Search PubMed⌕ Search

Biomedical subjects

P F New

Publications and source records attributed to P F New.

At least 37 records · Page 2Linked to original sources

National Cancer Institute study: evaluation of computed tomography in the diagnosis of intracranial neoplasms. IV. Meningiomas.

Intracranial meningiomas were detected in 164 of the 2,928 patients in the National Cancer Institute study of computed tomography (CT) in the diagnosis of intracranial tumors. The comparative effectiveness of contrast-enhanced and noncontrast CT scanning and other radiological modalities--plain skull radiography, angiography, radionuclide studies, and pneumoencephalography--was assessed. CT was demonstrated to be the most accurate method for detecting intracranial meningiomas (accuracy of 84.8% for noncontrast and 96.2% for contrast-enhanced CT). It was significantly more accurate than radionuclide studies and plain radiography, and was slightly more accurate than angiography. Pneumoencephalography was performed in only five cases, and identified a mass in four. Angiography was useful for increasing the percentage of specific diagnoses.

Adolescent↗

Evaluation of mucoceles of the paranasal sinuses with computed tomography.

Eighteen patients with mucoceles of the paranasal sinuses were studied by plain radiography, pluridirectional tomography, and computed tomography (CT). Sixteen of the lesions had a homogeneous appearance on CT but demonstrated variable absorption characteristics, with acutely infected mucoceles showing rim enhancement. Plain radiography and pluridirectional tomography were usually sufficient for making a diagnosis and defining the extent of the lesion, but CT more accurately demonstrated orbital and intracranial extension. Both transverse and coronal CT are essential for adequate evaluation.

Adolescent↗

Computed tomography of the orbit with special emphasis on coronal sections.

Computed tomography (CT) is an extremely valuable noninvasive method for evaluating orbital soft-tissue structures. The possibility of scanning in the coronal plane has added a new dimension to the study. Direct enlargement viewing of scans on the display console has disclosed minute anatomic and pathologic details.

Humans↗

Orbital fracture evaluation by coronal computed tomography.

Coronal computed tomography produces orbital scans in a plane that is analogous to Caldwell-view x-ray films. Coronal computed tomography permits simultaneous visualization of the orbital walls and the orbital soft tissues, including all extraocular muscles. Using coronal computed tomography, we studied a series of patients with radiographically proven orbital floor fractures. We studied in detail three of these patients, one with a linear orbital floor fracture, one with a depressed orbital floor fracture, and one with a severely comminuted orbital floor. In two patients, coronal computed tomography showed inferior rectus muscle entrapment, which was confirmed at the time of surgery. In each patient, some bone fragments could be seen more discreetly on coronal computed tomography than on conventional polytomes. Coronal computed tomography may be used to help confirm extraocular muscle entrapment in patients with orbital floor fractures. Coronal computed tomography can also be used to examine patients with possible intraorbital foreign bodies, unexplained reduction of vision, or severely displaced bone fragments.

Adult↗

Computed tomography of the orbit with special emphasis on coronal sections: Part I. Normal anatomy.

Computed tomography (CT) of the orbit is capable of demonstrating soft tissue structures not visualized yet by any other radiological modality. The possibility of obtaining direct coronal slices has added a new dimension to the study. Direct enlargement viewing on the display console reveals many anatomical details. For better evaluation of pathological findings, an accurate anatomical knowledge is required. The purpose of this study is to report on the normal anatomy of the orbital soft tissues made visible by CT, with emphasis on the coronal views.

Adipose Tissue↗

Computed tomography of the orbit with special emphasis on coronal sections: Part II. Pathological anatomy.

Visualization of orbital soft tissue structures by computed tomography in direct coronal and axial studies is extremely useful in diagnosis. Direct enlargement viewing of scans has disclosed minute anatomical details. This study reviews some of our experiences in the investigation of a variety of lesions within the orbit and attempts, in particular, to illustrate the value of direct coronal studies.

Adult↗

Computed tomography of the paranasal sinuses and face: part I. Normal anatomy.

With the ability to image both bone and soft tissue structures, computed tomography (CT) is capable of visualizing many normal anatomical structures of the paranasal sinuses and face not seen with other radiological techniques. The superficial and deep fat planes, all of the muscles of mastication, and many of the facial muscles are readily identified. The extraocular muscles, optic nerves, and globes are clearly seen. The purpose of this report is to review the normal anatomy of the paranasal sinuses and face imaged by CT in both the transverse and coronal planes.

Face↗

Computed tomography of the paranasal sinuses and face: part II. Pathological anatomy.

Computed tomography (CT) has added an important new dimension to the radiological evaluation of diseases of the paranasal sinuses and face. Using transverse and coronal scans, accurate assessment of the character and extent of mass lesions in this region can be achieved. Erosion of thin bony lamine and involvement of soft tissue structures of the face can be seen. Most important, CT is capable of precisely defining the extension of lesions into the pterygopalatine fossa, orbit, and cranial cavity, information that is essential for therapeutic planning.

Adult↗

Computed tomographic evaluation of traumatic spinal injuries.

A full radiological evaluation of patients who sustained traumatic injuries to the spine may be difficult to obtain due to the danger associated with manipulation. Computed tomography offers a new modality for simple and accurate evaluation; valuable information may be gained without the use of invasive methods.

Humans↗

Computed tomographic examination of heavy marijuana smokers.

Computed tomographic scans were obtained from 19 men with long histories of heavy marijuana smoking and who were also observed to smoke large amounts of marijuana under research ward conditions. The ventricular system and subarachnoid spaces were normal in size and showed no indication of atrophic change.

Adult↗

Computed tomography of the skull and facial structures: preliminary evaluation of direct coronal sections.

Skull and facial structures may be evaluated on computed tomography (CT), as well as the brain. A valuable new dimension to the study has been added with the feasibility of obtaining direct coronal sections using a wide gantry aperture. The patho-anatomical details of bone and soft tissues including the orbit and paranasal sinuses are well demonstrated. Direct viewing on a display console of an enlarged quadrant of the scan is of prime importance in diagnosing fine changes involving the thin facial bones.

Humans↗

Computed tomography of acoustic neuroma.

Review of computed tomographic (CT) scans of 49 consecutive patients with surgically excised acoustic neuromas revealed positive scans in 80% following contrast enhancement, with 20% false negative scans. All tumors over 2 cm in diameter were shown by optimal scans with contrast enhancement. The positive scans were evaluated to determine the accuracy of the size of the lesions as predicted by the scan. A radiological approach to the evaluation of suspected acoustic neuromas is suggested.

Contrast Media↗

A review of the findings on computed cranial tomography following intravenous contrast media.

The diagnostic contribution of contrast enhancement by intravenous injection of meglumine diatrizoate was assessed in 121 patients who received both plain and contrast enhanced cranial CT scans. The use of contrast enhancement was found to provide both an increased sensitivity in detection of lesions and some improvement in pathological differentiation of lesions. The use of contrast enhancement in addition to plain CT scans increases the reliability of CT scans in excluding such conditions as neoplasms, abscesses, and vascular malformations. Because the use of contrast medium is associated with morbidity (and significantly extends the length of the total study), the decision to employ contrast enhancement must be based upon a careful evaluation of the clinical, other radiological, and plain CT findings in the individual patient.

Brain Diseases↗

Computed tomography in extra-dural epidermoid and xanthoma.

Two cases of extradural epidermoid cyst and one case of xanthoma are reported in order to describe the computed tomographic and other radiographic findings. Contrast enhancement of the margin was seen in all of the cases. Absorption values almost as low as those found with cerebrospinal fluid were present in the central region of the lesions.

Adult↗

Diagnosis of epidermoid tumor by computed tomography. Analysis and evaluation of findings.

Primary intracranial intradural extraventricular epidermoid tumor may be suggested by the findings on computed tomography (CT), which is also useful during the follow-up period. Epidermoid tumors may exhibit minimal symptoms and have usually spread far beyond their original site by the time they are found. Early detection, delineation, and characterization are possible with CT.

Adult↗

Attenuation measurements of whole blood and blood fractions in computed tomography.

Computed tomography (CT) provides an extraordinarily effective means of diagnosing intracranial hemorrhages. Normal blood has a relatively high x-ray attenuation in the circulation and following extravasation, permitting the discrimination by CT of many pathologically enlarged vascular spaces containing circulating blood and/or blood clot (such as arteriovenous malformations and large aneurysms) in addition to recent hemorrhages, from continguous anatomical structures. To promote further understanding of the factors contributing to the attenuation of blood in normal and abnormal states. the attenuations of various preparations of whole blood and blood fractions were investigated in further detail.

Blood↗