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Biomedical subjects

H Oeser

Publications and source records attributed to H Oeser.

17 recordsLinked to original sources

[Demineralisation of bone in chronic arterial insufficiency (author's transl)].

125I-nuclide-absorption measurement demonstrated a statistically significant decrease in mineral content of the calcaneus in 44 patients with arteriographically proven arterial occlusive disease of the lower limbs. The loss of mineral content was dependent on the clinical degree of the vascular disorder (stages according to Fontaine's classification) and the site of the arterial occlusion. There was no demonstrable relationship between the degree of demineralisation and the duration of the vascular disorder. If treatment proved successful there was a significant rise in the mineral content of the calcaneus.

Aged

[Quantitative mineral estimations in vertebral bodies by computer tomography (author's transl)].

The accuracy of computer tomographic bone density measurements in the axial skeleton was tested by comparing results obtained from the first lumbar body in abdominal phantoms. An almost linear relationship (r = 0.998) was found between increasing concentrations of a calcium chloride solution and CT absorption values. The sum of the CT values of sections through the vertebral body correlated well with their ash content (r = 0.90) as well as with the hydroxyl apatite values obtained by I125-absorption densitometry (r = 0.88). Reproducibility of CT measurements on the phantom was good (coefficient of variation = 1.2% in the spongiosa). Average CT values of separate measurements of the spongiosa and cortex could be correlated with the total spongiosa by a special programme (r = 0.95). In the practical application of this technique, possible sources of error must be considered, such as the effect of high energy polychromatic radiation, inhomogeneity of the object being investigated and difficulties in positioning the patients

Absorptiometry, Photon

[Radiotherapy of esophageal cancer -- any improvement in prognosis? (author's transl)].

Results of radiotherapy (42 MeV-Beta-tron) on 93 patients with esophageal cancer treated between 1969 and 1976 are reported and compared with those in the literature (on orthovoltage- and telecobalt-therapy). Complete remissions occured in 29%; the one -- and two-year-survival-rate for all 93 patients was 38% and 24% respectively, and for patients with complete remission 74% and 44% respectively. Although there was improvement in complete remission and short term survival compared to that reported in the literature, the five-year-survival-rate (only about 5% of patients) showed no significant improvement.

Adult

[Extension of thoracic roentgen diagnosis by computer tomography (author's transl)].

In 400 examinations of the thorax results of computer tomography were compared with respective pa chest films and conbentional tomograms. In the peripheral areas of the lung, interstitial parenchymal alterations and metastases were better visualized by CT. The size of central bronchial carcinomas and space-occupying lesions of the thoracic wall can be determined with greater accuracy by CT. Primary tumors, lymphnode enlargement and vascular alterations can be differentiated and localized more precisely by CT. The size of the heart chambers, intracavitary tumors as well as septal and myocardial wall thickness can be determined non invasively.

Aortic Aneurysm

Measurement of lung density by computed tomography.

Computed tomography scanners can be calibrated to provide reproducible measurements for a quantitative analysis of lung density. Typical histograms for inspiration and expiration are presented. The reproducibility of the method is demonstrated as well as the limitations caused by artifacts and incomplete inspiration. This method is suggested for follow-up studies of patients with diseases affecting the entire lung. Early detection of interstitial lung disorders also seems possible.

Absorptiometry, Photon

[Whole body computer tomography: principle-purpose - requirements (author's transl)].

After explaining the principle of whole body computer tomography the field of indication is outlined with reference to some of our own experiences. Up to now, it has proved its value in the following indications: preoperative diagnosis, supplementing pulmonary radiodiagnosis, substitution of invasive diagnostic procedures in mediastinal diseases, clarification of diseases of the abdominal cavity, of space-occupying processes in the kidney, in the true pelvis, and detection of retroperitoneal processes. The financial expenditure for this novel method of investigation is described according to a formula. The cost of given or estimated numerical values show the importance of adequate usage. The added costs for a second personnel shift for an examination rate of more than 7 patients a day are trivial because of the high basic expenditure.

Abdominal Neoplasms

[Cancer control (author's transl)].

Evaluation of Success Figures and Incidence Data: The survival rates of patients with esophageal, bronchail and mammary carcinoma were determined at fixed intervals as specific mean values, including the dependence of the standard deviation on the size of the treatment collectives (n = 50, 100, 1000). In addition to the statistical margin of error, the percentage frequency of bronchial and mammary carcinomas and also of leukemia in childhood was calculated in numerical and age groups. The application is demonstrated with examples.

Adolescent

[The supposed cancer risk from mammography. Opposition to the assertions (author's transl)].

The view that exposure to diagnostic radiation presents a cancer risk to the female breast should be considered together with the fact that the major factor is ageing of the patient. This risk factor is hidden in experimental and statistical studies on cancer production by exongenous agents; for instance, in studies of radiation effects, it is inherent in the time taken. The assumption that mammography presents a cancer risk is unjustifiable and is denied.

Adolescent

[Cancer as a risk of exposure to medicinal radiation (author's transl)].

"Radio-cancer" arises in a tissue or organ damaged by radiation; the ionising rays have caused somatic radiation damage but have not produced cancer. A higher risk of cancer as a sequel to constantly increasing exposure to medicinal radiation has not been demonstrated so far. The statements quoted in the paper are due in particular to faulty comparative evaluations in retrospective surveys and to inadmissible extrapolations of findings after the action of high radiation doses to expected effects with low doses. In addition to radiobiology, and radiophysics, knowledge of oncology and clinical radiology must also be taken into account in future.

Adult