TY - JOUR. T1 - Detectability of simulated pulmonary nodules on chest radiographs. T2 - Comparison between irradiation side sampling indirect flat-panel detector and computed radiography. AU - Yano, Yuki. AU - Yabuuchi, Hidetake. AU - Tanaka, Nobukazu. AU - Morishita, Junji. AU - Akasaka, Tsutomu. AU - Matsuo, Yoshio. AU - Sunami, Shunya. AU - Kamitani, Takeshi. AU - Jinnouchi, Mikako. AU - Yamasaki, Yuzo. AU - Nagao, Michinobu. AU - Sasaki, Masayuki. PY - 2013/11. Y1 - 2013/11. N2 - Objective To compare the detectability of simulated pulmonary nodules on chest radiographs between an irradiation side sampling indirect flat-panel detector (ISS-FPD) and computed radiography (CR). Materials and methods This study was an observer performance study. Simulated pulmonary nodules of 8 mm in diameter were superimposed on an anthropomorphic chest phantom. Chest radiographs were acquired under 2 exposure levels (4 and 3.2 mAs) with the ISS-FPD and the CR. Six thoracic radiologists evaluated all 40 images ...
This CAD system for digital chest radiographs can assist radiologists and has the potential to improve the detection of lung nodules due to lung cancer.
There is no comparative study with long-term follow-up between posterior-only and combined posterior-anterior approaches in treating lumbar spinal tuberculosis (LSTB) and lumbosacral spinal tuberculosis (LSSTB). This retrospective study aimed to compare and evaluate the long-term outcomes of these two surgical approaches in LSTB and LSSTB. Thirty patients with LSTB and 12 patients with LSSTB underwent posterior-only approach (group A); 26 patients with LSTB and 14 patients with LSSTB were managed with combined posterior-anterior approaches (group B). Analysis and comparison in clinical and radiographic outcomes between the two groups were performed. The intra-operative bleeding amount, surgery time, and hospitalization days in group A were less than that in group B (P | 0.05). These patients were followed for a minimum of 7 years. All patients achieved completely healing within 2-year follow-up. Bony fusion was obtained in all patients. The visual analog scale, Japanese Orthopedic Association score,
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Little is currently known regarding sputum smear reversion (acid-fast smear becomes positive again after negative conversion) during anti-tuberculous treatment. This study aimed to evaluate its occurrence in patients with pulmonary tuberculosis (TB) and identify factors predicting results of mycobacterial culture for smear-reversion of sputum samples. The retrospective review was performed in a tertiary referral center and a local teaching hospital in Taiwan. From 2000 to 2007, patients with smear-positive culture-confirmed pulmonary TB experiencing smear reversion after 14 days of anti-tuberculous treatment were identified. The 739 patients with smear-positive pulmonary TB had 74 (10%) episodes of sputum smear reversion that grew Mycobacterium tuberculosis in 22 (30%) (Mtb group). The remaining 52 episodes of culture-negative sputum samples were classified as the non-Mtb group. The anti-tuberculous regimen was modified after confirming smear reversion in 15 (20%). Fourteen episodes in the Mtb group and
The presence and burden of coronary artery calcium (CAC) is a strong predictor of cardiovascular events. In an effort to gain insight into the utility of CAC for coronary artery disease (CAD) screening in cancer patients with heart disease, we sought to determine the presence and burden of CAC detected on routine chest CT in patients referred to a cardio-oncology clinic, comparing them to a conventional cardiology clinic with the general population as controls. Patients from the cardio-oncology clinic, general cardiology clinic, and the general clinic population at Rush University Medical Center who had a chest CT as part of their previous treatment were identified. Each CT scan was evaluated for presence, extent, and severity of CAC by 3 independent readers. In multivariate analysis, when compared with cardio-oncology clinic, CAC was more prevalent in the CT scans of cardiology patients (p = 0.04), but not the general clinic population (p = 0.5); CAC extent (p = 0.05) and severity (p = 0.05) was
Question - Patient with continuous (L) lateral chest wall pain and hypersensitivity - 55. Find the answer to this and other Medical questions on JustAnswer
If possible, it is important to determine the extent of cancer before treatment in order to select the best treatment option. Of particular concern is the presence of cancer in lymph nodes, spread of cancer to distant sites or local extension of cancer into surrounding structures, which might make attempts to remove all cancer with surgical resection impossible. Unfortunately, in many cases the true extent of spread of cancer can only be determined by surgical resection. Frequently, more advanced cancer is found at surgery than was detected by clinical tests.. Routine Staging: All patients with esophageal cancer undergo a routine chest x-ray examination and a barium swallow under fluoroscopy (direct x-ray examination of the esophagus) as part of initial staging evaluation. All patients have computerized tomography (CT) scans of the chest, upper abdomen and possibly the neck. Unfortunately, there can be considerable error in CT scanning in detecting the extent of local spread of esophageal ...
CiteSeerX - Scientific articles matching the query: Transferable Multi-model Ensemble for Benign-Malignant Lung Nodule Classification on Chest CT
In this study, the authors proposed a deep learning method for the detection and quantification of pneumothorax in heterogeneous routine clinical data, which may facilitate the automated triage of urgent examinations and enable support in the treatment decision.. Key points. ...
The CT (Computed Tomography) scan or the CAT (Computer-Aided Tomography) scan is a diagnostic procedure that takes a detailed cross-sectional x-ray picture of a slice of the body.. To get a CT scan, the patient lies very still on a table, which is slowly moved horizontally while the x-ray machine rotates around the patient and takes pictures from many angles. A computer then combines the pictures into a very detailed cross-sectional image. The length of the procedure depends on the areas to be x-rayed. For the chest area, the procedure takes about 20 seconds.. CT scans can show the shape, size and the exact location of organs and tissues in any slice of the body more clearly than other diagnostic tools. This technique can help find enlarged lymph nodes, which might contain cancer that has spread from the lung. CT scans are more sensitive than routine chest x-rays in finding early lung cancers. CT scans are also used in detecting masses in the liver, adrenal glands, brain and other internal ...
The NIOSH BViewer© is used for the evaluation and classification of digital images (DICOM format only) of the chest for the pneumoconioses, using International Labour Office (ILO) reference chest images. It is provided to support health care practitioners in their management of digital posterior-anterior radiographic chest images used in occupational medical monitoring programs. The software is only intended to assist the user in assembling and organizing the information required to make medical decisions, and cannot be substituted for competent and informed professional judgment.. Spirometry Longitudinal Data Analysis (SPIROLA) Software ...
AuntMinnie.com is the largest and most comprehensive community Web site for medical imaging professionals worldwide. Radiologists, technologists, administrators, and industry professionals can find information and conduct e-commerce in MRI, mammography, ultrasound, x-ray, CT, nuclear medicine, PACS, and other imaging disciplines.
The current investigation will address some similar factors considered in prior research, but will considerably extend our understanding of how psychological, familial, and environmental factors influence noncardiac chest pain. In this investigation, a number of variables that have not been considered in prior research in this area will be included. Among these child variables are: the childrens pain coping strategies, the childrens somatization behaviors aside from chest pain, the childrens externalizing symptoms (e.g., symptoms of ADHD, oppositional defiant disorder), school related problems, social competencies, parental perceptions of the childs vulnerability, functional disability (the degree to which chest pain interferes with normal daily functioning), and the childs health care utilization. Also, a more sensitive quantification of the childrens frequency and intensity of chest pain will be collected, as well as information on situations in which the pain occurs. Parent report of ...
The introduction of digital CXR with automated computer-aided interpretation, has given impetus to the role of CXR in TB screening, particularly in low resource, high-burden settings. The aim of this study was to evaluate the diagnostic accuracy of CAD4TB as a screening tool, implemented in the private sector in Karachi, Pakistan. This study analyzed retrospective data from CAD4TB and Xpert MTB/RIF testing carried out at two private TB treatment and diagnostic centers in Karachi. Sensitivity, specificity, potential Xperts saved, were computed and the receiver operator characteristic curves were constructed for four different models of CAD4TB. A total of 6,845 individuals with presumptive TB were enrolled in the study, 15.2% of which had MTB + ve result on Xpert. A high sensitivity (range 65.8-97.3%) and NPV (range 93.1-98.4%) were recorded for CAD4TB. The Area under the ROC curve (AUC) for CAD4TB was 0.79. CAD4TB with patient demographics (age and gender) gave an AUC of 0.83. CAD4TB offered high ...
On the PA chest xray, the minor fissure divides the right middle lobe from the right upper lobe and is sometimes not well seen. There is no minor fissure on the left. The major fissures are usually not well seen on the PA view because you are looking through them obliquely. If there is fluid in the fissure, it is occasionally manifested as a density at the lower lateral margin.. ...
RiTradiology.com ดูแลรักษาโดยและเป็นของ น.พ.รัฐชัย แก้วลาย. โลโก้ RiTradiology.com เป็นลิขสิทธิ์ของ น.พ.รัฐชัย แก้วลาย. ข้อมูลส่วนตัวของคุณถือเป็นความลับและจะไม่ถูกเผยแพร่ไปยังบุคคลที่สาม. ข้อมูลใน RiTradiology.com ใช้เป็นแนวทาง, ไม่ใช่เพื่อทดแทน, การให้การวินิจฉัย, รักษาและคำแนะนำสำหรับผู้ป่วย. แพทย์ของคุณอาจให้คำแนะนำในการวินิจฉัยหรือรักษาเป็นอย่างอื่นขึ้นกับข้อมูลและสถานการณ์นั้นๆ. ...
Respiration. Anatomy and Radiology. Lets start with a google search for respiratory anatomy images.. AnatomyZone has a wonderful collection of videos and 3D representations of human anatomy including the larynx and respiratory system.. Radiology basics can be found at Dr. Chandrasekhars Loyola University introduction to Chest Radiology, chestx-ray.com, usuhs basic chest review, these Uni Virginia Radiology courses on Chest X-Rays , ICU Chest Film interpretation, chest CT interpretation and CTPA.RadiologyMasterClass.. Afterwards test your knowledge at CIDER.. Radiologyeducation.com and Health on the Net include a number of educational sites.. There are a number of annotated Chest X-Ray libraries. Try RadioPaedia.org and the collaborative hypertextbook of radiology.. Basics of laryngeal anatomy can be found at Emory, York, AirwayCam, AnatomyZone, Grays Anatomy and others.. Physiology. Johns Hopkins School of Medicine has a fantastic set of pages on Respiratory Physiology. For a graphically rich ...
Dilatation of the left ventricle results to lateral and downward displacement of the cardiac apex on frontal chest radiographs. Left ventricular hypertrophy usually results to rounded appearance of the cardiac apex. ...
In the suspected or confirmed COVID-19 patients chest imaging played a significant role by helping in early diagnosis and the treatment planning. Most of the COVID-19 patients showed typical findings of pneumonia on Chest X-ray.. Though CT scan of the chest is more reliable for COVID-19 diagnosis but it is not a readily available resource. Even when it is available it is not as feasible as an x-ray for patients and it requires detailed training for quick diagnosis. On the other hand chest x-ray is an easier way to immediately diagnose COVID-19 when suspected and should be promoted as a tool.. Chest x-ray has a reasonably good sensitivity and can be used as an empirical method in the emergency setting, reducing risk of ICU admission.. The findings seen most frequently are the airspace opacity described as consolidation or ground-glass opacity present bilaterally on the lower lobe mainly. COVID 19 is spreading globally very rapidly and massively. The whole medical fraternity is under pressure to ...
Because of their high zinc content modern U.S. pennies that become lodged in the esophagus may react with stomach acid thereby damaging the esophageal mucosa. Management of esophageal pennies may therefore differ from that of other esophageal coins making differentiation of pennies from other coins important. We reviewed the records of 111 children who underwent endoscopic esophageal coin removal over a 19-year period to determine the ability of history and size of esophageal coin images on posterior-anterior and lateral chest radiographs alone and in combination to differentiate esophageal pennies from other esophageal coins ...
Chest X-ray is abnormal in the majority of patients with pulmonary hypertension (PH); however, there is no correlation between the severity of PH and the findings on chest X-ray. Findings of PH on chest X-ray include pulmonary artery dilatation and right sided enlargement of the heart. Chest X-ray allows the exclusion of left heart disease and lung disease that can lead to group 2 and group 3 PH, respectively. ...
Tuberculosis is an infectious disease and becomes a major threat all over the world but still diagnosis of tuberculosis is a challenging task. In literature, chest radiographs are considered as most commonly used medical images in under developed countries for the diagnosis of TB. Different methods have been proposed but they are not helpful for radiologists due to cost and accuracy issues. Our paper presents a methodology in which different combinations of features are extracted based on intensities, shape and texture of chest radiograph and given to classifier for the detection of TB. The performance of our methodology is evaluated using publically available standard dataset Montgomery Country (MC) which contains 138 CXRs among which 80 CXRs are normal and 58 CXRs are abnormal including effusion and miliary patterns etc. The accuracy of 81.16% was achieved and the results show that proposed method have outperformed existing state of the art methods on MC dataset ...
Pneumonia is either the first or second most common ventilator-associated event (VAE) seen in the pediatric intensive care unit. The reported incidence varies widely among studies (from 0.3 to 45.1 per 1,000 ventilator days). The lack of a consistent, gold-standard definition for what had been traditionally referred to as ventilator-associated pneumonia (VAP) plays a large part in this variance.. The U.S. Centers for Disease Control and Prevention (CDC) defines VAP as a positive bacterial culture from a tracheal aspirate (more than 104 colony-forming units [cfu] from a sample obtained via bronchoalveolar lavage) and/or purulent secretions (more than 25 neutrophils and fewer than 10 epithelial cells per low-power field) in a patient who requires mechanical ventilation and has acutely worsening oxygenation. However, other investigators have defined VAP by the presence of pathogenic bacteria in tracheal aspirate in conjunction with new chest radiographic findings and fever or leukocytosis. Studies ...
Clinical and chest radiographic findings were recorded prospectively in 185 children with cough who attended an outpatient clinic in Papua New Guinea. Children were studied if they were between 8 weeks and 6 years of age; patients with wheeze, stridor, measles, or pertussis were excluded. 56 childre …
BACKGROUND: Chest CT may be used for the diagnosis of Coronavirus disease 2019 (COVID19), but clear scientific evidence is lacking. Therefore, we systematically reviewed and metaanalyzed the chest CT imaging signature of COVID-19. Q6 RESEARCH QUESTION: . STUDY DESIGN AND METHODS: A systematic literature search was performed for original studies on chest CT imaging findings in patients with COVID-19. Methodologic quality of studies was evaluated. Pooled prevalence of chest CT imaging findings were calculated with the use of a random effects model in case of between-study heterogeneity (predefined as I 2 $50); otherwise, a fixed effects model was used. RESULTS: Twenty-eight studies were included. The median number of patients with COVID19 per study was 124 (range, 50-476), comprising a total of 3,466 patients. Median prevalence of symptomatic patients was 99% (range, ,76.3%-100%). Twenty-seven of the studies (96%) had a retrospective design. Methodologic quality concerns were present with either ...
Question - X-ray report shows bilateral upper lung fibrosis, thoracic spine dextroscoliosis. Expalin. Ask a Doctor about when and why X ray is advised, Ask a Radiologist
TY - JOUR. T1 - Automated integer programming based separation of arteries and veins from thoracic CT images. AU - Payer, Christian. AU - Pienn, Michael. AU - Bálint, Zoltán. AU - Shekhovtsov, Oleksandr. AU - Talakic, Emina. AU - Nagy, Eszter. AU - Olschewski, Andrea. AU - Olschewski, Horst. AU - Urschler, Martin. N1 - Copyright © 2016 Elsevier B.V. All rights reserved.. PY - 2016/12. Y1 - 2016/12. N2 - Automated computer-aided analysis of lung vessels has shown to yield promising results for non-invasive diagnosis of lung diseases. To detect vascular changes which affect pulmonary arteries and veins differently, both compartments need to be identified. We present a novel, fully automatic method that separates arteries and veins in thoracic computed tomography images, by combining local as well as global properties of pulmonary vessels. We split the problem into two parts: the extraction of multiple distinct vessel subtrees, and their subsequent labeling into arteries and veins. Subtree ...
Survey and monitoring of usage of chest radiography and chest ultrasonography in the cardiothoracic perioperative setting. Zlatka Belamarić, Aatif Husain, Giampaolo Martinelli, Gerry Van Rensburg, Greta Giuliano, Suresh Sanapala. St Bartholomews Hospital, Barts NHS Trust, London, United Kingdom. Introduction. Respiratory complications remain a leading cause of post cardiac surgical morbidity and can prolong hospital stay and increase costs. Conventional lung imaging in critically ill patients are bedside CXR and lung CT. Lung US is also a tool for assessing lung status in critically ill patients and can be easily used and repeated at the bedside, allowing the effects of therapy to be monitored, as highlighted in the International evidence-based recommendations for point-of-care lung ultrasound published in 2012.. Objectives. 1) To survey if the LUS is utilised in the contexts where it is supported by the literature to be superior and more effective than CXR. 2) To compare if the different ...
In addition to the Transfer policy published in the CCC and TI Catalog, students applying for transfer into the radiography program shall meet the general admission, progression/dismissal, and graduation requirements according to radiography specific policies. Due to a standardized radiography curriculum in the North Carolina Community College System (NCCCS), a lateral transfer from a hospital or university based, private or out-of-state radiography program cannot be guaranteed. Neither can a lateral transfer from an NCCCS radiography program be automatically assumed. Therefore, serious students need to be willing to spend two more years @ CCCTI in pursuit of their dream.. The radiography director evaluates the students radiography transcript to determine the total number of possible radiography courses or credits allowed for transfer credit. Transfer students must meet the 2.5 GPA academic requirement in all RAD and related courses in the radiography curriculum. In the best interest of the ...
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Some years ago, when I was an SHO, I questioned a consultant about the reasons for requesting a routine chest x ray on a patient who was clinically well. I was told that it was important to keep one step ahead of the patient. That response satisfied me at the time, and I have used the quote from time to time when explaining to parents the reasons for undertaking investigations in children who have no overt clinical problems. Nowadays, clinicians and families are likely to require more tangible evidence of benefit before agreeing to children undergoing detailed investigations, particularly if these may be uncomfortable or distressing. Jaffe et als retrospective review is therefore a welcome attempt to address this issue with respect to routine annual blood tests in young children with cystic fibrosis (CF).. Annual review of patients with CF has been practised for some time in most CF centres in the UK and is now recommended by national guidelines.1 The aims of annual review are numerous, but ...
Pneumonia remains a common source of morbidity and mortality in children. A key question in the diagnostic evaluation of children with acute respiratory illness is whether chest radiography should be performed to rule in or rule out the diagnosis of pneumonia. Radiologically, pneumonia is defined as an infiltrate seen on chest radiography in a child with symptoms of an acute respiratory illness.
Zebra Medical Vision has raised $30 million in C round funding, while also unveiling its Textray chest X-ray research which uses artificial intelligence to display images of the chest. Zebra Medical Vision, a machine and deep learning startup, has raised $30 million in C round funding, bringing its overall investment in the company to $50 million, while unveiling its Textray chest X-ray research, a broad use of artificial intelligence on images of the chest. The latest funding round was headed by aMoon Ventures. In launching its Textray initiative, Zebra calls it the most comprehensive AI research conducted on chest X-rays to date, providing a glimpse into a future product its developing to automate chest X-ray analysis. The chest X-ray AI analytics product was trained using nearly 2 million images to identify 40 different common clinical findings. The study results reported high agreement rates between the algorithm and human radiologist experts. Zebra Medical Vision is concentrating its ...
I had a CT Scan done last week with found scattered nodules 3 mm to 6 mm in size with ground-glass opacities + moderate emphysema. Does this mean I have lung cancer? I am 56 years old and have only s...
For validation, we first use synthetically generated airways and vessels produced by the proposed generative model to compute the relative error and directly evaluate the accuracy of CNR in comparison with traditional methods. Then, in-vivo validation is performed by analyzing the association between the percentage of the predicted forced expiratory volume in one second (FEV1\%) and the value of the Pi10 parameter, two well-known measures of lung function and airway disease, for airways. For vessels, we assess the correlation between our estimate of the small-vessel blood volume and the lungs diffusing capacity for carbon monoxide (DLCO ...
EDITORIAL Genes in their environment: how can we read the riddles? Andrew Bush. MB BS (Hons) MA MD FRCP FRCPCH. Professor of Paediatric Respirology, Imperial School of Medicine, National Heart and Lung Institute, London, UK. Honorary Consultant Paediatric Chest Physician, Royal Brompton Hospital, London, UK Once upon a time, as all the best childrens stories begin, a lot of clever geneticists began a huge hunt for the asthma gene. At first they thought they had found it, but then more and more of the hunters found different asthma genes, and sometimes some gene hunters could not find the gene that previous hunters thought was the key one. Life became more and more confusing, and the root causes, which should have been thought of right from the start, have only recently begun to be identified. These include that there are many types of asthma, not likely all to have the same background, and thus careful clinical phenotyping is essential; that genes do not operate in isolation, but in their ...
This study proposes a novel automated method for cardiomegaly detection in chest X-rays (CXRs). The algorithm has two main stages: i) heart and lung region localization on CXRs, and ii) radiographic index extraction from the heart and lung boundaries. We employed a lung detection algorithm and extended it to automatically compute the heart boundaries. The typical models of heart and lung regions are learned using a public CXR dataset with boundary markings. The method estimates the location of these regions in candidate (patient) CXR images by registering models to the patient CXR.
We scurried back to the clinic to meet with Dr. Pulmonary Oncologist. This ended up being every minute worth the drive and the wait! He pulled up images of my chest CT from last February and from the recent scan. The chest CT is always taken at the same time as the PET scan. The difference between the two types of images is that the PET is colored based on the radioactivity that my cells take up, but the chest CT is more like a standard x-ray. So although the PET scan showed completely normal cellular activity, Dr. Pulmonary Oncologist scrutinized the CT images for abnormalities, which he found and showed to me. He put my pre-chemo chest CT on the left, then my January 2015 chest CT on the right. He had used the glowing data from the PET scan to find the suspected cancer nodules on the old chest CT. Then he found the matching image on the recent chest CT. What he pointed out to me is that when you look at the two CTs side by side, you can still see a trace of each nodule. He said that they are ...
Thus initial antimicrobial therapy is often empirical and is based on the setting in which the infection was acquired, the clinical presentation, patterns of abnormality on chest radiography, results of staining of sputum or other infected body fluids, and current patterns of susceptibility of the suspected pathogens to antimicrobial agents. After the etiologic agent is identified, specific antimicrobial therapy can be chosen.. Defense Mechanisms. The lung is a complex structure composed of aggregates of units that are formed by the progressive branching of the airways. Approximately 80% of the cells lining the central airways are ciliated, pseudostratified, columnar epithelial cells; the percentage decreases in the peripheral airways. Each ciliated cell contains about 200 cilia that beat in coordinated waves ~1000 times per minute, with a fast forward stroke and a slower backward recovery. Ciliary motion is also coordinated between adjacent cells so that each wave is propagated toward the ...
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Aortic coarctation can be difficult to identify on chest x-ray and routine review of aortic outline, as well as the ribs, is necessary if one is to make the diagnosis.
Why Low Dose CT Vs. Standard CT or a Chest X-ray?. Standard CT scans of the chest provide more detailed pictures than chest x-rays and are better at finding small abnormalities in the lungs. Low-dose CT of the chest uses lower amounts of radiation than a standard chest CT but it is more than the dose from a chest x-ray. So LDCT is a balance, offering the detail closer to standard CT with the radiation dose closer to a chest x-ray.. Do all imaging centers provide Low Dose CT Lung Cancer Screening?. No. Not all imaging centers have Low Dose CT scanners. Screening should only be done at facilities that have the right type of CT scanner and have developed a proper Low Dose CT imaging protocol specific for Lung Cancer Screening. University Medical Imaging was the first to provide Low Dose CT to the Rochester Community in 2006 and is the community leader in reduced dose CT.. Is this test right for me?. Low Dose CT Lung Cancer Screening is not recommended for everyone. Individuals interested in ...
Why Low Dose CT Vs. Standard CT or a Chest X-ray?. Standard CT scans of the chest provide more detailed pictures than chest x-rays and are better at finding small abnormalities in the lungs. Low-dose CT of the chest uses lower amounts of radiation than a standard chest CT but it is more than the dose from a chest x-ray. So LDCT is a balance, offering the detail closer to standard CT with the radiation dose closer to a chest x-ray.. Do all imaging centers provide Low Dose CT Lung Cancer Screening?. No. Not all imaging centers have Low Dose CT scanners. Screening should only be done at facilities that have the right type of CT scanner and have developed a proper Low Dose CT imaging protocol specific for Lung Cancer Screening. University Medical Imaging was the first to provide Low Dose CT to the Rochester Community in 2006 and is the community leader in reduced dose CT.. Is this test right for me?. Low Dose CT Lung Cancer Screening is not recommended for everyone. Individuals interested in ...
Pericardial cysts occur at the rate of 1 person per 100,000 [1]. They result from failure of fusion of one of the mesenchymal lacunae that form the pericardial sac. Seventy five percent have no associated symptoms, and are usually found incidentally during routine chest x-ray or echocardiography. Seventy percent are located at the right costophrenic angle, 22% on the left and the remaining in the posterior or anterior superior mediastinum [2]. It is unknown if the size or position of the cyst corresponds to higher rates of complications. Pericardial cysts are usually asymptomatic, and are usually found incidentally on routine chest x-rays. Episodes of chest pain, tachycardia, persistent cough, cardiac arrhythmias and lower respiratory tract infection have been described. The symptoms can result from the pressure of the cyst on the adjacent organs [3]. Other reported complications include right ventricular outflow obstruction, inflammation and infection, pulmonary stenosis, partial erosion into ...
OBJECTIVE: To evaluate the scatter, dose, and effective detective quantum efficiency (DQE) performance of a slot-scan digital chest radiography system compared with that of a full-field digital radiography system. METHODS: Scatter fraction of a slot-scan system was measured for an anthropomorphic and a geometric phantom by using a posterior beam-stop technique at 117 and 140 kVp. Measurements were repeated with a full-field digital radiography system with and without a 13:1 antiscatter grid at 120 and 140 kVp. For both systems, the effective dose was measured on posteroanterior and lateral views for standard clinical techniques by using dosimeters embedded in a female phantom. The effective DQEs of the two systems were assessed by taking into account the scatter performance and the DQE of each system. The statistical significance of all the comparative differences was ascertained by means of t test analysis. RESULTS: The slot-scan system and the full-field system with grid yielded scatter ...
PURPOSE: To evaluate the scatter, dose, and effective detective quantum efficiency (DQE) performance of a slot-scan digital chest radiography system compared with that of a full-field digital radiography system. MATERIALS AND METHODS: Scatter fraction of a slot-scan system was measured for an anthropomorphic and a geometric phantom by using a posterior beam-stop technique at 117 and 140 kVp. Measurements were repeated with a full-field digital radiography system with and without a 13:1 antiscatter grid at 120 and 140 kVp. For both systems, the effective dose was measured on posteroanterior and lateral views for standard clinical techniques by using dosimeters embedded in a female phantom. The effective DQEs of the two systems were assessed by taking into account the scatter performance and the DQE of each system. The statistical significance of all the comparative differences was ascertained by means of t test analysis. RESULTS: The slot-scan system and the full-field system with grid yielded ...
The patient is a 51 year-old male with a history of right thigh myxoid/round cell liposarcoma. A large pleural/chest wall mass was identified on a routine chest radiograph three months after VATS for resection of a 2.2cm x 2.2cm x 1.5cm right upper lobe pulmonary nodule. The patient was asymptomatic.
Figure 9.19A AP Chest x-ray, Pneumothorax, Small by Dr. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license.. Figure 9.19B Lateral Chest x-ray, Pneumothorax, Small by Dr. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license.. Figure 9.20 PA Chest x-ray, Pneumothorax, Moderate by Dr. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license.. Figure 9.21A AP Chest x-ray, Pneumothorax, Tension by Dr. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license.. Figure 9.21B Lateral Chest x-ray, Pneumothorax, Tension by Dr. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of ...
Looking for Pneumoconioses? Find out information about Pneumoconioses. a group of lung diseases, classified as occupational diseases, caused by prolonged inhalation of industrial dust and characterized by the development of... Explanation of Pneumoconioses
Traction bronchiectasis refers to bronchial dilation that occurs in patients with lung fibrosis or distorted lung architecture. Traction on the bronchial walls due to fibrous tissue reults in irregular bronchial dilation (bronchiectasis). Usually segmental and subsegmental bronchi are involved, but small periperhal bronchi or bronchioles may also be affected. Commonly associated with honeycombing ...
The disease can exhibit several different stages. Disease progression depends largely on amount of TB microbe exposure and current immune system function. Persons with competent immune system response can sometimes kill the microbe or at least contain it. The later response is referred to as a latent infection. During latency, the living TB organisms are held within small nodular, calcified areas called tubercles, hence the name tuberculosis. The calcium content of these nodules make them readily apparent on chest X-ray films to a competent radiologist . Later on, the TB organisms can become reactivated when the immune system is sufficiently weakened by another agent or disease. HIV and malignancies (cancers) are but two of these reactivation culprits. Miliary TB is when the TB organisms have disseminated (spread) from the lung to other body areas (e.g., liver, brain, skin, etc.) causing further disease. Image on right demonstrates multiple tubercles (opacities) in the red circled area. ...
TY - JOUR. T1 - Comparison of postoperative cardiopulmonary examinations and chest radiographs to detect pulmonary complications after adult tracheotomy. AU - Park, S. Y.. AU - Smith, R. V.. PY - 1999/1/1. Y1 - 1999/1/1. N2 - OBJECTIVE: To prospectively evaluate the effectiveness of clinical cardiopulmonary examination compared with that of chest radiography in detecting postoperative pulmonary complications after tracheotomy in adults. METHODS: One hundred consecutive patients undergoing tracheotomy were evaluated. Pulmonary complications were recorded, and the effectiveness of the physical examination was compared with that of the chest x-ray in detecting these complications. Patient age, sex, diagnosis, urgency of the procedure, and anesthetic technique were evaluated to determine any relationship to postoperative complications. RESULTS: Of the 100 patients, 87 patients underwent postoperative chest radiography, and all patients had postoperative cardiopulmonary examinations. One patient (1%) ...
Previously developed threshold-based techniques [2] were insufficient to isolate guidewire signal due to the reduced susceptibility of paramagnetic guidewires at 0.55T. A mixture-of-Gaussians based clustering and region-growing segmentation was implemented using MATLAB2019a to identify the guidewire (Figure 1). The algorithm used four image inputs: the anatomical image, the positive contrast image, a subtraction image from baseline, and a frame-by-frame temporal subtraction image. One mask was generated from the two subtraction images to identify guidewire motion. A second mask from the positive contrast images was used to isolate signal from guidewire shaft. The masks were used as seed points for region-growing, and a connected-component analysis was used to select the guidewire pixels ...
Background: High resolution chest computed tomography (HRCT) is an established imaging modality that accurately assesses disease processes that are non-specific on conventional chest radiography. Chest Computed Tomography (CT) has proven invaluable in the evaluation of various diseases of the chest providing precise diagnosis that have great impact on the course of management. In this study, our aim is to evaluate the spectrum of radiological findings in all patients that had chest CTs at a tertiary health Institution in a developing Country. Method: This is a 6-year retrospective study of all patients that had Chest CT from 2009 till 2015. All patient data were retrieved and their Chest CT images reviewed and radiological findings and diagnosis documented. Results: Age range of patients was 1 - 84 years with a mean of 52.36 ± 22.9 years. Ten patients were children (12%). There were more males 53 (63.1%) than females 31 (36.9%) in the study. Referral for imaging was predominantly from internal medicine
By Michael H. Crawford, MD Professor of Medicine, Chief of Clinical Cardiology, University of California, San Francisco Dr. Crawford reports no financial relationships relevant to this field of study. SYNOPSIS: Coronary calcium scan on standard CT scans performed for other indications is of equivalent prognostic value to that seen on ECG-gated coronary studies and should be included in radiology test reports. SOURCES: Hughes-Austin JM, Dominguez A 3rd, Allison MA, et al. Relationship of coronary calcium on standard chest CT scans with mortality. JACC Cardiovasc Imaging . . .
There is a growing interest in the automated analysis of chest X-Ray (CXR) as a sensitive and inexpensive means of screening susceptible populations for pulmonary tuberculosis. In this work we evaluate the latest version of CAD4TB, a software platform designed for this purpose. Version 6 of CAD4TB was released in 2018 and is here tested on an independent dataset of 5565 CXR images with GeneXpert (Xpert) sputum test results available (854 Xpert positive subjects). A subset of 500 subjects (50% Xpert positive) was reviewed and annotated by 5 expert observers independently to obtain a radiological reference standard. The latest version of CAD4TB is found to outperform all previous versions in terms of area under receiver operating curve (ROC) with respect to both Xpert and radiological reference standards. Improvements with respect to Xpert are most apparent at high sensitivity levels with a specificity of 76% obtained at 90% sensitivity. When compared with the radiological reference standard, ...
Clinically significant radiological and symptomatic RP was rare in this study when 3-D treatment planning, aiming at minimizing V20 to the ipsilateral lung to ,30% was used for LRRT in early breast cancer. The result indicates that the used dose-volume constraints significantly reduced moderate-severe radiological RP on chest X-ray, in the present series, compared to our previous study [25]. The lung changes could not always be detected on chest X-ray and were also infrequent and generally limited on CT when this strategy was used. Variation in dosimetry alone (V13) was correlated with occurrence of radiological RP on CT. ROC analyses was performed, yet the area under the curve was only 0.7 which is not an ideal predictive value [24]. Co-variates as smoking habits, age, exposure to chemotherapy, endocrine- or trastuzumab therapy did not influence the outcome, but the few events may have hampered the possibility to evaluate this. In the present study, some women received radiation to the internal ...
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Purpose To assess the efficacy of deep convolutional neural networks (DCNNs ) in differentiating acute aortic dissections from non-dissected aortas on thoracic CT.
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Application of radiomics signature captured from pretreatment thoracic CT to predict brain metastases in stage III/IV ALK-positive non-small cell lung cancer patients
Anteroposterior (AP) and lateral chest films are used routinely to assist in the diagnosis of rib fractures, yet sensitivity as low as 50% has been reported. Delayed or follow-up radiographs can be ve... more
An acute exacerbation of IPF in the INPULSIS trials needed to meet the following criteria: unexplained worsening or development of dyspnoea within the previous 30 days; new diffuse pulmonary infiltrates visualised on chest radiography, HRCT or both, or the development of parenchymal abnormalities with no pneumothorax or pleural effusion (new ground-glass opacities) since the preceding visit and exclusion of any known causes of acute worsening, including infection, left heart failure, PE and any identifiable cause of acute lung injury, in accordance with routine clinical practice and microbiological studies.1 In view of the complexity of applying this definition in routine practice, each investigator-reported exacerbation was verified by a central adjudication committee, blinded to the study-group assignment, and classified as a confirmed, suspected or not an acute exacerbation. This central adjudication exercise was surely desirable as the definition involved several complex elements, and ...
Get creative in quarantine with a special #AtHomeArt project inspired by Shadow on the Glare artist Sam Charboneau. #AtHomeArt sponsored by SONIC Drive-In.
Results are reported of a prospective study, carried out by the Mass Radiography Service of the North-West Metropolitan Region for the purpose of evaluating early lung cancer detection by six-monthly chest radiographs. The lung cancer experience of a test group of 29,723 men aged 40 and over who were offered six-monthly chest radiographs over a period of three years is compared with a similarly constituted control group of 25,311 men who were radiographed only at the beginning and the end of the study. In the test group 29,416 men (98·9%) and in the control group 25,044 men (99%) were followed up. The methods employed to achieve this result are analysed. The six-monthly surveys of the test group yielded 65 cases of lung cancer, giving an annual incidence and detection rate of 0·9 per thousand examined. Of these cases 65% were resected. Of all cases of lung cancer in the test group, irrespective of their source of detection, 43·6% were operable, compared with 29% in the control group. The ...
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Using checklists as a guide to interpreting chest CT examinations can help identify diffuse abnormalities in acute disease, according to new research.
Computed tomography (CT) detected lung cancer in nine of 442 HIV-positive smokers at least 40 years old who had chest CT in a nationwide French study.
The National Lung Screening Trial (NLST) compared two ways of detecting lung cancer: low-dose helical computed tomography (CT) and standard chest x-ray. Both chest x-rays and low-dose helical CT scans have been used to find lung cancer early, but the effects of these screening techniques on lung cancer mortality rates had not been determined. NLST enrolled 53,454 current or
Pulmonary CT Image analysis for Nodule Detection using Inspired FCM Clustering - written by Dr. M. Mohamed Sathik , S Piramu Kailasam published on 2019/08/06 download full article with reference data and citations
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When compared to other common cancers, lung cancer patients are less likely to survive their cancer. This is often due to a delay in the recognition of the condition and performance of the chest X-ray (CXR). Delayed diagnosis reduces treatment choices because the cancer may have spread further and the person may have become too ill for treatment to be given safely. It is hoped that by diagnosing lung cancer sooner this will help improve survival, help with patient satisfaction and potentially extend the range of treatment options, which are more limited in delayed diagnosis. CXRs are often used when lung cancer is suspected, but there can be long delays for the results to be available to the patient and the GP. Radiographers traditionally take the X-ray, but they are reported by a radiologist, a medical specialist. Recent studies show that radiographers who have completed further training can report CXRs with similar accuracy to radiologists. This project will help to reduce delays in diagnosis ...
BACKGROUND: Chest CT may be used for the diagnosis of Coronavirus disease 2019 (COVID19), but clear scientific evidence is lacking. Therefore, we systematically reviewed and metaanalyzed the chest CT imaging signature of COVID-19. Q6 RESEARCH QUESTION: . STUDY DESIGN AND METHODS: A systematic literature search was performed for original studies on chest CT imaging findings in patients with COVID-19. Methodologic quality of studies was evaluated. Pooled prevalence of chest CT imaging findings were calculated with the use of a random effects model in case of between-study heterogeneity (predefined as I 2 $50); otherwise, a fixed effects model was used. RESULTS: Twenty-eight studies were included. The median number of patients with COVID19 per study was 124 (range, 50-476), comprising a total of 3,466 patients. Median prevalence of symptomatic patients was 99% (range, ,76.3%-100%). Twenty-seven of the studies (96%) had a retrospective design. Methodologic quality concerns were present with either ...
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The prior probability that a disease exists (its prevalence) and the extent to which a test result alters the chance of the disease existing determine whether further investigation is needed; this is the likelihood ratio of positive and negative tests. In the case of heart failure it is unlikely that a single positive test result will remove the need for further cardiac imaging before treatment is started. In contrast, a negative result may give a low posterior probability of disease so that further investigations are unnecessary.. The prevalence (or prior probability) of left ventricular systolic dysfunction in this study was 32%; this is consistent with that reported in other studies.4 The likelihood ratio for a patient without a history of myocardial infarction, with negative results on chest radiography and electrocardiography, and with concentrations of brain natriuretic peptide below the cut off, individually and in combination, are shown in the table. Measuring the concentration of brain ...
Rarely patients have also myasthenia gravis, low Gama globulins, medullary aplasia, especially for red line, and some other immune problems2,4,6.
Various methods and devices for replacing damaged, injured, diseased, or otherwise unhealthy posterior elements, such as the facet joints, the lamina, the posterior ligaments, and/or other features of a patients spinal column, are provided. In one exemplary embodiment, the methods and devices are effective to mimic the natural function of the spine by allowing flexion, extension, and lateral bending of the spine, while substantially restricting posterior-anterior shear and rotation of the spine.
Thoracic radiography is one of the most useful clinical tests undertaken in clinical practice and yet one of the most frequently cited areas of confusion.. This course aims to increase your ability to take optimal thoracic radiographs and to interpret them confidently. The modules focus on radiographic interpretation, with incorporation of complementary imaging modalities, particularly CT and sonography, to assist in explanations of the radiographic pathological patterns present.. Dogs, cats and exotics are all discussed with tutor -written notes, case studies, self-assessed quizzes and individual feedback enhancing the application of your learning. Make the most of the online forum to ask questions and share cases. Get to know your tutor and colleagues at the one-day face to face workshop ...
Example of the silhouette sign on chest X-ray. (Quick note to avoid confusion: X-rays are viewed so that the left side of the image is the right side of the ...
The purpose of this study was to assess the diagnostic image quality of ultra-low-dose chest computed tomography (ULD-CT) obtained with a radiation dose comparable to chest radiography and reconstruct
Obtain chest radiographs to evaluate for pulmonary edema in the setting of dyspnea or hypoxia occurring in a woman with preeclampsia, as shown in the following image. {file14361}The fetal ionizing rad... more
A chronic posttraumatic false aneurysm of descending aorta in a 19-year-old man who had been involved in a car accident 8 months earlier is described. He presented with chronic cough, and on chest roentgenogram, a mass in ...
For patients with thoracic sarcoidosis, when chest radiographic imaging results are correlated with the clinical findings, chest radiography may be the only imaging required. Approximately 60-70% of patients with sarcoidosis have characteristic radiologic findings.
TY - JOUR. T1 - Pulmonary infections in immunocompromised hosts. T2 - The importance of correlating the conventional radiologic appearance with the clinical setting. AU - Oh, Y. W.. AU - Effmann, E. L.. AU - Godwin, J. D.. PY - 2000. Y1 - 2000. N2 - The lung is one of the most frequently involved organs in a variety of complications in the immunocompromised host. Among the pulmonary complications that occur in this kind of patient infection is the most common is associated with high morbidity mortality. Although chest radiography computed tomography (CT) are essential diagnostic tools radiologists often have difficulty in establishing the correct diagnosis on the basis of radiologic findings alone. The reasons are that the immunocompromised host is potentially susceptible to infection from many different microorganisms that radiologic findings are seldom specific for the detection of a particular pathogen. Experience has shown that a particular clinical setting predisposes patients to infection ...
Radiography of the Dog and Cat: Guide to Making and Interpreting Radiographs offers a comprehensive guide to producing high-quality radiographs and evaluating radiographic findings. Equally useful as a quick reference or for more in-depth information on specific diseases and disorders, the book is logically organized into sections describing how to make high-quality radiographs, normal radiographic anatomy, and interpretation of radiographic abnormalities. It is packed with checklists for systematic evaluation, numerous figures and line drawings, and exhaustive lists of differential diagnoses, resulting in an especially practical guide for the radiographic procedures performed in everyday practice ...
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Backgraound An occult pneumothorax is a pneumothorax that is not seen on a supine chest X-ray but is detected by computed tomography scanning. However, critical patients are difficult to transport to...
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