Magnetic resonance (MR) imaging techniques and a custom MR-compatible exercise bicycle were used to measure, in vivo, the effects of exercise on hemodynamic conditions in the abdominal aorta of eleven young, healthy subjects. Heart rate increased from 73 +/- 6.2 beats/min at rest to 110 +/- 8.8 beats/min during exercise (p<0.0001). The total blood flow through the abdominal aorta increased from 2.9 +/- 0.6 L/min at rest to 7.2 +/- 1.4 L/min during exercise (p <0.0005) while blood flow to the digestive and renal circulations decreased from 2.1 +/- 0.5 L/min at rest to 1.6 +/- 0.7 L/min during exercise (p<0.01). Infrarenal blood flow increased from 0.9 +/- 0.4 L/min at rest to 5.6 +/- 1.1 L/min during exercise (p<0.0005). Wall shear stress increased in the supraceliac aorta from 3.5 +/- 0.8 dyn/cm2 at rest to 6.2 +/- 0.5 dyn/cm2 during exercise (p<0.0005) and increased in the infrarenal aorta from 1.3 +/- 0.8 dyn/cm2 at rest to 5.2 +/- 1.3 dyn/cm2 during exercise (p<0.0005).
Normal lactating glands have increased density, high T2-weighted signal intensity, and rapid moderate contrast enhancement. Breast cancers are visible during lactation owing to their lower signal intensity and more intense initial contrast enhancement with early washout compared with normal breast tissue.
To evaluate the usefulness of integrated positron emission tomography and computed tomography (PET/CT) in staging mycosis fungoides (MF) and Sézary syndrome and to correlate PET/CT data with histopathologic diagnosis of lymph nodes (LNs).Design: A single-center, prospective cohort analysis.Setting: Academic referral center for cutaneous lymphoma.Patients: Thirteen patients with MF and SS at risk for secondary LN involvement.Interventions: Patients were clinically evaluated based on general physical examination, total body skin examination, and laboratory screening. They underwent integrated PET/CT followed by excisional biopsy of LNs.
Main Outcome Measures:We used PET/CT to assess LN size and metabolic activity. Enlarged LNs were defined as axillary or inguinal LNs with a short axis 1.5 cm or larger; or cervical LN, with a short axis 1.0 cm or larger. We classified LN pathologic results according to National Cancer Institute (LN1-4) and World Health Organization (WHO 1-3) criteria. We quantified PET ac-tivity using standardized uptake value (SUV) and correlated with LN grade.
Use of MPR for viewing increased the reader agreement and interpretation time of cardiothoracic specialists but increased reader agreement between residents and might have decreased interpretation time. All readers had a trend toward increased confidence.
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