Abbreviated Reports MR Imaging of Pontine Tuberculoma

نویسندگان

  • Daniel K. Kido
  • Thomas W. Morris
چکیده

measurements of body temperature and local surface temperature , Our primary concern was acceptance by the patient. As mentioned in the article, the thermistor probe does behave as an RF receiver and cannot be used during RF exposure. The thermistor was not connected to the electronic circuit until approximately 1 min after each exposure, and the thermistor had a thermal response of T1 /2 of approximately 1 sec. We never observed a rapid decrease in temperature during the measurements, and patients never reported that the thermistor felt warm (as they did when the thermistor was connected to the circuitry). We certainly agree that continuous monitoring of surface and core temperature should be performed, but we did not have access to that technology. The environmental temperature was maintained between 20.0°C and 24.4°C, and air flow was maintained in the scanner by a fan. Humidity was not monitored , but conditions always were considered comfortable. To minimize the impact of changes in environmental temperature on our data, we used the prescan measurements as a baseline. The head coil was used for the head scans and, as suggested, should not have contributed to axi llary surface heating. Even the body scans should not have contributed significantly to axillary surface temperature as the RF pulses were positioned over the lower half of the abdomen. The purpose of the study was to look for clinically significant changes. We thought that small, transient changes in local surface temperatures were not of clinical significance, and we were interested primarily in sustained increases in "body" temperature. It is unlikely that increases in local surface temperature are important as patients did not report local sensations of heat or burning. The data from Schaefer and our study are consistent in that neither study shows Clinically significant changes in temperature. The data in Fig. 1 are plotted to three significant figures. Because the experimental accuracy was only 0.1 °C, the numerical values in Table 2 were rounded off to the nearest 0.1 °C. We agree with Dr. Shellock that further studies should be performed , especially if more sophisticated monitoring capabilities are available to that group.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Multiple Intracranial Tuberculomas Mimicking Granulocytic Sarcomas in Acute Myeloid Leukemia

The diagnosis of incracranial tuberculoma in immune-compromised hosts is often difficult because conventional magnetic resonance (MR) imaging of tuberculoma reveals various findings and neurologic symptoms are not typical. Here, we report a case of a 54-yr old man with multiple intracranial tuberculoma who was treated for acute myeloid leukemia. He complained of right-side paresthesia after the...

متن کامل

CASE REPORTS Imaging features of brain tuberculoma in Tanzania: case report and literature review

Brain tubercluomas are a rare manifestation of mycobacterium tuberculosis infection usually resulting from hematogenous spread of the bacteria from a primary focus elsewhere in the body. A 29-year-old female with no history of pulmonary tuberculosis or signs of pulmonary infection presented with signs and symptoms of raised intracranial pressure. She underwent CT and MR imaging where multiple e...

متن کامل

Tuberculoma of the pons.

A case of a pontine tuberculoma in a 12-year-old male from Somalia is presented. Cranial magnetic resonance imaging, performed in Abu Dhabi 1 month before admission in Germany revealed a tumorous lesion in the pons with surrounding edema; a presumptive diagnosis of a pontine glioma was made. Chest radiograph disclosed a pulmonary infiltrate with cavitation, as well as hilar and left mediastinal...

متن کامل

MR spectroscopy-aided differentiation: "giant" extra-axial tuberculoma masquerading as meningioma.

Tuberculosis is common in the developing world and in developed nations secondary to increasing immunocompromise in the population. It commonly causes meningitis and parenchymal tuberculomas. We present a case of an unusual masslike "giant" extra-axial tuberculoma during pregnancy. Unusual morphology and size at imaging made meningioma a close differential. MR spectroscopy served to complement ...

متن کامل

Cranial CT in Galactosemia

Before the advent of antituberculous agents, complete surgical excision of intracerebral tuberculoma offered the only chance for survival , generally with poor results 111 . Currently, however, these agents are the treatment of choice for CNS tuberculoma, with surgery reserved for cases of uncontrolled intracranial pressure of failure of medical therapy [21 . Symptomatically, neoplastic and vas...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2013