RESUMO
The clinical breast examination (CBE) is performed to detect breast pathology. However, little is known regarding clinical technique and how it relates to diagnostic accuracy. We sought to quantify breast examination search patterns and hand utilization with a new data collection and analysis system. Participants performed the CBE while the sensor mapping and video camera system collected performance data. From this data, algorithms were developed that measured the number of hands used during the exam and active examination time. This system is a feasible and reliable method to collect new information on CBE techniques.
Assuntos
Doenças Mamárias/diagnóstico , Competência Clínica/estatística & dados numéricos , Treinamento com Simulação de Alta Fidelidade , Imageamento Tridimensional/métodos , Palpação/instrumentação , Palpação/estatística & dados numéricos , Desenho de Equipamento , Análise de Falha de Equipamento , Feminino , Mãos , Humanos , Manequins , Palpação/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , WisconsinRESUMO
Appropriate pressure during the application of a cast is critical to provide adequate stabilization of fractures. Force-sensing resistors (FSR) were used to measure pressure during cast placement and removal. The data demonstrated a signature pattern of skin pressure during the different steps of cast placement and removal. This reproducible signal provides validity evidence for our model.
Assuntos
Moldes Cirúrgicos , Competência Clínica , Remoção de Dispositivo/instrumentação , Imobilização/instrumentação , Simulação de Paciente , Transdutores de Pressão , Desenho de Equipamento , Análise de Falha de Equipamento , Humanos , Imobilização/métodos , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
BACKGROUND AND PURPOSE: Vascular endothelial growth factor (VEGF) and VEGF receptors (VEGFRs) play important roles during neurovascular repair after stroke. In this study, we imaged VEGFR expression with positron emission tomography (PET) to noninvasively analyze poststroke angiogenesis. METHODS: Female Sprague-Dawley rats after distal middle cerebral artery occlusion surgery were subjected to weekly MRI, (18)F-FDG PET, and (64)Cu-DOTA-VEGF(121) PET scans. Several control experiments were performed to confirm the VEGFR specificity of (64)Cu-DOTA-VEGF(121) uptake in the stroke border zone. VEGFR, BrdU, lectin staining, and (125)I-VEGF(165) autoradiography on stroke brain tissue slices were performed to validate the in vivo findings. RESULTS: T2-weighed MRI correlated with the "cold spot" on (18)F-FDG PET for rats undergoing distal middle cerebral artery occlusion surgery. The (64)Cu-DOTA-VEGF(121) uptake in the stroke border zone peaked at approximately 10 days after surgery, indicating neovascularization as confirmed by histology (VEGFR-2, BrdU, and lectin staining). VEGFR specificity of (64)Cu-DOTA-VEGF(121) uptake was confirmed by significantly lower uptake of (64)Cu-DOTA-VEGF(mutant) in vivo and intense (125)I-VEGF(165) uptake ex vivo in the stroke border zone. No appreciable uptake of (64)Cu-DOTA-VEGF(121) was observed in the brain of sham-operated rats. CONCLUSIONS: For the first time to our knowledge, we successfully evaluated the VEGFR expression kinetics noninvasively in a rat stroke model. In vivo imaging of VEGFR expression could become a significant clinical tool to plan and monitor therapies aimed at improving poststroke angiogenesis.
