Radiation exposure to patients undergoing percutaneous transluminal coronary angioplasty.
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Biomedical subjects
Publications and source records attributed to J Mantel.
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The use of intravenous xenon- 133 for determination of radionuclide first pass right ventricular ejection fraction is described. First pass determinations of right ventricular ejection fraction were made with both xenon- 133 and technetium-99m in 13 subjects (15 right ventricular ejection fraction determinations); results obtained with xenon- 133 show an excellent correlation (r = 0.98, p less than 0.002) with results obtained using technetium-99m. Because of rapid pulmonary elimination of xenon- 133 from the body, the use of this radioisotope allows multiple first pass right ventricular ejection fraction determinations within a short period of time, without significant radiation exposure for the patient.
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A study of single-plane right anterior oblique left ventricular angiography was undertaken to determine the importance of obtaining correct positioning of a magnification grid and to develop a simple but accurate technique to minimize magnification errors. Theoretical and experimental volume determinations demonstrated 3% to 28% volume errors for grid placement errors ranging from 1 centimeter to 5 centimeters. An experiment was designed whereby cross table lateral radiographs of the chest were taken during contrast injections of the left ventricle. The relative position of the left ventricular center was found at a point 66% of the distance from the anterior to the posterior margin of the heart. Finding this point on noncontrast lateral films of the chest for positioning of a square centimeter grid should yield a more accurate determination of the magnification factor than other current emperic methods.
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The authors describe a coordinate measuring device developed to simplify manual acquisition of the digital information required for computerized three-dimensional treatment planning. This system has been used for two years and shown to be both fast and accurate. The time needed to digitize contour data is reduced to approximately one-tenth of that required for manual methods in most cases.
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