Biomedical subjects
Publications and source records attributed to A Levasseur.
A simple and reliable technique was developed to measure split renal glomerular filtration (GFR) based solely on image processing of the standard 20-minute Tc-99m DTPA renogram. It requires neither syringe counting nor blood or urine sampling. Using three sequential blood samples in 36 patients, GFR values correlated well (r = 0.92) with in vitro GFR measurements.
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Confusing a gallbladder or bile leak with duodenal activity is a common source of error in the interpretation of cholescintigrams. Techniques such as supplementary oblique views, delayed views, the "water test," dynamic display and combined cholescintigraphy and ultrasound have been used with varying degrees of success. As illustrated in two cases, supplementary standing views provide a simple alternative method to differentiate gallbladder from small bowel activity.
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In view of the high rate of loosening of conventional cemented hip prostheses, cementless implants are gaining popularity in Europe and North America. Smooth-surfaced "press fit" prostheses are designed for autolocking in the femoral canal at the time of installation. Fifteen patients were prospectively followed by bone imaging with Tc-99m MDP at three-month intervals after cementless "press fit" hip arthroplasty to define the "normal" distribution of mechanical stress to the surrounding bone, as well as the incorporation of bone allografts used for reconstruction of resorption sites in cases of revision surgery.
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The comparative study of submandibular gland function before and after unilateral section of the chorda tympani, is used to verify the validity of sequential scintigraphy as a method of appraising the function of the salivary glands. Sequential scintigraphy of the submandibular glands was evaluated as a new, simple, and dependable test of the function of the submandibular glands, in topographical and prognostic assessment of 10 patients with unilateral idiopathic facial paralysis. The results of this neurodiagnostic test were compared and were found to be in close agreement with the results obtained by submandibular salivary flow measurement. The use of sequential scintigraphy of the submandibular glands constitutes a valuable tool in the clinical evaluation of patients with peripheral facial nerve disorders.
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