Primary Children's Hospital

About: Primary Children's Hospital is a healthcare organization based out in Salt Lake City, Utah, United States. It is known for research contribution in the topics: Population & Health care. The organization has 1770 authors who have published 2594 publications receiving 107857 citations. The organization is also known as: Intermountain Primary Children's Medical Center & Intermountain Primary Children's Hospital.

Juvenile pilocytic astrocytoma of the brainstem in children.

Abstract: Object. In reports involving the operative treatment of brainstem tumors, multiple histological types are often grouped together. To determine prognosis after resection, histology-specific data may be helpful. Methods. Twenty-eight patients with juvenile pilocytic astrocytoma (JPA) of the brainstem (six in the midbrain, four in the pons, and 18 in the medulla) were identified from the medical records. Initial treatment was resection in 25 and biopsy sampling in three. Postoperative imaging revealed gross-total resection (GTR) or resection with linear enhancement (RLE) in 12 of 25 patients and solid residual tumor in the other 13. In 10 of the 13 patients harboring solid residual tumor, observation was undertaken; the residual lesion disappeared in one, was stable in four, and progressed in five. Of the 12 patients with complete excision or RLE only, seven underwent no further treatment, with tumor progression occurring in one. All patients were alive at last follow-up examination (range 0.3–20.4 years, me...

Modeling the detectability of vesicoureteral reflux using microwave radiometry.

Abstract: We present the modeling efforts on antenna design, frequency selection and receiver sensitivity estimation to detect vesicoureteral reflux (VUR) using microwave (MW) radiometry as the warm urine from the bladder maintained at fever range temperature using a MW hyperthermia device reflows into the kidneys. Radiometer center frequency (fc), frequency band (Δf), and aperture radius (ra) of the physical antenna for kidney temperature monitoring are determined using a simplified universal antenna model with circular aperture. Anatomical information extracted from computed tomography (CT) images of children age 4–6 years is used to construct a layered 3D tissue model. Radiometric antenna efficiency is evaluated in terms of the ratio between the power collected from the target at depth and the total power received by the antenna (η). Power ratio of the theoretical antenna is used to design a microstrip log spiral antenna with directional radiation pattern over fc ± Δf/2. Power received by the log spiral from the deep target is enhanced using a thin low-loss dielectric matching layer. A cylindrical metal cup is proposed to shield the antenna from electromagnetic interference (EMI). Transient thermal simulations are carried out to determine the minimum detectable change in antenna brightness temperature (δTB) for 15–25 mL urine refluxes at 40–42°C located 35 mm from the skin surface. Theoretical antenna simulations indicate maximum η over 1.1–1.6 GHz for ra = 30–40 mm. Simulations of the 35 mm radius tapered log spiral yielded higher power ratio over fc ± Δf/2 for the 35–40 mm deep targets in the presence of an optimal matching layer. Radiometric temperature calculations indicate δTB ≥ 0.1 K for the 15 mL urine at 40°C and 35 mm depth. Higher η and δTB were observed for the antenna and matching layer inside the metal cup. Reflection measurements of the log spiral in saline phantom are in agreement with the simulation data. Numerical study suggests a radiometer with fc =1.35 GHz, Δf = 500 MHz and detector sensitivity better than 0.1 K would be the appropriate tool to noninvasively detect VUR using the log spiral antenna.