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Biomedical subjects

W E Adam

Publications and source records attributed to W E Adam.

At least 91 records · Page 5Linked to original sources
PubMed1976

[Functional scintigraphic radiospirometry. First clinical results in patients with lung diseases].

First clinical results of patients with diseases of the lungs. The previous experiences on patients with diseases of the lungs reveal that the regional function diagnostics of the lungs may be extended and improved by functional scintigraphic radiospirometry. Because of the determination of regional lung volumes restrictive lung diseases can be differentiated and analysed more exactly than it has been possible before by the examinations of perfusion and ventilation alone. A further advance of the determination of lung volume is that the question of functional operability can be cleared up exactly. In our opinion the routine use of the functional scintigraphic radiospirometry is justified. A contraindication for this kind of examination should only be pregnancy.

Adult↗
PubMed1976

[Segmental wall movement of the left ventricle in healthy persons and myocardial infarct patients studied by a catheter-less nuclear medical method (camera-cinematography of the heart)].

Camera-Kinematography is a nearly noninvasive method to investigate regional motion of the myocard, and allows evaluation of the function of the heart. About 20 min after injection of 15-20 mCi of 99mTC-Human-Serum-Albumin, when the tracer is distributed homogenously within the bloodpool, data acquisition starts. Myocardial wall motion is represented in an appropriate quasi three-dimensional form. In this representation scars can be revealed as "silent" (akinetic) regions, aneurysms by asynchronic motion. Time activity curves for arbitrarily chosen regions can be calculated and give an equivalent for regional volume changes. 16 patients with an old infarction have been investigated. In fourteen cases the location and extent of regions with abnormal motion could be evaluated. Only two cases of a small posterior wall infarction did not show deviations from normal contraction pattern.

Cineradiography↗
PubMed1975

[Investigation of the mucociliary clearance by means of 99mTc-labelled sulfur colloid (author's transl)].

The mucociliary system of the lung was studied in eight normal subjects and ten patients with chronic bronchitis, using sulfur colloids, labelled with 99mTechnetium. By recording the radioactive impulses over the lung with a scintillation camera and analysing the data with a computer, we were able to exclude extrapulmonary artefacts and to select central areas of the tracheobronchial tree. Time activity curves obtained over the central airways were interpreted by means of a model. In bronchitics the disappearance rate of the radioactive particles was found to depend upon the pattern of deposition and the degress of airway obstruction. Because of the good reproducibility in one and the same subject, the effect of drugs, influencing the mucociliary system, can be tested. We used a newly developed vagolytic substance which did not influence the mucociliary system and which reduced little the airway resistance in patients with chronic bronchitis at the administered dose.

Adult↗
PubMed1975

[Scintigraphic radio-spirometry. Methods and indications].

Scintigraphic radio-spirometry combines conventional spirometry with the advantages of a functional isotope technique, thereby providing a clinically useful method for the study of pulmonary function. The advantage of the method consist principally in the ability to estimate physiological values separately for the two lungs, and also for selective portions of each lung. The apparatus, method and quantitative evaluation of the results are discussed in detail and the method is critically evaluated. Indications for radiospirometry are given.

Air↗
PubMed1975

[Camera-cinematography of the heart (author's transl)].

By "camera-cinematography" of the heart, we mean an isotope method which permits detailed observation of cardiac mechanics without the use of a catheter. All that is necessary is an intravenous injection of 10 to 15 mCi 99mTc human serum albumen followed after ten minutes by a five to ten minute period of observation with a scintilation camera. At this time the isotope has become distributed in the blood. Variations in the precordial impulses correspond with intra-cardiac changes of blood volume during a cardiac cycle. Analysis of the R-wave provides adequate information of cyclical volume changes in limited portions of the heart. This is achieved by a monitor with a pseudo-3-dimensional display; contraction and relaxation of the myocardium can be shown for any chosen longitudinal or horizontal diameter of the heart. Our programme allows simultaneous presentation of the movement of any point on the myocardium as a time-activity curve. The method is recommended as an addition to chest radiography, heart screening or cardiac kymography before carrying out cardiac catheterisation.

Cardiac Output↗
PubMed1975

[Experimental results with new radiopharmaceuticals in autochthon brain tumors of rats (author's transl)].

It could be demonstrated by own investigations that ENU-tumors (brain-tumors induced with Ethyl-Nitroso-Urea) are better for clinical questions than the usual transplantation tumors. In this experimental study the temporal and quantitative condition of accumulation of 64Cu-Dimethylglyoxim and 59Fe-Acetyl-Acetone was investigated in rats with ENU-tumors compared with 99mTc-Pertnetate and and 67Ga-Citrate to answer the questions wether 64Cu-Dimethylglyoxim and 59Fe-Acetyl-Acetone are qualified for brain scanning. 64Cu-Dimethylglyoxim and 59Fe-Acetyl-Acetone show like 99mTc-Pertechnetate and 67Ga-Citrate certain affinity to the tumor. At the same time they accumulate in healthy tissues, too. The kinetice of the single radiopharmaceuticals is different. The rates of accumulation of 64Cu-Dimethylglyoxim after 24 hours and of 59Fe-Acetyl Acetone after 4 hours correspond to the rates of accumulation of 99mTc-Pertechnetate after 1 hour. Opposite to this rates of accumulation of 67Ga-Citrate are, because of the high accumulation in the bone, distinctly worse. There are 3 consequences: 1. Brain scintigraphical investigations should not be made with 67Ga-Citrate. 2. Brain scans with 64Cu-Dimethylglyoxim and 59Fe-Acetyl-Acetone will give no better results than scans with 99mTc-Pertechnetate. 3. Further investigations with 64Cu-Dimethylglyoxim and 59Fe-Acetyl-Acetone are not indicated.

Animals↗