Postinfective physeal bars MRI features and choice of management

Size: px
Start display at page:

Download "Postinfective physeal bars MRI features and choice of management"

Transcription

1 Postinfective physel rs MRI fetures nd choice of mngement Murry Hyes, MB ChB Svvs Andronikou, MB BCh, FC Rd, FRCR, PhD Crey Mckenzie, MB ChB, FCRd Jco du Plessis, MB ChB Reen George, MB BS, MMed Rd Slomine Theron, MB ChB, MMed Rd, FCRd Deprtment of Rdiology, University of Stellenosch, Tygererg Astrct We present series of 6 ptients with physel rs s result of infection (predominntly meningococcl) demonstrting the typicl MRI fetures of this entity nd n explntion of how these fetures ffect the choice of mngement. Aim Our im is to demonstrte ny distinctive mgnetic resonnce imging (MRI) fetures of postinfective physel rs cused y meningococcl nd other infections nd show how these fetures help the surgeon in selecting the est mngement option. Introduction There re vrious cuses of growth-plte injuries nd while trum is the most common, infection (e.g. meningococcemi) hs lso een known to cuse significnt injuries. Growth-plte injury is common nd cn result in lifelong disility with suset of physel injuries resulting in premture growth rrest due to ony ridge formtion cross the physis. 1 Also known s physel rs, these re focl defects in the physis with resulting ony continuity etween the epiphysis nd metphysis. 2 These ridges usully form 1-2 months post injury ut only 2% of ptients with growth-plte injuries develop physel dmge tht is cliniclly significnt. 3,4 Physel rs result in either ngulr deformities or leg-length discrepncies. 2,4 MRI hs een shown to e useful in the evlution of physel rs. 2 Meningococcemi my hve profound effect on the skeletl system of growing child nd survivors re t high risk of developing permnent effects. 5 Nine ptients with physel rs s result of meningococcemi hve een reported ut no MRI fetures hve een descried Fig. 1. Post-trumtic physel r due to Slter Hrris IV frcture T1 weighted () nd grdient echo () sequences demonstrte continuous r s well s the frcture line in oth the metphysis nd epiphysis. The distl femur is common site for post-trumtic physel rs. The physis is regulr, however, nd the epiphysis is not significntly distorted. 44 SA JOURNAL OF RADIOLOGY Septemer 2007

2 Fig. 2. Postmeningococcl physel r. () This grdient echo sequence demonstrtes distl tiil physel r tht is centrl nd results in tenting deformity of the epiphysis. () A sgittl imge in the sme ptient shows the distl nd proximl tiil physes reveling second r t the nterior portion of the proximl tiil physis. for these. 5 We im in this pper to descrie the MRI fetures of physel rs which re the result of meningococcemi nd other infections, nd to show how these fetures help with mngement decisions. Method A retrospective nlysis of series of ptients referred for evlution of physes with postinfective leg-length discrepncies (meningococcemi in 5 of the 6 ptients, the sixth hving hd neontl sepsis with no custive orgnism documented). The following fetures were evluted sed on fetures lredy descried in the literture: Numer of sites involved Percentge of physis involved Presence of flme-shped protrusions of crtilge (the physel line is displced into metphysis or epiphysis in flme shpe) Irregulrity of physis (irregulrity eyond the norml corrugted mrgin more like n ECG trce) Distortion of epiphysis (the shpe nd/or size of physis is ltered). The percentge of physis involved ws clculted y dividing the physis into sgittl nd coronl segments which were then trnsposed s grid onto n xil mp of the physis. The numer of involved segments ws then clculted nd when compred with the totl numer of segments percentge of involvement ws clculted. Figs 1-6 demonstrte vrious fetures encountered. Results Of the 6 ptients evluted, 2 hd multiple sites involved with totl of 13 physel rs. Overll 4 of the 13 rs showed involvement of 50% or more of the physis. The vst mjority of postinfectious physel rs evluted showed flme-shped protrusions s well s physel irregulrity nd epiphysel distortion (Tles I nd II). In comprison the trum group hd no rs involving 50% or more of the physis, only two-thirds showed physel irregulrity nd less thn hlf showed physel distortion. Tle I. Distriution of physis involvement nd etiologies Percentge of physis involved Trum Infection <33% 5 7 >33% ut <50% 4 1 +/- 50% 0 3 >50% ut <66% 0 0 >66% ut <100% % 0 0 Discussion The different etiologies of physel rs presumly ffect the physis in different wys, which in turn ffects mngement. Any insult to the physis cn result in physel r. 2 The most common cuse of physel r is 45 SA JOURNAL OF RADIOLOGY Septemer 2007

3 Tle II. Distriution of fetures Fetures of physel rs Trum Infection Continuity through physis 7 10 Flme-shped protrusions 7 9 Irregulrity of physis 6 10 Distorted epiphysis 4 10 frcture/trum. Other insults to the physis with formtion of physel r include infection, rdition, tumours, therml injury, vsculr injury nd corticosteroid therpy, nd some re considered idiopthic. 1-3, 6 Meningococcemi (due to infection with Neisseri meningitidis) results in diffuse vsculitis, thromosis, hemorrhge nd necrosis which lso involves the growth pltes, resulting in vrile permnent ischemic dmge. 5 As result, ony ridges develop. 5 The centrl prt of the physis hs een shown to e vulnerle nd is often involved in meningococcl insults. 7 Once physel r hs developed, imging needs to evlute size nd loction of the physel r s well s the severity of growth disturnce efore decisions on mngement cn e tken. 6 Historiclly dignosis hs een mde using plin rdiogrphy, conventionl tomogrphy, computed tomogrphy (CT) nd scintigrphy. 1,4 MRI hs een shown to e more ccurte thn conventionl techniques 2 s it hs multiplnr cpilities llowing for cross-referencing of imges in two plnes 2,8,6 nd fcilitting mpping. 8,6 MRI hs excellent contrst nd sptil resolution. 2 MRI lso hs the dvntge of detecting firous nd crtilgenous rs, shows up the crtilginous epiphysis, the ctul growth plte nd lso detects injury to the ligments, menisci nd vessels. 4,6,8,9 Becuse of these dvntges, suclinicl rs cn esily e detected y MRI, nd in ddition MRI cn chnge the Slter Hrris clssifiction in pproximtely hlf of ptients with physel trumtic injury. 4,8 This is useful for differentiting etween Slter Hrris II nd IV frctures when the distl humerus is un-ossified nd lso detects metphysel extension in Slter Hrris type III frctures reclssifying these s type IV frctures. 8 Rdiologist greement hs een etter using MRI thn using other techniques. 4 Sgittl nd coronl-plne imging diminishes the prtil-volume verging tht is inherent in imges of xilly orientted structures. 2 Spin echo T1- nd T2-weighted sequences re useful nd T1-weighted sequences re especilly useful for ssessing the tilted growth rrest nd recovery lines nd for detecting ftty mrrow in the physel r. 4,8 Grdient reclled echo (GRE) sequences re recommended y numerous uthors nd show norml physel plte crtilge hs high signl. 1-4 Certin ntomicl sites re prone to growth rrest. 1 The distl Fig. 3. Postmeningococcl physel r coronl grdient echo imge demonstrtes tht the irregulrity of the medil spect of the proximl tiil physis is result of multiple smll rs. Fig. 4. Postneontl sepsis coronl imge demonstrtes continuous physel r t the distl femur with mrked irregulrity t the lterl hlf of the physis. This is in contrst to the norml regulr proximl tiil physis. 46 SA JOURNAL OF RADIOLOGY Septemer 2007

4 Fig. 5. Postmeningococcl physel r. () T1-weighted coronl sequence demonstrtes oth proximl nd distl tiil physel rs. At the proximl physis there is irregulrity nd discontinuity medilly. At the distl physis continuous physel r contining ftty mrrow signl is present. () The grdient echo sequence confirms the centrl continuous r t the distl tii y showing discontinuity of the norml physel high signl. femur hs disproportiontely high incidence of growth rrest, nd this is relted to the centrl physel undultion. 1 There is lso significnt ssocition etween the cuse of growth rrest nd the ntomicl site involved. 1 Physel rs re more common in the lower thn upper extremities irrespective of the cuse. 1 Different sections of the physis re lso more likely to e involved depending on which physis is involved. At the distl tii the nterior medil section of the physis, lso known s Kump's ump, is most susceptile to growth rrest. 1 The proximl femur nd the proximl tii re more susceptile to physel rs in their periphery. 1 Our results show tht unlike rs cused y trum, those cused y infection hve the following chrcteristics: Involve more physel loctions (up to 6 in 1 ptient) nd cn e ilterl My involve tiil nd femorl loctions (proximlly nd distlly t the tii) In ddition to continuity of the epiphysis nd metphysis nd flmeshped protrusions of crtilge into the epiphysis or metphysis they my cuse irregulrity of the physis eyond the norml corrugtion nd distortion of the size or shpe of the epiphysis Commonly involve lrger surfce re of the physis (50% or greter). Current tretment for physel rs ims to prevent deformity nd correct leg-length discrepncy. 1,8 Tretment options include: Osteotomies to correct ngultion 1,2 Contrlterl physel rrest to prevent leg-length discrepncy 1,2 Shortening/lengthening procedures 2 Physel r excision to relieve growth impednce. 1,2 The rdiologist cn ssist the orthopedic surgeon with mngement choice nd help with pre-opertive plnning. Pre-opertive ssessment requires determintion of the size, loction nd contour of the r. 1-4 This helps to determine optiml surgicl exposure nd helps minimise dmge to the epiphysis. 1,2 Bridges etween 30% nd 50% of the size of the physis require excision nd interposition of ft. 2,4 Brs less thn 30% of the size of the physis cn e mnged without surgery. 4 Brs over 50% of the size of the physis require more extensive surgery. 4 Our results show tht postinfective physel rs often inolve 50% or more of the physis, which my require extensive surgery, wheres posttrumtic rs often require no surgicl intervention nd when they do, it is unlikely to e extensive. Conclusion Physel rs cused y infection, nd in prticulr meningococcemi, differ from those cused y trum. The multiple loctions involved nd the extent of involvement of the surfce re hve direct ering on prognosis nd choice of mngement (including surgery) with extent of the physis involved eing the most importnt determining fctor. 47 SA JOURNAL OF RADIOLOGY Septemer 2007

5 Fig. 6. Flme-shped projections of the physel crtilge into the djcent metphysis re demonstrted in oth postinfective nd post-trumtic physel injury nd re considered s fetures in keeping with physel r seen in this ptient on grdient echo () nd T1-weighted imging (). 1. Ecklund K, Jrmillo D. Ptterns of premture physel rrest: MR imging of 111 children. AJR 2002;178: Bors JJ, Peterson HA, Ehmn RL. MR imging of physel rs. Rdiology 1996; 199(3): Crig JG, Crmer KE, Cody DD, et l. Premture prtil closure nd other deformities of the growth plte: MR imging nd three dimensionl modeling. Rdiology 1999; 210(3): Lohmn M, Kivisri A, Vehms T, Kllio P, Puntil J, Kivisri L. MRI in the ssessement of growth rrest. Peditr Rdiol 2002; 32: Grogn DP, Love SM, Ogden JA, Millr EA, Johnson LO. Chondro-osseous growth normlities fter meningococcemi. J Bone Joint Surg Am 1989; 71 (6): Jrmillo D, Hoffer FA. Crtilgenous epiphysis nd growth plte: norml nd norml MR imging findings. AJR 1992;158: Lor T, Hrtmn AL, Jrmillo D. Locl physel widening on MR imging: n incidentl finding suggesting prior metphysel insults. Peditr Rdiol 1997; 27: Jrmillo D, Hoffer FA, Shpiro F, Rid F. MR imging of frctures of the growth plte. AJR 1990;155: Rogers LF, Poznnski AK. Imging of epiphysel injuries. Rdiology 1994; 191: SA JOURNAL OF RADIOLOGY Septemer 2007

Study of Stress Distribution in the Tibia During Stance Phase Running Using the Finite Element Method

Study of Stress Distribution in the Tibia During Stance Phase Running Using the Finite Element Method Ksetsrt J. (Nt. Sci.) 48 : 729-739 (2014) Study of Stress Distriution in the Tii During Stnce Phse Running Using the Finite Element Method Thepwchr Ruchirh 1, Tumrong Puttpitukporn 1, * nd Siriporn Ssimontonkul

More information

Fundamentals of Spine MRI and Essential Protocols

Fundamentals of Spine MRI and Essential Protocols Fundmentls of Spine MRI nd Essentil Protocols A. C. Dougls-Akinwnde, MD Octoer 13, 2009 Fundmentls of Spine MRI Lerning Ojectives: 1. List the essentil sequences for Spine MRI exmintion 2. Discuss the

More information

C LINICAL A RTICLE. Abstract. Introduction. Page 52 / SA ORTHOPAEDIC JOURNAL Summer 2007

C LINICAL A RTICLE. Abstract. Introduction. Page 52 / SA ORTHOPAEDIC JOURNAL Summer 2007 Pge 52 / SA ORTHOPAEDIC JOURNAL Summer 2007 C LINICAL A RTICLE Physel r resetion for prtil growth plte rrest HR Hos,* Registrr S Dix-Peek,* FCS(SA)Orth, Consultnt RN Dunn,* FCS(SA)Orth, Consultnt N Wieselthler,**

More information

Skull fracture vs. accessory sutures: how can we tell the difference?

Skull fracture vs. accessory sutures: how can we tell the difference? Emerg Rdiol (2010) 17:413 418 DOI 10.1007/s10140-010-0877-8 PICTORIAL ESSAY Skull frcture vs. ccessory sutures: how cn we tell the difference? Thoms Snchez & Deorh Stewrt & Mtthew Wlvick & Leonrd Swischuk

More information

Evaluation of treatment of late-onset tibia vara using gradual angulation translation high tibial osteotomy

Evaluation of treatment of late-onset tibia vara using gradual angulation translation high tibial osteotomy Act Orthop. Belg., 2010, 76, 360-366 ORIGINAL STUDY Evlution of tretment of lte-onset tii vr using grdul ngultion trnsltion high tiil osteotomy Adel Rhmn Adel Ltif AMER, Ashrf A. KHANFOUR From the Dmnhour

More information

Thallium-201 chloride scintigraphy in soft tissue tumors

Thallium-201 chloride scintigraphy in soft tissue tumors 136 ORIGINAL Thllium-201 chloride scintigrphy in soft tissue tumors Hideki Otsuk, Kori Terzw, Nomi Morit, Yoichi Otomi, Shoichiro Tko, Seiji Iwmoto, Kyosuke Oski, Msfumi Hrd, nd Hiromu Nishitni Deprtment

More information

Severe Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus

Severe Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus 2013 67 1 5560 Severe Gummy Smile with Clss II Mlocclusion Treted with LeFort I Osteotomy Comined with Horseshoe Osteotomy nd Introrl Verticl Rmus Osteotomy * 56 Shimo et l. Act Med. Okym Vol. 67, No.

More information

Midfoot and forefoot. Specific fractures. Fractures of the navicular. Fracture patterns and treatment. Fractures of the cuboid

Midfoot and forefoot. Specific fractures. Fractures of the navicular. Fracture patterns and treatment. Fractures of the cuboid .10 Specific frctures Foot.10.2 1 Midfoot nd forefoot Frctures of the nviculr 919 1.1 Surgicl ntomy 919 1.2 Frcture ptterns nd tretment 919 2 Frctures of the cuoid 922 2.1 Surgicl ntomy 922 2.2 Frcture

More information

Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint Hllux vlgus nd crtilge degenertion in the first mettrsophlngel joint P. Bock, K.-H. Kristen, A. Kröner, A. Engel From the Dnue Hospitl, Vienn, Austri This study reltes the extent of crtilge lesions within

More information

7 Skeleton. Anatomy. Long Bones

7 Skeleton. Anatomy. Long Bones 7 Skeleton The second most frequent rdiogrphic study, fter the chest film, is tht of the peditric skeleton. The most common indiction for such studies is of course trum. In order to understnd the disese

More information

Normal Development. Kamaldine Oudjhane

Normal Development. Kamaldine Oudjhane Norml Development Kmldine Oudjhne 2 Contents 1 Generl Crtilge nd Bone Development... 26 1.1 Emryonic nd Fetl Development... 26 1.2 Infncy nd Childhood... 26 2 Crtilge Imging... 28 3 Physiologic Periostitis

More information

LATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1

LATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1 LATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1 W. G. J. HAMPSON nd P. HILL, BRISTOL, ENGLAND The uthors wished to determine the lte results of the Huser opertion,

More information

Reliability of lower extremity alignment measurement using radiographs and PACS

Reliability of lower extremity alignment measurement using radiographs and PACS Knee Surg Sports Trumtol Arthrosc (2011) 19:1693 1698 DOI 10.1007/s00167-011-1467-3 KNEE Reliility of lower extremity lignment mesurement using rdiogrphs nd PACS R. G. Mrx P. Grimm K. A. Lillemoe C. M.

More information

Role of Magnetic Resonance Imaging Fistulography in Preoperative Evaluation of Perianal Fistulas

Role of Magnetic Resonance Imaging Fistulography in Preoperative Evaluation of Perianal Fistulas Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/446 Role of Mgnetic Resonnce Imging Fistulogrphy in Preopertive Evlution of Perinl Fistuls Sushil Kumr K Kle 1, Prteek

More information

Computed tomography of the temporomandibular joint

Computed tomography of the temporomandibular joint s_s_nner Journl of Medicl Imging nd Rdition Oncology 57 (2013) 448 454 RADIOLOGY PICTORIAL ESSAY Computed tomogrphy of the temporomndiulr joint Rudolf Boeddinghus nd Andy Whyte Perth Rdiologicl Clinic,

More information

Effects of physical exercise on working memory and prefrontal cortex function in post-stroke patients

Effects of physical exercise on working memory and prefrontal cortex function in post-stroke patients Effects of physicl exercise on working memory nd prefrontl cortex function in post-stroke ptients M Moriy, C Aoki, K Sktni Grdute School of Helth Sciences Reserch, Mjor of Physicl Therpy, TeikyoHeisei

More information

EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1

EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1 Swine Dy 2001 Contents EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1 C. W. Hstd, S. S. Dritz 2, J. L. Nelssen, M. D. Tokch, nd R. D. Goodbnd Summry Two trils were

More information

Findings Regarding an Intracranial Hemorrhage on the Phase Image of a Susceptibility-Weighted Image (SWI), According to the Stage, Location, and Size

Findings Regarding an Intracranial Hemorrhage on the Phase Image of a Susceptibility-Weighted Image (SWI), According to the Stage, Location, and Size pissn 2384-1095 eissn 2384-1109 imri 2015;19:107-113 http://dx.doi.org/10.13104/imri.2015.19.2.107 Findings Regrding n Intrcrnil Hemorrhge on the Phse Imge of Susceptiility-Weighted Imge (SWI), According

More information

HIROATSU NAKASHIMA, MASAHIRO YOSHIDA & KENTARO MIYAMOTO. Department of Orthopedic Surgery, Aichi Hospital, Aichi Cancer Center, Okazaki, Japan

HIROATSU NAKASHIMA, MASAHIRO YOSHIDA & KENTARO MIYAMOTO. Department of Orthopedic Surgery, Aichi Hospital, Aichi Cancer Center, Okazaki, Japan Upsl Journl of Medicl Sciences. 2012; 117: 460 464 CASE REPORT Antomicl reconstruction of the ptellr tendon using the fsci lt ttched to the ilic one following resection for soft tissue srcom: A cse report

More information

Magnetic Resonance Imaging (MRI) in Syringomyelia

Magnetic Resonance Imaging (MRI) in Syringomyelia Act Neurochir (Wien)(1995) 134:93-99 :Act. _ N urochlrurgc 9 Springer-Verlg t995 Printed in Austri Mgnetic Resonnce Imging (MRI) in Syringomyeli H. L. J. Tnghe Deprtment of Rdiodignostics, University Hospitl

More information

Meat and Food Safety. B.A. Crow, M.E. Dikeman, L.C. Hollis, R.A. Phebus, A.N. Ray, T.A. Houser, and J.P. Grobbel

Meat and Food Safety. B.A. Crow, M.E. Dikeman, L.C. Hollis, R.A. Phebus, A.N. Ray, T.A. Houser, and J.P. Grobbel Met nd Food Sfety Needle-Free Injection Enhncement of Beef Strip Loins with Phosphte nd Slt Hs Potentil to Improve Yield, Tenderness, nd Juiciness ut Hrm Texture nd Flvor B.A. Crow, M.E. Dikemn, L.C. Hollis,

More information

PNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 :

PNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 : PNEUMOVAX 23 is recommended y the CDC for ll your pproprite dult ptients t incresed risk for pneumococcl disese 1,2 : Adults ged

More information

General Microscopic Changes

General Microscopic Changes Generl Microscopic Chnges 2 This chpter covers collection of microscopic chnges tht lck dignostic specificity ut occur in different specific diseses, s will ecome pprent in susequent chpters. Almost ll

More information

Shinhaeng Cho, Youngmoon Goh, Chankyu Kim, Haksoo Kim, Jong Hwi Jeong, Young Kyung Lim, Se Byeong Lee, Dongho Shin

Shinhaeng Cho, Youngmoon Goh, Chankyu Kim, Haksoo Kim, Jong Hwi Jeong, Young Kyung Lim, Se Byeong Lee, Dongho Shin Originl Article PMP Progress in Medicl Physics 28(4), Decemer 217 https://doi.org/1.14316/pmp.217.28.4.144 pissn 28-444, eissn 28-443 Dosimetric Impct of Ti Mesh on Proton Bem Therpy Shinheng Cho, Youngmoon

More information

Check your understanding 3

Check your understanding 3 1 Wht is the difference etween pssive trnsport nd ctive trnsport? Pssive trnsport is the movement of prticles not requiring energy. Movement of prticles in ctive trnsport uses energy. 2 A gs tp in the

More information

Bright Futures Medical Screening Reference Table 2 to 5 Day (First Week) Visit

Bright Futures Medical Screening Reference Table 2 to 5 Day (First Week) Visit Bright Futures Medicl Reference Tle 2 to 5 Dy (First Week) Visit Universl Action Metolic nd Verify documenttion of neworn metolic screening results, pproprite rescreening, nd needed follow-up. Document

More information

Infrared Image Edge Detection based on Morphology- Canny Fusion Algorithm

Infrared Image Edge Detection based on Morphology- Canny Fusion Algorithm , pp.42-46 http://dx.doi.org/10.14257/stl.2016.137.08 Infrred Imge Edge Detection bsed on Morphology- Cnny Fusion Algorithm Tng Qingju 1, Bu Chiwu 2, Liu Yunlin 1, Zng Jinsuo 1, Li Dyong 1 1 School of

More information

Biomechanical effects of medial-lateral tibial tunnel placement in posterior cruciate ligament reconstruction

Biomechanical effects of medial-lateral tibial tunnel placement in posterior cruciate ligament reconstruction ELSEVIER Journl of Orthopedic Reserch 21 (23) 177-1 82 Journl of Orthopedic Reserch www.elsevier.com/locte/orthres Biomechnicl effects of medil-lterl tibil tunnel plcement in posterior crucite ligment

More information

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy pissn 2384-1095 eissn 2384-1109 imri 2017;21:119-124 https://doi.org/10.13104/imri.2017.21.2.119 Seeding Metstsis of Chromophoe Renl Cell Crcinom fter Root-Assisted Lproscopic Prtil Nephrectomy Knghun

More information

Symptomatic Remote Cyst after BCNU Wafer Implantation for Malignant Glioma

Symptomatic Remote Cyst after BCNU Wafer Implantation for Malignant Glioma Cse Report doi: 10.2176/nmc.cr.2017-0218 Neurol Med Chir (Tokyo) 58, 270 276, 2018 Symptomtic Remote Cyst fter BCNU Wfer Implnttion for Mlignnt Gliom Online My 21, 2018 Hideki MATSUMURA, 1 Eiichi ISHIKAWA,

More information

MR Imaging of the Rotator Cuff and Rotator Interval

MR Imaging of the Rotator Cuff and Rotator Interval MR Imging of the Rottor Cuff nd Rottor Intervl Mrcelo R Areu nd Michel Recht Antomy of the Rottor Cuff The rottor cuff is comprised of the suprspintus, infrspintus, suscpulris, nd teres minor muscles nd

More information

Optimisation of diets for Atlantic cod (Gadus morhua) broodstock: effect of arachidonic acid on egg & larval quality

Optimisation of diets for Atlantic cod (Gadus morhua) broodstock: effect of arachidonic acid on egg & larval quality Optimistion of diets for Atlntic cod (Gdus morhu) roodstock: effect of rchidonic cid on egg & lrvl qulity Dr Gordon Bell, Ms. An Blnco, Dr Bill Roy, Dr Derek Roertson, Dr Jim Henderson nd Mr Richrd Prickett,

More information

The potential future of targeted radionuclide therapy: implications for occupational exposure? P. Covens

The potential future of targeted radionuclide therapy: implications for occupational exposure? P. Covens The potentil future of trgeted rdionuclide therpy: implictions for occuptionl exposure? Introduction: Trgeted Rdionuclide Therpy (TRT) Systemic tretment Molecule lbelled with rdionuclide delivers toxic

More information

Optimal sites for orthodontic mini-implant placement assessed by cone beam computed tomography

Optimal sites for orthodontic mini-implant placement assessed by cone beam computed tomography Originl Article Optiml sites for orthodontic mini-implnt plcement ssessed by cone bem computed tomogrphy Mon Mohmed Slh Fyed ; Pwel Pzer b ; Christos Ktsros c ABSTRACT Objectives: To determine (1) the

More information

Indirect magnetic resonance arthrography of the shoulder; a reliable diagnostic tool for investigation of suspected labral pathology

Indirect magnetic resonance arthrography of the shoulder; a reliable diagnostic tool for investigation of suspected labral pathology Skeletl Rdiol (2013) 42:1225 1233 DOI 10.1007/s00256-013-1644-1 SCIENTIFIC ARTICLE Indirect mgnetic resonnce rthrogrphy of the shoulder; relile dignostic tool for investigtion of suspected lrl pthology

More information

Reconstruction with ipsilateral fibula transfer with pasteurized bone after excision of bone sarcoma of the tibia

Reconstruction with ipsilateral fibula transfer with pasteurized bone after excision of bone sarcoma of the tibia Srcom, June/Septemer 2004, VOL. 8, NO. 2/3, 97 102 TECHNICAL NOTE Reconstruction with ipsilterl fiul trnsfer with psteurized one fter excision of one srcom of the tii TOSHIFUMI OZAKI 1, KAZUO FUJIWARA

More information

Emergency MR imaging of the central nervous system

Emergency MR imaging of the central nervous system Emergency Rdiology (1999) 6: 133±142 Ó Americn Society of Emergency Rdiology 1999 PICTORIAL ESSAY Dougls J.Quint Jmes Provenzle John P. Deveikis Emergency MR imging of the centrl nervous system Astrct

More information

Copy Number ID2 MYCN ID2 MYCN. Copy Number MYCN DDX1 ID2 KIDINS220 MBOAT2 ID2

Copy Number ID2 MYCN ID2 MYCN. Copy Number MYCN DDX1 ID2 KIDINS220 MBOAT2 ID2 Copy Numer Copy Numer Copy Numer Copy Numer DIPG38 DIPG49 ID2 MYCN ID2 MYCN c DIPG01 d DIPG29 ID2 MYCN ID2 MYCN e STNG2 f MYCN DIPG01 Chr. 2 DIPG29 Chr. 1 MYCN DDX1 Chr. 2 ID2 KIDINS220 MBOAT2 ID2 Supplementry

More information

WHEN PRECISE PLACEMENT IS CRITICAL

WHEN PRECISE PLACEMENT IS CRITICAL WHEN PRECISE PLACEMENT IS CRITICAL Stent Positioning System Ostil Pro Stent Positioning System Ostil Pro Stent Positioning System Fcilittes More Accurte Stent Positioning in AO Lesions OSTIAL PRO Stent

More information

Slipped capital femoral epiphysis (SCFE) commonly

Slipped capital femoral epiphysis (SCFE) commonly IJOrtho R EP done on // 0 Cse Report Pseudohypoprthyroidism s rre cuse of ilterl slipped cpitl femorl epiphysis Krthikeyn R Somsundrm, Senthilkumr Snkrrmn, Athr Siddiqui, Hmid Zdeh Astrct Slipped cpitl

More information

Prevalence of TMJ Disc Displacement in a Pre-Orthodontic Adolescent Sample

Prevalence of TMJ Disc Displacement in a Pre-Orthodontic Adolescent Sample Originl Article Prevlence of TMJ Disc Displcement in Pre-Orthodontic Adolescent Smple B. Nebbe, BDS, MDent, FFD(SA)Ortho, PhD ; P. W. Mjor, DDS, MSc, MRCD b Abstrct: This study evluted the prevlence of

More information

Invasive Pneumococcal Disease Quarterly Report July September 2018

Invasive Pneumococcal Disease Quarterly Report July September 2018 Invsive Pneumococcl Disese Qurterly Report July Septemer Introduction Since 17 Octoer 2008, invsive pneumococcl disese (IPD) hs een notifile to the locl Medicl Officer of Helth under the Helth Act 1956.

More information

Accuracy of Rotator Cuff Tears and Tendinosis Diagnoses on Shoulder Ultrasound Performed by a Short-experienced Operator

Accuracy of Rotator Cuff Tears and Tendinosis Diagnoses on Shoulder Ultrasound Performed by a Short-experienced Operator ORIGINAL ARTICLE Accurcy of Rottor Cuff Ters nd Tendinosis Dignoses on Shoulder Ultrsound Performed y Short-experienced Opertor Hrshd Arvind Vnjre, Jyoti Pnwr Deprtment of Rdiology, Christin Medicl College

More information

CheckMate 153: Randomized Results of Continuous vs 1-Year Fixed-Duration Nivolumab in Patients With Advanced Non-Small Cell Lung Cancer

CheckMate 153: Randomized Results of Continuous vs 1-Year Fixed-Duration Nivolumab in Patients With Advanced Non-Small Cell Lung Cancer CheckMte 53: Rndomized Results of Continuous vs -Yer Fixed-Durtion Nivolumb in Ptients With Advnced Non-Smll Cell Lung Cncer Abstrct 297O Spigel DR, McCleod M, Hussein MA, Wterhouse DM, Einhorn L, Horn

More information

Utility of 128-slice Multi-detector Spiral Computed Tomography in Detecting Spectrum of Involvement in Acute Pancreatitis

Utility of 128-slice Multi-detector Spiral Computed Tomography in Detecting Spectrum of Involvement in Acute Pancreatitis Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/353 Utility of 128-slice Multi-detector Spirl Computed Tomogrphy in Detecting Spectrum of Involvement in Acute Pncretitis

More information

A Comparative Study of Two Methods of Quantifying the Soft Tissue Profile

A Comparative Study of Two Methods of Quantifying the Soft Tissue Profile Originl Article A Comprtive Study of Two Methods of Quntifying the Soft Tissue Profile Hyeon-Shik Hwng, DDS, M, PhD ; Wng-Sik Kim, DDS, M b ; Jmes A. McNmr, Jr, DDS, PhD c Abstrct: One of the most importnt

More information

Percutaneous plate fixation of fractures of the distal tibia

Percutaneous plate fixation of fractures of the distal tibia Act Orthop. Belg., 2004, 70, 148-154 ORIGINAL STUDY Percutneous plte fixtion of frctures of the distl tii Jens FRANCOIS, Geoffroy VANDEPUTTE, Frnk VERHEYDEN, Guy NELEN Minimlly invsive plte osteosynthesis

More information

Influence of lateral cephalometric radiography in orthodontic diagnosis and treatment planning

Influence of lateral cephalometric radiography in orthodontic diagnosis and treatment planning Originl Article Influence of lterl cephlometric rdiogrphy in orthodontic dignosis nd tretment plnning An Reis Durão ; Ali Alqerbn b ; Afonso Pinhão Ferreir c ; Reinhilde Jcobs d ABSTRACT Objective: To

More information

Elbow your way into reporting paediatric elbow fractures A simple approach

Elbow your way into reporting paediatric elbow fractures A simple approach Pge 1 of 10 Elow your wy into reporting peditric elow frctures A simple pproch Authors: Trcy Kilorn 1 Hlvni Moodley 1 Stewrt Mers 1 Affilitions: 1 Red Cross Wr Memoril Children s Hospitl, Cpe Town, South

More information

A Rare Manifestation of Solitary Primary Bone Lymphoma of the Finger: a Case Report

A Rare Manifestation of Solitary Primary Bone Lymphoma of the Finger: a Case Report pissn 2384-1095 eissn 2384-1109 imri 2018;22:240-244 A Rre Mnifesttion of Solitry Primry Bone Lymphom of the Finger: Cse Report Jeong A Yeom 2, You Seon Song 1 *, In Sook Lee 1, Kyung Un Choi 3, Jeung

More information

Arthroscopic Anatomy of Shoulder

Arthroscopic Anatomy of Shoulder Arthroscopic Antomy of Shoulder Murt Bozkurt, Mehmet Emin Simsek, nd Hlil İrhim Açr 2 2.1 Introduction In the lst 30 yers, shoulder rthroscopy hs ecome of greter importnce in the dignosis nd tretment of

More information

BENIGN ulceration along the greater curvature of the pars media of the

BENIGN ulceration along the greater curvature of the pars media of the BENIGN ULCERS OF THE GREATER CURVATURE OF THE STOMACH Report of Two Cses CHARLES H. BROWN, M.D. Deprtment of Gstroenterology nd ANTHONY D. INTRIERE, M.D.* BENIGN ulcertion long the greter curvture of the

More information

WSU Tree Fruit Research and Extension Center, Wenatchee (509) ext. 265;

WSU Tree Fruit Research and Extension Center, Wenatchee (509) ext. 265; FINAL REPORT WTFRC Project # AH-1-5 WSU Project # 13C-355-3 Project title: PI: Orgniztion: Coopertors: of Sunburn in Apples with RAYNOX Lrry Schrder, Horticulturist WSU Tree Fruit Reserch nd Extension

More information

Morphologic evaluation of the incisive canal and its proximity to the maxillary central incisors using computed tomography images

Morphologic evaluation of the incisive canal and its proximity to the maxillary central incisors using computed tomography images Originl Article Morphologic evlution of the incisive cnl nd its proximity to the mxillry centrl incisors using computed tomogrphy imges Eun-Ae Cho ; Sung-Jin Kim ; Yoon Jeong Choi b ; Kyung-Ho Kim c ;

More information

Computed Tomography for Localization of Intra- Abdominally Dislocated Intrauterine Devices

Computed Tomography for Localization of Intra- Abdominally Dislocated Intrauterine Devices Act Rdiologic ISSN: 0284-1851 (Print) 1600-0455 (Online) Journl homepge: https://www.tndfonline.com/loi/ird20 Computed Tomogrphy for Locliztion of Intr- Adominlly Dislocted Intruterine Devices Esjörn Hederström,

More information

The Effect of Collagenase on Ischemic Wound Healing: Results of an In Vivo Study

The Effect of Collagenase on Ischemic Wound Healing: Results of an In Vivo Study Feture The Effect of Collgense on Ischemic Wound Heling: Results of n In Vivo Study Shengxin Ji, MD, PhD; Ynn Zho, MD; Michel Lw, PhD; Roert D. Glino, MD; nd Thoms A. Mustoe, MD Astrct Mny chronic wounds

More information

Mandibular vertical asymmetry in adult orthodontic patients with different vertical growth patterns: A cone beam computed tomography study

Mandibular vertical asymmetry in adult orthodontic patients with different vertical growth patterns: A cone beam computed tomography study Originl Article Mndibulr verticl symmetry in dult orthodontic ptients with different verticl growth ptterns: A cone bem computed tomogrphy study Slih Celik ; Mevlut Celikoglu b ; Suleymn K. Buyuk c ; A.

More information

Products for weaners Benzoic acid or the combination of lactic acid and formic acid

Products for weaners Benzoic acid or the combination of lactic acid and formic acid Products for weners Benzoic cid or the comintion of lctic cid nd formic cid Tril report no.: 490 Novemer, 000 Hnne Mrio, Lrs Egelund Olsen, Bent Borg Jensen 1 nd Nuri Miquel 1 The Ntionl Committee for

More information

MR Imaging ofthe Knee using Fat Suppression Technique: A Preliminary Report 1

MR Imaging ofthe Knee using Fat Suppression Technique: A Preliminary Report 1 Journ l of the Koren Rdiologic l Society. 1994 : 30(3) : 563-571 1 MR Imging ofthe Knee using Ft Suppression Technique: A Preliminry Report 1 Jin SuckSuh, M.D., Mi Hye Kim, M.D., Yong Soo Kim, M.D.2, Je

More information

Am J Nephrol 2013;38: DOI: /

Am J Nephrol 2013;38: DOI: / Americn Journl of Nephrology Originl Report: Ptient-Oriented; Trnsltionl Reserch Am J Nephrol 213;38:333 341 Received: July 23, 213 Accepted: August 28, 213 Pulished online: Octoer 5, 213 Novel Approch

More information

3.1.3 Minimally invasive surgery

3.1.3 Minimally invasive surgery Authors Reto Bst, Kok-Sun Khong 3.1.3 Minimlly invsive surgery 1 Introduction Minimlly invsive procedures with limited surgicl trum to soft tissues nd one hve een pplied to frcture mngement for long time.

More information

SUPPLEMENTARY INFORMATION

SUPPLEMENTARY INFORMATION TM TM tip link horizontl top connectors 1 leucine-rich (21 %) otoncorin-like 1809 ntigenic peptides B D signl peptide hydrophoic segment proline/threonine-rich (79 %) Supplementry Figure 1. () The outer

More information

EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE

EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE Swine Dy 22 Contents EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE B. J. Johnson, J. P. Kyser, J. D. Dunn, A. T. Wyln, S. S. Dritz 1, J.

More information

Spatially fractionated radiotherapy (GRID) using helical tomotherapy

Spatially fractionated radiotherapy (GRID) using helical tomotherapy JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 17, NUMBER 1, 2016 Sptilly frctionted rdiotherpy (GRID) using helicl tomotherpy Xin Zhng, 1 Jose Pengricno, 1 Yulong Yn, 2 Xioying Ling, 1 Steven Morrill,

More information

Metadata of the chapter that will be visualized online

Metadata of the chapter that will be visualized online Metdt of the chpter tht will e visulized online Series Title Chpter Title Ulnocrpl Autment: Stte of the Art nd the Role of Arthroscopy Chpter SuTitle Copyright Yer 2013 Copyright Holder Springer-Verlg

More information

Visualization of Stent Lumen in MR Imaging: Relationship with Stent Design and RF Direction

Visualization of Stent Lumen in MR Imaging: Relationship with Stent Design and RF Direction 0 66 0 Visuliztion of Stent Lumen in MR Imging: Reltionship with Stent Design nd RF Direction,*,c d e f f c d e 0 66 ʼ ʼ ʼʼ ʼʼ ʼ ʼ ʼ ʼ ʼ ʼ ʼ ʼʼ ʼ June 0 Visuliztion of Stent Lumen in MR Imging Stent Stent

More information

Investigations for the Unstable Shoulder

Investigations for the Unstable Shoulder Symposium Asin Journl of Arthroscopy 2017 Jn-April ;2(1): 7-14 Investigtions for the Unstle Shoulder Astrct Introduction INTRODUCTION The shoulder hs the gretest rnge of motion compred to ny joint in the

More information

Occlusal Status in Asian Male Adults:

Occlusal Status in Asian Male Adults: Originl Article Occlusl Sttus in Asin Mle Adults: Prevlence nd Ethnic Vrition Jen Soh ; Andrew Sndhm ; Yiong Huk Chn c Astrct: The purpose of this study ws to determine the occlusl sttus in young Asin

More information

Comparison of three simple methods for the

Comparison of three simple methods for the J. clin. Pth. (1967), 2, 5 Comprison of three simple methods for the ssessment of 'free' thyroid hormone T. M. D. GIMLETTE1 From the Rdio-Isotope Lbortory, St. Thoms's Hospitl, London SYNOPSIS A dilysis

More information

Successful Diagnosis of a Thymoma by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Report of Two Cases

Successful Diagnosis of a Thymoma by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Report of Two Cases CASE REPORT Successful Dignosis of Thymom y Endoronchil Ultrsound-guided Trnsronchil Needle Aspirtion: A Report of Two Cses Ysushi Yoshid 1, Msto Singyoji 1, Hironori Ashinum 1, Meiji Itkur 1, Toshihiko

More information

SUPPLEMENTARY INFORMATION

SUPPLEMENTARY INFORMATION Prentl doi:.8/nture57 Figure S HPMECs LM Cells Cell lines VEGF (ng/ml) Prentl 7. +/-. LM 7. +/-.99 LM 7. +/-.99 Fold COX induction 5 VEGF: - + + + Bevcizum: - - 5 (µg/ml) Reltive MMP LM mock COX MMP LM+

More information

Assessment of Renal Shape of Horseshoe Kidney with Multidetector Row CT in Adult Patients: Relationship between Urolithiasis and Renal Isthmus

Assessment of Renal Shape of Horseshoe Kidney with Multidetector Row CT in Adult Patients: Relationship between Urolithiasis and Renal Isthmus Toki J Exp Clin Med., Vol. 38, No. 4, pp. 59-66, 23 Assessment of Renl Shpe of Horseshoe Kidney with Multidetector Row CT in Adult Ptients: Reltionship etween Urolithisis nd Renl Isthmus Shuichi KAWADA

More information

Correlation between periodontal soft tissue and hard tissue surrounding incisors in skeletal Class III patients

Correlation between periodontal soft tissue and hard tissue surrounding incisors in skeletal Class III patients Originl Article Correltion between periodontl soft tissue nd hrd tissue surrounding incisors in skeletl Clss III ptients Jeong-Ho Prk ; Ji-Yeon Hong b ; Hyo-Won Ahn c ; Su-Jung Kim d ABSTRACT Objectives:

More information

Original Research. Pre-operative staging of carcinoma of tongue using ultrasonography and magnetic resonance imaging

Original Research. Pre-operative staging of carcinoma of tongue using ultrasonography and magnetic resonance imaging Originl Reserch Americn Journl of Dignostic Imging www.jdignosticimging.com DOI: 10.5455/jdi.20161226053617 Pre-opertive stging of crcinom of tongue using ultrsonogrphy nd mgnetic resonnce imging Nilu

More information

Oral Oncology 47 (2011) Contents lists available at ScienceDirect. Oral Oncology. journal homepage:

Oral Oncology 47 (2011) Contents lists available at ScienceDirect. Oral Oncology. journal homepage: Orl Oncology 47 (2011) 288 295 Contents lists vilble t ScienceDirect Orl Oncology journl homepge: www.elsevier.com/locte/orloncology Comprison of PET/CT nd MRI for the detection of bone mrrow invsion in

More information

Using Paclobutrazol to Suppress Inflorescence Height of Potted Phalaenopsis Orchids

Using Paclobutrazol to Suppress Inflorescence Height of Potted Phalaenopsis Orchids Using Pcloutrzol to Suppress Inflorescence Height of Potted Phlenopsis Orchids A REPORT SUBMITTED TO FINE AMERICAS Linsey Newton nd Erik Runkle Deprtment of Horticulture Spring 28 Using Pcloutrzol to Suppress

More information

The Dynamics of Varicella-Zoster Virus Epithelial Keratitis in Herpes Zoster Ophthalmicus

The Dynamics of Varicella-Zoster Virus Epithelial Keratitis in Herpes Zoster Ophthalmicus Chpter 2 The Dynmics of Vricell-Zoster Virus Epithelil Kertitis in Herpes Zoster Ophthlmicus The morphology of n individul VZV lesion reflects sequence of events triggered y the virus impct on cornel epithelil

More information

Ambiguity in the Dural Tail Sign on MRI

Ambiguity in the Dural Tail Sign on MRI SNI: Unique Cse Oservtions OPEN ACCESS For entire Editoril Bord visit : http://www.surgiclneurologyint.com Editor: Ather Enm, M.D., Ag Khn University, Krchi, Sindh, Pkistn Cse Report Amiguity in the Durl

More information

Restorative planning for hemisection surgery: a technique report

Restorative planning for hemisection surgery: a technique report CLINICAL REPORT 215 Sr Tit-Pour, Anthony Roerts, Ro Hrrison, Iin Chpple Restortive plnning for hemisection surgery: technique report KEY WORDS hemisection, lortory stges, restortion Hemisection surgery

More information

Analysis of 18 F-fluorodeoxyglucose positron emission tomography findings in patients with pituitary lesions

Analysis of 18 F-fluorodeoxyglucose positron emission tomography findings in patients with pituitary lesions ORIGINAL ARTICLE Koren J Intern Med 2013;28:81-88 http://dx.doi.org/10.3904/kjim.2013.28.1.81 Anlysis of F-fluorodeoxyglucose positron emission tomogrphy findings in ptients with pituitry lesions Hnnh

More information

Findings in spontaneous intramural intestinal hematoma imaging

Findings in spontaneous intramural intestinal hematoma imaging Brief report Findings in spontneous intrmurl intestinl hemtom imging F. Mirs Azcón, A. Mrtínez Mrtínez, A. Sntigo Chinchill*, A. Medin Benítez, E. Ochndo Pulido nd M.A. Pérez Rosillo Imging deprtment,

More information

Citation for published version (APA): Krajenbrink, T. G. A. (1994). The silhouette of the mandibular condyle on radiographs. s.n.

Citation for published version (APA): Krajenbrink, T. G. A. (1994). The silhouette of the mandibular condyle on radiographs. s.n. University of Groningen The silhouette of the mndibulr condyle on rdiogrphs. Krjenbrink, Thierry Guy Alexis IMPORTANT NOTE: You re dvised to consult the publisher's version (publisher's PDF) if you wish

More information

8/1/2017. Correlating Radiomics Information with Clinical Outcomes for Lung SBRT. Disclosure. Acknowledgements

8/1/2017. Correlating Radiomics Information with Clinical Outcomes for Lung SBRT. Disclosure. Acknowledgements Correlting Rdiomics Informtion with Clinicl Outcomes for Lung SBRT Fng-Fng Yin, PhD Duke University Medicl Center AAPM 2017 Denver CO Disclosure This reserch is prtilly funded by reserch grnt from Vrin

More information

What to Learn From this Article?

What to Learn From this Article? Cse Report Journl of Orthopedic Cse Reports 2017 My-Jun: 7(3):71-75 The Reversed Less Invsive Stilistion System-Distl Femur Technique: Appliction in n Adult Ptient with Osteogenesis Imperfect Sustining

More information

Efficacy of Pembrolizumab in Patients With Advanced Melanoma With Stable Brain Metastases at Baseline: A Pooled Retrospective Analysis

Efficacy of Pembrolizumab in Patients With Advanced Melanoma With Stable Brain Metastases at Baseline: A Pooled Retrospective Analysis Efficcy of Pembrolizumb in Ptients With Advnced Melnom With Stble Brin Metstses t Bseline: A Pooled Retrospective Anlysis Abstrct 1248PD Hmid O, Ribs A, Dud A, Butler MO, Crlino MS, Hwu WJ, Long GV, Ancell

More information

Biomechanics Orthodontics

Biomechanics Orthodontics Biomechnics IN Orthodontics PRINCIPLES AND PRACTICE Rm S. Nnd, BDS, DDS, MS, PhD Professor Emeritus Deprtment of Orthodontics College of Dentistry University of Oklhom Oklhom City, Oklhom Yhy S. Tosun,

More information

The influence of open and closed high tibial osteotomy on dynamic patellar tracking: a biomechanical study

The influence of open and closed high tibial osteotomy on dynamic patellar tracking: a biomechanical study Knee Surg Sports Trumtol Arthrosc (7) 15:978 98 DOI 1.17/s167-7-35- KNEE The influence of open nd closed high tibil osteotomy on dynmic ptellr trcking: biomechnicl study Robert Gsbeek Æ Roy Welsing Æ Mrco

More information

Finding nemo: imaging findings, pitfalls, and complications of ingested fish bones in the alimentary canal

Finding nemo: imaging findings, pitfalls, and complications of ingested fish bones in the alimentary canal Emerg Rdiol (2013) 20:311 322 DOI 10.1007/s10140-012-1101-9 PICTORIAL ESSAY Finding nemo: imging findings, pitflls, nd complictions of ingested fish ones in the limentry cnl Chrlene Jin Yee Liew & Angeline

More information

PROVEN ANTICOCCIDIAL IN NEW FORMULATION

PROVEN ANTICOCCIDIAL IN NEW FORMULATION PROVEN ANTICOCCIDIAL IN NEW FORMULATION Coxidin 100 microgrnulte A coccidiosttic dditive for roilers, chickens rered for lying nd turkeys Contins 100 g of monensin sodium per kg Aville s homogenous grnules

More information

UC Davis UC Davis Previously Published Works

UC Davis UC Davis Previously Published Works UC Dvis UC Dvis Previously Published Works Title Rib hed protrusion into the centrl cnl in type 1 neurofibromtosis Permlink https://escholrship.org/uc/item/8457m5x3 Journl Peditric Rdiology, 40(12) ISSN

More information

The incidence of cardiac failure continues to increase despite improvements

The incidence of cardiac failure continues to increase despite improvements Dign Interv Rdiol 2007; 13:33-38 Turkish Society of Rdiology 2007 CARDIOVASCULAR IMAGING ORIGINAL ARTICLE Comprison of short nd long xis methods in crdic MR imging nd echocrdiogrphy for left ventriculr

More information

SUPPLEMENTARY INFORMATION

SUPPLEMENTARY INFORMATION . Norml Physiologicl Conditions. SIRT1 Loss-of-Function S1. Model for the role of SIRT1 in the regultion of memory nd plsticity. () Our findings suggest tht SIRT1 normlly functions in coopertion with YY1,

More information

ASK AN EXPERT THINGS YOU WANT TO KNOW

ASK AN EXPERT THINGS YOU WANT TO KNOW ASK AN EXPERT THINGS YOU WANT TO KNOW Q BJÖRN U. ZACHRISSON OSLO, NORWAY A Mndiulr third molrs nd lte lower rch crowding the evidence se The issue of the influence of unerupted third molrs on the dentition

More information

EFFECTS OF INGREDIENT AND WHOLE DIET IRRADIATION ON NURSERY PIG PERFORMANCE

EFFECTS OF INGREDIENT AND WHOLE DIET IRRADIATION ON NURSERY PIG PERFORMANCE Swine Dy 21 EFFECTS OF INGREDIENT AND WHOLE DIET IRRADIATION ON NURSERY PIG PERFORMANCE J. M. DeRouchey, M. D. Tokch, J. L. Nelssen, R. D. Goodbnd, S. S. Dritz 1, J. C. Woodworth, M. J. Webster, B. W.

More information

3D RECONSTRUCTION OF THE TEMPORAL BONE IN COCHLEAR IMPLANT SURGERY

3D RECONSTRUCTION OF THE TEMPORAL BONE IN COCHLEAR IMPLANT SURGERY 3D RECONSTRUCTION OF THE TEMPORAL BONE IN COCHLEAR IMPLANT SURGERY M.C. Dhm, H.L. Seldon, B.C. Pymn nd G.M. Clrk Humn Communiction Reserch Centre, Deprtment o/otolryngology, University 0/ Melbourne, The

More information

Magnetic resonance imaging of the pediatric spine

Magnetic resonance imaging of the pediatric spine RdloGrphlcs Index terms: MgnetIc resonnce ImgIng Musculoskeletl Imging PedItrIc Imging Cumultive index terms: Spine; MR studies Mgnetic resonnce (MR); in infnts nd children Children; skeletl system Mgnetic

More information

Evaluation of Results of Locking Compression Plate in Distal Femur Fractures

Evaluation of Results of Locking Compression Plate in Distal Femur Fractures Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2018/110 Evlution of Results of Locking Compression Plte in Distl Femur Frctures Anuj Kumr Ll 1, S K Kushik 2, Utkl Gupt

More information

Finite Element Analysis of MOD Prosthetic Restored Premolars

Finite Element Analysis of MOD Prosthetic Restored Premolars Finite Element Anlysis of MOD Prosthetic Restored Premolrs LILIANA SANDU, FLORIN TOPALĂ, SORIN POROJAN School of Dentistry V. Beş University of Medicine nd Phrmcy 9 Revolutiei 1989 Blv., 300041 Timişor

More information

THE EVALUATION OF DEHULLED CANOLA MEAL IN THE DIETS OF GROWING AND FINISHING PIGS

THE EVALUATION OF DEHULLED CANOLA MEAL IN THE DIETS OF GROWING AND FINISHING PIGS THE EVALUATION OF DEHULLED CANOLA MEAL IN THE DIETS OF GROWING AND FINISHING PIGS THE EVALUATION OF DEHULLED CANOLA MEAL IN THE DIETS OF GROWING AND FINISHING PIGS John F. Ptience nd Doug Gillis SUMMARY

More information

Evaluation of canting correction of the maxillary transverse occlusal plane and change of the lip canting in Class III two-jaw orthognathic surgery

Evaluation of canting correction of the maxillary transverse occlusal plane and change of the lip canting in Class III two-jaw orthognathic surgery Originl Article Evlution of cnting correction of the mxillry trnsverse occlusl plne nd chnge of the lip cnting in Clss III two-jw orthognthic surgery Seung-Je Kim ; Jin-Young Choi b ; Seung-Hk Bek c ABSTRACT

More information