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We performed hemodynamic studies in 11 patients with severe chronic heart failure whose symptoms had returned to their pretreatment status after 37 +/- 15 weeks (mean +/- S.E.M.) of therapy with the vasodilator hydralazine. The cardiac index increased from 1.85 to 3.47 liters per minute per square meter of body-surface area, and systemic vascular resistance decreased from 1748 to 754 dyn . sec. cm-5 (both p less than 0.01) during initial hydralazine administration but returned to pretreatment values on repeat evaluation; withdrawal of the drug produced no hemodynamic deterioration. Responsiveness to hydralazine could not be restored by doubling the oral dose or by intravenous administration; tolerance was associated with fluid retention in five patients but was not reversed by intensive diuresis. In contrast, the responses to nitroprusside evaluated before and after the development of hydralazine tolerance were unaltered; other oral vasodilators were still effective. We conclude that drug-specific tolerance may account for the lack of clinical improvement in some patients with severe heart failure who receive long-term treatment with hydralazine.
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10,000,601
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Lymphomatoid Granulomatosis. Prospective clinical and therapeutic experience over 10 years.
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] |
10,000,602
|
Fifteen patients with lymphomatoid granulomatosis were studied prospectively over a 10-year period. Thirteen of the patients received the therapeutic protocol of cyclophosphamide (2 mg per kilogram of body weight per day) and prednisone (1 mg per kilogram on alternate days). Previous reports had indicated that mortality from lymphomatoid granulomatosis was as high as 90 per cent. Of the 13 patients who received the cyclophosphamide and prednisone protocol, seven had complete remissions lasting for 5.2 +/- 0.6 years (mean +/- S.E.M.) Six of the seven with disease in remission have received no therapy for 28.3 +/- 5.7 months. Malignant lymphomas developed in seven of the eight who died, and only two of the eight had therapy for an adequate period. Since virtually all patients who did not have complete remission went on to have malignant lymphoma, early recognition and prompt treatment during the lymphomatoid-granulomatosis phase of disease may not only lead to complete remissions but also percent the development of a lymphoid neoplasm.
|
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] |
10,000,603
|
Rural health care: opportunities for established group practices.
|
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] |
10,000,604
|
Many rural areas of the United States are considered medically underserved. At the core of this underservice is a lack of physicians. Physicians are not attracted to rural areas for a variety of personal and professional reasons. We explore the role of established group practices (EGPs) in dealing with these barriers, by using a model of small associated group practices (AGPs) created in rural communities in association with a larger EGP located elsewhere. We also describe the use of this model by the Lovelace Medical Foundation in New Mexico in creating three rural group practices and planning a fourth.
|
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] |
10,000,605
|
Reactive perforating collagenosis associated with diabetes mellitus.
|
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] |
10,000,606
|
Nonenzymatically galactosylated serum albumin in a galactosemic infant.
|
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] |
10,000,607
|
Familial granulomatous arteritis with polyarthritis of juvenile onset.
|
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] |
10,000,608
|
Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 2-1982. A young man with confusion and an abnormal cerebrospinal fluid.
|
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] |
10,000,609
|
The quality of mercy.
|
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] |
10,000,610
|
Sounding Boards. Undrained brains: a modest proposal to recognize some contemporary medical heroes.
|
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] |
10,000,611
|
Salvage replantation of lower limb amputations.
|
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10,000,612
|
Three cases are reported in which the microsurgical salvage of parts of traumatic lower extremity amputations associated with degloved proximal skin loss provided sturdy, sensate skin and soft-tissue coverage and thereby preserved functional below-knee amputation levels. In two instances, a free innervated filletted flap was constructed from the foot of the amputated limb, and in the third case, the amputated lower leg was shortened, successfully replanted, and followed later by elective amputation of a foot at the Syme level. At a mean follow-up of 2 years, all three patients are ambulating well in below-knee prostheses.
|
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0.0011274026473984122
] |
10,000,613
|
The biologic behavior of basal cell carcinoma: Part I.
|
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] |
10,000,614
|
The influence of histopathologic and clinical factors on the biologic behavior of basal cell carcinoma of the face is discussed on the basis of a retrospective study of 188 cases. Fourteen different parameters were studied and correlated with the histologic type and the frequency of incomplete excision of the lesions. The highest frequency of incompletely excised tumors was seen with the adenocystic and morphea types and with Clark level III lesions. The adenocystic type appeared to be the most aggressive form, with the highest frequency of thick lesions and the most marked mitotic activity. The histologic parameters studied provide more information about the behavior of basal cell carcinoma than the conventional subdivision into solid, morphea, and adenocystic types.
|
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] |
10,000,615
|
The biologic behavior of basal cell carcinoma: analysis of recurrence in excised basal cell carcinoma: Part II.
|
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] |
10,000,616
|
On the basis of a study of 188 cases of basal cell carcinoma of the face, the differences between the characteristics of recurrent and incompletely excised lesions are stressed. There was almost no difference in the recurrence rate of completely excised lesions and those in which there was histologic evidence of tumor at one of the margins. On the basis of these findings, a policy of conservative management of incompletely excised basal cell carcinoma is outlined.
|
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10,000,618
|
Heterotopic brain in the tongue.
|
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] |
10,000,619
|
Free latissimus dorsi muscle flap coverage of an electrical burn of the lower extremity.
|
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] |
10,000,620
|
High-voltage electrical injury results in progressive deep tissue necrosis after debridement, often resulting in amputation when the extremity is involved. Early debridement and coverage with a vascularized free muscle flap, when local flaps are unsuitable, may protect partially devitalized structures, preserve function, and reduce the incidence of amputation. A successful case of free latissimus dorsi muscle flap coverage of an electrical burn to the lower extremity is presented.
|
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] |
10,000,621
|
Ulnar artery thrombosis and ulnar nerve compression associated with an anomalous hypothenar muscle.
|
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] |
10,000,622
|
The infracartilaginous incision for rhinoplasty.
|
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] |
10,000,623
|
A simple method for correction of the pixie earlobe.
|
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] |
10,000,624
|
Cephalometric analysis for mandibular surgery: Part III.
|
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] |
10,000,625
|
Two-stage correction of tuberous breasts.
|
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] |
10,000,626
|
Plastic surgery symposium in China.
|
[
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] |
10,000,627
|
The nasolabial flap: a problem and its correction.
|
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10,000,628
|
The excision of small cutaneous malignancies of the nose frequently results in defects that are appropriate for closure with a nasolabial flap. However, in the older male patient with thick nasal skin, the flap frequently undergoes the trapdoor phenomenon, producing a bulky, unsightly mass. This problem can be corrected, however, by excision of the redundant skin and subcutaneous tissue, leaving a graftable base that can be resurfaced with a full-thickness postauricular skin graft. This method of revision appears superior to just elevating and thinning the flap.
|
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10,000,629
|
A circumareolar approach in surgical management of gynecomastia.
|
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] |
10,000,630
|
Gynecomastia is a common deformity encountered among male patients. Surgery is primarily aimed at reducing the size of the breast mound and therefore should be considered aesthetic in nature. In an attempt to minimize the problems of hematoma formation, nipple necrosis, and unsightly scarring around the upper torso after the surgery, we have had the opportunity to utilize a circumareolar approach for breast tissue removal in 33 breasts (24 patients). This method, when compared with other techniques, has the advantage of leaving minimal scarring around the areolar margin while obliterating the dead space by imbricating the tissue stalk to minimize hematoma formation.
|
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] |
10,000,631
|
Gynecomastia in the chronic renal dialysis patient: beware.
|
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] |
10,000,632
|
Positive identification of silicone in human mammary capsular tissue.
|
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] |
10,000,633
|
A specific quantitative assay was developed to determine silicone concentrations in contracted mammary capsular tissue. The concentrations of silicone in tissues from 14 patients with gel-filled implants varied from 15 to 9800 micrograms polydimethylsiloxane per gram of tissue. This silicone is probably a high-molecular-weight polymer that has diffused through the implant envelope. Samples from a patient with saline-filled implants contained no silicone. The concentration of silicone was not related to capsule age. The polymer in these tissues appeared to be unaltered, in that no evidence of metabolic products was found.
|
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] |
10,000,634
|
A study of blood flow and pressure in the vessels supplying a free flap.
|
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] |
10,000,635
|
A canine inferior epigastric free flap was studied to determine the normal hemodynamic parameters in a free flap operation. Following revascularization, mean arterial blood flow in the vessels supplying the flap was 4.1 to 4.8 ml/min/100 gm of tissue. Meticulous suture anastomosis did not adversely affect mean flow. Furthermore, resistance in the flap did not change throughout the procedure. Further studies, using this and other models, are underway to examine the hemodynamics of failing flaps. The current study provides the baseline data necessary for this continuing work, which may provide an insight into preventive or therapeutic measures directed at improving free flap survival.
|
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] |
10,000,636
|
The effect of prostaglandin inhibitors on wound contraction and the myofibroblast.
|
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] |
10,000,637
|
The production and smooth muscle-like activity of the myofibroblast do not appear to be diminished in a granulating wound treated with prostaglandin inhibitors. Prostaglandins are mediators of inflammation and smooth-muscle stimulants, but inhibition of the prostaglandins and their precursors failed to alter the course of wound contraction and, by inference, the activity of the myofibroblast in this experimental model.
|
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] |
10,000,638
|
The effects of compression and elevation on the circulation to the skin of the hand as reflected by transcutaneous PO2.
|
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] |
10,000,639
|
Transcutaneous PO2 has been used in a group of four normal subjects to noninvasively indicate the effects of compression and limb elevation on the circulation to the skin of the hand. Both compression and elevation of the hand reduced the local transcutaneous PO2. A combination of compression and elevation had a significantly greater effect than either of these modalities applied singly. The observations in this study suggest that the effect of hand elevation compression are mediated through a reduction in the local arteriovenous gradient. Although hand elevation and compression are clinically useful in the control of hand swelling, the hand surgeon should be aware of their potential deleterious effects on local circulation, particularly when they are used in combination.
|
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] |
10,000,640
|
Correction of the paralytic claw-thumb by two-tailed transfer of the superficialis tendon through a window in the flexor retinaculum.
|
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0.12700489163398743
] |
10,000,641
|
The results of correction of 39 paralytic claw-thumbs in 34 leprosy patients with combined ulnar and median nerve paralysis by transfer of the flexor superficialis tendon through a small window in the flexor retinaculum are reported. The motor tendon was split into two slips, one passed lateral and the other volar to the metacarpophalangeal joint of the thumb. Both slips were sutured to the tendon of the extensor pollicis longus. The volar slip was used in an attempt to restore muscle balance at the metacarpophalangeal joint. Satisfactory abduction was obtained in 90 percent of the cases, and excessive tip flexion during abduction-opposition was abolished in 85 percent of the cases. However, undesirable flexion of the proximal phalanx occurred in 10 thumbs when held actively in abduction-opposition.
|
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] |
10,000,642
|
Grain auger injuries: the replacement of the corn picker injury?
|
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] |
10,000,643
|
Corn picker injuries, although more infamous, are less frequent than those produced by the grain auger. The former rarely occurs in other than adult males who are responsible for their carelessness, whereas the grain auger injury frequently involves innocent and uninformed youths. We report 4 arms, 4 forearms, 5 hands, 24 digits, 2 legs, 4 feet, and 4 toes injured by a grain auger in 24 patients. Multiple-level injuries accounted for the larger number of injuries than patients. Twelve amputations or devascularizations were reattached or revascularized successfully. Not all amputations had attempts at reattachment because of the severe crushing of the part and/or stump that was present in all patients to varying degrees. All wounds were heavily contaminated and were treated with voluminous irrigation and adequate debridement. Serial debridements were needed prior to coverage in several patients. Prevention is the best treatment, but given early aggressive care, many injured can regain a high level of function.
|
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] |
10,000,644
|
Percutaneous drainage of abscesses and fluid collections: technique, results, and applications.
|
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] |
10,000,645
|
A combination of computed tomography, ultrasonography, and fluoroscopy was utilized to guide percutaneous catheter drainage of 58 abscesses and fluid collections in 51 patients. Cavities were evacuated in 53 cases, with surgery avoided in 44 of these. There were two failures and six recurrences. The mean duration of catheter drainage was seven days. Five complications occurred, including a small bowel fistula and a lacerated mesenteric vessel. Based on this experience, guidelines for drainage are presented, as well as principles for the critical step of access route planning. Double-lumen sump drainage catheters and the irrigation procedure have simplified and improved drainage. Causes and solutions for unsatisfactory results are defined.
|
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] |
10,000,646
|
A prospective comparison of computed tomography and myelography in the diagnosis of herniated lumbar disks.
|
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] |
10,000,647
|
Although CT effectively demonstrates normal and herniated intervertebral disks, the value of CT in low back pain has not been adequately evaluated. We compared CT prospectively with myelography in 107 patients referred to Ulleval Hospital Department of Radiology for myelography. Fifty-two patients subsequently had spinal explorations, one patient twice during the study and two patients at two levels. Forty-six CT and 44 myelographic diagnoses agreed perfectly with the operative diagnosis at that level. In 30 disk herniations, there were 29 true-positive CT diagnosis and 28 true-positive myelographic diagnoses. False-negative diagnoses of herniated nucleus pulposus were made twice on myelography and once on CT. In 24 other spinal operations, there were eight false-positive CT and nine false-positive myelographic diagnoses of herniated nucleus pulposus. CT demonstrates lumbar disk disease as effectively as myelography.
|
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] |
10,000,648
|
Conventional metrizamide myelography (MM) and computed tomographic metrizamide myelography (CTMM) in scoliosis. A comparative study.
|
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] |
10,000,649
|
A retrospective examination was performed to assess the accuracy of metrizamide myelography (MM) and computed tomographic metrizamide myelography (CTMM) in scoliosis. Of 81 consecutive scoliotic children studied by myelography, 30 had only MM while the remaining 51 had CTMM immediately afterward. CTMM added essential diagnostic information in 13 cases of dysraphism and 4 cases of idiopathic scoliosis; in the remaining cases, both methods gave the same information. The authors conclude that in patients with severe scoliosis, dysraphism, and scoliosis with localized neurological disturbances, CTMM should always be added to MM or be the only examination; while in idiopathic scoliosis with vague neurological disturbances a survey of the entire spine is essential, preferably with MM.
|
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] |
10,000,650
|
Spinal cord compression in diffuse idiopathic skeletal hyperostosis.
|
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] |
10,000,651
|
Computed tomography of the normal thymus.
|
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0.008711472153663635,
-0.008831614628434181
] |
10,000,652
|
Recognition of variations in size, shape, and density of the normal thymus on computed tomographic (CT) scans is of paramount importance, lest it be misinterpreted as an abnormal mediastinal mass. Studying patients subsequently proved free of active chest disease, we analyzed 154 CT scans of the mediastinum, performed on a fourth-generation scanner, to determine the incidence of visualization and appearance of the normal thymus. The thymus was seen in 100% of patients under age 30, 73% of patients between 30 and 49 years, and in 17% of patients over 49 years of age. The thickness of the thymus showed a definite decrease in size with increasing age; although the width showed a similar general tendency, a wide variation was noted within each age group. In younger patients, the density of the thymus was similar to that of muscle; the attenuation values progressively decreased in older patients, finally approaching that of fat.
|
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] |
10,000,653
|
Computed tomography of the abnormal thymus.
|
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] |
10,000,654
|
Computed tomography (CT) should be the imaging method of choice following plain chest radiographs when a suspected thymic abnormality requires further evaluation. Based upon a six-year experience, including the evaluation of 25 patients with thymic pathology, CT was found useful in suggesting or excluding a diagnosis of thymoma and in distinguishing thymic hyperplasia from thymoma in patients with myasthenia gravis. The thickness of the thymic lobes determined by CT was found to be a more accurate indicator of infiltrative disease (thymic hyperplasia and lymphoma) than the width. CT was helpful in differentiating benign thymic cysts from solid tumors, and in defining the extent of a thymic neoplasm. On occasion, CT may suggest the specific histologic nature of a thymic lesion.
|
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] |
10,000,655
|
Computed tomography of the anterior mediastinum in myasthenia gravis. A radiologic-pathologic correlative study.
|
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] |
10,000,656
|
Chest radiographs and computed tomographic (CT) scans of the mediastinum were correlated with pathologic findings of the thymus following thymectomy in 57 patients with myasthenia gravis. Based on the patient's age and the overall morphology of the anterior mediastinum, CT scans were assigned one of four grades in an attempt to predict thymus pathologic findings. Using this grading, 14 of 16 cases of thymoma were suspected or definitely diagnosed. One of the two cases not diagnosed on CT was a microscopic tumor. There were no false-positive diagnoses in 11 cases graded as definitely thymoma. We conclude that thymoma can be sensitively diagnosed in patients older than 40 years of age. However, thymoma cannot be predicted with a high level of confidence in patients younger than 40 because of the difficulty in differentiating normal thymus or hyperplasia from thymoma. Recommendations for the use of CT in the preoperative evaluation of myasthenic patients are presented.
|
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] |
10,000,657
|
The value of computed tomography in the diagnosis and management of pediatric mediastinal abnormalities.
|
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] |
10,000,658
|
The utility of computed tomography (CT) in evaluation of mediastinal abnormalities was assessed in 23 pediatric patients. By comparison with standard chest radiography, CT provided additional diagnostic information in 82% of the patients. In 65%, the CT findings contributed to a change in clinical management. CT was most useful in documenting a benign process (near-water-density mass or a normal vascular or soft-tissue structure) and in demonstrating the full extent of a malignant tumor.
|
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] |
10,000,659
|
Comparison of plain radiography, conventional tomography, and computed tomography in detecting intrathoracic lymph node metastases from lung carcinoma.
|
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] |
10,000,660
|
Forty-two patients with T2 bronchogenic carcinoma were evaluated with plain radiography, conventional 55 degrees oblique hilar and anteroposterior mediastinal tomography, and computed tomography (CT) to compare their accuracy in assessing mediastinal and hilar nodal metastases. Definitive staging was achieved by thoracotomy and histopathological evaluation of resected specimens. All modalities demonstrated about the same accuracy; however, in the 25 patients with hilar and/or mediastinal lymphadenopathy, CT of the mediastinum was more sensitive but not more specific than the other two and conventional tomography was no more accurate than CT for hilar evaluation. Overall, no technique was accurate enough for routine staging; their value may lie in directing biopsy or in treatment planning in patients with inoperable disease.
|
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] |
10,000,661
|
Real-time evaluation of pleural lesions: new observations regarding the probability of obtaining free fluid.
|
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] |
10,000,662
|
Ultrasonic diagnosis of a hypernephroma metastatic to the thyroid gland and external jugular vein.
|
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] |
10,000,663
|
Ultrasonography in the diagnosis of portal hypertension: diminished response of portal vessels to respiration.
|
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] |
10,000,664
|
This study assesses the usefulness of ultrasound in the diagnosis of portal hypertension due to hepatic cirrhosis. Seventy-nine patients with portal hypertension and 45 control subjects underwent ultrasonography. Two factors were measured: (a) the caliber of the portal vein and (b) the caliber variation of the splenic and superior mesenteric veins during respiration. A lack of normal caliber variation (an increase during inspiration and a decrease during expiration) in these vessels is put forward as an ultrasonographic sign of portal hypertension, and the pathophysiological and clinical significance of this finding are discussed. The sensitivity of ultrasound in detecting portal hypertension, based on the measurement of caliber variation, was 79.7%, and the specificity was 100%. In contrast, the sensitivity of the method, assessed on the basis of portal dilatation, was only 41.8%.
|
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] |
10,000,665
|
Increased renal cortical echogenicity: a normal finding in neonates and infants.
|
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] |
10,000,666
|
Ultrasonic in vivo and in vitro studies on the nature of the ureteral jet phenomenon.
|
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] |
10,000,667
|
67Ga scanning and upper gastrointestinal series for gastric lymphomas.
|
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] |
10,000,668
|
67Ga scanning and upper gastrointestinal (UGI) series were performed in 13 patients with gastric lymphomas before any treatment was initiated. Seven of these patients also underwent both examinations after completing chemotherapy and/or radiation therapy. Prior to treatment, all 13 patients had abnormalities on the UGI examination, and 12 of them had abnormalities on the 67Ga scans. In 6 patients, more extensive gastric abnormalities were demonstrated by 67Ga scanning than by UGI examination. Although persistent 67Ga uptake after treatment was indicative of relatively poor therapeutic response, lack of uptake did not always indicate a good response to treatment.
|
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] |
10,000,669
|
Hepatobiliary scanning with 99mTc-PIPIDA in acute cholecystitis.
|
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] |
10,000,670
|
Ninety-five patients with clinically suspected acute cholecystitis underwent hepatobiliary scanning with 99mTc-PIPIDA. A positive scan (nonvisualization of the gallbladder with visualization of the common bile duct and gut) was found in 29 patients; 25 of them (86%) had surgically proven acute cholecystitis and 4 (14%) had chronic cholecystitis. Five of the 25 with acute cholecystitis had acalculous disease. A negative examination (gallbladder visualization) occurred in 63 patients; 18 (29%) had chronic cholecystitis and 45 (71%) were subsequently found to have nonbiliary disease. Three indeterminate studies (nonvisualization of both the gallbladder and gut) were obtained in patients with choledocholithiasis and chronic cholecystitis. In the evaluation of acute cholecystitis, the 99mTc-PIPIDA hepatobiliary scan was 100% sensitive and 94% specific.
|
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] |
10,000,671
|
Non-Hodgkin lymphoma of the testis.
|
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] |
10,000,672
|
Sixteen patients (median age 67 yrs.) with non-Hodgkin lymphoma of the testis were studied. Twelve of these patients had disease that was classified as local (Stages IE and IIE). Eight patients had diffuse histiocytic lymphoma, 6 had diffuse poorly differentiated lymphocytic lymphoma, 1 had both lymphoma and seminoma, and 1 had nodular poorly differentiated lymphocytic lymphoma. The overall median survival was 9.5 months. Para-aortic nodal involvement was the factor that had the strongest prognostic influence with the management methods used. Median survival without para-aortic nodal involvement was 57+ months, but with such involvement it was 6 months (p = 0.002). There is a high probability of generalized disease if lymphoma can be detected in the para-aortic nodes. For patients with Stages IE and IIE disease, radical radiation therapy is the preferred treatment. For those with disseminated disease, chemotherapy, with irradiation reserved for symptomatic and bulky localized deposits, is the recommended method of management.
|
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] |
10,000,673
|
Magnification factor, position, and true size of an object in stereoscopic magnification radiography.
|
[
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10,000,674
|
Fraction size and the repair of potentially lethal radiation damage in a human melanoma cell line. Possible implications for radiotherapy.
|
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] |
10,000,675
|
Studies performed on a human melanoma line in exponential growth showed radiation survival parameters similar to those of other tumors (n = 1.2, D0 = 151). In plateau-phase cultures, however, this tumor cell line was efficient in the repair of potentially lethal radiation damage, especially when large dose fractions were employed (there was a 48-fold recovery after 1,200 rad [12 Gy]). Thus, extrapolation from survival data generated only on exponentially growing cells may be misleading when determining the ultimate surviving fraction in some tumors. Large-fraction radiotherapy may not be effective in tumors that contain cells analogous to plateau-phase cells.
|
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] |
10,000,676
|
Improvement of x-ray intensifying screen efficiency by special design of the screen.
|
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] |
10,000,677
|
An investigation of light diffusion in x-ray intensifying screens and the prospects for improvement by confining light spread with a special structure are reported. Light diffusion in CaWO4 screens was studied theoretically using computer simulation. The proportion and spatial distribution of light emerging from different depths in the screen were calculated. The introduction of narrow gaps in the screens made it possible to improve these proportions and distributions. The gaps improved the line spread functions, the screen efficiencies, and the average contribution of the absorbed quanta to the light output.
|
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] |
10,000,678
|
Development of a rigid fluorescent x-ray source for monoenergetic radiation studies in radiographic imaging.
|
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] |
10,000,679
|
Inadvertent nasogastric tube insertion into the tracheobronchial tree. A hazard of new high-residual volume cuffs.
|
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] |
10,000,680
|
Hepatic sonography: technical considerations, present applications, and possible future.
|
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] |
10,000,681
|
Hepatic sonography is improved when static B scanning is combined with a real-time examination, eliminating possible "blind spots" and "pseudolesions." At present, sonography is used to augment radionuclide scanning, to detect masses, and for follow-up. Because of its versatility, sonography should replace radionuclide liver scanning as the initial diagnostic procedure in patients with liver neoplasms. However, if sonography is to retain its utility in the future when compared with computed tomography, significant improvements in equipment are needed. Two other areas in which developments might be made are: (a) data representation other than echo-amplitude, and (b) the availability of liver-specific contrast agents.
|
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] |
10,000,682
|
Sequential computed tomography scans in acute cerebral infarct.
|
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] |
10,000,683
|
Progression of renal artery fibromuscular dysplasia in 42 patients as seen on angiography.
|
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] |
10,000,684
|
Computed tomographic demonstration of internal mammary lymph node metastasis in patients with locally recurrent breast carcinoma.
|
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] |
10,000,685
|
The left apical cap.
|
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] |
10,000,686
|
Nepheline rock dust pneumoconiosis. A report of 2 cases.
|
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] |
10,000,687
|
Two cases of nepheline rock dust pneumoconiosis are presented. Radiologically, this is seen as a diffuse increase in interstitial lung markings, lymphadenopathy, air-space disease, and atelectasis secondary to extrinsic compression by enlarged hilar lymph nodes. Major differential diagnoses include carcinoma of the lung, sarcoidosis, and interstitial lung disease caused by other inorganic dusts. Nepheline rock dust pneumoconiosis should be considered when the above radiological changes are observed and an occupational exposure to inorganic dust is documented.
|
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] |
10,000,688
|
Impact of high-resolution computed tomography of the pancreas on utilization of endoscopic retrograde cholangiopancreatography and angiography.
|
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] |
10,000,689
|
The impact of computed tomography (CT) on utilization of other diagnostic procedures was studied by comparing the results obtained in two groups of patients: (a) 278 patients studied prior to the availability of CT, and (b) 300 patients studied using CT. CT enabled an accurate diagnosis in 74% of patients without the use of additional examinations. Utilization of CT as the initial imaging procedure resulted in a decrease in the utilization of endoscopic retrograde cholangiopancreatography (ERCP) and angiography by 68% and 54%, respectively. This resulted in a 47% decrease in the overall cost of radiologic diagnosis.
|
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] |
10,000,690
|
The clinical significance of large lymphoid follicles of the colon.
|
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0.019117699936032295
] |
10,000,691
|
In 17 patients, large colonic lymphoid follicles were visible on air-contrast barium-enema examination (ACBE). They varied in size but were at least 4 mm in diameter and located predominantly in the rectosigmoid region. Inflammatory bowel disease was found in 13 patients (73%) and lymphoma in 1. In 100 controls without signs or symptoms of inflammatory bowel disease, the lymphoid follicles did not exceed 3 mm; they were visible radiographically in 52% of patients under 30 and 17% of those over 30. Lymphoid follicles which measure greater than or equal to 4 mm on ACBE should suggest inflammatory bowel disease or, less likely, lymphoma or dysgammaglobulinemia.
|
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] |
10,000,692
|
In vivo demonstration of small intestinal villi in dogs and monkeys using radiographic magnification.
|
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] |
10,000,693
|
Direct radiographic magnification (3.6 x) and a microfocal spot radiographic tube (0.13 mm) were used in double contrast studies of intestinal villi in adult dogs and monkeys. The villi appeared as lucent lines surrounded by barium in profile, and as lucent dots en face; this was verified by specimen radiographic and histological analysis. The use of fast screen-film combination, motility depressant, microfocal spot tube, and air-gap technique produced a radiograph of greater detail than that obtained with conventional focal spot, source-image distance, and film-screen combination. The advantages and limitations of microfocal direct magnification radiography of the small intestine are discussed.
|
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] |
10,000,694
|
Detection of rectal and rectosigmoid lesions by double-contrast barium enema examination and sigmoidoscopy. Accuracy of technique and efficacy of standard overhead views.
|
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] |
10,000,695
|
The double-contrast barium-enema examination (DC-BE) and endoscopy were compared in 100 patients (126 lesions) to determine the accuracy of each method and assess the efficacy of standard overhead views in detecting rectal and rectosigmoid masses. Seven lesions were missed with DB-BE (accurate rate, 95%) and 20 with endoscopy (accuracy rate, 84%). Lateral and angled rectum views were positive in 74% and 94%, respectively; combining these with supine, prone, and left posterior oblique views, 95% of 121 lesions were detected on at least 2 radiographs. Fifteen of 41 lesions (37%) were missed with the rigid sigmoidoscope, but only 5 of 85 (6%) with the flexible sigmoidoscope. The authors conclude that suspected rectal or rectosigmoid tumors can be diagnosed accurately with only 5 projections, rather than the 11 often employed for the entire colon, and that the flexible sigmoidoscope should be used routinely instead of the rigid sigmoidoscope.
|
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] |
10,000,696
|
Stress fractures of the proximal tibia in runners.
|
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] |
10,000,697
|
Radiology of the femoral linea aspera-pilaster complex: the track sign.
|
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] |
10,000,698
|
Failure to ablate the adrenal gland by injection of contrast material.
|
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] |
10,000,699
|
Five attempts were made in 4 patients to infarct an adrenal gland containing an aldosterone-producing tumor, using vigorous retrograde injections of contrast material into the adrenal vein. Although a modest amount of tumor staining was attained in 3 patients, no clinical or laboratory changes were seen. Contrast extravasation appears to be a transient and benign complication. Adrenal vein thrombosis is probably responsible for the reported adrenal infarctions but can be prevented by systemic anticoagulation. The authors conclude that adrenal venography is a safe procedure whose potential risks are far outweighed by the decreased surgical complications when a functional adrenal tumor is accurately located preoperatively.
|
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