S Sostre, H H Drew, Z Szabo, H Rivera-Luna, E E Camargo
{"title":"Diagnostic and functional implications of pelvocalyceal system nonvisualization on [99m]Tc-DTPA renal images.","authors":"S Sostre, H H Drew, Z Szabo, H Rivera-Luna, E E Camargo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Most functional abnormalities observed on 99mTc-DTPA renal images probably reflect GFR changes and the functional consequences of these changes. We have noted an unexplained failure of the pelvocalyceal system to visualize in some patients during the renal imaging sequence. This led us to study the relationship between pelvocalyceal nonvisualization and GFR, and to search for plausible explanations of the absent visualization. In 41 patients with combined renal imaging and GFR determinations, pelvecalyceal nonvisualization was seen only with GFR values below 20 ml/min. The sign was 100% sensitive and 100% specific predicting GFR less than 20 and serum creatinine above 2.9 mg/dl. In vitro studies revealed markedly reduced amounts of DTPA chelate in the urine of patients with GFR less than 20, but in addition they had decreased tubular water reabsorption leading to dilution of the already reduced urine chelate contents. The reduced amounts of 99mTc-DTPA per ml of pelvocalyceal urine may account for the nonvisualization of this system. It may be that the intensity of the pelvocalyceal system reflects the adequacy of both the GFR, and the water reabsorptive function of the renal tubules.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 3","pages":"125-31"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M L Goris, J Bretille, S Askienazy, G P Purcell, V Savelli
{"title":"Validation of diagnostic procedures on stratified populations: application on the quantification of thallium myocardial perfusion scintigraphy.","authors":"M L Goris, J Bretille, S Askienazy, G P Purcell, V Savelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this report we present a method for the quantitative description of the degree of deviation from the norm of 201thallium single photon emission tomographic (SPECT) data. Validation is obtained from the frequency of \"positive\" outcomes in subgroup of patients in whom the prevalence of coronary artery disease, for the group as a whole, is known, even if individual patient outcomes are not verified. This approach overcomes the bias associated with nonrandomized clinical studies, in which the likelihood that a more invasive but definitive procedure (coronary arteriogram) will be performed is influenced by the result of the outcome of the procedure under study.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 1","pages":"11-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13789520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D S Henley, M B Johnson, P M Colletti, W D Boswell, J M Halls, P W Ralls
{"title":"Pulsed Doppler sonography of the hepatoduodenal ligament: efficacy and ease of performance.","authors":"D S Henley, M B Johnson, P M Colletti, W D Boswell, J M Halls, P W Ralls","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A prospective analysis of the hepatoduodenal ligament (HDL) in 205 patients with abdominal pulsed Doppler sonography supports the conclusion that Doppler ultrasound is a useful adjunct to routine scanning in this area. Abdominal pulsed Doppler sonography allows reliable differentiation among the HDL structures by identifying and characterizing flow in the portal vein and hepatic arterial structures, while demonstrating no flow in the bile ducts. Proper hepatic arterial signal was obtained in 190 (92.7%) patients. Portal venous signal was obtained in virtually all (203 of 205-99%) patients. Abdominal Doppler sonography shows promise in its ability to provide definitive diagnostic information in situations where images alone may prove misleading. Doppler sonography can differentiate similarly sized bile ducts and arteries and detect dilated arterial and venous structures simulating dilated bile ducts.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 2","pages":"50-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13808545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pharmaceutical quality control of radiolabeled monoclonal antibodies and their fragments.","authors":"S J DeNardo, G L DeNardo, J S Peng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Monoclonal antibodies are immunochemical reagents whose functional integrity is critical to their clinical applications. Quality control through each stage from antibody production through purification and radiolabeling is necessary if radiopharmaceuticals with reproducible in vivo characteristics are to be achieved. This article describes some of the quality control methods that can be used during developmental and clinical stages of evolution of these radiopharmaceuticals.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13789522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T K Chaudhuri, S Fink, R H Burger, I C Netto, J D Palmer
{"title":"Physiological considerations in radionuclide imaging of the penis during impotence therapy.","authors":"T K Chaudhuri, S Fink, R H Burger, I C Netto, J D Palmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The increased use of intracorporeal drugs in the treatment of impotence has advanced our understanding of erectile physiology. Radionuclide imaging of the penis (nuclear penogram) has provided clinicians with a noninvasive, objective measure of blood flow and blood pool changes during erection and with assistance in the quantitative documentation of therapeutic effect.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 2","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13808547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Technetium-99m haemaccel: a new lymphoscintigraphic agent.","authors":"S Sadek, A Owunwanne, T Yacoub, H M Abdel-Dayem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Haemaccel, a denatured gelatin polymer with average molecular weight of 35,000, was labeled with Tc-99m and evaluated in rats and rabbits. The labeling efficiency was consistently higher than 85%. Tc-99m haemaccel (200 microCi in 0.05 ml) was injected intradermally into the hind footpads of rats lightly anaesthetized with diethyl ether vapour. Using a gamma camera, static images of the anterior view were obtained at various time intervals after injection. The images obtained demonstrated good localization of Tc-99m haemaccel in regional lymph nodes. In rats, about 3% of the injected dose was trapped in the node, and 48% remained at the injection site at 4 h after injection. In rabbits, good-quality images of lymph nodes and lymphatic channels of the hind legs were obtained within 15 min after intradermal injection of Tc-99m haemaccel. Tc-99m haemaccel showed fast migration from the injection site, good accumulation in the lymph nodes, and good visualization of lymphatic channels. Hence, it has a potential application in lymphoscintigraphy.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 2","pages":"46-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13897922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W J Jagust, B R Reed, J P Seab, J H Kramer, T F Budinger
{"title":"Clinical-physiologic correlates of Alzheimer's disease and frontal lobe dementia.","authors":"W J Jagust, B R Reed, J P Seab, J H Kramer, T F Budinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirty patients with degenerative dementia underwent clinical evaluation, neuropsychological testing, and single photon emission computed tomography (SPECT) with the blood flow tracer [123I]-N-isopropyl-p-iodoamphetamine. Five of these patients were clinically and psychologically different from the others, demonstrating predominant behavioral disturbances with relative preservation of memory function. These five patients, who were felt to have a frontal lobe dementia (FLD), showed SPECT perfusion patterns which differed from the remaining 25 patients, who were diagnosed as having Alzheimer's disease (AD), and from 16 healthy control subjects. The FLD patients showed diminished perfusion in orbitofrontal, dorsolateral frontal, and temporal cortex relative to controls, while the AD patients showed lower perfusion in temporal and parietal cortex than controls. The FLD patients also showed hypoperfusion in both frontal cortical regions relative to AD patients. The pattern of performance on neuropsychological testing paralleled these differences in regional perfusion. These results suggest that clinical evaluation and physiological imaging may enable the differentiation of groups of degenerative dementia patients during life.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 3","pages":"89-96"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13928878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rapid MR imaging of renal perfusion: a comparative study of GdDTPA, albumin-(GdDTPA), and magnetite.","authors":"P F Daly, J B Zimmerman, J S Gillen, G L Wolf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>MR contrast agents injected intravenously reach the kidney very rapidly. Modification of a gradient recalled echo sequence allowed acquisition of 32 sequential MR images each 3.9 s apart on a 1.5 T clinical imager. This sequence was then used to observe the renal accumulation of contrast agent following an intravenous bolus of 100 microns/kg GdDTPA, 60 microns/kg albumin-(GdDTPA) or 9.6 and 40 mg/kg of 0.7 mu magnetic latex microspheres in rats or rabbits. Serial changes in image intensity were obtained with 3.9 s temporal and 0.08 ml spatial resolution. The renal cortical response to GdDTPA was similar to changes in blood 1/T1, but the medulla showed first a signal enhancement owing to the initial increased T1 relaxation followed by loss of signal as increased concentrations caused T2 relaxation to become predominant. Changes in intensity caused by magnetite and albumin-(GdDTPA) correlated with the 1/T1 changes observed in blood samples consistent with the predominantly intravascular location of these two agents. We conclude that MRI provides high spatial resolution with sufficient temporal resolution to record tissue response to an intravenous bolus of MR contrast agents.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 4","pages":"165-74"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13837005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G H Sigurdsson, J T Christenson, M al-Mousawi, A Owunwanne
{"title":"Use of indium-111 oxine to study pulmonary and hepatic leukocyte sequestration in endotoxin shock and effects of the beta-2 receptor agonist terbutaline.","authors":"G H Sigurdsson, J T Christenson, M al-Mousawi, A Owunwanne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The dynamic behavior of indium-111 oxine-labeled leukocytes was simultaneously recorded in multiple organs during endotoxin shock in sheep. Also, the effects of the beta-2 receptor agonist terbutaline were studied. An experimental protocol was designed to mimic a clinical condition in an intensive care setting as far as possible. The animals were ventilated with 50% oxygen to avoid hypoxemia and were given large amounts of intravenous fluids to reduce adverse effects of hypovolemia. A moderate dose of E. coli endotoxin (10 micrograms/kg bwt) was given by intravenous infusion to 14 adult sheep, seven of them receiving continuous intravenous infusion of terbutaline (20 micrograms/kg/hr) during 4 hr, starting 30 min after endotoxin, when signs of lung injury had developed. The other seven acted as controls. A marked pulmonary and hepatic leukocyte sequestration together with a sharp drop in leukocyte counts in peripheral blood occurred within minutes after start of the endotoxin infusion in both groups. However, no changes were observed in the kidneys or the gut. After 60 min and until the end of the experiment, there was a significantly lower activity in the lungs and in the liver of the animals treated with terbutaline than in the controls (P less than .01). Furthermore, less marked hemodynamic and respiratory alterations occurred in the terbutaline group compared with the controls. This study confirms the results of other investigators showing that significant leukocyte sequestration occurs in the lungs during endotoxemia, but it also demonstrates that leukocytes sequestrate in the liver, although slightly less than in the lungs.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 4","pages":"136-42"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13718865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Nishimura, Y Yamada, M Hayashi, T Kozuka, T Nakatani, H Noda, H Takano
{"title":"Determination of infarct size of acute myocardial infarction in dogs by magnetic resonance imaging and gadolinium-DTPA: comparison with indium-111 antimyosin imaging.","authors":"T Nishimura, Y Yamada, M Hayashi, T Kozuka, T Nakatani, H Noda, H Takano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute myocardial infarctions were produced in nine dogs by ligation of the left anterior descending coronary artery. Twenty-four hours after ligation, 0.5 mM/kg of gadolinium (Gd)-DTPA was injected intravenously, followed by cardiectomy 30 min later. Indium-111 antimyosin was administered intravenously 6 hr before cardiectomy to compare the infarct size with Gd-DTPA contrast enhancement. Areas of Gd-DTPA contrast enhancement were closely correlated with those of indium-111 antimyosin uptake (r = .86), although the former showed slightly greater than the latter. Partial and complete enhancements were observed in three and six dogs, respectively. In the T1 and T2 maps, T1 relaxation times of the infarcted area showed greater T1 shortening compared with normal myocardium, whereas T2 relaxation times were not different between infarcted and normal myocardium. Thus, Gd-DTPA showed significant contrast enhancement of the infarcted area because of greater T1 shortening and the extent of Gd-DTPA contrast enhancement expressed the infarct size precisely.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"4 3","pages":"83-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13928877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}