ABSTRACT
In the last few decades many papers have written about the analysis of the infant cry. The acoustic analysis has a shorter history than emotional, physiological, etc. investigations [1, 2, 3, 4, 5]. This paper deals with classical and new methods of acoustic analysis of the infant cry. The final goal is to detect hearing disorders according to the crying at the earliest possible moment. Classical acoustic methods were reproduced and compared with solutions, which were not available before. This paper most of all deals with the characteristics of the fundamental frequency of the cry in the time and in the frequency domain.
ABSTRACT
BACKGROUND: The visualization of any morphological volume (i.e. CT, MRI) together with an additional second morphological volume (i.e. CT, MRI) or functional data set, which may come from SPECT or PET, is a new method for treatment planning, verification and follow-up of interstitial irradiation. METHOD: The authors present their experience on interstitial irradiation of brain tumours with stereotactically implanted I-125 seeds supported by image fusion. The image fusion was performed by the BrainLab-Target 1.13 software on Alfa 430 (Digital) workstation before, during, and after interstitial irradiation of brain tumours with Iodine125 seeds. RESULTS AND INTERPRETATION: On the basis of 20 brachytherapeutic image fusion of stereotactic CT (slices with fiducials) with additional stereotactic CT, MRI, PET and SPECT images provides more accurate and precise target volume, more exact localization of catheters and isotope seeds (verification fusion), differentiation between the localization and amount of the necrotic and proliferating parts of the tumours and shows the volume changes in consequence of interstitial irradiation. The image fusion should help to improve the accuracy and minimize the perifocal morbidity of interstitial irradiation.
Subject(s)
Brachytherapy/methods , Brain Neoplasms/radiotherapy , Image Interpretation, Computer-Assisted/methods , Magnetic Resonance Imaging/methods , Tomography, X-Ray Computed/methods , Adult , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/pathology , Female , Humans , Iodine Radioisotopes/therapeutic use , Male , Middle Aged , Tomography, Emission-Computed , Tomography, Emission-Computed, Single-PhotonABSTRACT
The difficulties of differential diagnosis between intra- and suprasellar tumours resp. inflammatory processes are discussed, based on three personal cases. In all three computed tomography (CT) and magnetic resonance imaging (MR) had demonstrated a tumour, but the clinical signs with discrepancies between radiological and clinical findings were pointing to an inflammatory process. The correct diagnosis of an inflammation was achieved by co-operation between neurologist, neurosurgeon, otologist and ophthalmologist. An unnecessary neurosurgical operation was avoided and the patients were cured by otological intervention and antibiotic therapy.
Subject(s)
Brain Abscess/diagnosis , Brain Neoplasms/diagnosis , Magnetic Resonance Imaging , Meningitis/diagnosis , Pituitary Neoplasms/diagnosis , Sinusitis/diagnosis , Tomography, X-Ray Computed , Adult , Brain Abscess/pathology , Brain Abscess/surgery , Brain Neoplasms/pathology , Brain Neoplasms/surgery , Diagnosis, Differential , Follow-Up Studies , Humans , Male , Meningitis/pathology , Meningitis/surgery , Optic Chiasm/pathology , Pituitary Neoplasms/pathology , Pituitary Neoplasms/surgery , Sinusitis/pathology , Sinusitis/surgeryABSTRACT
Post-operative neurosonography - through calvarial defect. 9 patients were examined by post-operative high resolution real-time ultrasound, using an operative calvarial defect. The findings of 2 patients are analysed in details. The authors have found good agreement with computed tomography, with other imaging methods and pathology as well. They suggest sonographic examination as a first step in the follow-up control of the pathological processes in patients with burr holes.
