No abstract available.
Constriction, Pathologic

Abdonimal aortography and histopathologic examinatio after absolute ethanol infusion at ast (0.4cc/sec) andslow speed (0.04cc/sec) were performed on 16 rats(2 controls, 7 fast infusion groaup, 7 slow infusion group).Angiographic and histopathologic findings were correlated and the findings of slow and fast infusion groups werestudied. The rsults are as follows: 1.Histopathologic findings of the fast infusion group revealed wide area ofglomerular and tubular collapes, obliteration of the free space between the Bowmann's capsule and golmerulus,sloughing and loss of the endothelium, fresh thormbi attached to the wall, and cleavage of the muscle layer of thearteries. 2. Angiographic findings of the fast infusion group revealed luminal irregularity, early ostruction ofthe aorta and the renal arteries,and delayed circulation time. 3. Histopathologic findings of the slow infusiongroup revealed degenerated, coalesced red blood cell packed in the glomeruli, focal areas of severe glomerular andtubular damage on relatively normal backgroun, endothelial and muscular damage of the arteries. 4. Angiographicfindings of the slow infusion group revealed focal perfusion defect of the kidney, delayed circulation time, andmild luminal irregularity, but there was no obstruction of the major arteries. 5. In conclusion, author believesthat endothelial damage and thrombus formation from the damaged vessel wall, as well as direct cytotoxicity and insitu emboli fommation play a significant role in the embolic effect of absolute ethanol.
Aorta ; Aortography ; Arteries ; Endothelium ; Erythrocytes ; Ethanol* ; Kidney ; Perfusion ; Phenobarbital ; Thrombosis

Recently data about performances in radiology department tend to increase rapidly and appropriate use of computer system is needed to monitor variuos jobs including scheduling of the patient, reporting of radiologic examination and film library management. The authors describe experiences in computerizing several jobs of radiology departement using Aplle II personal computer during last uear, and our experiences suggest that with appropriate soft ware and peripheral devices, personal computer can handle relatively large amount of informations about a certain functions in radiology department. The authors also put emphasis on the point that meticulous characterization and cocumentation of data is mandatory for effective use of computer system and should be done by radiologist who use or want to use computer system.
Computer Systems ; Humans ; Microcomputers

PURPOSE: To evaluate the relative value of arterial, portal venous and delayed phase images of spiral CT in the detection of metastatic tumor of the liver. MATERIALS AND METHODS: Forty-three metastatic tumors in twelve patients were underwent tri-phasic spiral CT examination with injection of 120 ml ionic contrast material (36 g of iodine) at the rate of 3 ml/sec. Arterial, portal venous and delayed phase CT images were obtained 35, 65, and 360 seconds after the start of contrast injection, respectively. RESULTS: Arterial phase images detected 35(81%), portal venous phase images 43(100%), and delayed phase images 34(79%) lesions, respectively(p<0.05). All masses larger than 2cm(n=23) were detected in all three phases, whereas 60%, 100%, 55%of the masses smaller than 2cm(n=20) were detected in arterial, portal venous and delayed phase CT, respectively. The best contrast between masses and the hepatic parenchyma was in portal venous phase followed by arterial and delayed phase(p<0.01). In two hypervascular masses, the contrast was better in arterial phase. CONCLUSION: Portal venous phase of spiral CT is optimal in the detection of metastatic tumor of the liver. Arterial phase may be helpful for the detection of hypervascular metastasis. Delayed phase should be used restrictively.
Humans ; Liver* ; Neoplasm Metastasis ; Tomography, Spiral Computed*

PURPOSE: We evaluated the role of conventional CT for preoperative staging of gastric carcinoma. MATERIALS AND METHODS: Conventional CT was prospectively performed in 95 patients with gastric adenocarcinoma proved by means of endoscopic biopsy, and findings were compared with those of surgery or pathology. RESULTS: In the evaluation of pancreatic invasion of the primary tumor, the sensitivity, specificity, and diagnostic accuracy of CT were 71%(5/7), 95%(84/88), and 94%(89/95), respectively. CT depicted transverse mesocolon invasion in only one of the 4 cases(25%). In the evaluation of lymph node metastasis, the sensitivity, specificity, and diagnostic accuracy were 33%(24/72), 99%(867/878), and 94%(891/950), respectively. In lymph node staging, 49 patients(52%) were correctly staged, 39(41%) were understaged, and 7(7%) were overstaged with CT. CT failed to demdnstrate peritoneal carcinomatosis in all 10 patients. CONCLUSION: The role of conventional CT in the preoperative evaluation of gastric adenocarcinoma is limited due to poor sensitivity despite of good specificity and accuracy.
Adenocarcinoma ; Biopsy ; Carcinoma ; Humans ; Lymph Nodes ; Mesocolon ; Neoplasm Metastasis ; Pathology ; Prospective Studies* ; Sensitivity and Specificity

No abstract availalbe.
Carcinoma, Hepatocellular*

No abstract availalbe.
Hemangioma*

No abstract availalbe.
Liver Abscess, Pyogenic*

Mirizzi syndrom is a rare disorder characterized by obstruction of common hepatic duct due to impacted gallbladder neck or dystic duct stone and is an uncommon cause of obstructive jaundice. Authors experienced one case of Mirizzi syndrome mimicked lobulated intraductal tumor.
Gallbladder ; Hepatic Duct, Common ; Jaundice, Obstructive ; Mirizzi Syndrome ; Neck

To evaluate the effectiveness of superselective transcatheter arterial embolization (STAE) for hepatocelluar carcinoma (HCC) with a mixture of ethanol and Lipiodol, STAE was done in 12 male patients with HCC. Three were diagnosed clinically with angiographic findings and elevated alphafetprotein levels and three were recurrent tumors after surgery. Sono-guided aspiration biopsy proved the diagnosis of hepatocellular carcinoma in another six patients. The tumor was a small single nodule (2-5cm in diameter) in 11 patients. In one patient, two nodules were found. Superselective catheterization was done using 3F Tracker catheter(Target Therapeutics USA) coaxially through 6F catheter into the feeding hepatic artery, usually the third order branch. One to four cc of 75% ethanol mixed with Lipiodol was infused under fluoroscopy immediately after imjection of 2% lidocaine. Immediate angiography and CT after 2 weeks were undertaken. Complete segmental or subsegmental devascularization including feeding arteries and tumor vascularities occurred in all patients. Follow-up angiography after 6 to 15 months revealed the tumor opacified by Lipiodol. The tumor decreased in 5 cases and recurrence was found in three patients. CT taken 2 weeks after STAE showed low density halo around the tumor in 5 cases. Subsequest segmentectomy in four patients revealed total or near total necrosis of the tumor and no evidence of damage in surrounding parenchyme. STAE for HCC with a mixture of ethanol and Lipiodol is an effective and safe measure for small HCC.
Angiography ; Arteries ; Biopsy, Needle ; Carcinoma, Hepatocellular* ; Catheterization ; Catheters ; Diagnosis ; Ethanol* ; Ethiodized Oil* ; Fluoroscopy ; Follow-Up Studies ; Hepatic Artery ; Humans ; Lidocaine ; Male ; Mastectomy, Segmental ; Necrosis ; Recurrence