Polish Journal of Radiology最新文献

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Computed tomography findings of intersigmoid hernia. 乙状结肠间疝的ct表现。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.127559
Yuki Tashiro, Nobuyuki Takeyama, Mana Kachi, Yoshiro Hori, Kazuhiro Kijima, Takahiro Umemoto, Kuniya Tanaka, Kiyotaka Ryu, Shuichi Satoh, Toshi Hashimoto
{"title":"Computed tomography findings of intersigmoid hernia.","authors":"Yuki Tashiro,&nbsp;Nobuyuki Takeyama,&nbsp;Mana Kachi,&nbsp;Yoshiro Hori,&nbsp;Kazuhiro Kijima,&nbsp;Takahiro Umemoto,&nbsp;Kuniya Tanaka,&nbsp;Kiyotaka Ryu,&nbsp;Shuichi Satoh,&nbsp;Toshi Hashimoto","doi":"10.5114/pjr.2023.127559","DOIUrl":"https://doi.org/10.5114/pjr.2023.127559","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the computed tomography findings of intersigmoid hernias.</p><p><strong>Material and methods: </strong>Between April 2010 and March 2018, 7 patients who were surgically diagnosed with intersigmoid hernia in 3 institutions were enrolled in this study. Two radiologists evaluated imaging findings for the herniated small bowel, the distance between the occlusion point and bifurcation of the left common iliac artery, and the anatomic relationship with adjacent organs.</p><p><strong>Results: </strong>All patients were male, and their mean age (standard deviation, range) was 61.0 (13.5, 36-85) years. The mean size of the bowel loops was 5.2 (1.3, 4.0-8.3) cm in the caudal direction, 3.6 (0.8, 2.5-5.1) cm in the lateral, and 3.4 (0.6, 2.5-4.7) cm in the anterior-posterior direction. The volume was 37.9 (27.8, 15.6-103.0) cm<sup>3</sup> approximated by an ellipse, and 24.0 (17.7, 9.9-65.6) cm<sup>3</sup> approximated by a truncated cone. The obstruction point was located 3.6 (0.6, 2.8-4.7) cm inferior to the bifurcation of the left common iliac artery. In all cases, the small bowel ran under the point at which the inferior mesenteric vessels bifurcated to the superior rectal vessels and the sigmoid vessels and formed a sac-like appearance between the left psoas muscle and the sigmoid colon. The ureter ran dorsal to the point of the bowel stenosis, and the left gonadal vein ran outside the small bowel loops.</p><p><strong>Conclusions: </strong>All cases showed common imaging findings, which may be characteristic of men's intersigmoid hernia. In addition, the fossa's position was lower, and the size was larger than in the previous study, which may be a risk factor.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/29/PJR-88-50702.PMC10280369.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068971","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
Pictorial review of computed tomography and magnetic resonance imaging findings of cardiovascular manifestations of IgG4-related disease. igg4相关疾病心血管表现的计算机断层扫描和磁共振成像图像综述
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.126251
Debanjan Nandi, Vineeta Ojha, Resham Singh, Sanjeev Kumar
{"title":"Pictorial review of computed tomography and magnetic resonance imaging findings of cardiovascular manifestations of IgG4-related disease.","authors":"Debanjan Nandi,&nbsp;Vineeta Ojha,&nbsp;Resham Singh,&nbsp;Sanjeev Kumar","doi":"10.5114/pjr.2023.126251","DOIUrl":"https://doi.org/10.5114/pjr.2023.126251","url":null,"abstract":"<p><p>This study includes a series of 5 cases demonstrating cardiovascular manifestations of findings of IgG4-related disease. Two cases demonstrate peri-aortic soft tissue thickening in the infrarenal abdominal aorta and bilateral ostio--proximal common iliac artery. In 2 cases there were circumferential soft tissue lesions around the arch of the aorta. One of the cases showed coexistent, biopsy-proven Riedel's thyroiditis and infiltrative soft tissue along the right atrial wall and interatrial septum. In one case there was a partly calcified mass in the left hemi-thorax consistent with a diagnosis of IgG4-related fibrosing mediastinitis.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/41/PJR-88-50441.PMC10086611.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9305513","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: 1
Dose uncertainty due to energy dependence in dual-energy computed tomography. 双能计算机断层扫描中能量依赖引起的剂量不确定性。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.128682
Daisuke Kawahara, Takatoshi Toyoda, Kazushi Yokomachi, Chikako Fujioka, Yasushi Nagata
{"title":"Dose uncertainty due to energy dependence in dual-energy computed tomography.","authors":"Daisuke Kawahara,&nbsp;Takatoshi Toyoda,&nbsp;Kazushi Yokomachi,&nbsp;Chikako Fujioka,&nbsp;Yasushi Nagata","doi":"10.5114/pjr.2023.128682","DOIUrl":"https://doi.org/10.5114/pjr.2023.128682","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the absolute dose uncertainty at 2 different energies and for the large and small bowtie filters in dual-energy computed tomography (DECT).</p><p><strong>Material and methods: </strong>Measurements were performed using DECT at 80 kV and 140 kilovoltage peak (kVp), and single-energy computed tomography (CT) at 120 kV. The absolute dose was calculated from the mass-energy absorption obtained from the half-value layer (HVL) of aluminium.</p><p><strong>Results: </strong>The difference in the water-to-air ratio of the mean mass energy-absorption coefficients at 80 kV and 140 kV was 2.0% for the small bow-tie filter and 3.0% for the large bow-tie filter. At lower tube voltages, the difference in the absorbed dose with the large and small bow-tie filters was larger.</p><p><strong>Conclusions: </strong>The absolute dose uncertainty due to energy dependence was 3.0%, which could be reduced with single-energy beams at 120 kV or by using the average effective energy measurement with dual-energy beams.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9e/38/PJR-88-50851.PMC10317008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178192","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
Radiation exposure in acute myeloid leukaemia, diffuse large B-cell lymphoma, and multiple myeloma patients in the first year following diagnosis. 急性髓性白血病、弥漫性大b细胞淋巴瘤和多发性骨髓瘤患者诊断后第一年的辐射暴露
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.125008
Başak Ünver Koluman, Muhammet Arslan, Hande Şenol, Sibel Kabukçu Hacıoğlu, Gülsüm Akgün Çağlıyan, Nil Güler, Nilay Şen Türk
{"title":"Radiation exposure in acute myeloid leukaemia, diffuse large B-cell lymphoma, and multiple myeloma patients in the first year following diagnosis.","authors":"Başak Ünver Koluman,&nbsp;Muhammet Arslan,&nbsp;Hande Şenol,&nbsp;Sibel Kabukçu Hacıoğlu,&nbsp;Gülsüm Akgün Çağlıyan,&nbsp;Nil Güler,&nbsp;Nilay Şen Türk","doi":"10.5114/pjr.2023.125008","DOIUrl":"https://doi.org/10.5114/pjr.2023.125008","url":null,"abstract":"<p><strong>Purpose: </strong>Radiological examinations are critical in the evaluation of patients with haematological malignancies for diagnosis and treatment. Any dose of radiation has been shown in studies to be harmful. In this regard, we assessed the radiation exposure of 3 types of haematological malignancies (diffuse large B-cell lymphoma [DLBCL], acute myeloid leukaemia [AML], and multiple myeloma [MM]) in our centre during the first year after diagnosis.</p><p><strong>Material and methods: </strong>In the first year after diagnosis we retrospectively reviewed the radiation exposure data of 3 types of haematological malignancies (DLBCL, AML, and MM). The total and median CED value (cumulative effective radiation dose in millisieverts [mSv]) of each patient was used. Each patient's total and median estimated CED value was calculated using a web-based calculator and recorded in millisieverts (mSv).</p><p><strong>Results: </strong>The total radiation doses in one year after diagnosis (CED value) were 46.54 ± 37.12 (median dose: 36.2) in the AML group; 63.00 ± 42.05 (median dose: 66.4) in the DLBCL group; and 28.04 ± 19.81 (median dose: 26.0) in the MM group (<i>p</i> = 0.0001). There was a significant difference between DLBCL and MM groups.</p><p><strong>Conclusions: </strong>In all 3 haematological malignancies, the radiation exposure was significant, especially in the DBLCL group, within the first year of diagnosis. It is critical to seek methods to reduce these dosage levels. In diagnostic radiology, reference values must be established to increase awareness and self-control and reduce patient radiation exposure. This paper is also the first to offer thorough details on the subject at hand, and we think it can serve as a guide for further investigation.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/73/PJR-88-50129.PMC9995242.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9109691","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
Diffusion tensor magnetic resonance imaging in the grading of liver fibrosis associated with congenital ductal plate malformations. 弥散张量磁共振成像在先天性导管板畸形相关肝纤维化分级中的应用。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.125865
Mohammed Elhawary, Mostafa Elmansy, Khadiga Ali, Ebtesam Abdallah, Ahmed Razek, Tarik Barakat, Amr Sarhan
{"title":"Diffusion tensor magnetic resonance imaging in the grading of liver fibrosis associated with congenital ductal plate malformations.","authors":"Mohammed Elhawary,&nbsp;Mostafa Elmansy,&nbsp;Khadiga Ali,&nbsp;Ebtesam Abdallah,&nbsp;Ahmed Razek,&nbsp;Tarik Barakat,&nbsp;Amr Sarhan","doi":"10.5114/pjr.2023.125865","DOIUrl":"https://doi.org/10.5114/pjr.2023.125865","url":null,"abstract":"<p><strong>Purpose: </strong>Liver biopsy is still the standard method for the diagnosis of ductal plate malformations (DPM). However, it is an invasive tool. Magnetic resonance imaging (MRI) has shown its accuracy in the diagnosis of this pathology. Herein, a study was conducted to elucidate the role of diffusion MRI parameters in predicting the degree of hepatic fibrosis.</p><p><strong>Material and methods: </strong>This prospective study included 29 patients with DPM and 20 healthy controls. Both groups underwent diffusion tensor magnetic resonance imaging (DT-MRI), and its parameters were compared between patients and controls, and then they were correlated with the degree of liver fibrosis in the patient group.</p><p><strong>Results: </strong>All patients with DPM, whatever its type, expressed a significantly lower hepatic apparent diffusion coefficient (ADC) compared to controls. However, fractional anisotropy (FA) showed no significant difference between them. The ADC value of 1.65 × 10<sup>-3</sup> mm<sup>2</sup>/s had sensitivity and specificity of 82.1% and 90%, respectively, in differentiating DPM patients from healthy controls. It was evident that patients with higher fibrosis grades had significantly lower hepatic ADC, indicating a negative correlation between ADC and the grade of hepatic fibrosis; rs = -0.901, <i>p</i> < 0.001.</p><p><strong>Conclusions: </strong>DT-MRI showed good efficacy in the diagnosis of congenital DPM. Moreover, ADC could be applied to monitor the degree of liver fibrosis rather than the invasive liver biopsy. No significant correlation was noted between the FA and the grades of liver fibrosis.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/93/PJR-88-50344.PMC10086607.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9305517","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
Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review. 诊断性影像学检查中腹腔保留手术物品:10例及文献复习
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.127668
Andrzej Modrzejewski, Konrad Mateusz Kaźmierczak, Krzysztof Kowalik, Inga Grochal
{"title":"Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review.","authors":"Andrzej Modrzejewski,&nbsp;Konrad Mateusz Kaźmierczak,&nbsp;Krzysztof Kowalik,&nbsp;Inga Grochal","doi":"10.5114/pjr.2023.127668","DOIUrl":"https://doi.org/10.5114/pjr.2023.127668","url":null,"abstract":"<p><p>Despite improvements in the safety of surgical procedures, leaving a foreign object in a patient's body is still one of the complications of surgical procedures. The literature lacks an analysis of the effectiveness of specific diagnostic tests in detecting foreign objects. The authors present a discussion of the effectiveness of selected techniques and examples of the appearance of foreign bodies in radiological images based on the description of 10 cases. Leaving surgical haemostatic material in the abdominal or pelvic cavity is an underestimated phenomenon that poses a serious diagnostic problem. Computed tomography is the most sensitive method for detecting a foreign body, while a chest or abdominal X-ray is the simplest and most effective way to identify the surgical material. Ultrasound, although widely available, has not shown utility in diagnosing foreign bodies in our cases. Awareness of this problem is necessary to avoid unnecessary mortality in surgical patients.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/be/PJR-88-50731.PMC10317007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792697","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: 1
Influence of augmentation on the performance of the double ResNet-based model for chest X-ray classification. 增强对双重resnet胸片分类模型性能的影响。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.126717
Anna Kloska, Martyna Tarczewska, Agata Giełczyk, Sylwester Michał Kloska, Adrian Michalski, Zbigniew Serafin, Marcin Woźniak
{"title":"Influence of augmentation on the performance of the double ResNet-based model for chest X-ray classification.","authors":"Anna Kloska,&nbsp;Martyna Tarczewska,&nbsp;Agata Giełczyk,&nbsp;Sylwester Michał Kloska,&nbsp;Adrian Michalski,&nbsp;Zbigniew Serafin,&nbsp;Marcin Woźniak","doi":"10.5114/pjr.2023.126717","DOIUrl":"https://doi.org/10.5114/pjr.2023.126717","url":null,"abstract":"<p><strong>Purpose: </strong>A pandemic disease elicited by the SARS-CoV-2 virus has become a serious health issue due to infecting millions of people all over the world. Recent publications prove that artificial intelligence (AI) can be used for medical diagnosis purposes, including interpretation of X-ray images. X-ray scanning is relatively cheap, and scan processing is not computationally demanding.</p><p><strong>Material and methods: </strong>In our experiment a baseline transfer learning schema of processing of lung X-ray images, including augmentation, in order to detect COVID-19 symptoms was implemented. Seven different scenarios of augmentation were proposed. The model was trained on a dataset consisting of more than 30,000 X-ray images.</p><p><strong>Results: </strong>The obtained model was evaluated using real images from a Polish hospital, with the use of standard metrics, and it achieved accuracy = 0.9839, precision = 0.9697, recall = 1.0000, and F1-score = 0.9846.</p><p><strong>Conclusions: </strong>Our experiment proved that augmentations and masking could be important steps of data pre-processing and could contribute to improvement of the evaluation metrics. Because medical professionals often tend to lack confidence in AI-based tools, we have designed the proposed model so that its results would be explainable and could play a supporting role for radiology specialists in their work.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/0a/PJR-88-50558.PMC10280365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068973","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
"Keep it simple - a lesson from COVID-19": highlighting the utility of chest X-rays in ARDS-associated illnesses through the Zonal Scoring System. “保持简单——从COVID-19吸取的教训”:通过区域评分系统强调胸部x光检查在ards相关疾病中的作用。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.125981
Anna Rachel Menezes, Arun George, Linda Ann Joseph, Bimal Saju, Athul Varghese Kurian
{"title":"\"Keep it simple - a lesson from COVID-19\": highlighting the utility of chest X-rays in ARDS-associated illnesses through the Zonal Scoring System.","authors":"Anna Rachel Menezes,&nbsp;Arun George,&nbsp;Linda Ann Joseph,&nbsp;Bimal Saju,&nbsp;Athul Varghese Kurian","doi":"10.5114/pjr.2023.125981","DOIUrl":"https://doi.org/10.5114/pjr.2023.125981","url":null,"abstract":"<p><strong>Purpose: </strong>The post-pandemic era calls for appropriate literature on chest X-ray score cut-offs, enabling swift categorization and faster radiological reporting of patients with acute respiratory distress syndrome (ARDS)-like illnesses, hence prompting healthcare equity in low-resource centres where extortionate modalities of imaging such as computed tomography (CT) are unavailable. In this study, we aim to bridge the literature gap using the versatile zonal scoring system.</p><p><strong>Material and methods: </strong>This retrospective cohort study uses data from 751 COVID-19 RT-PCR+ patients. Concordant chest radiograph (CXR) scores were reported, and inter-rater reliability was measured using kappa indices. receiver operating characteristic curves were used to establish cut-off scores for the outcomes of interest: mild or severe disease, admission to an intensive care unit (ICU), and intubation. Categorical data were expressed using means and percentages, and c<sup>2</sup> or <i>t</i>-tests were used for comparison at an a level of 0.05. Unadjusted odds ratios for each outcome of interest vs. CXR score and comorbidity were then calculated using binary logistic regression.</p><p><strong>Results: </strong>CXR findings included infiltrates (46.07%), pleural effusions (7.05%), consolidation and fibrosis (4.43%), pneumothoraces (2.71%), and cardiomegaly (2.26%). Most patients had an index CXR score of 0 (54.19%). The index cut-off score of ≤ 1 (82.95, 81.68) was established for mild disease, ≥ 4 for severe disease (85.71, 83.99), ≥ 3 for ICU admission (86.90, 71.91), and ≥ 4 for intubation (87.61, 72.90). Hypertension, type 2 diabetes mellitus, hypothyroidism, history of ischaemic heart disease, and history of tuberculosis were independent risk factors for a high CXR index score, intubation, and ICU admission.</p><p><strong>Conclusions: </strong>CXR scores can be effectively used in low-resource settings for triaging patients, maintaining records, and disease prognostication.</p>","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/81/PJR-88-50366.PMC10086609.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9305514","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
Diagnosis and treatment of peritoneal carcinomatosis - a comprehensive overview. 腹膜癌的诊断与治疗综述。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.125027
Małgorzata Anna Szadkowska, Jakub Pałucki, Andrzej Cieszanowski
{"title":"Diagnosis and treatment of peritoneal carcinomatosis - a comprehensive overview.","authors":"Małgorzata Anna Szadkowska,&nbsp;Jakub Pałucki,&nbsp;Andrzej Cieszanowski","doi":"10.5114/pjr.2023.125027","DOIUrl":"https://doi.org/10.5114/pjr.2023.125027","url":null,"abstract":"Peritoneal carcinomatosis, which is the most common malignant process of the peritoneal cavity, originates mostly from colorectal, gastric, and gynaecological malignancies. The differential diagnosis is broad and covers primary peritoneal malignancies, as well as many benign disorders such as endometriosis, and inflammatory and infectious diseases. Peritoneal implants tend to locate in the areas of the physiological stasis of the peritoneal fluid: pelvic peritoneal reflections, right and left paracolic gutters, superior part of the sigmoid mesocolon, ileocolic area, and the right subdiaphragmatic space. The 3 most common imaging findings are ascites, nodular implants, and infiltration of the peritoneal fatty tissue. Several imaging modalities may be applied in patients with peritoneal carcinomatosis. Ultrasound has low sensitivity and specificity, and therefore plays only a marginal role. Computed tomography is the method of choice, due to its availability, cost-effectiveness, and relatively high sensitivity. The sensitivity of magnetic resonance imaging depends on the size of peritoneal implants – in cases of implants larger than 10 mm is comparable to CT. Some studies suggest that PET/CT may be the most sensitive method, yet its usefulness in everyday practice is controversial. The Peritoneal Carcinomatosis Index (PCI) is a scale used to assess the tumour burden in the peritoneum and may serve as a communication tool between clinicians and radiologists. The imaging findings may influence the surgeon’s decision on performing cytoreductive surgery, which may be followed by intraperitoneal chemotherapy (HIPEC or EPIC procedures). The introduction of these therapeutic methods has significantly improved the life expectancy of patients with peritoneal carcinomatosis.","PeriodicalId":47128,"journal":{"name":"Polish Journal of Radiology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/ba/PJR-88-50134.PMC9995246.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9102557","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: 3
The association of left atrial mechanics with left ventricular morphology in patients with hypertrophic cardiomyopathy: a cardiac magnetic resonance study. 肥厚性心肌病患者左心房力学与左心室形态的关系:一项心脏磁共振研究。
IF 1.2
Polish Journal of Radiology Pub Date : 2023-01-01 DOI: 10.5114/pjr.2023.125213
Arda Guler, Cagdas Topel, Ahmet Anil Sahin, Sinem Aydin, Ekrem Guler, Kadriye Memic Sancar, Aysel Turkvatan Cansever, Gamze Babur Guler, Mehmet Erturk
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