There are many potential applications of three-dimensional (3D) image registration in MR-guided radiofrequency (RF) thermal ablation of tumors. For example, after registration of image volumes obtained before and after thermal ablation, a variety of quantitative and visual assessments of therapy were performed. For liver tumors, the accuracy of rigid body, manual registration on 19 pairs of image volumes was evaluated, almost all of which were obtained during thermal treatment sessions. Registration error was estimated as a distance between anatomical landmarks, including both internal vascular structures as well as the surface of the liver. Over all image pairs and throughout a large portion of the liver, the registration error was 3.1 mm (mean + 1 SD). From the bottom to the top of the liver, error increased on the order of 13%, probably because of liver motion and deformation resulting from respiration. Although probably insufficient for blind guidance of therapy, registration accuracy was undoubtedly sufficient for interesting applications in the planning, assessment, and optimization of interventional MR-guided thermal treatment of liver tumors.

Catheter Ablation↗

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Memory and retrieval.

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Child↗

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Comparison of a hemagglutination treponemal test for syphilis (HATTS) with other serologic methods for the diagnosis of syphilis.

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Adult↗

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Estimation of tendon moment arms from three-dimensional magnetic resonance images.

New three-dimensional (3D) magnetic resonance imaging (MRI) methods for measuring the tendon moment arm were created and were evaluated on the tendon moment arm of the flexor digitorum profundus at the third metacarpophalangeal joint. Using an open magnet MRI system and a hand holder, a series of static images were acquired at four joint angles and analyzed using specially created computer programs. Three methods were evaluated: (1) a 3D tendon excursion method that extended the method of Landsmeer; (2) a 3D geometric method whereby the moment arm was the perpendicular distance between the joint axis of rotation and the tendon path, and (3) a two-dimensional (2D) geometric method whereby single image slices were analyzed. Repeating the imaging and measurement processes, the 3D tendon excursion method was more reproducible (6% variation) than the 3D geometric method (12%), and both were much more reproducible than the 2D geometric method (27%). By having three operators analyze a single set of image data, we found that the precision of the 3D tendon excursion method was much less affected by segmentation error than the 3D geometric method. With the 3D imaging methods, tendon bowstringing and a displacement of the joint center of rotation toward the dorsal side of the hand were evident, leading to as much as a 60% increase in moment arm with joint flexion. Because of the dependence on flexion and variation between subjects, we recommend patient-specific measurements for target applications in functional neuromuscular stimulation interventions and tendon transfer surgery.

Analysis of Variance↗

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Variation of output with atmospheric pressure and ambient temperature for Therac-20 linear accelerator.

The Therac-20 (a linear accelerator manufactured by the Atomic Energy of Canada, Ltd.) employs an unsealed monitor chamber to control the dose output. Daily fluctuations in machine output for both x rays and electron beams were observed to vary with ambient temperature and atmospheric pressure. These variations were not related to any other machine parameters. Variations as large as 3.5% were seen by monitoring 18-MV x-ray output over several months. We recommend that the manufacturers take steps to eliminate the atmospheric dependence of dose rate.

Atmospheric Pressure↗

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Dosimetry of small fields for Therac 20 electron beams.

The Therac 20 medical linear accelerator produces electron beams of 6, 9, 13, 17, and 20 MeV. We measured depth dose, isodose curves, and output factors for small electron fields using an ionization chamber, film, and thermoluminescent dosimeters. Tables and graphs were generated from these measurements for accurate treatment planning of various blocked and open fields.

Electrons↗

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Depth dose characteristics of elongated fields for electron beams from a 20-MeV accelerator.

In a Therac-20 linear accelerator, 6-20 MeV electron beams are normally produced by shaping a scanned electron beam through primary x-ray collimators and secondary electron trimmers. The collimator settings range continuously from 2 to 30 cm. Depth dose and field flatness parameters were measured for small elongated fields of the various electron energies. Depth dose of narrow fields defined either by the machine's collimator or lead cutouts agreed with data predicted from small square fields using the "square-root" method.

Biophysical Phenomena↗

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Dosimetric study of total skin irradiation with a scanning beam electron accelerator.

The Therac 20 6-MeV scanned electron beam may be used for partial or total skin therapy. The maximum field size at 1 m is 30 X 30 cm defined by a set of primary photon collimators in conjunction with secondary trimmers. We have studied electron beam profiles with and without trimmers at the nominal source-skin distance of 1 m versus extended distances of 3-5 m. We find that the trimmers limit the field size and add little to the beam uniformity at extended distances. Beam energy, dose distributions, and output factors at extended distances were measured for single and multiple field arrangements with and without trimmers. Beam parameters were measured after introducing a degrader that lowered the energy to 3.7 MeV.

Humans↗

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A mechanical and histomorphometric analysis of bone bonding by hydroxyapatite-coated strain gages.

Identification of the strains controlling bone remodeling is important for determining ways to prevent bone loss due to load deprivation, or implant placement. Long-term monitoring of strains can potentially provide the best information. Glues are resorbed within 2-3 weeks. Two formulations of microcrystalline hydroxyapatite (HA) were used to attach strain gages to rat femora to assess their long-term in vivo strain measurement capability. Seven male rats received HA-coated gages, and 2 animals underwent a sham procedure. The gages were prepared using a published technique and placed on the antero-lateral aspect of the left femora. After 6-7 weeks, the animals were euthanized and both femora explanted. Gages were attached to the right femora with cyanoacrylate. All femora were tested in cantilever bending, then embedded, sectioned, and stained with mineralized bone stain. The undecalcified sections were examined using transmitted and ultraviolet light microscopy. Mechanical testing showed one HA formulation provided 70-100% bonding. Histology showed intimate contact between the gage and bone surface. Histomorphometry indicated increased bone activity under the gage compared to the remaining bone, the controls, and the shams. The results indicate that microcrystalline HAs bond to bone quickly and can allow long term in vivo measurements.

Animals↗

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Liquid chromatographic determination of total formaldehyde in drinking water.

Formaldehyde is readily quantitated at micrograms/L levels in drinking water. The analyte present in 1 L water samples is derivatized with 2,4-dinitrophenylhydrazine in a 2M acid medium and then extracted with chloroform. After the solvent is exchanged for methanol, the product is separated and quantitated using reverse-phase liquid chromatography with UV detection (365 nm). Reporting limits as low as 20 micrograms/L (corrected for laboratory blank) are routinely achieved. Formaldehyde recovery typically exceeds 90% at 20-200 micrograms/L. The method was applied to hot and cold water samples from thirty-four 1- and 2-story houses equipped with poly(acetal) plumbing elbows and tees. The drinking water samples were accompanied by sets of blanks and spikes specified by a quality assurance/quality control plan. Formaldehyde was observed above the reporting limit in 80% of hot and cold water samples from the 1-story dwellings, but in less than 50% of those from the 2-story dwellings. The results may depend on both the construction of the houses (1- vs 2-story) and the time of year the water is sampled (mid-summer).

Chromatography, Liquid↗