Introduction: It is universally accepted that the posteroanterior skull radiograph shows a lower degree of distortion than other radiographic images, so that measurements on it are considered reliable. Objective: To determine the percentage of distortion in the different facial regions of the postero-anterior skull radiograph. Methods: Thirty human skulls with their jaws were divided by three horizontal and four vertical planes into fifteen quadrants; there were ten in the skull and five in the jaw. On each of them a steel wire was placed in vertical and horizontal positions and their length (actual measurement) was measured. Each set was X-rayed in posteroanterior projection and the length of the wires was measured in the image (radiographic measurement). Results: It was not possible to measure in the lateral quadrants of the skull. The horizontal measurement in the right and left lower intermediate quadrants of the skull and in the intermediate and lateral quadrants of both sides of the mandible is not reliable; in the median quadrant of the mandible it is minimized; in the right and left upper intermediate and median quadrants of the skull and in the median of the mandible it is magnified. Vertical measurements in all quadrants are reliable; in the right and left upper intermediate and left upper and middle quadrants of the skull and in the right and left middle and lateral quadrants of the mandible it is magnified; in the lower intermediate and upper and lower middle quadrants of the skull and median of the mandible it is minimized. The least distortion for both measurements occurs in the upper median quadrant of the skull. Percentages of distortion are reported for each quadrant. Conclusions: Distortion is present in the posteroanterior skull radiograph and varies from one region of the face to another.
Introduction: Chest trauma has a high incidence and pneumothorax is the most frequent finding. The literature is scarce on what to do with asymptomatic patients with pneumothorax due to penetrating chest trauma. The aim of this study was to evaluate what are the findings of the control radiography of patients with penetrating chest trauma who are not initially taken to surgery, and their usefulness in determining the need for further treatment. Methods: A retrospective cohort study was performed, including patients older than 15 years who were admitted for penetrating chest trauma between January 2015 and December 2017 and who did not require initial surgical management. We analyzed the results of chest radiography, the time of its acquisition, and the behavior decided according to the findings in patients initially left under observation. Results: A total of 1,554 patients were included, whose average age was 30 years, 92.5% were male and 97% had a sharp weapon wound. Of these, 186 (51.5%) had no alterations in their initial X-ray, 142 had pneumothorax less than 30% and 33 had pneumothorax greater than 30 %, hemopneumothorax or hemothorax. Closed thoracostomy was required as the final procedure in 78 cases, sternotomy or thoracotomy in 2 cases and discharged in 281. Conclusion: In asymptomatic patients with small or moderate pneumothorax and no other significant lesions, longer observation times, radiographs and closed thoracostomy may be unnecessary.
Objective: To evaluate the radiographic characteristics of dentigerous cysts (DC) diagnosed at the School of Stomatology of the Universidad Peruana Cayetano Heredia (UPCH) during the period of 2010–2017. Material and methods: Retrospective, descriptive, observational and cross-sectional study, where the panoramic radiographs of 37 cases of DC were selected. Results: The total number of diagnosed cases of dentigerous cysts was 233, which after inclusion and exclusion criteria, 37 cases were obtained, of which 45.9% of cysts were found in the second decade of life with a higher frequency of 51.4 percent for women, and a jaw predilection of 59.5% in all cases. In addition, it was found that 97.3% of the cases were radiolucent, defined limits were found in 67.6%, corticalized edges in 54.1% and unilocular in 94.6%. All dentigerous cysts were associated with a tooth, of which closed apex (48.6%) and tooth displacement (59.5%) were observed. The adjacent tooth was not affected in 56.8% of cases, but its hard lamina was affected (59.5%). The 68.2% of cases did not affect the basal mandibular cortex, but did displace the inferior dental canal (54.5%) and 46.7% of cases displaced the floor of the maxillary sinus. Conclusions: Most of the results obtained on the characteristics in the Peruvian population support previous studies reported in America, Europe and Asia. Radiographically the dentigerous cyst showed characteristics that support its clearly benign behavior.
In the process of X-ray transmission imaging, the mutual occlusion between structures will lead to the image information overlap, and the computed tomography (CT) method is often required to obtain the structure information at different depths, but with low efficiency. To address these problems, an X-ray focused on imaging algorithm based on multi-line scanning is proposed, which only requires the scene target to pass through the detection area along a straight line to extract multi-view information, and uses the optical field reconstruction theory to achieve the de-obscured reconstruction of the structure at a specified depth with high real-time. The results of multi-line scan and X-ray reconstruction of the target show that the proposed method can reconstruct the information of any specified depth layer, and it can perform fast imaging detection of the mutually occluded target structures and improve the recognition of the occluded targets, which has a good application prospect.
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