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Biomedical subjects

R Langer

Publications and source records attributed to R Langer.

651 records · Page 37Linked to original sources

A novel bioreactor based on suspended particles of agarose-immobilized species.

Bioreactors often contain porous particles of agarose because these provide an enormous surface area (50 m2/cc gel) onto which enzymes or antibodies can be immobilized. Although many investigators claim that contact with agarose induces significant blood damage, we find that the biocompatibility of immobilized agarose is significantly improved when a novel system is used to fluidize the particles within the bioreactor vessel. We have built a prototype device that is oscillated vigorously about the axis of fluid flow. This action produces secondary flow patterns within the vessel that suspend the particles. In our model system, the bioreactor contains agarose immobilized heparinase. The system is biocompatible for 2 hours in vitro (in human blood at 37 degrees C) as follows: 1) hematocrit, white cell, and platelet counts do not change, 2) levels of plasma hemoglobin increase to 15-34 mg/dl, and 3) levels of complement component C3a increase to 0.64-1.4 micrograms/cc. We hope these studies lead to the development of a heparin removal system that can improve the safety of a variety of extracorporeal procedures. In addition, the techniques and approach used are sufficiently general to permit their extension to any immobilized species bioreactor for blood detoxification.

Biocompatible Materials↗

Direct magnification radiography in pediatric radiology.

Some indications in which direct magnification radiography might be useful in the diagnosis of newborns and infants are illustrated. We believe direct magnification radiography is useful especially in respiratory distress syndrome, suspected aspiration of amniotic fluid and meconium, suspected pneumonia, mediastinal pathology, in newborns and infants and metabolic and inflammatory diseases of the skeletal system in older children.

Adult↗

3D-computed tomography: a new method for the evaluation of fetal cranial morphology.

This study is the first presentation of three-dimensional computed tomography (3D-CT) for the in vitro evaluation of the prenatal human cranium. The study was based on CT examinations from 26 aborted normal fetuses between 10 and 25 weeks gestational age. Incremental coronal and transverse CT slices of 1 mm thickness and a threshold segmentation algorithm were used to generate 3D-CT reconstructions (surface-shaded display, SSD) of the cranial bones similar to their anatomical appearance. The threshold of the segmentation algorithm was selected after comparison of the 3D-CT images generated with varying thresholds and graphically reconstructed histological serial sections of particular sutures in five specimens. The variation of the segmentation threshold resulted in alterations of the bone sizes and suture widths. However, 3D-CT images allowed sensitive identification of the cranial ossification centers and accurate evaluation of the bone topography. Cutting and rotating procedures made it possible to evaluate all imaged bones in arbitrary views without disturbing superpositions, thus making isolated examinations of particular macroscopic sections of the specimens unnecessary. In conclusion, 3D-CT of the fetal cranium promises to be of considerable help in the evaluation of prenatal cranial development.

Algorithms↗