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Jasso-Ramirez NG, Elizondo-Omaña RE, Treviño-Gonzalez JL, Quiroga-Garza A, Garza-Rico IA, Aguilar-Morales K, Elizondo-Riojas G, Guzmán-Lopez S. Morphometric variants of the paranasal sinuses in a Mexican population: expected changes according to age and gender. Folia Morphol (Warsz) 2022; 82:339-345. [PMID: 35380013 DOI: 10.5603/fm.a2022.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/10/2022] [Accepted: 03/12/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND There are developmental variations in the paranasal sinuses. Our objective is to determine their dimensions and volume stratified by age and sex and define the expected growth pattern. MATERIALS AND METHODS A retrospective, observational study was performed including computed tomography (CT) of patients between 1 and 20 years of age. The volumes of the frontal, sphenoid, and maxillary sinuses were obtained. RESULTS A total of 210 CT were included with a mean age of 10±6.1 years, 106(50.5%) were female. Groups were categorized in ranges of 5 years. Spearman correlation coefficients between the right and left sides were 0.843, 0.711, 0.916 for the frontal, sphenoid and maxillary sinuses. Post-hoc for the categorical age groups demonstrated statistically significant differences with values of p < 0.01, except between age groups 11-15 against ≥ 16 years of age (p = 0.8). Gender-related differences were evident with a higher air volume in girls in the 5-10-year-old group, while boys predominated in the rest of the groups. CONCLUSIONS CT is ideal for pre-surgical sinus assessment. The maximum volume of paranasal sinuses is reached at age 15. There is a clear volumetric difference between age and gender groups. There is a direct relationship between a volume and its contralateral counterpart.
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Affiliation(s)
- N G Jasso-Ramirez
- Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico
| | - R E Elizondo-Omaña
- Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico
| | - J L Treviño-Gonzalez
- Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico.,Intituto Mexicano del Seguro Social, Delegación de Nuevo León. General Sugery. Monterrey, Nuevo Leon, Mexico
| | - A Quiroga-Garza
- Universidad Autónoma de Nuevo Leon, Human Anatomy Department, Avenida Madero, 64460 Monterrey, Mexico
| | - I A Garza-Rico
- Universidad Autonoma de Nuevo Leon, University Hospital "Dr. José Eleuterio González", Radiology and Imaging Department, Monterrey, Nuevo Leon, Mexico
| | - K Aguilar-Morales
- Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico
| | - G Elizondo-Riojas
- Universidad Autonoma de Nuevo Leon, University Hospital "Dr. José Eleuterio González", Radiology and Imaging Department, Monterrey, Nuevo Leon, Mexico
| | - S Guzmán-Lopez
- Universidad Autonoma de Nuevo Leon, School of Medicine, Human Anatomy Department, Monterrey, Nuevo Leon, Mexico.
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Moreno-Andrade T, Garza-Villarreal E, González-Aquines A, Villarreal-Garza E, López-Garza N, Campos-Coy M, Elizondo-Riojas G, Góngora-Rivera F. [Diffusion tensor imaging of the corticospinal pathway and its association with the prognosis of acute cerebral infarction: experience with a cohort in Mexico]. Rev Neurol 2021; 72:16-22. [PMID: 33378075 DOI: 10.33588/rn.7201.2020232] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Magnetic resonance diffusion tensor imaging through the fraction of anisotropy allows evaluation of the integrity of the motor pathways after cerebral infarction. AIMS To correlate the fraction of anisotropy with the clinical scales and the prognosis of cerebral infarction. SUBJECTS AND METHODS Prospective study of patients with cerebral infarction to compare the fraction of anisotropy in different regions of interest with functional evaluations and with controls free of infarction. A subgroup of subjects with rehabilitation underwent an initial MRI scan and another at three months, with clinical follow-up for six months. RESULTS Thirty-eight consecutive patients with middle cerebral artery infarction were included. The fraction of anisotropy values were lower in the ipsilateral corticospinal pathway than the fraction of anisotropy of the corticospinal pathway of the controls. The values of the fraction of anisotropy in the ipsilateral corticospinal pathway were associated with the value of the functional scale on admission. Changes in the fraction of anisotropy values between the initial MRI and the scan performed at three months correlated with the score on the functional scale and the modified Rankin scale at three and six months. CONCLUSIONS The value of the fraction of anisotropy in the ipsilateral internal capsule is associated with the presence of a lesion and with its presenting symptoms. Changes in the fraction of anisotropy at three months suggest long-term clinical recovery.
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Affiliation(s)
- T Moreno-Andrade
- Hospital Universitario Doctor José E. González. Universidad Autónoma de Nuevo León, Monterrey, México.,Centro de Investigación y Desarrollo en Ciencias de la Salud (CIDICS). Universidad Autónoma de , Monterrey, México
| | - E Garza-Villarreal
- Hospital Universitario Doctor José E. González. Universidad Autónoma de Nuevo León, Monterrey, México.,Centro de Investigación y Desarrollo en Ciencias de la Salud (CIDICS). Universidad Autónoma de , Monterrey, México.,Laboratorio Nacional de Imagenología por Resonancia Magnética. Instituto de Neurobiología, México DF, México.,Centro de Neurociencias Integrativa y Funcional. Universidad de Aarhus, Aarhus, Dinamarca
| | - A González-Aquines
- Hospital Universitario Doctor José E. González. Universidad Autónoma de Nuevo León, Monterrey, México
| | - E Villarreal-Garza
- Hospital Universitario Doctor José E. González. Universidad Autónoma de Nuevo León, Monterrey, México
| | - N López-Garza
- Hospital Universitario Doctor José E. González. Universidad Autónoma de Nuevo León, Monterrey, México
| | - M Campos-Coy
- Departamento de Imagen Diagnóstica. Universidad Autónoma de Nuevo León, Monterrey, México
| | - G Elizondo-Riojas
- Departamento de Imagen Diagnóstica. Universidad Autónoma de Nuevo León, Monterrey, México
| | - F Góngora-Rivera
- Hospital Universitario Doctor José E. González. Universidad Autónoma de Nuevo León, Monterrey, México.,Centro de Investigación y Desarrollo en Ciencias de la Salud (CIDICS). Universidad Autónoma de , Monterrey, México
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Elizondo-Riojas G, Falcon M, Trevino M, Marrufo R, Perez C, Nunez E, Steele J, Kirk I, Moreno R, Cooper A, Sheppard A, Dria S, Jay T, Eggers M. 3:36 PM Abstract No. 277 First-in-human evaluation of an absorbable vena cava filter for the prevention of pulmonary embolism. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Garza-Bedolla A, Velasco-Ruiz I, Valencia-Alcocer A, Elizondo-Riojas G, Mercado-Flores M, Garza-Baez A, Alvarez-Perez C, Alvarez-Perez R, Mancias-Guerra C. Searching for an objective evaluation of patients with cerebral palsy after stem cells treatment. Is functional magnetic resonance imaging a solution? Cytotherapy 2019. [DOI: 10.1016/j.jcyt.2019.03.443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Gomez-Guerra L, Robles-Torres I, Elizondo-Riojas G, Velasco-Ruiz I, Valencia-Alcocer A, Alvarez-Perez R, Mancias-Guerra C. Intracavernous application of autologous bone marrow stem cells for erectile dysfunction unresponsive to medical treatment: a clinical case. Cytotherapy 2019. [DOI: 10.1016/j.jcyt.2019.03.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Maravilla KR, San-Juan D, Kim SJ, Elizondo-Riojas G, Fink JR, Escobar W, Bag A, Roberts DR, Hao J, Pitrou C, Tsiouris AJ, Herskovits E, Fiebach JB. Comparison of Gadoterate Meglumine and Gadobutrol in the MRI Diagnosis of Primary Brain Tumors: A Double-Blind Randomized Controlled Intraindividual Crossover Study (the REMIND Study). AJNR Am J Neuroradiol 2017; 38:1681-1688. [PMID: 28663267 DOI: 10.3174/ajnr.a5316] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Accepted: 06/06/2017] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Effective management of patients with brain tumors depends on accurate detection and characterization of lesions. This study aimed to demonstrate the noninferiority of gadoterate meglumine versus gadobutrol for overall visualization and characterization of primary brain tumors. MATERIALS AND METHODS This multicenter, double-blind, randomized, controlled intraindividual, crossover, noninferiority study included 279 patients. Both contrast agents (dose = 0.1 mmol/kg of body weight) were assessed with 2 identical MRIs at a time interval of 2-14 days. The primary end point was overall lesion visualization and characterization, scored independently by 3 off-site readers on a 4-point scale, ranging from "poor" to "excellent." Secondary end points were qualitative assessments (lesion border delineation, internal morphology, degree of contrast enhancement, diagnostic confidence), quantitative measurements (signal intensity), and safety (adverse events). All qualitative assessments were also performed on-site. RESULTS For all 3 readers, images of most patients (>90%) were scored good or excellent for overall lesion visualization and characterization with either contrast agent; and the noninferiority of gadoterate meglumine versus gadobutrol was statistically demonstrated. No significant differences were observed between the 2 contrast agents regarding qualitative end points despite quantitative mean lesion percentage enhancement being higher with gadobutrol (P < .001). Diagnostic confidence was high/excellent for all readers in >81% of the patients with both contrast agents. Similar percentages of patients with adverse events related to the contrast agents were observed with gadoterate meglumine (7.8%) and gadobutrol (7.3%), mainly injection site pain. CONCLUSIONS The noninferiority of gadoterate meglumine versus gadobutrol for overall visualization and characterization of primary brain tumors was demonstrated.
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Affiliation(s)
- K R Maravilla
- From the Department of Radiology (K.R.M., J.R.F.), University of Washington Medical Center, Seattle, Washington
| | - D San-Juan
- Clinical Research Department (D.S.-J.), National Institute of Neurology and Neurosurgery, Mexico City, Mexico
| | - S J Kim
- Department of Radiology (S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - G Elizondo-Riojas
- Universidad Autonoma de Nuevo Leon (G.E.-R.), Hospital Universitario Dr. Jose Eleuterio Gonzalez, Monterrey, Mexico
| | - J R Fink
- From the Department of Radiology (K.R.M., J.R.F.), University of Washington Medical Center, Seattle, Washington
| | - W Escobar
- Centro Medico Imbanaco (W.E.), Cali, Colombia
| | - A Bag
- Department of Radiology (A.B.), University of Alabama, Birmingham, Alabama
| | - D R Roberts
- Medical University of South Carolina (D.R.R.), Charleston, South Carolina
| | - J Hao
- Guerbet (J.H., C.P.), Roissy-Charles de Gaulle, France
| | - C Pitrou
- Guerbet (J.H., C.P.), Roissy-Charles de Gaulle, France
| | - A J Tsiouris
- Department of Radiology (A.J.T.), Weill Cornell Medical College, New York, New York
| | - E Herskovits
- Department of Radiology (E.H.), University of Maryland, Baltimore, Maryland
| | - J B Fiebach
- Center for Stroke Research Berlin (J.B.F.), Charité-Universitätsmedizin, Berlin, Germany
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Quintanilla-Flores DL, Hernández-Coria MI, Elizondo-Riojas G, Galarza-Delgado DA, González-González J, Tamez-Pérez HE. Thyroid nodules in Hispanic patients with systemic lupus erythematosus. Lupus 2013; 22:1509-13. [PMID: 24051677 DOI: 10.1177/0961203313504631] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
A thyroid nodule (TN) is a discrete lesion in the thyroid gland radiologically distinct from the adjacent parenchyma, with a prevalence variable depending on the diagnostic method used and the study population. Thyroid disorders have been identified in more than 50% of patients with systemic lupus erythematosus (SLE); however, the prevalence of TN has not been frequently studied. We identified a prevalence of 27% TN in 55 SLE patients > 16 years of age. One-third of TN were >1 cm with radiological features of malignancy. The mean age of patients with TN was 39 ± 11 years, 93% women, and SLE duration 10 ± 6 years. Among patients, we reported family history of cancer in three cases (20%), thyroid disease in one (7%), and autoimmune disease in six (40%). Regarding treatment, 50% of patients with TN were treated with azathioprine vs. 23% of patients without TN (p = 0.02), with an OR of 3.94 (95% CI 1.12-13.84, p = 0.03). As a conclusion a high prevalence of TN in SLE patients was found. Prevalence of TN correlated only with history of azathioprine use. We don't know the long-term implications of our findings; however, a functional and morphological evaluation of the thyroid gland is warranted in all patients with SLE.
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Affiliation(s)
- D L Quintanilla-Flores
- 1Department of Internal Medicine, University Hospital "Dr José Eleuterio González", México
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Morales-Avalos R, Re Elizondo-Omaña RE, Vílchez-Cavazos F, Martínez-Ponce de León AR, Elizondo-Riojas G, Delgado-Brito M, Cortés-González P, Guzmán-Avilán RI, Pinales-Razo R, de la Garza-Castro O, Guzmán-López S. [Vertebral fixation with a transpedicular approach. Relevance of anatomical and imaging studies]. Acta Ortop Mex 2012; 26:402-411. [PMID: 24712211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The number of patients with spine conditions has grown exponentially in recent years leading to an increase in the number of cases requiring surgical treatment. Currently vertebral fusion surgery with a transpedicular approach represents the most commonly used technique to treat any type of vertebral disorder. The morphometric characteristics of vertebrae, particularly the pedicle, determine the size of pedicular implants, including width and length, as well as the shape and direction of the screw and its ideal angulation at the time of introduction. Knowing these characteristics is important to prevent injuring important adjacent structures and to decrease the postoperative complication rate. In recent decades numerous studies on the morphometric characteristics of the vertebral pedicle have been conducted in different populations to determine its real dimensions by means of direct measurement and imaging methods. These studies have concluded that there are significant differences in these measurements among the different ethnic groups, races, genders, ages and the vertebral regions studied. This paper analyzes the different morphometric studies of the pedicle and all the other vertebral elements studied in Mexico and the rest of the world and explain the importance of their knowledge and surgical application for the correct development of vertebral fusion surgery with a transpedicular approach.
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Rangel-Guerra RA, Martínez HR, Azpiri-López J, Valero-Castillo R, Elizondo-Riojas G, Garza-Mercado R, Tamez-Montes D. [Recent advances in the diagnosis and management of acute ischemic cerebrovascular disease]. GAC MED MEX 1997; 133:431-53. [PMID: 9504071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
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Abstract
Proton spin-lattice relaxation times (T1) of pectoralis major muscles from normal (Line 412) and homozygous dystrophic (Line 413) chicks was measured by FONAR QED 80 at 1.69 MHz. The T1 values of dystrophic muscles (216.8 +/- 17.3 ms) was two-fold higher than those of normal muscles (110.2 +/- 8.1 msec). When these values were compared with the T1 values obtained at high frequencies (20 MHz and 32 MHz), the T1 differentiation between normal and dystrophic muscles was considerably enhanced at 1.69 MHz. Based on these results, we suggest that the high resolution of T1 obtained at low frequency (1.69 MHz) could be effectively used to detect the degenerative processes in muscles by the NMR techniques.
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