99Tcm-MIBI乳腺显像探查隐性乳腺癌二例

隐性乳腺癌（ｏｃｃｕｌｔｂｒｅａｓｔｃａｎｃｅｒ，ＯＢＣ）临床少见，表现特殊。我们用９９Ｔｃｍ甲氧基异丁基异腈（ＭＩＢＩ）乳腺显像探查２例，现报告如下。例１，女，６５岁，４３岁时因子宫肌瘤行子宫切除，绝经已２２ａ。１９９６年１１月因双乳腺阵发性刺痛在外院就诊，未触及乳腺肿块，曾行乳腺红外线扫描、Ｂ超检查及Ｘ线钼靶摄片。１９９７年２月Ｘ线钼靶摄片示：①右乳腺外上象限局部结构不良，同侧腋前组淋巴结肿大；②双乳腺纤维囊性增生。治疗无效后于１９９７年９月到我院就诊，右腋下可触及直径约５ｃｍ的淋巴结块，…     

乳腺肿物~（99）Tc－MIBI显像初步临床观察

目的：寻找有效的、无创伤性诊断乳腺癌的方法。方法：对单发、可触及乳腺肿物的７８例患者进行了９９ｍＴｃ—甲氧基异丁基异睛（ＭＩＢＩ）显像。７８例全部经手术治疗，获得病理结果。结果：７８例中４２例为乳腺癌，其中９９ｍＴｃ－ＭＩＢＩ阳性者３５例，肿物最小者为１．５ｃｍ×１．５ｃｍ×１．２ｃｍ。３６例乳腺良性疾患中９９ｍＴｃ－ＭＩＢＩ阴性者３０例；６例阳性者中有５例为较大的乳腺腺瘤，１例为浆细胞乳腺炎。９９ｍＴｃ－ＭＩＢＩ检出乳腺癌的灵敏度和特异性均为８３．３％。结论：９９ｍＴｃ－ＭＩＢＩ对乳腺癌诊断有辅助作用，但不能鉴别较大腺瘤与乳腺癌。     

B超诊断阴囊内结石1例

Ｂ超诊断阴囊内结石１例曹乔松汪建军１病历简介患者，男，３２岁。因阴囊憋胀感行Ｂ超检查。见右侧睾丸大小３．２ｃｍ×２．４ｃｍ×１．８ｃｍ，表面光滑，内部回声均匀。其下方探及液性暗区１２ｃｍ×１５ｃｍ×１４ｃｍ，其中可见０８ｃｍ×０６ｃｍ不规则...     

近红外线扫描和X线摄影在乳腺良恶性疾病诊断方面的评价

目的：参照Ｘ线摄影在乳腺疾病诊断方面的特点，对近红外线扫描技术的诊断真实性进行评价。材料与方法：将外科手术证实的１０４例乳腺疾病患者，分为乳腺癌与非乳腺癌组，观察Ｘ线摄影和近红外线扫描对乳腺良、恶性疾病诊断的真实性，并比较各自的优缺点。结果：１０４例有乳腺肿块的患者中，经手术和病理证实乳腺癌４３例，乳腺良性疾病６１例。乳腺Ｘ线摄影诊断的敏感性和特异性分别为８４％和８３％，近红外线扫描为８２％和７７％。乳腺Ｘ线摄影和近红外线扫描的阳性预期值分别为８０％和７０％，其阴性预期值均为８７％。结论：近红外线扫描辅助乳腺Ｘ线摄影可以提高乳腺癌尤其是致密型乳腺癌诊断的敏感性和阳性预期值。     

小肠神经鞘瘤一例

小肠神经鞘瘤一例钱大椿鲍志国患者男，４９岁。发现下腹肿块伴隐痛２月余。Ｂ超：下腹混合性团块与膀胱粘连。Ｘ线检查：胸片、ＫＵＢ＋ＩＶＰ均无异常发现。ＣＴ平扫：下腹正中见一囊性肿块８ｃｍ×９．５ｃｍ×１２．５ｃｍ，上端左后外侧与小肠紧密相连，下与膀胱相连...     

乳腺肿物^99mTc—MIBI显像初步临床观察

寻找有效的、无创伤性诊断乳腺癌的方法。方法：对单发、可触及乳腺肿物的７８例患进行了＾９９ｍＴｃ－甲氧基异丁基异腈（ＭＩＢＩ）显像。７８例全部经手术治疗，获得病理结果。结果：７８例中４２例为乳腺癌，其中＾９９ｍＴｃ－ＭＩＢＩ阳性３５例，肿物最小为１．５ｃｍ×１．５ｃｍ×１．２ｃｍ。３６例乳腺良性疾患中＾９９ｍＴｃ－ＭＩＢＩ阴性３０例；６例阳性中有５例为较大的乳腺腺瘤，１例为浆细胞乳腺炎。＾     

盲肠多个绒毛样乳头状腺瘤一例

患者女,２０岁。阵发性右下腹痛４０余天,以慢性阑尾炎处理无效而来院就诊。体检：右下腹压痛,似可扪及一肿块。Ｂ超检查提示右下腹６．０ｃｍ×４．０ｃｍ之肿块。ＣＴ检查：以金属针头体表定位作肿块扫描,层厚、层间距１０ｍｍ,平扫及增强扫描于第３层面开始共６个...     

视神经鞘脑膜瘤CT诊断2例报告

视神经鞘脑膜瘤ＣＴ诊断２例报告夏晓１临床病例例１，女性，４０岁。右眼球突出伴失明６年。眼球向外活动受限，眼底检查视神经乳头萎缩。突眼测量：１６－１３ｍｍ。ＣＴ检查：横断面扫描球后、眶尖橄榄状钙化性肿块，２．０ｃｍ×１．５ｃｍ×１．０ｃｍ，密度均匀，边...     

输卵管妊娠的CT诊断(附2列报告)

输卵管妊娠,临床极易误诊,而ＣＴ表现较特殊。我院有２例,经手术、病理证实,现报告如下：例１　病人,女,２５岁,腹痛伴不规则阴道流血１个月。妇科检查：阴道内有出血,子宫增大如孕２月。Ｂ超检查：１,左下腹部混杂性肿块;２,腹腔少量积血。ＣＴ扫描：子宫外左侧有６．１ｃｍ×３．６ｃｍ混杂密度肿块,ＣＴ值３０～６４ＨＵ,其中有“脑回状”稍高密度影（图１）。增强扫描肿块强化（图２）。ＣＴ诊断：输卵管妊娠。随后做尿妊娠试验阳性。手术所见：腹腔内出血２００ｍｌ,左输卵管增粗４ｃｍ×３ｃｍ×２ｃｍ,无破裂口。病理…     

以髂内动脉供血为主的小肠平滑肌肉瘤一例

患者男,５０岁。１８个月前因血尿行Ｂ超检查发现盆腔内有一肿块。ＣＴ检查见该肿块密度均匀,中等强化,边缘光整。ＭＲＩ检查见在骶骨前与膀胱后上方之间有一肿块,Ｔ１ＷＩ为低等混杂信号,Ｔ２ＷＩ为不甚均匀的等高信号影,约４．４ｃｍ×５．０ｃｍ×５．６ｃｍ大小...     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

Developmental validation of the PowerPlex(®) ESI 16 and PowerPlex(®) ESI 17 Systems: STR multiplexes for the new European standard

In response to the ENFSI and EDNAP groups’ call for new STR multiplexes for Europe, Promega^® developed a suite of four new DNA profiling kits. This paper describes the developmental validation study performed on the PowerPlex^® ESI 16 (European Standard Investigator 16) and the PowerPlex^® ESI 17 Systems. The PowerPlex^® ESI 16 System combines the 11 loci compatible with the UK National DNA Database^®, contained within the AmpFlSTR^® SGM Plus^® PCR Amplification Kit, with five additional loci: D2S441, D10S1248, D22S1045, D1S1656 and D12S391. The multiplex was designed to reduce the amplicon size of the loci found in the AmpFlSTR^® SGM Plus^® kit. This design facilitates increased robustness and amplification success for the loci used in the national DNA databases created in many countries, when analyzing degraded DNA samples. The PowerPlex^® ESI 17 System amplifies the same loci as the PowerPlex^® ESI 16 System, but with the addition of a primer pair for the SE33 locus. Tests were designed to address the developmental validation guidelines issued by the Scientific Working Group on DNA Analysis Methods (SWGDAM), and those of the DNA Advisory Board (DAB). Samples processed include DNA mixtures, PCR reactions spiked with inhibitors, a sensitivity series, and 306 United Kingdom donor samples to determine concordance with data generated with the AmpFlSTR^® SGM Plus^® kit. Allele frequencies from 242 white Caucasian samples collected in the United Kingdom are also presented. The PowerPlex^® ESI 16 and ESI 17 Systems are robust and sensitive tools, suitable for the analysis of forensic DNA samples. Full profiles were routinely observed with 62.5 pg of a fully heterozygous single source DNA template. This high level of sensitivity was found to impact on mixture analyses, where 54–86% of unique minor contributor alleles were routinely observed in a 1:19 mixture ratio. Improved sensitivity combined with the robustness afforded by smaller amplicons has substantially improved the quantity of data obtained from degraded samples, and the improved chemistry confers exceptional tolerance to high levels of laboratory prepared inhibitors.     

Prevalence and severity of hip and groin pain in sub‐elite male football: a cross‐sectional cohort study of 695 players

The purpose of this study was twofold: (a) to investigate the prevalence of hip and groin pain in sub‐elite male adult football in Denmark and (b) to explore the association between prevalence and duration of hip and groin pain in the previous season with the Copenhagen Hip and Groin Outcome Score (HAGOS) in the beginning of the new season. In total 695 respondents from 40 teams (Division 1–4) were included. Players completed in the beginning of the new season (July–Sept 2011) a self‐reported paper questionnaire on hip and/or groin pain during the previous season and HAGOS. In total 49% (95% CI: 45–52%) reported hip and/or groin pain during the previous season. Of these, 31% (95% CI: 26–36%) reported pain for >6 weeks. Players with the longest duration of pain during the previous season had the lowest HAGOS scores, when assessed at the beginning of the new season, P < 0.001. This study documents that half of sub‐elite male adult football players report pain in the hip and/or groin during a football season. The football players with the longest duration of pain in previous season displayed the lowest HAGOS scores in the beginning of the new season.     

Bronchial stump fistula :treatment with covered retrievable hinged metallic stents-preliminary clinical experience

Objective To evaluate the preliminaily clinical efficacy and retrievability of a retrievable hinged covered metallic stent in the treatment of the bronchial stump fistula （BSF）. Methods Between April 2003 and March 2005, 8 patients with bronchial stump fistula after pneumonectomy or lobectomy were treated with two types （A and B） of retrievable hinged covered metallic stents. Type A stent was placed in 6 patients and type B in 2 under fluoroscopic guidance. The stent was removed with a retrieval set when BSF was healed or complications occurred. Results Stent placement in the bronchial tree was technically successful in all patients, without procedure-related complications. Immediate closure of the BSF was achieved in all patients after the procedure. Stents were removed from all patients but one. Removal of the stents was difficult in two patients due to tissue hyperplasia. Patients were followed up for 6 - 21 months. Placement of the stents remained stable in all patients except one due to severe cough. Permanent closure of BSF was achieved in 7 （87.5%） of 8 patients. Conclusion Use of a retrievable hinged covered expandable metallic stent is a simple, safe, and effective procedure for closure of the BSF. Retrieval of the stent seems to be feasible. （J Intervent Radiol, 2007, 16： 253-257）