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Demonstration of distinct allergens by means of immunological methods. Comparison of crossed radioimmunoelectrophoresis, radioallergosorbent test and in vivo passive transfer test.

An immunosorbent column was prepared containing a purified major allergen fraction from codfish (DS 22) covalently coupled to agarose. Sera from patients allergic to codfish were run through the column at pH 7.2. After extensive washing, the IgE retarded in the column was eluted with a buffer at pH2.5. The original sera and fractions from the chromatography experiments were examined by means of crossed immunoelectrophoresis (CIE), crossed radioimmunoelectrophoresis (CRIE), radioallergosorbent test (RAST) and in vivo passive transfer (PK) tests using the DS 22 from codfish and a crude codfish extract. The experiments demonstrated that the crude extract contained a minor codfish allergen (antigen-17-cod) which was distinct from DS 22. RAST was the most convenient technique for the identification of fractions containing allergenic activity. The PK tests served to prove the biological activity in vivo. CIE/CRIE were superior to RAST and PK tests regarding their ability to identify distinct allergens. Full agreement was found between results using different techniques including the immunosorbent experiments. Some of the radiostaining in CRIE, however, was misleading due to coprecipitation of DS 22 in several precipitates in the CIE preparations of the crude codfish extract.

Allergens

Diagnostic accuracy of coronary angiography utilizing computer-based digital subtraction methods. Comparison to conventional cineangiography.

To evaluate the efficacy of mask-mode digital subtraction angiography in selective coronary arteriography, we compared computer-based digital subtraction angiograms to standard film-based angiograms in 77 patients. Digital angiography was performed utilizing a 512(2) matrix and a framing rate of 30 frames/second. Radiation parameters were selected after a pilot dose-ranging trial, and were 70-120 KVP, 10-30mA and 0.8 to 5msec pulse width. Single view digital angiograms were compared to single view conventional angiograms in 27 patient; the two angiograms agreed within one grade of severity in 84 percent of the lesions or normal arteries seen. Multiple view digital angiograms were compared to multiple view conventional angiograms in 50 patients. Agreement within one grade of severity was found for 90 percent of lesions or normal arteries. Digital angiography detected 95 percent of collateral vessels seen on conventional angiography. We conclude that computer-based mask-mode digital subtraction angiography can be utilized in selective coronary angiography to obtain results comparable to those using conventional film-based cineangiography.

Adult