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[Craniocervical dissection]. [颅颈解剖]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-06-28 DOI: 10.1007/s00117-024-01337-6
Lisa Goerens
{"title":"[Craniocervical dissection].","authors":"Lisa Goerens","doi":"10.1007/s00117-024-01337-6","DOIUrl":"10.1007/s00117-024-01337-6","url":null,"abstract":"<p><strong>Clinical issue: </strong>Craniocervical dissections are among the most common causes of stroke in people aged under 50 years, which is why it is essential to clarify, diagnose, and treat them as quickly as possible. Dissections usually occur spontaneously due to bleeding into the vessel wall. The affected segments are usually the motion segments of the internal cerebral artery (C1 segment) and the vertebral artery (V3 segment). Clinically, there is head and/or neck pain and neurologic symptoms, which can vary according to the localization of the dissection.</p><p><strong>Practical recommendations: </strong>Pathognomonic is the detection of an intramural hematoma due to bleeding into the vessel wall. This can best be detected by magnetic resonance imaging (MRI) in native, fat-saturated T1 sequences (black-blood sequence). In addition, contrast-enhanced angiography should be performed using MRI or, alternatively, computed tomography (CT). As there is an increased risk of embolic or hemodynamically induced strokes, prophylactic treatment should be initiated immediately; it remains a case-by-case decision whether antiplatelet agents or oral anticoagulants are chosen for this purpose.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"705-709"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473334","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
[EC-IC bypass for occlusion of the internal carotid artery]. [颈内动脉闭塞的 EC-IC 分流术]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1007/s00117-024-01343-8
G Fischer
{"title":"[EC-IC bypass for occlusion of the internal carotid artery].","authors":"G Fischer","doi":"10.1007/s00117-024-01343-8","DOIUrl":"10.1007/s00117-024-01343-8","url":null,"abstract":"<p><strong>Background: </strong>There are barely any alternative treatment options to the drug treatment of hemodynamically caused cerebral ischemia, as in occlusion of the internal carotid artery.</p><p><strong>Objective: </strong>For secondary prevention of an ischemic stroke due to carotid occlusion and hemodynamic instability, extracranial-intracranial (EC-IC) bypass surgery can be an important option in selected patients.</p><p><strong>Material and methods: </strong>The development, study situation, indications and surgical technique for placement of an EC-IC bypass in cases of occlusion of the internal carotid artery are presented.</p><p><strong>Results: </strong>With appropriate expertise and strict selection of patients, the placement of an EC-IC bypass enables stabilization of cerebral perfusion with a low rate of complications.</p><p><strong>Conclusion: </strong>The study situation is controversially discussed; nevertheless, surgical treatment in a specialized neurovascular center should at least be considered.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"719-723"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621921","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
[Drug therapy for acute and elective stent angioplasty]. [急性和选择性支架血管成形术的药物治疗]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-04-29 DOI: 10.1007/s00117-024-01310-3
J Mohamad
{"title":"[Drug therapy for acute and elective stent angioplasty].","authors":"J Mohamad","doi":"10.1007/s00117-024-01310-3","DOIUrl":"10.1007/s00117-024-01310-3","url":null,"abstract":"<p><strong>Clinical issue: </strong>Carotid artery stenoses are constrictions of the common carotid artery and the internal carotid artery. They cause around 15% of all cerebral ischemia, which is why their detection and correct treatment play an important role in clinical practice.</p><p><strong>Practical recommendations: </strong>Depending on the severity and clinical symptoms, carotid artery stenosis is treated conservatively, surgically or endovascularly by means of stent angioplasty. In the case of stent angioplasty in particular, correct drug therapy plays an important role in avoiding/reducing thromboembolic complications.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"716-718"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862952","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
[Treatment of tandem occlusions of the common and internal carotid arteries]. [颈总动脉和颈内动脉串联闭塞的治疗]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI: 10.1007/s00117-024-01354-5
Wolfgang Reith, Umut Yilmaz, Alena Haußmann
{"title":"[Treatment of tandem occlusions of the common and internal carotid arteries].","authors":"Wolfgang Reith, Umut Yilmaz, Alena Haußmann","doi":"10.1007/s00117-024-01354-5","DOIUrl":"10.1007/s00117-024-01354-5","url":null,"abstract":"<p><strong>Background: </strong>Proximal carotid tandem lesions are defined as multilevel lesions with significant (> 50%) atherosclerotic disease involving the internal carotid artery (ICA) in combination with the proximal ipsilateral common carotid artery (CCA) or innominate artery (IA). It is a relatively rare disease with an incidence of less than 5% in all patients with carotid stenosis at the level of the bifurcation.</p><p><strong>Methods: </strong>These patients are at high surgical risk and were, therefore, excluded from current randomized controlled trials. Although the effectiveness of carotid endarterectomy (CEA) and carotid stenting (CAS) in stroke prevention for patients is established, the optimal treatment approach for the subgroup of patients with a proximal tandem lesion is still controversial. Treatment of this condition is not well understood because it is difficult to determine the risk of each individual lesion becoming symptomatic. Therefore, concurrent treatment of severe (> 70% stenosis) proximal lesions is recommended when treating severe stenosis at the carotid bifurcation.</p><p><strong>Conclusion: </strong>This disease can lead to embolic ischemic strokes or hemodynamic compromise. It is not possible to determine diagnostically which lesion led to the clinical symptoms, which is why both lesions should be corrected.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"724-727"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019813","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
[Treatment of carotid stenosis]. [颈动脉狭窄的治疗]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1007/s00117-024-01355-4
Wolfgang Reith
{"title":"[Treatment of carotid stenosis].","authors":"Wolfgang Reith","doi":"10.1007/s00117-024-01355-4","DOIUrl":"10.1007/s00117-024-01355-4","url":null,"abstract":"","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":"64 9","pages":"685-686"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074791","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
[Stent angioplasty for internal carotid artery stenosis]. [颈内动脉狭窄的支架血管成形术]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-05-03 DOI: 10.1007/s00117-024-01306-z
Frederik Fries
{"title":"[Stent angioplasty for internal carotid artery stenosis].","authors":"Frederik Fries","doi":"10.1007/s00117-024-01306-z","DOIUrl":"10.1007/s00117-024-01306-z","url":null,"abstract":"<p><strong>Background: </strong>Stent angioplasty of carotid stenosis has become established as a safe and efficient treatment method alongside carotid endarterectomy due to developments in stent design and refinement of interventional techniques. Today, the protocol for stent angioplasty is largely standardized.</p><p><strong>Objective: </strong>The aim of this article is to provide sound insight into the development and current practice of stent angioplasty. Particular attention is paid to technical implementation and periprocedural management.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"694-698"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869607","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
[Interstitial lung diseases : From imaging to treatment]. [间质性肺病：从成像到治疗]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-07-02 DOI: 10.1007/s00117-024-01340-x
D Soriano, J Nattenmüller, K Schröder, E Schygulla, L Jouanjan, N Venhoff, I Jandova, D Stolz, B C Frye
{"title":"[Interstitial lung diseases : From imaging to treatment].","authors":"D Soriano, J Nattenmüller, K Schröder, E Schygulla, L Jouanjan, N Venhoff, I Jandova, D Stolz, B C Frye","doi":"10.1007/s00117-024-01340-x","DOIUrl":"10.1007/s00117-024-01340-x","url":null,"abstract":"<p><strong>Background: </strong>The role of radiology in the diagnosis of interstitial lung diseases (ILDs) has evolved over time, in part replacing histology. Radiology now represents a pillar of diagnostics and monitoring in ILDs.</p><p><strong>Objective: </strong>To what extent does radiology influence diagnostics and treatment in ILDs?</p><p><strong>Materials and methods: </strong>A literature review was conducted, and current findings were discussed in the context of clinical data.</p><p><strong>Results: </strong>Radiology plays a crucial role in the diagnosis of ILDs. Within the framework of the multidisciplinary conference, it provides specific CT patterns such as usual interstitial pneumonia (UIP), nonspecific interstitial pneumonia (NSIP), and organizing pneumonia (OP), or helps in identifying cystic lung diseases. Multicompartment diseases can be detected, and pulmonary hypertension or extrapulmonary involvement of the respective diseases can be suspected. Progressive pulmonary fibrosis requires radiologic assessment as one of the required criteria. Interstitial lung abnormalities are usually detected by radiological studies performed for an unrelated indication.</p><p><strong>Conclusion: </strong>Radiology plays an important role within the multidisciplinary conference to determine both diagnosis and treatment with antifibrotic or anti-inflammatory drugs, or a combination of both.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"643-652"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494540","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
[Occupational interstitial lung diseases]. [职业性间质性肺病]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-07-16 DOI: 10.1007/s00117-024-01342-9
K Hofmann-Preiß
{"title":"[Occupational interstitial lung diseases].","authors":"K Hofmann-Preiß","doi":"10.1007/s00117-024-01342-9","DOIUrl":"10.1007/s00117-024-01342-9","url":null,"abstract":"<p><p>A variety of workplace exposures (organic or inorganic dusts as well as gases, fumes, or vapors) can cause diffuse interstitial lung disease. The latency period until onset of the disease can exceed 30 years. The disease course varies greatly and depends on the quantity of the inhaled substance and its fibrogenic effect. Pulmonary high-resolution computed tomography (HRCT) patterns do not differ significantly from those of interstitial lung diseases (ILD) of other etiologies. Therefore, without knowledge of the occupational history, work-related ILDs are often classified as idiopathic. In addition, there is increasing evidence in the recent literature that high exposure to silica dust can trigger autoimmune diseases (also involving the lungs). For this reason, a qualified occupational history is now an indispensable part of the interdisciplinary diagnosis of ILDs.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"636-642"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11286622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621922","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
[Interstitial lung abnormalities : What the radiologist needs to know]. [肺间质异常：放射科医生须知]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-29 DOI: 10.1007/s00117-024-01336-7
Sabine Dettmer, Jens Vogel-Claussen
{"title":"[Interstitial lung abnormalities : What the radiologist needs to know].","authors":"Sabine Dettmer, Jens Vogel-Claussen","doi":"10.1007/s00117-024-01336-7","DOIUrl":"10.1007/s00117-024-01336-7","url":null,"abstract":"<p><p>Interstitial lung abnormalities (ILA) are incidental findings on computed tomography (CT), particularly in elderly patients and smokers. They describe mild interstitial abnormalities that can be progressive and turn into overt interstitial lung disease (ILD). In recent years, ILA have increasingly come into focus because several large cohort studies have shown poorer clinical outcomes and increased mortality for patients with ILA compared to those without ILA. The radiological classification into nonsubpleural, subpleural nonfibrotic and subpleural fibrotic as well as the assessment over time can-together with clinical risk factors-help estimate clinical outcome. Clinical management of patients with ILA includes exclusion of ILD and risk-adapted control intervals, especially in the presence of risk factors.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"612-616"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473336","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
[Smoking-related interstitial lung disease : Radiological findings, histopathological correlations, and clinical observations]. [与吸烟有关的间质性肺病 ：放射学发现、组织病理学相关性和临床观察]。
Radiologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-07-11 DOI: 10.1007/s00117-024-01333-w
Lisa Jungblut
{"title":"[Smoking-related interstitial lung disease : Radiological findings, histopathological correlations, and clinical observations].","authors":"Lisa Jungblut","doi":"10.1007/s00117-024-01333-w","DOIUrl":"10.1007/s00117-024-01333-w","url":null,"abstract":"<p><strong>Clinical/methodological issue: </strong>Identifying smoking-related interstitial lung diseases (SRILD) in smokers is challenging, as clinical manifestations can be nonspecific, and there is a variety of SRILD entities that not only interconnect but can also overlap.</p><p><strong>Radiological standard procedures: </strong>In diagnosing SRILD, imaging techniques such as high-resolution computed tomography (HRCT) allow the identification of characteristic features, serving as crucial pieces of the puzzle for definitive differentiation.</p><p><strong>Performance: </strong>Studies have demonstrated that HRCT exhibits a sensitivity of approximately 80-90% in identifying SRILD, with a specificity around 70-80%. The conclusive diagnosis often requires a correlation between histopathological findings and clinical observations.</p><p><strong>Practical recommendations: </strong>Regular monitoring of smokers, especially when experiencing symptoms like shortness of breath and cough, coupled with a comprehensive diagnosis of SRILD, is crucial for accurate identification and individualized therapy.</p>","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"628-635"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11286665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592306","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
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