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Contrast Medium By Jureerat

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Contrast media
[object Object],[object Object]
[object Object],[object Object],[object Object]
CLASSIFICATION OF X-RAY CONTRAST MEDIUM (CM) Negative CM Positive Cm Gases -air BaSO4 Iodinated CM -CO2 Triiodobenzoic acid Water-insoluble CM Oily CM derivertives -aqueous suspensions -diiodopyridine Monomeric ionic cM Dimeric ionic CM Monomeric nonionic Cm Dimeric nonionic CM
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Development of CM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],N I O CH 2 OOO-Na +
[object Object],[object Object],[object Object]
DIODONE NEOIPAX N I I O CH 2 COO (Methylglucamine) + Diiodinated pyridine compounds from 1930-1950 N O CH 3 COO - Na + Na + COO - I I
[object Object],1 2 3 4 5 6 COOH I R 1 I R 2 I “ 1950” “ Triiodinated CM” - COOH - Salt/amide binding, water solubility - R 1 /R 2 - toxicity and lipophillia - R 2 - elimitation pathway
[object Object],[object Object],[object Object],[object Object]
1 2 3 4 5 6 COO - I NHCOCH 3 I CH 3 COHN I “ 1955” “ Diatrizoic acid” Angiographin urografin Urorison Hypaque Renografin
1 2 3 4 5 6 COO - I CONHCH 2 CH 2 OH I CH 3 COHN I Ioxithalamate Telebrix
[object Object]
[object Object],[object Object]
C I O NH NHCOCH 3 I N CH 3 CO CH 3 I CONHCHCH 2 OH CH 2 OH I I I CONHCHCH 2 OH CH 2 OH CH 3 CHCONH OH OH OH OH O CH 2 OH Metrizamide Iopamidol
I I I I R 3 COO - R 2 R 1 I I Ionic monoacid dimeric compound Ioxalic acid
Osmolality of ionic and nonionic CM mgI/ml Osmolality mosm/kg water Blood 290 Ionic monomeric CM Urografin 30% (sod-meg diatrizoate) 146 710 45% 219 1050 60% 292 1500 76% 370 2100 Angiografin (meg diatrizoate) 306 1530 Telebrix 38 (sod-meg ioxithalamate) 380 2100
Ionic dimeric CM Hexabrix 320 (sod-meg ioxaglate) 320 600 Nonionic monomeric CM Amipaque (metrixamide) 300 480 Ultravist 370 370 770 Iopamiro 370 370 800 Omnipaque 350 350 820 Nonionic dimeric CM Isovist 300 300 320
Physicochemical properties of water soluble contrast medium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONTRAST MEDIUM TOXICITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHEMOTOXICITY : ION AND MOLECULAR EFFFECTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ORGAN SPECIFIC TOXIC EFFECTS ,[object Object],[object Object]
Adverse Effects Upon the Cardiovascular System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contrast Nephropathy ,[object Object],[object Object]
[object Object]
Possible Mechanisms in the Development of Acute Renal Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS AND PREDISPOSING FACTORS FOR NEPHROTOXICITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADVERSE REACTION ,[object Object],[object Object],[object Object]
General reactions (anaphylactoid reactions) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk factor ,[object Object],[object Object],[object Object],[object Object]
Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IMAGING IN OB / GYN PLAIN FILM . CONTRAST STUDY . ULTRASONOGRAPHY . CT SCAN . MRI .
RADIOGRAPHIC EXAMINATION IN THE OBSTETRICS. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plain abdomen ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVP ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYSTEROSALPINGOGRAPHY ,[object Object],[object Object],[object Object]
The contraindications are: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complication ,[object Object],[object Object],[object Object],[object Object]
 
Normal hysterosalpingogram ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The abnormal hysterosalpingogram ,[object Object]
 
 
Abnormality of the fallopian tubes ,[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Indication of ultrasound in OB-GYN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Obstetric ultrasound . ,[object Object],[object Object],[object Object],[object Object]
 
FIRST TRIMESTER SONOGRAPHY . ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Ultrasound Features of Normal Intrauterine Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transvaginal Ultrasound in Intrauterine Pregnancy ,[object Object],[object Object],[object Object],[object Object]
Fetal Cardiac Dysrhythmias ,[object Object]
Fetal position ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal position, cont ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal age assesment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal age assesment by radiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal Age Assessment by US ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal Crown - Rump Length ,[object Object],[object Object],[object Object]
Fetal Femur ,[object Object],[object Object],[object Object],[object Object]
Fetal Age Assessment, cont ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ectopic Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Second and Third Trimester ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal abnormalities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Placenta ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis of pelvic masses ,[object Object],[object Object],[object Object],[object Object]
Ovarian tumours ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The differential diagnosis of pelvic fluid collection includes: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Endometriosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
MRI OF THE FEMALE PELVIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why MRI? ,[object Object],[object Object],[object Object],[object Object]
MRI in Normal Female Pelvis ,[object Object],[object Object],[object Object],[object Object]
Indications for MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI Techniques, T1 - weighted image ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI Techniques, T2-weighted image ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The End

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Contrast Medium By Jureerat

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  • 4. CLASSIFICATION OF X-RAY CONTRAST MEDIUM (CM) Negative CM Positive Cm Gases -air BaSO4 Iodinated CM -CO2 Triiodobenzoic acid Water-insoluble CM Oily CM derivertives -aqueous suspensions -diiodopyridine Monomeric ionic cM Dimeric ionic CM Monomeric nonionic Cm Dimeric nonionic CM
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  • 8. DIODONE NEOIPAX N I I O CH 2 COO (Methylglucamine) + Diiodinated pyridine compounds from 1930-1950 N O CH 3 COO - Na + Na + COO - I I
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  • 11. 1 2 3 4 5 6 COO - I NHCOCH 3 I CH 3 COHN I “ 1955” “ Diatrizoic acid” Angiographin urografin Urorison Hypaque Renografin
  • 12. 1 2 3 4 5 6 COO - I CONHCH 2 CH 2 OH I CH 3 COHN I Ioxithalamate Telebrix
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  • 15. C I O NH NHCOCH 3 I N CH 3 CO CH 3 I CONHCHCH 2 OH CH 2 OH I I I CONHCHCH 2 OH CH 2 OH CH 3 CHCONH OH OH OH OH O CH 2 OH Metrizamide Iopamidol
  • 16. I I I I R 3 COO - R 2 R 1 I I Ionic monoacid dimeric compound Ioxalic acid
  • 17. Osmolality of ionic and nonionic CM mgI/ml Osmolality mosm/kg water Blood 290 Ionic monomeric CM Urografin 30% (sod-meg diatrizoate) 146 710 45% 219 1050 60% 292 1500 76% 370 2100 Angiografin (meg diatrizoate) 306 1530 Telebrix 38 (sod-meg ioxithalamate) 380 2100
  • 18. Ionic dimeric CM Hexabrix 320 (sod-meg ioxaglate) 320 600 Nonionic monomeric CM Amipaque (metrixamide) 300 480 Ultravist 370 370 770 Iopamiro 370 370 800 Omnipaque 350 350 820 Nonionic dimeric CM Isovist 300 300 320
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  • 38. IMAGING IN OB / GYN PLAIN FILM . CONTRAST STUDY . ULTRASONOGRAPHY . CT SCAN . MRI .
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