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Investigative CT algorithms for the early diagnosis of ischemic brain lesions
VOHNOUTOVÁ, Markéta
Stroke is the second most often cause of death in the Czech Republic after heart attack. It is not to say that older people are afflicted in particular. In the last period of ten years there are more often cases of stroke and ictus for people at the age of 40. The aim of this bachelor work is processing of knowledge acquisition in summary. The main point of this work is to evaluate the asset of new software programmes of multidetector computed tomography during early diagnostic of sudden strokes. In part of Present state there are following terms described in detail. It is etiology, aethiopathogenesis, risk factors of stroke. The next part is centred on anatomy of brain vascular supply and computed tomography Nowadays, software programmes have been improved enough for early diagnostics of ischaemic brain lesion. It is caused with continual improvement of diagnostic imaging and its digitalization. In many medical fields it has been spoken about new field of imaging - digital radiography. The computed tomography represents star part in the diagnostics, scanning of non-enhanced brain is the first period of the diagnostics, this algorithm shows us if it concerns haemorrhage or non-haemorrhage centre, continuing perfusion of brain which represents chat percent of tissue is damaged forever and it is finished with diagnostic process Angiography. The following part is focused on processing of data acquisition from České Budějovice Hospital, Inc. and Masaryk Municipal Hospital in Jilemnice. In these hospitals there are the numbers of patients examined CT compared. My hypotesis is confirmed and I can say that usage of new software programmes for early diagnostic of sudden strokes reduces per cent of complications during their cure.
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High resolution computed tomography - its role and position in radiodiagnostics
CHYLÍKOVÁ, Renáta
In the introduction to my bachelor´s thesis, I have described the historical background of HRCT, its origins, and evolution. The historical part includes information about the development of CT equipment and the principles of diagnostics using the instruments that preceded HRCT. In the following part, I have described the principle of how HRCT works and the conditions that are needed for HRCT examination. I focused on lung examination and partly also on the examination of temporal bone. The objective of my thesis is to determine the frequency of CT and HRCT application, for the purposes of which I compared two leasing hospitals in the South Bohemian region. I issued from the hypothesis of a higher frequency of HRCT use. In my bachelor´s work I used foreign literature and sources and also the method of comparing data from two hospitals. The preferred method was the quantitative one, used for numerical statistics in the theoretical part; for the practical part I used the mentioned comparison of the number of examinations performed at two hospitals in South Bohemia. When confronting the two hospitals, a significantly higher frequency of HRCT use was found in Nemocnice Tábor a.s. This fact is explained by the use of Aquilion 16, which is a lower ? quality appliance, and Aquilion 64 in České Budějovice, as well as by the monitoring of patients with fibrosing processes (so ? called cordarone lung, etc.), and patients with unclear small lesions appearing on summing images when only HRCT examination was performed. HRCT is also performed as a part of routine examination of the lungs and mediastinum if the indication requires it, while check ? up examinations run only under the HRCT algorithm. In conclusion it can be stated that the difference between the examinations in hospital České Budějovice a.s. and Nemocnice Tábor a.s. is based on the difference between their equipment and also the slightly different approach to small lesions in the pulmonary parenchyma.The hypothesis that the HRCT examination is used more frequently than the common CT examination of the lungs and mediastinum was not confirmed, which results from the fact that the number od patients needing the examination of just small or larger changes in the pulmonary parenchyma is substantially lower than the number of patients with indicated classical examination of the lungs and mediastinum.
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Radiological Imaging of the Head
STEJSKALOVÁ, Pavla
The aim of the work is to inform students about comparison of special skull imaging methods and about computer tomography. According to the hypothesis the work was aimed at the petrous bone and its imaging. The survey was concentrated on the period from 2005 to 2008, whether the conventional special projections are being replaced in time and thanks to development of CT devices. The bachelor work also involves comparison of radiological standards individual hospitals adhere to.
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Optimization of the amount of iodine contrast agent (ICU) in CT scan examinations on a multislice CT scanner (64-detector row)
KRAJÍČEK, Ondřej
In my work, I focused on the optimization of the amount of iodine contrast agent during CT scan examinations by comparing various amounts of the contrast agent per kilogram of a patient{\crq}s body weight. I compared three groups of weight amounts: 1 mL/kg vs. 1.25 mL/kg vs. 1.5 mL/kg. I measured the differences in the enhancement of organs and blood vessels of the abdominal cavity. Their enhancement levels were compared quantitatively in the areas of interest by determining Hounsfield units in the aorta and parenchyma of the abdominal organs, and qualitatively by using an independent evaluation by a radiologist. Measurements were made on the GE Lightspeed 64-detector row CT scanner with pressure injector. No parameters were changed during the entire study, enabling the maintenance of standard conditions for high-quality comparisons in all examinations. Patients with any significant lesion in the organ to be measured were excluded from the study measurements, and patients at risk of circulation disorder (patients with severe conditions, such as heart failure, shock, and others) were also not enrolled. A contrast agent with a constant amount of iodine amounting to 300 mg/mL was used for the measurements. The study population comprised 120 patients, of which 51 were women and 69 men. The following data were recorded for each measurement: examination number, age, sex, body weight, HU values, and radiologist{\crq}s evaluation. The data were recorded in tables and further analyzed. Various HU enhancement levels were compared and evaluated and subsequently correlated with the radiologist{\crq}s evaluation. Optimal values of the amount of contrast agent were also compared with those routinely used at the facility concerned. This work provided optimal values of the amount of contrast agent for the examination of abdominal organs and adjusted standards for a CT scan facility. I believe my bachelor{\crq}s thesis contributed to a more precise dosing of the contrast agent during CT scan examinations.
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Demands on radiology assistants at three-dimension visualization
ČECH, Svatopluk
Fast development of three-dimension visualization in radiology relates to more sophisticated diagnostic machines, with the development of computer technology and digitizing. Increasing demands on radiology assistants in operating programs of reconstruction images increase the importance of their position at modern radiology workplace. Three-dimension images offer exact and undistorted images of patient's anatomy, they give better diagnostic information for physicians - radiologists and more objective imagination for physicians - clinicians. They find the application in a number of examinations in skiagraphy, angiography, computer tomography, magnetic resonance and ultrasonography. We can say that three-dimension visualization substitutes other examination which are invasive and represent certain complications for a patient. The question is whether some three-dimension examination can reduce radiation load of a patient. We can suppose that digital imaging methods will be part of near future and three-dimension visualization and further development of computer technique will acquire still more impact in diagnostic of many diseases.
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Influence of the contrast medium iodine concentration on quality of the CT examination
RANŠOVÁ, Pavlína
Our work focused on determining absolute and relative density of various contrast agents in relation to iodine contents using in vitro and in vivo methods. It was documented that the relative density of contrast agents increases with the decreasing contents of iodine, i.e. density absolute values vary inversely as iodine content in these substances. Four various agents, bearing commercial names Visipaque 270, Visipaque 320, Ultravist 370 and Iomeron 400, in their original glass packing were used for our in vitro measurements. The measurements were carried out using CT equipment Emotion Duo (Siemens, Forchheim, Germany). Individual packing of the contrast agents were scanned by means of a standard protocol and under standard conditions. The obtained data were entered into tables. A retrospectively selected array of patients with standard scan of their stomachs was used for our in vivo measurements with a defined standard protocol using the same CT equipment and pressure injector CT 9000 Advantage (Liebel-Flarsheim, Mallinckrodt, the U.S.A.). The following data from 258 patients were recorded: age, sex, blood density after administering contrast agent in vitro on the level of diaphragm hiatus and on the bifurcation level, AP dimension of the patients on the hiatus level. Mean densities of the individual kinds of contrast agents were compared and a good correlation with the in vitro measurements was found out. The measured values were then analysed. The interdependence was studied in the measured densities and age, density changes measured on the hiatus level and on the bifurcation level for the individual contrast agents. The interdependence of the blood density on the AP dimension of the patients was also studied due to its practical use and it was documented that there is a good correlation of the decreasing density with the AP dimension as a simple parameter used instead of finding out patients{\crq} weights.
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Diagnosis and endovascular treatment of iliac and femoropopliteal occlusive disease
PĚČKOVÁ, Kristýna
The occlusion disorder in the area pelvic and femoral arteries should be for the patient fatal health complication. Therefore it is important know all risks, which should go before, know the disorder and last but not least is a crucial chapter diagnostics and in final phase treatment. I chose this subject, with the view of give to pertinent readers all above - mentioned information on those problems. For diagnostics of occlusion disorder we use imaging radiodiagnostic methods. For spatial display were developed method of spiral CT angiography ( CTA ), magnetic resonance angiography ( MRA ), a modification of classical angiography {--} digital subtraction angiography ( DSA ) and ultrasonografi (UZ). UZ is part of the basic investigate method of his noninvazive. Spiral CTA is method, which is based on two and three dimensional display using special programmes. Display magnetic resonance is noninvasive examination procedure and is derived from classical nuclear MR. MRA is once from possible examination practice which serves complex information on relation surrounding weaving to vessels and haemodynamic blood flow. DSA allows observation of flow vessels and by the help of digitizing image its graphical processing. Medication of okluziv disorder areas saucepan s and femur s arterys including percutaneous transluminal angioplasty ( PTA ) and implantation stent.
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Small bowel´s examination methods
NAGY, Markéta
Imaging methods play an essential role in the diagnostic algorithm by determining the disease character in any part of the human body. For the diagnostic small intestine diseases we use as classic X-ray methods as modern modalities. In introduce I mention history, morphology and physiology of small intestine. Than I describe summary about X-ray and non X-ray examination methods of small intestine (from basic methods to those special). Among basic examination methods of small intestine belong for example X-ray of abdomen, ultrasonography, passage throw small intestine and enteroclyse. Special examinations are CT enteroclyse, nuclear medicine examination, MR enteroclyse, angiography, enteroscopy and capsle endoscopy (CE). After compendium indications, contraindications, contrast agents and preparation patient for examination, in the finish of my work I worked up a collection of patient which were examined between the years 2002 {--} 2006 on our clinic {--} Institut of clinical and experimental medicine (IKEM), in Prague.
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The role of individual imaging methods in neuroradiology - development, the use and limitations
PEKÁREK, Vlastimil
Neuroradiology is the branch of radiodiagnostics dealing with the diagnosis of brain and spinal cord diseases. Morphological methods as X-rays, CT, MRI, ultrasound, DSA are emloyed. Recently examination procedure have made a rapid development. Some methods once frequently used were put down. Other methods were abandoned as they were invasive, demanding and diagnostically less efficient. They were replaced by new methods that are diagnostcally more precise, patient friendly and recently available qite well. These are primarily CT and MRI that dominate in diagnostic imaging of central nervous system.
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The thoracic and lumbar spine injury - role of imaging modalities in diagnostic and therapy
DOLEŽALOVÁ, Martina
This article provides information about thoracic and lumbar spine injury with reflection to the role of radiologic assistants. Spine injury belongs to the most serious injuries and its incidence is rising. These injuries are diagnosed using imaging methods like plain X-ray, computed tomography and magnetic resonance imaging. Radiologic assistant himself is the person, who is responsible for the correct examination. If these injuries are treated surgically, radiologic assistant meets them at operating theatres too. Here the assistant manipulates with fluoroscopy machines and helps the operator with procedure navigation. Important is that the radiologic assistant should know all the steps of each procedure and should take care of radiation protection. If the procedure is done inadequately, the patient can be misdiagnosed and the radiation dose for him and for the staff may be increased. Since 1st January 2006 to 31st December 2006, 84 patients (48 women, 36 men) were hospitalised at the Neurosurgery departement of University Hospital Hradec Králové under diagnosis of thoracic or lumbar spine fracture. The age, frequency of vertebral fractures in thoracic and lumbar region and percentual use of various therapeutic methods are noted. But the most important aim of the study are imaging methods used in these patients and mistakes done during these examinations.
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