RESUMEN
OBJECTIVE: To determine the sensitivity and specificity of 640-Multislice CT (640-MSCT) in diagnosing the female UD. MATERIALS AND METHODS: We investigated 16 patients with symptomatic UDs preoperatively in our hospital from August 2010 to March 2016. The patients' average age was 38.8 years. All patients were performed 640-MSCT of pelvis; then, 3D and 4D images were reconstructed preoperatively. RESULTS: In 3D and 4D-CT images, out of 16 patients, thirteen patients had one ostium, two had 2 ostia and one had 3 ostia. Out of those thirteen patients, eight patients' ostia were located at 5 o'clock and five patients' at 7 o'clock. Patients with 2 ostia location were at 5 and 6 o'clock and 5 and 7 o'clock, respectively. Patients with 3 ostia location were at 5, 6 and 7 o'clock. The mean distance from the bladder neck to the ostia was 22.5 mm. The shape of UD was out-pouching in 11 patients (68.8%), U-shaped in four patients (25.0%) and circumferential in 1 patient (6.2%). The CT findings were confirmed by surgical findings. CONCLUSIONS: 640-MSCT is a useful tool in identifying UD's shape and ostium (including number, location) before operation. Preoperative 640-MSCT should be an adaptable modality for clinically suspected UD patients. ADVANCES IN KNOWLEDGE: Several imaging methods have been used to diagnose female UD. 640-MSCT may be more suitable to diagnose it for its higher sensitivity and specificity in diagnosis of female UD, especially in identifying UD's shape and number and location of ostium.
Asunto(s)
Divertículo/diagnóstico , Tomografía Computarizada Cuatridimensional/métodos , Tomografía Computarizada Multidetector/métodos , Uretra/diagnóstico por imagen , Enfermedades Uretrales/diagnóstico , Adulto , Divertículo/cirugía , Femenino , Humanos , Persona de Mediana Edad , Planificación de Atención al Paciente , Cuidados Preoperatorios/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Uretra/patología , Uretra/cirugía , Enfermedades Uretrales/cirugía , Procedimientos Quirúrgicos Urológicos/métodosRESUMEN
The formation mechanism of Ag in an adsorption layer and the influence of temperature on the generation of Ag particles were studied. Two reaction systems were designed to explore the different reduction mechanisms of Ag+ in an adsorption layer and in bulk. A UV-vis adsorption spectrometer was employed to monitor the reaction process of Ag+ in two reaction systems. The results indicated that the formation mechanism of silver in an adsorption layer was largely different from that in alcohol bulk, which led to various morphologies of Ag particles in the two systems. Temperature experiments suggested that the induction time and morphology of Ag particles both changed greatly when temperature increased to 40 degrees C. The disappearance of physical-adsorption and the reaction occurring in alcohol bulk was the primary cause.