980 resultados para SPECT-CT


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Each issue has a distinctive title.

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Law.--La Chine.--L'Empire russe depuis le Congrès de Vienne.--Tallemant des Réaux.--La société française pendant la révolution.--L'Empire chinois.--Le Sahara algérien et le Grand désert.--Les Kœnigsmark.--L'ancien régime et la révolution.--Le christianisme en Chine, en Tartarie et au Thibet.--L'insurrection normande en 1793.--Les Philippiques de La Grange-Chancel.--Louis XVI et sa cour.--Gabrielle d'Estrées et Henry IV.--Mathilde de Toscane.--Joseph de Maistre.--Royalistes et républicains.--Les civilisations.--La diplomatie au XVIIe siècle.--Deux diplomates [Le comte Raczynski et Donoso Cortès]--Saint-Simon.--Le marquis de Grignan.--Philippe II.

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Trägerband: Ms. Barth. 66; Vorbesitzer: St. Peter Urach; Bartholomaeusstift Frankfurt am Main

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Purpose To evaluate the imaging characteristics of a cohort of patients with ocular adnexal lymphoproliferative disease (OALD). Methods A noncomparative retrospective review between 1992 and 1995 and prospective study from 1995 to 2005 of the clinical, imaging and treatment of 105 patients presenting to tertiary orbital referral centre presenting with OALD. Results One hundred and five patients (mean age 61 years, range 11-90 years) with equal gender distribution were included. Fifty-three were primary and 52 were secondary. Computed tomography (CT) usually showed a well-circumscribed lesion of greater than brain density, moulding to adjacent tissues with moderate enhancement. Aggressive histology was associated with bone destruction, while moulding was associated with indolent histology (P < 0.005). MRI in OALD showed intermediate signal intensity on T1- and T2-weighted images and moderate enhancement with gadolinium. Gallium scanning sensitivity to detect ocular adnexal disease was 25 and 57% for systemic involvement. Positron emission tomography (PET) upstaged (71%) of patients with systemic lymphoproliferative involvement, having a higher sensitivity than CT in detecting distant disease (86 vs 72%). Conclusions CT and/ or MRI are essential in the evaluation of OALD and can be used to establish that an orbital lesion may be lymphoprolifetaive in nature. Further, these imaging modalities may predict the behaviour of the lymphoma in certain cases. Gallium scanning provides no additional information to CT and does not influence patient treatment. PET represents an important addition to the assessment of OALD with real impact on patient management.

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Aims Technological advances in cardiac imaging have led to dramatic increases in test utilization and consumption of a growing proportion of cardiovascular healthcare costs. The opportunity costs of strategies favouring exercise echocardiography or SPECT imaging have been incompletely evaluated. Methods and results We examined prognosis and cost-effectiveness of exercise echocardiography (n=4884) vs. SPECT (n=4637) imaging in stable, intermediate risk, chest pain patients. Ischaemia extent was defined as the number of vascular territories with echocardiographic wall motion or SPECT perfusion abnormalities. Cox proportional hazard models were employed to assess time to cardiac death or myocardial infarction (MI). Total cardiovascular costs were summed (discounted and inflation-corrected) throughout follow-up. A cost-effectiveness ratio = 2% annual event risk), SPECT ischaemia was associated with earlier and greater utilization of coronary revascularization (P < 0.0001) resulting in an incremental cost-effectiveness ratio of $32 381/LYS. Conclusion Health care policies aimed at allocating limited resources can be effectively guided by applying clinical and economic outcomes evidence. A strategy aimed at cost-effective testing would support using echocardiography in low-risk patients with suspected coronary disease, whereas those higher risk patients benefit from referral to SPECT imaging.

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Este trabalho investiga a cobertura de Ciência, Tecnologia e Inovação (CT&I) nos telejornais brasileiros de canal aberto, no horário nobre (das 19h15 às 22h), para verificar a função educativa da mídia na abordagem de assuntos de CT&I. O corpus desta pesquisa compõe-se de um recorte dos seguintes telejornais: Jornal da Band, Jornal Nacional, Jornal da Record, Jornal da Cultura e SBT Brasil. A proposta foi avaliar, comparativamente, as matérias jornalísticas que tratam especificamente de CT&I, em relação ao formato, à linguagem e aos conteúdos de cada um dos programas estudados. Este trabalho empregou a metodologia de Análise de Discurso de linha Francesa (AD). Esta pesquisa, de natureza qualitativa, também englobou um Estudo de Recepção sobre as reportagens selecionadas. O procedimento utilizado para isso foi o de Grupos Focais. Dessa forma, buscou-se analisar o processo de Comunicação que envolve as matérias telejornalísticas de CT&I das mensagens à recepção. Este estudo verificou que CT&I é um assunto presente nos telejornais brasileiros mesmo quando ocorrem fatos imprevisíveis (de outras editorias) que influenciam significativamente a cobertura dos noticiários televisivos. Constatou também que não há, entre os telejornais selecionados, um padrão de aprofundamento e contextualização dos assuntos CT&I, mas que a abordagem varia até dentro de uma única edição. As emissoras, mesmo reconhecendo a importância de CT&I, ainda oscilam entre uma abordagem contextualizada e a simples descrição do fato principal. A linguagem empregada pelos telejornais para o tratamento de assuntos de Ciência, Tecnologia e Inovação é, predominantemente, clara e simples. No entanto, foi possível verificar algumas nuances, com o uso de termos específicos da linguagem científica sem que a matéria oferecesse qualquer explicação sobre tais conceitos. A experiência dos Grupos Focais revelou que os telespectadores não são passivos em relação aos conteúdos científicos dos programas telejornalísticos. De modo geral, o público se interessa por CT&I e sabe avaliar qualitativamente as matérias. Analisar como as matérias sobre CT&I produzem sentidos e qual a contribuição que estas podem dar à Compreensão Pública da Ciência possibilitou reflexões relevantes sobre as limitações e os potenciais da televisão e das mensagens veiculadas, assim como o interesse e a visão crítica a respeito dos assuntos de CT&I.(AU)

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This study extends a previous research concerning intervertebral motion registration by means of 2D dynamic fluoroscopy to obtain a more comprehensive 3D description of vertebral kinematics. The problem of estimating the 3D rigid pose of a CT volume of a vertebra from its 2D X-ray fluoroscopy projection is addressed. 2D-3D registration is obtained maximising a measure of similarity between Digitally Reconstructed Radiographs (obtained from the CT volume) and real fluoroscopic projection. X-ray energy correction was performed. To assess the method a calibration model was realised a sheep dry vertebra was rigidly fixed to a frame of reference including metallic markers. Accurate measurement of 3D orientation was obtained via single-camera calibration of the markers and held as true 3D vertebra position; then, vertebra 3D pose was estimated and results compared. Error analysis revealed accuracy of the order of 0.1 degree for the rotation angles of about 1mm for displacements parallel to the fluoroscopic plane, and of order of 10mm for the orthogonal displacement. © 2010 P. Bifulco et al.

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Trägerband: Ms. Ff. H. Ludolf II 1; Vorbesitzer: Hiob Ludolf