Controle de qualidade em raios-x convencional

The progress in radiology is related with the development of new systems of image formation with the lesser dose in the pacient. The improve of the dose in the pacient, without compromising the quality of the image, is one of the responsibilities of a medical physicist in a sector of diagnosis for image. This research has as objective to evaluate the conditions of use of an equipment of x-rays, from tests of quality control. The results gotten in this work have been part of data of an Effective Program of Quality Control (PECQ) of the sector of diagnosis for image of the Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP (HCFMB-UNESP)

Classificação e quantificação de tecidos Biológicos para construção de fantomas pediátricos

Paediatric diagnostic radiology can be considered as a separate specialty and with distinct characteristics of the radiology applied in adult patients. This in reason of the variability in the anatomical structures size and bigger sensitivity of tissues. The literature present in its majority methodologies for segmentation and tissue classification in adult patients, and works on tissue quantification are rare. This work had for objective the development of a biological tissue classifier and quantifier algorithm, from histograms, and that converts the quantified average thickness of these tissues for its respective simulator materials. The results will be used in the optimization process of paediatrics images, in future works, since these patients are frequently over exposed to the radiation in the repeated attempts of if getting considered good quality radiographic images. The developed algorithm was capable to read and store the name of all the archives, in the operational system, to filter artifacs, to count and quantify each biological tissues from the histogram of the examination, to obtain the biological tissues average thicknesses and to convert this value into its respective simulator material. The results show that it is possible to distinguish bone, soft, fat and pulmonary tissues from histograms of tomographic examinations of thorax. The quantification of the constituent materials of anthropomorphic phantom made by the algorithm, compared with the data of literature shows that the biggest difference was of 21,6% for bone. However, the literature shows that variations of up to 30% in bone thickness do not influence of significant form in the radiographic image quality. The average thicknesses of biological tissues, quantified for paediatrics patients, show that one phantom can simulate patients with distinct DAP ranges, since variations... (Complete abstract click electronic access below)

Cálculo estrutural de barreiras: Desenvolvimento de um programa computacional de interface online

This study aimed to develop a computer program which systematizes the structural shielding design calculation in diagnostic radiology facilities. For this purpose methodology of the National Council of Radiation Protection and Measurements (NCRP 147[5]) was used. By comparative statistics studies, it was verified if reference parameters values suggested by the US publication correspond to the average national values. The World Wide Web was chosen because of its characteristics as a powerful mean of communication, especially in terms of the wide variety of useful resources and easy access. To compare the reference values of some parameters proposed by NCRP 147 to Brazilian average, studies about the normalized workload per patient, performance of X-ray tube and primary air kerma, unshielded, at one meter from the focal point of the X-ray tube were made. Through this research, relative differences were found. In workload values this differences reached up to 50% in mammography compared to those presented by the NCRP 147; in X-ray tube performance the percentage differences reached 69% in dental radiology, and air kerma results amounted 31% in fluoroscopy. This demonstrates the importance of validation of international protocols to local realities

Influência da luz LED em culturas de células-tronco mesenquimais in-vitro

Stem cells are defined as cells capable of self-renewal and differentiation into specialized cells when submited to external signalings in the enviroment. Among adult stem cells, mesenchymal cells occupy an important position because they can differentiate into mesodermal cells such as osteoblasts, adipocytes and chondrocytes. Cell therapy consists in the use of mesenchymal stem cells (MSC) in the treatment of degenerative diseases and harmed tissue reconstruction. Due to the longstanding and costly procedure for cultivation of MSC, it was proposed the use of low power light sources, such as light emitting diodes (LED), to optimize these factors. Recent works have shown a series of results from the influence of LED light on biological tissues such as increased rate of cell proliferation, increased RNA, DNA and ATP synthesis rate. The purpose of this study is to compare the biomodulator effect of LED light set at wavelengths 630nm ± 10nm and 805nm ± 10nm on the mesenchymal stem cells proliferation. For this, the mesenchymal stem cells culture adopted the procedure used in the Departament of Animal Reproduction and Veterinary Radiology of the Faculty of Veterinary Medicine and Animal Sciences of Botucatu. MSC were obtained from an adult horse bone marrow, and isolated by density gradient separation, with the FICOLL reagent and by centrifugation. The pellet containing the stem cells was removed and these were placed in low glucose DMEM culture medium, containing 10% fetal calf serum and antibiotics. The material was observed daily by inverted microscopy for monitoring the progression of the cells and subsequently the amount of cells were counted in a Neubauer counting chamber. The amount of MSC was obtained by cell culture seeded in 24 wells culture plate and segregated into three distinct groups: Group 1 was irradiated with wavelength set at 630nm ± 10 nm, Group... (Complete abstract click electronic access below)

Avaliação das doses de cães submetidos a exames radiográficos de pulmão

This study aims to determine surface skin doses in dogs (with suspected pulmonary metastasis) submitted to chest X-rays using the technique of thermoluminescence dosimetry. Twenty seven exams from different dogs were performed at the Faculdade de Medicina Veterinária e Zootecnia da Universidade Estadual Paulista (FMVZ-UNESP/Botucatu). The doses were evaluated using thermoluminescent dosimeters of calcium sulphate doped with dysprosium (CaSO4:Dy) produced by the Instituto de Pesquisas Energéticas e Nucleares (IPEN-CNEN). The pulmonary metastasis exams are carried out in three projections, one dorsal-ventral and two lateral-lateral. During the procedures the projection thicknesses and source-skin surface distances were registered. To simulate the dog phantom the dosimeters were positioned in a cubic simulator (30x30x30 cm) of polymethylmethacrylate (PMMA) filled with water and irradiated according to the parameters of projections with the X-ray energies ranging from 45 to 70 kV. To estimate the surface skin dose the dose-response curves were obtained for X-ray energies of 50 and 70 kV using the diagnostic X-ray beam machine of the Instruments Calibration Laboratory of IPEN for doses of 1.5, 2.0, 2.5, 3.5 and 4.0 mGy. The main difficulty of this work was the dog immobilization that is reflected in poor-quality diagnostic imaging and, consequently, demands the repetition of the exams, which contributes to the increase of the doses received by the animals being studied and the clinical staff. The doses evaluated in this type of procedure are between 0.43 and 4.22 mGy. This research has shown to be extremely important for the assessment of doses involved in veterinary diagnostic radiology procedures, and as a parameter in the individual monitoring of pet’s owners who assist the animal positioning and occupationally exposed workers of the Department of Veterinary Radiology

Retrospecto de lesões radiológicas da cabeça de cães e gatos

Pós-graduação em Cirurgia Veterinária - FCAV

Modelagem computacional das túnicas cardíacas para processamento e controle de qualidade

This paper considers a study of the anatomical features of the cardiac system and a three-dimensional model of the different tunics that comprise the heart wall, for processing and quality control of radiological images. The structures are built by the layer overlapping method, where a layer can be understood as a slice of the three-dimensional object. The pericardium, myocardium and endocardium were represented with three-dimensional cylinders and hexagons. The spatial arrangement of the cardiac system is determined by an background image of a real model, which values are defined according to the shape of the region and on the anatomical patients characteristics. The results are significant, considering the anatomical structures details, as well as the representation of the thicknesses of the regions of the heart wall. The validation of the anatomical model was accomplished through comparisons with dimensions obtained from a real model and allows verifying that the model is appropriate. The degree of representation will allow the verification of the influence of radiological parameters, morphometric peculiarities and stage of the diseases on the quality of the images, as well as on the performance of the Computer-Aided Diagnosis (CAD).

Leishmaniose visceral canina: estudo imagiológico em cães naturalmente infectados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Imageologia na odontologia e aspectos legais

The technology, through the advent of new equipments that allow imaging exams, has helped very much in the diagnosis and prognosis of diseases in Dentistry. The use of informatics, in general, in the manufacture of clinical reports is increasingly present in the dental offices. The legal validity of these systems is questioned, and is matter of discussion. This work makes considerations about Imageology or Diagnostic by image, a new area that is appearing on Dentistry. Among other exams, there are: digital radiography, tomography, computed tomography, artomography, magnetic resonance, computed cefalometry and ultra-sonography. It permits the professional to obtain a better diagnostic, and to the patient, the visualization of his problem and treatment. A survey on the possibilities of using informatics in Dentistry, particularly in Radiology, was also carried out, as well as the legal aspects, which are in accordance with the Law 8.935/94, what guarantees its practicability. Digital Certification is a mechanism that provides legal validity to documents and, as such, to radiographic images and others. It is a procedure that the dentist should take to ensure that he/she has safeguarded the judicial proofs that may be necessary in an eventual demand.

Importância da correta confecção do prontuário odontológico para identificação humana: relato de caso

The clinical records correspond to a set of documents where all information of the patient is stored. When properly confectioned and filed by the dentist, it may serve as a tool for success in dental expertise. The aim of this paper is to present the importance of proper confection of dental records in human identification by means the presentation of a case of identification, occurred in a São Paulo state city. The notes present in the dental records of the alleged victim were very poor, even with a contradiction. However, having endodontic treatment been performed, the comparative analysis between the radiographs of the skull of the victim (postmortem) and the endodontic treatment of tooth 22 (antemortem) permitted to observe total coincidence between the details of such treatment, and anatomical features present in other dental elements. These important parameters of comparison indicated that the body was of the suspect and, due to the number of coincidences, it could not belong to another individual. Nevertheless, the clinical documentation provided was deficient, and presented contradictory data. Because of its fundamental importance for human identification, it is essential that dental professionals take the necessary care to ensure its proper confection and custody, seeking to make the clinical records also an efficient instrument of consultation in identification cases.

Influência do diâmetro foraminal do canal radicular, do tipo e da penetração de agulha, e do fluxo da solução irrigadora na limpeza e na extrusão apical

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação ultrassonográfica de crianças com hipotireoidismo congênito

To establish benchmarks and study some sonographic characteristics of the thyroid gland in a group of euthyroid children aged up to 5 years as compared with age-matched children with congenital hypothyroidism. Thirty-six children (17 female and 19 male) aged between 2 months and 5 years were divided into two groups - 23 euthyroid children and 13 children with congenital hypothyroidism - and were called to undergo ultrasonography. In the group of euthyroid children (n = 23), mean total volume of the thyroid gland was 1.12 mL (minimum, 0.39 mL; maximum, 2.72 mL); a homogeneous gland was found in 17 children (73.91%) and 6 children (26.08%) had a heterogeneous gland. In the group of children with congenital hypothyroidism (n = 13), mean total volume of the thyroid gland was 2.73 mL (minimum, 0.20 mL; maximum, 11.00 mL). As regards thyroid location, 3 patients (23.07%) had ectopic thyroid, and 10 (69.23%) had topic thyroid, and out of the latter, 5 had a homogeneous gland (50%) and 5, a heterogeneous gland (50%). In the group with congenital hypothyroidism, 6 (46.15%) children had etiological diagnosis of dyshormoniogenesis, 3 (23.07%), of ectopic thyroid, and 4 (30.76%), of thyroid hypoplasia. Thyroid ultrasonography is a noninvasive imaging method, widely available, easy to perform and for these reasons could, and should, be performed at any time, including at birth, with no preparation or treatment discontinuation, to aid in the early etiological definition of congenital hypothyroidism.

Estudo da erupção dos dentes caninos, primeiros e segundos premolares dos lados direito e esquerdo, pelo método radiográfico

The tooth eruption have been studied for many years about the knowledge of its variations. From these variations the difference between the eruption of the superior and inferior archs, and also the right and left sides have been poorly analysed. The author compared the alveolar eruption of the permanents canines, first and second premolars between the right and left sides of the superior and inferior archs, from 7 and 11 years of age, in males and females, by radiographic method. By the Discipline of Radiology of the Diagnosis and surgery Departament of the School of Dentistry of São José dos Campos - UNESP, observed that: there is early eruption in female; the alveolar eruption sequence in maxillar and mandibular was: first premolar, second premolar e canino. There wasn't statiscally significant difference of the alveolar eruption between the right and left sides of maxillar and mandibular archs

Surgical-orthodontic tractio for impacted maxillary canines: a critical review and suggested protocol

Maxillary canine impaction is a common occurrence, especially in the palate, despite sufficient space in the arch for tooth alignment. A proper approach requires knowledge of different specialties of dentistry, such as orthodontics, surgery, radiology, and periodontology, which are generally not centered on a single professional. The causes for canine impaction may be either generalized or localized, and the diagnosis should be made through specific clinical and radiographic examination. The prognosis of surgical-orthodontic treatment depends on the position of the canine in relation to the neighboring teeth and height of the alveolar process, in addition to careful surgical technique, considering that there are risks involved, such as ankylosis, loss of tooth vitality, root resorption of the involved tooth and adjacent teeth, and damage to supporting tissues. Given the important role played by impacted maxillary canines, their traction is the treatment of choice in orthodontically treated patients. The present study reviews the literature on important factors to be considered when approaching impacted canines, such as therapeutic possibilities, their advantages and disadvantages.

Achados incidentais de calcificações em tecidos moles: relato de caso clínico

As ossificações do complexo estilo-hióideo (OCEH), os tonsilólitos e os ateromas são exemplos calcificações em tecidos moles incidentalmente encontrados em exames de imagem. Atualmente com a utilização da tomografia computadorizada de feixe cônico (TCFC) na odontologia, há um aumento do número desses achados. Objetivo: Relatar um caso clínico com calcificações em tecidos moles e comparar esses achados entre a radiografia panorâmica e a TCFC do mesmo paciente. Paciente masculino, 77 anos, compareceu a Clínica de Radiologia para realizar radiografia panorâmica e TCFC para planejamento de implantes. Na radiografia panorâmica pode-se observar a OCEH bilateral e presença de uma área radiopaca localizada no ramo ascendente da mandíbula, que foi compatível com esclerose óssea. Na análise da TCFC constatou a presença da OCEH bilateralmente. Porém a área radiopaca primeiramente sugestiva de esclerose óssea, na TCFC foi sugerida como tonsilólito, pois não estava localizada no ramo ascendente da mandíbula, e sim nos tecidos moles da região próxima aos espaços aéreos. No exame de TCFC foi possível a visualização de outra estrutura calcificada do lado direito do paciente, na altura da vértebra C4, heterogênea que foi compatível com ateroma. O diagnóstico das calcificações pode não ser preciso quando se utiliza apenas a radiografia panorâmica, além da possibilidade de apresentar falso negativo, como no caso do ateroma. Assim sendo quando o paciente possuir o exame de TCFC esse deve ser completamente avaliado, para que sejam diagnosticadas as possíveis calcificações em tecidos moles presentes.