RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin最新文献

{"title":"„Innovativ, vernetzt, gesundheitspolitisch stark“.","authors":"","doi":"10.1055/a-1952-5036","DOIUrl":"https://doi.org/10.1055/a-1952-5036","url":null,"abstract":"Univ.-Prof. Dr. Gerald Antoch, Direktor des Instituts für Diagnostische und Interventionelle Radiologie am Universitätsklinikum Düsseldorf, ist stellvertretender Präsident der Deutschen Röntgengesellschaft und seit Juni 2022 Sprecher Gesundheitsstrategie des Vorstandes. Im Interview erläutert Professor Antoch, warum diese Position eingerichtet wurde und weshalb die Radiologie ihre Interessen stärker als bisher in den Einrichtungen der Selbstverwaltung im Gesundheitswesen vertreten sollte.","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1375-1376"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"„Abenteuer Forschung!“ – 104. Deutscher Röntgenkongress startet am 1. März 2023.","authors":"","doi":"10.1055/a-1952-5591","DOIUrl":"https://doi.org/10.1055/a-1952-5591","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1373"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Präsenz und online: Das erwartet Sie bei der Kinderradiologischen Fortbildung 2023.","authors":"","doi":"10.1055/a-1952-5380","DOIUrl":"https://doi.org/10.1055/a-1952-5380","url":null,"abstract":"Die zweitägige Veranstaltung findet am 10. und 11. März 2023 am UKSH in Kiel statt, sowohl in Präsenz als auch online. Die behandelten Themen aus der Kinderund Jugendradiologie gehören zum Basiswissen aller Radiologinnen sowie Radiologen und sollten auch in nicht spezialisierten Einrichtungen zuverlässig beherrscht werden. Erfahrene Dozentinnen und Dozenten werden Ihnen in bewährter Weise in Anlehnung an das Weiterbildungscurriculum der DRG (drg.de > Forum Junge Radiologie > Curriculum) das erforderliche Basiswissen sowie Expertentipps für Ihre klinische Arbeit vermitteln.","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1380"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work and Training Conditions of German Residents and Young Radiologists in Interventional Radiology - A Nationwide Survey.","authors":"Malte Sieren,&nbsp;Marcus Katoh,&nbsp;Andreas H Mahnken,&nbsp;Peter Reimer,&nbsp;Kerstin Westphalen,&nbsp;Ralf-Thorsten Hoffmann,&nbsp;Philipp Paprottka,&nbsp;Stefan Rohde,&nbsp;Frank K Wacker,&nbsp;Peter Minko,&nbsp;Isabel Molwitz,&nbsp;Thekla Helene Oechtering,&nbsp;Saif Afat,&nbsp;Andreas Michael Bucher,&nbsp;Mirjam Gerwing,&nbsp;Corinna Storz,&nbsp;Henrike-Renate Ziegler,&nbsp;Jörg Barkhausen,&nbsp;Anne Frisch","doi":"10.1055/a-1853-8549","DOIUrl":"https://doi.org/10.1055/a-1853-8549","url":null,"abstract":"<p><p>With the increasing need for minimally invasive procedures based on lower complication rates, higher patient acceptance, and technical developments, there is a growing focus on the sound interventional training of young radiologists. This survey aimed to analyze the current situation in interventional radiology (IR) training in Germany to detect shortcomings and identify areas for improvement.From November 1-30, 2020, an online questionnaire was distributed to representative radiological associations and societies with the request to forward it to radiology residents and radiologists < 40 years. The 44 questions covered six distinct areas from personal working conditions to the characterization of the IR department, training conditions, role of women in IR, and attendance at congresses/external training.A total of 330 participants completed the questionnaire. 77 % of participants expressed a high interest in IR, and 47 % could even imagine subspecializing in interventional radiology. Most institutions provided the necessary learning conditions and infrastructure. The rate of overall satisfaction with IR training conditions was 45 % (vs. a dissatisfaction rate of 39 %). However, females showed a lower satisfaction rate with their training environment than male participants (28 % vs. 51 %; P = 0.06). Positive correlations with work satisfaction were found for the presence and duration of the IR rotation, the number of partly independently/mentored performed interventions, and structured feedback. Moreover, the need for a structured training curriculum was expressed by 67 % of participants.Radiological residents and young radiologists expressed a high interest in interventional radiology, and they rate the infrastructure of German hospitals regarding IR as sufficient. However, they expressed the need for consistent IR rotations and better-structured resident and postgraduate education (curricula & interviews).Interest in interventional radiology among radiological residents and young radiologists in Germany is high, but satisfaction with interventional radiology training leaves room for improvement. The most frequently mentioned aspects that can improve IR training were · organized rotations of at least 6 months. · structured curriculums with face-to-face feedback. · structured guidance by senior interventionists during procedures. CITATION FORMAT: · Sieren M, Katoh M, Mahnken AH et al. Work and Training Conditions of German Residents and Young Radiologists in Interventional Radiology - A Nationwide Survey. Fortschr Röntgenstr 2022; 194: 1346 - 1357.</p>","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1346-1357"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40519038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zur Rechtswidrigkeit der Rücknahmefiktion eines Widerspruchs gegen Entscheidungen der Zulassungsausschüsse bei nicht fristgerechter Zahlung der Widerspruchsgebühr.","authors":"","doi":"10.1055/a-1970-9102","DOIUrl":"https://doi.org/10.1055/a-1970-9102","url":null,"abstract":"Die Verfahrensvorschriften der Zulassungsverordnung für Vertragsärzte (Ärzte-ZV) haben für Vertragsärzte Vorrang vor den Bestimmungen des Zehnten Buches Sozialgesetzbuch – Sozialverwaltungsverfahren und Sozialdatenschutz (SGB X). Soweit allerdings in der Ärzte-ZV nichts geregelt ist, gelten die Bestimmungen des SGB X (§ 37 SGB I). Sonderregelungen bestehen in der Ärzte-ZV jedoch auch gegenüber dem Vorverfahren nach dem Sozialgerichtsgesetz (SGG). Das Widerspruchsverfahren vor dem Berufungsausschuss nach den §§ 44 und 45 Ärzte-ZV weist insofern Besonderheiten auf.","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1393-1395"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40711405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical Aspects of novel MRI Techniques in Neuroradiology: Part 2 - Acceleration Methods and Implications for Individual Regions.","authors":"Benedikt Sundermann,&nbsp;Benoit Billebaut,&nbsp;Jochen Bauer,&nbsp;Catalin George Iacoban,&nbsp;Olga Alykova,&nbsp;Christoph Schülke,&nbsp;Maike Gerdes,&nbsp;Harald Kugel,&nbsp;Sojan Neduvakkattu,&nbsp;Holger Bösenberg,&nbsp;Christian Mathys","doi":"10.1055/a-1800-8789","DOIUrl":"https://doi.org/10.1055/a-1800-8789","url":null,"abstract":"<p><strong>Background: </strong>Recently introduced MRI techniques facilitate accelerated examinations or increased resolution with the same duration. Further techniques offer homogeneous image quality in regions with anatomical transitions. The question arises whether and how these techniques can be adopted for routine diagnostic imaging.</p><p><strong>Methods: </strong>Narrative review with an educational focus based on current literature research and practical experiences of different professions involved (physicians, MRI technologists/radiographers, physics/biomedical engineering). Different hardware manufacturers are considered.</p><p><strong>Results and conclusions: </strong>Compressed sensing and simultaneous multi-slice imaging are novel acceleration techniques with different yet complimentary applications. They do not suffer from classical signal-to-noise-ratio penalties. Combining 3 D and acceleration techniques facilitates new broader examination protocols, particularly for clinical brain imaging. In further regions of the nervous systems mainly specific applications appear to benefit from recent technological improvements.</p><p><strong>Key points: </strong>· New acceleration techniques allow for faster or higher resolution examinations.. · New brain imaging approaches have evolved, including more universal examination protocols.. · Other regions of the nervous system are dominated by targeted applications of recently introduced MRI techniques..</p><p><strong>Citation format: </strong>· Sundermann B, Billebaut B, Bauer J et al. Practical Aspects of novel MRI Techniques in Neuroradiology: Part 2 - Acceleration Methods and Implications for Individual Regions. Fortschr Röntgenstr 2022; 194: 1195 - 1203.</p>","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1195-1203"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40478200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Possible Alterations of Imaging Patterns in Computed Tomography for Delta-VOC of SARS-CoV-2.","authors":"Can Yüksel,&nbsp;Marwin-Jonathan Sähn,&nbsp;Michael Kleines,&nbsp;Jörg Christian Brokmann,&nbsp;Christiane K Kuhl,&nbsp;Daniel Truhn,&nbsp;Andreas Ritter,&nbsp;Peter Isfort,&nbsp;Maximilian Franz Schulze-Hagen","doi":"10.1055/a-1826-0436","DOIUrl":"https://doi.org/10.1055/a-1826-0436","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;So far, typical findings for COVID-19 in computed tomography (CT) have been described as bilateral, multifocal ground glass opacities (GGOs) and consolidations, as well as intralobular and interlobular septal thickening. On the contrary, round consolidations with the halo sign are considered uncommon and are typically found in fungal infections, such as invasive pulmonary aspergillosis. The authors recently observed several patients with COVID-19 pneumonia presenting with round, multifocal consolidations accompanied by a halo sign. As this may indicate alterations of CT morphology based on the virus variant, the aim of this study was to investigate this matter in more detail.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;161 CT scans of patients with confirmed SARS-CoV-2 infection (RT-PCR within 2 days of CT) examined between January 2021 and September 15, 2021 were included. Follow-up examinations, patients with invasive ventilation at the time of CT, and patients with insufficient virus typing for variants of concern (VOC) were excluded. CT scans were assessed for vertical and axial distribution of pulmonary patterns, degree of involvement, uni- vs. bilaterality, reticulations, and other common findings. The mean density of representative lesions was assessed in Hounsfield units. Results were compared using Mann-Whitney U-tests, Student's t-rests, descriptive statistics, and Fisher's exact tests.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;75 patients did not meet the inclusion criteria. Therefore, 86/161 CT scans of unique patients were analyzed. PCR VOC testing confirmed manifestation of the Delta-VOC SARS-CoV-2 in 22 patients, 39 patients with Alpha-VOC and the remaining 25 patients with Non-VOC SARS-CoV-2 infections. Three patients with the Delta-VOC demonstrated multiple pulmonary masses or nodules with surrounding halo sign, whereas no patients with either Alpha-VOC (p = 0.043) or non-VOC (p = 0.095) demonstrated these findings. All three patients were admitted to normal wards and had no suspicion of a pulmonary co-infection. Patients with Delta-VOC were less likely to have ground glass opacities compared to Alpha-VOC (7/22 or 31.8 % vs. 4/39 or 10.3 %; p &lt; 0.001), whereas a significant difference has not been observed between Delta-VOC and non-VOC (5/25 or 20 %; p = 0.348). The mean representative density of lesions did not show significant differences between the studied cohorts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In this study 3 out of 22 patients (13.6 %) with Delta-VOC presented with bilateral round pulmonary masses or nodules with surrounding halo signs, which has not been established as a notable imaging pattern in COVID-19 pneumonia yet. Compared to the other cohorts, a lesser percentage of patients with Delta-VOC presented with ground glass opacities. Based on these results Delta-VOC might cause a divergence in CT-morphologic phenotype.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Key points: &lt;/strong&gt;· Until recently, CT-morphologic signs of COVID-19 pn","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1229-1241"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40533958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endocavitary Contrast-Enhanced Ultrasound.","authors":"Kurt Vollert,&nbsp;Dirk Andre Clevert,&nbsp;Timm Kleffel","doi":"10.1055/a-1826-0325","DOIUrl":"https://doi.org/10.1055/a-1826-0325","url":null,"abstract":"<p><strong>Background: </strong>Ultrasound is one of the most important imaging methods in the daily routine. Contrast-enhanced ultrasound (CEUS) has put ultrasound on equal footing with computed tomography and magnetic resonance imaging in many areas. Although ultrasound contrast agents are commonly administered intravenously, endocavitary application as performed in the case of iodine-containing contrast agents is also possible.</p><p><strong>Method: </strong>Based on the current literature, this overview provides information regarding possible endocavitary applications of ultrasound contrast agents as they are used and could be used in the daily routine in radiology. Examples are provided to illustrate the advantages and disadvantages of clinical use.</p><p><strong>Results and conclusion: </strong>Endocavitary CEUS broadens the spectrum of possible ultrasound applications and can be safely used for patient diagnosis and treatment. The method can be safely used for diagnosis and patient management, particularly in patients in whom examinations including exposure to radiation with iodine-containing contrast agents may be contraindicated and who have limited mobility due to disease severity.</p><p><strong>Key points: </strong>· Endocavitary CEUS is a safe method that can be readily learned by those with prior ultrasound training. Radiologists benefit from their existing knowledge of contrast-enhanced imaging.. · With ultrasound contrast agents, endocavitary examinations comparable to CT and fluoroscopy can be performed without having to take radiation exposure, preexisting conditions, and patient mobility into consideration.. · In principle, endocavitary CEUS can access every body cavity (physiological and pathological) and body orifice with any access device.. · The method is mainly used for interventions including puncture and drainage. The diluted ultrasound contrast agent can be continuously visualized in the access device and in the target region, including distribution within the target region, with high spatial and temporal resolution. Voiding urosonography and visualization of the salivary duct system should also be mentioned in the radiological context.. · Poor B-mode imaging conditions typically also mean poor CEUS conditions. Imaging methods that can reliably evaluate low-lying structures and structures with overlying air, particularly in obese patients, without artifacts and can provide a good overview have a clear advantage here..</p><p><strong>Citation format: </strong>· Vollert K, Clevert DA, Kleffel T. Endocavitary Contrast-Enhanced Ultrasound. Fortschr Röntgenstr 2022; 194: 1204 - 1214.</p>","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1204-1215"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"„Kongress-Sommer 2022 – Alles wie immer oder doch ganz anders?“.","authors":"","doi":"10.1055/a-1903-7183","DOIUrl":"https://doi.org/10.1055/a-1903-7183","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1161"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individuelle Gesundheitsleistungen in der Radiologie.","authors":"","doi":"10.1055/a-1903-6605","DOIUrl":"https://doi.org/10.1055/a-1903-6605","url":null,"abstract":"Diese Leistungen werden weder zentral erfasst, noch gibt es eine vollständige Auflistung aller Leistungen sowie deren konkrete Kosten. Um den Versicherten einerseits ein wissenschaftlich fundiertes Informationsportal zu bieten und andererseits Transparenz in das Angebot auf dem Markt zu bringen, hat der Medizinische Dienst des Spitzenverbandes Bund der Krankenkassen e. V. (MDS) (seit dem 01.01.2022 Medizinischer Dienst Bund) das Projekt „IGeL-Monitor“1 im Jahr 2012 ins Leben gerufen. Er soll Versicherte umfassend informieren und diese bei ihrer Entscheidungsfindung unterstützen.","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"1162-1167"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}