Possible dose reduction by dose-rate measurements using mobile phones/tablets combined with tabulated imaging procedure/radiation doses.

The purpose of our study is to demonstrate the effectiveness of using smartphones for measuring ionizing radiation and to combine the findings with radiation exposure from medical imaging procedures for recording individual annual/lifetime radiation dose and provide improved radiation protection. We developed an application for smartphones which can use the properties of the video camera chip in such smartphones together with highly sufficient statistical evaluation of the signals to detect ionizing radiation. We could show that this application can be used in a large range of dose rates from natural backgrounds to high dose rate pulsed radiation like in fluoroscopic radiation or CT investigations. We could also show that these kinds of systems might help to provide better radiation protection by advising medical staff to use radiation protection material in best dose saving ways

Second-Impact Syndrome and a Small Subdural Hematoma: An Uncommon Catastrophic Result of Repetitive Head Injury with a Characteristic Imaging Appearance

There have been a handful of previously published cases of athletes who were still symptomatic from a prior head injury, and then suffered a second injury in which a thin, acute subdural hematoma (SDH) with unilateral hemisphere vascular engorgement was demonstrated on CT scan. In those cases, the cause of the brain swelling/dysautoregulation was ascribed to the presence of the acute SDH rather than to the acceleration/deceleration forces that caused the SDH. We believe that the brain swelling is due to “second-impact dysautoregulation,” rather than due to the effect of the SDH on the underlying hemisphere. To support our hypothesis, we present 10 additional cases of acute hemispheric swelling in association with small SDHs in athletes who received a second head injury while still symptomatic from a previous head injury. The clinical history and the unique neuroimaging features of this entity on CT are described and illustrated in detail. The CT findings included an engorged cerebral hemisphere with initial preservation of grey-white matter differentiation, and abnormal mass effect and midline shift that appeared disproportionately greater than the size of the SDH. In addition, the imaging similarities between our patients and those with non-accidental head trauma (shaken-baby syndrome) will be discussed