Brixrosales5106

PURPOSE We aimed to assess the safety and effectiveness of a modified low-profile hangman technique. METHODS We performed a retrospective review of all filter retrieval procedures performed at a major trauma center, from 2012 to 2019. Records were reviewed for patient demographics, device type, device dwell time, device tilt, embedded hook, success of device retrieval, evidence of caval injury and occurrence of complications. RESULTS From 2012 to 2019 there were 473 filter retrieval attempts. An advanced technique was documented in 66 (14%). The low-profile hangman technique alone was documented in 23 procedures (5% of all procedures, 35% of advanced technique procedures). Average screening time was 28 minutes. At the time of retrieval attempt, 9 patients (41%) were anticoagulated. The hangman technique was employed as isolated maneuver in 23 patients and was successful on initial attempt in 22 cases (96%). The average dwell time of filters retrieved by the hangman technique was 228 days (range, 40-903 days; median, 196 days). No procedure-related complications occurred. CONCLUSION The retrieval of IVC filters is an important part of offering an IVC filter service. Advanced techniques to retrieve caval filters are multiple, and the risk of complications is increased in these cases. We demonstrate the safety and effectiveness of a new modified and lower-profile hangman technique. This new technique could be performed with only an 11 French venous access sheath using off-the-shelf equipment and it remains a cost-effective approach to complex filter retrieval.Magnetic resonance imaging (MRI) plays an important role in the characterization of vertebral lesions. Even if latest improvements in MRI permit to understand and suspect the nature of vertebral lesions and positron emission tomography computed tomography (PET-CT) gives information about lesion metabolism, biopsy is still needed in most cases. CT-guided percutaneous vertebral biopsy is a minimally invasive, safe and accurate procedure for definitive tissue diagnosis of a vertebral lesion. CT-guided vertebral biopsy is often the best alternative to a surgical biopsy. The purpose of this technical note is to discuss the approach-based techniques for CT-guided percutaneous vertebral biopsy.PURPOSE We aimed to investigate histogram analysis of diffusion kurtosis imaging (DKI) and conventional diffusion-weighted imaging (DWI) to distinguish between deep myometrial invasion and superficial myometrial invasion in endometrial carcinoma (EC). METHODS A total of 118 pathologically confirmed EC patients with preoperative DWI were included. The data were postprocessed with a DKI (b value of 0, 700, 1400, and 2000 s/mm2) model for quantitation of apparent diffusion values (D) and apparent kurtosis coefficient values (K) for non-Gaussian distribution. The apparent diffusion coefficient (ADC) was postprocessed with a conventional DWI model (b values of 0 and 800 s/mm2). A whole-tumor analysis approach was used. Comparisons of the histogram parameters of D, K, and ADC were carried out for the deep myometrial invasion and superficial myometrial invasion subgroups. Diagnostic performance of the imaging parameters was assessed. RESULTS The Dmean, D10th, and D90th in deep myometrial invasion group were signific equivalent effectiveness.When compared with chest radiographs, medical devices of the abdomen and pelvis are less frequently seen. However, with recent advances in technology the interpreting radiologists are seeing more medical objects on these radiographs. The identification of these devices and materials are crucial for not only enabling the radiologist to understand the underlying background pathology but also for evaluating any related complications. An online survey of literature showed our review article to be the most detailed. In this first part of our two-part series, we discuss about the various gastrointestinal and vascular devices and materials seen on abdominal and pelvic radiographs.PURPOSE In this study, we aimed to analyze the repeatability of quantitative multiparametric rectal magnetic resonance imaging (MRI) parameters with different measurement techniques. METHODS All examinations were performed with 3 T MRI system. In addition to routine sequences for rectal cancer imaging protocol, small field-of-view diffusion-weighted imaging and perfusion sequences were acquired in each patient. Apparent diffusion coefficient (ADC) was used for diffusion analysis and ktrans was used for perfusion analysis. Three different methods were used in measurement of these parameters; measurements were performed twice by one radiologist for intraobserver and separately by three radiologists for interobserver variability analysis. ADC was measured by the lowest value, the value at maximum wall thickness, and freehand techniques. Ktrans was measured at the slice with maximum wall thickness, by freehand drawn region of interest (ROI), and at the dark red spot with maximum value. RESULTS A total of 30 patie, only ADC value measured on the slice with maximum wall thickness differed significantly. CONCLUSION Multiparametric MRI of rectum, using ADC as the diffusion and ktrans as the perfusion parameter is a repeatable technique. This technique may potentially be used in prediction and evaluation of neoadjuvant treatment response. New studies with larger patient groups are needed to validate the role of multiparametric MRI.PURPOSE We aimed to evaluate the safety and effectiveness of radiofrequency ablation (RFA) combined with transarterial chemoembolization (TACE) guided by multiple imaging modalities for hepatocellular carcinomas (HCCs) in special (i.e., high-risk or unfavorable) locations compared with those in conventional locations. Bafilomycin A1 METHODS A total of 122 HCC patients were enrolled, including 85 patients (69.7%) with HCC in conventional locations and 37 (30.3%) with HCC in special locations. The clinical data, overall survival (OS), progression-free survival (PFS), and procedure-related adverse events were analyzed. RESULTS RFA combined with TACE was successfully performed in all patients. Three complications (2.5%) occurred, with no significant difference between the conventional (n=1, 1.2%) and special (n=2, 5.4%) locations (P = 0.218). Complete tumor necrosis rate was not significantly different between the conventional (n=73, 85.9%) and special (n=34, 91.9%) locations at one-month imaging (P = 0.353). After a follow-up of 3-48 months, the PFS was 17 months for patients with HCC in conventional locations and 14 months for patients with HCC in special locations; one-year PFS rate was 68.1% in the conventional location group, not significantly (P = 0.741) different from 59.1% in the special location group. The OS was 28 months in the conventional location group while 32 months in the special location group. The cumulative one- and two-year OS rates were 89.9% and 63.3%, respectively, in the conventional location group, not significantly different from 96.3% and 65% in the special location group (P = 0.273). Age (P = 0.043) and tumor size (P less then 0.001) were significant prognostic factors for OS, and tumor size (P less then 0.001) was the only significant prognostic factor for PFS. CONCLUSION RFA guided by multiple imaging modalities combined with TACE may be safe and effective for treating HCCs in special locations.A number of embolic agents are currently available each with their own properties. Precipitating hydrophobic injectable liquid (PHIL) is a new dimethyl sulfoxide (DMSO) compatible embolic agent with a number of specific properties which make it of interest to interventional radiologists. We review the use of PHIL in a non-neurointerventional setting, describing its use in a range of procedures such as trauma embolization, pseudoaneurysm embolization, and tumor embolization. PHIL's properties include a lack of skin discoloration, the possibility of rapid injection and a lack of glare artifact on follow-up computed tomography imaging. These properties make it an important new tool in the armamentarium of the body interventional radiologist.This article presents a novel design algorithm for the cooperative formation control of multirotors with directed and switching topology. A key strategy is to transform the formation control problem into an output agreement problem for which a class of cooperative controllers with successive loops is developed to achieve output agreement. For practical implementation, velocities and accelerations of the controlled multirotors are restricted to within desired ranges by introducing appropriate saturations to the loops. It is proved that each controlled multirotor admits an invariant set property, and the formation control objective can be achieved if a mild joint connectivity condition is satisfied by the switching topology. Along the way, this article also proves a result of independent interest in the output agreement problem subject to both velocity and control input constraints with switching topology. Numerical simulations and physical experiments are employed to verify the effectiveness of the proposed design.A neural-network model of fractional order with impulsive perturbations, time-varying delays, and reaction-diffusion terms is investigated in this article. The focus is on investigating qualitative properties of the states and developing new almost periodicity and stability criteria. The uncertain case is also considered. Examples are established and the effectiveness of the obtained criteria is demonstrated.This article presents a surrogate-assisted multiswarm optimization (SAMSO) algorithm for high-dimensional computationally expensive problems. The proposed algorithm includes two swarms the first one uses the learner phase of teaching-learning-based optimization (TLBO) to enhance exploration and the second one uses the particle swarm optimization (PSO) for faster convergence. These two swarms can learn from each other. A dynamic swarm size adjustment scheme is proposed to control the evolutionary progress. Two coordinate systems are used to generate promising positions for the PSO in order to further enhance its search efficiency on different function landscapes. Moreover, a novel prescreening criterion is proposed to select promising individuals for exact function evaluations. Several commonly used benchmark functions with their dimensions varying from 30 to 200 are adopted to evaluate the proposed algorithm. The experimental results demonstrate the superiority of the proposed algorithm over three state-of-the-art algorithms.The digitization of health records due to technological developments has paved the way for patients to be collaboratively treated by different healthcare institutions. In collaborative ehealth systems, a patient's health data is stored remotely in the cloud for sharing with different healthcare service providers. However, the use of third parties for storage exposes the data to several privacy and security violation threats. Ciphertext policy attribute-based encryption (CP-ABE) which provides a fine-grained access control is a promising solution to privacy and security issues in the cloud environment and as a result, it has been widely studied for secure sharing of health data in cloud-based ehealth systems. Addressing the aspects of expressiveness, efficiency, user collusion resistance and attribute/user revocation in CP-ABE have been at the forefront of these studies. Thus, in this study, we proposed a novel expressive, efficient and collusion resistant access control scheme with immediate attribute/user revocation for secure sharing of health data in collaborative ehealth systems.