Diseases of the Chest, Breast, Heart and Vessels 2019-2022

This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology

Diseases of the Chest, Breast, Heart and Vessels 2019-2022

This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology

Influence of bulla volume on postbullectomy outcome

Objective: To quantify the contribution of the resected volume and the presence of associated, functionally significant emphysema to the postoperative improvement of pulmonary function after resection of giant lung bullae. Design: Patients undergoing elective surgery for giant bullae who had complete pulmonary function and radiographic studies performed were reviewed retrospectively. Setting: All 25 patients underwent surgery at the thoracic surgery unit of the University of Pisa, Pisa, Italy. Methods: Pulmonary function was assessed before and 12 months after surgery. On the chest radiograph, the location of bullae, and the signs of compression and emphysema were evaluated. The radiographic total lung capacity (TLCX-ray) and the volume of bullae were measured according to the ellipse method. Postoperatively, functional and radiographic changes were analyzed. The percentage change in forced expiratory volume in 1 s(ΔFEV1%) after surgery was the main outcome measure. The influence of factors related to emphysema and bulla volume on the functional improvement postbullectomy was assessed by stepwise multiple regression. Results: Before surgery, the TLCx-ray overestimated the TLC measured by nitrogen washout, with a mean difference between the two measurements of 1.095 L. A close relationship was found between the TLCx-ray and the plethysmographic TLC (n=6; r=0.95). After surgery, dyspnea lessened (P<0.05) and FEV1 increased (P<0.01). Statistically, the radiographic bulla volume was the single most important factor determining the ΔFEV1% (r=0.80, P<0.0001). Conclusions: These findings suggest that the preoperative size of bullae is the most important contributor to the improvement in ventilatory capacity after bullectomy, and that it is possible to predict the expected increase of postoperative FEV1 from preoperative bulla volume

3-D Oropharyngeal Airway Analysis of Different Antero-Posterior and Vertical Craniofacial Skeletal Patterns in Children and Adolescents

Sleep apnea disorder has recently emerged as a significant public health issue. While the prevalence of obesity is on the rise among children, it is one of the main risk factors associated with apnea. Upper airway dimensions and morphology seem to be major components of obstructive sleep apnea (OSA) and can be affected by different craniofacial patterns. The purpose of this retrospective, cross-sectional pilot study is to correlate gender, Body Mass Index, risk for OSA, neck circumference, and 3-D oropharyngeal airway dimensions in children and adolescents with different antero-posterior (AP) and vertical craniofacial skeletal patterns. A total of 86 pre-orthodontic treatment records in the age group of 8-16 years were analyzed. 3-D volumetric skeletal tracing and oropharyngeal airway measurements were completed for each scan. Each subject was classified into AP Classes I, II, and III groups; vertical Normodivergent, Hypodivergent, and Hyperdivergent groups; and combined AP-vertical subgroups. Oropharyngeal airway measurements included the total oropharyngeal airway volume, minimum cross-section area, depth, width, and perimeter. Mean, standard deviation, and Pearson\u27s correlation coefficient were performed to evaluate the relationships among variables. There were one or more correlations, but not all, between gender, Body Mass Index, risk for OSA, neck circumference, and 3-D oropharyngeal airway dimensions in children and adolescents among the AP groups, vertical groups, and nine craniofacial subgroups (P \u3c 0.05 and P \u3c 0.01). This investigation aimed to determine whether patients with certain skeletal deficiencies are predisposed to upper airway obstruction. Early identification and management of airway problems in children and adolescents may prevent or minimize the sequelae and adverse dental implications of obstructive sleep apnea. Our small, young groups of sample were mainly in the healthy weight category with normal size neck circumference. Therefore, this limited our overall findings. Currently, sleep disorders are not well researched and understood. Long-term goal of our study is to further investigate this study in larger sample size taken into considerations predisposing factors (i.e. abnormal neural regulation and intrinsic muscle weakness) and pathologic conditions (allergies, polyps, and tumors). The physiology of the airway, influenced by these confounding factors, has an essential role in determining whether patients with certain skeletal deficiencies are predisposed to upper airway obstruction. Sleep apnea is a complex phenomenon that warrants further research regarding the physiology and anatomy of the airway and craniofacial structures

Hot Topics in Echocardiography

Echocardiography is still the most used imaging technique for the evaluation of cardiac anatomy and function and today it plays an essential role in daily decision making. The echocardiographic technology and its applications have widely developed in the last years leading to a better diagnostic accuracy. On the other hand echocardiography specialists have new clinical questions to answer. Echocardiography meets the growing need for non-invasive imaging in the expanding heart failure population and during structural heart interventions. The new percutaneous therapies need, a precise evaluation of cardiac dimensions and a complete understanding of the spatial relationships between cardiac structures. Echocardiography is of paramount importance both during the patient evaluation and guiding the procedure. This book tries to give an in depth evaluation about the specific issues that a modern cardiovascular imaging specialist is asked to answer nowadays

The Effects of Organ-based Tube Current Modulation on Radiation Dose and Image Quality in Computed Tomography Imaging

The purpose of this thesis was to quantify dose and noise performance of organ-dose-based tube current modulation (ODM) through experimental studies with an anthropomorphic phantom and simulations with a voxelized phantom library. Tube current modulation is a dose reduction technique that modulates radiation dose in angular and/or slice directions based on patient attenuation. ODM technique proposed by GE Healthcare further reduces tube current for anterior source positions, without increasing current for posterior positions. Axial CT scans at 120 kV were performed on head and chest phantoms (Rando Alderson Research Laboratories, Stanford, CA) on an ODM-equipped scanner (Optima CT660, GE Healthcare, Chalfont St Giles, England). Dosimeters quantified dose to breast, lung, heart, spine, eye lens and brain regions (mobile MOSFET Dosimetry System, Best Medical, Ottawa, Canada) for ODM, AutomA (z-axis modulation), and SmartmA (angular and z-axis modulation) settings. Noise standard deviation was calculated in brain and chest regions of reconstructed images. To study a variety of patient sizes, Monte Carlo dose simulations, validated with experimental data, were performed on voxelized head and chest phantoms. Experimental studies on anthropomorphic chest and head phantoms demonstrated reduction in dose at all dosimeter locations with respect to SmartmA, with dose changes of -31.3% (breast), -20.7% (lung), -24.4% (heart), -5.9% (spine), -18.9% (eye), and -10.1% (brain). Simulation studies using voxelized phantoms indicated average dose changes of -33.4% (breast), -20.2% (lung), -18.6% (spine), -20.0% (eye) and -7.2% (brain). ODM reduced dose to the brain and lung tissues, however these tissues would experience up to 15.2% and 13.1% dose increase respectively at noise standard deviation equal to SmartmA. ODM reduced dose to the eye lens in 22 of 28 phantoms (-1.2% to -12.4%), had no change in dose for one phantom, and increased dose for four phantoms (0.7% to 2.3% ) with respect to SmartmA at equal noise standard deviation. All phantoms demonstrated breast dose reduction (-2.1% to -27.6%) at equal noise standard deviation. Experimental and simulation studies over a range of patient sizes indicate that ODM has the potential to reduce dose to radiosensitive organs by 5 - 38% with a limited increase in image noise

Evidence for dental and dental specialty treatment of obstructive sleep apnoea. Part 1: the adult OSA patient and Part 2: the paediatric and adolescent patient

Until recently, obstructive sleep apnoea was a largely unknown condition. Because of the well-publicised death of some high-profile people resulting from untreated obstructive sleep apnoea, now mostly everyone has heard of the condition. Following diagnosis, several medical treatment modalities are available to patients. However, the role that dentistry and its various specialties can play in successful treatment for obstructive sleep apnoea should not be overlooked. The common causes for adult and paediatric obstructive sleep apnoea will be presented as well as a review of the more successful forms of dental treatment. Finally, a summary of the current evidence regarding obstructive sleep apnoea treatment will be presented.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/79355/1/j.1365-2842.2010.02136.x.pd

CT Scanning

Since its introduction in 1972, X-ray computed tomography (CT) has evolved into an essential diagnostic imaging tool for a continually increasing variety of clinical applications. The goal of this book was not simply to summarize currently available CT imaging techniques but also to provide clinical perspectives, advances in hybrid technologies, new applications other than medicine and an outlook on future developments. Major experts in this growing field contributed to this book, which is geared to radiologists, orthopedic surgeons, engineers, and clinical and basic researchers. We believe that CT scanning is an effective and essential tools in treatment planning, basic understanding of physiology, and and tackling the ever-increasing challenge of diagnosis in our society