Estudo da interação de prótons com alvos não homogêneos, aplicados a tomografia com feixes de prótons

Pós-graduação em Biologia Geral e Aplicada - IBB

Estudo anatomorfológico, radiográfico e tomográfico de Schistosomus reflexus em ovino da raça Dorper: relato de caso

Schistosomus reflexus (SR) is a rare and fatal congenital anomaly, primarily observed in ruminants, presenting fetus with dorsiflexion of the vertebral column, exposure of thoracic and visceral organs, and scoliosis. A caesarian was performed on a Dorper sheep on a farm in Botucatu-SP and according to the general characteristics and findings observed in the necropsy of the fetus it was an SR case. The radiography indicated a marked ventro-dorsal deviation of the thoracolumbar column segment and deformity of the ribs. On the computed tomography the integrity of the bones and organs were detected, except for the absence of a lumbar vertebra. No data were available in the literature for SR diagnosis in sheep by image, so radiographic and tomographic exams of the fetus were done.

Efeitos da parede de levedura em dieta úmida na microbiota fecal, na produção de gás e na morfologia intestinal de gatos adultos

The aim of this study is to evaluate the effects of yeast extract (EPL) in the moist diet on the fecal microbiotal, gas production and intestinal morphology of adult cats. Twenty adult cats from both sexes were randomly assigned to four treatments: 1) moist commercial diet (control); 2) control + 0,2% yeast extract dry matter; 3) control + 0,4%; and 4) control + 0,6%. Fecal microbiology and intestinal morphology were performed by radiographic, ultrasound, colonoscopy and intestinal biopsy exams for histology. There were no significant differences (P>0,05) for lactic acid bacteria counts and clostridium-reductor, gas area in the bowel (radiographic), wall thickness of the colon (ultrasound) and colonocytes count/globet cells (histology). Through colonoscopy, changes in characteristics of the intestinal mucosa in animals receiving treatment 4 were noticed. It is concluded that the addition of up to 0.6% EPL had no effect on the parameters evaluated, but further studies are needed to understand the action mechanisms and additive effects for domestic cats.

Ultrassom seriado no pós-transplante renal precoce

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Estudo das alterações estruturais e da função diastólica cardíaca em mulheres portadoras de diabetes melito gestacional

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Avaliação das condições de uso de um equipamento de tomografia computadorizada e otimização de protocolos de crânio empregados na rotina do HCFMB-UNESP

Almost forty years computed tomography (CT) has been one of the most powerful tools in diagnostic imaging. However, this modality delivers relatively high doses to their patients. It is known that the inappropriate use and unnecessary radiation may be associated with a significant risk of cancer, especially in pediatric patients. Moreover, the quality assurance in CT, provided and required by Portaria 453/98 and the guide of the RE 1016/05, ensures that the images generated by computer tomography provide reliable diagnostic information with doses as low as reasonably achievable. This research aimed to make the quality control (QC) of CT equipment; establish a better relationship between dose and noise on the image to protocols of skull CT according to the study of optimization proposed in 2005 by Daros; and assess the dose distribution in different cranial organs for protocols of adult and pediatric use in the routine of the Department of Diagnostic Imaging of HCFMB-UNESP. The equipment used for testing QC, optimization and dosimetry was a third generation tomograph GE Sytec 3000i

Metodologia de avaliação e análise de termografia em equinos

A análise termográfica é uma tecnologia proveniente da engenharia e utilizada na Segunda Guerra Mundial para detecção de forças armadas inimigas. Foi aplicada inicialmente na medicina para avaliação de articulações com artrites e hoje apresenta importante função no diagnóstico de câncer de mama em mulheres. Na medicina veterinária, há mais de trinta anos é técnica de diagnóstico auxiliar na clínica de equinos, para avaliação de processos inflamatórios tais como tendinites, desmites, artrites, miosites ou ainda no diagnóstico de fraturas, lesões na coluna ou em nervos periféricos. Por ser uma técnica com alta sensibilidade, exige que seu operador tenha treinamento e doutrinamento, não só para a execução dos exames, mas também para a análise de seus resultados. Diante disso, muitos pesquisadores afirmaram que os exames termográficos de aplicabilidade científica deveriam ser realizados em local com temperatura controlada, em torno de 23oC. Ao se trabalhar com equinos, torna-se difícil encontrar ambientes amplos o suficiente e com controle de temperatura para que os exames sejam feitos, o que praticamente inviabilizaria o uso da termografia na pesquisa com cavalos. Assim, este trabalho propôs um método de padronização das temperaturas que permite realizar termografias de extremidades de membros em ambientes variando entre 18 e 35oC. O método proposto, nomeado como PadTemp, foi validado em cavalos saudáveis e aplicado em experimentos de verificação de eficácia de fármacos e de acompanhamento de cirurgias ortopédicas.

Avaliação do uso de fantomas antropomórficos na análise experimental dos fatores que afetam o contraste de imagens radiográficas

This experimental study aimed the evaluation of the use of anthropomorphic phantoms in the analysis of the influence of the acquisition parameters in the contrast of radiographic images. The analyzed factors were the variation of the peak kilovoltage (kVp) and the product of the filament circuit by the time of exposition (mAs). The influence of these factors was verified for different anthropomorphic phantoms: foot, knee and chest. The image contrast behavior with the simulators was compared to values obtained with the use of an aluminum ladder being the behavior of this reference for analysis and discussion. To assure the reproducibility of images, quality control tests were made and evaluation of procedure conditions before the experiments. The results obtained are shown in a scale of images where it was possible to evaluate the impact in the darkness of images. Regions with different compositions were analyzed which were different in image, this way the values of optical density and contrast are represented as charts and graphics. We conclude that the use of anthropomorphic phantoms in the evaluation of the influence of tension of the tube and time of exposition in the contrast of the radiographic images is not indicated for a quantitative analysis through optical density, once they present incompatible results with the data as reference as the aluminum ladder even so these simulators present a great property in qualitative analysis regarding the differentiation of structures and subjective evaluations

Controle de qualidade em equipamentos mamográficos

Nowadays the mammography is the most effective way of revealing early breast cancer. The image in this kind of exam is gotten trough a x-ray sheaf of low energy, however, the suitable visualization of the interesting structures by the radiologist is not always possible due several factors that appears since the mamma composition until the equipments limitation. The regulation 453/98 sets quality control tests and limits of acceptation that guarantee a good development of the mammographys. The purpose of this study is the 3D principle ( Diagnostic, Dose and Dollar), that means, an improved diagnosis, a dose reduction in the patient and a cost decrease for the Institution. In this study was made the quality control tests set by the Regulation in two mammography equipments from Hospital das Clínicas da Faculdade de Medicina de Botucatu (HCFMB - UNESP). The results reached in this research were used in the renovation process of quality stamp in mammography granted by Colégio Brasileiro de Radiologia (CBR) to the diagnosis by image from the HCFMB – UNESP

Controle de qualidade em equipamentos de tomografia computadorizada

The computed tomography, devised by Godfrey Hounsfield and Allan Cormack, is in its fourth decade of the clinical use and has presented to be a very useful tool in the diagnosis of several pathologies. For this reason, its use is increasing each day, due to technological progress since its creation. Due to be more and more utilized, the equipment must be in good operating conditions, because it is subject to variance and wearing, damage the quality of diagnosis. To evaluate whether the performance of the scanner remains constant along the time and the dose received by the patient is within the desired limits, periodic tests of quality control must be performed. For this subject, the regulation 453 (June 01, 1998) was created, which determines the need of the implementation of a program for quality assurance (PGQ), where, in addition to the tests of quality control, are established the necessary measurements for the proper functioning of the equipment, generating a trustworthy diagnosis, reducing the dose for the patient and the costs. In this document, are presented tests of quality control carried out in hospitals of the city of Sao Paulo carried out together with the Technical Section of Applications by Imaging Diagnostic (STADI) of the Institute of Electrotechnics and Energy of the University of São Paulo (IEE/USP)

Consultoria em física médica e radioproteção

The Quality Control services for diagnostic imaging is essential to ensure that their activities occur as planned. Procedures are aimed at a positive cost-benefit to the institution and risk-benefit to the patients. And this requires trained and skilled professionals working with high technology equipment. The company PhyMED Consultores em Física Médica e Radioproteção Ltda., a Pioneer in the field of Medica Physics in Rio Grande do Sul, is dedicated to providing consulting services in healthcare. Physicists are experienced working in many areas of diagnostic imaging

Estudo de parâmetros radiométricos e legislação sobre radioproteção em equipamentos de radiodiagnóstico

O uso de radiações ionizantes (R.I.), nas mais variadas atividades tem aumentado nas últimas décadas. Com o avanço tecnológico, novos e sofisticados equipamentos emissores de R.I. tem surgido no cenário nacional, o que torna imperativo a difusão do conhecimento sobre os conceitos de proteção radiológica junto à comunidade em geral, e neste sentido, o curso de física médica desenvolve um importante papel, quer seja no aspecto informativo quanto formativo de cidadãos e profissionais críticos e politicamente corretos, que possam contribuir com as Políticas Públicos dos órgãos normatizadores e fiscalizadores das atividades de vigilância sanitária. Conforme a legislação atual (Resolução SS-625 de 14/12/1994, da Secretaria de Estado da Saúde, e Portaria 453 de 01/06/1998 da Vigilância Sanitária do Ministério da Saúde), todos os serviços que utilizam radiações ionizantes devem realizar testes de avaliação dos parâmetros radiométricos dos equipamentos emissores de R.I., sendo exigidos as medidas de Levantamento Radiométrico das instalações, o Teste de Radiação de Fuga do cabeçote emissor e a implementação de Programa de Garantia de Qualidade dos equipamentos e dos procedimentos radiológicos. Este procedimento tem como objetivo principal a obtenção de imagens radiográficas com qualidade e a segurança de pacientes e profissionais, evitando a exposição desnecessária à radiação de pacientes e profissionais. A correta realização de procedimentos radiológicos além de reduzir a dose nos pacientes também promove significativa diminuição nos custos, por não haver necessidade da repetição dos exames. No Brasil, conforme dados da Secretaria de Atenção à Saúde SAS/MS, atualmente existem instalados 4.469 mamógrafos, 25.930 aparelhos de raios-x médicos, 39.438 aparelhos de raios-x odontológicos e...(Resumo completo, clicar acesso eletrônico abaixo)

Instrumentação em Medicina Nuclear

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Testes de Controle de Qualidade em Sistema de Processamento Computadorizado FUJI

Computed Radiography (CR) is a term used to describe the system that electronically records a radiographic image. CR systems use receivers or IP (imaging plate) to capture the analog signals and then allow the readers to do the image processing and converted into digital information. With the increasing expansion of the CR for medical diagnostics it is necessary that these systems receive the same type of monitoring related to Quality Control and Acceptance to the conventional processing systems. The current legislation fails to specify the parameters and procedures to be tested, allowing that somehow, some equipment is not fully able to use in clinical routine. In this project we used the standard AAPM Report Number 93, which is already fully established outside the country and displays all test parameters in CR. From there were chosen three types of tests that were performed in a satisfactory sampling of IP´s. With this procedure it was possible to establish which of those IP's should be out of use, which reveals the important purpose of the study, demonstrating the need for Quality Control Testing and Acceptance in Computerized Radiography as soon as possible are included in the legislation regulator in the country

Controle de Qualidade em Raios X Odontológico Periapical

The purpose of this work is to provide quality control requirements and security in dental x-rays in order to obtain good quality image which allows the correct diagnosis, which reduces the dose to the patient, mainly due to the repetition of tests, and decreasing cost. The requirements apply to related activities to quality control and procedures using ionizing radiation for diagnostic imaging in dentistry by evaluating a minimum set of parameters to be tested or verified. Quality control follows the Ordinance No. 453 of the Ministry of Health of 06.01.1998, SS Resolution No. 625 of 12.14.1994 and Resolution No. 64 of the Health Surveillance Center – Department of Health of Sao Paulo and National Health Surveillance Agency – Ministry of Health of Brazil. This study was conducted in the city of Marilia, Sao Paulo, along with the Company P&R Consulting and Medical Physics, in a dental clinic of the University UNIMAR in the x-ray equipment used on that site. The physical parameters of the device were tested with the aid of ionization chambers to measure rates of radiation, electrometer to measure rates of time, kV and doses, radiographic films and positioning devices. Finally, this work demonstrates the need and importance of quality control, which one ensures the proper use of x-ray machines, maintaining efficiency and at the same time it reduces the risks to the patient, to the dentist and to the general public