[Radiotherapy of prostatic neoplasms].
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Biomedical subjects
Publications and source records attributed to A Tsuya.
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We have investigated the hemodynamic mechanisms of delay phenomenon of various types of deltopectoral flaps and optimal time for transfer after delay operation using the local clearance method of Xenon-133. Characteristic differences were observed in recovery patterns of the distal blood flow among five types of delay procedure the results obtained are reported. In Group 1 (U-shaped, raised deltopectoral flap), two types of recovery patterns (fast and slow) were obtained. In cases of faster recovery, the optimal transfer time after delay is considered to be almost 10 days. In cases of slow recover in groups I and II (U-shaped, raised deltoid flap), the optimal time for transfer is thought to be 2 to 3 weeks. In group III (deltopectoral flap lined with a split-skin graft) and group IV (tubed, raised deltopectoral flap), a faster recovery pattern was observed than in groups I and II, and the optimum transfer time is considered to be about 7 to 14 days after delay operation. Accordingly, the use of groups III and IV would be highly recommended instead of group I. In group V (bipedicled, raised deltopectoral flap), the time of lateral incision was found to be critical.
In a study of 726 patients, xeroradiography of the thyroid using a modified oblique projection was found to be superior to conventional soft-tissue radiography in detecting calcification in thyroid tumors because of edge enhancement. This facilitated a diagnosis of carcinoma in 75% of 68 primary tumors and 55% of 33 recurrent lesions. When other diagnostic criteria were included, the level of accuracy was 85% for primary tumors and 79% for recurrences. Examination with 131I was positive in 57 primary tumors (83%) and 4 recurrences (12%). The authors recommend routine combination of the two methods.
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A study was made to determine the skin blood flow at the deltoid region in 89 cases, and the regional blood flow of delayed deltopectoral flaps, using the local clearance of 133Xe. The change in the skin blood flow, before and after a delay procedure of the deltopectoral flap, was measured in 27 patients--and the following results were obtained. (1) There was a linear tendency to a decreasing flow, one found to be statistically significant, with increasing age of the patient. (2) A significant correlation was found between the skin blood flow and the blood flow of the subcutaneous tissue. (3) The blood flow after we raised one side of a deltopectoral flap and lined it with a split-skin graft was higher than that found after a U-shaped undermining and not lining a flap. (4) The rate of successful transfer of a deltopectoral flap was found to be low when the 133Xe clearance rate was less than 0.07.
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