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https://www.readbyqxmd.com/read/28093693/a-simple-post-mortem-room-angiography-method-for-the-investigation-of-traumatic-basal-subarachnoid-hemorrhage
#1
Christopher P Johnson, Mike Murphy, George A Johnson, Stephen M Wills, Jonathan E Medcalf
Identifying the site of vascular bleeding in fatal cases of traumatic basal subarachnoid hemorrhage (TBSAH) is important, but can be very difficult to achieve when there is extensive blood clot in the posterior cranial fossa. Post mortem angiography in these circumstances has been reported previously but with mixed results, and is rarely used in current practice within the United Kingdom. We have developed a simple and effective post mortem angiography method, using fluoroscopy and clear modern contrast medium, suitable for use in the autopsy room...
January 17, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28091426/mri-based-detailed-evaluation-of-the-anatomy-of-the-human-coccyx-among-turkish-adults
#2
H Tetiker, M I Koşar, N Çullu, U Canbek, I Otağ, Y Taştemur
AIM: The human coccyx varies considerably in shape and size. The objective of this study was to investigate the morphology and morphometry of the coccyx on pelvic magnetic resonance imaging in asymptomatic individuals among Turkish adults. MATERIALS AND METHODS: This study was conducted retrospectively on the pelvic magnetic resonance images of 456 adult patients without a history of trauma in the coccyx region. The coccygeal vertebrae count, number of bone segments, and intercoccygeal and sacrococcygeal joint fusions were determined from the sagittal plane images...
February 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28091357/assessment-of-the-need-for-a-cardiac-morphology-curriculum-for-paediatric-cardiology-fellows
#3
Lindsay S Rogers, Melissa Klein, Jeanne James, Michael FitzGerald
BACKGROUND: Expert knowledge of cardiac malformations is essential for paediatric cardiologists. Current cardiac morphology fellowship teaching format, content, and nomenclature are left up to the discretion of the individual fellowship programmes. We aimed to assess practices and barriers in morphology education, perceived effectiveness of current curricula, and preferences for a standardised fellow morphology curriculum. METHODS: A web-based survey was developed de novo and administered anonymously via e-mail to all paediatric cardiology fellowship programme directors and associate directors in the United States of America; leaders were asked to forward the survey to fellows...
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28090450/quantitative-magnetic-resonance-imaging-of-the-lumbar-intervertebral-discs
#4
REVIEW
Dosik Hwang, Sewon Kim, Nirusha A Abeydeera, Sheronda Statum, Koichi Masuda, Christine B Chung, Palanan Siriwanarangsun, Won C Bae
Human lumbar spine is composed of multiple tissue components that serve to provide structural stability and proper nutrition. Conventional magnetic resonance (MR) imaging techniques have been useful for evaluation of IVD, but inadequate at imaging the discovertebral junction and ligamentous tissues due primarily to their short T2 nature. Ultrashort time to echo (UTE) MR techniques acquire sufficient MR signal from these short T2 tissues, thereby allowing direct and quantitative evaluation. This article discusses the anatomy of the lumbar spine, MR techniques available for morphologic and quantitative MR evaluation of long and short T2 tissues of the lumbar spine, considerations for T2 relaxation modeling and fitting, and existing and new techniques for spine image post-processing, focusing on segmentation...
December 2016: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/28089839/maxillary-artery-to-middle-cerebral-artery-bypass-a-novel-technique-for-exposure-of-the-maxillary-artery
#5
Kaan Yagmurlu, M Yashar S Kalani, Nikolay L Martirosyan, Sam Safavi-Abbasi, Evgenii Belykh, Avra S Laarakker, Peter Nakaji, Joseph M Zabramski, Mark C Preul, Robert F Spetzler
OBJECTIVES: Define the maxillary artery (MaxA) anatomy and present a novel technique for exposing and preparing this vessel as a bypass donor. METHODS: Cadaveric and radiological studies were used to define the MaxA anatomy and illustrate a novel method for harvesting and preparing it for extracranial-to-intracranial bypass. RESULTS: The MaxA runs parallel to the frontal branch of the superficial temporal artery (STA) and is located on average 24...
January 9, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28079677/cadaveric-testing-of-robot-assisted-access-to-the-internal-auditory-canal-for-vestibular-schwannoma-removal
#6
Neal P Dillon, Ramya Balachandran, Michael A Siebold, Robert J Webster, George B Wanna, Robert F Labadie
HYPOTHESIS: An image-guided robotic system can safely perform the bulk removal of bone during the translabyrinthine approach to vestibular schwannoma (VS). BACKGROUND: The translabyrinthine approach to VS removal involves extensive manual milling in the temporal bone to gain access to the internal auditory canal (IAC) for tumor resection. This bone removal is time consuming and challenging due to the presence of vital anatomy (e.g., facial nerve) embedded within the temporal bone...
January 10, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28078171/could-revision-of-the-embryology-influence-our-cesarean-delivery-technique-towards-an-optimized-cesarean-delivery-for-universal-use
#7
Michael Stark, Ospan Mynbaev, Yuri Vassilevski, Patrick Rozenberg
Until today, there is no standardized Cesarean Section method and many variations exist. The main variations concern the type of abdominal incision, usage of abdominal packs, suturing the uterus in one or two layers, and suturing the peritoneal layers or leaving them open. One of the questions is the optimal location of opening the uterus. Recently, omission of the bladder flap was recommended. The anatomy and histology as results from the embryological knowledge might help to solve this question. The working thesis is that the higher the incision is done, the more damage to muscle tissue can take place contrary to incision in the lower segment, where fibrous tissue prevails...
July 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/28072805/anatomical-variants-of-the-pudendal-nerve-observed-during-a-transgluteal-surgical-approach-in-a-population-of-patients-with-pudendal-neuralgia
#8
Stephane Ploteau, Marie-Aimee Perrouin-Verbe, Jean-Jacques Labat, Thibault Riant, Amelie Levesque, Roger Robert
BACKGROUND: Several studies have described the course and anatomical relations of the pudendal nerve. Several surgical nerve decompression techniques have been described, but only the transgluteal approach has been validated by a prospective randomized clinical trial. The purpose of this study was to describe the course of the nerve and its variants in a population of patients with pudendal neuralgia in order to guide the surgeon in the choice of surgical approach for pudendal nerve decompression...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28070690/reconstruction-of-defects-of-the-trachea
#9
Margot Den Hondt, Jan Jeroen Vranckx
The trachea has a complex anatomy to fulfill its tasks. Its unique fibro-cartilaginous structure maintains an open conduit during respiration, and provides vertical elasticity for deglutition, mobility of the neck and speech. Blood vessels pierce the intercartilaginous ligaments to perfuse the ciliated epithelium, which ensures effective mucociliary clearance. Removal of a tracheal segment affected by benign or malignant disease requires airtight restoration of the continuity of the tube. When direct approximation of both tracheal ends is no longer feasible, a reconstruction is needed...
February 2017: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/28062725/capacitive-water-release-and-internal-leaf-water-relocation-delay-drought-induced-cavitation-in-african-maesopsis-eminii
#10
Jackie Epila, Niels J F De Baerdemaeker, Lidewei L Vergeynst, Wouter H Maes, Hans Beeckman, Kathy Steppe
The impact of drought on the hydraulic functioning of important African tree species, like Maesopsis eminii Engl., is poorly understood. To map the hydraulic response to drought-induced cavitation, sole reliance on the water potential at which 50% loss of xylem hydraulic conductivity (ψ50) occurs might be limiting and at times misleading as the value alone does not give a comprehensive overview of strategies evoked by M. eminii to cope with drought. This article therefore uses a methodological framework to study the different aspects of drought-induced cavitation and water relations in M...
January 5, 2017: Tree Physiology
https://www.readbyqxmd.com/read/28048904/su-g-bra-02-development-of-a-learning-based-block-matching-algorithm-for-ultrasound-tracking-in-radiotherapy
#11
A Shepard, B Bednarz
PURPOSE: To develop an ultrasound learning-based tracking algorithm with the potential to provide real-time motion traces of anatomy-based fiducials that may aid in the effective delivery of external beam radiation. METHODS: The algorithm was developed in Matlab R2015a and consists of two main stages: reference frame selection, and localized block matching. Immediately following frame acquisition, a normalized cross-correlation (NCC) similarity metric is used to determine a reference frame most similar to the current frame from a series of training set images that were acquired during a pretreatment scan...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048897/su-f-j-156-the-feasibility-of-mr-only-imrt-planning-for-prostate-anatomy
#12
R Vaitheeswaran, K R Sivaramakrishnan, Prashant Kumar, Raja Gattamaneni, Girish Kumar
PURPOSE: For prostate anatomy, previous investigations have shown that simulated CT (sCT) generated from MR images can be used for accurate dose computation. In this study, we demonstrate the feasibility of MR-only IMRT planning for prostate case. METHODS: Regular CT (rCT) and MR images of the same patient were acquired for prostate anatomy. Regions-of-interest (ROIs) i.e. target and risk structures are delineated on the rCT. A simulated CT (sCT) is generated from the MR image using the method described by Schadewaldt N et al...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048863/su-f-j-105-towards-a-novel-treatment-planning-pipeline-delivering-pareto-optimal-plans-while-enabling-inter-and-intrafraction-plan-adaptation
#13
C Kontaxis, S Breedveld, G Bol, A Sharfo, B Heijmen, J Lagendijk, B Raaymakers
PURPOSE: To develop a new IMRT treatment planning methodology suitable for the new generation of MR-linear accelerator machines. The pipeline is able to deliver Pareto-optimal plans and can be utilized for conventional treatments as well as for inter- and intrafraction plan adaptation based on real-time MR-data. METHODS: A Pareto-optimal plan is generated using the automated multicriterial optimization approach Erasmus-iCycle. The resulting dose distribution is used as input to the second part of the pipeline, an iterative process which generates deliverable segments that target the latest anatomical state and gradually converges to the prescribed dose...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048573/su-f-t-423-automating-treatment-planning-for-cervical-cancer-in-low-and-middle-income-countries
#14
K Kisling, L Zhang, J Yang, A Jhingran, P Balter, R McCarroll, B Beadle, R Howell, K Schmeler, L Court
PURPOSE: To develop and test two independent algorithms that automatically create the photon treatment fields for a four-field box beam arrangement, a common treatment technique for cervical cancer in low- and middle-income countries. METHODS: Two algorithms were developed and integrated into Eclipse using its Advanced Programming Interface:3D METHOD: We automatically segment bony anatomy on CT using an in-house multi-atlas contouring tool and project the structures into the beam's-eye-view...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048554/th-ab-202-03-a-novel-tool-for-computing-deliverable-doses-in-dynamic-mlc-tracking-treatments
#15
M Fast, C Kamerling, S Crijns, M Menten, S Nill, B Raaymakers, U Oelfke
PURPOSE: In tracked dynamic multi-leaf collimator (MLC) treatments, segments are continuously adapted to the target centroid motion in beams-eye-view. On-the-fly segment adaptation, however, potentially induces dosimetric errors due to the finite MLC leaf width and non-rigid target motion. In this study, we outline a novel tool for computing the 4d dose of lung SBRT plans delivered with MLC tracking. METHODS: The following automated workflow was developed: A) centroid tracking, where the initial segments are morphed to each 4dCT phase based on the beams-eye-view GTV shift (followed by a dose calculation on each phase); B) re-optimized tracking, in which all morphed initial plans from (A) are further optimised ("warm-started") in each 4dCT phase using the initial optimisation parameters but phase-specific volume definitions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048519/su-f-t-316-a-model-to-deal-with-dosimetric-and-delivery-uncertainties-in-radiotherapy-treatment-planning
#16
P Haering, C Lang, M Splinter
PURPOSE: The conventional way of dealing with uncertainties resulting from dose calculation or beam delivery in IMRT, is to do verification measurements for the plan in question. Here we present an alternative based on recommendations given in the AAPM 142 report and treatment specific parameters that model the uncertainties for the plan delivery. METHODS: Basis of the model is the assignment of uncertainty parameters to all segment fields or control point sequences of a plan...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048113/su-f-i-44-using-the-air-signal-to-characterize-image-noise-in-ct
#17
T Szczykutowicz, A Malkus
PURPOSE: With increasing emphasis on CT image quality and low dose, quality activities analyzing noise levels in images will need to be increasingly automated. This work describes a new automated method for characterizing noise in CT. To obviate the need to segment out anatomical structure, this work introduces the use of noise statistics of air to understand the noise in the scanned object. METHODS: Scans of a uniform water phantom were acquired at four dose levels...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047768/th-ab-207a-06-the-use-of-realistic-phantoms-to-predict-ct-dose-to-pediatric-patients
#18
D Carver, S Kost, P Segars, N Fraser, D Pickens, R Price, M Stabin
PURPOSE: To predict pediatric patient dose from diagnostic CT scans using Monte Carlo simulation of realistic reference phantoms of various ages, weights, and heights. METHODS: A series of deformable pediatric reference phantoms using Non-Uniform Rational B-Splines (NURBS) was developed for a large range of ages, percentiles, and reference anatomy. Individual bones were modeled using age-dependent factors, and red marrow was modeled as functions of age and spatial distribution based on Cristy1...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047657/su-f-j-140-using-handheld-stereo-depth-cameras-to-extend-medical-imaging-for-radiation-therapy-planning
#19
C Jenkins, L Xing, S Yu
PURPOSE: A correct body contour is essential for the accuracy of dose calculation in radiation therapy. While modern medical imaging technologies provide highly accurate representations of body contours, there are times when a patient's anatomy cannot be fully captured or there is a lack of easy access to CT/MRI scanning. Recently, handheld cameras have emerged that are capable of performing three dimensional (3D) scans of patient surface anatomy. By combining 3D camera and medical imaging data, the patient's surface contour can be fully captured...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046317/su-f-j-171-robust-atlas-based-segmentation-of-the-prostate-and-peripheral-zone-regions-on-mri-utilizing-multiple-mri-system-vendors
#20
K Padgett, A Swallen, A Nelson, A Pollack, R Stoyanova
PURPOSE: Automatically generated prostate MRI contours can be used to aid in image registration with CT or ultrasound and to reduce the burden of contouring for radiation treatment planning. In addition, prostate and zonal contours can assist to automate quantitative imaging features extraction and the analyses of longitudinal MRI studies. These potential gains are limited if the solutions are not compatible across different MRI vendors. The goal of this study is to characterize an atlas based automatic segmentation procedure of the prostate collected on MRI systems from multiple vendors...
June 2016: Medical Physics
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