PubMed · 14864018
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E GRENDEL. 1951-07-21. [Tempora mutantur].. https://pubmed.ncbi.nlm.nih.gov/14864018/
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Venous malformations (VMs) are non proliferative lesions that consist of dysplastic venous channels. The aim of imaging is to characterise the lesion and define its anatomic extent. We will describe the plain film, ultrasound (US) (including colour and duplex Doppler), computed tomography (CT), magnetic resonance imaging (MRI), conventional angiographic and direct phlebographic appearances of venous malformations. They will be illustrated at a number of head and neck locations, including orbit, oral cavity, superficial and deep facial space, supraglottic and intramuscular. An understanding of the classification of such vascular anomalies is required to define the correct therapeutic procedure to employ. Image-guided sclerotherapy alone or in combination with surgery is now the first line treatment option in many cases of head and neck venous malformations, so the radiologist is now an integral part of the multidisciplinary management team.
A new adiabatic inversion pulse and its design principles are presented. An analytical expression in the pulse length, inversion bandwidth, inversion efficiency, peak RF amplitude, and width of the transition region is derived and validated. Accordingly, the pulse shape can be adapted to achieve a specified inversion performance. Adjusted for broadband application, population can be inverted band selectively, rather independently of spatial RF field inhomogeneities, and with significantly reduced peak RF amplitude in comparison with the well-known hyperbolic secant adiabatic pulse.
Advances in medicine have enabled more craniopagus twins to survive separation, but the ultimate goal, to have both twins emerge from their separation with full neurologic function and a chance at leading independent and productive lives, remains elusive. The authors were contacted to evaluate craniopagus conjoined male infant twins for separation. Once it was determined that the brains were separate, they reviewed the literature and elected to design an open-ended multistaged separation. Four major stages over 9 and a half months led to the successful separation and preservation of neurologic function. To the authors' knowledge, this is the first such outcome in such a case. This article reviews the pertinent literature and discusses the authors' rationale and methodology.