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Biomedical subjects

G Todo

Publications and source records attributed to G Todo.

At least 19 recordsLinked to original sources
PubMed2000

A case of malignant lymphoma of the hand.

Malignant lymphoma is rarely seen in the hand. We present a case of malignant lymphoma of the hand with Ga-67 citrate and MR images, and discuss the usefulness of Ga-67 citrate scintigraphy for diagnosing this condition.

Aged↗
PubMed1999

MR and Tc-99m HMPAO SPECT images in a case of unusual widening of perivascular spaces (Virchow-Robin spaces).

We report a rare case of unusual widening of perivascular spaces (Virchow-Robin spaces). MR images showed multiple small round cystic areas along the perforating medullary arteries with signal intensity identical to the cerebrospinal fluid predominantly in the right cerebral white matter. Tc-99m HMPAO SPECT images showed no remarkable laterality and no definite ischemic lesion, and the neurological status of the patient was not remarkable. MR was a diagnostic examination and Tc-99m HMPAO SPECT was a useful supplementary examination in the evaluation of this case of unusual widening of Virchow-Robin spaces.

Aged↗
PubMed1998

Patterns of care study of radiation therapy for cervix cancer in Japan: the influence of the stratification of institution on the process.

BACKGROUND: To improve the quality of radiation oncology in Japan, Patterns of Care Study (PCS), a widely known quality assurance (QA) program in the USA, was introduced. The feasibility was tested by collecting nationwide data by extramural audit for cervix cancer. METHODS: From July 1996 through February 1997, PCS audits were performed for 29 institutions nationwide. On the basis of the facility survey by Tsunemoto, 13 institutions were classified as A1 (university hospital/cancer center), 10 as B1 (other institutions treating >120 patients/year) and six as B2 (other institutions treating <120 patients/year). Medical charts for the patients treated for cervix cancer between 1992 and 1994 were reviewed based on the data format of the US PCS. The total number of patients surveyed was 432. RESULTS: Simulation was used for >90% of the patients in both A1 and B1-2 institutions. However, in B1-2, planning for 5% of the patients was performed with only a clinical set-up (p = 0.0287). A daily fraction with a size of 200 cGy was given to >65% of patients in A1 and to <47% in B1-2. On the other hand, >50% of those in B1-2 were treated with daily fractions of 180 cGy and less compared with 25% in A1 institutions (p < 0.0001). Brachytherapy was utilized more frequently for patients in Stages II (p = 0.0365), III (p = 0.0015) and IV (p = 0.0483) in A1 than in B1-2. As for external beam equipment, linear accelerators with 10 MV or more were used for 83% of the patients in A1. However, in B1-2 institutions, machines with lower energy were used for 38% of the patients (p < 0.0001). The median number of full-time-equivalent (FTE) radiation oncologists was 2.7 in A1, 0.65 in B1 and 0.2 in B2. CONCLUSIONS: Institutional stratification, including equipment and personnel, was found to affect significantly the patterns of care for cervix cancer. Therefore, to improve the quality of radiation therapy nationwide, improvements in equipment and in supply of FTE personnel are extremely important. PCS was found to have great potential for a practical evaluation of how much improvement will be required in Japan.

Adult↗
PubMed1996

A case of malignant fibrous histiocytoma of the ilium, evaluation by blood-pool scintigraphy.

A rare case of malignant fibrous histiocytoma (MFH) of the ilium was presented and blood-pool scintigraphic images and angiographic images were correlated. Hypervascular tumor and lacking of contrast material with arteriovenous shunts were shown by angiography. Intensive tracer accumulation was shown by blood-pool scintigraphy. After radiation therapy and transcatheter arterial embolization of the tumor, tracer accumulation was noticeable reduced. These findings suggested a vascular tumor such as angiosarcoma, but surgery revealed MFH of the bone. Blood-pool scintigraphy was useful in the evaluation of the vascular characteristics of the tumor.

Aged↗
PubMed1994

[Anaphylactoid purpura: intestinal ultrasonographic findings].

We evaluated six children with anaphylactoid purpura for ultrasonographic changes in the small intestine. Of 16 ultrasonographic scans, eight showed abnormal findings, consisting of circumscribed hypo-echoic enlargement, reduced peristalsis, equivocal structure of the small intestinal wall and ascites in patients with abdominal pain. Follow-up ultrasonography after steroid therapy demonstrated the small intestine to be normal in four of six patients. We believe that ultrasonography is an useful diagnostic modality to detect changes in the small intestinal wall in anaphylactoid purpura and plays an important role in its differentiation from other causes of abdominal pain.

Adolescent↗
PubMed1991

[Follow-up study in a case of traumatic epilepsy with increased accumulation of 123I-N-isopropyl-p-iodoamphetamine].

Recent studies suggested the potential use of 123I-N-isopropyl-p-iodoamphetamine (IMP) for the assessment of pathophysiology of epilepsy. We studied a case of epilepsy with increased accumulation of IMP. Brain SPECT scan of IMP was performed in a case of 31-year-old male with traumatic epilepsy. Increased accumulation of IMP was observed in the left temporal area on both early (20 min after injection) and delayed (3 hr) images of studied 6 weeks after the head trauma. X-CT did not show any abnormalities. The accumulation of IMP decreased as the symptom of the patient improved. The SPECT study performed 3 months after the accident showed slightly decreased uptake in the left temporal area on the early image with homogeneous uptake in the delayed image. These findings suggested the altered retention mechanism of IMP in this case.

Adult↗
PubMed1990

Magnetic resonance imaging with aneurysmal subarachnoid hemorrhage: comparison with computed tomography scan.

Magnetic resonance studies of 27 consecutive preoperative and 33 postoperative patients with cerebral aneurysm and subarachnoid hemorrhage were reviewed. Magnetic resonance imaging using a 0.5- or 0.22-Tesla unit was at least as accurate as computed tomography scan for detection of acute subarachnoid hemorrhage. Magnetic resonance imaging was superior to computed tomography scan for demonstrating blood in the ventricles or posterior fossa subarachnoid space, transependymal migration of the cerebrospinal fluid, and several kinds of iatrogenic intracranial pathologies in postoperative patients. Ischemic lesions, particularly fresh lesions caused by delayed cerebral vasospasm, were much better shown on magnetic resonance imaging than on computed tomography scan. Nonferromagnetic Sugita clips caused significant artifacts, but the area of artifacts was consistently smaller, and a reasonable evaluation of structures relatively closer to the clip was possible with magnetic resonance imaging rather than computed tomography scan.

Adult↗
PubMed1990

Magnetic resonance imaging of large and giant intracranial aneurysms.

Twelve large or giant intracranial aneurysms were studied with magnetic resonance (MR) imaging, and the findings were compared with those from computed tomographic (CT) scanning. Characteristic MR features of such aneurysms are: round, extra-axial mass with hypointensity rim; signal void, paradoxical enhancement, or even-echo rephasing due to blood flow; and laminated, eccentric thrombus with increased signal intensity when fresh, perianeurysmal hemorrhage occurs in the acute or subacute stage after aneurysmal rupture. MR imaging, however, often fails to identify or characterize the area of calcification. For the diagnosis of large or giant intracranial aneurysms, MR imaging is apparently superior to CT scanning in differentiating aneurysms from tumors, delineating the blood flow and intraluminal thrombus, and detecting the exact size of the aneurysm. It may also provide useful information concerning the growth mechanisms of aneurysms with or without thrombus formation.

Adult↗
PubMed1989

[MRI of brainstem contusion].

Three cases of brainstem contusion in whom the lesion could not be found by x-ray computed tomography (CT) but was identified clearly by magnetic resonance imaging (MRI) were reported. CT is apparently very useful in detecting the hemorrhagic components in patients with acute head injury, and it will definitely retain its important role in the management of emergency patients with possible life-threatening intracranial hemorrhage. MRI has been also known to be very useful in the diagnosis of patients with head injuries, especially in the detection of contusion in the frontal base, tip and the base of the temporal lobe, and the brainstem. T2-weighted images are the best for demonstrating such traumatic contusion of the brain.

Adolescent↗
PubMed1989

Intracranial glossopharyngeal neurinomas. Report of two cases with special emphasis on computed tomography and magnetic resonance imaging findings.

Two patients with intracranial glossopharyngeal neurinoma are described. In both patients, neurologic signs and findings of conventional radiologic and computed tomography examinations suggested a diagnosis of acoustic neurinoma. Magnetic resonance imaging, however, definitely indicated that the mass had actually arisen from the lower cranial nerves. This was confirmed at operation. The superb sensitivity and specificity of magnetic resonance imaging in the diagnosis of posterior fossa extraaxial mass are emphasized.

Cranial Nerve Neoplasms↗
PubMed1989

Intralobular distribution of oleic acid-induced pulmonary edema in the pig. Evaluation by high-resolution CT.

The objective of this study was to elucidate the features of experimentally induced pulmonary edema at the lobular level, using high-resolution CT (HRCT) with pathological correlation. We selected the pig as the experimental animal because the pig has well-defined pulmonary lobules. Twelve Yorkshire pigs were included in this study. Five animals were used for studying normal anatomy of the pig lung. Pulmonary edema was induced by oleic acid infusion in 7 pigs. All computed tomographic (CT) scans were performed on a GE 9800 scanner, using 1.5 mm slice-thickness, 16 cm field of view with 512 X 512 matrix and bone reconstruction algorithm. The animals were killed after CT scans and the lungs were removed, inflated, fixed and dried, and subsequently sliced in sections which corresponded to the CT sections. Using CT images, specimen radiography, and histology, we studied the intralobular distribution of pulmonary edema in selected lobules of each animal. Oleic acid infusion caused multifocal hemorrhagic pulmonary edema within the pulmonary lobule. The distribution was uneven and areas surrounding the lobular bronchi were less involved. HRCT permits evaluation of morphological changes of oleic acid-induced pulmonary edema at the lobular level. The intralobular distribution of the lesions may provide additional information about the mechanism of permeability pulmonary edema.

Animals↗
PubMed1986

Bronchial venous plexus and its communication with pulmonary circulation.

This study was undertaken to clarify the microvascular anatomy of the normal human bronchial circulation, focusing on the bronchial venous system and its communication with the pulmonary circulation. Ten normal lungs obtained at autopsy were studied. Bronchial arteriography was performed in six lungs, pulmonary arteriography in two lungs, and pulmonary venography in another two. Using radiologic methods, including microradiography, and serial histologic sections, we found numerous bronchial venous plexuses around the airways and blood vessels into which the bronchial capillaries drained. Frequent communications of the venous plexuses with the pulmonary veins and neighboring alveolar capillaries were also demonstrated. The bronchial venous plexus and its close connection with the pulmonary circulation may be important in various pathologic conditions involving the interstitial space, such as interstitial pulmonary edema.

Adult↗
PubMed1986

High-resolution computed tomography of the pig lung.

Computed tomographic (CT)-anatomic correlation of the lung was performed on young Yorkshire pigs. After in vivo CT, the lungs were removed, fixed, and dried. The lung specimens were studied with CT and on several specimens, bronchography and arteriography also were done to establish the normal anatomy. Subsequently, the specimens were sliced at corresponding levels of the CT cuts and histology was done as needed. The lobules in the pig lung are very well demarcated. On the specimen radiographs with bronchography and in vivo CT in pulmonary edema, "sublobular units" can be readily identified that are rather uniform in size. On the in vivo CT with the standard algorithm, the relationship between the branches of the pulmonary artery and bronchus can be shown to the level of segmental bronchi. With the bone detail algorithm, vessels are clearly shown and lobar bronchi become visible. On in vivo CT, the lobular demarcations cannot be seen in the normal pig but clearly are visible in pulmonary edema. In cases of pulmonary edema, in addition to the lobules, the sublobular units and the sublobular bronchi, which measure .5 to .7 mm in diameter, also can be appreciated. Because of the well-developed pulmonary lobules and the uniformly sized sublobular units, the Yorkshire pig is potentially a good model for radiologic-pathologic correlation, particularly of airspace disease.

Animals↗