PubMed Health⌕ Search

Biomedical subjects

B Domenech

Publications and source records attributed to B Domenech.

8 recordsLinked to original sources

[Intermittent ureteropelvic junction obstruction and aberrant vessel to the lower pole of the kidney in children].

Intermittent ureteropelvic junction obstruction in children is a distinct clinical syndrome, it is often associated with an anteriorly crossing aberrant vessel to the lower pole of the kidney. The presence of these vessels increases the risk of complication and requires surgical management. CT scan is already the best exam to find these vessels in adults before treatment. It seems to be also efficient in children. This case report illustrates this indication.

Child↗

[Value of MR imaging of the fetal kidney].

Sonography is the imaging modality of choice for initial evaluation of the fetus. However, the role of MR imaging for fetal evaluation is expanding. Based on a review of seven cases, the role of MRI to further characterize renal abnormalities detected at US, especially hyperechoic kidneys, is demonstrated.

Female↗

[Testicular feminization, germinal tumor, NK lymphoma: what is the relationship?].

CASE REPORT: The authors report the case of a ten-year-old girl, who had been treated for a malignant germinal tumour five years before, presenting with a leukaemia-like syndrome associating bone pain, liver and spleen nodules and bone marrow involvement. The cyto-pathological analysis showed undifferentiated cells and CD56 and protein S100 were found as the only positive markers. The child received several subsequent lines of chemotherapy and ultimately died of the disease. COMMENTS: Particular cytogenetic abnormalities were observed (iso1q10, iso6p10) and were in favor of an unusual NK cell lymphoma. CONCLUSION: This analysis revealed a XY genotype (testicular feminization syndrome).

Androgen-Insensitivity Syndrome↗

[Imaging of the hip in healthy children in MRI: evaluation of the acetabular coverage].

PURPOSE: To define with MR imaging a reference value for acetabular coverage on coronal and sagittal images for a population of healthy children. MATERIALS AND METHODS: 36 children (72 hips) where prospectively studied over 1 year. T1-weighted spin-echo images in both coronal and sagittal planes were obtained. Slice thickness was 4 mm. Measurement of acetabular coverage (AHI: Acetabular-Head Index) was made in both planes with two different landmarks: bone and cartilage. Study of the evolution with age was made. RESULTS: The acetabular coverage is symmetrical and decreases with age. Its measurement is reproducible. CONCLUSION: This study shows that measurement of acetabular coverage (AHI) is easily obtained at MR imaging and is reproducible. We suggest 83 (mean 1SD) as the inferior limit for AHI based on cartilage measurements. We introduce sagittal values, never published. We believe that MR, by its ability to demonstrate the cartilaginous surfaces, will play a major role in the true understanding of the anatomical relationship between the femoral head and the acetabulum.

Acetabulum↗

[MRI study of the arterial ligament and the left pulmonary artery in the preoperative staging of left upper lobe bronchial cancers].

PURPOSE: To demonstrate that the ligamentum arteriosum is visible by precisely-oriented MRI. To demonstrate the predictive value of the ligament involvement for left upper lobe cancer surgery. MATERIAL AND METHODS: Fifteen controls, age-matched with bronchial cancer patients, were studied to establish how the ligamentum arteriosum could best be visualized on MRI. Visibility was optimal on RASE T1-weighted sequences on the frontal and sagittal oblique planes (aorto-pulmonary window). Acquisitions were performed with a body coil, 7 mm slices, 480 mm Fov, on a Magnetom Expert, 1T Siemens machine. Forty five patients with left upper lobe cancer underwent MRI investigation after CT had shown mediastinal proximity of the left pulmonary artery and the tumor. They underwent surgery with manual localization of the ligament at the beginning of the procedure. Findings and operative decisions were compared with those of MRI, establishing its predictive value. MRI defined the tumor-ligament and tumor first centimeters of the left pulmonary artery (LPA) relationships. RESULTS: MRI ligamentum visibility was about 87%. Ligament non-involvement on MRI (n = 23) was confirmed at surgery in all cases (100% concordance). Involvement suggested on MRI was confirmed in 18 cases and surgery was impossible or unsatisfactory. There were four false-positives with successful surgery (8% false positives). CONCLUSION: When CT shows left lobe cancers extending in the mediastinum towards the LPA, precisely-oriented MRI assesses surgical difficulty and resectability by demonstration involvement of the ligamentum and the first two centimeters of the LPA.

Adult↗

[Right tracheal bronchus].

We present 3 cases of tracheal bronchus. The right tracheal bronchus is an uncommon anomaly, more frequent however than on the left side. Two variations are knows, with or without real ectopy. The radiologist can recognize this abnormal bronchus on the CT slices. Most often it is a non-pathogenic finding (unlike the left-sided anomaly). One of the cases, however, had lung cancer in the segment ventilated by the anomalous right bronchus.

Adult↗

Variation of the visual acuity--luminance function with background colour.

The relationship between visual acuity (VA) and background colour is a question that still creates a certain amount of confusion even today, although most authors agree that colour background does not basically affect VA, or at best, values that are only slightly better are obtained with monochromatic yellow light. The object of this paper is to try to clarify if, when the axial chromatic aberration (ACA) has been compensated for, certain differences due exclusively to colour persist or not. In order for this, the VA-luminance functions with red, green, blue and white backgrounds have been measured for two emmetropic observers, before and after compensating for the ACA. The results show that after the compensation, the curve corresponding to red is above the one corresponding to blue, with the one corresponding to green in between. The achromatic function (white background) practically overlaps with the green one. This behaviour is consistent with that shown recently for contrast sensitivity functions (CSFs). However, the asymptotic values are identical for the three colours, and so, it is understandable that no significant differences are normally found when only a standard measurement of VA is taken using the typical illumination from an optotype projector.

Adult↗

Focimeter measurement of the astigmatism arising from oblique central refraction.

In this article, a method for measuring the astigmatism produced by an oblique central refraction is proposed. Measurements were taken using two different values of the pantoscopic angle that can be produced by lenses mounted in frames. We show that in specific cases, and as a function of the angle and power of the lens, the resulting astigmatism can surpass the tolerance level of the eye.

Lenses↗