OBJECTIVETo assess the value of magnetic resonance (MR) myocardial perfusion imaging (MRMPI) in evaluating the myocardial viability in patients with myocardial infarction.

METHODSMRMPI was performed in 51 patients with myocardial infarction using a 1.5 T MR scanner. All the patients were examined using IR-turbo FLASH sequence during the first-pass and delayed phase 5-30 min after injection of 0.1 mmol/kg Gd-DTPA at the rate of 4 ml/s. The short axis images were acquired during the first-pass, and both the short axis and long axis images were obtained during the delayed phase. The left ventricular wall on the short-axis slice was divided into 8 segments. A correlative study of the results of the rest and stress (99m)Tc single photon emission computed tomography (SPECT) was carried out in 21 patients.

RESULTSIn the 51 patients with myocardial infarction, 42(82.3%) showed hypoperfusion during the first-pass imaging and 50(98%) had delayed hyperenhancement. In the 21 patients receiving SPECT, 48 nonviable segments was detected among the 168 segments scanned by (99m)TcSPECT, and MRMPI showed delayed hyperenhancement in all the infracted areas. Of the 120 viable segments detected by rest and stress (99m)Tc SPECT, 97 segments (80.8%) were found to be free of delayed hyperenhancement by MRMPI. With the rest and stress (99m)Tc SPECT as the reference, the sensitivity and the specificity of MRMPI were 100.0% and 80.8%, respectively.

CONCLUSIONMRMPI allows effective identification of the myocardial viability and nonviability as well as the severity and extent of the myocardial infraction.

Adult ; Aged ; Aged, 80 and over ; Coronary Angiography ; Female ; Gadolinium DTPA ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Myocardial Infarction ; diagnosis ; diagnostic imaging ; physiopathology ; Myocardial Perfusion Imaging ; methods ; Sensitivity and Specificity ; Tomography, Emission-Computed, Single-Photon

Objective To observe therapeutic effects of hollow compressive screws coupled with HBO on femoral neck fracture in young patients. Methods Fifty-six cases of young aduhs with femoral neck fracture were selected for the study. Of all the cases, 35 were treated with hollow compressive screws coupled with HBO (the HBO group), 21 cases were treated only with hollow compressive screws for fixture, without HBO therapy (the surgical group). Then, comparisons were made between the 2 groups for short, mid and long term effects and complications as well. Results No significant differences could be seen in near-term therapeutic effects and complications in both groups (P>0.05). However, regarding mid and long term effects and complications occurred after surgery, the HBO group is obviously superior to those of the surgical group. Statistical significances were noted between the 2 groups (P<0.05). Conclusions Closed replacement, hollow compressive screw fixture coupled with HBO seem to produce good mid and long term therapeutic effects on femoral neck fracture and on the reduction of occurrence in bone necrosis, as well as complications occurred in young patients.

Objective To observe therapeutic effects of hollow compressive screws coupled with HBO on femoral neck fracture in young patients. Methods Fifty-six cases of young aduhs with femoral neck fracture were selected for the study. Of all the cases, 35 were treated with hollow compressive screws coupled with HBO (the HBO group), 21 cases were treated only with hollow compressive screws for fixture, without HBO therapy (the surgical group). Then, comparisons were made between the 2 groups for short, mid and long term effects and complications as well. Results No significant differences could be seen in near-term therapeutic effects and complications in both groups (P>0.05). However, regarding mid and long term effects and complications occurred after surgery, the HBO group is obviously superior to those of the surgical group. Statistical significances were noted between the 2 groups (P<0.05). Conclusions Closed replacement, hollow compressive screw fixture coupled with HBO seem to produce good mid and long term therapeutic effects on femoral neck fracture and on the reduction of occurrence in bone necrosis, as well as complications occurred in young patients.

Objective To summarize the regularity and and characteristics of response to interferon treatment for patients with chronic hepatitis B(CHB).Methods 150 cases of CHB were randomly divided into two groups:interferon therapy (observation group,n=90)and routine protecting liver(control group,n=60)By prospective researching programme,HBV markers,including liver function test were continous periodically detected simultaneously,HBV-DNA quantitative blot hybridization,HBV-DNA quantitative PCR determination were performed.Results The typical responsiveness curve of transaminase decreased rapidly,was accompanied with the use of interferon. HBV DNA turns negative earlier than HBeAg doses. In those patients who was response to interferon completely after interferon administration,the HBV DNA and HBeAg turning negative average time was 1 9 and 3 4 months respectively. The level of HBV DNA was continuons decreased in all patients treated with interferon. HBV DNA quantitative PCR provide more accuracy of viral copies in patient's peripheral blood than that in dot hybridization in interferon therapy.conclusions Interferon the treatment for patients with CHB is effectiveness.

The existing algorithms for displaying the cutting isosurface of the structure are not suitable for interactive display because they spend too much time on calculation when a fair amount of data is submitted to processing. This paper presents a new algorithm for accelerating the cutting of structure by using the area partition and the increment calculation to reduce the unnecessary calculation in cutting the structure. It is suitable for real time interactive displaying, especially in the case of a vast amount of data.