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Biomedical subjects

E Rinast

Publications and source records attributed to E Rinast.

30 records · Page 2Linked to original sources
PubMed1989

Digital subtraction sialography, conventional sialography, high-resolution ultrasonography and computed tomography in the diagnosis of salivary gland diseases.

Forty-one patients with salivary gland disorders have been evaluated by digital subtraction sialography, conventional sialography, high-resolution ultrasonography and computed tomography, and the results compared with clinical, surgical and pathomorphological data. In the case of salivary gland masses, the sensitivity of ultrasonography, CT and digital subtraction sialography was 100%, 82% and 71%, respectively, while in the case of sialadenitis, the respective figures were 54%, 69% and 85%. The image quality of digital subtraction sialography was superior to that of conventional sialography in 80%, equal in 16%, and inferior in 3% of the examinations. We conclude that in all cases of salivary gland diseases ultrasound should be the first imaging procedure. If a tumour is not confirmed, digital subtraction sialography should be employed to visualise inflammatory changes, while in most cases of salivary gland masses no further imaging will be necessary.

Humans↗
PubMed1988

Translumbar catheter angiography with a needle-sheath system.

Translumbar catheter angiography with a new needle-sheath system was used in 175 patients and proved to be a safe and simple technique. No complications related to aortic puncture or catheter manipulation were observed. The 5-F sheath allowed the introduction of 4-F catheters of different lengths and shapes. Results of computed tomography performed after the procedures in ten patients, and intraoperative findings obtained in 22 patients, showed only minimal hematomas in the retroperitoneal space.

Angiography↗
PubMed1987

[Digital subtraction dacryocystography and sialography].

Fourteen examinations of the tear ducts and 21 sialograms were performed using digital subtraction and conventional techniques. In nine of the former and 15 of the latter, digital subtraction produced better results, in the remainder conventional technique was equally good. The advantages of digital subtraction are due to the removal of superimposed structures of the skull. Dose measurements at the level of the lens of the eye showed a greatly reduced radiation dose when using digital subtraction, as compared with conventional dacryocystography. Digital subtraction techniques with pulsed radiation and the ability to perform pixel shift is an optimal method for performing radiological examinations of the tear ducts and salivary glands.

Humans↗
PubMed1987

[Digital subtraction dacryocystography].

A comparison of 17 radiological examinations of the lacrimal pathways performed on twelve patients using digital subtraction and conventional film technique showed that digital subtraction dacryocystography yields images of superior quality. Digital subtraction makes enhanced imaging of the opacified tear duct as well as elimination of super-imposing skeletal structures possible, which with conventional techniques frequently impair diagnostic accuracy. In measurements of the radiation dose sustained by the crystalline lens, the radiation level with digital subtraction was found to be considerably lower than with the conventional method.

Humans↗
PubMed1987

[Digital subtraction sialography].

In 22 patients we performed 33 sialographies of salivary glands using digital subtraction technique as well as conventional technique (100 mm camera). In the majority of cases the digital subtraction technique was superior to the conventional technique regarding diagnostic image quality. Additionally, digital subtraction technique generally needs a lower number of contrast media application. Hence we recommend digital subtraction technique for radiological imaging of salivary glands and ducts.

Humans↗
PubMed1987

[Right ventricular endomyocardial fibrosis].

The clinical course, non-invasive and invasive diagnostic findings from a 50-year-old patient with endomyocardial fibrosis are reported. The patient died in cardiogenic shock. In Europe, endomyocardial fibrosis is a rare event. An exclusively right ventricular involvement is a seldom manifestation. The clinical, echocardiographic and computed tomographic features are diagnostic; therefore a satisfactory differentiation from other cardiac disorders with restrictive hemodynamic signs is possible. An echodense mass as cavity obliteration, with predominantly apical localization, was present at echocardiography; the computed tomography showed a hypodense area instead of the right ventricular cavity.

Echocardiography↗
PubMed1987

[Arterial bolus dynamics of ionic and nonionic contrast media in intravenous administration].

A more favourable intraarterial pattern of bolus dynamics can be expected in DSA on applying nonionic contrast media via the intravenous route, as can be concluded from the results of numerous experimental studies on the different effects of ionic and nonionic contrast media on cardiovascular function. However, bolus measurements of ionic and nonionic contrast media in intraindividual comparison of 28 patients via serio-CT did not yield any significant difference. The influences of various factors on measurement results--quantities of contrast media, time and method of measurement--are discussed as possible causes of this discrepancy.

Contrast Media↗
PubMedDate not supplied

Initial clinical experience with a new pulsed dye laser device in angioplasty of limb ischemia and shunt fistula obstructions.

Selective plaque ablation with laser radiation at 405-530 nm in vitro has been reported. We investigated the possibilities of a new pulsed dye laser device for in vivo recanalization of arteries in ischemic lower limbs and stenoses/occlusions of arterio-venous hemodialysis shunt fistulae. A specially designed 9F or 7F multifiber catheter was used for treatment of 10 patients with lower limb artery obliterations and 11 patients with malfunctioning hemodialysis access fistulae (HAF). The recanalization technical success was 5/5 in the iliac arteries (IA), 4/5 in the superficial femoral arteries (SFA), and 11/11 in the HAF. Early re-occlusions occurred in one SFA and one IA, respectively, caused by very bad run-off. There was one clinically insignificant SFA perforation. Additional balloon angioplasty was considered necessary in 10/16 lesions. Mean ankle-arm index increased from 0.68 to 0.97. With two exceptions all HAF patients were re-integrated in the dialysis program. Pulsed dye laser angioplasty promises to be an effective and fast method for plaque ablation/debulking. The first clinical experience confirms previous in vitro results. In particular laser recanalization may become the method of choice for treatment of rigid HAF obstructions and it seems to be superior to vascular surgery or balloon angioplasty alone.

Aged↗
PubMedDate not supplied

Non-absorbable fat-dense oral contrast agent for abdominal computed tomography.

Opacification of the gastrointestinal tract for CT scanning is usually achieved by oral administration of a diluted iodine solution or barium suspension. As high-density contrast agents often cause image degrading artifacts, we investigated the value of a paraffin-methylcellulose emulsion as an oral CT scanning agent. Diseases of the intestinum were clearly outlined with paraffin emulsion, and image degrading artifacts were virtually not encountered.

Administration, Oral↗
PubMedDate not supplied

Follow-up study of renal transplants by duplex Doppler and gray-scale ultrasound.

In the early postoperative period after renal transplantation 388 follow-up ultrasound examinations were performed in 77 patients. Over a period of 18 months standardized duplex indices (resistive index, pulsatility index) and gray-scale parameters (parenchyma/sinus index; medulla/cortex index) were sampled. These data were correlated retrospectively with clinical and pathological diagnoses. To delineate the individual course of duplex and gray-scale indices during different transplant diseases we created a new parameter: the MID (maximal index difference) which is a result of the difference between the highest index during the phase of renal dysfunction and the lowest index during the phase of normal renal function. This MID, calculated for duplex indices and for the parenchyma/sinus index, indicated significant differences in the behavior of renal transplants during the four main diseases: interstitial rejection, vascular rejection, acute tubular necrosis and Cyclosporine A nephrotoxicity. Using the MIDs, a table of cut-off values was established, which enables to differentiate retrospectively these four transplant complications with a sensitivity of 84% and specificity of 81%. In our opinion consequent follow-up examinations with duplex and gray-scale sonography should be performed, enabling sonography to become a helpful diagnostic instrument in the monitoring of renal transplants.

Cyclosporine↗