1997
Livraghi, T.; Goldberg, S. N.; Monti, F.; Bizzini, A.; Lazzaroni, S.; Meloni, F.; Pellicano, S.; Solbiati, L.; Gazelle, G. Scott
Saline-enhanced radio-frequency tissue ablation in the treatment of liver metastases Journal Article
In: Radiology, vol. 202, no. 1, pp. 205-10, 1997, ISSN: 0033-8419 (Print) 0033-8419 (Lin, ().
@article{Livraghi1997,
title = {Saline-enhanced radio-frequency tissue ablation in the treatment
of liver metastases},
author = {T. Livraghi and S. N. Goldberg and F. Monti and A. Bizzini and S. Lazzaroni and F. Meloni and S. Pellicano and L. Solbiati and G. Scott Gazelle},
url = {http://www.ncbi.nlm.nih.gov/pubmed/8988212},
issn = {0033-8419 (Print) 0033-8419 (Lin},
year = {1997},
date = {1997-01-01},
journal = {Radiology},
volume = {202},
number = {1},
pages = {205-10},
abstract = {PURPOSE: To assess the effect of intraparenchymal saline injection
on the results of radio-frequency (RF) tissue ablation. MATERIALS
AND METHODS: Ex vivo and in vivo animal RF ablation was performed
with and without intraparenchymal saline injection. Initially, saline
was injected as a bolus (1-20 mL) before RF application. For subsequent
in vivo studies, saline was injected as a bolus before RF application
or continuously (1 mL/min) during RF application. Finally, 14 patients
with liver metastases and one patient with primary cholangiocarcinoma
were treated with the continuous infusion technique. A single RF
electrode (tip exposure, 1-3 cm) was used with various ablation parameters.
RESULTS: With pretreatment bolus injection of saline, lesions measured
1.4 cm +/- 0.1, 1.6 cm +/- 0.2, and 1.2 cm +/- 0.1 in ex vivo liver,
in vivo animal muscle, and in vivo animal liver, respectively. Without
saline enhancement, lesion sizes were 1.0 +/- 0.2, 1.2 +/- 0.2, and
0.8 +/- 0.1 cm, respectively. With continuous saline injection in
in vivo pig liver, lesion size was 1.8 - 4.1 cm in diameter. In human
tumors, necrosis volume was variable, but complete necrosis was seen
in 13 of 25 lesions (diameter, 1.2-3.9 cm). Partial necrosis greater
than 50% was seen in 12 lesions (diameter, 1.5-4.5 cm). CONCLUSION:
Saline-enhanced RF ablation might permit percutaneous destruction
of large liver lesions.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
on the results of radio-frequency (RF) tissue ablation. MATERIALS
AND METHODS: Ex vivo and in vivo animal RF ablation was performed
with and without intraparenchymal saline injection. Initially, saline
was injected as a bolus (1-20 mL) before RF application. For subsequent
in vivo studies, saline was injected as a bolus before RF application
or continuously (1 mL/min) during RF application. Finally, 14 patients
with liver metastases and one patient with primary cholangiocarcinoma
were treated with the continuous infusion technique. A single RF
electrode (tip exposure, 1-3 cm) was used with various ablation parameters.
RESULTS: With pretreatment bolus injection of saline, lesions measured
1.4 cm +/- 0.1, 1.6 cm +/- 0.2, and 1.2 cm +/- 0.1 in ex vivo liver,
in vivo animal muscle, and in vivo animal liver, respectively. Without
saline enhancement, lesion sizes were 1.0 +/- 0.2, 1.2 +/- 0.2, and
0.8 +/- 0.1 cm, respectively. With continuous saline injection in
in vivo pig liver, lesion size was 1.8 - 4.1 cm in diameter. In human
tumors, necrosis volume was variable, but complete necrosis was seen
in 13 of 25 lesions (diameter, 1.2-3.9 cm). Partial necrosis greater
than 50% was seen in 12 lesions (diameter, 1.5-4.5 cm). CONCLUSION:
Saline-enhanced RF ablation might permit percutaneous destruction
of large liver lesions.
Goldberg, S. N.; Ryan, T. P.; Hahn, P. F.; Schima, W.; Dawson, S. L.; Lawes, K. R.; Mueller, P. R.; Gazelle, G. Scott
Transluminal radiofrequency tissue ablation with use of metallic stents Journal Article
In: J Vasc Interv Radiol, vol. 8, pp. 835-43, 1997, ().
@article{Goldberg1997a,
title = {Transluminal radiofrequency tissue ablation with use of metallic
stents},
author = {S. N. Goldberg and T. P. Ryan and P. F. Hahn and W. Schima and S. L. Dawson and K. R. Lawes and P. R. Mueller and G. Scott Gazelle},
url = {http://www.ncbi.nlm.nih.gov/pubmed/9314376},
year = {1997},
date = {1997-01-01},
journal = {J Vasc Interv Radiol},
volume = {8},
pages = {835-43},
abstract = {PURPOSE: To determine if transluminal coagulative necrosis can be
induced by applying radiofrequency (RF) energy to indwelling metallic
stents. MATERIALS AND METHODS: RF energy was applied to metallic
alloy stents (20-68 mm length, 5-16 mm diameter) in tissue phantom (n = 31), ex vivo bovine liver (n = 10), and in vivo porcine hepatic veins (n = 4). For ex vivo and in vivo liver experiments, RF was
applied for 5-6 minutes, titrating generator output to produce 85
degrees-95 degrees C temperatures at the stent surface. Local and
remote temperature sensing was performed. Imaging and pathologic
studies documented the extent of coagulation necrosis. RESULTS: Phantom
studies demonstrated uniform temperature distribution along the entire
stent length for all Elgiloy stents powered for 2 minutes with a
minimum of 120 watts. Shorter stents required less power or reduced
time to achieve uniform temperature. In ex vivo liver, 25-mm stents (n = 5) showed 8-10 mm of uniform circumferential coagulation necrosis
along the entire stent length. Fifty-millimeter stents showed less
uniform coagulation necrosis. For the in vivo stents (20 mm), 8-10
mm of uniform circumferential coagulation necrosis surrounded the
stent along its entire length. CONCLUSION: Metallic stents can be
used to deliver transluminal RF energy from an external source, inducing
heat deposition with resultant circumferential tissue coagulation.
Clinical applications might include reduction of intimal proliferation
in vascular diseases and/or treatment of periluminal tumors compressing
the bile ducts, the urethra, or other luminal structures.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
induced by applying radiofrequency (RF) energy to indwelling metallic
stents. MATERIALS AND METHODS: RF energy was applied to metallic
alloy stents (20-68 mm length, 5-16 mm diameter) in tissue phantom (n = 31), ex vivo bovine liver (n = 10), and in vivo porcine hepatic veins (n = 4). For ex vivo and in vivo liver experiments, RF was
applied for 5-6 minutes, titrating generator output to produce 85
degrees-95 degrees C temperatures at the stent surface. Local and
remote temperature sensing was performed. Imaging and pathologic
studies documented the extent of coagulation necrosis. RESULTS: Phantom
studies demonstrated uniform temperature distribution along the entire
stent length for all Elgiloy stents powered for 2 minutes with a
minimum of 120 watts. Shorter stents required less power or reduced
time to achieve uniform temperature. In ex vivo liver, 25-mm stents (n = 5) showed 8-10 mm of uniform circumferential coagulation necrosis
along the entire stent length. Fifty-millimeter stents showed less
uniform coagulation necrosis. For the in vivo stents (20 mm), 8-10
mm of uniform circumferential coagulation necrosis surrounded the
stent along its entire length. CONCLUSION: Metallic stents can be
used to deliver transluminal RF energy from an external source, inducing
heat deposition with resultant circumferential tissue coagulation.
Clinical applications might include reduction of intimal proliferation
in vascular diseases and/or treatment of periluminal tumors compressing
the bile ducts, the urethra, or other luminal structures.
Graf, O.; Gazelle, G. Scott; Kreuzer, S.; Halpern, Elkan F.; Boehm, P.; Lechner, G.; Mueller, P. R.
Enhancement of hepatic parenchyma, aorta, and portal vein in helical CT: comparison of iodixanol and iopromide Journal Article
In: AJR Am J Roentgenol, vol. 168, no. 1, pp. 213-7, 1997, ISSN: 0361-803X (Print) 0361-803X (Lin, ().
@article{Graf1997,
title = {Enhancement of hepatic parenchyma, aorta, and portal vein in helical
CT: comparison of iodixanol and iopromide},
author = {O. Graf and G. Scott Gazelle and S. Kreuzer and Elkan F. Halpern and P. Boehm and G. Lechner and P. R. Mueller},
url = {http://www.ncbi.nlm.nih.gov/pubmed/8976948},
issn = {0361-803X (Print) 0361-803X (Lin},
year = {1997},
date = {1997-01-01},
journal = {AJR Am J Roentgenol},
volume = {168},
number = {1},
pages = {213-7},
abstract = {OBJECTIVE: The purpose of this study was to determine hepatic, aortic,
and portal vein enhancement with a new dimeric, nonionic, isotonic
contrast medium (iodixanol) in a routinely performed helical CT protocol
and compare enhancement characteristics with those of a monomeric,
nonionic, low-osmolality contrast medium (iopromide). SUBJECTS AND
METHODS: In 81 patients, we injected 150 ml of iodixanol (320 mg
I/ml), iodixanol (300 mg I/ml), or iopromide (300 mg I/ml). Injection
rate was 5 ml/sec. A dual-phase helical CT scan was obtained (first
helical scan began at 30 sec. second helical scan began at 70 sec),
and enhancement characteristics were assessed. Results were analyzed
taking into account various intrinsic parameters of patients. RESULTS:
During the second imaging phase, iodixanol at 320 mg I/ml and iodixanol
at 300 mg I/ml provided significantly higher enhancement of the liver
(75 H, 69 H, 62 H), aorta (144 H, 140 H, 122 H), and portal vein
(147 H, 147 H, 118 H) than did iopromide at 300 mg I/ml. No significant
differences were observed during the first imaging phase. CONCLUSION:
The combination of higher vascular and parenchymal enhancement levels
after injection of the isotonic agent may represent a different quality
of tissue enhancement. Such an enhancement would be characterized
more by a higher contribution of the blood pool compartment to absolute
enhancement levels than by a contribution of the interstitial compartment.
Further studies are needed to determine whether the use of isotonic
agents effects lesion conspicuity.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
and portal vein enhancement with a new dimeric, nonionic, isotonic
contrast medium (iodixanol) in a routinely performed helical CT protocol
and compare enhancement characteristics with those of a monomeric,
nonionic, low-osmolality contrast medium (iopromide). SUBJECTS AND
METHODS: In 81 patients, we injected 150 ml of iodixanol (320 mg
I/ml), iodixanol (300 mg I/ml), or iopromide (300 mg I/ml). Injection
rate was 5 ml/sec. A dual-phase helical CT scan was obtained (first
helical scan began at 30 sec. second helical scan began at 70 sec),
and enhancement characteristics were assessed. Results were analyzed
taking into account various intrinsic parameters of patients. RESULTS:
During the second imaging phase, iodixanol at 320 mg I/ml and iodixanol
at 300 mg I/ml provided significantly higher enhancement of the liver
(75 H, 69 H, 62 H), aorta (144 H, 140 H, 122 H), and portal vein
(147 H, 147 H, 118 H) than did iopromide at 300 mg I/ml. No significant
differences were observed during the first imaging phase. CONCLUSION:
The combination of higher vascular and parenchymal enhancement levels
after injection of the isotonic agent may represent a different quality
of tissue enhancement. Such an enhancement would be characterized
more by a higher contribution of the blood pool compartment to absolute
enhancement levels than by a contribution of the interstitial compartment.
Further studies are needed to determine whether the use of isotonic
agents effects lesion conspicuity.
Haimovici, J. B.; Trotman-Dickenson, B.; Halpern, Elkan F.; Dec, G. W.; Ginns, L. C.; Shepard, J. A.; McLoud, T. C.
In: Acad Radiol, vol. 4, pp. 327-34, 1997, ().
@article{Haimovici1997,
title = {Relationship between pulmonary artery diameter at computed tomography
and pulmonary artery pressures at right-sided heart catheterization.
Massachusetts General Hospital Lung Transplantation Program},
author = {J. B. Haimovici and B. Trotman-Dickenson and Elkan F. Halpern and G. W. Dec and L. C. Ginns and J. A. Shepard and T. C. McLoud},
url = {http://www.ncbi.nlm.nih.gov/pubmed/9156228},
year = {1997},
date = {1997-01-01},
journal = {Acad Radiol},
volume = {4},
pages = {327-34},
abstract = {RATIONALE AND OBJECTIVES: The purpose of the study was to determine
the relationship between pulmonary artery (PA) size at computed tomography
(CT) and PA pressures, to develop a noninvasive CT method of PA pressure
measurement, and to determine a PA diameter that can enable differentiation
of normal subjects from those with pulmonary hypertension. METHODS:
PA vessel diameters in 55 candidates for lung and heart-lung transplantation
were measured at CT and correlated with PA pressures with both linear
and stepwise multiple regression. The multiple regression equations
were then tested prospectively in 35 pretransplantation patients.
RESULTS: Combined main and left main PA cross-sectional area corrected
for body surface area showed the best correlation with mean PA pressure (r = .87). The multiple regression equations helped predict mean
PA pressure within 5 mm Hg in 50% of patients with chronic lung disease
and in only 8% of patients with pulmonary vascular disease. CONCLUSION:
There was a very good correlation between main and left main PA size
and mean PA pressure. At present, however, CT has not demonstrated
sufficient accuracy to be used clinically.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
the relationship between pulmonary artery (PA) size at computed tomography
(CT) and PA pressures, to develop a noninvasive CT method of PA pressure
measurement, and to determine a PA diameter that can enable differentiation
of normal subjects from those with pulmonary hypertension. METHODS:
PA vessel diameters in 55 candidates for lung and heart-lung transplantation
were measured at CT and correlated with PA pressures with both linear
and stepwise multiple regression. The multiple regression equations
were then tested prospectively in 35 pretransplantation patients.
RESULTS: Combined main and left main PA cross-sectional area corrected
for body surface area showed the best correlation with mean PA pressure (r = .87). The multiple regression equations helped predict mean
PA pressure within 5 mm Hg in 50% of patients with chronic lung disease
and in only 8% of patients with pulmonary vascular disease. CONCLUSION:
There was a very good correlation between main and left main PA size
and mean PA pressure. At present, however, CT has not demonstrated
sufficient accuracy to be used clinically.
Harisinghani, M. G.; Saini, S.; Weissleder, R.; Halpern, Elkan F.; Schima, W.; Rubin, D. L.; Stillman, A. E.; Sica, G. T.; Small, W. C.; Hahn, P. F.
In: Radiology, vol. 202, pp. 687-91, 1997, ().
@article{Harisinghani1997,
title = {Differentiation of liver hemangiomas from metastases and hepatocellular
carcinoma at MR imaging enhanced with blood-pool contrast agent Code-7227},
author = {M. G. Harisinghani and S. Saini and R. Weissleder and Elkan F. Halpern and W. Schima and D. L. Rubin and A. E. Stillman and G. T. Sica and W. C. Small and P. F. Hahn},
url = {http://www.ncbi.nlm.nih.gov/pubmed/9051017},
year = {1997},
date = {1997-01-01},
journal = {Radiology},
volume = {202},
pages = {687-91},
abstract = {PURPOSE: To evaluate differentiation of liver lesions at magnetic
resonance (MR) imaging enhanced with Code-7227. MATERIALS AND METHODS:
Thirty-five patients with 38 proved liver lesions (15 hemangiomas,
17 metastases, six hepatocellular carcinomas [HCCs]) underwent T1-weighted
gradient-echo and T2-weighted fast-spin-echo MR imaging at 1.5 T
before and after intravenous administration of Code-7227 (1.1 mg
iron per kilogram of body weight). RESULTS: In hemangiomas, the mean
contrast-to-noise ratio on precontrast and postcontrast images, respectively,
increased from -4.51 +/- 4.7 (standard deviation) to 5.19 +/- 6.3
on T1-weighted images and decreased from 14.73 +/- 7.4 to 0.64 +/-
5.1 on T2-weighted images. In comparison, metastases remained hypointense
to liver on T1-weighted images (from -5.77 +/- 5.9 to -7.8 +/- 6.8)
and hyperintense on T2-weighted images (from 8.73 +/- 5.4 to 12.61
+/- 6.1). Although HCC enhanced more than metastases, they also remained
hypointense to liver on T1-weighted images (from -4.87 +/- 6.1 to
-1.79 +/- 5.7) and hyperintense on T2-weighted images (from 10.12
+/- 7.9 to 8.7 +/- 6.4). The degree of enhancement on T1-weighted
images and of signal intensity drop on T2-weighted images were significantly
lower in malignant liver masses than in hemangiomas (P textless .001).
CONCLUSION: Distinctly different enhancement patterns with Code-7227
helped accurate differentiation of liver lesions.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
resonance (MR) imaging enhanced with Code-7227. MATERIALS AND METHODS:
Thirty-five patients with 38 proved liver lesions (15 hemangiomas,
17 metastases, six hepatocellular carcinomas [HCCs]) underwent T1-weighted
gradient-echo and T2-weighted fast-spin-echo MR imaging at 1.5 T
before and after intravenous administration of Code-7227 (1.1 mg
iron per kilogram of body weight). RESULTS: In hemangiomas, the mean
contrast-to-noise ratio on precontrast and postcontrast images, respectively,
increased from -4.51 +/- 4.7 (standard deviation) to 5.19 +/- 6.3
on T1-weighted images and decreased from 14.73 +/- 7.4 to 0.64 +/-
5.1 on T2-weighted images. In comparison, metastases remained hypointense
to liver on T1-weighted images (from -5.77 +/- 5.9 to -7.8 +/- 6.8)
and hyperintense on T2-weighted images (from 8.73 +/- 5.4 to 12.61
+/- 6.1). Although HCC enhanced more than metastases, they also remained
hypointense to liver on T1-weighted images (from -4.87 +/- 6.1 to
-1.79 +/- 5.7) and hyperintense on T2-weighted images (from 10.12
+/- 7.9 to 8.7 +/- 6.4). The degree of enhancement on T1-weighted
images and of signal intensity drop on T2-weighted images were significantly
lower in malignant liver masses than in hemangiomas (P textless .001).
CONCLUSION: Distinctly different enhancement patterns with Code-7227
helped accurate differentiation of liver lesions.
Hulka, C. A.; Slanetz, P. J.; Halpern, Elkan F.; Hall, D. A.; McCarthy, K. A.; Moore, R.; Boutin, S.; Kopans, D. B.
Patients' opinion of mammography screening services: immediate results versus delayed results due to interpretation by two observers Journal Article
In: AJR Am J Roentgenol, vol. 168, pp. 1085-9, 1997, ().
@article{Hulka1997,
title = {Patients' opinion of mammography screening services: immediate results
versus delayed results due to interpretation by two observers},
author = {C. A. Hulka and P. J. Slanetz and Elkan F. Halpern and D. A. Hall and K. A. McCarthy and R. Moore and S. Boutin and D. B. Kopans},
url = {http://www.ncbi.nlm.nih.gov/pubmed/9124120},
year = {1997},
date = {1997-01-01},
journal = {AJR Am J Roentgenol},
volume = {168},
pages = {1085-9},
abstract = {OBJECTIVE: The purpose of this study was to evaluate by random questionnaire
mailings the preferences of women who have undergone mammography
in our region regarding communication of mammography screening results.
MATERIALS AND METHODS: Questionnaires were mailed to 400 randomly
selected women who were more than 35 years old and who had been treated
at our institution for medical or surgical reasons. Questions regarding
use of mammography screening at our institution versus services at
other locations were included. The questionnaire described two possible
mammography services; either a double reading service that would
provide delayed reports (DRDR) with the benefit of extra cancers
detected, and a service that provides immediate reports given directly
to the patient by an on-site radiologist. The presentation of the
services was reversed in half the questionnaires to avoid bias. Patients'
choices were collected, as were demographic data. The choice of one
system over the other was evaluated using the one-sample lest for
binomial probability. The chi-square test was used to determine if
the order of questions on the survey or the site of patients' screening
mammography affected responses. RESULTS: The response rate was 42% (n = 168). Of these, one response informed us of the death of a patient. Of the remaining 167 respondents, 75% (n = 126) preferred the DRDR system, 13% (n = 22) preferred the system providing immediate results
(p textless .0001), and the other 19 respondents did not select a
preference. Of the 167 respondents, 156 answered the question regarding
previous screening mammography experience. Of the 105 patients who had undergone screening mammography at our institution, 78% (n =
82) preferred the DRDR system. Of the 51 patients who had undergone
mammography elsewhere or who had never undergone mammography, 75% (n = 38) preferred the DRDR system. We found that ordering of presentation
of the systems in the questionnaire had no effect on responses. Likewise,
whether a respondent had undergone mammography at our institution had no effect on responses (p = 1.0). CONCLUSION: A statistically
significant number of women who responded to our questionnaire preferred
the DRDR system of reporting screening mammographic results. Educational
material about double reading that we included with each patient's
questionnaire could account for these results. If the use of a second
interpreter is feasible and is done for batch interpretation of screening
mammograms, then education of patients about this process may increase
acceptance of a delayed mammographic report.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
mailings the preferences of women who have undergone mammography
in our region regarding communication of mammography screening results.
MATERIALS AND METHODS: Questionnaires were mailed to 400 randomly
selected women who were more than 35 years old and who had been treated
at our institution for medical or surgical reasons. Questions regarding
use of mammography screening at our institution versus services at
other locations were included. The questionnaire described two possible
mammography services; either a double reading service that would
provide delayed reports (DRDR) with the benefit of extra cancers
detected, and a service that provides immediate reports given directly
to the patient by an on-site radiologist. The presentation of the
services was reversed in half the questionnaires to avoid bias. Patients'
choices were collected, as were demographic data. The choice of one
system over the other was evaluated using the one-sample lest for
binomial probability. The chi-square test was used to determine if
the order of questions on the survey or the site of patients' screening
mammography affected responses. RESULTS: The response rate was 42% (n = 168). Of these, one response informed us of the death of a patient. Of the remaining 167 respondents, 75% (n = 126) preferred the DRDR system, 13% (n = 22) preferred the system providing immediate results
(p textless .0001), and the other 19 respondents did not select a
preference. Of the 167 respondents, 156 answered the question regarding
previous screening mammography experience. Of the 105 patients who had undergone screening mammography at our institution, 78% (n =
82) preferred the DRDR system. Of the 51 patients who had undergone
mammography elsewhere or who had never undergone mammography, 75% (n = 38) preferred the DRDR system. We found that ordering of presentation
of the systems in the questionnaire had no effect on responses. Likewise,
whether a respondent had undergone mammography at our institution had no effect on responses (p = 1.0). CONCLUSION: A statistically
significant number of women who responded to our questionnaire preferred
the DRDR system of reporting screening mammographic results. Educational
material about double reading that we included with each patient's
questionnaire could account for these results. If the use of a second
interpreter is feasible and is done for batch interpretation of screening
mammograms, then education of patients about this process may increase
acceptance of a delayed mammographic report.
Goldberg, M. A.; Gazelle, G. Scott; Boland, G. W.; Hahn, P. F.; Mayo-Smith, W. W.; Pivovarov, M.; Halpern, Elkan F.; Wittenberg, J.
Focal hepatic lesions: effect of three-dimensional wavelet compression on detection at CT Journal Article
In: Radiology, vol. 202, pp. 159-65, 1997, ().
@article{Goldberg1997,
title = {Focal hepatic lesions: effect of three-dimensional wavelet compression on detection at CT},
author = {M. A. Goldberg and G. Scott Gazelle and G. W. Boland and P. F. Hahn and W. W. Mayo-Smith and M. Pivovarov and Elkan F. Halpern and J. Wittenberg},
url = {http://www.ncbi.nlm.nih.gov/pubmed/8988206},
year = {1997},
date = {1997-01-01},
journal = {Radiology},
volume = {202},
pages = {159-65},
abstract = {PURPOSE: To evaluate the effect of three-dimensional, wavelet-based
compression on the detection of focal hepatic lesions at computed
tomography (CT). MATERIALS AND METHODS: CT images obtained in 69
patients with focal hepatic lesions were studied (35 consecutive
cases and 34 cases selected to be difficult on the basis of lesion
size or contrast). Image data were compressed by means of a three-dimensional,
wavelet-based algorIthm at ratios of 10:1, 15:1, and 20:1. Normal
and abnormal sections (on original and compressed images) were reviewed
by using an interactive workstation. Four readers rated the presence
or absence of a lesion with a five-point scale. RESULTS: At receiver
operating characteristic analysis, no statistically significant difference
was detected for all cases considered together. Differences approached
but did not reach statistical significance for the diagnostic performance of one reader with compressed images (15:},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
compression on the detection of focal hepatic lesions at computed
tomography (CT). MATERIALS AND METHODS: CT images obtained in 69
patients with focal hepatic lesions were studied (35 consecutive
cases and 34 cases selected to be difficult on the basis of lesion
size or contrast). Image data were compressed by means of a three-dimensional,
wavelet-based algorIthm at ratios of 10:1, 15:1, and 20:1. Normal
and abnormal sections (on original and compressed images) were reviewed
by using an interactive workstation. Four readers rated the presence
or absence of a lesion with a five-point scale. RESULTS: At receiver
operating characteristic analysis, no statistically significant difference
was detected for all cases considered together. Differences approached
but did not reach statistical significance for the diagnostic performance of one reader with compressed images (15:
McDowell, R. K.; Gazelle, G. Scott; Murphy, B. L.; Boland, G. W.; Mayo-Smith, W. W.; Warshaw, A. L.; Mueller, P. R.
Mucinous ductal ectasia of the pancreas Journal Article
In: J Comput Assist Tomogr, vol. 21, no. 3, pp. 383-8, 1997, ISSN: 0363-8715 (Print) 0363-8715 (Lin, ().
@article{McDowell1997,
title = {Mucinous ductal ectasia of the pancreas},
author = {R. K. McDowell and G. Scott Gazelle and B. L. Murphy and G. W. Boland and W. W. Mayo-Smith and A. L. Warshaw and P. R. Mueller},
url = {http://www.ncbi.nlm.nih.gov/pubmed/9135644},
issn = {0363-8715 (Print) 0363-8715 (Lin},
year = {1997},
date = {1997-00-01},
journal = {J Comput Assist Tomogr},
volume = {21},
number = {3},
pages = {383-8},
abstract = {PURPOSE: Pancreatic mucinous ductal ectasia (MDE) is a recently described
and poorly understood disorder, with few cases reported in the imaging
literature. We undertook this study to describe the spectrum of CT
and pancreatographic findings of MDE and to investigate the incidence
of associated pancreatic malignancy. METHOD: The medical records,
CT scans, and pancreatograms of 12 consecutive patients with pathologically
proven MDE were retrospectively reviewed. There were nine men and
three women, ranging in age from 37 to 72 years (mean 59 years).
RESULTS: Focal lesions involved primarily the uncinate (two patients)
and head (eight patients) by CT imaging. The entire gland was involved
in two patients. CT findings were variable and included focal pancreatic
enlargement, a low attenuation or cystic mass, low attenuation of
the entire gland, or marked ductal dilatation. Pancreatographic findings
were more consistent, showing ductal dilatation with or without intraluminal
filling defects, obstruction, or displacement. In all cases, findings
at endoscopy were felt to be characteristic, with ductal dilatation,
filling defects, or abundant mucus seen upon cannulation of the pancreatic
duct. Carcinoma-in-situ was present in six cases, cellular atypia
without malignancy in two, and in three cases the lesions were histologically
benign. One case demonstrated invasive adenocarcinoma. No finding
or group of findings on CT or pancreatography permitted differentiation
between benign and malignant lesions. CONCLUSION: MDE can present
with a variety of appearances on CT, none of which is diagnostic.
Pancreatography can be diagnostic if dilatation and intraluminal
filling defects are seen. Carcinoma-in-situ, invasive adenocarcinoma,
or cellular atypia is present in approximately 75%, but cannot be
accurately diagnosed prospectively.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
and poorly understood disorder, with few cases reported in the imaging
literature. We undertook this study to describe the spectrum of CT
and pancreatographic findings of MDE and to investigate the incidence
of associated pancreatic malignancy. METHOD: The medical records,
CT scans, and pancreatograms of 12 consecutive patients with pathologically
proven MDE were retrospectively reviewed. There were nine men and
three women, ranging in age from 37 to 72 years (mean 59 years).
RESULTS: Focal lesions involved primarily the uncinate (two patients)
and head (eight patients) by CT imaging. The entire gland was involved
in two patients. CT findings were variable and included focal pancreatic
enlargement, a low attenuation or cystic mass, low attenuation of
the entire gland, or marked ductal dilatation. Pancreatographic findings
were more consistent, showing ductal dilatation with or without intraluminal
filling defects, obstruction, or displacement. In all cases, findings
at endoscopy were felt to be characteristic, with ductal dilatation,
filling defects, or abundant mucus seen upon cannulation of the pancreatic
duct. Carcinoma-in-situ was present in six cases, cellular atypia
without malignancy in two, and in three cases the lesions were histologically
benign. One case demonstrated invasive adenocarcinoma. No finding
or group of findings on CT or pancreatography permitted differentiation
between benign and malignant lesions. CONCLUSION: MDE can present
with a variety of appearances on CT, none of which is diagnostic.
Pancreatography can be diagnostic if dilatation and intraluminal
filling defects are seen. Carcinoma-in-situ, invasive adenocarcinoma,
or cellular atypia is present in approximately 75%, but cannot be
accurately diagnosed prospectively.
1996
Frayne, R.; Grist, T. M.; Korosec, F. R.; Willig, D. S.; Swan, J. Shannon; Turski, P. A.; Mistretta, C. A.
MR angiography with three-dimensional MR digital subtraction angiography Journal Article
In: Top Magn Reson Imaging, vol. 8, no. 6, pp. 366-88, 1996, ISSN: 0899-3459 (Print) 0899-3459 (Li, ().
@article{Frayne1996,
title = {MR angiography with three-dimensional MR digital subtraction angiography},
author = {R. Frayne and T. M. Grist and F. R. Korosec and D. S. Willig and J. Shannon Swan and P. A. Turski and C. A. Mistretta},
url = {https://www.ncbi.nlm.nih.gov/pubmed/9402678},
issn = {0899-3459 (Print)
0899-3459 (Li},
year = {1996},
date = {1996-01-01},
journal = {Top Magn Reson Imaging},
volume = {8},
number = {6},
pages = {366-88},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Grist, T. M.; Swan, J. Shannon; Korosec, F. R.
Investigators refine MR angio methods Journal Article
In: Diagn Imaging (San Franc), vol. 18, no. 4, pp. 45-50, 1996, ISSN: 0194-2514 (Print) 0194-2514 (Li, ().
@article{Grist1996,
title = {Investigators refine MR angio methods},
author = {T. M. Grist and J. Shannon Swan and F. R. Korosec},
url = {https://www.ncbi.nlm.nih.gov/pubmed/10159857},
issn = {0194-2514 (Print)
0194-2514 (Li},
year = {1996},
date = {1996-01-01},
journal = {Diagn Imaging (San Franc)},
volume = {18},
number = {4},
pages = {45-50},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon
Intrapelvic two-dimensional time-of-flight magnetic resonance angiography in healthy and diseased subjects Journal Article
In: Acad Radiol, vol. 3, no. 7, pp. 607-9; discussion 60, 1996, ISSN: 1076-6332 (Print) 1076-6332 (Li, ().
@article{Swan1996,
title = {Intrapelvic two-dimensional time-of-flight magnetic resonance angiography in healthy and diseased subjects},
author = {J. Shannon Swan},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8796723},
doi = {10.1016/s1076-6332(96)80227-3},
issn = {1076-6332 (Print)
1076-6332 (Li},
year = {1996},
date = {1996-01-01},
journal = {Acad Radiol},
volume = {3},
number = {7},
pages = {607-9; discussion 60},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1995
Alley, M. T.; Grist, T. M.; Swan, J. Shannon
Development of a phased-array coil for the lower extremities Journal Article
In: Magn Reson Med, vol. 34, no. 2, pp. 260-7, 1995, ISSN: 0740-3194 (Print) 0740-3194 (Li, ().
@article{Alley1995,
title = {Development of a phased-array coil for the lower extremities},
author = {M. T. Alley and T. M. Grist and J. Shannon Swan},
url = {https://www.ncbi.nlm.nih.gov/pubmed/7476086},
doi = {10.1002/mrm.1910340218},
issn = {0740-3194 (Print)
0740-3194 (Li},
year = {1995},
date = {1995-01-01},
journal = {Magn Reson Med},
volume = {34},
number = {2},
pages = {260-7},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Grist, T. M.; Sproat, I. A.; Heiner, J. P.; Wiersma, S. R.; Heisey, D. M.
Musculoskeletal neoplasms: preoperative evaluation with MR angiography Journal Article
In: Radiology, vol. 194, no. 2, pp. 519-24, 1995, ISSN: 0033-8419 (Print) 0033-8419 (Li, ().
@article{Swan1995,
title = {Musculoskeletal neoplasms: preoperative evaluation with MR angiography},
author = {J. Shannon Swan and T. M. Grist and I. A. Sproat and J. P. Heiner and S. R. Wiersma and D. M. Heisey},
url = {https://www.ncbi.nlm.nih.gov/pubmed/7529935},
doi = {10.1148/radiology.194.2.7529935},
issn = {0033-8419 (Print)
0033-8419 (Li},
year = {1995},
date = {1995-01-01},
journal = {Radiology},
volume = {194},
number = {2},
pages = {519-24},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Korosec, F. R.; Heisey, D. M.; Grist, T. M.
In: J Vasc Interv Radiol, vol. 6, no. 6, pp. 965-70, 1995, ISSN: 1051-0443 (Print) 1051-0443 (Li, ().
@article{Swan1995a,
title = {Evaluation of presaturation pulse thickness and gap for lower extremity peripheral two-dimensional time-of-flight MR angiography with a signa 1.5-T unit},
author = {J. Shannon Swan and F. R. Korosec and D. M. Heisey and T. M. Grist},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8850678},
doi = {10.1016/s1051-0443(95)71223-4},
issn = {1051-0443 (Print)
1051-0443 (Li},
year = {1995},
date = {1995-01-01},
journal = {J Vasc Interv Radiol},
volume = {6},
number = {6},
pages = {965-70},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Tuite, M. J.; Smet, A. A. De; Swan, J. Shannon; Keene, J. S.
MR imaging of a meniscal ossicle Journal Article
In: Skeletal Radiol, vol. 24, no. 7, pp. 543-5, 1995, ISSN: 0364-2348 (Print)0364-2348 (Li, ().
@article{Tuite1995,
title = {MR imaging of a meniscal ossicle},
author = {M. J. Tuite and A. A. De Smet and J. Shannon Swan and J. S. Keene},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8545656},
doi = {10.1007/BF00202157},
issn = {0364-2348 (Print)0364-2348 (Li},
year = {1995},
date = {1995-01-01},
journal = {Skeletal Radiol},
volume = {24},
number = {7},
pages = {543-5},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1994
Smet, A. A. De; Tuite, M. J.; Norris, M. A.; Swan, J. Shannon
MR diagnosis of meniscal tears: analysis of causes of errors Journal Article
In: AJR Am J Roentgenol, vol. 163, no. 6, pp. 1419-23, 1994, ISSN: 0361-803X (Print) 0361-803X (Li, ().
@article{DeSmet1994,
title = {MR diagnosis of meniscal tears: analysis of causes of errors},
author = {A. A. De Smet and M. J. Tuite and M. A. Norris and J. Shannon Swan},
url = {https://www.ncbi.nlm.nih.gov/pubmed/7992739},
doi = {10.2214/ajr.163.6.7992739},
issn = {0361-803X (Print)
0361-803X (Li},
year = {1994},
date = {1994-01-01},
journal = {AJR Am J Roentgenol},
volume = {163},
number = {6},
pages = {1419-23},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1993
Damron, T. A.; Brodke, D. S.; Heiner, J. P.; Swan, J. Shannon; DeSouky, S.
Case report 803: Gorham's disease (Gorham-Stout syndrome) of scapula Journal Article
In: Skeletal Radiol, vol. 22, no. 6, pp. 464-7, 1993, ISSN: 0364-2348 (Print) 0364-2348 (Li, ().
@article{Damron1993,
title = {Case report 803: Gorham's disease (Gorham-Stout syndrome) of scapula},
author = {T. A. Damron and D. S. Brodke and J. P. Heiner and J. Shannon Swan and S. DeSouky},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8248825},
doi = {10.1007/BF00538454},
issn = {0364-2348 (Print)
0364-2348 (Li},
year = {1993},
date = {1993-01-01},
journal = {Skeletal Radiol},
volume = {22},
number = {6},
pages = {464-7},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Heiner, J. P.; Rao, V. K.; Weber, D. M.
Preoperative evaluation of giant cell tumors of the radius with magnetic resonance angiography Journal Article
In: J Hand Surg Am, vol. 18, no. 3, pp. 499-503, 1993, ISSN: 0363-5023 (Print) 0363-5023 (Li, ().
@article{Swan1993,
title = {Preoperative evaluation of giant cell tumors of the radius with magnetic resonance angiography},
author = {J. Shannon Swan and J. P. Heiner and V. K. Rao and D. M. Weber},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8515023},
doi = {10.1016/0363-5023(93)90099-o},
issn = {0363-5023 (Print)
0363-5023 (Li},
year = {1993},
date = {1993-01-01},
journal = {J Hand Surg Am},
volume = {18},
number = {3},
pages = {499-503},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Kennel, T. W.; Wojtowycz, M. M.; Grist, T. M.
Increased presaturation pulse gaps in two-dimensional time-of-flight MR angiography: a pitfall in diseased lower extremities Journal Article
In: J Vasc Interv Radiol, vol. 4, no. 4, pp. 569-71, 1993, ISSN: 1051-0443 (Print) 1051-0443 (Li, ().
@article{Swan1993a,
title = {Increased presaturation pulse gaps in two-dimensional time-of-flight MR angiography: a pitfall in diseased lower extremities},
author = {J. Shannon Swan and T. W. Kennel and M. M. Wojtowycz and T. M. Grist},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8353357},
doi = {10.1016/s1051-0443(93)71924-7},
issn = {1051-0443 (Print)
1051-0443 (Li},
year = {1993},
date = {1993-01-01},
journal = {J Vasc Interv Radiol},
volume = {4},
number = {4},
pages = {569-71},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Weber, D. M.; Korosec, F. R.; Grist, T. M.; Heiner, J. P.
Combined MRI and MRA for limb salvage planning Journal Article
In: J Comput Assist Tomogr, vol. 17, no. 2, pp. 339-42, 1993, ISSN: 0363-8715 (Print) 0363-8715 (Li, ().
@article{Swan1993b,
title = {Combined MRI and MRA for limb salvage planning},
author = {J. Shannon Swan and D. M. Weber and F. R. Korosec and T. M. Grist and J. P. Heiner},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8454767},
doi = {10.1097/00004728-199303000-00033},
issn = {0363-8715 (Print)
0363-8715 (Li},
year = {1993},
date = {1993-01-01},
journal = {J Comput Assist Tomogr},
volume = {17},
number = {2},
pages = {339-42},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Wang, Y.; Weber, D. M.; Korosec, F. R.; Mistretta, C. A.; Grist, T. M.; Swan, J. Shannon; Turski, P. A.
Generalized matched filtering for time-resolved MR angiography of pulsatile flow Journal Article
In: Magn Reson Med, vol. 30, no. 5, pp. 600-8, 1993, ISSN: 0740-3194 (Print) 0740-3194 (Li, ().
@article{Wang1993,
title = {Generalized matched filtering for time-resolved MR angiography of pulsatile flow},
author = {Y. Wang and D. M. Weber and F. R. Korosec and C. A. Mistretta and T. M. Grist and J. Shannon Swan and P. A. Turski},
url = {https://www.ncbi.nlm.nih.gov/pubmed/8259060},
doi = {10.1002/mrm.1910300511},
issn = {0740-3194 (Print)
0740-3194 (Li},
year = {1993},
date = {1993-01-01},
journal = {Magn Reson Med},
volume = {30},
number = {5},
pages = {600-8},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1992
Swan, J. Shannon; Weber, D. M.; Grist, T. M.; Wojtowycz, M. M.; Korosec, F. R.; Mistretta, C. A.
Peripheral MR angiography with variable velocity encoding. Work in progress Journal Article
In: Radiology, vol. 184, no. 3, pp. 813-7, 1992, ISSN: 0033-8419 (Print) 0033-8419 (Li, ().
@article{Swan1992,
title = {Peripheral MR angiography with variable velocity encoding. Work in progress},
author = {J. Shannon Swan and D. M. Weber and T. M. Grist and M. M. Wojtowycz and F. R. Korosec and C. A. Mistretta},
url = {https://www.ncbi.nlm.nih.gov/pubmed/1509072},
doi = {10.1148/radiology.184.3.1509072},
issn = {0033-8419 (Print)
0033-8419 (Li},
year = {1992},
date = {1992-01-01},
journal = {Radiology},
volume = {184},
number = {3},
pages = {813-7},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1991
Buckwalter, K. A.; Swan, J. Shannon; Braunstein, E. M.
Evaluation of joint disease in the adult hand and wrist Journal Article
In: Hand Clin, vol. 7, no. 1, pp. 135-51, 1991, ().
@article{Buckwalter1991,
title = {Evaluation of joint disease in the adult hand and wrist},
author = {K. A. Buckwalter and J. Shannon Swan and E. M. Braunstein},
url = {http://www.ncbi.nlm.nih.gov/pubmed/2037631},
year = {1991},
date = {1991-01-01},
journal = {Hand Clin},
volume = {7},
number = {1},
pages = {135-51},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Braunstein, E. M.; Capello, W.
Aspiration of the hip in patients treated with Girdlestone arthroplasty Journal Article
In: AJR Am J Roentgenol, vol. 156, no. 3, pp. 545-6, 1991, ISSN: 0361-803X (Print) 0361-803X (Li, ().
@article{Swan1991,
title = {Aspiration of the hip in patients treated with Girdlestone arthroplasty},
author = {J. Shannon Swan and E. M. Braunstein and W. Capello},
url = {https://www.ncbi.nlm.nih.gov/pubmed/1899754},
doi = {10.2214/ajr.156.3.1899754},
issn = {0361-803X (Print)
0361-803X (Li},
year = {1991},
date = {1991-01-01},
journal = {AJR Am J Roentgenol},
volume = {156},
number = {3},
pages = {545-6},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Swan, J. Shannon; Braunstein, E. M.; Wellman, H. N.; Capello, W.
Contrast and nuclear arthrography in loosening of the uncemented hip prosthesis Journal Article
In: Skeletal Radiol, vol. 20, no. 1, pp. 15-9, 1991, ISSN: 0364-2348 (Print) 0364-2348 (Li, ().
@article{Swan1991a,
title = {Contrast and nuclear arthrography in loosening of the uncemented hip prosthesis},
author = {J. Shannon Swan and E. M. Braunstein and H. N. Wellman and W. Capello},
url = {https://www.ncbi.nlm.nih.gov/pubmed/2000499},
doi = {10.1007/BF00243715},
issn = {0364-2348 (Print)
0364-2348 (Li},
year = {1991},
date = {1991-01-01},
journal = {Skeletal Radiol},
volume = {20},
number = {1},
pages = {15-9},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1989
G S Gazelle 1, J R Haaga
Guided percutaneous biopsy of intraabdominal lesions Journal Article
In: AJR Am J Roentgenol, vol. 153, no. 5, pp. 929-35., 1989, ().
@article{gazelle1989,
title = {Guided percutaneous biopsy of intraabdominal lesions },
author = {G S Gazelle 1 , J R Haaga},
url = {https://pubmed.ncbi.nlm.nih.gov/2679000/},
doi = {10.2214/ajr.153.5.929},
year = {1989},
date = {1989-11-01},
journal = { AJR Am J Roentgenol},
volume = {153},
number = {5},
pages = {929-35.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1988
Swan, J. Shannon; Braunstein, E. M.
Radiology clinic. Abnormal clavicle in a patient with renal failure Journal Article
In: Indiana Med, vol. 81, no. 4, pp. 317-8, 1988, ISSN: 0746-8288 (Print) 0746-8288 (Li, ().
@article{Swan1988,
title = {Radiology clinic. Abnormal clavicle in a patient with renal failure},
author = {J. Shannon Swan and E. M. Braunstein},
url = {https://www.ncbi.nlm.nih.gov/pubmed/3361112},
issn = {0746-8288 (Print)
0746-8288 (Li},
year = {1988},
date = {1988-01-01},
journal = {Indiana Med},
volume = {81},
number = {4},
pages = {317-8},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
0000
Deutsch, Arielle R; Lustfield, Rebecca; Jalali, Mohammad S
In: Syst Res Behav Sci, vol. 39, no. 4, pp. 734–749, 0000, ISSN: 1092-7026.
@article{pmid36337318,
title = {Community-based system dynamics modelling of stigmatized public health issues: Increasing diverse representation of individuals with personal experiences},
author = {Arielle R Deutsch and Rebecca Lustfield and Mohammad S Jalali},
doi = {10.1002/sres.2807},
issn = {1092-7026},
journal = {Syst Res Behav Sci},
volume = {39},
number = {4},
pages = {734--749},
abstract = {Utility of community-based system dynamics (CBSD) models on stigmatized public health issues and health disparities depends upon how representative the model is to real-world experience within the community. "Personal experience" participants (PEP), especially from marginalized groups, are essential model contributors, but are often underrepresented in modeling groups due to multiple barriers. This study details a method to increase PEP representation for models on stigmatized issues. We use a case study from a CBSD project on health disparities within the association between alcohol misuse (AM) and intimate partner violence (IPV) for Northern Plains Indigenous women. Short group model building sessions were held at three community organizations providing relevant resources. Each model contributed unique system components, and there were few similarities between models. A consolidated model provided a rich picture of the complex system. Adding brief PEP-based group modeling sessions can enhance PEP representation in model development for stigmatized public health issues.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}