Our purpose in this study was to establish a selection standard for anti-scatter grids for a direct conversion flat-panel detector (FPD) system. As indices for grid evaluation, we calculated the selectivity, Bucky factor, and the signal-to-noise ratio improvement factor (SIF) by measuring rates of scatter transmission, primary transmission, and total transmission (based on the digitally displayed measurement values of the FPD system), by using 4 acrylic phantoms of different thicknesses. The results showed that the SIF was less than 1.0 when the phantom thickness was 5 cm. When the phantom thickness was 25 cm and the grid ratio was 16:1, the SIF was 1.505 and 1.518 (maximum value) at 90 and 120 kV, respectively. Compared with the grid ratio of 12:1, the SIF at the grid ratio 16:1 was improved by 6.1% at 90 kV, and by 7.0% at 120 kV. In a direct-conversion FPD system, the grid ratio of 16:1 is considered adequate for eliminating the scattered-radiation effect when much scattered radiation is present, such as with a thick imaged object or a high X-ray tube voltage.
To improve the safety of the use of a power injector for pediatric contrast CT, we newly developed a saline test injection mode for a power injector and investigated its usefulness. We used an injection route and investigated the relationship of the injection pressure to the injection rate of saline and the contrast medium. From this relationship, we investigated it was possible to estimate the change of pressure injection of contrast medium from the pressure change of saline injection. The correlation between the saline test injection pressure and the contrast medium injection pressure was investigated in 64 clinical cases. The detection rate of side effects from the saline test injection was investigated in 473 patients. Regarding the correlation between the injection rate and pressure for both saline and contrast, the pressure rose as the rate increased. The contrast medium injection pressure could be estimated from the correlation observed with saline. The clinical data were obtained had a relationship similar to that with phantom data. The detection rate of side effects from the saline test injection was 4.4 % in the clinical cases. In these cases, examinations were completed by re-establishing an injection route or administering hypnotics. Our results suggest that contrast medium pressure can be estimated from a saline test injection, thus aiding in prediction of the risk of injection abnormality. Reactions to injections could be observed in the present study, facilitating the prevention of examination failure. Countermeasures can be taken against the cause of the reaction, and the examination can be performed after confirming the absence of a reaction to injection. Therefore, a saline test injection may be useful in pediatric contrast CT.
Although laparoscopic surgery now replaces many gynecologic laparotomy procedures, serious complications unique to laparoscopy may occur, including vascular or bowel injury. In most cases of bowel injury during laparoscopy, the laparoscopic instruments that cause injury are the trocar, Veress needle, grasping forceps or scissors, electrocoagulator, or laser. We report a rare case of small bowel perforation after a thermal burn caused by contact with the end of the scope during laparoscopic ovarian cystectomy. Burns and perforations of the small bowel during laparoscopy are rare complications preventable by familiarity with the physical properties of the laparoscopic instruments.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.