Systemic to portal shunting following vena cava obstruction: Computed tomography and venographic appearances

Obstruction of the inferior or superior vena cava normally leads to the formation of a well‐described and consistent pattern of collateral venous pathways. We present the angiographic and CT features of the unusual development of systemic to portal venous shunting in two cases with central vein obstruction.     

D8/17 and CD19 Expression on Lymphocytes of Patients with Acute Rheumatic Fever and Tourette''s Disorder

D8/17, an alloantigen found on B lymphocytes, has been reported to be elevated in patients susceptible to rheumatic fever and may be associated with autoimmune types of neuropsychiatric disorders. The pediatric-autoimmune-neuropsychiatric-disorders-associated-with-streptococci model is a putative model of pathogenesis for a group of children whose symptoms of obsessive-compulsive disorder and Tourette's disorder (TD) are abrupt and may be triggered by an infection with group A streptococci. As a test of this model, we have examined D8/17 levels on the B cells of patients with TD and acute rheumatic fever (ARF) along with those on the B cells of normal controls by flow cytometry. We have utilized several different preparations of D8/17 antibody along with a variety of secondary antibodies but have been unable to show an association with an elevated percentage of D8/17-positive, CD19-positive B cells in either ARF or TD. We did find, however, that the percentages of CD19-positive B cells in ARF and TD patients were significantly elevated compared to those in normal controls. Group A streptococcal pharyngitis patients also had an elevated percentage of CD19 B cells, however. These studies failed to confirm the utility of determining the percentage of B cells expressing the D8/17 alloantigen in ARF patients or our sample of TD patients. In contrast, the percentage of CD19-positive B cells was significantly elevated in ARF and TD patients, as well as group A streptococcal pharyngitis patients, suggesting a role for inflammation and/or autoimmunity in the pathogenesis of these disorders.     

肝炎后高胆红素血症18例分析

0　引言　肝炎后高胆红素血症 ,极易与肝炎伴发高胆红素血症相混淆 .该病是肝炎后遗症之一 ,临床上并不少见 .患者常以间歇性黄疸或隐性黄疸前来就诊 ,但并无先天性黄疸、肝炎、肝硬化及肝内外胆管结石的临床证据 ,多数既往有肝炎病史 ,肝炎已达治愈标准 ,虽增加活动量亦无复发 ,临床预后良好 .现将我院 1995 - 10 / 1999- 0 9肝炎后高胆红素血症 18例作一小结 .1　临床资料　男 12例 ,女 6例 ,年龄 2 2～ 5 8(平均 40岁 ) .门诊 11例 ,住院 7例 .其中 11例曾患急性病毒性乙型肝炎 ,1例曾患中毒性肝炎 ,1例曾患药物性肝炎 ,5例无明确肝炎病…     

Endometrial carcinoma staging by MR imaging

The potential of magnetic resonance (MR) imaging in the detection of endometrial carcinoma and in the assessment of its extent was evaluated prospectively in 51 patients clinically suspected of having the disease. MR imaging findings were compared with the results of surgical-pathologic staging and lymph node sampling following hysterectomy. Histologic findings showed 45 patients to have endometrial carcinoma, three to have no residual tumor after dilatation and curettage, and three to have adenomatous hyperplasia of the endometrium. MR imaging demonstrated an endometrial abnormality in 43 of the 51 patients (84%). Endometrial carcinoma could not be differentiated from adenomatous hyperplasia or blood clots. Therefore, MR imaging was not specific for tumor detection, and histologic diagnosis remains essential. The overall accuracy of MR imaging in staging endometrial carcinoma was 92%; its overall accuracy in demonstrating the depth of myometrial invasion was 82%. Demonstration of lymphadenopathy and adnexal or peritoneal metastases by MR imaging was suboptimal.     

Einsichtsrecht des Patienten in die Originalbilder

Abstrakt 1. Der Patient hat gegen den ihn behandelnden Arzt einen Anspruch auf Einsichtnahme in die von diesem gefertigten Originalr?ntgenbilder. 2. Der Patient kann insoweit die überlassung der Originalr?ntgenbilder an den von ihm bevollm?chtigten Rechtsanwalt in dessen Kanzleibetrieb zum Zwecke der Einsichtnahme verlangen. Auf eine Einsichtnahme in den Praxisr?umen des Arztes muss sich der Patient nicht verweisen lassen. (Leits?tze der Bearbeiterin)     

Zur Darlegungslast und Haftung des erstbehandelnden Zahnarztes, der behauptet, M?ngel einer Prothetik seien erst durch nachbehandelnde ?rzte verursacht worden

1. §27 Abs.6 Berufsordnung der Nordrheinischen ?rztinnen und ?rzte ist eine das Marktverhalten regelnde Vorschrift i.S. des §4 Nr.11 UWG. 2. Die Eintragung in den “Gelben Seiten” ist Werbung i.S. des §27 Berufsordnung für die Nordrheinischen ?rztinnen und ?rzte. L?sst sich ein Facharzt für Mund-, Kiefer und Gesichtschirurgie in der Kategorie “plastische Chirurgie” eintragen, ohne dass sich aus diesem Eintrag ergibt, dass der Eingetragene diese Leistungen (nur) nach eigenen Angaben, also ohne objektive Best?tigung, erbringt, liegt ein Versto? gegen §27 Abs.6 Berufsordnung für die Nordrheinischen ?rztinnen und ?rzte vor. (Leits?tze des Bearbeiters)     

Correction of misaligned slices in multi-slice cardiovascular magnetic resonance using slice-to-volume registration

A popular technique to reduce respiratory motion for cardiovascular magnetic resonance is to perform a multi-slice acquisition in which a patient holds their breath multiple times during the scan. The feasibility of rigid slice-to-volume registration to correct for misalignments of slice stacks in such images due to differing breath-hold positions is explored. Experimental results indicate that slice-to-volume registration can compensate for the typical misalignments expected. Correction of slice misalignment results in anatomically more correct images, as well as improved left ventricular volume measurements. The interstudy reproducibility has also been improved reducing the number of samples needed for cardiac MR studies.