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Biomedical subjects

M S Sandler

Publications and source records attributed to M S Sandler.

4 recordsLinked to original sources

Ventilation abnormalities associated with pulmonary embolism.

A retrospective analysis of 2035 lung images performed over approximately 5 years revealed abnormal ventilation coexisting with pulmonary embolism in 18 patients. Matching ventilation perfusion defects may be associated with pulmonary embolism without infarction. In patients with a high clinical suspicion of acute pulmonary embolism and matching V/Q abnormalities, an angiogram may be necessary to definitely exclude the diagnosis.

Humans↗

Fourier analysis of a gated blood-pool study during atrial flutter.

First-harmonic Fourier analysis of a gated blood-pool study is based on the assumption that the cardiac chambers contract once per cardiac cycle. In atrial arrhythmias this condition may not exist for the atria. We recently studied a patient with atrial flutter and 2:1 atrioventricular conduction. There were predictable alterations in the first-harmonic Fourier phase and amplitude images. The observed changes from first-harmonic Fourier analysis were: (a) very low atrial amplitude values, and (b) absence of identifiable atrial regions on the phase image.

Aged↗

"Hot spot" on liver scan due to tricuspid insufficiency.

A patient with a diagnosis of tricuspid insufficiency was found to have a small focal area of increased activity, or "hot spot," in the liver on a Tc-99-sulfur colloid scan. This "hot spot" was in the superior central portion of the liver in the region of the junction of the hepatic veins and inferior vena cava. Its presence was confirmed on a dynamic study of the liver, which showed appearance of the activity in the abnormal area at the same time as in the right atrium. The finding was thought to be the result of reflux of blood from the right atrium into the vena cava and hepatic veins due to tricuspid insufficiency.

Humans↗