Diagnostic and Interventional Radiology最新文献

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Preferences of referring physicians regarding the role of radiologists as direct communicators of test results. 转诊医生对放射科医生作为检测结果直接沟通者的角色的偏好。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2017-01-01 DOI: 10.5152/dir.2016.16325
N. Erdoğan, H. İmamoğlu, S. Görkem, S. Doğan, S. Şenol, A. Öztürk
{"title":"Preferences of referring physicians regarding the role of radiologists as direct communicators of test results.","authors":"N. Erdoğan, H. İmamoğlu, S. Görkem, S. Doğan, S. Şenol, A. Öztürk","doi":"10.5152/dir.2016.16325","DOIUrl":"https://doi.org/10.5152/dir.2016.16325","url":null,"abstract":"PURPOSE Currently, there is a growing need for patient-centered radiology in which radiologists communicate with patients directly. The aim of this study is to investigate the preferences of referring physicians (RPs) regarding direct communication between radiologists and patients. METHODS This study was conducted in a single academic hospital using a survey form. The survey items investigated the preferences of RPs regarding: 1. who should be the communicator of test results when a patient with abnormal findings requests information (the options were the radiologist; another health professional with communication skills training (CST); and the RP with CST); and 2. how the communication activity should be conducted if the radiologist is obliged (or chooses) to communicate with the patient directly (the options were that the disclosure should be limited to the findings in the radiology report; the radiologist should emphasize that the RP is the primary physician; and the communication activity should be conducted in accordance with guidelines established by consensus). The respondents were 101 RPs from various fields of specialty; they were asked to rate the items using a 5-point Likert scale. The effects of age, sex, field of specialty (surgical vs. nonsurgical), and total years of experience as a medical specialist on the ratings were statistically compared. RESULTS Most RPs preferred that the radiologist transmit the information to the RP without communicating directly with the patient (89.1%). Although 69.3% of the RPs declared that health professionals with CST have priority in communication, 86.1% declared that the RP should be the person who received CST. If the radiologist communicates with patients directly, the RPs favored that 1. the disclosure should be limited to the findings in the radiology report (95%); 2. the communication activity should include an emphasis on the RP as the patient's primary agent (84.1%); and 3. communication should be conducted in accordance with guidelines established by consensus (73.2%). The percentage of strong opinions did not change significantly with regard to age, sex, field of specialty, or total years of experience, except that surgeons expressed strong disagreement with delegating the communication activity to another health professional who received CST (χ² = 9.9; P = 0.042). CONCLUSION These findings may serve as a basis to implement institutional and national policies for patient-centered radiology.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"10 1","pages":"81-85"},"PeriodicalIF":2.1,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/dir.2016.16325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006853","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}
引用次数: 12
Cardiac calcified amorphous tumors: CT and MRI findings. 心脏钙化无定形肿瘤:CT和MRI表现。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.16075
R. Yılmaz, A. Demir, İmran Önür, Dilek Yılbazbayhan, M. Dursun
{"title":"Cardiac calcified amorphous tumors: CT and MRI findings.","authors":"R. Yılmaz, A. Demir, İmran Önür, Dilek Yılbazbayhan, M. Dursun","doi":"10.5152/DIR.2016.16075","DOIUrl":"https://doi.org/10.5152/DIR.2016.16075","url":null,"abstract":"PURPOSE\u0000We aimed to evaluate computed tomography (CT) and magnetic resonance imaging (MRI) findings of cardiac calcified amorphous tumors (CATs).\u0000\u0000\u0000METHODS\u0000CT and MRI findings of cardiac CATs in 12 patients were included. We retrospectively examined patient demographics, location, size, shape configuration, imaging features, calcification distribution of tumors, and accompanying medical problems.\u0000\u0000\u0000RESULTS\u0000There was a female predominance (75%), with a mean age at presentation of 65 years. Patients were mostly asymptomatic on presentation (58.3%). The left ventricle of the heart was mostly involved (91%). CT findings of CATs were classified as partial calcification with a hypodense mass in four patients or a diffuse calcified form in eight. Calcification was predominant with large foci appearance as in partially calcified masses. On T1- and T2-weighted magnetic resonance images, CATs appeared hypointense and showed no contrast enhancement.\u0000\u0000\u0000CONCLUSION\u0000The shape and configuration of cardiac CATs are variable with a narrow spectrum of CT and MRI findings, but large foci in a partially calcified mass or diffuse calcification of a mass on CT is very important in the diagnosis of cardiac CATs. Masses show a low signal intensity on T1- and T2-weighted images with no contrast enhancement on MRI.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"519-524"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.16075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71007106","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}
引用次数: 19
Cross-sectional imaging of congenital and acquired abnormalities of the portal venous system. 门静脉系统先天性和后天性异常的横断成像。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.16012
M. Özbayrak, S. Tatli
{"title":"Cross-sectional imaging of congenital and acquired abnormalities of the portal venous system.","authors":"M. Özbayrak, S. Tatli","doi":"10.5152/DIR.2016.16012","DOIUrl":"https://doi.org/10.5152/DIR.2016.16012","url":null,"abstract":"Knowing the normal anatomy, variations, congenital and acquired pathologies of the portal venous system are important, especially when planning liver surgery and percutaneous interventional procedures. The portal venous system pathologies can be congenital such as agenesis of portal vein (PV) or can be involved by other hepatic disorders such as cirrhosis and malignancies. In this article, we present normal anatomy, variations, and acquired pathologies involving the portal venous system as seen on computed tomography (CT) and magnetic resonance imaging (MRI).","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"501-507"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.16012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006701","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}
引用次数: 4
Noncavernous arteriovenous shunts mimicking carotid cavernous fistulae. 模拟颈动脉海绵状瘘的非海绵状动静脉分流术。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.16073
C. Kobkitsuksakul, P. Jiarakongmun, E. Chanthanaphak, S. Pongpech
{"title":"Noncavernous arteriovenous shunts mimicking carotid cavernous fistulae.","authors":"C. Kobkitsuksakul, P. Jiarakongmun, E. Chanthanaphak, S. Pongpech","doi":"10.5152/DIR.2016.16073","DOIUrl":"https://doi.org/10.5152/DIR.2016.16073","url":null,"abstract":"PURPOSE\u0000The classic symptoms and signs of carotid cavernous sinus fistula or cavernous sinus dural arteriovenous fistula (AVF) consist of eye redness, exophthalmos, and gaze abnormality. The angiography findings typically consist of arteriovenous shunt at cavernous sinus with ophthalmic venous drainage with or without cortical venous reflux. In rare circumstances, the shunts are localized outside the cavernous sinus, but mimic symptoms and radiography of the cavernous shunt. We would like to present the other locations of the arteriovenous shunt, which mimic the clinical presentation of carotid cavernous fistulae, and analyze venous drainages.\u0000\u0000\u0000METHODS\u0000We retrospectively examined the records of 350 patients who were given provisional diagnoses of carotid cavernous sinus fistulae or cavernous sinus dural AVF in the division of Interventional Neuroradiology, Ramathibodi Hospital, Bangkok between 2008 and 2014. Any patient with cavernous arteriovenous shunt was excluded.\u0000\u0000\u0000RESULTS\u0000Of those 350 patients, 10 patients (2.85%) were identified as having noncavernous sinus AVF. The angiographic diagnoses consisted of three anterior condylar (hypoglossal) dural AVF, two traumatic middle meningeal AVF, one lesser sphenoid wing dural AVF, one vertebro-vertebral fistula (VVF), one intraorbital AVF, one direct dural artery to cortical vein dural AVF, and one transverse-sigmoid dural AVF. Six cases (60%) were found to have venous efferent obstruction.\u0000\u0000\u0000CONCLUSION\u0000Arteriovenous shunts mimicking the cavernous AVF are rare, with a prevalence of only 2.85% in this series. The clinical presentation mainly depends on venous outflow. The venous outlet of the arteriovenous shunts is influenced by venous afferent-efferent patterns according to the venous anatomy of the central nervous system and the skull base, as well as by architectural disturbance, specifically, obstruction of the venous outflow.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"555-559"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.16073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71007100","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}
引用次数: 11
Pulmonary adenocarcinomas presenting as ground-glass opacities on multidetector CT: three-dimensional computer-assisted analysis of growth pattern and doubling time. 肺腺癌在多层CT上表现为磨玻璃样混浊:三维计算机辅助分析生长模式和倍增时间。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.16110
A. Borghesi, D. Farina, Silvia Michelini, M. Ferrari, D. Benetti, S. Fisogni, A. Tironi, R. Maroldi
{"title":"Pulmonary adenocarcinomas presenting as ground-glass opacities on multidetector CT: three-dimensional computer-assisted analysis of growth pattern and doubling time.","authors":"A. Borghesi, D. Farina, Silvia Michelini, M. Ferrari, D. Benetti, S. Fisogni, A. Tironi, R. Maroldi","doi":"10.5152/DIR.2016.16110","DOIUrl":"https://doi.org/10.5152/DIR.2016.16110","url":null,"abstract":"PURPOSE\u0000We aimed to evaluate the growth pattern and doubling time (DT) of pulmonary adenocarcinomas exhibiting ground-glass opacities (GGOs) on multidetector computed tomography (CT).\u0000\u0000\u0000METHODS\u0000The growth pattern and DT of 22 pulmonary adenocarcinomas exhibiting GGOs were retrospectively analyzed using three-dimensional semiautomatic software. Analysis of each lesion was based on calculations of volume and mass changes and their respective DTs throughout CT follow-up. Three-dimensional segmentation was performed by a single radiologist on each CT scan. The same observer and another radiologist independently repeated the segmentation at the baseline and the last CT scan to determine the variability of the measurements. The relationships among DTs, histopathology, and initial CT features of the lesions were also analyzed.\u0000\u0000\u0000RESULTS\u0000Pulmonary adenocarcinomas presenting as GGOs exhibited different growth patterns: some lesions grew rapidly and some grew slowly, whereas others alternated between periods of growth, stability, or shrinkage. A significant increase in volume and mass that exceeded the coefficient of repeatability of interobserver variability was observed in 72.7% and 84.2% of GGOs, respectively. The volume-DTs and mass-DTs were heterogeneous throughout the follow-up CT scan (range, -4293 to 21928 and -3113 to 17020 days, respectively), and their intra- and interobserver variabilities were moderately high. The volume-DTs and mass-DTs were not correlated with the initial CT features of GGOs; however, they were significantly shorter in invasive adenocarcinomas (P = 0.002 and P = 0.001, respectively).\u0000\u0000\u0000CONCLUSION\u0000Pulmonary adenocarcinomas exhibiting GGOs show heterogeneous growth patterns with a trend toward a progressive increase in size. DTs may be useful for predicting tumor aggressiveness.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"525-533"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.16110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006719","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}
引用次数: 20
Reproducibility and variability of very low dose hepatic perfusion CT in metastatic liver disease. 极低剂量肝脏灌注CT在转移性肝病中的可重复性和可变性。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.16612
O. M. Topçuoğlu, M. Karçaaltıncaba, D. Akata, M. Özmen
{"title":"Reproducibility and variability of very low dose hepatic perfusion CT in metastatic liver disease.","authors":"O. M. Topçuoğlu, M. Karçaaltıncaba, D. Akata, M. Özmen","doi":"10.5152/DIR.2016.16612","DOIUrl":"https://doi.org/10.5152/DIR.2016.16612","url":null,"abstract":"PURPOSE\u0000We aimed to determine the intra- and interobserver agreement on the software analysis of very low dose hepatic perfusion CT (pCT).\u0000\u0000\u0000METHODS\u0000A total of 53 pCT examinations were obtained from 21 patients (16 men, 5 women; mean age, 60.4 years) with proven liver metastasis from various primary cancers. The pCT examinations were analyzed by two readers independently and perfusion parameters were noted for whole liver, whole metastasis, metastasis wall, and normal-looking liver (liver tissue without metastasis) in regions of interest (ROIs). Readers repeated the analysis after an interval of one month. Intra- and interobserver agreements were assessed with intraclass correlation coefficients (ICC) and Bland-Altman statistics.\u0000\u0000\u0000RESULTS\u0000The mean ICCs of all ROIs between readers were 0.91, 0.93, 0.86, 0.45, 0.53, and 0.66 for blood flow (BF), blood volume (BV), permeability, arterial liver perfusion (ALP), portal venous perfusion (PVP) and hepatic perfusion index (HPI), respectively. The mean ICCs of all ROIs between readings were 0.86, 0.91, 0.81, 0.53, 0.56, and 0.71 for BF, BV, permeability, ALP, PVP, and HPI, respectively. There was greater agreement on the parameters measured for the whole metastasis than on the parameters measured for the metastasis wall. The effective dose of all perfusion CT studies was 2.9 mSv.\u0000\u0000\u0000CONCLUSION\u0000There is greater intra- and interobserver agreement for BF and BV than for permeability, ALP, PVP, and HPI at very low dose hepatic pCT. Permeability, ALP, PVP, and HPI parameters cannot be used in clinical practice for hepatic pCT with an effective dose of 2.9 mSv.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"495-500"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.16612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006867","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}
引用次数: 6
Radiologic findings of screen-detected cancers in an organized population-based screening mammography program in Turkey. 在土耳其有组织的以人群为基础的筛查性乳房x光检查项目中筛查检测到的癌症的放射学结果。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.15250
A. Kayhan, E. Arıbal, C. Sahin, Ömür Can Taşçı, Sibel Özkan Gürdal, E. Öztürk, H. Hatipoğlu, Nilüfer Özaydın, N. Cabioğlu, Beyza Özçınar, V. Özmen
{"title":"Radiologic findings of screen-detected cancers in an organized population-based screening mammography program in Turkey.","authors":"A. Kayhan, E. Arıbal, C. Sahin, Ömür Can Taşçı, Sibel Özkan Gürdal, E. Öztürk, H. Hatipoğlu, Nilüfer Özaydın, N. Cabioğlu, Beyza Özçınar, V. Özmen","doi":"10.5152/DIR.2016.15250","DOIUrl":"https://doi.org/10.5152/DIR.2016.15250","url":null,"abstract":"PURPOSE\u0000Bahçeşehir Breast Cancer Screening Program is a population based organized screening program in Turkey, where asymptomatic women aged 40-69 years are screened biannually. In this prospective study, we aimed to determine the mammographic findings of screen-detected cancers and discuss the efficacy of breast cancer screening in a developing country.\u0000\u0000\u0000METHODS\u0000A total of 6912 women were screened in three rounds. The radiologic findings were grouped as mass, focal asymmetry, calcification, and architectural distortion. Masses were classified according to shape, border, and density. Calcifications were grouped according to morphology and distribution. Cancers were grouped according to the clinical stage.\u0000\u0000\u0000RESULTS\u0000Seventy cancers were detected with an incidence of 4.8/1000. Two cancers were detected in other centers and three were not visualized mammographically. Mammographic presentations of the remaining 65 cancers were mass (47.7%, n=31), calcification (30.8%, n=20), focal asymmetry (16.9%, n=11), architectural distortion (3.1%, n=2), and skin thickening (1.5%, n=1). The numbers of stage 0, 1, 2, 3, and 4 cancers were 13 (20.0%), 34 (52.3%), 14 (21.5%), 3 (4.6%), and 1 (1.5%), respectively. The numbers of interval and missed cancers were 5 (7.4%) and 7 (10.3%), respectively.\u0000\u0000\u0000CONCLUSION\u0000A high incidence of early breast cancer has been detected. The incidence of missed and interval cancers did not show major differences from western screening trials. We believe that this study will pioneer implementation of efficient population-based mammographic screenings in developing countries.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"508-513"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.15250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006385","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}
引用次数: 5
Role of diffusion-weighted imaging for detecting bone marrow infiltration in skull in children with acute lymphoblastic leukemia. 弥散加权成像在急性淋巴细胞白血病患儿颅骨骨髓浸润检测中的作用。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.15167
Weiguo Cao, C. Liang, Yun-Geng Gen, Chen Wang, Cailei Zhao, Longwei Sun
{"title":"Role of diffusion-weighted imaging for detecting bone marrow infiltration in skull in children with acute lymphoblastic leukemia.","authors":"Weiguo Cao, C. Liang, Yun-Geng Gen, Chen Wang, Cailei Zhao, Longwei Sun","doi":"10.5152/DIR.2016.15167","DOIUrl":"https://doi.org/10.5152/DIR.2016.15167","url":null,"abstract":"PURPOSE\u0000We aimed to determine whether diffusion-weighted imaging (DWI) with apparent diffusion coefficient (ADC) measurement can detect skull bone marrow infiltration in newly diagnosed acute lymphoblastic leukemia (ALL) children before therapy and normalization in complete remission after treatment.\u0000\u0000\u0000METHODS\u0000Fifty-one newly diagnosed acute lymphoblastic leukemia (ALL) patients and 30 healthy age-matched subjects were included. Cranial magnetic resonance imaging (MRI) scans were reviewed, and skull marrow ADC values were compared before treatment and in complete remission after therapy.\u0000\u0000\u0000RESULTS\u0000Skull marrow infiltration, manifested with abnormal DWI signals, was present in 37 patients (72.5%) before treatment. Of these, 23 (62.2%) showed scattered signal abnormalities and 14 (37.8%) showed a uniform abnormal signal pattern. Compared with the control group, ADC was significantly decreased in patients with ALL. DWI signal intensity and ADC normalized in patients with complete remission.\u0000\u0000\u0000CONCLUSION\u0000DWI is a useful and noninvasive tool for detecting skull infiltration in ALL children before treatment and normalization at complete remission after therapy, and it is superior to conventional MRI in terms of conspicuity of these lesions. DWI could be used as an MRI biomarker for evaluation of treatment in ALL children.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"580-586"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.15167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71005753","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}
引用次数: 19
Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings. 剖宫产后骨盆多探头CT表现:正常与异常急性表现。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.15593
B. Gui, F. Danza, A. Valentini, M. Laino, A. Caruso, B. Carducci, E. Rodolfino, E. Devicienti, L. Bonomo
{"title":"Multidetector CT appearance of the pelvis after cesarean delivery: normal and abnormal acute findings.","authors":"B. Gui, F. Danza, A. Valentini, M. Laino, A. Caruso, B. Carducci, E. Rodolfino, E. Devicienti, L. Bonomo","doi":"10.5152/DIR.2016.15593","DOIUrl":"https://doi.org/10.5152/DIR.2016.15593","url":null,"abstract":"Cesarean section (CS) may have several acute complications that can occur in the early postoperative period. The most common acute complications are hematomas and hemorrhage, infection, ovarian vein thrombosis, uterine dehiscence and rupture. Pelvic hematomas usually occur at specific sites and include bladder flap hematoma (between the lower uterine segment and the bladder) and subfascial or rectus sheath hematoma (rectus sheath or prevescical space). Puerperal hemorrhage can be associated with uterine dehiscence or rupture. Pelvic infections include endometritis, abscess, wound infection, and retained product of conception. Radiologists play an important role in the diagnosis and management of postoperative complications as a result of increasing use of multidetector CT in emergency room. The knowledge of normal and abnormal postsurgical anatomy and findings should facilitate the correct diagnosis so that the best management can be chosen for the patient, avoiding unnecessary surgical interventions and additional treatments. In this article we review the surgical cesarean technique and imaging CT technique followed by description of normal and abnormal post-CS CT findings.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"534-541"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.15593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006230","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}
引用次数: 13
Local tumor progression patterns after radiofrequency ablation of colorectal cancer liver metastases. 结直肠癌肝转移灶射频消融术后局部肿瘤进展模式。
IF 2.1 4区 医学
Diagnostic and Interventional Radiology Pub Date : 2016-11-01 DOI: 10.5152/DIR.2016.15543
Marc Napoleone, A. Kielar, Rebecca M Hibbert, Sameh Saif, B. Kwan
{"title":"Local tumor progression patterns after radiofrequency ablation of colorectal cancer liver metastases.","authors":"Marc Napoleone, A. Kielar, Rebecca M Hibbert, Sameh Saif, B. Kwan","doi":"10.5152/DIR.2016.15543","DOIUrl":"https://doi.org/10.5152/DIR.2016.15543","url":null,"abstract":"PURPOSE\u0000We aimed to evaluate patterns of local tumor progression (LTP) after radiofrequency ablation (RF ablation) of colorectal cancer liver metastases (CRCLM) and to highlight the percentage of LTP not attributable to lesion size or RF ablation procedure-related factors (heat sink or insufficient ablation margin).\u0000\u0000\u0000METHODS\u0000CRCLM treated by RF ablation at a single tertiary care center from 2004-2012, with a minimum of six months of postprocedure follow-up, were included in this retrospective study. LTP morphology was classified as focal nodular (<90° of ablation margin), circumferential (>270°), or crescentic (90°-270°). Initial metastasis size, minimum ablation margin size, morphology of LTP, presence of a heat sink, and time to progression were recorded independently by two radiologists.\u0000\u0000\u0000RESULTS\u0000Thirty-two of 127 RF ablation treated metastases (25%) with a mean size of 23 mm (standard deviation 12 mm) exhibited LTP. Fifteen of 32 LTPs (47%) were classified as focal nodular, with seven having no procedure-related factor to explain recurrence. Ten of 32 LTPs (31%) were circumferential, with four having no procedure-related factor to explain recurrence. Seven of 32 LTPs (22%) were crescentic, with two having no procedure-related factor to explain recurrence. Of the 13 lesions without any obvious procedure-related reason for LTP, six (46%) were <3 cm in size.\u0000\u0000\u0000CONCLUSION\u0000Although LTP in RF ablation treated CRCLM can often be explained by procedure-related factors or size of the lesion, in this study up to six (5%) of the CRCLM we treated showed LTP without any reasonable cause.","PeriodicalId":50582,"journal":{"name":"Diagnostic and Interventional Radiology","volume":"22 6 1","pages":"548-554"},"PeriodicalIF":2.1,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/DIR.2016.15543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71006520","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}
引用次数: 7
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