• Title/Summary/Keyword: Barium study

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Role of Barium Swallow in Diagnosing Clinically Significant Anastomotic Leak following Esophagectomy

  • Roh, Simon;Iannettoni, Mark D.;Keech, John C.;Bashir, Mohammad;Gruber, Peter J.;Parekh, Kalpaj R.
    • Journal of Chest Surgery
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    • v.49 no.2
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    • pp.99-106
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    • 2016
  • Background: Barium swallow is performed following esophagectomy to evaluate the anastomosis for detection of leaks and to assess the emptying of the gastric conduit. The aim of this study was to evaluate the reliability of the barium swallow study in diagnosing anastomotic leaks following esophagectomy. Methods: Patients who underwent esophagectomy from January 2000 to December 2013 at our institution were investigated. Barium swallow was routinely done between days 5-7 to detect a leak. These results were compared to clinically determined leaks (defined by neck wound infection requiring jejunal feeds and or parenteral nutrition) during the postoperative period. The sensitivity and specificity of barium swallow in diagnosing clinically significant anastomotic leaks was determined. Results: A total of 395 esophagectomies were performed (mean age, 62.2 years). The indications for the esophagectomy were as follows: malignancy (n=320), high-grade dysplasia (n=14), perforation (n=27), benign stricture (n=7), achalasia (n=16), and other (n=11). A variety of techniques were used including transhiatal (n=351), McKeown (n=35), and Ivor Lewis (n=9) esophagectomies. Operative mortality was 2.8% (n=11). Three hundred and sixty-eight patients (93%) underwent barium swallow study after esophagectomy. Clinically significant anastomotic leak was identified in 36 patients (9.8%). Barium swallow was able to detect only 13/36 clinically significant leaks. The sensitivity of the swallow in diagnosing a leak was 36% and specificity was 97%. The positive and negative predictive values of barium swallow study in detecting leaks were 59% and 93%, respectively. Conclusion: Barium swallow is an insensitive but specific test for detecting leaks at the cervical anastomotic site after esophagectomy.

Modified Upper Gastrointestinal Study Using Methylcellulose After Administration of Barium Suspension : Comparison with Conventional Series (바륨 현탁액과 메틸셀룰로스(Methylcellulose)를 사용한 변형 상부위장관조영술 :전통적 바륨조영술과의 비교)

  • 이기창;최민철;서민호;정주현;윤정희
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.411-415
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    • 2000
  • For comparison with conventional barium-gastrointestinal study, modified method using barium and methylcellulose was performed in 16 normal dogs (4-8 kg) divided into two groups. The group 1 received 8ml/kg of 40% w/v barium suspension only, and group 2 had taken 15 ml/kg of 0.6% w/v methylcellulose after administration 4 ml/kg of 40% w/v barium suspension by feeding tube. The barium suspension was prepared mixing full strength-barium suspension with water and methylcellulose solution was produced by blending methylcellulose sterilized water Sequential radiographs, lateral and ventrodorsal projections were obtained at 5 minute, 20 minute,40 minute. 60 minute and every 30 minutes thereafter, until the contrast is seen in the large intestine Inage qual- ity was rated by three veterinary radiologists as " poor" " fair ". "good", or "excellent" We analyzed the relationship between image quality,, transit time. Between two techniques, the modified method with 4ml of 40% w/v barium suspension and 15 ml of 0.6% w/v methylcellulose showed much better image quality ["excellent" result in 7 of the 8 subjects (88%)] and shorter transit time (107 minutes) toe the cecum. In addition, the best image quality was obtained at 20 and 40 minutes after admin-istration of contrast agent. It call be concluded the modified gastrointestinal study using methylcel-lulose after administration of barium suspension was a simple technique and easily improved the image quality and diagnostic accuracy of gstrointestinal disorders in small animal.racy of gstrointestinal disorders in small animal.

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Influence on PET Exam Caused by Density Differences of Barium-sulfate Contrast Media (Barium 조영제의 농도 차이가 PET 검사에 미치는 영향)

  • Choi, Woo-Joon;Shin, Sang-Ki;Nam, Ki-Pyo;Park, Soon-Ki
    • The Korean Journal of Nuclear Medicine Technology
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    • v.12 no.1
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    • pp.27-32
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    • 2008
  • Purpose: The evaluation of SUV (Standardized Uptake Values) for quantitative analysis in PET exam is the most significant. In PET exam, we make attenuation correction images by using $^{68}Ge$, $^{137}Cs$ or CT data. At this time, a distorted attenuation map affects quantitative analysis. After the exam using barium-sulfate and high density of barium contrast make attenuation map distorted. And then it brings bed influences on SUV. The aim of this study is to verify the relationship between high density barium-sulfate and SUV in PET exam. Materials and Methods By using $^{18}F$-FDG, we made barium-sulfate powder, density of 0, 1.5, 3, 5, 10 and 15% respectively and acquired PET and PET/CT images per each density. And we examined SUV variations from PET and PET/CT images according to differences of barium's density. Moreover, we finally calculated SUV causing variations in HU (Hounsfield Units) values to justify whether the differences of barium density bring any changes in PET/CT exam. Results: From PET images acquired from transmission scan with $^{68}Ge$, we got SUV figures from 6.46 to 6.8 in barium density between 0 to 15 percent. On the other hand, In PET images acquired from Tx scan that using CT, SUV was 6.77 to 23.73, derived from the same barium density. And CT HU values range from 29 to 2004. Conclusion: PET images from Tx data using $^{68}Ge$ weren't affected by barium density and had no differences in SUV. But in the PET/CT images using CT Tx data, there's considerable variations in HU and SUV values according to a difference of barium density in HU values. To perform a precise examination, barium sulfate should be removed from a human body before performing a PET exam.

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Preparation and Magnetic Properties of Ba-Ferrite Particles Using the Supercritical Water Crystallization Method

  • Nam, Sung-Chan;Kim, Kun-Joong;Park, Sang-Do
    • Proceedings of the Korean Magnestics Society Conference
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    • 2000.09a
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    • pp.433-440
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    • 2000
  • Barium ferrite particles were synthesized from Ba(NO$_3$)$_2$, Fe(NO$_3$)$_3$ and KOH mixed solutions using hydrothermal crystallization in supercritical water. The experimental apparatus for production of barium ferrite is a flow-type apparatus. Fine barium ferrite particles were produced because supercritical water causes the metal hydroxides to be rapidly dehydrated before significant growth takes place. The effects of Fe/Ba ratio and reaction time on the formation, particle size, and magnetic properties of barium ferrite were studied. When Fe/Ba ratio were varied from 0.5 to 12, single-phase barium ferrite powder was only produced in the range of 0.5〈Fe/Ba〈2. Also, with elevating reaction time, the BaO.6Fe$_2$O$_3$ particle size grew smaller. Especially, uniform barium hexaferrite particles of size 100-200nm were obtained at 80sec. In this study, therefore, single-phase barium ferrite particles are highly stable and can be produced continuously in a reaction time of less then 2min.

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A Study on Barium Mixed Radiation Shield using 3D Printer (3D 프린터를 이용한 바륨혼합형 차폐체에 대한 연구)

  • Gang, Heon-Hyo;Kim, Dong-Hyun
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.627-634
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    • 2020
  • Instead of lead, we intend to develop shielding materials for morphological implementation by mixing barium sulfate, an eco-friendly substance, and PLA filament, a 3D printer material. The environmental substance, barium sulfate powder and PLA filament, a 3D printer material, were used, and the shielding was made with a 3D printer after being fused into an extruder to mix the powder powder of barium sulfate with PLA. To check the mixing ratio of barium sulfate powder and PLA filament, the mixing input was analyzed, and the absorption dose by thickness according to barium sulfate content was obtained to check the shielding function of the mixed shielding. In the evaluation of the mixture of sulfate barium powder particles and PLA filaments, it was mixed in the most appropriate proportion when the content was 30% in the apparent and electron microscopic observation photographs. In the absorption dose results by thickness according to barium sulfate content, the difference between the content of 0% and the content of each % was greatest at 0.5 cm in thickness and the lowest dose value at 3 cm in thickness when the barium content was 30%. In addition, as the barium content began to increase at 30%, the absorbed dose value increased again. Instead of conventional lead, barium sulfate, an eco-friendly substance, could be mixed with PLA, a filament material, to create morphological shielding. Based on this study, it is expected that the mixing ratio of barium to the mixture is the most appropriate 30%, and will be used as the basis for the implementation of morphological shielding using 3D printers in the diagnosis and treatment section.

Optimal Synthesis Conditions of Barium Sulfate (황산바륨의 최적합성조건)

  • 신화우;최광식
    • YAKHAK HOEJI
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    • v.46 no.5
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    • pp.364-368
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    • 2002
  • Optimal synthetic conditions of barium sulfate were investigated from the viewpoint of yield and bulkiness according to a randomized complete block design proposed by Box and Wilson. Barium chloride and Sodium sulfate were utilized as reactants in order to prepare barium sulfate in this study. The optimum Synthesis conditions of barium sulfate obtained from this study are as follows; Reactant temperature; 60~75$^{\circ}C$ (viewpoint of yield) and 60~71$^{\circ}C$ (viewpoint of bulkiness). Concentration of two reactants; 12.7~14.4% (viewpoint of yield) and 5~10.5% (viewpoint of bulkiness). Mole ratio of two reactants, [BaCl$_2$]/[Na$_2$SO$_4$]; 1.62~1.96 (viewpoint of yield) and 2.0 (viewpoint of bulkiness). Reacting time; 13~15 minutes (viewpoint of yield) and 12~14 minutes (viewpoint of bulkiness). Drying temperature of product; 86~10$0^{\circ}C$ (viewpoint of yield) and 6$0^{\circ}C$ (viewpoint of bulkiness).

Study on the High Tension on Radiography and Density of Barium Sulphate (관전압(管電壓)과 황산(黃酸)바륨의 농도(濃度)에 관(關)한 연구(硏究))

  • Kyong, Kwang-Hyon;Huh, Joon
    • Journal of radiological science and technology
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    • v.3 no.1
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    • pp.43-48
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    • 1980
  • An experimental study was carried out to make a comparison between tube voltage and density of barium sulphate in the stomach radiography. The results were summarized as follows: 1. The percentage of density on concentrations of barium sulphate as contrast media could not show in differences with changes of voltages applied X-ray tube. 2. The changes of density visualized on X-ray film mainly depend upon with thickness of stomach filled barium sulphate than the ratio of barium sulphite and plain water volume. 3. The lesions positioned in upper part within stomach exhibited their best discrimination performanance with depth in the low tube voltage, followed in order by the middle part and lower part. However, the discrimination performanance at the high tension radiography uniformly visualized over X-ray film without density in change.

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Massive barium sulfate aspiration during upper gastrointestinal contrast material study in an elderly patient with dysphagia

  • Yun, Hae Ryong;Kim, Chang-gon;Park, Jihye;Park, Yong eun;lee, Yong-il;Yoo, Byung-Woo;Chung, Kyung Soo;Kim, Young Sam;Song, Joo Han
    • Journal of Yeungnam Medical Science
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    • v.33 no.2
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    • pp.162-165
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    • 2016
  • Barium sulfate is an inert material used as a radiographic contrast medium during upper gastrointestinal contrast studies for evaluation of patients with dysphagia. Oral barium aspiration is an uncommon but well-reported complication of this procedure. While barium aspiration of small amounts may not cause any symptoms, massive barium aspiration can be life-threatening, particularly in elderly patients with multiple comorbidities. In this case report, we describe an elderly patient with multiple comorbidities who presented with thyrotoxicosis and dysphagia, and then died after massive barium aspiration. Despite administration of intensive medical care with ventilator support and therapeutic bronchoalveolar lavage to remove the aspirated barium, the patient died of multiple organ failure 9 days after barium aspiration. Clinicians should pay attention to elderly patients with predisposing factors for aspiration in whom upper gastrointestinal barium contrast studies are indicated, and should consider other diagnostic tools for evaluation of dysphagia in this population.

Synthesis of barium-doped PVC/Bi2WO6 composites for X-ray radiation shielding

  • Gholamzadeh, Leila;Sharghi, Hamed;Aminian, Mohsen Khajeh
    • Nuclear Engineering and Technology
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    • v.54 no.1
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    • pp.318-325
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    • 2022
  • In this study, composites containing undoped and barium-doped Bi2WO6:Ba2+were investigated for their shielding against diagnostic X-ray. At first, Bi2WO6 and barium-doped Bi2WO6 were synthesized with different weight percentages of barium oxide through a hydrothermal process. The as-synthesized nanostructures were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS) and Raman spectroscopy (RS). After that, some shields were generated with undoped and barium-doped Bi2WO6:Ba2+ nanostructure particles incorporated into polyvinyl chloride (PVC) polymer with different thicknesses and 15% weight of the nanostructure. Finally, the prepared samples were exposed to an X-ray tube at 40, 80, and 120 kV voltages, 10 mAs and, 44.5 cm SID (i.e. the distance from the X-ray beam source to the specimen). Linear and mass attenuation coefficients were also calculated for different samples. The results indicated that, among the samples, the one with 7.5 mmol barium-doped Bi2WO6 had the most attenuation at the voltage of 40kV, and the attenuation coefficients would increase with an increase in the amount of barium. The samples with 15 and 17.5 mmol barium-doped Bi2WO6 had higher attenuation than the others at 80 and 120 kV. Moreover, the half-value layer (HVL), tenth-value layer (TVL) and 0.25 mm lead equivalent thickness were calculated for all the samples. The lowest HVL value was for the sample with 7.5 mmol barium-doped Bi2WO6. As the result clearly show, an increment in the barium-doping content leads to a decrease in both HVL and TVL. In every three voltages, 0.25 mm lead equivalent thickness of the barium-doped composites (7.5 mmol and 15 mmol) had less than the other composites. The lowest value of 0.25 mm lead equivalent thickness was 7.5 barium-doped in 40 kV voltage and 15 mmol barium-doped in 80 kV and 120 kV voltages. These results were obtained only for 15% weight of the nanostructure.

A Study of Abnormal Expansion to be Synthesized Barium Titanate in Solid-solid Reaction (Barium Titanate를 고상반응으로 합성할때 일어나는 이상팽창에 관한 연구)

  • 이은상;임대영
    • Journal of the Korean Ceramic Society
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    • v.22 no.6
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    • pp.9-14
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    • 1985
  • When the barium titanate is Synthesized in Solid-solid reaction the abnormal expansion occurs at about 110$0^{\circ}C$. The mixture was made of corresponding to the theoretical composition of barium titanate. The mixture was fired at various temperature from 90$0^{\circ}C$ to 130$0^{\circ}C$, After that the specimen was tested closely with XDR dilatometer and SEM. The results indicate that 1, The activation energy of barium titanate formation was 42 Kcal/mole. 2, Thermal expansion up to to 90$0^{\circ}C$ was mainly caused by $CO_2$ whereas it was mainly caused by the formation of the secondary phase above 100$0^{\circ}C$. 3. Thermal expansion was not influenced by the forming pressure up to 1000kg/$cm^2$ but it was largely influenced bythe forming pressure above 200kg/$cm^2$.

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