Entering a Post-COVID-19 Landscape: Analysis of 2024 Match Trends in Plastic Surgery.

Introduction: The Plastic Surgery Integrated track remains one of the most competitive fields in the National Residency Match Program. Match trends during the COVID-19 pandemic featured a distinct rise in regional and home program matches among plastic surgery applicants. The purpose of this study is to evaluate whether these trends have continued into the most recent residency match cycle in 2024.

Re: Viewing Observation. The Philosophy of Medical Imaging.

Visualisation and observation are distinct, though interrelated activities. Observation involves the sensing of data. Visualisation renders data tractable to the specific sense of vision.

Spontaneous regression of juvenile nasopharyngeal angiofibroma.

This report describes the spontaneous regression of a biopsy-proved juvenile nasopharyngeal angiofibroma that was first diagnosed when the child was age 11 years. The patient was followed up over a 12-year period during which he did not receive any therapy. Total involution of this lesion can be demonstrated by serial computed tomographic studies.

Multiple spin echo magnetic resonance imaging of the brain.

Advantages of 3D multiecho: 1. High signal to noise ratio which is useful for: a) Long TE b) Short TR c) Thin slices 2. Reduced paradoxical enhancement of blood vessels 3.

Role of iodinated contrast material in the evaluation of myocardial infarction by computerized transmission tomography.

In vivo and in vitro studies have shown that areas of myocardial infarctions can be delineated on CT scans after intravenous administration of iodinated contrast material to dogs with experimental myocardial infarctions. Within the first minute after intravenous administration of contrast material (initial myocardial perfusion phase), the infarct appears an as area of decreased x-ray attenuation (cold spot image). Studies using radiolabeled microspheres indicate that the relative attenuation numbers throughout the myocardium in this phase reflect myocardial perfusion (Hessel et al, 1978).

Needle biopsy under computerized tomographic control: a method for tissue diagnosis in intracranial lesions.

Thirteen patients with intracranial lesions were submitted to a twist drill needle biopsy under computerized tomographic (CT) control, with sedation and local anesthesia. (The patients' ages ranged from 12 to 81 years.) The final diagnoses were glioblastoma in 7 patients and 1 case each of anaplastic astrocytoma, low grade astrocytoma, thrombosed arteriovenous malformation, cerebral infarct, 3rd ventricular epidermoid, and degenerative disease of the brain.

Evaluation of myocardial ischemic damage of various ages by computerized transmission tomography. Time-dependent effects of contrast material.

The potential role of computerized transmission tomography (CTT) in the detection and quantitation of acute myocardial ischemic damage was assessed in 42 excised canine hearts at 2 hours, 8 hours, and 48 hours after coronary occlusion. The CTT scan detected by myocardial damage that was 2-48 hours old each time the presence of regional ischemia was confirmed by histochemical straining or epicardial electrocardiographic mapping. Intravenous administration of contrast material enhanced the x-ray attenuation of areas of ischemic damage of 8 and 48 hours duration compared with normal myocardium, but enhanced only normal myocardium in those of 2 hours duration.

Control of hemorrhage from a common carotid arterial-cutaneous fistula by temporary implantation of a balloon catheter.

Hemorrhage from an infected carotid arterial-cutaneous fistula was treated by occlusion of the common carotid artery with a 6-French (Swan-Ganz) balloon catheter. After nine months, there was no recurrence of bleeding or neurological sequelae. Temporary balloon occlusion to induce thrombosis of a major artery is an alternative to transcatheter embolization of small particulate material and larger foreign bodies.

Differential accumulation of radiopaque contrast material in acute myocardial infarction.

The differential accumulation of radiographic contrast materials in ischemically damaged and normal myocardium was assessed with direct measurement (fluorescent excitation analysis) of the iodine content of tissue samples from dogs with 48 hour old myocardial infarctions. Tissue samples were obtained 10, 30, 60 and 180 minutes after the intravenous administration of 2 ml/kg body weight of diatrizoate meglumine and sodium (Renografin-76). At all time intervals, the iodine concentration of infarcted tissue was at least threefold greater than that of normal myocardium.

Uptake of contrast materials by experimental acute myocardial infarctions: a preliminary report.

The concentration of iodine within infarcted and normal myocardium after intravenous administration of contrast material was determined by fluorescence excitation analysis in seven dogs at 48 hours after coronary arterial ligation. The iodine concentration of infarcted myocardial tissue was several times greater than normal myocardium after administration of meglumine/sodium diatrizoate, iodipamide, and an experimental polymer of iothalamic acid.

Detection, quantitation and contrast enhancement of myocardial infarction utilizing computerized axial tomography: comparison with histochemical staining and 99mTc-pyrophosphate imaging.

The potential role of the CAT scan in detecting and quantitating acute myocardial infarctions was assessed in the excised hearts of 25 dogs with 48-hour-old myocardial infarctions. The CAT scan detected the infarct in every instance and distinguished subendocardial from transmural infarctions. While the CAT scan slightly underestimated the volume of infarcted tissue, this volume had a close linear relationship to the true volume determined by histochemical staining.

Solitary renal plasmacytoma with palisading tumor vascularity.

A solitary extramedullary plasmacytoma of the kidney associated with contralateral myeloma kidney is reported. The tumor demonstrated extensive palisading tumor vessels, heretofore thought to be characteristic of renal lymphoma. Plasmacytoma as the etiology of a renal mass should be considered when there is nonfunction of a normal-appearing contralateral kidney.

Percutaneous aspiration of adrenal cysts.

Percutaneous needle aspiration was performed in three cases of cystic lesions of the adrenal gland which had been evaluated with nephrotomography, ultrasound, and angiography. The characteristics of the fluid aspirate were used as a guideline to further management. Two lesions were clearly benign cysts and were treated conservatively.

Pneumoperitoneum: importance of right upper quadrant features.

Supine abdominal radiographs of 59 patients with documented pneumoperitoneum were evaluated for findings of pneumoperitoneum. The commonly described signs were seen in only 17%. Localized intraperitoneal air in the right upper quadrant was the most frequent finding, seen in 49% of patients.

Perforation of the nasopharynx by nasogastric intubation: a rare cause of left pleural effusion and pneumomediastinum.

A case of nasogastric tube perforation of the posterior nasopharynx producing a left pleural effusion and pneumomediastinum is reported. Findings which led to the correct diagnosis were the rapid appearance of a left pleural effusion simultaneous with the initiation of tube feedings, the intrathoracic location of the nasogastric tube, and demonstration of perforation of the posterior nasopharynx. Potentially hazardous intubation techniques are discussed.