Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren最新文献

{"title":"Tendon Anatomy and Tendon Disorders of the Wrist.","authors":"Thomas Marth, Nadja A Grob, Jon A Jacobson, Nadja Zechmann, Roman Guggenberger, Anna L Falkowski","doi":"10.1055/a-2499-5875","DOIUrl":"10.1055/a-2499-5875","url":null,"abstract":"<p><p>Wrist pain is common and can be attributed to tendon pathologies.This review aims to give a structured review of tendon anatomy, discuss anatomical pitfalls, and provide an overview of typical tendon pathologies of the wrist based on the current literature.Typical tendon pathologies of the wrist include de Quervain tenosynovitis, proximal and distal intersection syndrome, extensor and flexor pollicis longus tendon ruptures, and extensor carpi ulnaris subsheath injury. Typical pitfalls are multiple bundles of the abductor pollicis longus tendon or the centrally increased signal of the extensor carpi ulnaris tendon.Both ultrasound and MRI are appropriate modalities for assessing the tendons of the wrist. Knowledge of normal anatomy, variants, pathologies, as well as appropriate imaging is crucial to determine the diagnosis. · Multiple tendon bundles of the abductor pollicis longus are a common anatomical feature and should not be mistaken for tendon splitting.. · An anatomical pitfall resembles the frequently found centrally increased signal of the extensor carpi ulnaris tendon caused by fibrovascular tissue.. · In order to visualize the diagnosis of a proximal intersection syndrome, the MR scan field needs to include the area approximately 4 to 8 cm proximal to Lister's tubercle.. · The tendons of the thumb, i.e., extensor and flexor pollicis longus, are most commonly torn after distal radial fracture (EPL) and osseous hardware fixation (FPL).. · Marth T, Grob NA, Jacobson JA et al. Tendon Anatomy and Tendon Disorders of the Wrist. Rofo 2025; 197: 1148-1161.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":"1148-1161"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jetzt bewerben: 6. Staffel des eFellowship Interventionelle Neuroradiologie startet 2026!","authors":"","doi":"10.1055/a-2669-6593","DOIUrl":"10.1055/a-2669-6593","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":"197 10","pages":"1227"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GPR-Förderstipendium zur Weiterentwicklung der Kinder- und Jugendradiologie.","authors":"","doi":"10.1055/a-2669-6552","DOIUrl":"10.1055/a-2669-6552","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":"197 10","pages":"1228-1229"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kommentar zu „KI – Befundung radiologischer Aufnahmen durch ChatGPT – Chance oder Risiko?“.","authors":"Daniel Pinto Dos Santos","doi":"10.1055/a-2619-4041","DOIUrl":"10.1055/a-2619-4041","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":"197 10","pages":"1134-1135"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kommentar zu „MSK – Prädiktoren für ein ischiofemorales Impingement junger Menschen“.","authors":"Torsten Diekhoff","doi":"10.1055/a-2619-4117","DOIUrl":"10.1055/a-2619-4117","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":"197 10","pages":"1136"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of a Pancreatic Pseudoaneurysm with Percutaneous image-guided Transhepatic Thrombin Injection - Case Report.","authors":"Sven-Erik Sönksen, Nando Mertineit, Dennis Adam, Doortje Rothfuchs, Christian R Habermann","doi":"10.1055/a-2701-0653","DOIUrl":"https://doi.org/10.1055/a-2701-0653","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapy of lymphatic malformations or isolated lymphatic components in combined slow-flow malformations with bleomycin electrosclerotherapy (BEST).","authors":"Julius Henry Loeser, Moritz Guntau, Oleksandr Bidakov, Susanne von der Heydt, Alexander Gussew, Stefan Schob, Walter A Wohlgemuth","doi":"10.1055/a-2648-6555","DOIUrl":"https://doi.org/10.1055/a-2648-6555","url":null,"abstract":"<p><p>The objective of the study was to retrospectively investigate the efficacy, technical feasibility, and patient safety of bleomycin electrosclerotherapy for lymphatic malformations and lymphatic components of combined veno-lymphatic malformations.Between May 2019 and December 2021, this retrospective, single-center study analyzed the safety and feasibility of bleomycin electrosclerotherapy in patients with lymphatic or combined veno-lymphatic malformations. The procedures, performed under imaging guidance, involved intralesional or intravenous bleomycin injection followed by reversible electroporation. Lesion sizes were measured pre- and post-treatment using T2 fatsat magnetic resonance imaging. Previous treatments, clinical symptoms, intervention details, and complications were documented and analyzed.In 21 interventions, 24 lymphatic malformations of 12 patients (mean age: 14.75 years (range: 10 days-35 years; 5 women, 7 men)) were treated. The average bleomycin dose was 3.65 mg per treatment session (range: 0.5-15 mg). Before the interventions, the mean volume of the treated malformation was 88.76 cm3 (range: 0.38-541.5 cm³) and after treatment it was 36.7 cm³ (range: 0-204.97 cm³), resulting in an average volume reduction of 54.8%. Among the observed side effects, the most frequent were a temporary postinterventional local inflammatory response and temporary skin discoloration at the injection sites. An additional improvement of clinical symptoms was achieved in all patients after a mean follow-up of 8.36 months.Bleomycin electrosclerotherapy appears to be an effective, technically feasible, and safe treatment option for patients with lymphatic malformations but further studies using a prospective approach and longer post-interventional observation period in a larger study population are required. · BEST is a new therapeutic option for lymphatic malformations.. · Different needle electrodes can be used to specifically treat different types of LMs.. · Typical side effects of BEST appear to be minor, ranging from partly intentional, local inflammation to temporary skin discoloration.. · Loeser JH, Guntau M, Bidakov O et al. Therapy of lymphatic malformations or isolated lymphatic components in combined slow-flow malformations with bleomycin electrosclerotherapy (BEST). Rofo 2025; DOI 10.1055/a-2648-6555.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiological Characterization of Malformations of the Internal Auditory Canal.","authors":"Katja Döring, Rolf Salcher, Heinrich Lanfermann, Thomas Lenarz, Athanasia Warnecke, Anja Giesemann","doi":"10.1055/a-2699-9904","DOIUrl":"https://doi.org/10.1055/a-2699-9904","url":null,"abstract":"<p><p>Malformations of the internal auditory canal (IAC) are rare. They can present as a narrowing of the canal due to aplasia or hypoplasia of the vestibulocochlear nerve, complete atresia, or even a doubling of the IAC. The aim of our study is to provide a comprehensive overview of the different types of IAC anomalies and to provide a classification based on radiological findings and their relation to syndromes and/or inner/middle ear anomalies. In addition, IAC malformations will be explained in a putative phylogenetic context.All patients who underwent pre-interventional imaging between 1995 to 2024 for evaluation of a hearing implant in domo with an inner ear malformation were included in the present retrospective study. The available imaging data, i.e. high resolution computed tomography (HRCT) or cone beam CT (CBCT) of the temporal bone and supplementary MR of the temporal bone, were reviewed independently by two neuroradiologists. Malformations of the IAC and concomitant malformations of the middle and inner ear were recorded. Demographic and clinical data were also collected. Based on the data and information obtained, a radiological classification of the different IAC malformations was provided.A total of 36 patients (55 affected ears) were included in the analysis. The majority of the patients were female (75%). The mean age was 6.3 ± 9.4 years (mean ± std). A syndromic disease was present in 28% of the patients. Due to severe hearing loss, a total of 48% of patients received a hearing system. Based on the radiological findings, we performed the following typing: Type I - Narrow IAC; Type II - Atresia with isolated facial nerve canal; Type III - Double IAC with/without atresia, Type IV - Complete atresia. In descending order, the frequency of these malformations of the IAC in our cohort was distributed as follows: Type III - Double (n= 29, 52.7%), Type I - Narrow (n=15, 27.3%), Type IV - Complete atresia (n=4, 7.3%), Type II - Atresia with isolated facial nerve canal (n=7, 12.7%).Since hypoplastic IAC may be associated with hypoplastic or absent cochlear nerve and sensorineural hearing loss, radiological assessment of the IAC is of critical importance in the evaluation of patients with severe sensorineural hearing loss undergoing cochlear implantation. Accurate analysis of the imaging data and understanding the complexity of the malformations are of great importance in assessing the expected benefits prior to cochlear implantation. · IAC malformations can be classified into four different groups based on recurring patterns.. · IAC malformations are often associated with hypo-/aplasia of the vestibulocochlear nerve.. · The facial nerve is usually present, but may have an aberrant course.. · Döring K, Salcher R, Lanfermann H et al. Radiological Characterization of Malformations of the Internal Auditory Canal. Rofo 2025; DOI 10.1055/a-2699-9904.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The New S3 Guideline on \"Epidural injections\".","authors":"Stephan Klessinger","doi":"10.1055/a-2702-4560","DOIUrl":"https://doi.org/10.1055/a-2702-4560","url":null,"abstract":"<p><p>Epidural injections are frequently performed for radicular pain. The German Society for Spine Surgery (DWG) published an S3 guideline for assessing benefits and performing epidural injections. The goal is to standardize the indication, technique, and medication selection based on evidence.The guideline was developed with the participation of ten professional associations and a patient representative using the AGREE II tool. It was based on a systematic literature review with GRADE assessment. Fourteen PICO questions were addressed.The evidence varies greatly depending on the approach and region. Transforaminal injections are recommended for radicular pain. Interlaminar injections have been shown to have a short-term effect for radicular pain in the lumbar spine. All randomized benefit assessment studies used fluoroscopy for transforaminal injections. CT or ultrasound scanning is also possible. Particulate steroids and preparations containing potentially neurotoxic preservatives should be avoided due to the potential for serious complications. Neurological follow-up and patient feedback are important. Repeat injections are only indicated if there has been a prior response. Series of injections without assessing the efficacy should not be performed.The new S3 guideline provides practical, evidence-based recommendations for the safe performance of epidural injections. It offers important guidance on indication, technique, and drug selection. Individual medical assessment remains essential. · Periradicular therapy (PRT) is an image-guided transforaminal injection into the epidural space at a defined nerve root.. · The standard is fluoroscopy. The use of CT scanning is also possible.. · Non-particulate steroids (dexamethasone) are preferable due to lower complication rates.. · Neurological examination and monitoring of the patient is important after an intervention.. · A repeat transforaminal injection should only be performed if a positive response was previously found.. · Klessinger S. The New S3 Guideline on \"Epidural injections\". Rofo 2025; 10.1055/a-2702-4560.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and interdisciplinary treatment of non-cutaneous syncytial myoepithelioma.","authors":"Nikola Andjelic, Marc-André Weber, Annette Zimpfer, Marko Sass","doi":"10.1055/a-2688-2470","DOIUrl":"https://doi.org/10.1055/a-2688-2470","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}