Publications by authors named "Kalmar P"

A fixed-point iteration technique is presented to handle the implicit nature of the governing equations of nonlinear surface mode oscillations of acoustically excited microbubbles. The model is adopted from the theoretical work of Shaw [1], where the dynamics of the mean bubble radius and the surface modes are bi-directionally coupled via nonlinear terms. The model comprises a set of second-order ordinary differential equations.

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It was previously reported that diabetes mellitus (DM) and admission hyperglycemia (aHG) were associated with poor clinical outcomes in patients with acute ischemic stroke (AIS) who were treated with intravenous thrombolysis (IVT) or mechanical thrombectomy (MT). Our study aimed to assess the prognostic effect of DM and aHG (≥7.8 mmol/L) on clinical outcomes in patients treated with recanalization therapies (IVT and MT).

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The early detection of large-vessel occlusion (LVO) strokes is increasingly important as these patients are potential candidates for endovascular therapy, the availability of which is limited. Prehospital LVO detection scales mainly contain symptom variables only; however, recent studies revealed that other types of variables could be useful as well. Our aim was to comprehensively assess the predictive ability of several clinical variables for LVO prediction and to develop an optimal combination of them using machine learning tools.

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Article Synopsis
  • Acute ischemic strokes (AIS) occur in 15-20% of cases due to tandem occlusion, involving both intracranial and extracranial vessels, making the best endovascular treatment (EVT) approach unclear, particularly regarding the need for stenting the extracranial internal carotid artery (EICA).
  • The study retrospectively analyzed 101 AIS patients undergoing EVT across three stroke centers between 2017 and 2020, comparing two treatment methods: acute carotid stenting (ACS) and balloon angioplasty only (BAO), focusing on patient outcomes after 90 days.
  • Results indicated no significant outcome differences between the ACS and BAO groups, although those receiving ACS faced higher rates of symptomatic intracranial hemorr
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Background: A robotic-assisted platform (CorPath System; Corindus Vascular Robotics) is feasible for peripheral vascular intervention (PVI) for the treatment of femoropopliteal lesions.

Objectives: This study was designed to determine the feasibility and safety of robotic PVI for treating femoropopliteal lesions with drug-coated balloon (DCB), and to evaluate the effect of robotic PVI on operator radiation exposure during robotic PVI.

Methods: This prospective, single-arm trial enrolled patients with symptomatic peripheral arterial disease affecting the femoropopliteal artery.

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Objectives: The goal of this study was to evaluate the feasibility and safety of a robotic-assisted platform (CorPath 200, Corindus Vascular Robotics, Waltham, Massachusetts) for treating peripheral artery disease.

Background: A robotic-assisted platform for percutaneous coronary intervention is available for treating coronary artery disease.

Methods: In this prospective single-arm trial, patients with symptomatic peripheral artery disease (Rutherford class 2 to 5) affecting the femoropoplital artery were enrolled.

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Article Synopsis
  • The study aimed to compare vessel measurements, signal-to-noise ratios (SNR), and voxel sizes in patients with coarctation of the aorta using different MRI techniques.
  • In a sample of 39 patients, the researchers found no significant differences in vessel size or SNR, but identified a significant difference in voxel size.
  • The conclusion suggests that cine MRI and gadolinium-free MRA can effectively monitor vessel size in CoA patients and are less invasive than contrast-enhanced MRA.
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Unspecific abdominal complaints including bloating and irregular bowel movements may be caused by carbohydrate malabsorption syndromes, e.g., lactose and fructose malabsorption.

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Background: Spontaneous recurrent hemorrhage after arthroplasty of the hip or knee is a rare condition. In patients who do not have coagulopathy, the likeliest etiology for hemarthrosis is hypertrophic vascular synovium. Treatments include arthroscopic or open synovectomy, or angiography with embolization; however, because the condition is rare, seldom reported, and debilitating, small case series characterizing the efficacy of any approach are important to allow a collective experience with this condition to emerge.

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  • Accurate collimation is essential in pediatric radiology to minimize unnecessary radiation and enhance image quality, following the European Commission's 1996 guidelines for chest X-rays.
  • A study analyzed 598 pediatric chest X-rays and found that although qualitative standards were met, there was significant overexposure, with only 4% completely adhering to the guidelines.
  • The research introduces a quality control tool that detects issues in field sizes and patient positioning, highlighting the need for continuous improvement in radiographic practices to protect young patients.
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In dialysis access fistulas and grafts, percutaneous transluminal angioplasty (PTA) is frequently followed by restenosis development, which results in repeated periodical re-interventions. The technique of drug-eluting balloon (DEB) angioplasty has shown promising results in the treatment of femoropopliteal arteriosclerotic lesions. In contrast to arteriosclerotic arteries, dialysis access vessels host unfavorable hemodynamics due to the direct conduction of high-pressure fluid into a low-pressure system.

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Primary epiploic appendagitis (PEA) is a rare cause of abdominal acute or subacute complaints. Diagnosis of PEA is made when computed tomography (CT) reveals a characteristic lesion. We report on contrast-enhanced CT images of a patient with PEA and regression of inflammation and the reduction in size of the inflamed appendage over the time period of 4 months.

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Purpose: To compare the image quality and radiation dose between iterative reconstruction (IR) and standard filtered back projection (FBP) in CT of the chest and abdomen.

Materials And Methods: Thoracic CT was performed in 50 patients (38 male, 12 female; mean age, 51 ± 23 yrs; range, 7-85 yrs) and abdominal CT was performed in 50 patients (36 male, 14 female; mean age, 62 ± 13 yrs; range, 20-85 yrs), using IR as well as FBP for image reconstruction. Image noise was quantitatively assessed measuring standard deviation of Hounsfield Units (HU) in defined regions of interest in subcutaneous tissue.

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Purpose: Aim was to determine immediate results and mid-term outcome of the hemoparin-coated (HC) stainless-steel stent (camouflage coating) in the treatment of occlusive lesions of the iliac arteries.

Materials And Methods: Twenty-eight patients were prospectively treated with the use of a HC stent between January 2007 and March 2010. Clinical examination and color-doppler ultrasound were performed at 1, 3, 6 and 12 months, CT angiography (CTA) or MR angiography (MRA) at 12 months.

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Background: Failure to thrive and hematochezia in children may be alarm signs warranting endoscopy. In contrast, vascular malformations of the small intestine are uncommon in this age group. We report on a female toddler in whom various imaging techniques revealed an unusually large segmental vascular malformation of the ileum as the cause of the child's main clinical symptoms.

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Objectives: To assess the correlation of relative hepatic enhancement (RHE), relative renal enhancement (RRE) and liver to kidneys enhancement ratio (LKR) with serum hepatic enzyme levels and eGFR in Gd-EOB-DTPA enhanced MRI of the liver and to assess threshold levels for predicting enhancement of the liver parenchyma.

Methods: Data of 75 patients who underwent Gd-EOB-DTPA enhanced MRI of the liver were collected. Images were obtained before contrast injection, during the early arterial phase, late arterial phase, venous phase, delayed phase, and hepatobiliary phase which was 20 min after Gd-EOB-DTPA administration.

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Secondary dissection in the descending aorta after endovascular therapy may demand subsequent interventional procedures. This can set a particularly significant challenge for the endovascular specialist. When implanting an aortic prosthesis, a sufficient contact between the covered segment and the healthy vessel wall is advisable.

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