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Wyszukujesz frazę "computed tomography angiography" wg kryterium: Temat


Wyświetlanie 1-7 z 7
Tytuł:
Morphometric study of the bilateral middle cerebral arteries in patients with a unilateral aneurysm
Autorzy:
Siedlecki, Zygmunt
Nowak, Karol
Śniegocki, Maciej
Grzonkowska, Magdalena
Baumgart, Mariusz
Wiśniewski, Marcin
Szpinda, Michał
Powiązania:
https://bibliotekanauki.pl/articles/1197577.pdf
Data publikacji:
2021-05-25
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
computed tomography angiography
intracranial aneurysm
middle cerebral artery
morphometry
Opis:
Background: The middle cerebral artery (MCA) supplies a major part of the brain and is of considerable clinical importance as a common location of intracranial aneurysms. The aim of the present study was to analyze the bilateral MCAs in patients with unilateral aneurysms. Material and methods: Images of computed tomography angiography of 45 patients were analyzed. The morphometric parameters of MCA were measured. The measured parameters of the normal MCAs were compared with MCAs containing aneurysms located in the main trunk division. Results: No significant differences in the length of trunk and angles between the middle and anterior cerebral arteries were found between the non-affected and aneurysmatic MCAs. Concerning arteries with aneurysms, more branches originating from the main trunk division were found more frequently. The coexistence of the more frequent trifurcation of the MCA and an aneurysm constitutes evidence of greater anatomical variability of this arterial area in cases with a concomitant vascular malformation. Conclusions: This finding is consistent with literature data, showing the relationship between aneurysms and arterial variability and the fact that aneurysms are most often located at arterial divisions.
Źródło:
European Journal of Translational and Clinical Medicine; 2021, 4, 1; 29-34
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Factors determining the best surgical exposure and safe clip positioning in surgical treatment of anterior communicating artery (AComA) aneurysms – particular significance of AComA complex rotation in the axial plane
Autorzy:
Świątnicki, Wojciech
Radomiak-Załuska, Anna
Heleniak, Mariusz
Komuński, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1392107.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
computed tomography angiography
intracranial aneurysms
subarachnoid hemorrhage
vascular spatial orientation
Opis:
Introduction: The aim of this study was to evaluate whether Anterior Communicating Artery (AComA) complex rotation in axial plane may influence the ease of surgical exploration in this region and safety of clip positioning when left vs right-sided approach is compared. Materials and methods: This is a retrospective study based on analysis of patients operated due to AComA aneurysm, both ruptured and unruptured. AComA complex position in relation to coronal plane was evaluated using 3D-CTA VR reconstructions. Next, comparison between surgical approach from the side where A1-A2 junction (angle) was located anterior and posterior to coronal plane was performed in relation to surgical difficulties and intra- and postoperative complications. Results: Subgroup statistical analysis revealed that there is a strong and statistically significant correlation between AComA complex rotation and surgical difficulties expressed by the need of repeated temporary clip application and brain transgression. When anterior vs posterior angle side approach was compared in relation to surgical difficulties and complications, there was a statistically significant difference with strong correlation (p < 0.05) in favour of posterior angle side approach. Interestingly, in 72.7% and 45.5% of patients that were operated from the side where A1-A2 junction was located posterior to coronal plane, the approach was performed form the side of a non-dominant A1 and aneurysm dome projection side, respectively. Conclusions: Despite its limitations, our results suggest that microsurgical clipping strategy of AComA aneurysms should at least include AComA complex rotation in axial plane, besides well acknowledged factors, when deciding from which side these lesions will be approached.
Źródło:
Polish Journal of Surgery; 2019, 91, 6; 6-10
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Predicting heart attack in a patient post-radiation therapy using plaque CCTA analysis and serum biomarker test. Case report
Autorzy:
Tariq, Hassan
Amin, Shetal
Singh, Millee
Morales-Pabon, Cesar Alberto
Cahill, Kristina Vanessa
Harrison, Eric Edward
Powiązania:
https://bibliotekanauki.pl/articles/1065794.pdf
Data publikacji:
2014
Wydawca:
Medical Education
Tematy:
cardiac biomarkers
chest irradiation
coronary artery disease
coronary computed tomography angiography
myocardial infarction risk assessment
plaque characterization
Opis:
Accelerated coronary artery disease (CAD) is a long term manifestation of chest irradiation that may progress to acute myocardial infarction (MI). We report the use of an algorithm-based biomarker test and coronary computed tomography angiography (CCTA) to identify accelerated CAD in a patient treated with chest irradiation and combination chemotherapy for non-Hodgkin’s lymphoma (NHL). Using a seven protein biomarker test with four incorporated clinical factors, we identified the patient had a 6 fold higher risk for future MI than expected for individuals at his age. Using CCTA, we characterized his plaques based on the following parameters: percent diameter stenosis (ranging from 30–70), percent area stenosis, percent necrotic core (NC), percent fibrotic core (FC), percent calcium core (CC), FC thickness, percent vessel wall to lumen, and NC to FC ratio. We identified a plaque in his left circumflex (LCX) with moderate percent diameter stenosis, high percent NC, low percent FC, absent FC thickness, high percent vessel wall to lumen ratio, and high NC to FC ratio as the most vulnerable to rupture and cause MI. The patient was educated about his risk of a future MI and started on maximum medical therapy. Nevertheless, he experienced a ST elevation MI (STEMI) in 185 days with occlusion at the vulnerable plaque site of his LCX. The recognition of a vulnerable plaque in a vulnerable patient may necessitate prophylactic stenting in vessels without severe obstruction. The serum biomarker test and CCTA plaque analysis may detect these patients in need of aggressive therapy.
Źródło:
OncoReview; 2014, 4, 2; A54-61
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Preoperative assessment of the risk of cavernous ICA injury in endoscopic transsphenoidal surgery
Autorzy:
Berger, Greta
Łukasiewicz, Adam
Grinevych, Vitalii
Milewska, Anna Justyna
Tarasów, Eugeniusz
Powiązania:
https://bibliotekanauki.pl/articles/1391789.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
adenoma
cavernous segment (C4) of internal carotid artery (ICA)
computed tomography angiography (CTA)
endoscopic endonasal transsphenoidal surgery
magnetic resonance angiography (MRA)
pituitary gland
Opis:
In endoscopic endonasal transsphenoidal procedures, ICA injury occurs in up to 3.8% [1]. The highest hazard of injury is in case of contact between the ICA and pituitary gland, during opening of the dura. Preoperative imaging, i.e. CTA, MRA, supports objectively intraoperative techniques of imaging. CTA as well as MRA are essential to access anatomic details in variability of cavernous segments of the ICA (C4 ICA). The aim of the study was to measure the space between Internal Carotid Arteries and distances between the pituitary gland and ICA on both sides. Anatomic relations between left and right ICAs were accessed on CTA (coronal scans) at levels: A – The most concave point of the C4–C5 bend; B – The most convex point of the C4 bend; C – The C4 posterior ascending portion. Distances between pituitary gland and ICAs were measured on both sides on MRA (axial scans): A’ – The most concave point of C4–C5 bend; B’ – The most convex point of the C4 bend. The Statistica 13 (StatSoft) software was used for the statistical analysis. The Mann-Whitney U test was applied to determine differences between the groups. To analyze the strength of correlations between the quantitative variables, Spearman’s rank correlation coefficients were calculated. The results were considered statistically significant at the level of P < 0.05. Distance reduction was shown between pituitary glands and cavernous segment (C4) of ICAs on both sides, which is related to age. This has impact on surgical planning and highlights the risk of intraoperative injury of ICAs.
Źródło:
Polish Journal of Surgery; 2020, 92, 2; 1-7
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Level-set based segmentation of carotid arteries in computed tomography angiography images
Autorzy:
Pięciak, T.
Baran, M.
Urbańczyk, M.
Powiązania:
https://bibliotekanauki.pl/articles/333312.pdf
Data publikacji:
2011
Wydawca:
Uniwersytet Śląski. Wydział Informatyki i Nauki o Materiałach. Instytut Informatyki. Zakład Systemów Komputerowych
Tematy:
segmentacja obrazu
zbiór poziomu progowego
angiografia tomografii komputerowej
tętnice szyjne
image segmentation
threshold level set
fast marching method
computed tomography angiography
carotid arterie
Opis:
In this paper a segmentation algorithm of carotid arteries on computed tomography angiography (CTA) images is proposed. The algorithm is based on the threshold level set approach. In the basic version, the algorithm analyzes CTA slices beginning at the brachiocephalic trunk and going towards carotid arteries. Second variant of the algorithm performs segmentation in the opposite direction, which implies that the algorithm can follow branches e.g. subclavian arteries. The localization process of the initial contour, for threshold level set method, on the first slice is based on curvature anisotropic diffusion filter, the Gaussian filter and fast marching method. The article contains segmentation results for tested sets of method parameters. Experimental results show that optimal set of parameters ensuring that the threshold level set method performs segmentation of the entire subclavian arteries, does not exist.
Źródło:
Journal of Medical Informatics & Technologies; 2011, 17; 281-286
1642-6037
Pojawia się w:
Journal of Medical Informatics & Technologies
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Carotid Body Tumor – radiological imaging and genetic assessment
Autorzy:
Berger, Greta
Łukasiewicz, Adam
Grinevych, Vitalii
Tarasów, Eugeniusz
Powiązania:
https://bibliotekanauki.pl/articles/1391815.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
angiography
Carotid Body Tumor
computed tomography
germline mutations
magnetic resonance
paraganglioma
Opis:
Carotid Body Tumor i.e. Paraganglioma is a challenging entity from the point of view of multidisciplinary diagnosis. The main treatment option, i.e. surgery, yields intraoperative risk related to cranial nerve palsy and vascular morbidity. Bifurcation of the common carotid artery, especially at the carotid body, is the place were head and neck paraganglioma is most frequently seen, i.e. in 60% of cases [15]. Indeed, the knowledge of genetic germline SDH mutations, which cause deregulation of hypoxiainduced factors, allows for better understanding of the tumor nature. It is recommended to conduct selective neck dissection in regions IIA, IIB, III to exclude malignant transformation and metastasis, due to malignant potential of carotid body tumors, especially in case of SDHB mutation. SDHD mutation is the main cause of hereditary HNPGLs. Computed tomography (CT), magnetic resonance imaging (MRI) and angiography allow for thorough assessment of paraganglioma extension. In large tumors embolization of the supplying artery under guidance of angiography may be considered. In case of carotid body tumor, differential diagnosis should include: carotid artery aneurysm, lymphadenopathy, Schwannoma of the hypoglossal nerve or accessory thyroid gland.
Źródło:
Polish Journal of Surgery; 2020, 92, 6; 39-44
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Use of Duplex Ultrasound Arterial Mapping (DUAM) and Preoperative Diagnostics in Patients with Atherosclerotic Ischaemia of Lower Extremities
Autorzy:
Gabriel, Marcin
Pawlaczyk, Katarzyna
Szajkowski, Rafał
Stefaniak, Karolina
Dzieciuchowicz, Łukasz
Krasiński, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/1396692.pdf
Data publikacji:
2012-06-01
Wydawca:
Index Copernicus International
Tematy:
atherosclerotic ischemia of the lower extremities
preoperative diagnostic
duplex scan
angiography
computed tomography
Opis:
In spite of the fact duplex Doppler ultrasonography is recognized as an scanning technique equivalent to other imaging methods for preoperative diagnostics of the lower extremity arteries, in many centres its use is limited to screening.The aim of the study was to the determine usefulness of arterial duplex mapping for preoperative diagnostics in patients with peripheral artery occlusive disease (PAOD)Material and methods. In 2008-2009, 103 patients with PAOD symptoms (129 limbs) were examined in a prospective, non-randomized study. DUAM was performed in all limbs, DSA in 90, CT-angio in 29, and revascularisation procedures in 116 limbs.Results. Problems with completing DUAM occurred in 10,1% of cases, including 1.5% of examinations of no diagnostic value. Consistency of DUAM and DSA results was found in 94.6% of cases, and consistency of DUAM results and the range of actually performed ranges was found in 97.8% of cases. Consistency of DUAM and CT-angio results was recorded in 68.0% of cases. The comparison between individual examinations and the actually performed procedures showed consistency of 96.5% for DUAM and 72.4% for CT-angio.Conclusions. DUAM usefulness for detecting and defining lesions in lower extremity arteries is similar to that of DSA and CT-angio. This examination may be successfully used in preoperative diagnostics, particularly for intravascular procedures, which makes possible to reduce exposition to radiation and minimalize diagnostics costs.
Źródło:
Polish Journal of Surgery; 2012, 84, 6; 276-284
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-7 z 7

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