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https://www.readbyqxmd.com/read/28634626/hepatic-shear-wave-elastography-in-children-under-free-breathing-and-breath-hold-conditions
#1
Caroline Jung, Michael Groth, Kay Uwe Petersen, Anna Hammel, Florian Brinkert, Enke Grabhorn, Sören Alexander Weidemann, Jasmin Busch, Gerhard Adam, Jochen Herrmann
OBJECTIVES: To compare hepatic 2D shear wave elastography (2D SWE) in children between free-breathing and breath-hold conditions, in terms of measurement agreement and time expenditure. METHODS: A cohort of 57 children (12.7±4.3 years) who underwent standardized 2D SWE between May and October 2015 were retrospectively evaluated. Liver elastograms were obtained under free-breathing and breath-hold conditions and time expenditure was measured. Median stiffness, interquartile range (IQR), and IQR/median ratio were calculated based on 12, six, and three elastograms...
June 20, 2017: European Radiology
https://www.readbyqxmd.com/read/28633995/quantitative-mri-study-of-the-permeability-of-peritumoral-brain-edema-in-lung-cancer-patients-with-brain-metastases
#2
Dan Wang, Ming-Liang Wang, Yue-Hua Li
PURPOSE: To use Ktrans to evaluate the aggressiveness and vascular permeability of peritumoral edema in cases of lung cancer brain metastases. MATERIALS AND METHODS: A total of 68 lung cancer patients with 92 metastatic brain lesions were enrolled (20 metastatic lesions only in the gray matter -group 1; and 72 metastatic lesions located in the gray and white matter junction -group 2). All patients underwent MRI examination, which involved a dual angle (2° and 15°) enhanced T1W-VIBE (volume interpolated breath-hold examination) sequence to calculate the T1 parameter map...
June 17, 2017: Brain Research
https://www.readbyqxmd.com/read/28629919/comparing-pulmonary-nodule-location-during-electromagnetic-bronchoscopy-with-predicted-location-based-on-two-virtual-airway-maps-at-different-phases-of-respiration
#3
Brian S Furukawa, Nicholas J Pastis, Nichole T Tanner, Alexander Chen, Gerard A Silvestri
BACKGROUND: Electromagnetic navigational bronchoscopy (ENB) is guided-bronchoscopy to pulmonary nodules (PN) which relies on a pre-procedural chest CT to create a 3-dimensional (3-D) virtual airway map. The CT is traditionally done at a full inspiratory breath hold (INSP) but the procedure is performed while the patient tidal breaths, where lung volumes are closer to functional residual capacity. Movement of a PN from INSP to expiration (EXP) has been shown to average 17.6 mm. Therefore, the hypothesis of this study is that pre-procedural virtual maps built off a CT closer to physiological lung volumes during bronchoscopy may better represent the actual 3-D location of a PN...
June 16, 2017: Chest
https://www.readbyqxmd.com/read/28626873/assessing-prefrontal-cortex-oxygenation-after-sport-concussion-with-near-infrared-spectroscopy
#4
Scott A Bishop, J Patrick Neary
BACKGROUND: Clinicians typically rely on neuropsychological and balance tests to track concussion recovery. The aforementioned tests imply impairments that are based on performance, but these tests do not directly measure brain physiology throughout concussion recovery. Because of these issues, an objective biomarker that can index severity and the recovery timeline is needed. Moreover, the number of concussions occurring at a recreational level requires the biomarker to be easily administered in a cost effective manner, and the results easily interpreted...
June 18, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/28612163/repeatability-and-reproducibility-of-2d-and-3d-hepatic-mr-elastography-with-rigid-and-flexible-drivers-at-end-expiration-and-end-inspiration-in-healthy-volunteers
#5
Kang Wang, Paul Manning, Nikolaus Szeverenyi, Tanya Wolfson, Gavin Hamilton, Michael S Middleton, Florin Vaida, Meng Yin, Kevin Glaser, Richard L Ehman, Claude B Sirlin
PURPOSE: To evaluate the repeatability and reproducibility of 2D and 3D hepatic MRE with rigid and flexible drivers at end-expiration and end-inspiration in healthy volunteers. MATERIALS AND METHODS: Nine healthy volunteers underwent two same-day MRE exams separated by a 5- to 10-min break. In each exam, 2D and 3D MRE scans were performed, each under four conditions (2 driver types [rigid, flexible] × 2 breath-hold phases [end-expiration, end-inspiration]). Repeatability (measurements under identical conditions) and reproducibility (measurements under different conditions) were analyzed by calculating bias, limit of agreement, repeatability coefficient (RC), reproducibility coefficient (RDC), intraclass correlation coefficient (ICC), and concordance correlation coefficient (CCC), as appropriate...
June 13, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28606833/impact-of-physiological-breathing-motion-for-breast-cancer-radiotherapy-with-proton-beam-scanning-an-in-silico-study
#6
Anna M Flejmer, Behnaz Chehrazi, Dan Josefsson, Iuliana Toma-Dasu, Alexandru Dasu
This study investigates the impact of breathing motion on proton breast treatment plans. Twelve patients with CT datasets acquired during breath-hold-at-inhalation (BHI), breath-hold-at-exhalation (BHE) and in free-breathing (FB) were included in the study. Proton plans were designed for the left breast for BHI and subsequently recalculated for BHE or designed for FB and recalculated for the extreme breath-hold phases. The plans were compared from the point of view of their target coverage and doses to organs-at-risk...
June 9, 2017: Physica Medica: PM
https://www.readbyqxmd.com/read/28605206/the-effect-of-a-holistic-self-management-plan-on-asthma-control
#7
Eirini Grammatopoulou, Emmanouil K Skordilis, Aikaterini Haniotou, Zarotis John, Spyros Athanasopoulos
The holistic self-management plan includes lifelong actions that enable patients to cope with their disease. The present study was designed to evaluate the effect of a holistic self-management plan on asthma control. A 12-month controlled study was conducted. Adult patients with mild-to-moderate asthma (n = 24) who attended the emergency asthma department were randomized to two groups: One group followed four educational sessions and three personal home sessions (n = 12), while a second group received a short manual with asthma information (n = 12)...
June 12, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28604833/chest-mri-under-pulsatile-flow-ventilation-a-new-promising-technique
#8
Catherine Beigelman-Aubry, Nicolas Peguret, Matthias Stuber, Jean Delacoste, Bastien Belmondo, Alban Lovis, Julien Simons, Olivier Long, Kathleen Grant, Gregoire Berchier, Chantal Rohner, Gabriele Bonanno, Simone Coppo, Juerg Schwitter, Mahmut Ozsahin, Salah Qanadli, Reto Meuli, Jean Bourhis
OBJECTIVES: Magnetic resonance imaging (MRI) of the chest has long suffered from its sensitivity to respiratory and cardiac motion with an intrinsically low signal to noise ratio and a limited spatial resolution. The purpose of this study was to perform chest MRI under an adapted non invasive pulsatile flow ventilation system (high frequency percussive ventilation, HFPV®) allowing breath hold durations 10 to 15 times longer than other existing systems. METHODS: One volunteer and one patient known for a thymic lesion underwent a chest MRI under ventilation percussion technique (VP-MR)...
2017: PloS One
https://www.readbyqxmd.com/read/28601355/yogic-breathing-practices-improve-lung-functions-of-competitive-young-swimmers
#9
Chirag Sunil Hakked, Ragavendrasamy Balakrishnan, Manjunath Nandi Krishnamurthy
BACKGROUND: Resistive breathing practices are known to improve endurance and performance in competitive swimmers. However, the effect of Pranayama or Yogic Breathing Practices (YBP) in improving respiratory endurance and performance of competitive swimmers remains un-investigated. OBJECTIVES: To study effects of yogic breathing practices on lung functions of swimmers. MATERIAL AND METHODS: Twenty seven national and international competitive swimmers of the age range 13-20 years, with 8...
June 7, 2017: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/28599873/percutaneous-mr-imaging-guided-cryoablation-of-small-renal-masses-in-a-3-t-closed-bore-mr-imaging-environment-initial-experience
#10
Tim J van Oostenbrugge, Johan F Langenhuijsen, Christiaan G Overduin, Sjoerd F Jenniskens, Peter F A Mulders, Jurgen J Fütterer
PURPOSE: To assess the feasibility of percutaneous magnetic resonance (MR) imaging-guided cryoablation of small renal masses (SRMs) in a 3-T environment and to evaluate intraprocedural imaging, procedural safety, and initial outcomes. MATERIALS AND METHODS: The analysis included 9 patients (4 men; median age, 72 y; range, 70-82 y) with 9 SRMs (diameter, 12-30 mm). Lesions underwent biopsy, and cryoneedles were inserted under ultrasound guidance. Verification of needle positions and ice-ball monitoring were performed by T1-weighted volumetric interpolated breath-hold examination and T2-weighted half-Fourier acquired single-shot turbo spin-echo sequences...
June 7, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/28594113/self-gated-4d-mri-of-the-liver-initial-clinical-results-of-continuous-multiphase-imaging-of-hepatic-enhancement
#11
Jakob Weiss, Mike Notohamiprodjo, Petros Martirosian, Jana Taron, Marcel D Nickel, Manuel Kolb, Fabian Bamberg, Konstantin Nikolaou, Ahmed E Othman
PURPOSE: To evaluate the feasibility of a self-gated free-breathing volume-interpolated breath-hold examination (VIBE) sequence using compressed sensing (CS) for contrast-enhanced multiphase liver MRI. MATERIALS AND METHODS: We identified 23 patients who underwent multiphase gadobutrol-enhanced liver magnetic resonance imaging (MRI) using 1) a prototype free-breathing VIBE sequence with respiratory self-gating and CS (VIBECS ), and 2) a standard breath-hold VIBE (VIBESTD ) on the same 1...
June 8, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28591036/the-impact-of-dual-source-parallel-radiofrequency-transmission-with-patient-adaptive-shimming-on-the-cardiac-magnetic-resonance-in-children-at-3-0%C3%A2-t
#12
Haipeng Wang, Liyun Qiu, Guangbin Wang, Fei Gao, Haipeng Jia, Junyu Zhao, Weibo Chen, Cuiyan Wang, Bin Zhao
The cardiac magnetic resonance (CMR) of children at 3.0 T presents a unique set of technical challenges because of their small cardiac anatomical structures, fast heart rates, and the limited ability to keep motionless and hold breathe, which could cause problems associated with field inhomogeneity and degrade the image quality. The aim of our study was to evaluate the effect of dual-source parallel radiofrequency (RF) transmission on the B1 homogeneity and image quality in children with CMR at 3.0 T. The study was approved by the institutional ethics committee and written informed consent was obtained...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28588749/strategies-to-tackle-the-challenges-of-external-beam-radiotherapy-for-liver-tumors
#13
REVIEW
Michael I Lock, Jonathan Klein, Hans T Chung, Joseph M Herman, Edward Y Kim, William Small, Nina A Mayr, Simon S Lo
Primary and metastatic liver cancer is an increasingly common and difficult to control disease entity. Radiation offers a non-invasive treatment alternative for these patients who often have few options and a poor prognosis. However, the anatomy and aggressiveness of liver cancer poses significant challenges such as accurate localization at simulation and treatment, management of motion and appropriate selection of dose regimen. This article aims to review the options available and provide information for the practical implementation and/or improvement of liver cancer radiation programs within the context of stereotactic body radiotherapy and image-guided radiotherapy guidelines...
May 18, 2017: World Journal of Hepatology
https://www.readbyqxmd.com/read/28583413/effect-of-pulmonary-hyperinflation-on-central-blood-volume-an-mri-study
#14
Tanja Mijacika, Kasper Kyhl, Daria Frestad, F Otto Barak, Ivan Drvis, Niels H Secher, Zeljko Dujic, Per Lav Madsen
Pulmonary hyperinflation attained by glossopharyngeal insufflation (GPI) challenges the circulation by compressing the heart and pulmonary vasculature. Our aim was to determine the amount of blood translocated from the central blood volume during GPI. Cardiac output and cardiac chamber volumes were assessed by magnetic resonance imaging in twelve breath-hold divers at rest and during apnea with GPI. Pulmonary blood volume was determined from pulmonary blood flow and transit times for gadolinium during first-pass perfusion after intravenous injection...
June 3, 2017: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/28580583/simultaneous-multislice-imaging-for-native-myocardial-t1-mapping-improved-spatial-coverage-in-a-single-breath-hold
#15
Sebastian Weingärtner, Steen Moeller, Sebastian Schmitter, Edward Auerbach, Peter Kellman, Chetan Shenoy, Mehmet Akçakaya
PURPOSE: To develop a saturation recovery myocardial T1 mapping method for the simultaneous multislice acquisition of three slices. METHODS: Saturation pulse-prepared heart rate independent inversion recovery (SAPPHIRE) T1 mapping was implemented with simultaneous multislice imaging using FLASH readouts for faster coverage of the myocardium. Controlled aliasing in parallel imaging (CAIPI) was used to achieve minimal noise amplification in three slices. Multiband reconstruction was performed using three linear reconstruction methods: Slice- and in-plane GRAPPA, CG-SENSE, and Tikhonov-regularized CG-SENSE...
June 5, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28574192/feasibility-study-of-ultrasound-imaging-for-stereotactic-body-radiation-therapy-with-active-breathing-coordinator-in-pancreatic-cancer
#16
Lin Su, Iulian Iordachita, Yin Zhang, Junghoon Lee, Sook Kien Ng, Juan Jackson, Ted Hooker, John Wong, Joseph M Herman, H Tutkun Sen, Peter Kazanzides, Muyinatu A Lediju Bell, Chen Yang, Kai Ding
PURPOSE: Stereotactic body radiation therapy (SBRT) allows for high radiation doses to be delivered to the pancreatic tumors with limited toxicity. Nevertheless, the respiratory motion of the pancreas introduces major uncertainty during SBRT. Ultrasound imaging is a non-ionizing, non-invasive, and real-time technique for intrafraction monitoring. A configuration is not available to place the ultrasound probe during pancreas SBRT for monitoring. METHODS AND MATERIALS: An arm-bridge system was designed and built...
June 2, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28573929/potential-for-interfraction-motion-to-increase-esophageal-toxicity-in-lung-sbrt
#17
Anthony Hoai-Nam Pham, Ellen Yorke, Andreas Rimner, Abraham Jing-Ching Wu
PURPOSE: To characterize the effect of the relative motion of esophagus and tumor on radiation doses to the esophagus in patients treated with stereotactic body radiation therapy for central lung tumors. METHODS AND MATERIALS: Fifty fractions of stereotactic body radiation therapy in 10 patients with lung tumors within 2.5 cm of the esophagus were reviewed. The esophagus was delineated on each treatment's cone-beam computed tomography scan and compared to its position on the planning scan...
January 1, 2017: Technology in Cancer Research & Treatment
https://www.readbyqxmd.com/read/28572687/defining-risk-variables-causing-gas-embolism-in-loggerhead-sea-turtles-caretta-caretta-caught-in-trawls-and-gillnets
#18
Andreas Fahlman, Jose Luis Crespo-Picazo, Blair Sterba-Boatwright, Brian A Stacy, Daniel Garcia-Parraga
Incidental capture, or 'bycatch' in fishing gear is a major global threat to sea turtle populations. A recent study showed that underwater entrapment in fishing gear followed by rapid decompression may cause gas bubble formation within the blood stream (embolism) and tissues leading to organ injury, impairment, and even mortality in some bycaught individuals. We analyzed data from 128 capture events using logistic and ordinal regression to examine risk factors associated with gas embolism in sea turtles captured in trawls and gillnets...
June 1, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28570261/a-general-method-for-motion-compensation-in-x-ray-computed-tomography
#19
Ander Biguri, Manjit Dosanjh, Steven Hancock, Manuchehr Soleimani
Motion during data acquisition is a known source of error in medical tomography, resulting in blur artefacts in the regions that move. It is critical to reduce these artefacts in applications such as image-guided radiation therapy as a clearer image translates into a more accurate treatment and the sparing of healthy tissue close to a tumour site. Most research in 4D X-ray tomography involving the thorax relies on respiratory phase binning of the acquired data and reconstructing each of a set of images using the limited subset of data per phase...
June 1, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28568906/effect-of-iron-supplementation-in-children-with-breath-holding-spells
#20
Rahul Jain, Divin Omanakuttan, Amitabh Singh, Mamta Jajoo
AIM: The aim of this study was to analyse the effect of iron supplementation in children with breath holding spells, irrespective of their iron status and study the factors associated with the response. METHODS: This was a prospective interventional study. Study population comprised of patients aged 6-36 months, attending a paediatric outpatient department with recurrent episodes (more than three in last 4 weeks) of breath holding spells. Children with loss of consciousness or convulsive movements associated with breath holding spells were considered as severe...
June 1, 2017: Journal of Paediatrics and Child Health
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