Evolution from invasive arterial puncture to a venous access for cerebral angiography: "Cath Lab to CT suite"

Background: Digital subtraction angiography (DSA) is considered as the gold standard in the evaluation of intracranial aneurysms. This study was undertaken to evaluate the effectiveness of computed tomogram angiography (CTA) in the detection and accurate characterization of intracranial aneurysms in suspected cases of nontraumatic subarachnoid hemorrhage. The importance of three-dimensional volume rendering of the intracranial vasculature and it′s used as an aid in improving diagnostic capabilities with regards to intracranial aneurysms in multi-detector computed tomography angiography (MDCTA), was stressed upon. This study also tried to probe whether MDCTA alone can be used in detection and treatment of intracranial aneurysms in emergency situations. Materials and Methods: Suspected cases of nontraumatic acute subarachnoid hemorrhage, over an 18 months period, underwent CTA in 16-slice-computed tomography suite. Fifty cases where CTA demonstrated intracranial aneurysms were studied. A set protocol of three-dimensional reconstruction was followed. Comparison of findings of MDCTA with surgical notes was performed. DSA was done in ambiguous cases. Results: Aneurysm was confidently diagnosed by CTA in 48 cases, and further confirmed on surgery. In doubtful cases, DSA was performed and then diagnosed as aneurysm. Thus, the sensitivity of CTA is diagnosing aneurysm is 96.6%, with a specificity of 100%. Conclusions: Digital subtraction angiography is an invasive, relatively costly, procedure to be done by highly skilled personnel with serious complication rate of 1%. This can be replaced by MDCTA, which is noninvasive, cost effective and easy to perform, and DSA can be reserved for doubtful or difficult cases. Following a set protocol of three-dimensional reconstruction helps in reducing errors

A stacked record of relative geomagnetic paleointensity for the past 270 kyr from the western continental rise of the Antarctic Peninsula

Paleomagnetic and rock magnetic investigations were carried out on four gravity cores recovered from the western continental rise of the Antarctic Peninsula during the SEDANO II cruise of RV OGS-Explora. The studied cores, each about 6.5 m-long, were collected at a depth of 3700–4100 m below the sea level, on the distal gentle side of sediment Drift 7, and consist of very fine-grained sediments spanning through various glacial–interglacial cycles. Detailed analysis of the paleomagnetic and rock magnetic data allowed to reconstruct relative paleointensity (RPI) records (NRM20 mT/ARM20 mT) for each core.We established a refined age model for the studied sequences by correlating individual SEDANO RPI curves to the global RPI stack SINT-800 [Y. Guyodo, J.-P. Valet, Global changes in intensity of the Earth's magnetic field during the past 800 kyr, Nature 399 (1999) 249–252]. The individual normalized SEDANO RPI records are in mutual close agreement; they were thus merged in a RPI stacking curve spanning the last 270 kyr and showing a low standard deviation. This study also points out that RPI records may provide a viable tool to date otherwise difficult-to-date sedimentary sequences, such as those deposited along peri-Antarctic margins. The new RPI chronology indicates that the sampled sedimentary sequence is younger than previously thought and allows a new high-resolution correlation to oxygen isotope stages. Furthermore, we recognized variations in the rock magnetic parameters that appear to be climatically-driven, with changes in the relative proportion of two magnetic mineral populations with distinct coercivities. Rock magnetic and lithological trends observed in the SEDANO cores indicate that during the climatic cycles of the Late Pleistocene this sector of the peri-Antarctic margin was subjected to subtle, yet identifiable, environmental changes, confirming a relatively higher instability of theWest Antarctic ice sheet with respect to the East Antarctic counterpart