A Comparison of Radiation Dose Between Standard and 3D Angiography in Congenital Heart Disease

Background: The use of three-dimensional rotational angiography (3D-RA) to assess patients with congenital heart diseases appears to be a promising technique despite the scarce literature available. Objectives: The objective of this study was to describe our initial experience with 3D-RA and to compare its radiation dose to that of standard two-dimensional angiography (2D-SA). Methods: Between September 2011 and April 2012, 18 patients underwent simultaneous 3D-RA and 2D-SA during diagnostic cardiac catheterization. Radiation dose was assessed using the dose-area-product (DAP). Results: The median patient age and weight were 12.5 years and 47.5 Kg, respectively. The median DAP of each 3D-RA acquisition was 1093µGy.m2 and 190µGy.m2 for each 2D-SA acquisition (p<0.01). In patients weighing more than 45Kg (n=7), this difference was attenuated but still significant (1525 µGy.m2 vs.413µGy.m2, p=0.01). No difference was found between one 3D-RA and three 2D-SA (1525µGy.m2 vs.1238 µGy.m2, p = 0.575) in this population. This difference was significantly higher in patients weighing less than 45Kg (n=9) (713µGy.m2 vs.81µGy.m2, P = 0.008), even when comparing one 3D-RA with three 2D-SA (242µGy.m2, respectively, p<0.008). 3D-RA was extremely useful for the assessment of conduits of univentricular hearts, tortuous branches of the pulmonary artery, and aorta relative to 2D-SA acquisitions. Conclusions: The radiation dose of 3D-RA used in our institution was higher than those previously reported in the literature and this difference was more evident in children. This type of assessment is of paramount importance when starting to perform 3D-RA.

The Benefits of Prone SPECT Myocardial Perfusion Imaging in Reducing Both Artifact Defects and Patient Radiation Exposure

AbstractBackground:Prone imaging has been demonstrated to minimize diaphragmatic and breast tissue attenuation.Objectives:To determine the role of prone imaging on the reduction of unnecessary rest perfusion studies and coronary angiographies performed, thus decreasing investigation time and radiation exposure.Methods:We examined 139 patients, 120 with an inferior wall and 19 with an anterior wall perfusion defect that might represented attenuation artifact. Post-stress images were acquired in both the supine and prone position. Coronary angiography was used as the “gold standard” for evaluating coronary artery patency. The study was terminated and rest imaging was obviated in the presence of complete improvement of the defect in the prone position. Quantitative interpretation was performed. Results were compared with clinical data and coronary angiographic findings.Results:Prone acquisition correctly revealed defect improvement in 89 patients (89/120) with inferior wall and 12 patients (12/19) with anterior wall attenuation artifact. Quantitative analysis demonstrated statistically significant difference in the mean summed stress scores (SSS) of supine and mean SSS of prone studies in patients with disappearing inferior wall defect in the prone position and patent right coronary artery (true negative results). The mean difference between SSS in supine and in prone position was higher with disappearing than with remaining defects.Conclusion:Technetium-99m (Tc-99m) tetrofosmin myocardial perfusion imaging with the patient in the prone position overcomes soft tissue attenuation; moreover it provides an inexpensive, accurate approach to limit the number of unnecessary rest perfusion studies and coronary angiographies performed.

Does Ad Hoc Coronary Intervention Reduce Radiation Exposure? – Analysis of 568 Patients

Background:Advantages and disadvantages of ad hoc percutaneous coronary intervention have been described. However little is known about the radiation exposure of that procedure as compared with the staged intervention.Objective:To compare the radiation dose of the ad hoc percutaneous coronary intervention with that of the staged procedureMethods:The dose-area product and total Kerma were measured, and the doses of the diagnostic and therapeutic procedures were added. In addition, total fluoroscopic time and number of acquisitions were evaluated.Results:A total of 568 consecutive patients were treated with ad hoc percutaneous coronary intervention (n = 320) or staged percutaneous coronary intervention (n = 248). On admission, the ad hoc group had less hypertension (74.1% vs 81.9%; p = 0.035), dyslipidemia (57.8% vs. 67.7%; p = 0.02) and three-vessel disease (38.8% vs. 50.4%; p = 0.015). The ad hoc group was exposed to significantly lower radiation doses, even after baseline characteristic adjustment between both groups. The ad hoc group was exposed to a total dose-area product of 119.7 ± 70.7 Gycm2, while the staged group, to 139.2 ± 75.3 Gycm2 (p < 0.001).Conclusion:Ad hoc percutaneous coronary intervention reduced radiation exposure as compared with diagnostic and therapeutic procedures performed at two separate times.

Alimentação dos marrecos II: ração de marrecas para postura - Ração balanceada x Ração grosseira, barata

The author studied in this paper the substitution of a balanced ratio for an economic ratio composed of 50% of sugar beet and 50% of balanced ratio, in feeding ducks egg production. It was found that the combination had no advantage since the production of eggs was very much reduced.

Immunhistochemischer Nachweis von Kathepsin F und X in Normalgeweben und Malignomen

Magdeburg, Univ., Medizin. Fakultät, Diss., 2007

Zwischen Aufholwachstum und Nephrokalzinose : das therapeutische Dilemma bei X-chromosomaler hypophosphatämischer Rachitis (XLHR)

Magdeburg, Univ., Med. Fak., Diss., 2011

Bedeutung der Helicobacter pylori-induzierten Cathepsin X-Expression für die Magenkarzinogenese : Untersuchung am transgenen Mausmodell

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2013

Estudos sôbre a alimentação mineral do cafeeiro, X: extração de macronutrientes na colheita pelas variedades "Mundo Novo", "Caturra" e "Bourbon Amarelo"

This paper deals with the determination of the content of macronutrients in pulp and beans of three coffee varieties, namely 'Mundo Novo', 'Caturra Amarelo' and 'Bourbon Amarelo'. Samples were collected in plantations located in the three types of soils herein most of S. Paulo, Brazil, coffee is grown, that is, "terra roxa legítima" (Ribeirão Preto), "massapé-salmourão" (Mocóca), and "arenito de Bauru" (Pindorama). The following main conclusions were drawn after statistical analysis of data obtained hereby. There is no statistical difference among the three varieties . Average contents of macronutrients, as per cent of the dry matter, are the following: N P K Ca Mg S bean 1,71 0,10 1,53 0,27 0,15 0,12 pulps 1.78 0,14 3,75 0,41 0,13 0,15 Samples collected in Mocóca ("massapé-salmourão") had lower N and K contents, probably due to lack of availability of these elements in the soil, as suggested by its analysis. Results obtained in this work are in good agreement with data described elsewhere. Out of the total of elements contained in the whole fruit the following proportions are exported as clean coffee: N - 2/3, P and K - 1/2, Ca, Mg and S - 1/3. It is clear therefore that a substantial amount of elements absorbed from the soil remains in the pulp or in the dry hulls which result from processing. From this fact raises the interest of using these residues as fertilizer in the coffee plantations.

Arroz: ensaio fatorial variedade x espaçamento x densidade

In this experiment it was attempted to find better row spacing (0,20 m, 0,40 m and 0,60 m) and seed rate (3 and 6 grams of seeds/m) to be used in rice. The ordinary flooding was used as irrigation. Four varieties with different flowering periods were used: "Pratão" and "Iguape Agulha" are late varieties (150 days); "Batatais", "Dourado Precoce" early varieties (100 days). These two early varieties produce two harvests by ratooning. The data showed that the late varieties gave a better yeld on a single crop, but the greatest annual yeld by area was obtained when the ratooning was used. As far as amount of seed is concerned the data showed that the better yelds were obtained with 3 grams of seeds.

Identifikation von Interaktionspartnern des Cathepsin X und deren funktionelle Charakterisierung im Magenkarzinom

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2013

Tropical American plants, X / Louis O. Williams.

v.32:no.4(1968)

Fixação de fósforo por um latossolo e determinação do valor «X»

Este trabalho se refere a um ensaio conduzido em laboratório para avaliar a capacidade de fixação de fosfato dos horizontes A1 (0.22cm), A3 (22-56cm) e B22 (155-200cm) de Lotossolo Roxo Distrófico. Foi, também, determinado o valor "X" de WAUGH & FITTS (1966) dos três horizontes. Os principais resultados são apresentados a seguir: 1 - O horizonte B22 foi o que apresentou maior capacidade de fixação de fósforo, seguido pelo A3 e, finalmente, pelo A1 . 2 - Os valores "X" encontrados foram: 350 ppm, 225 ppm e 175 ppm para os horizontes B22 , A3 e A2, respectivamente. 3 - Houve uma relação muito estreita entre as quantidades de R adicionadas e as fixadas pelos três horizontes.

Uso da espectrografia de raio X na determinação do cálcio e do potássio em solos

Foi estudado por espectrografia de raio X a distribuição do Ca e K na fração areia e no solo total em oito pedons representativos de uma topossequência de solos da região de São Pedro no Estado de São Paulo. As principais conclusões foram as seguintes: - Com exceção dos Pedons 1 e 3 os teores de K e Ca são muito baixos. Os elevados teores de K encontrados nos Pedons 1 e 3 indicam que os materiais das superfícies I e III são menos intemperizados e portanto de origem mais recente. - A fração areia dos solos estudados, com exceção dos Pedons 1 e 3, possue baixíssimos valores de K e Ca, consequentemente de minerais contendo tais elementos. - Com exceção do Pedon 3 os solos não possuem reserva mineral na fração areia. - De todos os solos estudados os Pedons 6, 7 e 8, localizados nas superfícies mais antigas, são os mais intemperizados.