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

{"title":"Fortbildungscurriculum Neuroradiologie – Ein ganzjähriges, digitales Angebot für Weiterbildungsassistentinnen und -assistenten Radiologie und angehende Schwerpunkt-Neuroradiologinnen und -radiologen.","authors":"","doi":"10.1055/a-1544-1822","DOIUrl":"https://doi.org/10.1055/a-1544-1822","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"101"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590184","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":"„Intelligenz vernetzen“: 102. Deutscher Röntgenkongress mit positiver Bilanz beendet.","authors":"","doi":"10.1055/a-1544-2324","DOIUrl":"https://doi.org/10.1055/a-1544-2324","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"93"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40346287","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":"Trends that Impact IR's Future.","authors":"Dieter Enzmann","doi":"10.1055/a-1502-7663","DOIUrl":"https://doi.org/10.1055/a-1502-7663","url":null,"abstract":"<p><p>The future of IR will evolve as a result of current trends in advances in medicine, disease biology, technology, and IR devices and accoutrements. Changes in the trends that lie at the center of the differentiation of IR from other treatment specialties will have the greatest impact. Differentiation revolves around image guidance knowledge and procedural treatment skills and involves three key components: access, mapping, and action, all of which have the common thread of imaging knowledge. The main trends that are discussed are: image-guided diagnostics (IgDx), image-guided treatment (IgRx), sub-specialization in IgRx, large device design for IgRx, multimodality IgRx, interdisciplinary IgRx, and decentralized IgRx growth. Success in attaining a patient-facing \"front-line\" patient position will determine the future not only of IR but of radiology as a field. IgRx is anti-commoditization immunization. KEY POINTS::   · It is useful to conceptually separate diagnostic (IgDx) and treatment (IgRx) IR procedures.. · Subspecialization in IgRx will innovate IR practices for all practitioners.. · Advances in IR-tailored imaging equipment and integration of multimodality imaging will create, expand, and facilitate new treatments.. · Other treatment disciplines will be integrated into IgRx in a complementary fashion.. · Expansion of IR services into outpatient imaging sites and outpatient clinics will help establish important direct patient care.. · The adoption of these trends will follow a \"diffusion of innovations\" sigmoid curve pattern spanning different time intervals.. CITATION FORMAT: · Enzmann D. Trends that Impact IR's Future. Fortschr Röntgenstr 2022; 194: 21 - 28.</p>","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"21-28"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39241737","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":"Abernethy-Malformation – Fallbericht.","authors":"Elmar Janek,&nbsp;Ann-Katrin Kaufmann-Bühler,&nbsp;Sebastian Tschauner,&nbsp;Michael H Fuchsjäger,&nbsp;Emina Talakic","doi":"10.1055/a-1495-6217","DOIUrl":"https://doi.org/10.1055/a-1495-6217","url":null,"abstract":"Der kongenitale extrahepatische portosystemische Shunt (CEPS; Synonym: Abernethy-Malformation) ist eine sehr seltene vaskuläre Malformation. Eine Inzidenz von 1:30 000 Neugeborenen wird angenommen. Benannt ist diese Erkrankung nach dem englischen Chirurgen John Abernethy, welcher den ersten Fall im Jahr 1793 beschrieb (Abernethy J. Trans R Society 1793; 83: 59–66). Es wird zwischen 2 Subtypen unterschieden: Der Typ 1 ist ein vollständiger portosystemischer End-zu-SeitShunt, bei welchem die Vena mesenterica superior (VMS) und Vena lienalis getrennt in die Vena cava inferior (VCI) drainieren. Die Leber erhält somit keine portalvenöse Perfusion. Der Typ 2 repräsentiert einen partiellen portosystemischen Shunt, bei welchem VMS und Vena lienalis einen gemeinsamen Truncus bilden, der zum einen Teil in intrahepatische Pfortaderäste mündet, zum anderen Teil über einen Seit-zu-Seit-Shunt in die VCI drainiert. Der Typ-1-Shunt wird zusätzlich in 2 Subtypen unterteilt: Typ 1a mit getrennter Drainage der VMS und der Vena lienalis in die systemischen Venen und Typ1b, bei welchem die VMS und die Vena lienalis einen gemeinsam Truncus bilden und gemeinsam in die systemischen Venen (VCI, rechtes Atrium oder Venae Iliacales) drainieren (Morgan G et al. J. Pediatr. Surg 1994; 29: 1239–1241) (▶ Abb. 1). Mit zunehmendem Alter treten teils schwere Veränderungen unterschiedlicher Organe auf. Ursächlich ist der Bypass intestinalen Blutes an der Leber mit erhöhten Blutkonzentrationen neurotoxischer oder vasoaktiver Substanzen. In etwa 30 % der Fälle entwickelt sich durch erhöhte Serum-Ammoniak-Spiegel eine hepatische","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"85-87"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39304493","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":"Abwechslungsreicher Mix auf dem MTRA-Neujahrssymposium.","authors":"","doi":"10.1055/a-1544-1780","DOIUrl":"https://doi.org/10.1055/a-1544-1780","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"100"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590183","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":"DeGIR Quality Report 2019: Report on the treatment quality of minimally invasive methods - Interventional therapy (EVAR) of abdominal aortic aneurysms.","authors":"Felix Frenzel,&nbsp;Arno Bücker,&nbsp;Philipp Paprottka,&nbsp;Jonathan Nadjiri,&nbsp;Andreas H Mahnken,&nbsp;Alexander Massmann,&nbsp;Peter Minko,&nbsp;Lothar J Heuser","doi":"10.1055/a-1541-8872","DOIUrl":"https://doi.org/10.1055/a-1541-8872","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the quality of endovascular aortic aneurysm repair using the data of the DeGIR quality management system. Comparison of data between 2011 and 2019.</p><p><strong>Materials and methods: </strong>A retrospective analysis of all data registered in the DeGIR quality management system of the year 2019 was performed regarding the treatment quality for endovascular aortic aneurysm repair. Registration of data was voluntary. As quality parameters indication, treatment process data and quality of results were examined. The latter was judged by treatment success, complication rates and radiation exposure.</p><p><strong>Results: </strong>Out of 189 590 data sets overall 1639 cases of EVAR were registered; compared to 2011 this was an increase of 472 cases. 5.9 % of these cases encompassed emergency treatments. The most frequent indication was an abdominal aneurysm with 72 % of cases. In 54 % of cases, the aortic diameter ranged 50-70 mm. The rates for technical success, over all complications and major complications were 92.8 %, 6.7 % and 6.0 % respectively for all EVAR including emergency indications. In general, EVAR yielded a mortality rate of 1.2 % while emergency procedures had a mortality rate of 7.3 %. Median dose area product and fluoroscopy time were 10 503 cGy × cm2 and 20 minutes respectively at a mean procedure time of 114 minutes.</p><p><strong>Conclusion: </strong>Data analysis of the DeGIR quality management system persistently showed a very high technical success rate for endovascular aortic aneurysm repair performed by interventional radiologists accompanied by a low complication rate.</p><p><strong>Key points: </strong>· The voluntary DeGIR quality assurance-system has reached high acceptance among interventional radiologists.. · The database has nearly 200 000 submissions on record for 2019.. · EVAR by interventional radiologists has shown very high technical success as well as a low complication rate..</p><p><strong>Citation format: </strong>· Frenzel F, Bücker A, Paprottka P et al. DeGIR Quality Report 2019: Report on the treatment quality of minimally invasive methods - Interventional therapy (EVAR) of abdominal aortic aneurysms. Fortschr Röntgenstr 2022; 194: 49 - 61.</p>","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"49-61"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1541-8872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39278481","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":"Pulmonary Imaging of Immunocompromised Patients during Hematopoietic Stem Cell Transplantation using Non-Contrast-Enhanced Three-Dimensional Ultrashort Echo Time (3D-UTE) MRI.","authors":"Corona Metz,&nbsp;David Böckle,&nbsp;Julius Frederik Heidenreich,&nbsp;Andreas Max Weng,&nbsp;Thomas Benkert,&nbsp;Götz Ulrich Grigoleit,&nbsp;Thorsten Bley,&nbsp;Herbert Köstler,&nbsp;Simon Veldhoen","doi":"10.1055/a-1535-2341","DOIUrl":"https://doi.org/10.1055/a-1535-2341","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To evaluate the feasibility of non-contrast-enhanced three-dimensional ultrashort echo time (3D-UTE) MRI for pulmonary imaging in immunocompromised patients during hematopoietic stem cell transplantation (HSCT).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;MRI was performed using a stack-of-spirals 3D-UTE sequence (slice thickness: 2.34mm; matrix: 256 × 256; acquisition time: 12.7-17.6 seconds) enabling imaging of the entire thorax within single breath-holds. Patients underwent MRI before HSCT initiation, in the case of periprocedural pneumonia, before discharge, and in the case of re-hospitalization. Two readers separately assessed the images regarding presence of pleural effusions, ground glass opacities (GGO), and consolidations on a per lung basis. A T2-weighted (T2w) multi-shot Turbo Spin Echo sequence (BLADE) was acquired in coronal orientation during breath-hold (slice thickness: 6.00mm; matrix: 320 × 320; acquisition time: 3.1-5.5 min) and read on a per lesion basis. Low-dose CT scans in inspiration were used as reference and were read on a per lung basis. Only scans performed within a maximum of three days were included in the inter-method analyses. Interrater agreement, sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy of 3D-UTE MRI were calculated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;67 MRI scans of 28 patients were acquired. A reference CT examination was available for 33 scans of 23 patients. 3D-UTE MRI showed high sensitivity and specificity regarding pleural effusions (n = 6; sensitivity, 92 %; specificity, 100 %) and consolidations (n = 22; sensitivity 98 %, specificity, 86 %). Diagnostic performance was lower for GGO (n = 9; sensitivity, 63 %; specificity, 84 %). Accuracy rates were high (pleural effusions, 98 %; GGO, 79 %; consolidations 94 %). Interrater agreement was substantial for consolidations and pleural effusions (κ = 0.69-0.82) and moderate for GGO (κ = 0.54). Compared to T2w imaging, 3D-UTE MRI depicted the assessed pathologies with at least equivalent quality and was rated superior regarding consolidations and GGO in ~50 %.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Non-contrast 3D-UTE MRI enables radiation-free assessment of typical pulmonary complications during HSCT procedure within a single breath-hold. Yet, CT was found to be superior regarding the identification of pure GGO changes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Key points: &lt;/strong&gt;· 3D-UTE MRI of the thorax can be acquired within a single breath-hold.. · 3D-UTE MRI provides diagnostic imaging of pulmonary consolidations and pleural effusions.. · 3D-UTE sequences improve detection rates of ground glass opacities on pulmonary MRI.. · 3D-UTE MRI depicts pulmonary pathologies at least equivalent to T2-weighted Blade sequence..&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Citation format: &lt;/strong&gt;· Metz C, Böckle D, Heidenreich JF et al. Pulmonary Imaging of Immunocompromised Patients during Hematopoietic Stem Cell Transplantation using Non-Contrast-Enhanced Three-D","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"39-48"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39518148","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":"Akademie Online: Neues Programm, neue Website und Anmeldung fürs Jahresabo 2022.","authors":"","doi":"10.1055/a-1544-2055","DOIUrl":"https://doi.org/10.1055/a-1544-2055","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"98"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590179","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":"Würden Sie Ihre Fehler zugeben?","authors":"","doi":"10.1055/a-1544-2159","DOIUrl":"https://doi.org/10.1055/a-1544-2159","url":null,"abstract":"Hand aufs Herz – wem von Ihnen ist schon einmal ein Fehler am Arbeitsplatz passiert? Über 20 Jahre nach Veröffentlichung der berühmten Studie „To Err is Human“ ist das Thema Fehlerkultur nach wie vor brandaktuell. Aus diesem Grund hat die Kommission Diversity@DRG das Webinar „Ich würde meine Fehler ja zugeben, wenn ich welche machte“ organisiert. Dieses fand Ende September 2021 im Rahmen des 102. Deutschen Röntgenkongresses statt und adressiert mehrere wichtige Fragen im Zusammenhang mit dem Thema Fehlerund Sicherheitskultur: Wie kann man eine Abteilungskultur schaffen, bei der man offen und auf Augenhöhe über Fehler sprechen kann, sodass diese in Zukunft vermieden werden können? Welche Qualitätssicherungsstrukturen zur Fehlervermeidung sollten vorherrschen und was ist aus rechtlicher Sicht zu bedenken? Antworten auf diese und viele weitere Fragen erhalten Sie in unserer Webinar-Aufzeichnung auf: www.diversity.drg.de.","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"100"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590182","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":"[Myelolipoma: A rare but important differential diagnosis of accidentally detected fatty retroperitoneal and adrenal masses].","authors":"Selcuk Murat Yildiz,&nbsp;Gabriele Anja Krombach,&nbsp;Fritz Christian Roller","doi":"10.1055/a-1541-8318","DOIUrl":"https://doi.org/10.1055/a-1541-8318","url":null,"abstract":"","PeriodicalId":520772,"journal":{"name":"RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin","volume":" ","pages":"7-10"},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39695621","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}