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At least 91 records · Page 5Linked to original sources

Three-dimensional computer-graphic demonstration of facial soft tissue changes in mandibular prognathic patients after mandibular sagittal ramus osteotomy.

The purpose of this study is to demonstrate the three-dimensional changes in facial soft tissues in prognathic patients after orthognathic surgery. The soft tissue and skeletal tissue changes were analyzed with a noncontact three-dimensional digitizing system and roentgenographic cephalometry, respectively. Forty prognathic patients with or without asymmetry, who received only mandibular sagittal ramus osteotomy, were included in the study. The preoperative and 3-month postoperative digitized soft tissue images were superimposed from the nose to the forehead. Changes in the facial soft tissue were illustrated using a computer graphic image with tomographic cross sections at 1-cm intervals. Sagittal soft tissue dislocations of 75 facial measurement points were also calculated. Examination of patients with minimum transverse movement of the mandible revealed significant correlation between soft tissue and related hard tissue dislocation in the sagittal dimension in most landmarks at and below the upper lip. This noncontact three-dimensional digitizing system is very useful in analyzing facial soft tissue changes caused by orthognathic surgery.

Adult↗

[Computer tomography for rare soft tissue tumours of the extremities (author's transl)].

Five patients with undiagnosed soft tissue masses in the extremities were examined and in two a pathological diagnosis could be made. One was an extensive, invasive fibroma (desmoid) 22 cm long which could be followed from the thigh almost into the pelvis. It was sharply demarkated form the surrounding muscles and of higher density. The second case was a 12 cm long cavernous haemangioma in the semi-membranosus muscle. This was originally hypo-dense, but showed marked increase in its density after the administration of contrast.

Adolescent↗

Computed tomography in the management of soft tissue tumors.

Forty-six patients with primary soft tissue sarcomas underwent computed tomographic evaluation. Among 21 patients with retroperitoneal sarcomas, computed tomography was misleading in three patients and accurate and helpful in 18 patients. It was also useful in detecting recurrence by follow-up scanning and determining response to chemotherapy. Among 16 patients with tumors of the extremity, computed tomography demonstrated clinically helpful findings in only two patients and was misleading in two others. Computed tomographic scans were helpful and accurate in evaluating six sarcomas involving the trunk and abdominal wall. Computed tomographic scans were more accurate than ultrasonography or xeroradiography when patients had both imaging modalities. Computed tomographic scans should not supplant clinical examination for tumors of the extremity but are valuable in the preoperative evaluation of sarcomas arising at other sites. They are also valuable in the postoperative follow-up study of patients and may detect a recurrence prior to clinical examination.

Adult↗

The accuracy of video imaging prediction in soft tissue outcome after bimaxillary orthognathic surgery.

PURPOSE: The purpose of the present study was to evaluate the accuracy of the outcome in soft tissue prediction through use of a computer imaging system after bimaxillary orthognathic surgery. MATERIALS AND METHODS: The study sample consisted of 30 adults who had undergone orthognathic surgery that included the Wassmund and Köle procedures and optional genioplasty to correct bimaxillary protrusion. All the patients had lateral cephalometric radiographs and profile photographs taken within 6 months before surgery and at least 6 months after surgery. The computer-generated soft tissue image and the actual postsurgical profile were compared. The accuracy of this computer-generated profile image was evaluated. RESULTS: The results indicated that the nasal tip, soft tissue A point, and upper lip presented the least predicted errors in sagittal plane. While the nasal tip presented higher reliability. Lower lip prediction was found to be the least accurate region and it tended to be located anterior to the actual position. In the vertical plane, most of the predictions revealed higher accuracy than those in the sagittal plane. There were no statistically significant differences between the predictions of the groups with and those without genioplasty. CONCLUSIONS: Computer-generated image prediction was suitable for patient education and communication. However, efforts are still needed to improve the accuracy and reliability of the prediction program and to include the consideration of changes in soft tissue tension and muscle strain. The accuracy of this system in soft tissue prediction should be carefully interpreted.

Adult↗

The role of computed tomography in the management of soft tissue sarcomas.

Seventy-seven patients with soft tissue sarcoma underwent computed tomography (CT) between 1977 and 1981. The results have been analysed to determine the characteristics of these tumours on CT, the accuracy of CT in predicting resectability and in the detection of distant metastases, and the influence of CT findings on patient management. The majority of tumours appeared as masses which were well-defined, either by surrounding soft tissue planes or because the tumour had a significantly different attenuation value to the surrounding tissues. No correlation was found between the characteristics on CT and the tumour histology. A prediction of operability based on the CT appearances was compared with the surgical findings in 24 patients. This prediction was correct in 22 patients (92%) and further useful surgical information was provided in 11 patients (46%). A comparison of the CT findings with those of chest radiography, including whole lung tomography, showed that CT demonstrated a significantly larger number of pulmonary metastases. CT was also useful in revealing unsuspected local recurrences in four of 18 patients although one false positive diagnosis was made. Overall, the information provided by CT altered the clinical management in 18 patients (23%); the most important change was that surgery was avoided. Computed tomography should be regarded as the investigation of choice for the assessment of the primary or locally recurrent tumour and the detection of "occult" pulmonary metastases.

Adolescent↗

A trial study of RhinoSleep for the diagnosis of sleep apnea.

RhinoSleep was developed to diagnose obstructive sleep apnea (OSA). The RhinoSleep consists of a soft catheter, a measuring probe, and a computer. The soft catheter is inserted through the naris into the esophagus. The catheter is connected to the measuring probe, which creates and sends a continuous noise signal into the catheter. When the catheter is compressed during an obstruction, the sound reflections change, making it possible to identify both the level and the duration of the obstruction. Sixteen OSA patients were examined using RhinoSleep and daytime polysomnography simultaneously. With RhinoSleep, we successfully examined 13 cases. This trial study identified problems with RhinoSleep, such as vomiting of the catheter, hardware instability, and the criteria decision for the analysis of OSA.

Acoustics↗

Initial experience with soft-copy display of computed radiography images on three picture archive and communication systems.

We recently installed picture archive and communication systems (PACS) from three different vendors on our campus for evaluation. A major part of this evaluation involved assessing the capabilities of these systems for displaying computed radiography (CR) images for primary interpretation. The three PACS provided different functionality for CR image display in terms of availability of the proprietary Fuji CR image processing algorithms, availability of user-specified contrast look-up tables, and application of the processing at the time of CR image capture or image display. We found that the Fuji processing algorithms were important for printing film, but were not necessary for acceptable soft-copy display. Non-linear contrast processing produced superior results compared to simple linear processing (via standard window width and level controls). Display processing was best applied immediately prior to the display operation, as opposed to at the image capture time. This allows the display to be adjusted to demonstrate the full 10-bit range of the CR image, and also allows raw CR data (i.e. not optimized for any particular display device) to be stored in the long-term archive.

Algorithms↗

Comparison of telephone vs face-to-face interviews in the assessment of dietary intake by the 24 h recall EPIC SOFT program--the Norwegian calibration study.

OBJECTIVE: To compare food group intakes in grams, total energy and energy contribution from macronutrients between two random samples of women, using a standardized computer program (EPIC SOFT) with either a face-to-face or a telephone 24 h recall interview design. METHODS: Two groups of Norwegian women living in Tromsø were drawn at random from the Norwegian Women and Cancer Study (NOWAC) cohort. The EPIC SOFT computer program was used to conduct single 24 h dietary recalls either by telephone or face to face. For the latter, 160 women were invited, of whom 111 responded positively (crude response rate=69.4%) and 102 were interviewed. For the telephone option, 180 were invited to participate, 109 responded positively (crude response rate=60.6%) and 103 were interviewed. RESULTS: The two groups of women were similar with respect to age, body mass index, basal metabolic rate, smoking, education, physical activity and special diet status. No statistically significant difference in dietary intake was found between interviews conducted by telephone and face-to-face, except for 'egg and egg products' (P<0.01), for which intake was higher in the telephone group. Total energy intake differed, but the difference was attributable to one interviewer. The distribution of energy-contributing nutrients was not significantly different between groups, except for reported energy percentage from protein (P=0.02), which was significantly higher in the face-to-face group. CONCLUSION: The telephone vs face-to-face interview design did not influence recalled diet when using the EPIC SOFT program.

Calibration↗

[Computed tomography of the soft tissues of the shoulder. 1. Synovial reactions].

CT of the soft tissues of the shoulder without intra-articular contrast injections is useful for demonstrating effusions and synovial proliferation in the shoulder joint, in the bursa and in the synovial coverings of the long head of the biceps. The authors describe, for the first time, an intracapsular collection of fat in the posterior aspect of the capsule. This can be demonstrated via CT in 80% of the population. This fat line is displaced by even a few ml. of fluid in the presence of an effusion.

Bursa, Synovial↗

[Computed tomography of the soft tissues of the neck. Lymph node metastases and their differential diagnosis. I. Methods and the principal CT criteria for lymph node metastases].

Standardisation of the examination method is imperative to guarantee reproducible and valid assessability of the cervical lymph node status. To this end, update high-resolution CT equipment of the third generation will be suitable, provided it meets certain minimum requirements, such as: 120 kV, 280 mAs, 480 projections over 360 degrees, 4-5 mm slice thickness, continuous tomography. If a primary tumour is known to exist, no plain examination is needed. The decisive examination is effected after intravenous administration of contrast medium in a dosage of 2.0-2.5 ml contrast medium/kg body weight (assuming a body weight of 70 kg, this would amount to 150 ml = 45 g iodine), one-third of the total dosage to be given as bolus and two-thirds as a rapid infusion. This procedure ensures sharp definition of lymph nodes against vessels and musculature over the entire period of examination. If tumour anamnesis has been established the size of the lymph node is significant for assessing the lymph node status. Even lymph node metastases less than 15 mm can be properly identified if the structure of the lymph nodes is known and employed as a criterion (central hypodensity with rim enhancement, inhomogeneity).

Carcinoma, Squamous Cell↗