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Contribution to radiodiagnostics and to treatment of chosen pathological lesions of femur in childhood and in adults
Horák, Martin ; Poučková, Pavla (advisor) ; Marek, Josef (referee) ; Vítek, František (referee)
7 Abstract (AJ) Introduction Radiology examination using specialized modern imaging methods, including CT and MRI, is essential in the diagnosis of congenital and acquired diseases of the musculoskeletal system. The first part of the dissertation deals with certain congenital defects of the short femur, known in the literature as proximal femoral focal deficiency (PFFD). This part summarizes our experience with the radiological findings in the preoperative and postoperative period, with the main attention to the vascular supply to the affected area. The second part of the presentation deals with some aspects of autologous chondrocyte transplantation fixed at two different carriers implanted into post-traumatic articular cartilage defects of the distal femur. Radiological findings are evaluated in the relation to the histopathological findings. Objectives The first part of the study after the distribution of patients with PFFD by current commonly used radiographic classification sets the objective in the extent of scans of the hip joints to specify diagnosis PFFD in each patient and to evaluate in detail changes in the area of disability, especially a course of blood vessels. The evaluation of the radiation burden of repeated X-ray measurements was done with respect to the age of the patients. Tissue samples...
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Contribution to radiodiagnostics and to treatment of chosen pathological lesions of femur in childhood and in adults
Horák, Martin ; Poučková, Pavla (advisor) ; Marek, Josef (referee) ; Vítek, František (referee)
7 Abstract (AJ) Introduction Radiology examination using specialized modern imaging methods, including CT and MRI, is essential in the diagnosis of congenital and acquired diseases of the musculoskeletal system. The first part of the dissertation deals with certain congenital defects of the short femur, known in the literature as proximal femoral focal deficiency (PFFD). This part summarizes our experience with the radiological findings in the preoperative and postoperative period, with the main attention to the vascular supply to the affected area. The second part of the presentation deals with some aspects of autologous chondrocyte transplantation fixed at two different carriers implanted into post-traumatic articular cartilage defects of the distal femur. Radiological findings are evaluated in the relation to the histopathological findings. Objectives The first part of the study after the distribution of patients with PFFD by current commonly used radiographic classification sets the objective in the extent of scans of the hip joints to specify diagnosis PFFD in each patient and to evaluate in detail changes in the area of disability, especially a course of blood vessels. The evaluation of the radiation burden of repeated X-ray measurements was done with respect to the age of the patients. Tissue samples...
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Comparsion of the Classical Catheter Angiography and CTAG; the Benefits and Deficiencies of Both Methods, including Radiation Load
BLAHNÍKOVÁ, Kateřina
The title of this Bachelor{\crq}s Thesis is Comparison of the Classical Catheter Angiography and CTAG; the Benefits and Deficiencies of Both Methods, including Radiation Load. I carried out the comparison in the area of positives and negatives of these methods, related risks and mainly in the area of patient radiation load, which is the subject of the research. The first part deals with brief characteristics of anatomy and vascular system physiology, introduction to both methods, including a chapter dedicated to contrast media and a brief description of radiation protection. When defining the benefits, deficiencies and potential risks I came to a conclusion that there cannot be unequivocally recommended just one method, for both methods provide different advantages and therefore the final decision must be made by the doctor. To assess patient radiation load I used data from 1 July 2008 to 30 June 2009 of patients, who underwent an examination of brain blood vessels in České Budějovice Hospital. To carry out the comparison it was necessary to convert the results into an effective dose. In case of CTAG I made the calculation using a literature available coefficient. For classical catheter angiography I used the version 1.5 PCXMC program. Due to a lack of data (e.g. the angle of a primary beam incidence) the calculation made was only approximate. To find out the occurred error I used data of patients examined from 8 March to 23 March 2010. The consequent statistical data assessment showed that the CTAG method represents bigger radiation exposure for human organism than classical catheter angiography, which proved the hypothesis. In connection with the lack of data regarding the carried out classical catheter angiography I would consider keeping a larger amount of data beneficial for potential calculation of an effective dose. All data required for an accurate calculation of an effective dose can currently be obtained only during the examination.
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