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PubMedDate not supplied

[The shape of the thorax based on data of fluorographic studies].

Five thoracic types were distinguished on the basis of 3 transverse sizes between the 4th, 7th, and 10th ribs, detected on the thoracic fluorograms of 1116 men and 1460 women: cylindrical, narrow conical, conical, wide conical, and egg-shaped. A subtype of a cylindrical thorax--cylindrical with a waist--was distinguished in women. In men conical chests occurred in 48.9% of cases, wide conical in 24%, whereas in women narrow conical chests occurred in 41.8% and cylindrical in 27.5% of cases. The examinees were grouped in accordance with the thoracic shape and their physical parameters and the parameters of the chests were compared. The chest proportions represent the most comprehensive characterization of the skeletal index: the ratio between the transverse size between the 7th ribs and the vertical size in per cent. The skeletal index directly correlates with body mass, thoracic circumference, transverse and longitudinal sizes of the heart and is in inverse correlation with body length, angle of inclination of the 8th rib and angle of inclination of the heart axis to the horizontal line.

Female↗
PubMed1992

[MRI of the thorax; clinical application and efficacy in 100 thoracic diseases].

We carried out a retrospective analysis of about 100 surgical cases of mediastinal, pleural, chest wall and pulmonary disorders in order to determine the clinical application and efficacy of MRI (magnetic resonance imaging) of the thorax. Coronal and/or axial image of T1-weighted images were obtained in all cases, and T2-weighted or gadolinium-DTPA contrast-enhanced T1-weighted images were additionally obtained in several selected cases. All MR images were compared with findings of chest X-ray, CT and IVDSA (intravenous digital subtraction angiography) as appropriate. As a result, MR images were considered to provide additional information to that obtained by conventional techniques of chest X-ray and CT, in demonstrating chest wall invasion of pulmonary carcinoma, detecting hilar masses, which were difficult to distinguish from vessels, and in defining mediastinal masses. The anterior segment of the diaphragm is clearly depicted, aiding the differentiation of Morgagni hernia from other entities. Tuberculoma showed peripheral enhancement in Gd-enhanced T1 WI, which was distinctly different from the enhancing pattern of carcinomas. With the use of surface coil, the pleura and chest wall anatomy were clearly demonstrated. It is hoped that the wide application of this technique will increase the diagnostic accuracy of chest wall tumor invasion.

Adult↗
PubMed1992

The rearrangement of the cranial part of embryonal body in chick studied by linear marking. II. Relations of the neck, thorax and shoulder.

The linear marking method was employed for studying morphogenetic movements of tissues involved in formation of the cranial part of the chick embryonic body. A total of 120 chick embryos marked on days 3-5 were used in this study with the following results: The cranial shift of axial structures and somites with respect to the other components of the cranial part of the embryonic body, described in our earlier papers, has been proven. This shift is considered crucial from the point of understanding and proper interpretation of the following formative processes: The prospective mesenchyme of the wall of the thorax shifts continuously in the cranial direction. The rate of the shift of the mesenchyme in the dorsal part of the developing body wall appears considerably lower than that of the somites. The cranial shift of the mesenchyme of the ventral part of the body wall is directed ventromedially and proceeds more rapidly than in the dorsal part of the body wall. The ventromedial deviation of the cranial shift is gradually increased in the craniocaudal sequence. In this way, the mesenchyme of the lateral body wall replaces step by step the membrana reunions to cover the heart, rapidly growing lungs and the liver. The presumptive shoulder shifts cranially at the rate similar to that of the somites. In this way, the shoulder slides over the body wall mesenchyme formerly located in the more cranial position. The shoulder undergoes rotation by the mechanism which is discussed.

Animals↗
PubMed2004

Respiratory gating for 3-dimensional PET of the thorax: feasibility and initial results.

UNLABELLED: Respiratory motion may reduce the sensitivity of (18)F-FDG PET for the detection of small pulmonary nodules close to the base of the lungs. This motion also interferes with attempts to use fused PET/CT images through software or combined PET/CT devices. This study was undertaken to assess the feasibility of respiratory gating for PET of the chest and the impact of respiratory motion on quantitative analysis. METHODS: Ten healthy subjects were enrolled in this study. Three-dimensional studies were acquired with 8 gates per respiratory cycle on a commercial PET scanner with a temperature-sensitive respiratory gating device built in-house. All scans were obtained over 42 cm of body length with 3 bed positions of 10 min each after injection of (18)F-FDG at 4.5 MBq/kg. The reconstructed images were assembled to produce gated whole-body volumes and maximum-intensity projections. The amplitude of respiratory motion of the kidneys (as a surrogate for diaphragmatic incursion) as well as the apex of the heart was measured in the coronal plane. Phantom studies were acquired to simulate the impact of respiratory motion on quantitative uptake measurements. RESULTS: The respiratory gating device produced a consistent, reliable trigger signal. All acquisitions were successful and produced reconstructed volumes with excellent image quality. Mean +/- SD motion amplitude and maximal motion amplitude values were 6.7 +/- 3.0 and 11.9 mm for the heart, 12.0 +/- 3.7 and 18.8 mm for the right kidney, and 11.1 +/- 4.8 and 17.1 mm for the left kidney, respectively. In phantom studies, the standardized uptake value for a 1-mL lesion was underestimated by 30% and 48% for the average and maximal respiratory motion values, respectively. CONCLUSION: Respiratory gating of PET of the thorax and upper abdomen is a practical and feasible approach that may improve the detection of small pulmonary nodules. Further work is planned to assess prospectively the diagnostic accuracy of this new method.

Adult↗
PubMed1992

Identification and categorization of the vascular patterns to muscles of the thoracic limb, thorax, and neck of dogs.

Vascular patterns to thoracic limbs, thorax, and neck muscles were studied in 10 dogs (20 limbs) to identify muscles most suitable for transposition in the treatment of large wounds. Gross dissection of injected specimens and angiography were used to identify vascular pedicles. Size and location of pedicles were generally consistent, and any variations would not interfere with most muscle transfers. The cutaneous trunci, latissimus dorsi, sternothyroideus, sternohyoideus, deep pectoral, anconeus, ulnaris lateralis, and ulnar head of flexor carpi ulnaris muscles were identified as suitable for transfer. The cranial trapezius, caudal omotransversarius, cleidobrachialis, and caudal sternocephalicus muscles also had potential for use. Other muscles, because of inaccessibility or unfavorable vascular pattern, were not suitable candidates for transfer.

Animals↗
PubMed2005

[Diagnosis and treatment of simultaneous injuries of the thorax and abdomen].

Results of examinations and treatment of 167 patients with simultaneous injuries of the thorax and abdomen are presented. It is demonstrated that x-ray and ultrasonic examinations help make choice on right surgical policy. All the patients were divided into two groups. Study group (137 patients) was treated according to proposed curative algorithm. The rest 30 patients were included into control group. Volume of intra-surgical hemorrhage and time of surgery were greater in the control group compared with the study group. Proposed algorithm permitted to reduce number of postoperative complications from 46.7 to 21.2%, and lethality -- from 13.3 to 4.1%.

Abdomen↗
PubMed2006

Effects of thorax irradiation on citric acid-induced cough in guinea pigs.

Thoracic irradiation may cause an acute lymphocytic alveolitis or hypersensitivity pneumonitis. It is well known that cough reflex is sensitized by a number of inflammatory mediators. The purpose of the present study was to investigate the effect of the thoracic irradiation on the cough response in awake guinea pigs. Guinea pigs (Trik strain) were exposed to sham irradiation (n=16), a single irradiation dose of 10 Gy (n=12), and a fractionated irradiation dose (in five fractions) of 15 Gy (n=12) delivered to the thorax. Cough was induced by citric acid aerosol inhalation in gradually increasing concentrations (0.05-1.6 M) during the first week after thoracic irradiation. The cough response was expressed as a total number of coughs induced during all citric acid challenges. Irradiated animals with single dose of 10 Gy exhibited a time- dependent significant increase of citric acid-induced cough in the 6th day after irradiation compared with control animals (P=0.005), whereas cough was not altered significantly in irradiated animals with fractionated dose of 15 Gy. This study demonstrates that the increased cough response may be a determinant of the functional changes of airway nerve-endings mediating cough in the early phase after thoracic irradiation.

Animals↗
PubMed2007

Deep-inspiration breath-hold PET/CT of the thorax.

UNLABELLED: The goal of this study was to describe our initial experience with the deep-inspiration breath-hold (DIBH) technique in combined PET/CT of the thorax. This article presents particular emphasis on the technical aspects required for clinical implementation. METHODS: In the DIBH technique, the patient is verbally coached and brought to a reproducible deep inspiration breath-hold level. The first "Hold" period, which refers to the CT session, is considered as the reference. This is followed by 9- to 20-s independent breath-hold PET acquisitions. The goal is to correct for respiratory motion artifacts and, consequently, improve the tumor quantitation and localization on the PET/CT images and inflate the lungs for possible improvement in the detection of subcentimeter pulmonary nodules. A physicist monitors and records patient breathing during PET/CT acquisition using a motion tracker. Patient breathing traces obtained during acquisition are examined on the fly to assess the reproducibility of the technique. RESULTS: Data from 8 patients, encompassing 10 lesions, were analyzed. Visual inspection of fused PET/CT images showed improved spatial matching between the 2 modalities, reduced motion artifacts especially in the diaphragm, and increased the measured standardized uptake value (SUV) attributed to reduced motion blurring, as compared with the standard clinical PET/CT images. CONCLUSION: The practice of DIBH PET/CT is feasible in a clinical setting. With this technique, consistent lung inflation levels are achieved during PET/CT sessions, as judged by both motion tracker and verification of spatial matching between PET and CT images. Breathing-induced motion artifacts are significantly reduced using DIBH compared with free breathing, enabling better target localization and quantitation. The DIBH technique showed an increase in the median SUV by 32.46%, with a range from 4% to 83%, compared with SUVs measured on the clinical images. The median percentage reduction in the PET-to-CT lesions' centroids was 26.6% (range, 3%-50%).

Adult↗
PubMed1991

[Changes in sound transmissibility through the canine thorax due to the experimental pleural effusion].

The authors studied the effects of pleural effusion on sound transmissibility through the canine thorax. In the supine position, dogs received sound ranging from 100 to 1000 Hz at the tracheostoma. Using the microphones attached to the dorsal and ventral part of the chest wall, the relative level of the transmitted sound wave was determined in reference to the amplitude of the sound wave at a tracheostom. Measurements of sound transmissibility were performed before and after injecting saline into the bilateral pleural space which was intended to be experimental pleural effusion. In the dorsal part, the experimental pleural effusion decreased sound transmissibility in the frequency range between 100 and 300 Hz. At 100 Hz, the pleural effusion of 5, 10, and 15 ml/kg/hemithorax caused a decrease in sound transmissibility by 3.7 +/- 3.7, 6.6 +/- 4.9, and 10.0 +/- 5.7 dB, respectively. In the ventral part, the reduction in sound transmissibility in the low frequency range due to the pleural effusion was small. In contrast, introduction of pleural effusion caused an increase in sound transmissibility by 5 to 9 dB in the frequency range above 500 Hz. We consider that these changes in sound transmission are implicated in the physical findings such as "aegophony" and reduction in vocal fremitus or vocal ausculation.

Animals↗
PubMed1989

[Magnetic resonance imaging of the thorax].

We examined thirty-five patients with various chest diseases with cardiac gated Magnetic Resonance Imaging (MRI) at 1.5 tesla. Major advantages of MRI of the thorax are its abilities to display sagittal and coronal planes and to disclose vessels clearly without contrast media. We conclude MRI is useful in evaluating, 1) masses at the lung apex or base, 2) chest wall invasion, 3) hilar and mediastinal lymphadenopathy, 4) aortic aneurysm, and 5) bronchogenic cyst.

Adult↗
PubMed1989

[Conventional radiography and digital radiography of the thorax: evaluation of anatomo-radiological parameters].

We report the results of a comparative study of digital and conventional chest radiographs to detect normal anatomical structures of the thorax. A digital Toshiba unit (TCR 201) was used to examine 100 selected patients who were diagnosed with no chest pathologic conditions. The images in both modes were submitted for interpretation to five radiologists. The depiction of nine normal anatomical structures was more accurate on digital than on conventional radiographs. The mean confidence levels achieved in viewing digital images were higher than those obtained with conventional radiographs. This difference was statistically significant (p = 0.002).

Adult↗
PubMed1977

[Reconstructive surgery of the thorax and breast].

Various possibilities of breast plasty after tumor surgery or for the correction of combined anomalies of the thorax and the breasts are discussed. In the augmentive procedures either local flaps or mammary prostheses as well as silicone rubber were used. The authors show a personal method where the remaining healthy breast is used for reconstruction.

Breast↗
PubMed1986

Magnetic resonance imaging of the pediatric thorax: initial experience.

Magnetic resonance imaging (MRI) is particularly useful in the pediatric patient. No ionizing radiation is used; there are no complicating side effects; the technique is noninvasive and painless. We reviewed our experience using a 0.15 T. resistive imager for diagnostic MRI of the pediatric thorax. We studied 16 children, aged 8 days to 16 years, with various thoracic diseases. Correlation of the MRI findings with computerized tomography (CT) was obtained in 10 children and with the surgical findings in 8. Spatial resolution was slightly less with MRI than with CT. Medium and large vessels are well seen without contrast medium injection. Tissue characterization with MRI is superior to CT and the normal thymus is well seen. The long scanning time can be a problem in young children but can be overcome using intramuscular sedation. Cardiac gated imaging was successfully tested.

Adolescent↗
PubMed1986

Interaction between the leg and surrounding thorax in the beetle.

Interactions between the insect leg and surrounding thoracic epidermis were studied in the beetle, Tenebrio, by grafting the entire larval prothoracic leg into the metathoracic leg site in various orientations. Control grafts simply heal, but A/P reversed grafts lead to regeneration of supernumerary legs of host orientation in A and P positions. M/L reversed grafts also give supernumeraries, again with host orientation but in M (or MP) and L (or LA) positions. The differences in structure between adult prothoracic and metathoracic legs allow the origin of these supernumeraries to be analysed at coxa and tarsus level. The A/P supernumeraries are consistent and complementary in structure, of host origin on the host side and graft origin on the graft side, and with the borders in apparently constant midmedial and midlateral positions. The M/L supernumeraries, however, are variable and often non-complementary in structure. The results of the A/P and M/L reversals are similar to those found at a more distal level in Tenebrio legs and the legs of several hemimetabolous insects, suggesting that the arrangement of positional values and A and P compartments extends from the epidermis of the leg onto the surrounding thorax. The results of a 180 degrees rotation of the entire leg, however, differ from those found at a more distal level in that the grafted leg rarely derotated and two (or occasionally one or three) supernumeraries are formed in a wide variety of positions, some with constant and others with variable orientation. These results are not readily explained by current models of insect leg formation and regeneration.

Animals↗
PubMed1986

Changes in vascular permeability following thorax irradiation in the rat.

A double isotope technique was used to measure changes in the vascular permeability surface area product (PS) for albumin after irradiation. PS was measured in several tissues of the rat during the first 38 days following 11, 13.5, 18, or 25 Gy whole thorax irradiation. After 18 and 25 Gy most irradiated and nonirradiated (shielded) tissues showed elevated permeability at 1 day after radiation, which declined to control levels by Day 4. All irradiated tissues showed a second wave of increased permeability between 14 and 38 days after radiation that varied in onset and extent depending upon tissue and dose. Lung and heart showed a direct response to dose between 11 and 18 Gy during this period. Peak lung values averaged three times control values at 19 days after 18 Gy. Peak heart values averaged twice control values at the same time and dose. The double isotope technique has proven to be a reliable means of quantitatively determining vascular permeability response to radiation over time.

Animals↗
PubMed1977

[Thorax drainage with the Matthys-tube].

The Thorax-Tube according to Matthys and its successful application in 18 premature and mature newborns and older children is described. The advantages of this new device are discussed.

Adolescent↗
PubMed1978

Effect of shock strength on survival and acute cardiac damage induced by open-thorax defibrillation of dogs.

The safety of open thorax defibrillation with single damped sine-wave shocks and 6-cm-diameter electrodes was evaluated in healthy anesthetized dogs. Twenty-one dogs were allotted to 6 groups: Group A were nonshocked controls and groups B through F were given single shocks of 4-, 7-, 12-, 19-, or 32-fold, respectively, greater than a defibrillation threshold dose (30 mA/g of heart). Immediate postshock death resulted in group F dogs; group A through E dogs survived and were killed after 2 days. The incidence and severity of cardiac morphologic damage increased with shock strength (mild damage occurred in 1 of 3 dogs in group C and in 3 of 4 dogs in group D and severe damage occurred in 2 of 3 dogs in group E). The cardiac lesions were characterized grossly and microscopically. In dogs that died immediately after shocking, damage was apparent as pale circular zones of edema and myofibrillar degeneration in the ventricular free walls beneath the electrode placement sites on the cardiac surface. In the dogs that survived 2 days, the defibrillator-induced areas of myocardial necrosis and calcification were concentrated in arc or ringlike patterns beneath the periphery of the electrode placement sites. All dogs that were studied 2 days after shocking had mild fibrinous pericarditis. Postshock electrocardiographic changes were not good indicators of cardiac damage because the mild epicardial inflammatory reaction associated with the surgical procedure produced large ST and T wave changes which masked any changes associated with myocardial necrosis induced by the electric shocks. It was concluded that a substantial safety margin exists between the required defibrillation threshold shock dose and the large shocks required to produce marked cardiac damage or death in healthy dogs.

Animals↗
PubMed1983

Alternative types of duodenal ulcer induced in mice by partial X irradiation of the thorax.

The present study extends our earlier observations [A. Michalowski, Br. J. Radiol. 54, 713 (1981); A. Michalowski and J. Burgin, in Progress in Radio-Oncology II, pp. 105-110] on gastrointestinal pathology in thorax-irradiated female CFLP mice. It shows that exposure of the lower mediastinum to single doses of 14-30 Gy X rays results in the formation of the proximal duodenal ulcer accompanied frequently by erosion of the antral gastric mucosa. X irradiation of the lateral thoracic fields is responsible for single ulcers in the proximity of duodenal papilla, often associated with a circumscribed area of degeneration of the fundic mucosa of the stomach. In view of the small amount of radiation received by the subdiaphragmatic parts of the alimentary tract, these gastro-duodenal lesions represent abscopal effects of thoracic irradiation.

Animals↗