Comparison of Non-Gated vs. ECG-gated CT Angiography of Fontan Circulation in Patients with Implanted Stents in Pulmonary Branches

Background: Motion artifacts may degrade CT examination of Fontan pathway and hinder accurate diagnosis of in-stent restenosis. Purpose: We retrospectively compared ECG-gated multi-detector computed tomography (CT) with non-ECG-gated CT in order to demonstrate whether or not one of the methods should be preferred. Method: The study included 13 patients with surgically reconstructed Fontan pathway. A total of 16 CT examinations were performed between February 2010 and November 2015.The incidence of motion artifacts in Fontan pathway and pulmonary branches were analysed subjectively by two readers. The effective dose for each examination was calculated. Results: Just in one non-gated CT examination was evidence of motion artifact in distal part of left pulmonary artery. The mean normalized effective radiation dose was 2.33 mSv (±0.62) for the non-ECG-gated scans and 4.55 mSv (±0.85) for the ECG-gated scans (p ≤ 0.05). Conclusion: Non-gated CT angiography with single phase reconstruction significantly reduces radiation dose without loss of image quality compared with ECG-gated CT angiography

Advanced Prototype of Manus Diagnostics and Rehabilitation Device

Hand fine motor functions may be impaired by various conditions, from injury to neurodegenerative diseases. Previously, we developed a prototype called Rehapiano that used load cells to measure the force exerted by the individual fingers. Rehapiano could distinguish between Parkinson’s patients and healthy individuals by analysing the finger tremors. Based on the experiences with the prototype and consultations with experts, we developed a more advanced prototype, Rehabimano. We show here how we improved the ergonomics and electronics. In addition, we have performed experimental validation of the device and confirmed its ability to detect and measure frequencies of tremors. These results are a stepping stone for consecutive software development and pre-clinical trials