Potential for contamination during removal of radioactive seeds from surgically excised tissue.

The purpose of this study was to determine whether the use of a scalpel or electrocautery to remove radioactive sealed sources ("seeds") from surgically excised tissue could damage the seed and cause it to leak its radioactive contents. Attempts were made to cut or burn Oncura Model 6711 non-radioactive seeds while in pig muscle or on a stainless steel plate. Additionally, one active 125I seed was purposely charred using pressure with an electrocautery knife to see whether the casing could be damaged. Electron microscopy scanning was performed on the dummy seeds to determine if the integrity of the metal casing had been compromised. Two types of leak tests were performed on the active seed to verify the presence or absence of loose contamination. The seed casing was not damaged from either use of a scalpel or electrocautery when the seed was in tissue. The active seed was not found to be leaking after applying pressure with an electrocautery knife while the seed was on a stainless steel plate. We conclude that removal of active Model 6711 seeds from surgically excised tissue can be done safely with a scalpel or electrocautery because constant, firm pressure cannot be applied to the seed. This is likely true for seeds made of similar materials.

3D flow study in a mildly stenotic coronary artery phantom using a whole volume PIV method.

Blood flow dynamics has an important role in atherosclerosis initiation, progression, plaque rupture and thrombosis eventually causing myocardial infarction. In particular, shear stress is involved in platelet activation, endothelium function and secondary flows have been proposed as possible variables in plaque erosion. In order to investigate these three-dimensional flow characteristics in the context of a mild stenotic coronary artery, a whole volume PIV method has been developed and applied to a scaled-up transparent phantom. Experimental three-dimensional velocity data was processed to estimate the 3D shear stress distributions and secondary flows within the flow volume. The results show that shear stress reaches values out of the normal and atheroprotective range at an early stage of the obstructive pathology and that important secondary flows are also initiated at an early stage of the disease. The results also support the concept of a vena contracta associated with the jet in the context of a coronary artery stenosis with the consequence of higher shear stresses in the post-stenotic region in the blood domain than at the vascular wall.

A method for matching the refractive index and kinematic viscosity of a blood analog for flow visualization in hydraulic cardiovascular models.

In this work, we propose a simple method to simultaneously match the refractive index and kinematic viscosity of a circulating blood analog in hydraulic models for optical flow measurement techniques (PIV, PMFV, LDA, and LIF). The method is based on the determination of the volumetric proportions and temperature at which two transparent miscible liquids should be mixed to reproduce the targeted fluid characteristics. The temperature dependence models are a linear relation for the refractive index and an Arrhenius relation for the dynamic viscosity of each liquid. Then the dynamic viscosity of the mixture is represented with a Grunberg-Nissan model of type 1. Experimental tests for acrylic and blood viscosity were found to be in very good agreement with the targeted values (measured refractive index of 1.486 and kinematic viscosity of 3.454 milli-m2/s with targeted values of 1.47 and 3.300 milli-m2/s).

A novel realistic three-layer phantom for intravascular ultrasound imaging.

Intravascular ultrasound (IVUS) is an imaging modality that experienced a tremendous development over the last 20 years. Phantoms for IVUS are rare and poorly documented. The aim of this paper is to propose an original IVUS phantom that has geometries and specular textures closer to those of coronary arteries than conventional tube-like phantoms. The proposed phantom has a three-layer aspect, reproducing the intima, media and adventitia that compose the arterial wall. It is made of an agar-based compound, with water, glycerol and cellulose particles. Fourteen phantoms were quantified using IVUS. Six phantoms were evaluated by both photomacroscopy and IVUS. There was an excellent correlation between phantom dimensions evaluated by photomacroscopy and the nominal values (mold dimensions). The IVUS quantification of the phantom was closely correlated to the measurements obtained by photomacroscopy. These results demonstrate that a multilayer phantom, with known and reproducible dimensions and with realistic geometric and echographic properties has been developed.

Uptake of cesium, strontium and europium by a poly(sodium acrylate-acrylic acid) hydrogel.

The uptake of cesium, strontium and europium from dilute nitric acid solutions by a poly(sodium acrylate-acrylic acid) PAA hydrogel has been investigated. pH variations are consistent with cation exchange processes: COO(-), Na (+)H (+), COO(-), Na (+)M (m+) ( M (m+) = Cs (+)and Sr (2+)) and COOH Eu (3+). Saturation of the gel is achieved for metal/carboxylate ratios R = 0.5. The swelling ratios of gels loaded with metal cations are those of uncharged, shrunk gels (Sr, Eu) or of charged, swollen gels (Cs) in agreement with the formation of uncharged (COO)(2)Sr, (COO)(2)EuX (X = NO(3) or OH) type complexes and (COO(-), Cs(+)) ion pairs. The metal cations are extracted in the gels following the order of their affinities with carboxylic groups Eu(3+) > Sr(2+) > Cs(+). An increase of the ionic strength of the metal aqueous solution up to 0.5M NaNO(3) leads to slightly decrease the europium uptake by the PAA hydrogel, but 0.1M NaNO(3) is sufficient to prevent the Sr and Cs extractions.

Differential effects of low versus high doses of apomorphine on retinal dopamine metabolism in light- and dark-adapted rabbits.

Previous electrophysiologic results from this laboratory indicate that apomorphine exerts a differential dose-related effect on rabbit electroretinograms, with low doses increasing the b-wave and higher doses decreasing this parameter. Results were interpreted as reflecting apomorphine's agonistic properties at two different receptors: 1.0 mg/kg acting at the postsynaptic site, and the lower dose, 0.01 mg/kg, preferentially stimulating inhibitory autoreceptors. The purpose of this experiment was to investigate further this hypothesis by determining retinal levels of dopamine, dihydroxyphenylacetic acid, and homovanillic acid in retinas of light- or dark-adapted rabbits treated with saline, 1.0, 0.1, or 0.01 mg/kg apomorphine intravenously. Results indicate that in dark-adapted rabbits only the highest dose tested, 1.0 mg/kg, decreased dopamine concentrations. In animals exposed to light, the lowest dose tested, 0.01 mg/kg, significantly reduced dopamine and metabolite levels, whereas the highest dose unexpectedly increased retinal dopamine turnover. Results are discussed in terms of receptor sites and the influence of lighting conditions.

Effects of dextromethorphan on ischemia induced electroretinogram changes in rabbit.

The present study was undertaken to determine whether dextromethorphan (DM), a potent N-methyl-D-aspartate antagonist, could attenuate the effects of ischemia on rabbit ERG. Retinal ischemia was induced by increasing intraocular pressure to 120 mm Hg for 30, 60, or 90 min. DM was intravenously administered before ischemia and maintained throughout the entire experimental period. ERGs were recorded prior to, during, and after ischemia. The results indicate that the b-wave hyperresponses and the delays in implicit times induced by 30 min. ischemia were suppressed by the administration of DM. Similar findings were obtained when ischemia lasted for 60 min, except that DM did not improve delayed implicit times, suggesting that cellular injury is still present. ERG changes resulting from 90 min ischemia were not reversed by DM treatment. Effects of DM treatment on a-wave were less prominent. Together, our results further support that DM can to some extent alleviate ischemic injury in the rabbit retina.

Effects of experimentally induced ischemia on dopamine metabolism in rabbit retina.

PURPOSE: To determine the role of dopamine in experimentally induced retinal ischemia. Experiment 1 was designed to study the effects of ischemic levels on dopamine (DA) metabolism. Experiment 2 evaluated the effects of ischemic duration on DA metabolism. The effects of recirculation time after ischemia on DA metabolism were investigated in experiment 3. METHODS: Ischemia was produced by raising intraocular pressure (IOP) in rabbits. Three levels of ischemia were used--level A, level B, and level C--representing 50%, 75%, and 100%, respectively, of the IOP necessary to produce total ischemia. Retinal levels of DA and its main metabolites, homovanillic acid (HVA) and 3,4-dihydroxyphenylacetic acid (DOPAC), were measured by high-performance liquid chromatography with electrochemical detection. RESULTS: Experiment 1 showed that at ischemic level B, DA contents were significantly reduced, but neither DOPAC nor HVA concentrations were altered. The reductions of retinal DA, DOPAC, and HVA concentrations were seen at level C without altering the ratio index. Level A ischemia did not alter DA metabolism. In experiment 2, significant reductions in DA, DOPAC, and HVA concentrations were found at both 30 and 60 minutes in the ischemic group, whereas the ratio DOPAC/DA and (HVA + DOPAC)/DA were significantly decreased only in the 60-minute ischemic group. Five-minute total ischemia did not alter DA metabolism. In experiment 3, concentrations of DA were still significantly decreased at 30 minutes of recirculation after ischemia, but DOPAC and HVA levels were back to normal. However, the ratios of DOPAC/DA, HVA/DA, and (HVA + DOPAC)/DA were significantly elevated. After 90 and 240 minutes of recirculation, retinal DA contents had returned to normal values, but DOPAC and HVA concentrations as well as all ratio indices of DA metabolism were still enhanced. CONCLUSION: Dopamine metabolism is altered during and after retinal ischemia. Dopamine may play a contributing role in ischemia.

Synergistic extraction of cobalt(II) from cesium containing aqueous solutions with mixtures of 4-acyl-pyrazol-5-ols and crown ethers.

The synergistic extraction of cobalt(II) from aqueous solutions loaded with cesium chloride or nitrate, with mixtures of 1-phenyl-3-methyl-4-acyl-pyrazol-5-ols (HL) [acyl = benzoyl (HPMBP), para-tert.-butyl-benzoyl (HPMB'P), stearoyl (HPMSP)] and crown ethers E = B15C5, 18C6, DC18C6, DB18C6 and DB24C8 (DC = dicyclohexano, B = benzo, DB = dibenzo), in CHCl(3), CH(2)Cl(2) and ClCH(2)CH(2)Cl, has been studied. The experimental data agree with the extracted species E(2)CsCoL(3) (E = B15C5), ECsCoL(3), (E = DB18C6) and CoL(2)E (E = DB24C8). The extraction yields follow the orders: 18C6 DC18C6 > DB18C6 > B15C5 > DB24C8, HPMBP > HPMB'P > HPMSP, and ClCH(2)CH(2)Cl > CH(2)Cl(2) > CHCl(3). In spite of the better complexation of potassium than cesium with "18C6" type crown ethers, the extraction of ECsCo (PMBP)(3) is generally higher than the EKCo(PMBP)(3) one. Except in the case of DB24C8, loading the aqueous phase with Cs(+), K(+), Sr(2+) or Ba(2+) improves the synergistic extraction of cobalt.

Effects of calcitonin gene-related peptide on the rabbit electroretinogram.

In order to better understand the role of Calcitonin gene-related peptide (CGRP) in mammalian retina, the dose related effects of human CGRP (hCGRP) on rabbit electroretinogram (ERG) were examined in the present study. CGRP was administered intraocularly in doses of 0.1, 1.0 and 10.0 micrograms. ERG A- and B-wave as well as oscillatory potentials (P1, P2, P3 and P4) were recorded. The highest dose of CGRP (10.0 micrograms) significantly increased the amplitudes of the A-wave and OP components (P1, P2, P3 and P4) produced by relatively high stimulus intensity. The same dose of the peptide also enhanced B-wave amplitude at all intensities studied. The effects of the intermediate dose of CGRP (1.0 microgram) on the B-wave amplitudes were dependent on stimulus intensities. B-wave amplitudes at high stimulus intensities were not affected by 1.0 microgram of CGRP but were significantly increased with relatively lower stimulus intensities. The amplitudes of P3, one of OP components, were significantly increased. However, amplitudes of A-wave and other OP components (P1, P2 and P4) were not affected by 1.0 microgram CGRP. The lowest dose of the peptide (0.1 microgram) did not affect any amplitudes of ERG components. Implicit times of A-wave, B-wave and OP components were not significantly affected by the different doses of CGRP. Taken together, these results indicate that CGRP may play a functional role in modulating retinal responses to photic stimulation.

Dextromethorphan attenuates the effects of ischemia on rabbit electroretinographic oscillatory potentials.

Dextromethorphan has been shown to protect against ischemic tissue damage. We investigated the effects of dextromethorphan on electroretinographic oscillatory potentials in retinal ischemia. Retinal ischemia was induced in rabbits by increasing intraocular pressure to 120 mm Hg for 30, 60 or 90 minutes. Dextromethorphan was intravenously administered before ischemia and maintained throughout the whole period of experiments. Oscillatory potentials were recorded before and during ischemia as well as 4 hours of recirculation after ischemia. As expected, all oscillatory potentials were decreased after 60 and 90 minutes of ischemia. However, after 30 minutes of ischemia followed by 4 hours of recirculation, amplitudes of P2 were elevated whereas those of P3 and P4 were decreased with normal P1 amplitudes. Dextromethorphan administration diminished the effects of 30 minutes of ischemia on oscillatory potentials and partially attenuated the effects of 60 minutes of ischemia, whereas the effects of 90 minutes of ischemia could not be reversed by dextromethorphan treatment. These results indicate that electroretinographic oscillatory potentials could be useful indicators to evaluate retinal function in the ischemic condition and that dextromethorphan can attenuate the effects of relatively short periods of ischemia on rabbit electroretinographic oscillatory potentials.

Insertion forces and risk of complications during cricothyroid cannulation.

Our purpose was to determine the forces required to insert several different styles of cricothyroid cannulas and to relate the magnitude of these forces and cannula design features to the incidence of complications during insertion. Tests were done on unembalmed cadavers and anesthetized dogs. Samples of 4 different commercial cricothyroid cannulas were tested. Each cannula type was tested in 5 different cadavers and 10 different dogs. A lubricant was applied to the cannulas in half of the dogs tested. Major findings are 1) there is a linear correlation between insertion force and device diameter, 2) higher puncture force is associated with a greater incidence of complications, 3) posterior wall penetration occurs more frequently with a curved penetrating device, 4) using small pilot needles to guide insertion of large cannulas minimizes complications, and 5) lubricant is less effective for cannulas having abrupt diameter changes. These findings provide guidelines for design of safer cricothyroid cannulas.

[Changes in the B wave of cones and rods in diabetes mellitus induced by streptozotocin in rats]. / Etude des modifications de l'onde B des cônes et des bâtonnets dans le diabète induit par la streptozotocine chez le rat.

The purpose of the present study was to evaluate the electroretinophysiological effects of streptozotocin-induced diabetes in the rat. More specifically, both B wave amplitudes and implicit times generated with various intensities of light stimulation were examined in diabetic animals adapted to either scotopic or photopic conditions. Results indicate that B wave amplitudes, but not implicit times, were differentially affected by these two conditions of light adaptation: amplitudes were significantly enhanced but markedly decreased under photopic and scotopic conditions respectively. The possible functional relationships between these specific ERG changes and our previous observations of selective alterations in retinal dopaminergic systems in this animal model of diabetes are discussed.

Lobular delayed choroidal perfusion as an early angiographic sign of diabetic retinopathy: a preliminary report.

Between January 1982 and December 1983 stereo colour photography covering 10 standard fields of 30 degrees and fluorescein angiography were performed in 64 consecutive patients with diabetes mellitus who had no clinical evidence of diabetic retinopathy. Fifty-two patients were excluded on the basis of the slightest photographic or angiographic evidence of retinopathy or any other ocular disease. Electroretinogram oscillatory potentials were recorded in the remaining 12 patients. Four of the 12 had normal oscillatory potentials, colour photographs and angiograms, while 8 had angiographic evidence of lobular delayed choroidal perfusion and abnormal oscillatory potentials. Although only a small number of patients in the preclinical stages of diabetic retinopathy were studied, the results warrant that further attention be given to lobular delayed choroidal perfusion, which may represent early evidence of choroidal involvement in diabetic retinopathy.

Effects of retinal dopamine depletion on the rabbit electroretinogram.

This study evaluated the effects of intravitreal injections of 300 micrograms of 6-hydroxydopamine (6-OHDA) on electroretinogram (ERG) amplitudes and implicit response times of adult pigmented rabbits. One eye was injected intravitreally with 300 micrograms 6-OHDA and 600 micrograms ascorbic acid in a 0.3 ml 0.9% NaCl solution; the fellow eye received a similar solution containing only 600 micrograms ascorbic acid. Following this treatment ERG recordings were performed at 1, 4, and 7 days. After the last recordings, animals were sacrificed and retinas were isolated for biochemical analyses. Significant and progressive reductions in retinal concentrations of dopamine (DA) and its main metabolites homovanillic acid (HVA), and dihydroxyphenylacetic acid (DOPAC) were found in treated retinas. Concentrations of norepinephrine (NE), serotonin (5HT), and 5 hydroxyindoleacetic acid (5-HIAA) were not affected, thus demonstrating the specific neurotoxic action of 6-OHDA on retinal dopaminergic neurons. Concurrently, significant increases in ERG a- and b-wave amplitudes as well as in implicit response times were observed. These electrophysiological changes were progressive reaching a maximum 7 days after intravitreal injections. Changes in b-wave amplitudes and response times were more pronounced at low intensities of stimulation. These results clearly show that, in rabbits, selective decreases in retinal DA concentrations result in pronounced ERG changes, which offer additional evidence supporting a role for this transmitter in lateral inhibition in the retina.

Pattern electroretinogram and optic nerve section in pigeons.

We studied the effect of optic nerve section on the pattern electroretinogram (PERG) of 10 pigeons. Base line PERG and flash ERG were measured prior to surgery and then one optic nerve was cut. We measured PERG at various time intervals up to 24 weeks after the section. There was a sharp drop in PERG amplitude immediately following the section. It gradually returned to normal levels in the following 24 weeks. Significant decreases in time to peak were noted at 1 and 16 weeks for 0.5 cycle per degree checks and at 1, 2 and 9 weeks for 0.25 cycle per degree checks. The ERG generated by a TV stimulus did not change in amplitude but had a shorter time to peak at 24 weeks for a high intensity stimulus and at 16, 18, 24 weeks for a low intensity stimulus. Light and electron microscopic sections (at 24 weeks) revealed an almost complete loss of nerve fibers in the optic nerve. Retinal sections revealed only a few surviving ganglion cells and a few nerve fibers. This suggests that in pigeons, PERG is not generated by ganglion cells.

Rod-cone differences in response to retinal ischemia in rabbit.

Two series of experiments are reported on incremental increases of ischemia and monitoring of recovery from total ischemia of varying duration. In the first, rods show hyper-responses and cones do not; changes in amplitude and delays appear at higher levels of ischemia in cones than they do in rods. In the second series, cones do not recover up to control values with total ischemias of 30 min or more, while rods do recover and even show hyper-responses. Cones appear more resistant than rods to ischemia, but once affected do not recover as well as rods. Discussion proposes that these differences are specific to receptor systems of each rather than secondary to vascularization patterns.

Dose related effects of 6-OHDA on rabbit retinal dopamine concentrations and ERG B-wave amplitudes.

The purpose of this study was to examine the dose related effects of 6-hydroxydopamine (6-OHDA) on the electroretinographic (ERG) B-wave amplitude and on retinal concentrations of dopamine (DA) and its main metabolites homovanillic acid (HVA) and dihydroxyphenylacetic acid (DOPAC). Doses of 6-OHDA (60, 300 or 1200 micrograms) were dissolved in a 0.9 percent NaCl and ascorbic acid solution and administered intravitreally in 300 microliter volume in one eye of adult pigmented rabbits. The fellow eye received a similar volume of the drug vehicle. With the smallest dose of 6-OHDA (60 micrograms) no changes in ERG B-wave amplitude or retinal concentrations of DA, DOPAC or HVA were found. With the largest dose of 6-OHDA (1200 micrograms) complete extinction of the ERG and almost total disappearance of DA, DOPAC and HVA were observed. With the intermediate dose of 300 micrograms 6-OHDA significant increases in B-wave amplitudes and decreases in retinal DA, DOPAC and HVA concentrations were obtained. This latter dose did not affect retinal concentrations of serotonin (5-HT), 5-hydroxyindole acetic acid (5-HIAA) and norepinephrine (NE). These results demonstrate that selective reductions of retinal dopamine and its metabolites can be obtained with a single intravitreal injection of 300 micrograms 6-OHDA in rabbits. The observed concomitant increase in B-wave amplitudes lends support to the hypothesis that DA acts as a mediator of lateral inhibition in the retina.

Electroretinographic recovery from controlled total ischemia.

Three groups of animals were studied during the four-hour period following their recovery from total occlusion of retinal circulation for periods of 30, 60 and 90 minutes. During incremental increases of ischemia, recovery followed a pattern that is the reverse of that previously reported, inasmuch as wave amplitude is concerned. From total extinction, ERGs recovered and showed hyperresponses. Delays, however, behaved differently: they increased with recovery time--the opposite of what was expected. All signs were inversely proportional to the duration of ischemia. Sixty minutes of occlusion appears to be a threshold beyond which ERGs do not recover as well.