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  • 1
    ISSN: 1432-0509
    Keywords: Key words: Gastrointestinal tract, MR studies—Dicyclomine—MR, artifact—MR, noise reduction.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: It has been demonstrated that oral administration of dicyclomine significantly reduces the noise associated with the movement of the gastrointestinal tract in abdominal magnetic resonance (MR) images. Our objective was to determine the efficacy and security of two different doses of oral dicyclomine for the reduction of the gastrointestinal noise in abdominal MR imaging. Methods: Forty-eight patients with MR imaging of the upper abdomen were enrolled in a prospective, controlled, randomized, and double-blind study. All patients ingested barium of high density (196 g in 130 mL of tap water, 250 w/v) approximately 25 min before the MR examination. Patients were randomly distributed into three groups of 16 patients each: (a) no-drug control group, (b) 20 mg of dicyclomine chlorhydrate, and (c) 80 mg of dicyclomine chlorhydrate. Quantitative image analysis was performed with region-of-interest measurements of the signal intensity in background air posterior and lateral to the patient and in the liver. Adverse effects were counted at 2 h and 1 day after the MR examination. Results: The liver and incoherent noise signal intensities were not statistically different among groups. The control group presented a gastrointestinal noise (mean and SD of the air signal intensity) that was statistically superior to that of the groups with dicyclomine (p= 0.004 and p= 0.004, respectively), although significant differences were not observed between the two dicyclomine groups. Although the differences were not significant, adverse effects were more frequently associated with the higher doses of dicyclomine. All the adverse effects (most frequently, constipation, diarrhea, and abdominal pain) were considered minor and did not require treatment. Conclusion: Oral dicyclomine is effective and safe for the reduction of peristaltic artifacts on abdominal MR imaging. The dose of 20 mg presents an efficacy similar to that of 80 mg, with a probably lower incidence of adverse reactions.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 24 (1999), S. 147-152 
    ISSN: 1432-0509
    Keywords: Key words: Liver neoplasms, MR—Magnetic resonance (MR), image processing—Magnetic resonance (MR), tissue characterization.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: Our purpose is to analyze the prevalence and characteristics of the enhancement patterns of hemangiomas. Methods: Fifty-five proven hemangiomas studied with a dynamic single-slice T1-weighted spoiled gradient echo sequence (50/13/65°) were retrospectively selected. Fifteen images of the tumor in 5 min were obtained after a bolus of gadolinium. A temporal planar reconstruction image was generated to analyze the dynamic evolution of a line of interest through the tumor. Results: Most hemangiomas (60%) had a typical progressive pattern with hyperintensity on late images. Of these, 34.6% had an intense enhancement pattern with the highest slope close to the arterial or portal phases of perfusion and 25.5% had a less intense enhancement with a more constant rate. In 10.9% of cases, the enhancement was slowly progressive with late isointensity and 7.3% had a very slow progressive pattern with late hypointensity; all had a globular peripheral initial enhancement pattern. There were 12 hemangiomas (21.8%) with intense arterial enhancement and early fading; eight of 12 (66.7%) showed peripheral globular enhancement, with all 12 hemangiomas remaining hyperintense to the liver at the end of the dynamic study. In four cases, the initial enhancement was diffuse throughout the entire lesion. Conclusions: Hemangiomas can have early intense enhancement with early fading and diffuse intense enhancement.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1084
    Keywords: Key words: Magnetic resonance ; Knee ; Ligaments ; Cruciate ligaments
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The aim of this study was to assess the accuracy of MR in the diagnosis of synovialisation of the anterior cruciate ligament (ACL) compared with arthroscopy. One hundred and forty-nine patients were examined with MR imaging and arthroscopy of the knee. The MR sign used to consider a synovialised ACL consisted of hypointense fibrillar tracts, disrupted and wavily, in its expected course. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), comparison of proportions (McNemar test) and Kappa values for agreement between MR imaging and arthroscopy were calculated. Of the 133 (89.3 %) ligaments without synovialisation at arthroscopy, 130 accorded with the MR results. Of the 16 (10.7 %) synovialised ligaments, 13 accorded with the MR results. Three false-positive and three false-negative MR diagnoses were identified. The agreement between both techniques was excellent (Kappa = 0.79; p = 0.000), without differences (McNemar test; p = 1). Sensitivity was 0.81, specificity 0.98, PPV 0.98 and NPV 0.81. Magnetic resonance imaging is highly reliability for synovialisation diagnosis. The imaging sign used to diagnose synovialised ACL (hypointense comma-like tracts in its expected course) is reliable. As this reparative process can simulate an intact ligament, knowledge of this sign is important in diagnosing synovialisation of ACL tears so as not to confuse it with normal ACL.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-1920
    Keywords: Children ; Chloral hydrate ; Magnetic resonance imaging ; Sedation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Orally administered chloral hydrate is the most widely used sedative in children undergoing MRI. We compared intermediate-and high-dose oral chloral hydrate in 97 consecutive children undergoing MRI in a prospective, controlled, double-blind, randomised clinical trial. There were 50 girls and 47 boys, mean weight (±SD) 14.7±6.4 kg, and mean age 38±31. The children were randomly allocated to receive chloral hydrate syrup either 70 mg/kg (group A,n=50) or 100 mg/kg (group B,n=47). These two groups were not significantly different in sex, weight, age, diagnosis or ambulatory medication. The mean initial dose (±SEM) was 64±2 mg/kg for group A and 93±2 mg/kg for group B. Because adequate sedation was not achieved, 14 patients in group A and 6 in group B required a second dose, giving a mean total dose of 70±2 mg/kg for group A and 96±2 mg/kg for group B. The percentage of successful examinations after the initial dose (A: 64%, B: 87%;p〈0.05) and the total dose (A: 92%, B: 100%;p=0.14) was higher in group B. Significant differences were found for the time of onset of sedation (A: 28±2 min, B: 21±1 min;p〈0.05), but not for the time to spontaneous awakening after the completion of the examination. The rate of adverse reactions was similar (A: 20%, B: 21%;p=1.00). We conclude that high-dose oral chloral hydrate improves the management of children undergoing MRI.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1920
    Keywords: Key words Children ; Chloral hydrate ; Magnetic resonance imaging ; Sedation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Orally administered chloral hydrate is the most widely used sedative in children undergoing MRI. We compared intermediate- and high-dose oral chloral hydrate in 97 consecutive children undergoing MRI in a prospective, controlled, double-blind, randomised clinical trial. There were 50 girls and 47 boys, mean weight (± SD) 14.7 ± 6.4 kg, and mean age 38 ± 31. The children were randomly allocated to receive chloral hydrate syrup either 70 mg/kg (group A, n = 50) or 100 mg/kg (group B, n = 47). These two groups were not significantly different in sex, weight, age, diagnosis or ambulatory medication. The mean initial dose (± SEM) was 64 ± 2 mg/kg for group A and 93 ± 2 mg/kg for group B. Because adequate sedation was not achieved, 14 patients in group A and 6 in group B required a second dose, giving a mean total dose of 70 ± 2 mg/kg for group A and 96 ± 2 mg/kg for group B. The percentage of successful examinations after the initial dose (A: 64 %, B: 87 %; p 〈 0.05) and the total dose (A: 92 %, B: 100 %; p = 0.14) was higher in group B. Significant differences were found for the time of onset of sedation (A: 28 ± 2 min, B: 21 ± 1 min; p 〈 0.05), but not for the time to spontaneous awakening after the completion of the examination. The rate of adverse reactions was similar (A: 20 %, B: 21 %; p = 1.00). We conclude that high-dose oral chloral hydrate improves the management of children undergoing MRI.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Bognor Regis [u.a.] : Wiley-Blackwell
    Journal of Polymer Science Part B: Polymer Physics 35 (1997), S. 1483-1490 
    ISSN: 0887-6266
    Keywords: poly(1-trimethylsilyl-1-propyne) ; physical aging ; hydrocarbon vapors ; mixed gas permeation ; Physics ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: Poly(1-trimethylsilyl-1-propyne) (PTMSP), a high free-volume glassy di-substituted polyacetylene, has the highest gas permeabilities of all known polymers. The high gas permeabilities in PTMSP result from its very high excess free volume and connectivity of free volume elements. Permeability coefficients of permanent gases in PTMSP decrease dramatically over time due to loss of excess free volume. The effects of aging on gas permeability and selectivity of PTMSP membranes continuously exposed to a 2 mol % n-butane/98 mol % hydrogen mixture over a period of 47 days are reported. The permeation properties of PTMSP membranes are quite stable when the polymer is continuously exposed to a gas mixture containing a highly sorbing organic vapor such af n-butane. The n-butane/hydrogen selectivity was essentially constant for the 47-day test period at a value of 29, or 88% of the initial value of the as-cast film of 33. Condensable gases such as n-butane may serve as a “filler” in the nonequilibrium free volume of the polymer, thereby preserving the high level of excess free volume. © 1997 John Wiley & Sons, Inc. J Polym Sci B: Polym Phys 35: 1483-1490, 1997
    Additional Material: 8 Ill.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Bognor Regis [u.a.] : Wiley-Blackwell
    Journal of Polymer Science Part B: Polymer Physics 34 (1996), S. 2613-2621 
    ISSN: 0887-6266
    Keywords: poly(1-trimethylsilyl-1-propyne) ; poly(1-phenyl-1-propyne) ; blends ; hydrocarbons ; hydrogen ; mixed gas transport ; Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: The gas permeation properties of poly(1-trimethylsilyl-1-propyne) (PTMSP), poly(1-phenyl-1-propyne) (PPP), and blends of PTMSP and PPP have been determined with hydrocarbon/hydrogen mixtures. For a glassy polymer, PTMSP has unusual gas permeation properties which result from its very high free volume. Transport in PPP is similar to that observed in conventional, low-free-volume glassy polymers. In experiments with n-butane/hydrogen gas mixtures, PTMSP and PTMSP/PPP blend membranes were more permeable to n-butane than to hydrogen. PPP, on the other hand, was more permeable to hydrogen than to n-butane. As the PTMSP composition in the blend increased from 0 to 100%, n-butane permeability increased by a factor of 2600, and n-butane/hydrogen selectivity increased from 0.4 to 24. Thus, both hydrocarbon permeability and hydrocarbon/hydrogen selectivity increase with the PTMSP content in the blend. The selectivities measured with gas mixtures were markedly higher than selectivities calculated from the corresponding ratio of pure gas permeabilities. The difference between mixed gas and pure gas selectivity becomes more pronounced as the PTMSP content in the blend increases. The mixed gas selectivities are higher than pure gas selectivities because the hydrogen permeability in the mixture is much lower than the pure hydrogen permeability. For example, the hydrogen permeability in PTMSP decreased by a factor of 20 as the relative propane pressure (p/psat) in propane/hydrogen mixtures increased from 0 to 0.8. This marked reduction in permanent gas permeability in the presence of a more condensable hydrocarbon component is reminiscent of blocking of permanent gas transport in microporous materials by preferential sorption of the condensable component in the pores. The permeability of PTMSP to a five-component hydrocarbon/hydrogen mixture, similar to that found in refinery waste gas, was determined and compared with published permeation results for a 6-Å microporous carbon membrane. PTMSP exhibited lower selectivities than those of the carbon membrane, but permeability coefficients in PTMSP were nearly three orders of magnitude higher. © 1996 John Wiley & Sons, Inc.
    Additional Material: 7 Ill.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Bognor Regis [u.a.] : Wiley-Blackwell
    Journal of Polymer Science Part B: Polymer Physics 34 (1996), S. 2209-2222 
    ISSN: 0887-6266
    Keywords: poly(1-trimethylsilyl-1-propyne) ; poly(1-phenyl-1-propyne) ; blends ; gas and vapor transport ; NMR ; Maxwell model ; Bruggeman model ; Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: Pure gas and hydrocarbon vapor transport properties of blends of two glassy, polyacetylene-based polymers, poly(1-trimethylsilyl-1-propyne) [PTMSP] and poly(1-phenyl-1-propyne) [PPP], have been determined. Solid-state CP/MAS NMR proton rotating frame relaxation times were determined in the pure polymers and the blends. NMR studies show that PTMSP and PPP form strongly phase-separated blends. The permeabilities of the pure polymers and each blend were determined with hydrogen, nitrogen, oxygen, carbon dioxide, and n-butane. PTMSP exhibits unusual gas and vapor transport properties which result from its extremely high free volume. PTMSP is more permeable to large organic vapors, such as n-butane, than to small, permanent gases, such as hydrogen. PPP exhibits gas permeation characteristics of conventional low free volume glassy polymers; PPP is more permeable to hydrogen than to n-butane. In PTMSP/PPP blends, both n-butane permeability and n-butane/hydrogen selectivity increase as the PTMSP content of the blends increases. © 1996 John Wiley & Sons, Inc.
    Additional Material: 16 Ill.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Bognor Regis [u.a.] : Wiley-Blackwell
    Journal of Polymer Science Part B: Polymer Physics 34 (1996), S. 1925-1934 
    ISSN: 0887-6266
    Keywords: poly(1-trimethylsilyl-1-propyne) ; poly(1-phenyl-1-propyne) ; blends ; sorption ; hydrocarbons ; sorption models ; Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: Propane and n-butane sorption in blends of poly(1-trimethylsilyl-1-propyne) (PTMSP) and poly(1-phenyl-1-propyne) (PPP) have been determined. Solubilities of propane and n-butane increased as the PTMSP content in the blends increased. This result is consistent with the higher free volume of PTMSP-rich blends and the better thermodynamic compatibility between PTMSP and these hydrocarbons. Propane and n-butane sorption isotherms were well described by the dual-mode model for sorption in glassy polymers. PTMSP/PPP blends are strongly phase-separated, heterogeneous materials. A noninteracting domain model developed for sorption in phase-separated glassy polymer blends suggests that sorption in the Henry's law regions (i.e., the equilibrium, dense phase of the blends) is consistent with the model. However, Langmuir capacity parameters in the blends are lower than predicted from the domain model, suggesting that the amount of nonequilibrium excess free volume associated with the Langmuir sites depends on blend composition. © 1996 John Wiley & Sons, Inc.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
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