Clinical Factors Associated with Dense and Wedge-Shaped Nephrograms Detected 24 h After Chemoembolization

This investigation aimed to evaluate patient characteristics and procedural factors associated with abnormal nephrograms encountered on noncontrast computed axial tomography (CAT) obtained 24-h after transarterial chemoembolization (TACE) for primary and metastatic hepatic malignancies. Sixty hepatic chemoembolization procedures were performed in 29 patients who had a median age of 63 years (range 42–79). The male-to-female ratio was 16:13. Noncontrast CAT scans were obtained approximately 24 h after TACE as part of our institutional protocol and were examined for persistent renal nephrograms. These findings were compared with clinical and procedural parameters to determine whether there was any association with these factors or with the occurrence of acute renal failure (ARF). Abnormally persistent CAT nephrograms were observed 24 h after 28 of 60 (46.7%) TACE procedures, of which 14 (23.3%) were persistent, bilaterally dense, global nephrograms, and 14 (23.3%) were small, wedge-shaped, and focal nephrograms. The change in serum creatinine from baseline to 24 h was significantly greater (p = 0.031) in the global nephrogram group. The presence of cirrhosis, Child-Pugh score, procedure time, baseline renal insufficiency, and lower periprocedural mean arterial blood pressure were also statistically significantly associated with the occurrence of bilateral globally dense nephrograms. The procedure time was statistically significantly associated with the occurrence of wedge-like focally persistent nephrograms. Global, persistently dense nephrograms and wedge-shaped focally persistent nephrograms are not infrequently observed after TACE. Persistent global nephrograms can be an important clinical indicator of ARF. The wedge nephrogram may represent focal renal ischemia

Two years of measurements of atmospheric total gaseous mercury (TGM) at a remote site in Mt. Changbai area, Northeastern China

Total gaseous mercury (TGM) was continuously monitored at a remote site (CBS) in Mt. Changbai area, Northeastern China from 24 October 2008 to 31 October 2010. The overall mean TGM concentration was 1.60±0.51 ng m<sup>−3</sup>, which is lower than those reported from remote sites in Eastern, Southwestern, and Western China, indicating a relatively lower regional anthropogenic mercury (Hg) emission intensity in Northeastern China. Measurements at a site in the vicinity (~1.2 km) of CBS station from August 2005 to July 2006 showed a significantly higher mean TGM concentration of 3.58±1.78 ng m<sup>−3</sup>. The divergent result was partially attributed to fluctuations in the relatively frequencies of surface winds during the two study periods and moreover an effect of local emission sources. The temporal variation of TGM at CBS was influenced by regional sources as well as long-range transported Hg. Regional sources frequently contributing to episodical high TGM concentrations were pin-pointed as a large iron mining district in Northern North Korea and two large power plants and urban areas to the southwest of the sampling site. Source areas in Beijing, Tianjin, southern Liaoning, Hebei, northwestern Shanxi, and northwestern Shandong were found to contribute to elevated TGM observations at CBS via long-range transport. Diurnal pattern of TGM at CBS was mainly controlled by regional sources, likely as well as intrusion of air masses from the free troposphere during summer season. There are no consistent seasonal pattern of TGM at CBS, and the monthly TGM variations showed links with the patterns of regional air movements and long-range transport