Journal of the Korean Society of Radiology最新文献

[Interventional Management for Pelvic Trauma]. 盆腔创伤的介入治疗。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2023.0032

Jung Han Hwang, Jeong Ho Kim, Suyoung Park

{"title":"[Interventional Management for Pelvic Trauma].","authors":"Jung Han Hwang, Jeong Ho Kim, Suyoung Park","doi":"10.3348/jksr.2023.0032","DOIUrl":"https://doi.org/10.3348/jksr.2023.0032","url":null,"abstract":"Traumatic pelvic injuries usually include high-energy crush injuries and are associated with significant morbidity and mortality. Mortality rates range from 6% to 15% and increase to 36%-54% in cases of fractures that result in increased pelvic volume. Therefore, retroperitoneal hemorrhage can spiral and progress to hemorrhagic shock. Pelvic hemorrhage most commonly occurs secondary to disrupted pelvic veins or fractured bones, and 10%-20% of cases involve arterial injuries. Owing to extensive bleeding and limitations of surgery for pelvic hemorrhage, interventional treatment is at the forefront of pelvic hemorrhage management. CT is an accurate indicator of active hemorrhage in patients with pelvic trauma that affects the diagnosis and management, including interventions. Identification of the site of hemorrhage is necessary for focused interventional treatment. The current trend toward a more conservative approach for treatment of pelvic trauma and advances in interventional radiology in the field of pelvic trauma may favor widespread use of interventional treatment for patients with pelvic injuries. In this review, we discuss therapeutic modalities available to the interventional radiologist and common angiographic treatment strategies and techniques.","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 4","pages":"835-845"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/c5/jksr-84-835.PMC10407063.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CT Findings of May-Thurner Syndrome in Diffuse Idiopathic Skeletal Hyperostosis: A Case Report. 弥漫性特发性骨骼增生May-Thurner综合征的CT表现1例。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2022.0132

Jiwook Jeong, Tae Eun Kim

引用次数: 0

Myxoid Liposarcoma of the Breast Mimicking Phyllodes Tumor: A Case Report. 乳腺模拟叶状瘤黏液样脂肪肉瘤1例报告。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2022.0146

Se Jin Lee, Jung Kyu Ryu, Kyu Yeoun Won, Sang-Ah Han

引用次数: 0

Primary Peritoneal Psammocarcinoma Misdiagnosed as an Heterotopic Ossification: A Case Report. 原发性腹膜沙粒癌误诊为异位骨化1例。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2022.0095

Gayoung Jeon, Seo Young Park

引用次数: 0

[Role of Interventional Radiologists in Trauma Centers]. 介入放射科医生在创伤中心的作用。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2023.0033

Jeong Ho Kim

引用次数: 0

Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department. 皮质髓质期CT尿路造影在急诊疑似急性肾绞痛患者中的应用价值。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2022.0098

Seokyoung Lee, Yang Shin Park, Bitna Park, Jongmee Lee, Jae Woong Choi, Kyeong Ah Kim, Chang Hee Lee

{"title":"Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department.","authors":"Seokyoung Lee, Yang Shin Park, Bitna Park, Jongmee Lee, Jae Woong Choi, Kyeong Ah Kim, Chang Hee Lee","doi":"10.3348/jksr.2022.0098","DOIUrl":"https://doi.org/10.3348/jksr.2022.0098","url":null,"abstract":"Purpose: To evaluate the sensitivity of corticomedullary-phase imaging for detecting urinary stones in patients with renal colic who visited the emergency department.Materials and methods: This retrospective study included 253 patients with suspected renal colic from two tertiary hospitals in South Korea, who visited the emergency department and underwent CT urography. Two radiologists blinded to the clinical history independently reviewed the corticomedullary-phase images. The sensitivity for identifying urinary stones were evaluated for each reviewer. After the initial evaluation, the images were re-evaluated based on patient history. The sensitivity of re-evaluation were recorded.Results: Of 253 patients, 150 (59%) had urinary stones. Among them, significant stones were observed in 138 patients (92%), and obstructive changes on CT in 124 patients (82.7%). For identifying significant urinary stones, the sensitivity was 98.6% (136/138) for both the reviewers. For identifying significant urinary stones with urinary obstruction, the sensitivity was 99.2% (123/124) for reviewer 1, and 100% (124/124) for reviewer 2. The sensitivity for identifying significant stones increased from 98.6% to 100% for reviewer 1, and from 98.6% to 99.3% for reviewer 2 in the re-evaluation session.Conclusion: The corticomedullary-phase CT urography was sensitive for diagnosing urolithiasis in patients with acute renal colic who visited the emergency department.","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 4","pages":"923-933"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/ed/jksr-84-923.PMC10407065.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Neuroimaging Characteristics of Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) in Korean Based on Jeju Cohort: A Pictorial Essay]. [基于济州队列的韩国人常染色体显性脑动脉病伴皮质下梗死和白质脑病(CADASIL)的神经影像学特征:一篇图片论文]。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2023.0004

Yeh Rin Suh, Ho Kyu Lee, Kyeong Ho Jung, Jung Seok Lee, Jay Chol Choi

引用次数: 0

Comparison of the Efficacy of Diluted Polyethylene Glycol and Low-Density (0.1% w/v) Barium Sulfate Suspension for CT Enterography. 稀聚乙二醇与低密度(0.1% w/v)硫酸钡混悬液用于CT肠造影的效果比较。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2022.0141

Yeon Jung Kim, Seung Ho Kim, Tae Wook Baek, Hyungin Park

{"title":"Comparison of the Efficacy of Diluted Polyethylene Glycol and Low-Density (0.1% w/v) Barium Sulfate Suspension for CT Enterography.","authors":"Yeon Jung Kim, Seung Ho Kim, Tae Wook Baek, Hyungin Park","doi":"10.3348/jksr.2022.0141","DOIUrl":"https://doi.org/10.3348/jksr.2022.0141","url":null,"abstract":"Purpose: To compare small bowel distension and side effects between a diluted polyethylene glycol (PEG) solution and a low-density (0.1% w/v) barium sulfate suspension (LDBSS) for CT enterography (CTE) preparation.Materials and methods: Total 173 consecutive patients who underwent CTE were enrolled in this study. The LDBSS (1 L) was used in 50 patients, and the diluted iso-osmotic PEG solution (1 L) was used in 123 patients. Two blinded radiologists independently scored jejunal and ileal distensions on a 5-point scale. To compare side effects between the two groups, the patients reported whether they had immediate complications after the administration of the oral contrast media.Results: For ileal and jejunal distension, the diluted PEG solution showed no difference from the LDBSS for either reader (ileum: reader 1, median, 4; 4, interquartile range, 3-4; 3-4, p = 0.997; reader 2, median, 4; 4, interquartile range, 3.3-4.0; 3-4, p = 0.064; jejunum: reader 1, median, 2; 2, interquartile range, 2-3; 2-3, p = 0.560; reader 2, median, 3; 2, interquartile range, 2-3; 2-3, p = 0.192). None of the patients complained of immediate complications following administration of either of the oral contrast media.Conclusion: The diluted PEG solution showed comparable bowel distension compared to LDBSS and no immediate side effects; thus, it can be a useful alternative.","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 4","pages":"911-922"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/3b/jksr-84-911.PMC10407077.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Endovascular Treatment for Vascular Injuries of the Extremities]. 四肢血管损伤的血管内治疗

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2023.0048

Tae Won Choi, Yohan Kwon, Jinoo Kim, Je Hwan Won

{"title":"[Endovascular Treatment for Vascular Injuries of the Extremities].","authors":"Tae Won Choi, Yohan Kwon, Jinoo Kim, Je Hwan Won","doi":"10.3348/jksr.2023.0048","DOIUrl":"https://doi.org/10.3348/jksr.2023.0048","url":null,"abstract":"Vascular injuries of the extremities are associated with a high mortality rate. Conventionally, open surgery is the treatment of choice for peripheral vascular injuries. However, rapid development of devices and techniques in recent years has significantly increased the utilization and clinical application of endovascular treatment. Endovascular options for peripheral vascular injuries include stent-graft placement and embolization. The surgical approach is difficult in cases of axillo-subclavian or iliac artery injuries, and stent-graft placement is a widely accepted alternative to open surgery. Embolization can be considered for arterial injuries associated with active bleeding, pseudoaneurysms, and arteriovenous fistula and in patients in whom embolization can be safely performed without a risk of ischemic complications in the extremities. Endovascular treatment is a minimally invasive procedure and is useful as a simultaneous diagnostic and therapeutic approach, which serve as advantages of this technique that is widely utilized for vascular injuries of the extremities.","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 4","pages":"846-854"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/93/jksr-84-846.PMC10407075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Clinical Role of Interventional Radiology in Abdominal Solid Organ Trauma]. [介入放射学在腹部实体器官创伤中的临床作用]。

Journal of the Korean Society of Radiology Pub Date : 2023-07-01 DOI: 10.3348/jksr.2023.0046

Hyun Seok Jung, Chang Ho Jeon, Sang Hyun Seo

引用次数: 0