Diagnosis and management of filler adverse effects: an algorithm.

Fillers are frequently used in beautifying procedures. Despite major advancements of the chemical and biological features of injected materials, filler-related adverse events may occur, and can substantially impact the clinical outcome. Filler granulomas become manifest as visible grains, nodules, or papules around the site of the primary injection. Early recognition and proper treatment of filler-related complications is important because effective treatment options are available. In this report, we provide a comprehensive overview of the differential diagnosis and diagnostics and develop an algorithm of successful therapy regimens.

An Eine Hoch-löbliche allgemeine Reichs-Versammlung unterthanig- gehorsamst- angelegenes Memoriale und Bitten von Städt. Burgermeistern und Rath des Heil. Röm. Reichs Freyer Stadt Worms : dasiger Judenschafft neuerlich suchende besondere Huldigung und die zu Abwendung derselben an Ihro Kayserl. Majestät vom Reich zu erlassen gebettene intercessionales betreffend ; samt Beyl.

In Fraktur

Systematic analysis of the intravoxel incoherent motion threshold separating perfusion and diffusion effects: Proposal of a standardized algorithm

PURPOSE To systematically evaluate the dependence of intravoxel-incoherent-motion (IVIM) parameters on the b-value threshold separating the perfusion and diffusion compartment, and to implement and test an algorithm for the standardized computation of this threshold. METHODS Diffusion weighted images of the upper abdomen were acquired at 3 Tesla in eleven healthy male volunteers with 10 different b-values and in two healthy male volunteers with 16 different b-values. Region-of-interest IVIM analysis was applied to the abdominal organs and skeletal muscle with a systematic increase of the b-value threshold for computing pseudodiffusion D*, perfusion fraction Fp , diffusion coefficient D, and the sum of squared residuals to the bi-exponential IVIM-fit. RESULTS IVIM parameters strongly depended on the choice of the b-value threshold. The proposed algorithm successfully provided optimal b-value thresholds with the smallest residuals for all evaluated organs [s/mm2]: e.g., right liver lobe 20, spleen 20, right renal cortex 150, skeletal muscle 150. Mean D* [10(-3) mm(2) /s], Fp [%], and D [10(-3) mm(2) /s] values (±standard deviation) were: right liver lobe, 88.7 ± 42.5, 22.6 ± 7.4, 0.73 ± 0.12; right renal cortex: 11.5 ± 1.8, 18.3 ± 2.9, 1.68 ± 0.05; spleen: 41.9 ± 57.9, 8.2 ± 3.4, 0.69 ± 0.07; skeletal muscle: 21.7 ± 19.0; 7.4 ± 3.0; 1.36 ± 0.04. CONCLUSION IVIM parameters strongly depend upon the choice of the b-value threshold used for computation. The proposed algorithm may be used as a robust approach for IVIM analysis without organ-specific adaptation. Magn Reson Med, 2014. © 2014 Wiley Periodicals, Inc.

Volumetric analysis of lung nodules in computed tomography (CT): comparison of two different segmentation algorithm softwares and two different reconstruction filters on automated volume calculation.

BACKGROUND A precise detection of volume change allows for better estimating the biological behavior of the lung nodules. Postprocessing tools with automated detection, segmentation, and volumetric analysis of lung nodules may expedite radiological processes and give additional confidence to the radiologists. PURPOSE To compare two different postprocessing software algorithms (LMS Lung, Median Technologies; LungCARE®, Siemens) in CT volumetric measurement and to analyze the effect of soft (B30) and hard reconstruction filter (B70) on automated volume measurement. MATERIAL AND METHODS Between January 2010 and April 2010, 45 patients with a total of 113 pulmonary nodules were included. The CT exam was performed on a 64-row multidetector CT scanner (Somatom Sensation, Siemens, Erlangen, Germany) with the following parameters: collimation, 24x1.2 mm; pitch, 1.15; voltage, 120 kVp; reference tube current-time, 100 mAs. Automated volumetric measurement of each lung nodule was performed with the two different postprocessing algorithms based on two reconstruction filters (B30 and B70). The average relative volume measurement difference (VME%) and the limits of agreement between two methods were used for comparison. RESULTS At soft reconstruction filters the LMS system produced mean nodule volumes that were 34.1% (P < 0.0001) larger than those by LungCARE® system. The VME% was 42.2% with a limit of agreement between -53.9% and 138.4%.The volume measurement with soft filters (B30) was significantly larger than with hard filters (B70); 11.2% for LMS and 1.6% for LungCARE®, respectively (both with P < 0.05). LMS measured greater volumes with both filters, 13.6% for soft and 3.8% for hard filters, respectively (P < 0.01 and P > 0.05). CONCLUSION There is a substantial inter-software (LMS/LungCARE®) as well as intra-software variability (B30/B70) in lung nodule volume measurement; therefore, it is mandatory to use the same equipment with the same reconstruction filter for the follow-up of lung nodule volume.

Doś ṭaiṭš ʿeśrîm we-arbaʿ : fun dizi sforim seifer Yehošûaʿ un ... hipš fer ṭaiṭšṭ miṭ ali medrošim un miṭ fil meforšim ...

Digitalisat der Ausg. Prag, 1673/74

Mēlîṣ yošer : ... had-devārîm nilqeḥîm mis-sefārîm yeqārîm ... we-neʿetaqā li-lšôn aškenaz

ʿal yedê ... Yaʿaqōv Ben- ... Yiṣḥāq

Šṭaṭuṭen tzur Maḥzîqê hat-Tôrā-Šṭifṭung : we-hû senîf we-ʿānāf le-ḥevrat "Tif'eret baḥûrîm" de-pô Ṭǎba nityassedā ... 643

Digitalisat der Ausg. Budapesṭ, [1885/86]

Darkê yešārîm

[Josef Danziger Auerbach]

Iggeret hat-tešûvā : ašer ʿalêhā pāqād we-ṣiwwā ... Yaʿaqōv Baʿal haṭ-Ṭûrîm

le-... Yônā Gērôndî

Sēfer ham-maggîd : hû pērûš maspîq ʿal kōl hā-ʿEśrîm we-arbaʿ ; nevîʿîm Terê ʿāśār û-ktûvîm

Yaʿaqôv Ben-... Yiṣḥāq

Maḥzôr : ʿim lešôn aškenaz we-hadārat qôdeš ke-minhag aškenaz û-šʿar qehillôt qedôšôt û-mevûʿār bi-vē'ûr maspîq ; pērûš lešôn haq-qôdeš dāvār dāvûr ʿal ōfnāw be-mē'at devārîm we-rav ʿinyān ...

Text teilw. hebr., teilw. jidd.