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  • 1
    ISSN: 1432-1084
    Keywords: Teleradiology ; Telemedicine ; Video conference technology ; Remote expert consultation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An international multicenter study (Germany Sweden, and Switzerland) was performed to investigate the feasibility and diagnostic of standard video-conferencing (VC) technology for remote expert consultation in radiology. Three high spatial resolution films (hand-bone, mammography, chest) and two low-spatial-resolution image sets (liver CT and MR1) were studied (total 446 images taken from different examinations). The images were recordedby a video camera transmitted via public broadband networks, and displayed on a video monitor. The resolution of the recorded images varied from 24 lp mm to 4.8 lp/mm at maximum zoom. Alter 3–4 months, the images were reexamined using conventional light-box reading. Diagnostic reliability was evaluated by receiver operating characteristics (ROC) analysis. With video conferencing, there was a noticeable loss of diagnostic accuracy for the high-spatial-resolution films, whereas for liver CT and liver MRIimages VC reading seemed to be satisfactory (average area value difference 〈 0.02)
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 187 (1987), S. 159-174 
    ISSN: 1433-8580
    Keywords: Right ventricle ; Tissue oxygen pressure ; Hemodilution ; RCA occlusion ; Dogs
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Right ventricular (RV) epicardial tissue oxygen pressure (PtO2) was measured polarographically by means of a platinum multiwire surface electrode on the in situ beating heart of ten anesthetized dogs prior to and after moderate (Hct 28%) normovolemic hemodilution (HD) with dextran 60. In five dogs the effect of acute occlusion of the right coronary artery (RCA) on PtO2 was analyzed. The PtO2 histograms at baseline revealed a bell-shaped configuration and a mean PtO2 of 46.2 ± 7.1 mm Hg which coincides with the PtO2 on the left ventricle (LV) reported by others. After HD mean PtO2 increased to 51.4 ± 8.5 mm Hg (P = 0.02) without alterations of the histogram's configuration. Hemodynamics and blood gas analyses were unchanged after HD. RCA ligature was followed by non-uniform changes in the PtO2 pattern. Thus, despite marked differences in external work and O2 consumption, the PtO2 in both RV and LV myocardium are similar at rest. The increase of PtO2 in the RV at reduced Hct values, which is not seen in the LV myocardium, can be related to differences in functional capillary density between both ventricles.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Basic research in cardiology 85 (1990), S. 508-518 
    ISSN: 1435-1803
    Keywords: myocardialblood flow ; rightventricle ; pericardium ; microspheres ; dog
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We have investigated the effects of open chest and open pericardium on the distribution of myocardial blood flow assessed with the radioactive microsphere technique (15 μm). Five dogs with intact thorax served as controls (group I) and six dogs were studied after a right-sided thoracotomy and pericardiotomy (group II). Global myocardial blood flow (mean±S.D.) was 0.73±0.17 ml·min−1·g−1 in group I and 1.22±0.09 ml·min−1·g−1 in group II (p〈0.05). Analysis of transmural blood flow distribution revealed that flow was 44% higher in the right and 60% higher in the left ventricular endocardial layers in the open-chest animals, whereas epicardial flow increased by 105% and 90%, respectively. As a result of the preferential blood flow to the epicardial layers of the right ventricle, the endo/epi ratio was reduced from 1.30±0.26 in group I to 0.86±0.11 in the open-chest group (p〈0.05). Left ventricular endo/epi ratio was 1.27±0.16 and 1.06±0.11 (n.s.), respectively. External work and diastolic filling pressure of the right ventricle did not differ between the two groups and therefore cannot account for the redistribution of myocardial blood flow. It is concluded that the distribution of myocardial blood flow, particularly in the RV, is severely disturbed by thoracotomy and pericardiotomy. This is an important aspect for the planning and evaluation of studies under open-chest/open-pericardium conditions.
    Type of Medium: Electronic Resource
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