Radiologe最新文献_第2页

[Local and locoregional treatment of intrahepatic cholangiocarcinoma]. 肝内胆管癌的局部和局部治疗。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-01-03 DOI: 10.1007/s00117-021-00946-9

Frank Wacker, Cornelia Dewald

{"title":"[Local and locoregional treatment of intrahepatic cholangiocarcinoma].","authors":"Frank Wacker, Cornelia Dewald","doi":"10.1007/s00117-021-00946-9","DOIUrl":"https://doi.org/10.1007/s00117-021-00946-9","url":null,"abstract":"Clinical/methodical issue: In the new edition of the German S3-guideline published in June 2021, the diagnosis and treatment of cholangiocarcinoma (CCA) and gallbladder carcinoma are addressed for the first time. This article discusses the local and locoregional treatment options for intrahepatic CCA (iCCA).Standard radiological methods: Mortality is high in iCCA and the incidence is rising. In unresectable patients, treatment options include local and locoregional approaches.Methodical innovations: Besides recommendations regarding surgery, biliary drainage, intraductal locoregional therapy and radiation therapy, two recommendations regarding interventional radiologic therapies are included in the updated S3-guideline. Percutaneous thermal ablation via radiofrequency or microwave ablation (RFA/MWA) is suggested for unresectable tumors with up to 3 cm in diameter as primary therapy and for recurrent tumors. In advanced, liver dominant iCCA, intra-arterial therapies such as transarterial radioembolization (TARE), transarterial chemoembolization (TACE) or hepatic arterial infusion (HAI) are recommended as single therapy or in combination with other therapies.Achievements: Due to a lack of randomized controlled studies, the efficacy of locoregional therapies in iCCA is challenging to assess; however, various cohort studies, meta-analyses and review articles confirm their efficiency.Practical recommendations: Interventional radiological therapies alone or in combination with systemic therapies have the potential to improve the prognosis of patients with iCCA. Due to the various therapeutic options, patients with iCCA should be treated in centers which cover the entire therapeutic spectrum.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39785096","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

[Resection and transplantation for hepatocellular carcinoma and intrahepatic cholangiocarcinoma]. 肝细胞癌和肝内胆管癌的切除和移植。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-01-26 DOI: 10.1007/s00117-021-00962-9

Daniel Seehofer, Robert Sucher, Timm Denecke

{"title":"[Resection and transplantation for hepatocellular carcinoma and intrahepatic cholangiocarcinoma].","authors":"Daniel Seehofer, Robert Sucher, Timm Denecke","doi":"10.1007/s00117-021-00962-9","DOIUrl":"https://doi.org/10.1007/s00117-021-00962-9","url":null,"abstract":"Clinical issue: Treatment of hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA) has markedly improved in recent years.Standard treatment: Liver resection and, for HCC, liver transplantation are essential components of curative treatment in the nonmetastatic stage.Treatment innovations: In the current S3 guideline, the role of the interdisciplinary tumor board is strengthened for the individual therapy decision. Overall, liver transplantation offers the best long-term results in terms of survival and relapse rate for selected patients. For liver resection, the use of minimally invasive resection techniques can significantly reduce perioperative morbidity and mortality compared to open liver surgery, so that it can be used both as a curative therapeutic approach and as part of bridging strategies for liver transplantation.Performance: The 5‑year survival rate after liver transplantation in selected, nonresectable patients who fulfil and also those who do not fulfil the Milan criteria is above 70%, compared with about 30% without liver transplantation under locoregional therapy.Achievements: The following article reports the status of evidence-based surgical therapy for HCC and iCCA based on the recommendations of the current German S3 guideline.Practical recommendations: The differentiated local therapy of HCC in cirrhosis is based on many patient- and tumor-specific factors. In addition to surgical resection, liver transplantation plays an important role as a curative therapy for patients with irresectable HCCs regardless of whether they meet the Milan criteria. For resectable iCCA or HCC without cirrhosis in the nonmetastatic stage, surgical resection represents the treatment of choice.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39860583","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

[Future perspectives: how does artificial intelligence influence the development of our profession?] [未来展望:人工智能将如何影响我们行业的发展?]］

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-02-15 DOI: 10.1007/s00117-022-00969-w

Ulrike Attenberger, Maximilian F Reiser

引用次数: 1

[Recurrent headache and visual disturbances with alterations of the brain's white matter]. [伴有脑白质改变的复发性头痛和视觉障碍]。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2021-09-15 DOI: 10.1007/s00117-021-00916-1

Nico Sollmann, Thomas Breining, Daniel Vogele, Meinrad Beer, Bernd Schmitz, Christopher Kloth

引用次数: 0

[Clinical relevance of the new S3 guideline on hepatocellular carcinoma and biliary tract cancer for practitioners]. [新S3指南对从业人员肝细胞癌和胆道癌的临床意义]。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-02-11 DOI: 10.1007/s00117-022-00970-3

Sabrina Voesch, M Bitzer, N Malek

引用次数: 0

[Small hepatocellular carcinoma : Diagnostics according to guidelines and established in the clinical setting]. [小肝癌：根据指南进行诊断，并在临床环境中确定]。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-01-17 DOI: 10.1007/s00117-021-00965-6

Thomas J Vogl, Christoph Mader, Sabine Michalik, Renate Hammerstingl, Vitali Koch

{"title":"[Small hepatocellular carcinoma : Diagnostics according to guidelines and established in the clinical setting].","authors":"Thomas J Vogl, Christoph Mader, Sabine Michalik, Renate Hammerstingl, Vitali Koch","doi":"10.1007/s00117-021-00965-6","DOIUrl":"https://doi.org/10.1007/s00117-021-00965-6","url":null,"abstract":"Clinical/methodical issue: The diagnosis of hepatocellular carcinoma (HCC)-especially the characterization of small lesions <2 cm-continues to be a radiological challenge.Standard radiological methods: In the current S3 guideline on diagnosis and therapy of HCC, contrast-enhanced imaging examinations, such as contrast-enhanced ultrasonography (CEUS), computed tomography (CT), and magnetic resonance imaging (MRI), are still the diagnostic standard.Methodological innovations: HCC in the cirrhotic liver should be diagnosed by its typical contrast-enhanced pattern in the MRI. In addition, the use of quality assurance instruments such as LI-RADS (Liver Imaging Reporting and Data System) contributes to the desired consistency of findings, even with small ambiguous findings.Performance: Many studies have shown that the LI-RADS classification reflects the likelihood of HCC and other malignant liver lesions.Achievements: Guidelines and quality assurance instruments contribute to a more precise diagnosis in patients with suspected HCC.Practical recommendations: A guideline-compliant diagnostic algorithm and the LI-RADS should be used across the board for accurate HCC diagnostics.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39689092","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

[Imaging of intrahepatic cholangiocarcinoma : Reliable diagnosis according to the new S3 guideline]. [肝内胆管癌的影像学:根据新的S3指南进行可靠诊断]。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-01-14 DOI: 10.1007/s00117-021-00961-w

Tobias Geith, Philipp M Paprottka

引用次数: 0

[Transarterial radioembolization of hepatocellular carcinoma and intrahepatic cholangiocarcinoma]. 肝细胞癌和肝内胆管癌的经动脉放射栓塞治疗。

4区医学

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-02-16 DOI: 10.1007/s00117-022-00974-z

Thomas Helmberger, Philippe L Pereira

引用次数: 0

[Incidental finding in Achilles tendon rupture]. [偶然发现跟腱断裂]。

4区医学

Radiologe Pub Date : 2022-02-01 Epub Date: 2021-11-04 DOI: 10.1007/s00117-021-00931-2

Steffi S I Falk, Thomas Mittlmeier, Marc-André Weber

引用次数: 0

[Chest X-ray: implementation and indication : Recommendations of the thoracic imaging working group of the German Radiological Society]. 【胸部x线检查:实施和适应证:德国放射学会胸部影像学工作组的建议】。

4区医学

Radiologe Pub Date : 2022-02-01 Epub Date: 2022-01-10 DOI: 10.1007/s00117-021-00952-x

Sebastian Ley, Jürgen Biederer, Julia Ley-Zaporozhan, Mark O Wielpütz, Jens Vogel-Claussen, Marco Das, Okka Hamer

{"title":"[Chest X-ray: implementation and indication : Recommendations of the thoracic imaging working group of the German Radiological Society].","authors":"Sebastian Ley, Jürgen Biederer, Julia Ley-Zaporozhan, Mark O Wielpütz, Jens Vogel-Claussen, Marco Das, Okka Hamer","doi":"10.1007/s00117-021-00952-x","DOIUrl":"https://doi.org/10.1007/s00117-021-00952-x","url":null,"abstract":"Background: Even after more than 100 years, the chest X‑ray is still an important technique to detect important pathological changes of lungs, heart and vessels in a fast and low-dose manner. For the German-speaking regions, there are only recommendations available published by the \"Ständigen Strahlenschutzkommission (SSK)\" regarding the indication. These recommendations are not updated on a regular basis and more recent developments are only integrated with delayed.Methods: The chest division of the German Radiological Society has summarized their expertise for the usage and indication of the chest X‑ray. Especially within the field of oncology the usage of chest X‑ray is evaluated differently to the aforementioned recommendations; here chest computed tomography (CT) is much more sensitive for evaluation of metastasis and local invasion of tumors. Also, within the area of infectious diseases in non-immunocompetent patients, CT is the method of choice. Based on the structure of the current recommendations, many current guidelines and indications are summarized and presented within the context of the usage of chest X‑ray.","PeriodicalId":54513,"journal":{"name":"Radiologe","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39803048","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