Investigative radiology
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Acute mesenteric ischemic bowel disease is a common yet complex disorder with high morbidity and mortality rates predominantly caused by delayed diagnosis. We examined the role of magnetic resonance imaging (MRI) in the early detection of small bowel ischemia using the rabbit model. Surgical ligation of the appropriate arterial vascular supply to the ileum of 10 rabbits produced the ischemic compromise. ⋯ Abnormal findings of the dearterialized segment of bowel were visualized as early as 45 minutes after vascular occlusion. The findings consisted of: (1) bowel wall thickening, (2) two- to three-fold increase in signal intensity from bowel on T2-weighted images, and (3) isointensity or slightly increased signal intensity within the bowel wall on T1-weighted images. MRI appears to be a sensitive, noninvasive technique for the early detection of bowel ischemia in the rabbit animal model.
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Investigative radiology · Aug 1986
Quantitative assessment of burn injury in porcine skin with high-frequency ultrasonic imaging.
Early excision and grafting of full thickness burns has been shown to decrease morbidity and mortality. Errors made in assessing acute burn depth are common and result in prolonged hospitalization in expectant healing of full-thickness burns and in unnecessary excision and grafting of potentially regenerative partial-thickness burns. High-frequency ultrasonic imaging may be a noninvasive, convenient means of quantitating burn depth. ⋯ Direct histologic comparison was made with each scan plane. Average burn and normal skin depth measurements were made by independent observers for 34 scans and corresponding histologic sections. A significant correlation was achieved between burn depth and percent burn (burn depth/adjacent normal skin depth) as measured by ultrasound and histology (R = 0.90, t = 11.2, P less than .001).
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The ability of B-scan ultrasonography to detect soft tissue foreign bodies of various sizes and composition was investigated in a canine model. Foreign bodies consisting of wooden rods 0.7 mm and larger, lead-free glass rods 2.0 mm and larger, plastic rods 3.9 mm and 5.6 mm, and metal needles 0.5 mm and larger were embedded in fleshy soft tissue. ⋯ Wood is best visualized followed by glass, plastic, and metal. Ultrasound may be a valuable noninvasive means of detecting soft tissue foreign bodies; further investigation to delineate its clinical role is warranted.
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Ninety-four academic radiology departments responded to a questionnaire concerning anatomy instruction by radiologists. Seventy-six departments reported that radiologists teach anatomy to medical students in courses sponsored by anatomy departments (63), radiology departments (7), or both (6). The most frequent format for teaching anatomy was classroom lectures alone (25) or a combination of classroom lectures and small group instruction (24). Eighty departments indicated that additional teaching aids would be helpful.