Journal of X-Ray Science and Technology - Volume 25, issue 5

Authors: Lv, Kun-Long | Zhang, Ya-Dong | Zhuang, Jin-Tao | Gao, Yong | Zhao, Liang | Wan, Zi | Zhou, Ming-Kuan | Yu, Jing-Wei | Sun, Xiang-Zhou | Zhang, Yuan-Yuan | Deng, Chun-Hua | Tu, Xiang-An

Article Type: Research Article

Abstract: OBJECTIVE: To determine efficacy of intraoperative microvascular Doppler ultrasound in assisting subinguinal microsurgical varicocelectomy for pain relief in the treatment of painful varicoceles, compared to the microsurgery without Doppler ultrasound. METHODS: Total 153 patients underwent microsurgical varicocelectomy were randomly allocated to two groups: Groups 1 and 2 included 82 and 71 patients monitored with and without using intraoperative microvascular Doppler ultrasound, respectively. The assessments were compared between two groups, including intraoperative parameters (vessel numbers and operative time) and postoperative outcomes (pain resolution, complications and recurrence). RESULTS: The average numbers of internal spermatic veins ligated (13.87±6.43 vs …11.72±5.66) and arteries preserved (1.96±0.87 vs 1.73±0.86) were significantly greater in Group 1 with Doppler ultrasound. Precisely, the smaller size of the internal spermatic veins was ligated and the more encircled arteries were also preserved in Group 1. In two groups with and without using Doppler ultrasound, 56 (68.3%) and 36 (50.7%) patients experienced a complete resolution of pain, 21 (25.6%) and 29 (40.9%) patients experienced partial resolution, whereas 5 (6.1%) and 6 (8.5%) patients experienced no change in the chronic pain, respectively. Thus, patients in Group 1 had a better outcome in chronic pain resolution (P  = 0.033). The operative time, complications and recurrence rate were not different between the two groups. CONCLUSIONS: Subinguinal microsurgical varicocelectomy is an effective method to treat painful varicoceles. With the assistance of Doppler Ultrasound monitoring, greater numbers of vessels were identified and a better outcome of pain resolution was achieved. Show more

Keywords: Varicocele, pain, varicocelectomy, microsurgery, microvascular, doppler ultrasound

DOI: 10.3233/XST-17247

Citation: Journal of X-Ray Science and Technology, vol. 25, no. 5, pp. 839-846, 2017

Authors: Sun, Zong-Qiong | Ge, Yu-Xi | Chen, Lin | Li, Jie | Jin, Lin-Fang | Xie, Zhi-Hui

Article Type: Research Article

Abstract: PURPOSE: To investigate feasibility of applying low-dose CT perfusion imaging (CTPI) to diagnose gastric cancer. MATERIALS AND METHODS: Twenty patients with gastric cancer confirmed by endoscopic biopsy were undergone routine dose (120 kV, 100 mA) and low-dose (120 kV, 50 mA) CTPI examination, respectively. The original data were processed by body perfusion software, and the perfusion parameters values including blood flow (BF), blood volume (BV) and permeability surface (PS) of gastric cancer were measured. Statistical data analyses including paired-samples t test, Pearson correlation analysis and Bland-Altman consistency test were used to compare the perfusion parameters values between the routine dose and low-dose …CTPI examinations. Radiation dosage, which the patients received during two CTPI examinations, was also calculated and compared. RESULTS: There were no statistical differences in the BF, BV and PS values between routine dose group and low-dose group (P  > 0.05), and there were significant correlation in the BF, BV and PS values between two groups (P  <  0.01). The consistency of BF and BV values between the two groups was preferable to that of PS value. The radiation dosage of the low-dose group was much less than that of routine dose group, and the CTDIvol and DLP values of low-dose CTPI were decreased by 50%, respectively. CONCLUSION: The parameters BF and BV values may play a valuable role in the diagnosis and assessment of gastric cancer in low-dose CTPI examination. Show more

Keywords: Low-dose, computed tomography, perfusion imaging, gastric cancer

DOI: 10.3233/XST-17282

Citation: Journal of X-Ray Science and Technology, vol. 25, no. 5, pp. 847-855, 2017