD) systems for the classification of suspicious regions in mammograms. In this article we present a completely automated classification system for the detection of masses in digitized mammographic images. The tool system we discuss consists in three processing levels: (a) Image segmentation for the localization of regions of interest (ROIs). This step relies on an iterative dynamical threshold algorithm able to select iso-intensity closed contours around gray level maxima of the mammogram. (b) ROI characterization by means of textural features computed from the gray tone spatial dependence matrix (GTSDM), containing second-order spatial statistics information on the pixel gray level intensity. As the images under study were recorded in different centers and with different machine settings, eight GTSDM features were selected so as to be invariant under monotonic transformation. In this way, the images do not need to be normalized, as the adopted features depend on the texture only, rather than on the gray tone levels, too. (c) ROI classification by means of a neural network, with supervision provided by the radiologist's diagnosis. The CAD system was evaluated on a large database of 3369 mammographic images [2307 negative, 1062 pathological (or positive), containing at least one confirmed mass, as diagnosed by an expert radiologist]. To assess the performance of the system, receiver operating characteristic (ROC) and free-response ROC analysis were employed. The area under the ROC curve was found to be Az = 0.783 +/- 0.008 for the ROI-based classification. When evaluating the accuracy of the CAD against the radiologist-drawn boundaries, 4.23 false positives per image are found at 80% of mass sensitivity.


Asunto(s)
Inteligencia Artificial , Neoplasias de la Mama/diagnóstico por imagen , Almacenamiento y Recuperación de la Información/métodos , Mamografía/métodos , Reconocimiento de Normas Patrones Automatizadas/métodos , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Sistemas de Información Radiológica , Algoritmos , Análisis por Conglomerados , Sistemas de Administración de Bases de Datos , Bases de Datos Factuales , Femenino , Humanos , Intensificación de Imagen Radiográfica/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
14.
Neurol Clin Neurophysiol ; 2004: 37, 2004 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-16012598

RESUMEN

The aim of this study is to perform a topographic classification of electroencephalographic (EEG) patterns in subjects affected by the Huntington's disease (HD). The alpha activity is a discriminating feature for HD, as its amplitude reduction turns out to be a clear mark of the illness. When used as input variable to a supervised neural network, a good classification of pathological patterns and control ones is achieved with high values of sensitivity and specificity. It should be useful to get more insight into the local discriminating capabilities of the alpha rhythm by implementing a neural network approach to classify EEG patterns extracted from groups of channels corresponding to specific regions of the scalp. Receiver operating characteristic (ROC) curve analysis enables one to label each region with the value of the area under the curve, thus providing a local significance for HD classification. A reduction of the area when processing regions of the scalp, with respect to the whole, suggests that all channels provide significant contribution to HD pattern discrimination. These results can be interpreted as an effect of an abnormal subcortical modulation of the alpha rhythm, due to the dysfunctional action of the thalamus on the cortical activities. In a further study, morphometric features of thalamus and basal ganglia, evaluated by MRI, will be matched with the electrophysiological findings.


Asunto(s)
Mapeo Encefálico/métodos , Electroencefalografía/clasificación , Enfermedad de Huntington/clasificación , Enfermedad de Huntington/fisiopatología , Electroencefalografía/métodos , Femenino , Humanos , Masculino
15.
J Struct Biol ; 144(3): 282-300, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14643197

RESUMEN

This paper reports the first noninvasive, volumetric study of entire cross-sections of a sea urchin tooth in which the individual calcite structural elements could be resolved. Two cross-sectionally intact fragments of a Lytechinus variegatus tooth were studied with synchrotron microCT (microcomputed tomography) with 1.66 microm voxels (volume elements). These fragments were from the plumula, that is the tooth zone with rapidly increasing levels of mineral; one fragment was from a position aboral of where the keel developed and the second was from the zone where the keel was developing. The primary plates, secondary plates, carinar process plates, prisms, and elements of the lamellar-needle complex were resolved. Comparison of the microCT data with optical micrographs of stained thin sections confirmed the identifications and measured dimensions of the characteristic microarchitectural features. The interplay of reinforcing structures (plates and prisms) was more clearly revealed in the volumetric numerical data sets than in single or sequential slices. While it is well known that the primary plates and prisms in camarodont teeth are situated to improve resistance to bending (which can be termed primary bending), the data presented provide a new understanding of the mechanical role of the carinar process plates, that is, a geometry consistent with that required in the keel to resist lateral or transverse bending of the tooth about a second axis. The increase in robustness of teeth incorporating lateral keel reinforcement suggests that the relative development of carinar processes (toward a geometry similar to that of L. variegatus) is a character which can be used to infer which sea urchins among the stirodonts are most primitive and among the camarodonts which are more primitive.


Asunto(s)
Erizos de Mar/metabolismo , Tomografía Computarizada por Rayos X/métodos , Diente/embriología , Animales , Carbonato de Calcio/química , Modelos Anatómicos , Sincrotrones/instrumentación , Diente/ultraestructura
16.
J Synchrotron Radiat ; 10(Pt 5): 393-7, 2003 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-12944629

RESUMEN

Two synchrotron X-ray microscopy methods, phase-contrast microradiography (the propagation method) and absorption microCT (high-resolution computed tomography or microtomography), and laser-scanning confocal microscopy (visible wavelength) were used to study a fragment of the keel of a tooth of the sea urchin Lytechinus variegatus. Stripes observed in the phase-contrast images of the fragment were also seen in confocal micrographs. MicroCT showed that the stripes were due to two parallel planar arrays of low-absorption channels within the bulk of the keel. In the phase microradiographs, maximum contrast stripes appear when a channel image from one row coincides with a channel image from the second row; otherwise, contrast is minimal. Long channels do not appear to have been observed previously in keels of sea urchin teeth.


Asunto(s)
Microrradiografía/métodos , Microscopía Confocal/métodos , Microscopía de Contraste de Fase/métodos , Tomografía Computarizada por Rayos X/métodos , Diente/diagnóstico por imagen , Animales , Erizos de Mar , Sincrotrones , Diente/ultraestructura
17.
Clin Neurophysiol ; 114(7): 1237-45, 2003 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-12842720

RESUMEN

OBJECTIVE: The aim of this study was to analyze EEG background activity in Huntington's disease (HD) patients and relatives at risk, in relation to CAG repeat size and clinical state, in order to detect an electrophysiological marker of early disease. METHODS: We selected 13 patients and 7 subjects at risk. Thirteen normal subjects, sex- and age-matched, were also evaluated. Artifact-free epochs were selected and analyzed through Fast-Fourier Transform. EEG background activity was tested using both linear analysis and artificial neural network (ANN) classifier in order to evaluate whether EEG abnormalities were linked to functional changes preceding the onset of the disease. RESULTS: The most important EEG classification pattern was the absolute alpha power not correlated with cognitive decline. The ANN correctly classified 11/13 patients and 12/13 normals. Moreover, the neural scores for subjects at risk seemed to be correlated to the expected time before the onset of the disease. CONCLUSIONS: ANN is a very powerful method to discriminate between normals and patients. It could be used as an automatic diagnostic tool. EEG changes in positive gene-carriers for HD confirm an early functional impairment which should be taken into account in the genetic counseling and in the management of the early stages of the disease.


Asunto(s)
Encéfalo/fisiopatología , Electroencefalografía , Potenciales Evocados Visuales/fisiología , Enfermedad de Huntington/fisiopatología , Redes Neurales de la Computación , Adulto , Mapeo Encefálico , Estudios de Casos y Controles , Análisis Discriminante , Electrofisiología/métodos , Femenino , Heterocigoto , Humanos , Enfermedad de Huntington/genética , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Psicometría/métodos , Curva ROC , Repeticiones de Trinucleótidos/genética
18.
Phys Rev Lett ; 85(3): 554-7, 2000 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-10991338

RESUMEN

A new approach to clustering, based on the physical properties of inhomogeneous coupled chaotic maps, is presented. A chaotic map is assigned to each data point and short range couplings are introduced. The stationary regime of the system corresponds to a macroscopic attractor independent of the initial conditions. The mutual information between pairs of maps serves to partition the data set in clusters, without prior assumptions about the structure of the underlying distribution of the data. Experiments on simulated and real data sets show the effectiveness of the proposed algorithm.

19.
Ann Ital Chir ; 70(4): 589-92, 1999.
Artículo en Italiano | MEDLINE | ID: mdl-10573622

RESUMEN

Large benign goiter with a cervical and intrathoracic retrotracheal location is uncommon, but troublesome, since it affects the upper mediastinum and usually causes dyspnea, dysphagia or vascular obstruction; on the other hand, a large mediastinal cyst of thyroid origin complicated by a massive, spontaneous hemorrhage is an exceptional event, implicating vital prognosis through an acute tracheal compression. A 45-year-old-man presented all these complications of a previously neglected nodular-cystic goiter, causing an acute respiratory distress. An emergency diagnosis and consequent surgery, in delayed urgency, were performed. This case is presented because of its rarity. Its clinic management is discussed, in the framework of the existing literature.


Asunto(s)
Quistes/complicaciones , Bocio Nodular/complicaciones , Hemorragia/complicaciones , Enfermedades del Mediastino/etiología , Estenosis Traqueal/etiología , Enfermedad Aguda , Enfermedad Crítica , Quistes/diagnóstico , Quistes/cirugía , Bocio Nodular/diagnóstico , Bocio Nodular/cirugía , Hemorragia/diagnóstico , Hemorragia/cirugía , Humanos , Masculino , Enfermedades del Mediastino/diagnóstico , Enfermedades del Mediastino/cirugía , Persona de Mediana Edad , Síndrome , Tiroidectomía , Estenosis Traqueal/diagnóstico , Estenosis Traqueal/cirugía
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