{"title":"DeGIR-Live-Webinar zur Zertifizierung in minimal-invasiver Schmerztherapie.","authors":"","doi":"10.1055/a-2895-7785","DOIUrl":"https://doi.org/10.1055/a-2895-7785","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":"198 10","pages":"1356"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064393","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}
Sven-Erik Sönksen, Nando Mertineit, Dennis Adam, Doortje Rothfuchs, Christian R Habermann
{"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":"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":"1343-1346"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","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}
Mehmet Nuri Belge, Temel Fatih Yılmaz, Mehmet Ali Gültekin, Defne Şahin, Can Yılmaz Yozgat, Ahmet Akçay, Huseyin Toprak
{"title":"Diagnosis and Management of Atraumatic Splenic Rupture in Chronic Pancreatitis: A Case Report.","authors":"Mehmet Nuri Belge, Temel Fatih Yılmaz, Mehmet Ali Gültekin, Defne Şahin, Can Yılmaz Yozgat, Ahmet Akçay, Huseyin Toprak","doi":"10.1055/a-2718-8147","DOIUrl":"10.1055/a-2718-8147","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":"1347-1349"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145392455","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":"Calcific tendinopathy of the linea aspera.","authors":"Tomislav Marković, Miraude Adriaensen, Nina Schweighofer, Mitja Rupreht","doi":"10.1055/a-2835-7464","DOIUrl":"10.1055/a-2835-7464","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":"1254-1257"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639624","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}
Isabelle Schöpper, Anna-Lena Mayer, Tobias Weigl, Antonia Dalmer, Kevin Vatter Davis, Vivien L Kratzer, Robert Rischen
{"title":"[Medfluencing in medicine - between reach and responsibility].","authors":"Isabelle Schöpper, Anna-Lena Mayer, Tobias Weigl, Antonia Dalmer, Kevin Vatter Davis, Vivien L Kratzer, Robert Rischen","doi":"10.1055/a-2692-1966","DOIUrl":"10.1055/a-2692-1966","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":"198 10","pages":"1268-1270"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064417","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}
Tanja Lokancevic, Sebastian Keil, Philipp Bruners, Sven Lang, Iakovos Amygdalos, Christiane K Kuhl, Peter Isfort, Emona Staudacher
{"title":"Treatment of Irresectable Colorectal Liver Metastases by Combination of Liver Resection and Percutaneous Tumor Ablation: Mid-term Outcome.","authors":"Tanja Lokancevic, Sebastian Keil, Philipp Bruners, Sven Lang, Iakovos Amygdalos, Christiane K Kuhl, Peter Isfort, Emona Staudacher","doi":"10.1055/a-2781-8926","DOIUrl":"10.1055/a-2781-8926","url":null,"abstract":"<p><strong>Purpose: </strong>Primary resection of liver metastases in colorectal cancer remains the leading curative approach. However, a small future liver remnant or central localization of metastases often prevent resectability. In such cases, combining resection with percutaneous ablation may offer a curative-intent treatment option. This study aims to evaluate the oncologic results and morbidity of this combined treatment.</p><p><strong>Materials and methods: </strong>In this retrospective study, 21 patients with advanced colorectal liver metastases underwent a two-stage treatment consisting of planned incomplete resection and percutaneous ablation. Outcomes assessed included overall survival and intrahepatic progression-free survival. Main exclusion criteria were extrahepatic disease and ablation of metastases > 3 cm. Results are reported as medians with 95% confidence intervals and standard deviation.</p><p><strong>Results: </strong>The median number of preoperative intrahepatic metastases was 5 [2-13]. Follow-up was available for 95% of patients, with a median follow-up of 21 months. Intra- und extrahepatic recurrences occurred in 81% (17/21). Median intrahepatic progression-free survival was 5 [0-44] months. Median overall survival was 36.5 [6.6-55] months, resulting in a 1-year survival rate of 91%. Twelve patients (57%) passed away. Technical success was achieved in 90%. Three major complications occurred, all of which were successfully treated.</p><p><strong>Conclusion: </strong>In patients with partially unresectable colorectal liver metastases, a two-stage approach combining resection and percutaneous ablation represents a potential curative-intent strategy, particularly when intraoperative ablation is not feasible. Despite high recurrence rates, OS was comparatively long relative to systemic therapy. Further studies are needed to explore treatment sequencing, perioperative therapies, and advanced ablation technologies for optimizing the concept. Ultimately, treatment must be individualized based on the patient's disease profile and institutional capabilities.</p><p><strong>Key points: </strong>· A two-stage approach combining resection and percutaneous ablation represents a potential curative-intent strategy in partially irresectable colorectal liver metastases.. · High recurrence rates occur, but overall survival remains comparatively long.. · Individualized, interdisciplinary treatment planning optimizes patient outcomes.. · Further research is needed on sequencing, perioperative strategies, and ablation technologies..</p><p><strong>Citation format: </strong>· Lokancevic T, Keil S, Bruners P et al. Treatment of Irresectable Colorectal Liver Metastases by Combination of Liver Resection and Percutaneous Tumor Ablation: Mid-term Outcome. Rofo 2026; DOI 10.1055/a-2781-8926.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":"1310-1317"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133019","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":"Professor Röntgen and \"Jack the Ripper\": were X-rays discovered on 8th November?","authors":"Uwe Busch, Marcel Michels, Peter Landwehr","doi":"10.1055/a-2942-7646","DOIUrl":"https://doi.org/10.1055/a-2942-7646","url":null,"abstract":"","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040587","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":"Professor Röntgen and \"Jack the Ripper\": Were X-rays Discovered on November 8?","authors":"Jean-Francois Monville, Robert F Dondelinger","doi":"10.1055/a-2932-6244","DOIUrl":"https://doi.org/10.1055/a-2932-6244","url":null,"abstract":"<p><strong>Background: </strong>November 8, 1895, is widely considered the date when Wilhelm Conrad Röntgen (1845-1923) supposedly first noticed the glimmer that led to the discovery of X-rays.</p><p><strong>Materials and methods: </strong>Henry Jackson Wells Dam (1856-1906), an American playwright and journalist with a checkered biography, forced his way in - through blatant dishonesty - to obtain an interview with Röntgen at the end of January 1896. His report based on this interview was published in the April issue of two illustrated monthly periodicals in New York City and London. Dam indicated that Röntgen discovered the X-rays on November 8, 1895, and this date has been reproduced consistently in the radiological literature. However, Röntgen himself neither published any detail related to his discovery nor took notice of Dam's assertion. Dam's alleged date has never been certified by any source. When one considers Dam's unsavory background dating from his San Francisco and London sojourns and his misleading of Röntgen - combined with Röntgen's disdain for the press and his lifelong silence on the topic - the well-founded suspicion is raised that the journalist obtained no date from the physicist. Instead, the unscrupulous reporter likely added a date of his own speculation aiming for a deliberate journalistic impact. The innovative in-depth examination of Dam's past and the transcript of Röntgen's interview strongly supports our conclusion. November 8 is incompatible with Röntgen's indirect indications and Zehnder's calendar calculation.</p><p><strong>Conclusion: </strong>The second-hand quality of the date reported and the one-time publication of November 8 as the date of the discovery of X-rays by a journalist with a criminal background and a history of unethical professional behavior, cannot be verifiably confirmed. An individual's isolated testimony does not meet the criteria of historic fact.</p><p><strong>Key points: </strong>The date of November 8, 1895, lacks proof of historical authenticity.</p><p><strong>Citation format: </strong>· Monville J-F, Dondelinger RF. Professor Röntgen and \"Jack the Ripper\": Were X-rays Discovered on November 8? Rofo 2026; DOI 10.1055/a-2932-6244.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040628","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}
Malvina Garner, Frederik Fries, Christoph Garner, Alena Haußmann, Wolfgang Reith, Umut Yilmaz
{"title":"Boundary-anchored thalamic ADC profiling shows spatially structured abnormalities in multiple sclerosis.","authors":"Malvina Garner, Frederik Fries, Christoph Garner, Alena Haußmann, Wolfgang Reith, Umut Yilmaz","doi":"10.1055/a-2941-6690","DOIUrl":"https://doi.org/10.1055/a-2941-6690","url":null,"abstract":"<p><strong>Purpose: </strong>Diffusion MRI is sensitive to tissue abnormalities in multiple sclerosis (MS), but conventional region-of-interest measures reduce spatially structured signal patterns to a single summary value. We evaluated boundary-anchored thalamic apparent diffusion coefficient (ADC) profiling in MS using line-based edge-anchored profiling (LEAP).</p><p><strong>Materials and methods: </strong>In this retrospective matched-control study, age- and sex-matched controls (CTRL, n = 28) and participants with relapsing-remitting MS (RRMS, n = 14) or secondary progressive MS (SPMS, n = 14) were analyzed on the same 3T MRI scanner using the same diffusion protocol. LEAP was applied bilaterally at the medial thalamic surface adjacent to the third ventricle. Participant-averaged bilateral summary metrics and exploratory side-specific profile-shape metrics were derived from ADC curves.</p><p><strong>Results: </strong>The clearest signal was observed in comparisons between MS and matched controls, with the largest number of differences seen for SPMS versus controls. Compared with controls, SPMS showed a higher ventricle-near mean ADC (p = 0.004), higher profile maximum ADC (p = 0.003), and a steeper early profile slope (p = 0.005). RRMS generally showed intermediate values. Direct RRMS-versus-SPMS comparisons of bilateral summary metrics were limited. Exploratory right-sided profile-shape metrics and left-right asymmetry measures suggested possible phenotype-related differences.</p><p><strong>Conclusion: </strong>Boundary-anchored thalamic ADC profiling detected spatially structured abnormalities in MS relative to matched controls, with the strongest deviation in SPMS. Exploratory shape-based findings should be considered hypothesis-generating and suggest additional profile-level information beyond bilateral summary values.</p><p><strong>Key points: </strong>· LEAP enables spatially resolved thalamic ADC assessment.. · SPMS showed strongest deviations from matched controls.. · RRMS demonstrated intermediate profile characteristics.. · Profile morphology contained information beyond bilateral averages.. · Boundary-anchored profiling complements conventional ROI analysis..</p><p><strong>Citation format: </strong>· Garner M, Fries F, Garner C et al. Boundary-anchored thalamic ADC profiling shows spatially structured abnormalities in multiple sclerosis. Rofo 2026; DOI 10.1055/a-2941-6690.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017943","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}
Laura Valentina Klüner, Sebastian Zensen, Hannah Peuster, Melanie Ebenau, Denise Bos, Raya Ocker-Serger, Yannick Laurent Thal, Luca Salhöfer, Florian Stehling, Daniel Bernard, Erik Büscher, Matthias Welsner, Lale Umutlu, Michael Forsting, Johannes Haubold, Marcel Klaus Opitz
{"title":"Pediatric Chest Photon-counting CT: Dose and Noise Behavior of Clinical Sn100 kVp and 90 kVp Protocols across Image Quality Levels - a Phantom Study.","authors":"Laura Valentina Klüner, Sebastian Zensen, Hannah Peuster, Melanie Ebenau, Denise Bos, Raya Ocker-Serger, Yannick Laurent Thal, Luca Salhöfer, Florian Stehling, Daniel Bernard, Erik Büscher, Matthias Welsner, Lale Umutlu, Michael Forsting, Johannes Haubold, Marcel Klaus Opitz","doi":"10.1055/a-2935-4084","DOIUrl":"https://doi.org/10.1055/a-2935-4084","url":null,"abstract":"<p><strong>Purpose: </strong>Photon-counting CT (PCCT) and spectral shaping enable new approaches in pediatric imaging, but the effects of clinically implemented tin-filtered pediatric chest protocols on radiation dose and image noise across image quality levels (IQLs) remain insufficiently characterized. This study compared a clinical Sn100 kVp ultra-high resolution (UHR) protocol with a non-tin-filtered 90 kVp standard-resolution protocol using anthropomorphic pediatric phantoms.</p><p><strong>Materials and methods: </strong>Three pediatric phantoms (1, 5, and 10 years) were scanned on a commercial PCCT system across IQLs 1-300 using the clinical Sn100 kVp UHR and non-tin-filtered 90 kVp standard-resolution protocols. Radiation dose and ROI-based image noise in lung parenchyma and bone were recorded.</p><p><strong>Results: </strong>The Sn100 kVp UHR protocol showed lower lung-parenchymal noise across all phantom sizes and IQLs and generally lower bone noise. In the ultra-low-dose range (IQL 1-10), lung-parenchymal noise reductions ranged from 31% to 52% and bone-noise reductions reached 58%. Across most IQLs, the Sn100 kVp UHR protocol was associated with higher radiation dose. At high IQLs, dose plateaus occurred at approximately IQL 150 and 100 in the 5- and 10-year-old phantoms, followed by dose crossovers at approximately IQL 220 and 150, respectively. At very low IQLs, the Sn100 kVp UHR protocol showed a dose advantage up to IQL 5, 4, and 3 in the 1-, 5-, and 10-year-old phantoms, respectively.</p><p><strong>Conclusions: </strong>The Sn100 kVp UHR protocol was associated with lower image noise but was not universally dose-saving compared with the non-tin-filtered 90 kVp standard-resolution protocol. In addition, the observed dose behavior was influenced not only by spectral shaping but also by detector readout mode and protocol-specific technical constraints. These findings may support future pediatric chest PCCT protocol optimization.</p><p><strong>Key points: </strong>· The clinical Sn100 kVp UHR protocol was associated with lower lung-parenchymal noise and generally lower bone noise compared with the non-tin-filtered 90 kVp standard-resolution protocol.. · The dose advantage of the Sn100 kVp UHR protocol was limited to very low IQLs, while most IQLs showed higher radiation dose compared with the 90 kVp standard-resolution protocol.. · At high image quality levels, the Sn100 kVp UHR protocol exhibited dose plateaus, limiting further dose increase despite higher target image quality..</p><p><strong>Citation format: </strong>· Klüner LV, Zensen S, Peuster H et al. Pediatric Chest Photon-counting CT: Dose and Noise Behavior of Clinical Sn100 kVp and 90 kVp Protocols across Image Quality Levels - a Phantom Study. Rofo 2026; DOI 10.1055/a-2935-4084.</p>","PeriodicalId":21490,"journal":{"name":"Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018007","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}