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Results for “Repeatability and Reproducibility”

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PubMed2006

Reproducibility of whole-body 131I scan and serum thyrotropin and stimulated thyroglobulin values in patients studied twice after injection of recombinant human thyrotropin.

PURPOSE: Recombinant human TSH (rhTSH) is used to increase radioiodine uptake during imaging of thyroid cancer, obviating the need to render the patient hypothyroid. We assessed the reproducibility of radioiodine uptake, serum thyrotropin (TSH), and stimulated serum thyroglobulin (Tg) levels after rhTSH administration. METHODS: A retrospective review was performed of patients at Stanford who underwent whole-body (131)I scanning for surveillance of thyroid cancer twice after thyroidectomy and (131)I ablation, with rhTSH prior to each scan. Forty-eight hour radioiodine uptake, peak serum TSH, and stimulated serum Tg levels for each study were recorded. Paired t tests and correlation analysis were used to assess interexamination repeatability. RESULTS: Twenty-three patients underwent two scintiscans with rhTSH, for a total of 46 exams. There was no significant difference between percent uptake at 48 h in the paired exams (p=0.40). Serum TSH level was measured in 45 of 46 exams; TSH exceeded 50 mIU/l in all cases, and there was no significant difference between paired TSH levels (p=0.93). All patients had stimulated serum Tg levels measured, with no significant difference between paired Tg levels (p=0.40); after excluding one patient whose Tg changed from 15.8 ng/ml to undetectable between scans without interval treatment, the p value rose to 0.95. There was a strong correlation among paired uptake values (r=0.85, p<0.0001), peak serum TSH (r=0.69, p=0.0003), and stimulated Tg levels (r=0.81, p<0.0001). No discordant scan interpretations were reported. CONCLUSION: Forty-eight hour radioiodine uptake, peak serum TSH, and stimulated serum Tg levels after administration of rhTSH are repeatable between studies, demonstrating reproducibility of diagnostic results without rendering patients hypothyroid.

Adolescent↗

PubMed2000

The use of visual analogue scales to assess motivation to eat in human subjects: a review of their reliability and validity with an evaluation of new hand-held computerized systems for temporal tracking of appetite ratings.

This present paper reviews the reliability and validity of visual analogue scales (VAS) in terms of (1) their ability to predict feeding behaviour, (2) their sensitivity to experimental manipulations, and (3) their reproducibility. VAS correlate with, but do not reliably predict, energy intake to the extent that they could be used as a proxy of energy intake. They do predict meal initiation in subjects eating their normal diets in their normal environment. Under laboratory conditions, subjectively rated motivation to eat using VAS is sensitive to experimental manipulations and has been found to be reproducible in relation to those experimental regimens. Other work has found them not to be reproducible in relation to repeated protocols. On balance, it would appear, in as much as it is possible to quantify, that VAS exhibit a good degree of within-subject reliability and validity in that they predict with reasonable certainty, meal initiation and amount eaten, and are sensitive to experimental manipulations. This reliability and validity appears more pronounced under the controlled (but more artificial) conditions of the laboratory where the signal:noise ratio in experiments appears to be elevated relative to real life. It appears that VAS are best used in within-subject, repeated-measures designs where the effect of different treatments can be compared under similar circumstances. They are best used in conjunction with other measures (e.g. feeding behaviour, changes in plasma metabolites) rather than as proxies for these variables. New hand-held electronic appetite rating systems (EARS) have been developed to increase reliability of data capture and decrease investigator workload. Recent studies have compared these with traditional pen and paper (P&P) VAS. The EARS have been found to be sensitive to experimental manipulations and reproducible relative to P&P. However, subjects appear to exhibit a significantly more constrained use of the scale when using the EARS relative to the P&P. For this reason it is recommended that the two techniques are not used interchangeably.

Appetite↗

PubMed2002

MR assessment of cerebral vascular response: a comparison of two methods.

PURPOSE: To compare the results and reproducibility of two MR-based methods of measuring the cerebrovascular response (CVR). MATERIALS AND METHODS: In eight volunteers, CVR was assessed with two MR-based methods upon a challenge with acetazolamide. CVR was assessed by measuring changes in total cerebral blood flow (TCBF) using phase contrast (PC) MRI, and by measuring perfusion MRI. To assess reproducibility the measurements were repeated after 1 week. RESULTS: The average CVR with the PC-MRI method was 46% (SD = 16%), and for perfusion MR the measured CVR was 44% (SD = 16%). The coefficient of variation (COV) for PC-MRI was 28%, while perfusion MR had a COV of 26%. The limits of agreement between the two methods were -49% and 45%, demonstrating a lack of agreement between the two methods in terms of CVR estimation. CONCLUSION: CVR estimates based on PC-MRI and perfusion MRI showed reproducibility but a lack of agreement in healthy volunteers. This lack of agreement can be attributed to the different aspects of the CVR reflected by these methods: TCBF reflects changes in CBF, whereas our perfusion MRI method reflects cerebral blood volume (CBV).

Acetazolamide↗

PubMed2004

[The accuracy of palpation from orientation points for the navigated implantation of knee prostheses].

AIMS: Cinematic and pointing procedures are used for non-image based navigated implantation during total knee replacement. Pointing procedures require an exact knowledge of the landmarks. In this anatomical study, landmarks are defined and repeatedly referenced. Precision and reproducibility are evaluated by means of an inter- and an intra-observer study. The axes of the femur and tibia are calculated using the landmarks. MATERIAL AND METHODS: The specific landmarks of 30 femurs and 27 tibias were palpated by three surgeons and digitised by means of a photogrammetric system, as used intra-operatively. The recorded data were statistically evaluated. RESULTS: The specific landmarks can be referenced with great precision. The vectors that influence the implant position show a mean femoral deviation of 0.9 mm and a mean tibial deviation of 1.0 mm. The repeating accuracy of every observer was 1.5 mm femoral and 1.0 mm tibial. The calculated long axes at the femur and tibia thus reach a precision of 0.1 degrees (min.-max.: 0-0.9 degrees) at the femur and 0.2 degrees (.0-1.1 degrees) at the tibia. The short axes at the distal femur and proximal tibia exhibit an average deviation of from 0.7 degrees to 1.9 degrees (0-11.3 degrees). CONCLUSION: Long axes (mechanical axes) can be determined exactly but the precision of the short axes (rotational axes) is unsatisfactory, although palpation of landmarks was accurate. Therefore, palpation of more than one rotational axis at the femur and tibia is mandatory and should be visualized on the monitor during surgery.

Arthroplasty, Replacement, Knee↗

PubMed2006

Reliability of 3-D ultrasound measurements of cervical lymph node volume.

This study was undertaken to evaluate the reliability of three-dimensional (3-D) ultrasound in measuring cervical lymph node volume. Ultrasound examination of the neck was performed on 15 healthy subjects (eight men and seven women). For each subject, the volume of cervical lymph nodes was measured twice with 3-D ultrasound by two operators, to evaluate the reproducibility of measurements (interoperator variability). 3-D ultrasound measurements of cervical node volume were performed with and without using SonoCT and XRES imaging. Each 3-D data set was reviewed and remeasured by the operators to evaluate the repeatability of measurements (intra-operator variability). Results showed that the reproducibility and repeatability of 3-D ultrasound volumetric measurements of cervical nodes was improved when SonoCT and XRES imaging were used. There was a high repeatability of 3-D ultrasound measurements of cervical node volume (> 90%). A high reproducibility of measurements was found in the posterior triangle nodes (90.3% - 90.9%). When SonoCT and XRES imaging were used with the scanning, there was a high reproducibility for parotid node measurements (87.4%) and a satisfactory level of reproducibility for submental (61.8%), submandibular (69.3%) and upper cervical node (79%) measurements. 3-D ultrasound is a useful and reliable method in measuring cervical lymph node volume. However, further studies to improve the reproducibility of 3-D ultrasound measurements of submental, submandibular and upper cervical node volume are suggested.

Adult↗

PubMed2005

Identification and comparative determination of senkyunolide A in traditional Chinese medicinal plants Ligusticum chuanxiong and Angelica sinensis by HPLC coupled with DAD and ESI-MS.

Using the HPLC/DAD/ESI/MS method, the qualitative and quantitative analysis of senkyunolide A (SA) in the rhizomes of Ligusticum chuanxiong (Rhizoma chuanxiong; CX) and roots of Angelica sinensis (DG) was established. As a result, it was found that SA is a characteristic standard compound for the quality evaluation and chemical differentiation between CX and DG. Methanol was chosen in the preparation of standard solutions and extraction of samples based on the stability data. The identity of SA in CX and DG was unambiguously determined based on the quasimolecular ions in ESI-MS. A comprehensive validation of the method, including sensitivity, linearity, reproducibility and recovery, was conducted using the optimized chromatographic conditions. The linear calibration curve was acquired with R2>0.999 and limit of detection (S/N=3) was estimated to be 12.5 mug/g. The reproducibility was evaluated by repeated sample injection and replicated analysis of samples with the relative standard deviation (RSD) value found within 0.68%. The recovery rates of SA varied within the range of 96.91-101.50% with RSD less than 2.38%. In the present work, the contents of SA were quantified within 3.94-9.14 mg/g and 0.108-0.588 mg/g for 12 batches each of CX and DG. The results demonstrated that SA is a useful standard compound for the quality evaluation and chemical differentiation between CX and DG. The analytical procedure is precise and reproducible and thus suitable for the analysis of a large number of samples.

Angelica↗

PubMed2006

Can near infrared spectroscopy measure the effect of pressure on oxygenation of sacral soft tissue?

OBJECTIVE: To test whether near infrared spectroscopy (NIRS) is applicable for the examination of the influence of external pressure on oxygenation of the soft tissues in the sacral area. METHOD: Tissue oxygenation was measured in 33 healthy volunteers in the prone position. A NIRS probe was positioned over the sacrum and external pressure was applied in 10 mmHg increments, from 20 mmHg to 200 mmHg and then decreased. At each level, tissue oxygen saturation (StO2) was measured. To test reproducibility, the protocol was repeated in six volunteers, in whom the thickness of the soft-tissue envelope at different levels of external pressure was assessed using ultrasound. RESULTS: There was wide variability in StO2 courses between the 33 subjects, with a non-linear relationship between pressure and StO2. The only consistent finding was that the StO2 was significantly higher after decreasing pressure than at the initial pressure of 20 mmHg, which is indicative of reactive hyperaemia. Despite the application of high external pressures, reasonable tissue oxygenation was maintained in 19 of 33 subjects. Reproducibility of the measurements was poor. Comparison of soft-tissue thickness with corresponding StO2 values showed that, with increasing pressure, the percentage decrease in tissue thickness was higher than the decrease in tissue oxygenation. CONCLUSION: This study confirms that NIRS is not useful for assessing tissue oxygenation in pressure ulcer research due to unacceptable inter-individual variability and poor reproducibility of measurements.

Adult↗

PubMedDate not supplied

Collaborative trial for validation of a real-time reverse transcriptase-polymerase chain reaction assay for detection of central nervous system tissues as bovine spongiform encephalopathy risk material: part 1.

A collaborative trial was conducted to evaluate a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay for detection of central nervous system (CNS) tissues in meat products (e.g., sausages). The method is based on the detection of ruminant glial fibrillary acidic protein (GFAP) mRNA by applying real-time RT-PCR. The assay was evaluated through a multicenter trial involving 12 participating laboratories that received coded cDNA obtained from 3 different types of sausages. The participants used 5 different real-time detection systems. The results obtained in this validation revealed that this real-time RT-PCR assay performed well in the different laboratories with a detection limit of at least 0.1% CNS in those test materials that contained strongly heat-treated samples (sausages cooked at 120 degrees C) and the medium heat-treated samples (sausages cooked at 80 degrees C). The detection limit of liver sausages was determined to be 0.2% of CNS. Neither the samples with no CNS additive nor the bovine DNA and the negative control containing 100% swine brain gave any positive signals. The presented results indicate that the real-time RT-PCR assay was just as reproducible between laboratories, as repeatable within a laboratory, could reliably be used for detection of bovine spongiform encephalopathy risk material in meat and meat products, and signify that it may be used with confidence in any laboratory.

Animals↗

PubMed2003

Effects of physical activity, body fat, and salivary cortisol on mucosal immunity in children.

This study examined relationships among physical activity, body composition, and stress- and immunity-related variables in fifth grade children (10-11 yr) in Southern Ontario. The 29 boys and 32 girls, who participated in the study, performed a 20-m shuttle run for prediction of aerobic fitness. Bioelectrical impedance was used to assess relative body fat. Standardized questionnaires were used to determine physical activity-related variables and frequency of upper respiratory tract infection (URTI). Resting saliva samples were collected and tested for resting cortisol and resting secretory immunoglobulin A (SIgA). Subjects wore a pedometer for 48 h to estimate their average total distance traveled per day. SIgA was significantly correlated with reported URTIs but was not related to salivary cortisol, physical activity, fitness level, or relative body fat. Children who spent more time in sport activities and had higher aerobic fitness reported fewer "sick" days. Children with body fat higher than 25% reported significantly (P < 0.05) more sick days than the rest of the cohort. There were no gender differences in SIgA, URTI frequency, and cortisol levels. The test-retest reproducibility for salivary cortisol was 0.66 (P < 0.01), whereas long-term SIgA reproducibility was nonsignificant for repeated measurements taken after 6 wk. Resting secretory immunity was not strongly related to fitness and physical activity, but there was evidence that reduced physical activity and excess body fat can result in higher URTI incidence.

Adipose Tissue↗

PubMed2006

Accuracy, reproducibility, and comparability of Doppler tissue imaging by two high-end ultrasound systems.

INTRODUCTION: Doppler tissue imaging is a new technology for quantitative evaluation of myocardial motion and contractility, and is available in several ultrasound systems. This study evaluates the comparability, accuracy, and reproducibility of measurements of velocity, strain rate, and strain by two high-end ultrasound systems. METHODS: Accuracy was assessed by imaging a tissue-mimicking gelatin phantom, and the comparability of measurements in the right ventricular free wall and interventricular septum was assessed in 20 healthy participants. Reproducibility was evaluated by repeated recordings in vitro and in a random subset of patients. RESULTS: In vitro, a high degree of accuracy was found in both systems, with one system measuring slightly lower values than the reference values (mean difference 0.35 +/- 0.18 cm/s, P < .001). Values higher than the reference values were measured by both systems for strain and strain rate. In vivo, no systematic differences in measured velocities, strain rate, and strain were found; however, wide limits of agreement were seen for strain and strain rate. Measurements of tissue velocity, strain, and strain rate were well reproducible, nevertheless wide variation was found in both systems (coefficient of variation = 9%-19%). CONCLUSION: For clinical purposes, both systems have sufficient accuracy for measurements of tissue velocity. The variation in measurements of strain rate and strain by Doppler tissue imaging should be taken into account when designing studies using this new technology. Approaches to potentially reduce this variation should be addressed in future studies.

Echocardiography, Doppler↗

PubMed2004

Characterisation, asymmetry and reproducibility of on- and off-transient pulmonary oxygen uptake kinetics in endurance-trained runners.

The purpose of this study was three-fold: (1) to characterise both the on- and off-transient oxygen uptake (V(.)O(2)) kinetics in endurance runners during moderate-intensity treadmill running; (2) to determine the degree of symmetry between on- and off-transients; and (3) to determine the reproducibility of V(.)O(2) kinetic parameters in endurance runners. Twelve endurance-trained runners [mean (SD) age 25.2 (4.7) years, body mass 70.1 (9.7) kg, height 179.5 (7.5) cm, ventilatory threshold (V(T)), 3,429 (389) ml.min(-1), maximal V(.)O(2) (V(.)O(2max)) 4,138 (625) ml.min(-1)] performed two multiple square-wave transition protocols on separate days. The protocol consisted of six (three transitions, 15 min rest, three transitions) square-wave transitions from walking at 4 km.h(-1) to running at a speed equivalent to 80% of the V(.)O(2) at the V(T) (80%V(T)). To determine the reproducibility, the protocol was repeated on a separate day (i.e. a test-retest design). Pulmonary gas-exchange was measured breath-by-breath. The V(.)O(2) data were modelled [from 20 s post-onset (or offset) of exercise] using non-linear least squares regression by a mono-exponential model, incorporating a time delay. The on- and off-transient time constants (tau(on) and tau(off)), mean response times (MRT(on) and MRT(off)) and amplitudes (A(on) and A(off)) were obtained from the model fit. On- and off transient kinetics were compared using paired t-tests. The reproducibility of each kinetic parameter was explored using statistical (paired t-tests) and non-statistical techniques [95% limits of agreement (LOA, including measurement error and systematic bias) and coefficient of variation (CV)]. It was found that the tau(on) [12.4 (1.9)] was significantly (P<0.001) shorter than tau(off) [24.5 (2.3) s]. Similarly, MRT(on) [27.1 (1.9) s] was shorter than MRT(off) [33.4 (2.2) s]. With respect to the reproducibility of the parameters, paired t-tests did not reveal significant differences between test 1 and test 2 for any on- or off-transient V(.)O(2) kinetic parameter (P>0.05). The LOA for tau(on) (1.9 s), tau(off) (2.3 s), MRT(on) (1.2 s), MRT(off) (3.2 s), A(on) (204 ml.min(-1)) and A(off) (198 ml.min(-1)) were narrow and acceptable. Furthermore, the measurement error (range, 4.3 to 15.1%) and CV (1.3 to 4.8%) all indicated good reproducibility. There was a tendency for tau(off) to be more reproducible than tau(on). However, MRT(on) was the most reproducible kinetic parameter. Overall, the results suggest that: (1) a multiple square-wave transition protocol can be used to characterise, reproducibly, both on- and off-transient V(.)O(2) kinetic parameters during treadmill running in runners; (2) the phase II time constant is independent of V(.)O(2) (max), and (3) asymmetry exists between on- and off transient V(.)O(2) kinetic parameters.

Adult↗

PubMed2004

Topically applied vitamin C increases the density of dermal papillae in aged human skin.

BACKGROUND: The influence of ageing on the density of the functional entities of the papillae containing nutritive capillaries, here in terms as the papillary index, and the effect of topically applied vitamin C were investigated by confocal laser scanning microscopy (CLSM) in vivo. METHODS: The age dependency of the papillary index was determined by CLSM on 3 different age groups. Additionally, we determined the effect of a topical cream containing 3% vitamin C against the vehicle alone using daily applications for four months on the volar forearm of 33 women. RESULTS: There were significant decreases in the papillary index showing a clear dependency on age. Topical vitamin C resulted in a significant increase of the density of dermal papillae from 4 weeks onward compared to its vehicle. Reproducibility was determined in repeated studies. CONCLUSIONS: Vitamin C has the potential to enhance the density of dermal papillae, perhaps through the mechanism of angiogenesis. Topical vitamin C may have therapeutical effects for partial corrections of the regressive structural changes associated with the aging process.

Administration, Topical↗

PubMed1964

A MACROMOLECULAR REPEATING UNIT OF MITOCHONDRIAL STRUCTURE AND FUNCTION. CORRELATED ELECTRON MICROSCOPIC AND BIOCHEMICAL STUDIES OF ISOLATED MITOCHONDRIA AND SUBMITOCHONDRIAL PARTICLES OF BEEF HEART MUSCLE.

A repeating particle associated with the cristae and the inner membrane of the external envelope has been recognized and characterized in beef heart mitochondria by correlated electron microscopic and biochemical studies. Many thousands (ca. 10(4) to 10(5)) of these particles, disposed in regular arrays, are present in a single mitochondrion. The repeating particle, called the elementary particle (EP), consists of three parts: (1) a spherical or polyhedral head piece (80 to 100 A in diameter); (2) a cylindrical stalk (about 50 A long and 30 to 40 A wide); and (3) a base piece (40 x 110 A). The base pieces of the elementary particles form an integral part of the outer dense layers of the cristae. The elementary particles can be seen in electron micrographs of mitochondria in situ, of isolated mitochondria, and of submitochondrial particles with a complete electron transfer chain. Negative staining with phosphotungstate is only one of several techniques that can be used for reproducible demonstration of the repeating particles and underlying subunit organization of mitochondrial membranes. A particulate unit containing a complete electron transfer chain can be isolated from beef heart mitochondria. The isolated unit approximates in size that of the elementary particle in situ. The molecular weight of the particle in situ is calculated to be 1.3 x 10(6). Evidence is presented for identifying the isolated unit with the elementary particle visualized in situ. The elementary particle of the mitochondrion is believed to be a prototype of a class of functional particles or macromolecular assemblies of similar size found in association with membranes generally.

Animals↗

PubMed2004

Obstetrical complications and subsequent schizophrenia in adolescent and young adult offsprings: is there a relationship?

Schizophrenia is a psychiatric disease affecting around 1% of the population, the negative signs of which are correlated with inactivity of the prefrontal dorsolateral cortex, while an increased, more deeply localized, activity in the mesolimbic pathway may explain the positive signs. Several events occurring during pregnancy are likely to be involved in its genesis: hormonal supplementation by diethylstilbestrol, severe maternal denutrition, exposure to influenza virus, repeated psychological stress. From multicentric studies and meta-analyses in the psychiatric literature, the risk of schizophrenia appears to be multiplied by two if pregnancy is complicated, mainly by diabetes, Rhesus incompatibility, bleeding, preeclampsia, premature rupture of membranes and preterm birth. When delivery is linked to an abnormal presentation or happens via a caesarean birth for acute foetal distress, the time when the first signs of psychosis appear seems to be earlier in adolescence or in early adulthood. Cerebral imaging of schizophrenic patients shows ventriculomegaly and gray matter reduction, mainly in hippocampal volumes and in the dorsolateral prefrontal cortex. Similar alterations in the neuronal pathways have been experimentally reproduced in rats after repeated prenatal stress and perinatal hypoxia. A region on the distal portion of chromosome 1 has shown evidence for linkage to schizophrenia. Therefore, a two factor model seems to be able to explain the onset of schizophrenia in which obstetrical complications may interact with a genetic liability and in which the consequences of hypoxic events may lie on a continuum ranging from cerebral palsy in some children to subtle cognitive and behavioural disturbances in others.

Adolescent↗

PubMed2004

The reproducibility of urodynamic findings in healthy female volunteers: results of repeated studies in the same setting and after short-term follow-up.

AIM: To assess the immediate (same testing period) and short-term (within 6 months) repeatability of urodynamic (UD) testing in asymptomatic healthy female volunteers. MATERIALS AND METHODS: Twenty asymptomatic women with a mean age of 41.8 years (30-55) agreed to undergo a UD assessment which consisted of noninvasive uroflowmetry, post-void residual (PVR) measurement, medium-fill cystometry, and pressure flow study with perineal surface electromyographic (EMG) electrodes. The UDS evaluation was repeated immediately without removing the catheters (a two-fill and void study). Sixteen women returned for an identical UD assessment 1-5 months later. Immediate and short-term repeatability of UD parameters was assessed by calculating the coefficient of repeatability (COR). RESULTS: The repeatability of certain parameters of immediate UD testing could not be calculated since there was an apparent influence of the first test on the second (i.e., an apparent accommodation noted in bladder filling volumes). Other immediate UD values (maximum flow, detrusor pressure at maximum flow, voided volume) had high COR values, as did all UD values on short-term testing, indicating relatively poor repeatability. Picking the 'best' pressure flow value (highest flow rate with accompanying detrusor pressure) did not consistently improve the COR values. CONCLUSIONS: The lack of repeatability of UD studies likely stems from a combination of the true physiological fluctuations in bladder function and the inherent relative insensitivity of our instruments in conducting these testing. Knowledge of the limitations of current technology is essential in allowing us to better utilize these studies in evaluating our patients and further improving diagnostic strategies.

Adult↗

PubMed2000

MR relaxometry of lumbar spine, hip, and calcaneus in healthy premenopausal women: relationship with dual energy X-ray absorptiometry and quantitative ultrasound.

This study evaluates if the reversible transverse relaxation rate (R2') assessed in vivo by MR of lumbar vertebrae, hip, and calcaneus is correlated with dual energy X-ray absorptiometry (DXA) and to quantitative ultrasound (QUS) of the calcaneus. Fifteen healthy premenopausal women aged 23-47 years were studied by DXA, QUS, and MR relaxometry. The GESFIDE sequence was used to separate the FID rate (R2*) into its two components, the non-reversible transverse relaxation rate (R2) and the reversible transverse relaxation rate (R2'). Long-term reproducibility was obtained by repeated measurements of hip and calcaneus in nine individuals after 300+/-89 days. R2' and R2* of the calcaneus had a relationship to broad-band ultrasound attenuation (BUA; r = 0.46, both p<0.05), but not to other US or DXA parameters of the calcaneus. Both R2' and R2* were correlated with bone mineral per area (BMA) of the hip (r>0.73, p<0.001 and r>0.66, p<0.01, respectively). R2 was correlated with BMA(L1-L4) (r = 0.52, p<0.05). R2' and R2* were not correlated with BMA(L1-L4). When the right and left sides were compared in calcaneus and hip the correlation coefficient for R2' and R2* ranged from 0.76 to 0.86 (p<0.001). The long-term reproducibility expressed in coefficient of variation (CV%) was approximately 5 % for R2' and approximately 4% for R2*. Differences in R2 between individuals were not reproducible. The results of this study indicate that R2' and R2* measurements are reproducible and might be of value when evaluating bone quality of the hip and foot.

Absorptiometry, Photon↗

PubMed1994

SPECT quantification of [123I]iomazenil binding to benzodiazepine receptors in nonhuman primates: I. Kinetic modeling of single bolus experiments.

The aim of this work was to study the feasibility and reproducibility of in vivo measurement of benzodiazepine receptors with single photon emission computerized tomography (SPECT) in the baboon brain. Arterial and brain regional activities were measured for 420 min in three baboons after single bolus injection of the benzodiazepine antagonist [123I]iomazenil. Data were fit to a three-compartment model to derive the regional binding potential (BP), which corresponds to the product of the receptor density, (Bmax) and affinity (1/KD). Regional BP values (from 114 in striatum to 241 in occipital) were in good agreement with values predicted from in vitro studies. Constraining the regional volume of distribution of the nondisplaceable compartment to the value measured during tracer constant infusion experiments in baboons (Laruelle et al., 1993) improved the identifiability of the rate constants. Each experiment was repeated to investigate the reproducibility of the measurement. The regional average reproducibility was 10 +/- 5%, expressed as coefficient of variation (CV). Results of equilibrium analysis at peak uptake were in good agreement with results of kinetic analysis. Empirical counts ratio methods were found to be poorly sensitive to benzodiazepine receptor density. These studies suggest the feasibility of quantitative measurement of benzodiazepine receptors by kinetic analysis of SPECT data and the inadequacy of empirical methods of analysis, such as counts ratios, to evaluate differences in receptor density.

Animals↗

PubMed1996

Force and torque vary between laryngoscopists and laryngoscope blades.

Several studies have examined the effects of patient characteristics on force of laryngoscopy, but little attention has been paid to the importance of technique and equipment. This study investigated whether force, torque, head extension, and view varied significantly between laryngoscopists and compared force and torque using Macintosh 3 and Miller 2 blades. The study population consisted of ASA grade I and II patients requiring general anesthesia and endotracheal intubation for elective surgery. Force, torque, head extension, and laryngeal view were highly reproducible when laryngoscopy was repeated by the same individual, Force and torque showed great variation between laryngoscopies performed by different anesthetists, For example, peak force varied over a range of 56 newtons among patients, but could also vary as much as 30 newtons between different anesthetists repeating laryngoscopy in the same patient. Force and head extension were 30% less with Miller laryngoscope compared to the Macintosh. Thus, laryngoscopic force and torque depend on technique and equipment. Further studies of force and torque may lead to improved techniques. The force-measuring laryngoscope could be a useful tool in teaching laryngoscopy.

Adult↗