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  • 1
    ISSN: 1432-1084
    Keywords: Fine needle biopsy ; Pancreatic carcinoma ; diagnosis ; Pancreas ; interventional procedures
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Percutaneous fine needle biopsy (FNB), under sonographic guidance, of local pancreatic lesions was studied by comparing the results of smear cytology (SC) with microhistology (MH) in 34 patients in whom both sampling procedures were carried out. MH suffered from a higher number of inadequate samples (retrieval rate: 94.1% SC, 85.3% MH), but reached a superior sensitivity rate as regard to the diagnosis of pancreatic malignancy (91.7% MH, 80.8% SC). Both samples obtained an absolute specificity rate (100%. A 96.3% sensitivity rate was obtained by combination of the two techniques in the absence of complications. Thus, the combined use of SC and MH in pancreatic fine needle biopsy was proven to be a safe and reliable procedure.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-086X
    Keywords: Liver ; interventional procedure ; Liver neoplasms, therapy ; Computed tomography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Purpose The aim of this study was to evaluate the effectiveness of transcatheter arterial embolization (TAE) followed by percutaneous ethanol injection (PEI) in the treatment of large hepatocellular carcinoma (HCC) lesions. Methods Fifteen patients with HCC were treated by means of TAE followed by 6–16 ethanol injections. In 10 patients, the HCC was solitary (3–8 cm); 3 patients had 1, and 2 patients had 2 daughter nodules (3 cm or smaller) in addition. In 12 of 15 main tumors and in 4 of 7 daughter nodules, a tumor capsule was observed by computed tomography or magnetic resonance imaging. Results Combined treatment with TAE and PEI resulted in complete necrosis of 12 of 15 main tumors and 7 of 7 daughter nodules on biopsy. Treatment failure (incomplete necrosis) occurred in 3 unencapsulated main tumors. The 1-year survival rate in 10 patients was 100%. Conclusion The combination of TAE and PEI proved to be an effective treatment for large HCC, including those with 1–2 small daughter nodules. The presence of a tumor capsule significantly correlates (p 〈 0.05) with a favorable outcome of treatment.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-086X
    Keywords: Key words: Images, virtual—Computed tomography, helical—Renal arteries—Arteries, abnormalities
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Purpose: To evaluate the diagnostic accuracy of virtual vascular endoscopy (VVE) in the detection of accessory renal arteries. Methods: We retrospectively reviewed the CT angiography data sets of 67 patients (29 male and 38 female; age range 17–72 years, mean age 53 years) imaged for the study of the renal arteries, and affected by renovascular hypertension. All patients also had intraarterial digital subtraction angiography (DSA). CT angiography data sets were processed to obtain maximum intensity projection (MIP) and surface-rendered VVE of the aorta. Axial images, MIP, and VVE were evaluated separately and in combination in the detection of accessory renal arteries. Their results in terms of sensitivity and specificity were then compared with DSA. Results: Axial images had a sensitivity of 88% and specificity of 94% for accessory renal artery detection, MIP had a sensitivity of 88% and specificity of 98%, and VVE had a sensitivity of 63% and a specificity of 88% (p 〈 0.05 vs DSA), but these increased to 88% and 98% respectively if endoscopic views were integrated with the other display techniques. Conclusion: VVE based on surface rendering does not add substantial benefits to CTY angiography; by contrast MIP is the most accurate display technique for the detection of accessory renal arteries.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-0819
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract Three points raised in the paper by Tedesco and Sabroux (1987) are dealt with. (1) The inconsistency between the water partial pressure calculated by Tedesco and Sabroux (1987) and saturation pressure is due to the improper use of the water-gas-shift reaction as a geothermometer. In fact Tedesco and Sabroux (1987) do not take into account the distribution of gas species between the coexisting vapour and liquid phases. (2) The depth of the “steam reservoir” is evaluated by Tedesco and Sabroux (1987) in too simplistic a way. This matter should be treated with greater care owing to the high social impact of any consideration on the Phlegraean Fields system. (3) The reliability of carbon monoxide determination at the concentration level encountered at Solfatara depends on the collection method rather than on the gas-chromatographic technique.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-0819
    Keywords: Key words Fumaroles ; Fluid chemistry ; δD value ; δ18O value ; Volcanic surveillance ; Vulcano Island
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract  Variations in δD and δ18O values with H2O contents and outlet temperatures indicate that the fumaroles of La Fossa crater have discharged mixtures of magmatic water and marine hydrothermal water, since 1979. The contribution of meteoric water was low in the period 1979–1982 and very low afterwards. The δ18O values of the marine-hydrothermal component of +5 to +7.2ö are due to isotopic exchange with the 18O-rich silicates of the rocks under high-temperature and low-permeability conditions. The δ18O value of the magmatic end-member is generally +3.5 to +4.3ö, although values as high as +5.5 to +6.5ö were reached in the summer of 1988, when magma degassing appears to have extended into the core of the magma body. The δD values of the end-member were close to –20ö, typical of andesitic waters. Both the isotopic values and chemical data strongly support a 'dry' model, consisting of a central magmatic gas column and a surrounding hydrothermal envelope, in which marine hydrothermal brines move along limited fracture zones to undergo total evaporation on approaching the conduits of magmatic fluids.The vents at the eastern and western boundaries of the fumarolic field are fed by fluids whose pressure is governed by the coexistence of vapor, liquid and halite, giving rise to a high risk of phreato magmatic explosions, should magma penetrate into these wet environments. Most La Fossa eruptions were triggered by an initial hydrothermal blast and continued with a series of phreatomagmatic explosions.The fluids discharged by the Forgia Vecchia fumaroles are mixed with meteoric water, which is largely evaporated, although subordinate loss of condensed steam may be responsible for scrubbing most of the acidic gas species. The temperatures and pressures, and the risk of a sudden pressure increase, are low.A boiling hydrothermal aquifer at 230°  C is present underneath the Baia di Levante beach. This area has a minor risk of hydrothermal explosions.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-0819
    Keywords: Key words Sulfur isotopes ; Magma degassing ; Somma-Vesuvius volcanic complex
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract Sulfur contents and δ34S values of Somma-Vesuvius magmas are consistent with syneruptive, open-system degassing at temperatures of 800–850°C for Plinian pumices and 1100–1200°C for lavas. The extent of degassing appears to be greater in lavas than in pumices. The key parameter controlling the 34S/32S ratio of Somma-Vesuvius volcanics is the average magma oxidation state, which generally varies from 0.85 to 1.20 Δ NNO units for lavas and from 1.20 to 1.40 Δ NNO units for pumices. Consequently, S contents and δ34S values of magmas constitute a potentially valuable tool in estimating their average redox conditions. The results of this study may help in risk mitigation when the Vesuvius magmatic system evolves toward eruptive conditions.
    Type of Medium: Electronic Resource
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