7 research outputs found
Variations and morphometric analysis of the proximal segment of the superior cerebellar artery
Introduction: The superior cerebral artery is a clinically significant vessel, but little is known
about its radiological anatomy. The aim of this study was to describe the anatomical
variations of the proximal segment of the superior cerebellar artery using Computed
Tomography Angiography.
Materials and methods: The study group consisted of 200 subjects (54.5% female, mean age
± SD 56.2 ± 17.2 years) that had undergone head Computed Tomography Angiography.
Subjects with any intracranial pathologies were excluded. Images in Maximum Intensity
Projections were used to study the anatomical anomalies of the superior cerebellar artery.
Results: In 200 subject 388 superior cerebellar arteries were found. Twelve (3.09%) SCAs were
duplicated in 11 patients and all originated from the basilar artery. In 8 (4.00%) patients the
superior cerebellar artery was absent. The origin of the SCA was most often bilateral, mainly
from the basilar artery (76.29%). The superior cerebellar artery diameter, measured atthe site
of the origin, was statistically significantly different depending on the place of the origin:
wider when originating from the basilar artery as a single vessel (1.48 ± 0.42 mm vs. 1.34
± 0.52 mm; p = 0.03) and narrower when originating as duplicated one (1.38 ± 0.48 mm vs.
1.46 ± 0.44 mm; p = 0.55).
Conclusion: Superior cerebellar artery usually originates bilaterally from the basilar artery as
a single trunk. Its diameter is significantly wider in that type in comparison to other
anatomical variations
Koha: narzędzie open source do obsługi biblioteki naukowej
Praca recenzowana / peer-reviewed pape
Analysis of anterior cerebral artery tortuosity : association with anterior communicating artery aneurysm rupture
Changes in cellular response to the damage induced in PC-3 prostate cancer cells by proton microbeam irradiation
Recommendations of the Polish Sexological Society on medical care in transgender adults : position statement of the expert panel
Attempts at unifying the diagnostic and therapeutic procedures for transgender individuals experiencing gender dysphoria were first undertaken in Poland in the 1980s. Since then, there has been a change in the perception of transgenderism, almost paradigmatic, expressed in subsequent editions of the diagnostic systems (DSM, ICD), which is also associated with the fundamental changes in the principles of conducting trans-specific healthcare. This triggered the need to formulate recommendations for specialists practicing in Poland, which would at least partly reflect the evolution of views and guidelines on clinical care in transgender adults seeking help due to gender dysphoria
A real-world multicenter retrospective observational study on Polish experience with nintedanib therapy in patients with idiopathic pulmonary fibrosis : the PolExNIB Study
Assessment of real-world usage of lanreotide AUTOGEL 120 in Polish acromegalic patients - results from
Aim of the study: To assess resource utilization
and costs of treatment with lanreotide
AUTOGEL 120 mg (ATG120)
administered as part of routine acromegaly care in Poland.
Material and methods: A multicentre,
non-interventional, observational study
on resource utilization in Polish acromegalic
patients treated with ATG120 at
4 weeks or extended (> 4 weeks) dosing
interval. The study recruited adult acromegalic patients treated medically for
≥ 1 year including at least 3 injections of
ATG120. Data on dosing interval, aspects
of administration, and resource utilization
were collected prospectively during
12 months. Costs were calculated in PLN
from the public health-care payer perspective
for the year 2013.
Results: 139 patients were included in
the analysis. Changes in dosing regimen
were reported in 14 (9.4%) patients. Combined
treatment was used in 11 (8%) patients. Seventy patients (50%) received
ATG120 at an extended dosing interval;
the mean number of days between
injections was 35.56 (SD 8.4). ATG120
was predominantly administered in an
out-patient setting (77%), by health-care
professionals (94%). Mean time needed
for preparation and administration was
4.33 and 1.58 min, respectively, mean
product wastage - 0.13 mg. Patients were
predominantly treated in an out-patient
setting with 7.06 physician visits/patient/
year. The most common control examinations
were magnetic resonance imaging
of brain and brain stem (1.36/
patient/year), ultrasound of the neck
(1.35/patient/year), GH (1.69/pa tient/
year), glycaemia (1.12/patient/year),
IGF-1 (0.84/patient/year), pituitary-thyroid
axis hormone levels assessment
(TSH-0.58/patient/year, T4-0.78/patient/
year). There were 0.43 hospitalizations/
patient/year. For direct medical
costs estimated at PLN 50 692/pa tient/
year the main item was the costs of
ATG120 (PLN 4103.87/patient/month;
97%). The mean medical cost, excluding
pharmacotherapy, was PLN 1445/patient/year (out-patient care - 49%, hospitalization
- 23%, diagnostics/laboratory
tests - 28%).
Conclusions: These results represent
the current use of ATG120 in the population
of Polish acromegalic patients in
a realistic clinical setting. Findings that
50% of patients could be treated with
dose intervals of longer than 28 days
support the potential of ATG120 to
reduce the treatment burden