Verification Of Measurements Of Lumbar Spinal Dimensions In T1- And T2-weighted Magnetic Resonance Imaging Sequences

BACKGROUND CONTEXT: Magnetic resonance imaging (MRI) is commonly used to assess patients with lumbar spinal stenosis. No single MRI sequence has been shown to be superior in spinal canal measurements. There are also cost concerns for the increased clinical and research use of MRI. Using only a single sequence may lower the financial burden; however, this requires spinal canal measurements in both T1 and T2 MRI to be reliable. Evidence for this is currently lacking. PURPOSE: The aim of this study was to determine the intra- and inter-reader reliability of MRI measurements of the lumbar spine and the reliability of measurements using T1- and T2-weighted MRI films. STUDY DESIGN/SETTING: Retrospective study. PATIENT SAMPLE: Forty-two randomly selected patients who underwent spinal stenosis surgery. OUTCOME MEASURES: Lumbar spinal canal measurements and reliability analysis between T1- and T2-weighted MRI. METHODS: Qualitative ratings of MRI features were performed according to previously published criteria by 2 independent readers (JP-YC, HS). Measurements in axial scan included midline anteroposterior (AP) vertebral body diameter, midvertebral body width, midline AP spinal canal diameter, midline AP dural sac diameter, spinal canal width/interpedicular distance, pedicle width (right and left), and lamina angle. Measurements in the sagittal scan included midline AP body diameter, midvertebral body height, and AP spinal canal diameter. Cronbach alpha was used to characterize intra- and inter-reader reliability for qualitative rating data. Similarly, T1 and T2 comparison also was performed in the same manner. RESULTS: Good to excellent intra- and interobserver reliability was obtained for all measurements. Reliability analysis of all T1 and T2 measurements was excellent. CONCLUSIONS: Either T1 or T2 images can be used for measurements of spinal canal dimensions. These findings are of importance, as not every patient undergoing preoperative MRI assessment will necessarily have both sequences performed and only a single sequence is required for research studies. Our findings are also of relevance in measurement of lumbar canal diameters.postprin

Dust Explosion Characteristics of Cellulose Acetates with Different Degrees of Acetylation

PresentationIn this work, the relation between various degrees of acetylation (CAs) of Cellulose acetate (CA) to dust explosion characteristics as minimum explosible concentration (MEC) and minimum ignition energy (MIE) have been studied. Also, we attempt to clarify the relative of moisture content and water adsorption to cellulose, cellulose ester as CA and cellulose ether as Methyl cellulose (MC), Ethyl cellulose (EC), Hydroxyethyl cellulose (HEC), Hydroxypropyl cellulose (HPC), and sodium carboxymethyl cellulose (CMC) to MEC and MIE have been studied. We found that the chemical derivatives have significant on thermal behavior of cellulose which Td of CA shifted to higher temperature because of acetate derivative effect. Meanwhile, Td of cellulose ethers as MC, EC, HEC, HEC and CMC were shifted to lower temperature. Moreover, CAs was not evident effect to Td of CA. Moisture content of cellulose powder had not significant on MEC of both air dry and absolute dry powder were 55 g/m3. But, we found MEC was relative to its moisture content of CA which absolute dry was more sensitive on explosion than dry CA powder. However, MEC was consistent with the hydrophilicity index at 75%RH of dry and absolute dry of cellulose, cellulose acetate and cellulose ethers in present work. MIE was not corresponding to moisture content of cellulose ether and cellulose ester but it was relative to cellulose. The results from our experiments, comparing with CAs, chemical derivatives have more significant on moisture adsorption, thermal stability and dust explosion characteristics of cellulose

Defining clinically relevant values for developmental spinal stenosis: a large-scale magnetic resonance imaging study

STUDY DESIGN: Case-control study. OBJECTIVE: The aim of this study was to define clinically relevant relative and critical (absolute) magnetic resonance imaging values of lumbar spinal stenosis in a cohort of 100 surgical cases and 100 asymptomatic controls. SUMMARY OF BACKGROUND DATA: Developmental spinal stenosis is a precipitating factor in patients presenting with lumbar canal stenosis. Yet, due to a lack of agreement on definitions and methods of assessment, as well as ethnic-specific normative values, its prevalence and significance is not known. METHODS: This was a case-control study comparing 100 age and sex-matched asymptomatic, volunteers with that of 100 patients who underwent surgery for spinal stenosis. All patients were of Chinese ethnicity and their details were blinded to 2 observers. Spinal stenosis parameters were measured on the basis of axial (pedicle level) and sagittal (midsagittal) magnetic resonance images. RESULTS: Anteroposterior spinal canal diameters change with levels. At each level, patients were found to have significantly narrower anteroposterior canal diameters than controls. By use of receiver operating characteristic curve, we defined developmental spinal stenosis if the anteroposterior canal diameter was at L1 <20 mm, L2 <19 mm, L3 <19 mm, L4 <17 mm, L5 <16 mm, and at S1 <16 mm on the basis of a value including 50% of controls and demonstrated best sensitivity and specificity. Furthermore, for L4, L5, and S1, critical stenosis values could be defined, below which almost all subjects needed surgery, these were L4 <14 mm, L5 <14 mm, and S1 <12 mm. CONCLUSION: This is the largest magnetic resonance imaging-based study with standardized measurements and comparable groups to determine clinically relevant magnetic resonance imaging criteria for lumbar spinal stenosis. The findings strongly suggest that developmental stenosis plays an important role in the pathogenesis of symptomatic spinal stenosis. Critical values of stenosis below which symptoms were highly likely were defined. These will need to be validated by longitudinal studies in future. However, they may possess clinical utility in determining the appropriate levels requiring canal-widening surgery.Level of Evidence: 3.postprin

Ten Years» Experience of Aortic Aneurysm Associated with Systemic Lupus Erythematosus

AbstractBackground: aortic aneurysm is a rare but life-threatening cardiovascular complication in patients with systemic lupus erythematosus (SLE). The purpose of this study was to clarify the characteristic clinical features and the pathological mechanism of aneurysmal formation in these patients. Methods: among 429 patients operated on for abdominal aortic aneurysm (AAA) during the past 10 years, five cases with SLE were treated surgically. Their clinical data were reviewed, and the resected aneurysmal wall of the five patients was also examined histologically. Results: the mean age of the patients with SLE was 55 years, which was statistically younger than that of the other patients (mean 77 years, s.d. 7.9, p <0.05). They had received long-term corticosteroid therapy for the treatment of SLE for a mean of 23 years. Histologically, destruction of the medial elastic lamina was characteristic. Four patients had no complications in the postoperative follow-up period (mean 4 years), while the remaining patient died of rupture of a dissecting aneurysm two years after operation.Conclusion : prolonged steroid therapy may play a major role in accelerating atherosclerosis, which can result in aortic aneurysmal enlargement, possibly together with primary aortic wall involvement and/or vasculitic damage in patients with SLE

Preventing Fusion Mass Shift Avoids Postoperative Distal Curve Adding-on in Adolescent Idiopathic Scoliosis

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Организационные резервы повышения производительности труда на предприятиях нефтегазовой отрасли

Проблема повышения производительности труда в современной экономике России имеет значительную актуальность, поскольку повышение уровня производительности труда является важнейшим условием социально-экономического развития общества, устойчивого экономического роста и повышения конкурентоспособности национальной экономики. Актуальность представленного исследования определяется необходимостью повышения производительности труда на современных предприятиях России, что может быть достигнуто за счет реализации организационных резервов роста. Целью исследования является структурирование факторов, оказывающих влияние на уровень производительности труда, подтверждение значимости организационных резервов роста, апробация методики выявления организационных резервов повышения производительности труда. Методы исследования. В настоящей работе нашли применение методы сбора первичной экономической информации, включая анализ законодательных и нормативно-правовых актов РФ, официальных статистических данных, данных публичной отчетности отечественных предприятий, анализ прочих открытых источников информации, системный подход, методы статистического и сравнительного анализа. The country's labor productivity in modern Russia over recent years has acquired impressive relevance. Since it is a key indicator of overall economic efficiency, strong labor productivity growth has always been a sufficient condition for socio-economic development, economic stability and enhancing competitiveness of the national economy. The relevance of the study is determined by the urgency of the labor productivity growth at the modern Russian factories that can be achieved through realization of organizational reserves. The main aim of the study is identifying and structuring the factors that seem to affect labor productivity level. It is also pointed at corroborating the necessity of labor productivity growth and approbation of organizational reserves seeking method. Methods. In the present work different methods of information gathering and processing were used to obtain the economic data including the analysis of appropriate laws and regulations, official statistics, companies' public statements and reporting and other open available resources. Also system approach, comparative and statistical analysis were adopted in this research

SATB1 (SATB homeobox 1)

Review on SATB1 (SATB homeobox 1), with data on DNA, on the protein encoded, and where the gene is implicated

Multidimensional fractal scaling analysis using higher order moving average polynomials and its fast algorithm

The detrending moving average (DMA) analysis demonstrates excellent performance for the characterization of long-range correlations and fractal scaling and is performed in various research fields. The conventional DMA with a simple moving average can remove linear trends embedded in the observed time series. To improve the detrending ability of the DMA, higher-order DMA including a higher order polynomial detrending was also introduced using the Savitzky-Golay filter and its fast implementation algorithm was developed. However, the higher-order DMA applicable to higher dimensional data is yet to be well established. As the data dimension increases, an increase in the computational cost becomes a problem that needs to be resolved. Further, the implementation of the higher order DMA is a time-consuming procedure. To resolve this problem, we here proposed a fast algorithm for multidimensional DMA with higher order polynomial detrending. In the proposed algorithm, to reduce the computational complexity, parallel translation and recurrence techniques are introduced. Monte Carlo experiments for two-dimensional data show that the computational time of the proposed algorithm is approximately proportional to the cubic of the data length, whereas the computational time of the conventional implementation is approximately proportional to the quartic of the data length. Moreover, we evaluate the estimation accuracy of the Hurst exponent of the proposed method. Finally, we demonstrate the possible application of the proposed method by estimating the Hurst exponent of images

Selection of fusion levels in adolescent idiopathic scoliosis (AIS) using the fulcrum bending radiograph prediction: verification based on pedicle screw strategy

E-Poster - Adolescent Idiopathic Scoliosis: no. 297Utilizing the fulcrum bending radiographic technique to assess curve flexibility to aid in the selection of fusion levels, a prospective radiographic study was performed to assess the safety and effectiveness of pedicle screw fixation with alternate level screw strategy (ALSS) for thoracic AIS. This study suggests that ALSS obtains greater deformity correction than hook and hybrid systems, and improves balance without compromising fusion levels.postprin