[The image of the cardioelectric field on the surface of the thorax during various phases of the heart function].
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The life of a young woman was threatened by a large, recurrent, invasive desmoid tumour which penetrated the sternum. The combined thoracic and plastic surgical management is described.
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We show the first clinical images obtained by a new tomographic system based on the detection of the scattered gamma photons of 99mTc by the chest tissues. These images show satisfactory contrast and tomographic effect on the half-chest near the radioactive source. Both effects tend to decrease on the contralateral half-chest. The images rendered important data in differential diagnosis of perfusion defects evident by lung scintigraphy with macroaggregated albumin labeled with 99mTc. Pulmonary density was normal and homogeneous in a healthy volunteer and also in a patient with pulmonary embolism. It demonstrated a hyperdense pulmonary mass in a patient with tumor of the right lung, which produced a perfusion defect evident in the conventional lung scintiscan, and a shadow in the gamma ray transmission image.
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An accurate representation of the thoracic surface is required to solve the inverse problem of electrocardiography. For the purpose we have searched the second degree surface which fits 55-88 positions distributed around the trunk. Over a group of 17 young men, we have found that the positions always scattered around an ellipsoid the cephalo-caudal limits of which extended far away from the zero potential gradient levels. This discrepancy is discussed and a proposal is formulated.
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Based on a previous theoretical study, a simple device for the acquisition of bidimensional tomographic images of the human chest densitometry was designed. A radioactive linear source (99mTc) was adapted to the lateral aspect of a gamma camera detector in order to register only those photons scattered at 90 degrees. Resulting images from a liver phantom stuffed with saw dust, showed an evident tomographic effect and a satisfactory contrast between the structures sited at less than 20 cm from the source. These effects tend to decrease with distance. The causes of these deficiencies of the system and their possible corrections are discussed.