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Biomedical subjects

W Hanafee

Publications and source records attributed to W Hanafee.

79 records · Page 5Linked to original sources

Low cost MRI of the paranasal sinuses.

The use of automated tuning, automated MR protocol sequences, surface coils, and grouping of patients with similar examinations, patient throughput can be greatly accelerated for MRI scanning. These measures coupled with high volume scanning permit significant reductions in cost so that MRI can be performed at a price range equal to or less than plain films for some examinations. The ability of MRI to perform axial, sagittal and coronal scans with excellent tissue contrast raises the possibility of substituting MRI for sinus x-rays. Based on our preliminary experience we have the opinion that MR is equal to/or better than CT in this region. This preference is currently being investigated. Only the cost issue will be addressed in this report.

Costs and Cost Analysis

Volume growth rate of acoustic neuromas on MRI post-stereotactic radiosurgery.

Of the approximately 160 acoustic neuroma patients treated with stereotactic radiosurgery in the world up to 1987, 8 patients at UCLA Medical Center have had two or more magnetic resonance scans at least one year apart available for study (all 8 patients were treated with stereotactic radiosurgery for acoustic neuromas by the Department of Neurosurgery at the Karolinska Hospital, Stockholm, Sweden). The followup time after radiosurgery ranged from 4 to 8 years. The volume doubling rate post-stereotactic radiosurgery was calculated to be slow (763 to 888 days) in two patients, virtually arrested in five patients (doubling times larger than 2500 days) and negative (-563 days) in one patient indicating a shrinking tumor. Due to the limited sample size no radiological finding or clinical data correlated with the volume doubling times. A control patient that had no treatment for her tumor had a doubling time of 217 days for comparison.

Adult

Evaluation of computerized tomography, cinelaryngoscopy, and laryngography in determining the extent of laryngeal disease.

A prospective study of over 100 cases comparing computerized tomography (CT) and correlating these studies with photographic motion picture studies of the larynx, conventional tomography and contrast laryngography has been performed. The authors give illustrative examples of cases in which the CT scan has been documented as providing equal and often times greater information concerning not only tumors, but also cystic lesions and traumatic lesions. With the newer technology, the reduced radiation (which is less than one half that of conventional tomography), and the decreased expense (now comparable to that of laryngography alone), eliminates the need for conventional laryngography and tomography examinations. The incorporation of motion picture documentation of the lesions allowing future comparative studies between the original lesion and the CT are recommended for a more accurate retrospective classification and assessment of therapeutic results.

Adult