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Pediatric advanced imaging and informatics: state of the art.

Semin Ultrasound CT MR

April 2010

Department of Radiology, Children's Hospital of Philadelphia, Cardiovascular Imaging and the 3D Imaging Laboratory, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.

Pediatric imaging has been at the forefront of radiology innovation since the days of Roentgen. In the past 2 decades, evolving computer technology and sophisticated software algorithms have rapidly advanced how pediatric radiologic examinations are acquired and displayed, interpreted and communicated, and stored and retrieved. Cost-effective use of this state of the art technology requires fundamental knowledge of the modalities, workstations, and informatics that guide advanced pediatric imaging in the current digital era.

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By the method of autopsy in patients with ischemic heart disease (IHD) who died of acute heart failure we took samples of myocardium from 6 parts of the heart: left and right atrium, left and right ventricle, region of myocardial infarction, and scar of the left ventricle. Simultaneously we conducted histological study of these parts of myocardium. For the control we investigated content of chemical elements in myocardium of healthy victims of traffic accidents.

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Comparison of X-rays was found to provide information just as accurate as dactyloscopy for person identification, which is attributable to the high variability of the skeletal system. Reported in this paper is the case of an unknown dead female whose body was found in a condition of advanced decay. That is why conventional methods of criminological identification were not practicable.

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Fourteen unidentified human corpses were subjected to personal identification between 1999 and 2001. They included 5 drowning victims, three extensively burnt bodies, three skeletonized bodies, two highly putrefied bodies, and a body that had been run over by a train. Antemortem dental records were available in 12 cases, and all were positively identified.

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Objective: In contrast to granular mediacalcinosis of the aorta, Mönckeberg's disease is characterized by the occurrence of sheet-like calcification. It is usually said that the pathogenesis of this calcification is unknown.

Material And Methods: To obtain some insight into the mechanism leading to this calcification, we performed light microscopic, scanning electron microscopic and X-ray microanalysis investigations on femoral arteries from autopsies.

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