Radiologe最新文献_第10页

[Clinical impact of abbreviated unenhanced prostate protocols in magnetic resonance imaging]. [磁共振成像中缩短非增强前列腺方案的临床影响]。

4区医学

Radiologe Pub Date : 2021-09-01 Epub Date: 2021-07-23 DOI: 10.1007/s00117-021-00890-8

Olga Solyanik, Maurice Heimer

{"title":"[Clinical impact of abbreviated unenhanced prostate protocols in magnetic resonance imaging].","authors":"Olga Solyanik, Maurice Heimer","doi":"10.1007/s00117-021-00890-8","DOIUrl":"https://doi.org/10.1007/s00117-021-00890-8","url":null,"abstract":"Background: According to the Prostate Imaging Reporting and Data System (PI-RADS) v2.1 multiparametric magnetic resonance imaging (mpMRI) with gadolinium-(Gd)-based contrast agents is the diagnostic standard of care in the detection of prostate cancer (PCa). Recent data suggest equivalent performance of biparametric MRI (bpMRI) and mpMRI in defined indications.Objectives: Evaluation of the current role of abbreviated or unenhanced protocols in MRI of the prostate in various clinical settings.Materials and methods: Evaluation of clinical trials, guidelines and expert opinions.Results: The use of dynamic contrast-enhanced (DCE) MRI sequences is associated with contrast agent-associated risks and has significant impact on the imaging procedure and costs. Arguments for and against the use of contrast agent in prostate protocols as well as equivalence from bpMRI and mpMRI are discussed.Conclusions: Currently, bpMRI can only be performed if very good image quality is available and in the hands of a radiologist with extensive experience in reading prostate MRI. There is a need for prospective studies to qualify bpMRI as the diagnostic method for the primary diagnosis of PCa.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":" ","pages":"810-817"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00117-021-00890-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39212368","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: 1

[Stereotactic body radiation therapy: radiobiological characteristics, physical-technical prerequisites, clinical applications]. 【立体定向全身放射治疗:放射生物学特性、物理技术前提、临床应用】。

4区医学

Radiologe Pub Date : 2021-09-01 DOI: 10.1007/s00117-021-00903-6

Robert Michael Hermann, Lukas Kober, Hans Christiansen

引用次数: 0

[Personalised medicine and interdisciplinarity : A reality in the diagnosis and treatment of primary prostate carcinoma]. 个性化医疗和跨学科:原发性前列腺癌诊断和治疗的现实。

4区医学

Radiologe Pub Date : 2021-09-01 DOI: 10.1007/s00117-021-00896-2

Maximilian F Reiser, Ulrike I Attenberger, Stefan O Schönberg

引用次数: 0

[Postoperative lower extremity pain : Differential diagnostic considerations]. [术后下肢疼痛:鉴别诊断考虑]。

4区医学

Radiologe Pub Date : 2021-09-01 Epub Date: 2021-06-23 DOI: 10.1007/s00117-021-00870-y

Jennifer Thaeren, Gülcihan Akgül, Arnd Winnesberg, Susanne Greschus

引用次数: 0

[Erratum to: Neurosurgical treatment of cervical spine injuries]. [颈椎损伤的神经外科治疗的勘误]。

4区医学

Radiologe Pub Date : 2021-09-01 DOI: 10.1007/s00117-021-00897-1

Stefan Linsler, B Reyes Medina

引用次数: 0

[Positron emission tomography with computed tomography/magnetic resonance imaging for primary staging of prostate cancer]. [正电子发射断层扫描与计算机断层扫描/磁共振成像对前列腺癌的初级分期]。

4区医学

Radiologe Pub Date : 2021-09-01 DOI: 10.1007/s00117-021-00895-3

Ergela Hasa, Thomas Langbein, Matthias Eiber, Karina Knorr

{"title":"[Positron emission tomography with computed tomography/magnetic resonance imaging for primary staging of prostate cancer].","authors":"Ergela Hasa, Thomas Langbein, Matthias Eiber, Karina Knorr","doi":"10.1007/s00117-021-00895-3","DOIUrl":"https://doi.org/10.1007/s00117-021-00895-3","url":null,"abstract":"Clinical/methodological issue: Prostate cancer is the most common malignancy and the second leading cause of cancer-related death in men. Accurate imaging diagnosis and staging are crucial for patient management and treatment. The role of nuclear medicine in the diagnosis of prostate cancer has evolved rapidly in recent years due to the availability of hybrid imaging with radiopharmaceuticals targeting the prostate-specific membrane antigen (PSMA).Standard radiological procedures: Hybrid imaging provides higher diagnostic accuracy compared to conventional imaging and has a significant impact on clinical management. Numerous radiotracers have been used in clinical applications, with PSMA ligands being the most commonly used.Methodological innovations: Hybrid imaging provides higher diagnostic accuracy for lymph node and bone metastases compared to conventional imaging and has a significant impact on clinical management.Performance: The high accuracy for primary staging in high-risk prostate cancer using PSMA ligands has led to the inclusion of PSMA positron emission tomography (PET)/computed tomography (CT) in the new German S3 guideline for primary staging of prostate cancer.Purpose: The aim of this article is to provide an overview of the use of PET imaging in the primary diagnosis of prostate cancer, to present the most commonly used radiotracers, and to highlight the results of recent studies.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":"61 9","pages":"818-824"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00117-021-00895-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10100110","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: 0

[Spontaneous craniocervical dissection]. 自发性颅颈夹层。

4区医学

Radiologe Pub Date : 2021-08-01 DOI: 10.1007/s00117-021-00884-6

M Garner, U Yilmaz, S Behnke

引用次数: 1

[Surgical treatment and radiation therapy of brain metastases]. 脑转移瘤的外科治疗和放射治疗。

4区医学

Radiologe Pub Date : 2021-08-01 DOI: 10.1007/s00117-021-00894-4

Jan P Boström, Kathleen Jetschke, Kirsten Schmieder, Irenä Us A Adamietz

引用次数: 1

[Lethal course due to an infectious soft tissue emphysema]. 【感染性软组织肺气肿的致死过程】。

4区医学

Radiologe Pub Date : 2021-08-01 Epub Date: 2021-04-08 DOI: 10.1007/s00117-021-00844-0

Benedikt Haggenmüller, Thomas Breining, Christopher Kloth, Stefan Andreas Schmidt, Magdalena Huber, Jürgen Benjamin Hagemann, Sigrun Traub, Daniel Vogele

引用次数: 0

[Neurosurgical treatment of cervical spine injuries]. 颈椎损伤的神经外科治疗。

4区医学

Radiologe Pub Date : 2021-08-01 DOI: 10.1007/s00117-021-00881-9

Stefan Linsler, B Reyes Medina

{"title":"[Neurosurgical treatment of cervical spine injuries].","authors":"Stefan Linsler, B Reyes Medina","doi":"10.1007/s00117-021-00881-9","DOIUrl":"https://doi.org/10.1007/s00117-021-00881-9","url":null,"abstract":"Background: Injuries of the cervical spine are quite common with an incidence of more than 3% in trauma patients. The incidence is even higher in elderly patients. Cervical spine injuries might induce severe neurological deficits. Therefore, they must be quickly and adequately diagnosed and treated. Depending on the pattern of injury, conservative or surgical treatment is indicated.Objective: The authors describe the different surgical strategies and treatment options based on the pattern of injury. Typical surgical methods are illustrated by case presentations.Conclusion: Cervical spine injuries should be treated in a trauma centre with extensive expertise in spine surgery. The immobilisation and gentle transportation is important already at the scene of the accident. Nowadays, there are excellent surgical options and strategies available as well as excellent intensive care therapy. These possibilities lead to rapid and good stabilisation of cervical spine injuries and the posttraumatic morbidity and mortality can be reduced significantly especially in elderly patients.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":"61 8","pages":"720-728"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00117-021-00881-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738200","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: 1