Radiologie (Heidelberg, Germany)最新文献

Defining the danger zone for peroneal nerve safety in all-inside lateral meniscus repair: an MRI-based study. 确定全内外侧半月板修复中腓神经安全的危险区域：一项基于mri的研究。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-05 DOI: 10.1007/s00117-026-01614-6

Berin Tuğtağ Demir, Simge Eşme, Ümmühan Yağmurkaya, Ali Köksal, Murat Demirel, Burak Bilecenoğlu

{"title":"Defining the danger zone for peroneal nerve safety in all-inside lateral meniscus repair: an MRI-based study.","authors":"Berin Tuğtağ Demir, Simge Eşme, Ümmühan Yağmurkaya, Ali Köksal, Murat Demirel, Burak Bilecenoğlu","doi":"10.1007/s00117-026-01614-6","DOIUrl":"https://doi.org/10.1007/s00117-026-01614-6","url":null,"abstract":"Background: The peroneal (fibular) nerve (PN) traverses the posterolateral aspect of the knee joint, placing it at risk during lateral meniscus (LM) repair, given its proximity to the popliteus tendon (PoT).Objective: This study aimed to evaluate the risk of PN injury and define a safe anchor penetration angle during all-inside LM repair.Materials and methods: A retrospective analysis was conducted using magnetic resonance imaging (MRI) scans of 327 individuals aged 18-60 years. The patellar tendon (PaT) and PoT widths were measured. The PN location relative to the PoT was determined. Distances from the PN to predefined medial and lateral reference lines across the PoT were calculated. The angular relationship between these lines and the transverse axis of the PaT was also analyzed for both anteromedial (AM) and anterolateral (AL) arthroscopic portals.Results: The PN-to-PoT distance was found to be comparable for both portals. However, the PN was significantly farther from the lateral reference line in the AM portal and from the medial reference line in the AL portal. The safe upper limit for anchor insertion was approximately 65° from the AM portal and 88° from the AL portal.Conclusion: Appropriate portal selection and anchor angle during all-inside LM repair can significantly reduce the risk of PN injury. The AL portal offers a broader safe insertion range and may therefore improve nerve protection.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847331","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}

引用次数: 0

[Pitfalls in radiological diagnostics : Inadequate diagnostic evaluation and communication with referring physicians]. 【放射诊断的陷阱：诊断评估和与转诊医生的沟通不足】。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-04 DOI: 10.1007/s00117-026-01616-4

Tanja Mannschatz

{"title":"[Pitfalls in radiological diagnostics : Inadequate diagnostic evaluation and communication with referring physicians].","authors":"Tanja Mannschatz","doi":"10.1007/s00117-026-01616-4","DOIUrl":"https://doi.org/10.1007/s00117-026-01616-4","url":null,"abstract":"Radiological diagnostics are a central component of many treatment pathways and are usually carried out within a horizontal division of responsibilities between radiologists and referring physicians. The exact content of the referral request is always decisive, as it determines the scope of the radiologist's obligations. Ambiguous or diagnostically inappropriate referrals require clarification to avoid patient harm and liability risks. Radiologists may generally rely on referring physicians to perform their professional duties carefully, but this trust ends when obvious deficits in qualification or performance become apparent. When preparing reports, findings must be complete, clear, and comprehensible-especially because referring physicians often lack radiological expertise. This includes providing explicit recommendations for any necessary additional diagnostics to prevent misinterpretations or omissions. Incidental findings outside the primary diagnostic question must also be taken seriously, documented, and further evaluated if necessary, not least as overlooking them may have legal consequences. Communication of findings is another key aspect: results must be transmitted securely and to the correct referring physician to avoid data-protection violations and delays in treatment. Only in rare cases involving acute danger is there a direct duty to inform the patient.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824210","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}

引用次数: 0

[Neuroradiology, pediatric radiology, or interventional radiology: Which path is right for me?] [神经放射学，儿科放射学，还是介入放射学：哪条路适合我？]］

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-03-16 DOI: 10.1007/s00117-026-01593-8

Andrea Jarre, Johanna Pape, Charlotte Wintergerst

引用次数: 0

[Soft tissue sarcoma of the extremities-imaging, biopsy planning, and pitfalls in radiology]. 四肢软组织肉瘤——影像学、活检计划和放射学陷阱。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-03-25 DOI: 10.1007/s00117-026-01605-7

Timo Leichenich, Oliver Sedlaczek, Jonas Fehlinger, Sam Sedaghat, Burkhard Lehner, Andreas Geisbüsch, Christoph Rehnitz

{"title":"[Soft tissue sarcoma of the extremities-imaging, biopsy planning, and pitfalls in radiology].","authors":"Timo Leichenich, Oliver Sedlaczek, Jonas Fehlinger, Sam Sedaghat, Burkhard Lehner, Andreas Geisbüsch, Christoph Rehnitz","doi":"10.1007/s00117-026-01605-7","DOIUrl":"10.1007/s00117-026-01605-7","url":null,"abstract":"Background: Radiology is integral to the multimodal diagnostic and treatment pathway of extremity soft tissue sarcomas in DGK-certified sarcoma centers (DGK: Deutsche Krebsgesellschaft, German Cancer Society), working in close interdisciplinary collaboration with sarcoma surgery, pathology, radiation oncology, and medical oncology.Guideline-based imaging and triage: Treatment decisions rely on guideline- and recommendation-based imaging and histological confirmation by biopsy. When clinical warning signs (red flags) are present, radiological imaging is essential for triage and early referral to a sarcoma center. For local staging, magnetic resonance imaging (MRI) is the modality of choice. It provides crucial information for diagnosis, prognosis, and treatment within the sarcoma board and serves as the basis for adequate biopsy planning.Morphological and technical pitfalls: Diagnostic pitfalls arise from overlapping MRI appearances, particularly within the lipomatous spectrum and in lesions with myxoid and cystic patterns. A further focus is on avoidable procedural biopsy errors, inadequate targeting, and an inadequate biopsy tract that is not amenable to en bloc resection or that contaminates additional compartments/joints or neurovascular structures.Conclusion: The article outlines a risk-adapted diagnostic approach and provides practice-oriented principles for biopsy planning. It highlights typical problem MRI constellations to avoid misdiagnosis and underestimation of malignancy (grading), ultimately establishing optimal prerequisites for therapy.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"363-379"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517339","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}

引用次数: 0

[Pediatric sarcomas]. (儿科肉瘤)。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-02-10 DOI: 10.1007/s00117-026-01572-z

Ilias Tsiflikas

{"title":"[Pediatric sarcomas].","authors":"Ilias Tsiflikas","doi":"10.1007/s00117-026-01572-z","DOIUrl":"10.1007/s00117-026-01572-z","url":null,"abstract":"Clinical/methodological issue: Pediatric sarcomas representing a rare, heterogenous group of highly malignant tumors. Due to their aggressiveness and complex anatomy during growth, precise imaging is essential for prognosis.Standard radiologic methods: Magnetic resonance imaging (MRI), using specific pediatric protocols (small field of view [FOV], thin slices), is the gold standard for local staging. Ultrasound is pivotal for primary diagnosis and biopsy planning, while low-dose chest computed tomography (CT) is used to assess pulmonary metastases.Methodological innovations: Diffusion-weighted MRI and positron-emission tomography (PET)/MRI represents a low-radiation and highly efficient alternative to PET/CT for whole-body staging, especially for long-term aftercare.Performance: Imaging enables precise delineation of neurovascular structures and growth plates, forming the basis for limb-sparing surgical procedures. However, differentiating between vital residual tumor, recurrence, and posttherapeutic changes (scars, edema) remains challenging.Achievements: The consistent application of standardized study protocols and the interdisciplinary integration of radiology, oncology, and surgery are crucial for the success of modern therapeutic concepts.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"354-362"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13095957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Rare cause of bacterial peritonitis]. 【细菌性腹膜炎的罕见病因】。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-01-08 DOI: 10.1007/s00117-025-01551-w

Christopher Kloth, Thomas Breining, Annika Beck, Axel John, Meinrad Beer, Daniel Vogele

引用次数: 0

[Primary malignant bone tumours-part 1]. [原发性恶性骨肿瘤-第1部分]。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-04-01 DOI: 10.1007/s00117-026-01606-6

Thomas Grieser

引用次数: 0

[MRI safety : Principles, risks and protective measures]. 【MRI安全性：原则、风险及防护措施】。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-04-07 DOI: 10.1007/s00117-026-01601-x

Michael Bock, Ute Ludwig, Johannes Fischer, Wilfried Reichardt

引用次数: 0

[Sarcomas-Red flags for radiology]. [肉瘤-放射学的危险信号]。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1007/s00117-026-01607-5

S Delorme, Maximilian Reiser

引用次数: 0

[Sarcomas : Clinical introduction]. 【肉瘤：临床介绍】。

IF 0.6

Radiologie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-02-23 DOI: 10.1007/s00117-026-01581-y

Lars H Lindner

引用次数: 0