RESUMEN
Las pruebas realizadas por la industria alimenticia revelan el uso potencial del calor generado en plantas productoras de energía derivada de residuos sólidos municipales y su aplicación en la esterilización de agua recuperada, abriendo, así, la posibilidad de establecer plantas integradas (tratamiento de residuos/potabilización de agua) en las municipalidades del mundo
Asunto(s)
Reciclaje del Agua , Agua Potable , Purificación del Agua , Estados UnidosRESUMEN
Las pruebas realizadas por la industria alimenticia revelan el uso potencial del calor generado en plantas productoras de energía derivada de residuos sólidos municipales y su aplicación en la esterilización de agua recuperada, abriendo, así, la posibilidad de establecer plantas integradas (tratamiento de residuos/potabilización de agua) en las municipalidades del mundo
Asunto(s)
Purificación del Agua , Reciclaje del Agua , Agua Potable , Estados UnidosRESUMEN
PURPOSE: To determine whether the relative insensitivity of T2-weighted fast spin-echo (FSE) techniques to magnetic susceptibility can be exploited to reduce metallic artifacts on images of the postoperative spine and, thus, improve the interpretation of the postoperative study. MATERIALS AND METHODS: Three neuroradiologists retrospectively evaluated sagittal T2-weighted conventional spin-echo and FSE images obtained in 15 patients with metallic artifacts from various sources including drill particles from anterior cervical diskectomy, posterior fixation wires, fixation rods or plates, and an inferior vena cava filter. The amount of artifact present and whether these artifacts affected image interpretation were evaluated. RESULTS: Among the 45 paired evaluations, the artifact was judged to be less apparent with FSE sequences in 39. In eight of 45 evaluations (18%), the interpretation of the area of interest was possible only on the FSE images. CONCLUSION: FSE imaging, especially when performed with shorter echo spacing, increases the amount of T2-weighted information in the presence of metallic artifact because it decreases magnetic susceptibility effects.
Asunto(s)
Artefactos , Imagen por Resonancia Magnética/métodos , Columna Vertebral/diagnóstico por imagen , Placas Óseas , Hilos Ortopédicos , Discectomía , Humanos , Metales , Radiografía , Estudios Retrospectivos , Fusión Vertebral , Columna Vertebral/cirugíaRESUMEN
The purpose of this study was to examine the relationship between the initial intramedullary hemorrhage, as seen by magnetic resonance imaging (MRI), and the neurologic deficit and eventual neurologic outcome of acute cervical spinal cord injured subjects. MRI and motor assessments were performed on 24 subjects with motor complete (Frankel A & B) and incomplete (Frankel C & D) injuries. Recovery was determined by evaluating an initial and a final motor power following spinal cord injury (SCI), as defined by the manual muscle test (grade 1-5) and motor index score (MIS). Results showed that all 15 subjects having hemorrhage had motor complete injuries (Frankel A & B). Sixteen percent of the muscles in the upper extremities and 3% of the muscles in the lower extremities in these 15 subjects improved to a grade of > or = 3/5 at the final evaluation post-SCI. In comparison, of the nine subjects not having hemorrhage, eight had motor incomplete injuries (Frankel C & D) and had 73% and 74% of muscles improving in the upper and lower extremities, respectively. In addition, a change in MIS from initial to final evaluations showed a significant difference between subjects with hemorrhage and subjects without hemorrhage (upper extremities: p = .002 and lower extremities: p = .0001). In conclusion, the initial MR image and neurologic assessment correlated with motor power recovery.
Asunto(s)
Traumatismos de la Médula Espinal/clasificación , Adolescente , Adulto , Hemorragia/complicaciones , Humanos , Puntaje de Gravedad del Traumatismo , Imagen por Resonancia Magnética , Persona de Mediana Edad , Músculos/inervación , Pronóstico , Traumatismos de la Médula Espinal/complicaciones , Traumatismos de la Médula Espinal/fisiopatologíaRESUMEN
We report abnormalities in corrected QT intervals with changes in position and after exercise in patients with familial dysautonomia and confirm the previously reported finding of abnormal heart rate and blood pressure responses. Prolonged corrected QT intervals (> 440 msec) with lack of appropriate shortening with exercise is a noninvasive means of demonstrating an aberration in autonomic regulation of cardiac conduction.
Asunto(s)
Sistema Nervioso Autónomo/fisiopatología , Disautonomía Familiar/fisiopatología , Electrocardiografía , Adulto , Presión Sanguínea , Femenino , Frecuencia Cardíaca , Humanos , Masculino , Estudios ProspectivosRESUMEN
Few detailed radiologic articles treat the medial canthus as a "compartment" of the orbit. Nasal stuffiness and epiphora (excessive tearing) are frequent clinical manifestations of diseases involving the medial canthus of the orbit. Although some lesions can be adequately evaluated by clinical examination, imaging may show unsuspected deep extensions of the abnormality. CT has traditionally been the imaging method of choice because of the inherent contrast between structures in this region and its superb depiction of bone detail (Fig. 1). MR imaging can be useful in detecting subtle marrow invasion caused by lesions extending beyond the confines of the medial canthus (e.g., frontal bone, maxilla). In this pictorial essay, we illustrate the CT and MR appearances of diseases that can manifest as a medial canthal mass and provide practical differential diagnoses. Lesions can be inflammatory, neoplastic, or developmental in origin. Moreover, these lesions can result from abnormalities in the adjacent nasolacrimal apparatus, orbit, paranasal sinuses, and nasal cavity, or they can reflect an underlying systemic illness.
Asunto(s)
Enfermedades del Aparato Lagrimal/diagnóstico , Imagen por Resonancia Magnética , Enfermedades Orbitales/diagnóstico , Neoplasias Orbitales/diagnóstico , Enfermedades de los Senos Paranasales/diagnóstico , Tomografía Computarizada por Rayos X , Femenino , Humanos , MasculinoRESUMEN
This paper examines the association of ethnicity and birthweight, adjusted for other maternal and infant characteristics, among black women who gave birth in Massachusetts from 1987 through 1989. Data are drawn from the standard certificate of live birth, which includes questions on race and ethnicity/ancestry as well as birthweight; maternal sociodemographic and biological characteristics; access to prenatal care; and infant characteristics. The study cohort consists of 18,571 black infants and a comparison group of 206,358 non-Hispanic white infants. Infants whose mothers reported their race as black were further categorized into six ethnic groups: American, Haitian, West Indian, Cape Verdean, Hispanic, and other black. In addition to descriptive analyses, we used multiple linear regression to measure the association between ethnicity, other characteristics, and birthweight; and we used multiple logistic regression to measure the odds ratio of low birthweight (ranging from 500 g to 2499 g) for the six black ethnic groups, adjusted for other characteristics. Results indicate that Americans have lower mean birthweight and generally higher levels of risk than other black ethnic groups. Compared to the reference group of non-Hispanic whites, Americans (OR = 1.49), other blacks (OR = 1.41), and West Indians (OR = 1.37) have significantly elevated relative risks of low birthweight.
Asunto(s)
Peso al Nacer , Negro o Afroamericano , Etnicidad , Madres , Adulto , África/etnología , Población Negra , Femenino , Haití/etnología , Hispánicos o Latinos , Humanos , Recién Nacido de Bajo Peso , Recién Nacido , Massachusetts , Embarazo , Factores de Riesgo , Indias Occidentales/etnologíaRESUMEN
This essay illustrates the imaging spectrum of extrapineal lesions that involve the tectal region, with emphasis on intrinsic tectal abnormalities. The superb sensitivity of MR and its multiplanar imaging capability permit unparalleled diagnostic accuracy in this region. The sagittal and axial planes are ideal for evaluating the tectum. CT remains important in the detection of acute hemorrhage and calcification. Grouping of abnormalities on the basis of anatomic boundaries (tectum, aqueduct, and quadrigeminal plate cistern) is useful in establishing the correct diagnosis.
Asunto(s)
Encefalopatías/diagnóstico , Lesiones Encefálicas/diagnóstico , Neoplasias Encefálicas/diagnóstico , Colículos Inferiores/patología , Malformaciones Arteriovenosas Intracraneales/diagnóstico , Imagen por Resonancia Magnética , Mesencéfalo/patología , Colículos Superiores/patología , Femenino , Humanos , MasculinoRESUMEN
The author describes a 71-year-old woman in whom cutaneous cervical herpes zoster was complicated by the development of cervical myelitis. T2-weighted MR showed two focal areas of hyperintensity in the cervical cord and suggested a slight enlargement at C2-C3 and C7.
Asunto(s)
Herpes Zóster , Imagen por Resonancia Magnética , Mielitis/microbiología , Anciano , Femenino , Humanos , Mielitis/diagnóstico , CuelloRESUMEN
Intradural extramedullary schwannomas are nerve sheath neoplasms that consist of focal proliferations of Schwann cells involving a spinal nerve. We reviewed the MR findings in seven patients with pathologically proved intradural schwannomas. The contrast-enhancement characteristics on MR images were determined and compared with the histologic features of the tumor. Six lesions were variably hyperintense on T2-weighted images and one was uniformly hypointense compared with the signal intensity of the spinal cord. Signal on T1-weighted images ranged from hypointense to isointense. All seven tumors showed heterogeneous enhancement; in five, the enhancement involved only the periphery of the lesion. The pattern of enhancement did not correlate with the signal characteristics noted on unenhanced T1- and T2-weighted images. Pathologically, hyaline thickening of vessel walls and cyst formation were prevalent in the peripherally enhancing lesions. However, enhancement did not correlate with the relative proportion of Antoni type A and type B tissue. Recognition of the MR characteristics of intradural extramedullary schwannomas may be helpful in the differential diagnosis of spinal tumors. In particular, peripheral contrast enhancement of an intradural extramedullary tumor on MR images should suggest the diagnosis of schwannoma.
Asunto(s)
Imagen por Resonancia Magnética , Neurilemoma/diagnóstico , Neoplasias de la Médula Espinal/diagnóstico , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
A 26-year-old woman presented with headaches, incoordination and a cerebellar mass (1982). The CT scan revealed dilated ventricles and a hypodense space-occupying lesion adjacent to the fourth ventricle. Neuronal loss, gliosis and masses of Rosenthal fibers were seen in biopsy. There was no evidence of neoplasm. A second biopsy 2 years later was similar to the original specimen. A diagnosis of Alexander's disease was suggested. Later that year the patient's 11-year-old brother manifested a clinical picture initially diagnosed as brainstem glioma, but whose biopsy was characteristic of Alexander's disease. There has been a gradual deterioration of these siblings over the past 6 years (1986-1991). No evidence of neoplasm has appeared.