Objective to compare the calculated effective radiation dose variations in cardiac interventional procedures of coronary angiography (CAG) and percutaneous transluminal coronary angioplasty (PCI) by using the different tissue weighting factors recommended by ICRP Publication 60 with that recommended by ICRP Publication 103. Methods Measurements of organ doses were carried out with an anthropomorphic phantom equipped with thermoluminecent dosimetry. The effective radiation doses were separately calculated using the tissue weighting factors provided by ICRP 60 and provided by ICRP 103, and the results obtained from ICRP 60 were compared with that obtained from ICRP 103. Conversion factors of effective, radiation dose to dose area product (DAP) were also calculated according to different publication.Results The variations in the effective dose were 6.88% for CAG and 8.46% for PCI. The effective dose variations in CAG and PCI were. 7.25% and 8.76% for female and were 6.51% and 8.17% for male,respectively. The effective conversion factors of DAP were. 0.10 ～ 0.11 and 0.13 ～ 0.14 for CAG and PCI,respectively, according to ICRP 60 and 103. Conclusion The variation of conversion factors of effective dose indicates that in making estimation of effective radiation dose. by using the widely accepted conversion factors, the adjustment of organ weighting factors recommended by ICRP 103 should be considered.

Objective: To study the application value of cortical somatosensory evoked potential (CSEP) monitoring in child scoliosis surgery. Methods: In surgeries of fifty-one children with scoliosis, the CSEP changes were continuously recorded by evoked potential instrument. The operations were performed under the guidance of CSEP monitoring. Results: Before propping and reshaping, the latencies and amplitudes in all cases had no change. During propping and reshaping, the latencies of all cases were slowly elongated, but all less than 10 percent. The amplitudes in 15 cases dropped to 55 percent, but returned to 80 percent 3-8 minutes after stopping the operations or partially loosening the propped rods at once. The amplitude in one case suddenly dropped to 37 percent and returned to 54 percent half an hour after loosening the propped rods at once and recovered to the normal range one day after operation. All cases got ideal orthopedic results and no one had neurological complications post operation. Conclusion: CSEP can accurately monitor the spinal injury and has a great value in preventing the spinal injury in child scoliosis surgery.

Objective To assess the dose and image quality using a C-arm CT (DynaCT) system and compare the difference of image quality and radiation dose between DynaCT and Multi slice CT (MSCT). Methods Effective doses were measured from an anthropomorphic phantom with embedded thermoluminescence dosimeters (TLDs).For DynaCT,automatic exposure control (AEC) and high-quality (20 s rotation time) scans were used. For MSCT,scanning protocols for head were examined with conventional exposure conditions. Catphan phantom(Phantom Lab,USA) was used to evaluate the image quality for DynaCT and MSCT. Results For DynaCT,the effective doses from head scanning were 1.10 mSv; for MSCT,the effective doses from head scanning were 2.07 mSv,and there was a significant difference of organ dose between DynaCT and MSCT(P

Objective To investigate the influence of organ dose and effective dose on patients for different Z value during head,chest and abdomen CT scan. Methods With equispaced displacement on axis Z,organ dose and effective dose was estimated by using SR250 software with commonly used CT exposure parameters. Results Effective dose changed gradually for different Z value,some organ dose was sensitive to the Z location. Conclusion It is necessary to avoid X-ray sensitive organ in CT examination to minimize radiation risk.

Objective To estimate the effective dose during 64-slice CT examination on head,chest and abdomen and determine the conversion coefficient of effective dose and dose length product(DLP).Methods The plain CT scan wag performed in 48 cases on head,50 cases on chest and 45 cages on abdomen using GE Lightspeed 64-slice spiral CT.1The Kv,Ma,scan time,CTDIvol,and DLP were recorded in each examination.Effective dose on patients Was estimated using the SR 250 software.Results The effective dose on head,chest and abdomen was(3.1±0.1),(6.9±0.1)and(8.0±0.1)mSv,and the conversion Coeffieient was 0.0025,0.0191 and 0.0166 mSv·mGy-1·cm-1 respectively.Conclusion CTDIvol、DLP and effective dose were recommended for patient dose control during CT examination.The conversion factor of effective dose and DLP were recommended for radiation risk evaluation during different X-ray examinations.

Objective to compare the calculated effective radiation dose variations in cardiac interventional procedures of coronary angiography(CAG)and percutaneous transluminal coronary angioplasty (PCI)by using the different tissue weighting factors recommended by ICRP Publication 60 with that recommended by ICRP Publication 103.Methods Measurements of organ doses were carried out with an anthropomorphic phantom equipped with thermoluminecent dosimetry.The effective radiation doses were separately calculated using the tissue weighting factors provided by ICRP 60 and provided by ICRP 103,and the results obtained from ICRP 60 were compared with that obtained from ICRP 103.Conversion factors of effective radiation dose to dose area product(DAP)were also calculated according to different publication. Results The variations in the effective dose were 6.88%for CAG and 8.46%for PCI.The effective dose variations in CAG and PCI were 7.25%and 8.76%for female and were 6.51%and 8.17%for male, respectively.The effective conversion factors of DAP were 0.10～0.11 and 0.13～0.14 for CAG and PCI, respectively,according to ICRP 60 and 103.Conclusion The variation of conversion factors of effective dose indicates that in making estimation of effective radiation dose by using the widely accepted conversion factors,the adjustment of organ weighting factors recommended by ICRP 103 should be considered.

Objective To compare the outcomes between radiofrequency modification and augmentation reconstruction in the treatment for partial anterior cruciate ligament( ACL) tears. Methods Fifty?four patients with partial ACL tears were divided into radiofrequency modification group( n=16) and augmentation reconstruc?tion group( n=38) according to different treatment methods. Minimum follow?up was 2 years. Patients were eval?uated just after the injury and at the latest follow?up with several parameters, including the international knee documentation committee( IKDC) score,Lysholm knee score,Tegner activity rating,range of motion ( ROM) and the kneelax arthrometer. Results The kneelax was (4. 4±0. 9) mm of preoperative, (5. 0±1. 5) mm of post?operative in radiofrequency modification group,the difference was no signifiacnt( t=1. 372,P=0. 183);in aug?mentation reconstruction group was (4. 7±0. 8) mm and (1. 7±1. 0) mm respectively,the knee stability was in?crease significantly postoperative;knee stability was significantly improved in the augmentation reconstruction group compared with the radiofrequency modification group( t=9. 228,P=0. 000) . In radiofrequency modifica?tion group,ROM,Lysholm score and Tegner score were improved significantly between the results pre?and post?operatively((105. 4±22. 5)° vs. (123. 5±11. 4)°,t=59. 189,P=0. 000;65(51,90)) points vs. 86(59,100) points,Z=3. 852,P=0. 000;3(1,5) points vs. 6(1,9) points,Z=4. 637,P=0. 000). In augmentation recon? struction group, ROM,Lysholm score and Tegner score were improved significantly between the results pre?and post?operatively((99. 4±21. 9)° vs. (125. 3±10. 9)°,t=6. 527,P=0. 000;(65(51,89) points vs. (85 (59, 100) points,Z=4. 427,P=0. 000;3(1,5) points vs. 6(1,9) points,Z=3. 961,P=0. 000). Conclusion Augmentation reconstruction technique is more beneficial to the knee stability than radiofrequency modification in the treatment for the partial ACL tears.

Objective To investigate psychologically healthy condition of traumatic inpatients in orthopedics and analyze its in-fluence factors .Methods Cross-sectional study was conducted in Xi′an city .The mental health questionnaires for traumatic patients which include the Symptom Check List-90(SCL-90)and the related items were used .Results The results showed that 82 .7% of patients suffered from mild and moderate mental discomfort .The positive rate of mental problem was 14 .7% .The main mental rep-resentations of traumatic inpatients were depression ,hostility ,interpersonal relationship senstivity ,anxiety and somatization .The re-sults of single factor analysis showed that the bad mental health had the following characteristics :female ,low educational level ,little knowledge about disease ,bad interpersonal relationship ,introverted character ,cost ,dissatisfied with hospital ,severe disease and bad treatment .Logistic regression analysis revealed that the interpersonal relationship ,the degree of disease and gender were the main factors influencing patients′mental health .Conclusion The mental problem exists among traumatic inpatients in orthopedics .The degree of disease ,the interpersonal relationship and gender are the main factors affecting their mental health .

Objective To explore the impact of partial or complete rupture of the tibiofibular syndesmosis on the biomechanical properties of the ankle joint.Methods Six fresh cadaveric specimens of adult ankle were used for creation of 3 models of tibiofibular syndesmosis.In model A,the medial and lateral ligaments of the ankle joint and the tibiofihular syndesmosis were intact.In model B,only the anterior lower tibiofibular ligament was broken.In model C,all inferior tibiofibular ligaments were broken.The 3 models were tested with an electronic pressure sensor in a BOSE material testing machine respectively at 5 positions:10° dorsal extension,20° inversion,20° eversion,20° plantar flexion,and neutral position.The peak values and locations of the compressive stresses of the 3 models at 5 positions were recorded.All the data were collected and analyzed using IBM SPSS 22.0 statistical software.Results Model A exhibited the smallest average stress at all the 5 positions,followed by model B and model C,with significant differences between groups (P ＜ 0.05).The locations of main compressive stress at the neutral position,10° dorsal extension,and 20° plantar flexion in model B and model C tended to expand outwards compared with model A,especially in model C.Conclusions Rupture of the anterior lower tibiofibular ligament and inferior tibiofibular ligaments may increase the compressive stress on the ankle joint,especially rupture of the inferior tibiofibular ligaments.The location of main compressive stress tends to expand outwards when the anterior lower tibiofibular ligament and inferior tibiofihular ligaments are broken,especially the inferior tibiofibular ligaments.

Computer-Aided Design ; Craniofacial Abnormalities ; surgery ; Humans