Radiologie (Heidelberg, Germany)最新文献_第2页

[Differential diagnosis of acute onset loss of consciousness : A case-based review for the radiologist and neurologist]. [急性发作性意识丧失的鉴别诊断：放射科医生和神经科医生的病例回顾]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-29 DOI: 10.1007/s00117-025-01475-5

Niklas D Frömmel, Stella Schütz

引用次数: 0

[Spondylitis and spondylodiscitis]. [脊柱炎和椎间盘炎]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-25 DOI: 10.1007/s00117-025-01478-2

Torsten Diekhoff, Dominik Deppe

{"title":"[Spondylitis and spondylodiscitis].","authors":"Torsten Diekhoff, Dominik Deppe","doi":"10.1007/s00117-025-01478-2","DOIUrl":"https://doi.org/10.1007/s00117-025-01478-2","url":null,"abstract":"Background: Inflammatory spinal disorders include infectious spondylodiscitis and noninfectious spondyloarthritis. Their clinical differentiation and distinction from degenerative conditions are crucial.Objective: This review aims to clearly describe infectious and noninfectious spondylitis, highlighting diagnostic and therapeutic challenges.Materials and methods: Analysis of current literature and clinical experience regarding infection pathways, clinical symptoms, and characteristic findings in imaging modalities (magnetic resonance imaging [MRI], computed tomography [CT], X‑ray).Results: Infectious spondylodiscitis typically arises through hematogenous or iatrogenic routes, predominantly affecting older patients and presenting specific changes detectable by MRI and CT. Noninfectious spondylarthritis, such as axial spondyloarthritis, typically manifests as enthesitis with characteristic structural lesions. MRI is highly sensitive in identifying active inflammatory lesions, while CT and X-ray are advantageous for visualizing chronic structural changes.Conclusion: Diagnosing inflammatory spinal disorders remains challenging and requires a combination of clinical and imaging findings. Unified definitions and standardized diagnostic procedures are essential to minimize incorrect assessment and facilitate targeted therapy.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487409","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

Evaluation of deep learning reconstruction in accelerated knee MRI: comparison of visual and diagnostic performance metrics. 加速膝关节MRI中深度学习重建的评估：视觉和诊断性能指标的比较。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-23 DOI: 10.1007/s00117-025-01464-8

Shenglian Wen, Yifan Xu, Guangxin Yang, Fuling Huang, Zisan Zeng

{"title":"Evaluation of deep learning reconstruction in accelerated knee MRI: comparison of visual and diagnostic performance metrics.","authors":"Shenglian Wen, Yifan Xu, Guangxin Yang, Fuling Huang, Zisan Zeng","doi":"10.1007/s00117-025-01464-8","DOIUrl":"https://doi.org/10.1007/s00117-025-01464-8","url":null,"abstract":"Objective: To investigate the clinical value of deep learning reconstruction (DLR) in accelerated magnetic resonance imaging (MRI) of the knee and compare its visual quality and diagnostic performance metrics with conventional fast spin-echo T2-weighted imaging with fat suppression (FSE-T2WI-FS).Methods: This prospective study included 116 patients with knee injuries. All patients underwent both conventional FSE-T2WI-FS and DLR-accelerated FSE-T2WI-FS scans on a 1.5‑T MRI scanner. Two radiologists independently evaluated overall image quality, artifacts, and image sharpness using a 5-point Likert scale. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of lesion regions were measured. Subjective scores were compared using the Wilcoxon signed-rank test, SNR/CNR differences were analyzed via paired t tests, and inter-reader agreement was assessed using Cohen's kappa.Results: The accelerated sequences with DLR achieved a 36 % reduction in total scan time compared to conventional sequences (p < 0.05), shortening acquisition from 9 min 50 s to 6 min 15 s. Moreover, DLR demonstrated superior artifact suppression and enhanced quantitative image quality, with significantly higher SNR and CNR (p < 0.001). Despite these improvements, diagnostic equivalence was maintained: No significant differences were observed in overall image quality, sharpness (p > 0.05), or lesion detection rates. Inter-reader agreement was good (κ> 0.75), further validating the clinical reliability of the DLR technique.Conclusion: Using DLR-accelerated FSE-T2WI-FS reduces scan time, suppresses artifacts, and improves quantitative image quality while maintaining diagnostic accuracy comparable to conventional sequences. This technology holds promise for optimizing clinical workflows in MRI of the knee.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478178","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

[Semicircular canal dehiscence syndrome]. [半规管开裂综合征]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-23 DOI: 10.1007/s00117-025-01468-4

Malvina Garner

引用次数: 0

[Hypersensitivity pneumonitis : S2K guideline from a radiological perspective]. [超敏性肺炎：从放射学角度看S2K指南]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-17 DOI: 10.1007/s00117-025-01461-x

Okka W Hamer, Dirk Koschel, Beate Rehbock

引用次数: 0

[Hematogenous osteomyelitis in children : A feared pediatric emergency]. [儿童血液性骨髓炎：一种可怕的儿科急症]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-16 DOI: 10.1007/s00117-025-01469-3

Markus Uhl, Markus Hufnagel

引用次数: 0

[Petrous bone fractures]. [岩状骨折]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-16 DOI: 10.1007/s00117-025-01467-5

Armin Bachhuber

引用次数: 0

[Tumors of the petrous bone]. [石质骨的肿瘤]

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-03 DOI: 10.1007/s00117-025-01466-6

Frederik Fries

引用次数: 0

[Prof. Dr. Gerhard van Kaick on his 90^th birthday]. [格哈德·范·凯克教授庆祝他90岁生日]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1007/s00117-025-01460-y

G Layer, S Delorme, H-P Schlemmer, W Semmler

引用次数: 0

[Postsurgical follow-up and long-term monitoring of colorectal cancer : Radiology as a key component]. [结直肠癌术后随访与长期监测：放射学作为关键组成部分]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-03-26 DOI: 10.1007/s00117-025-01435-z

K I Ringe, I Molwitz, A G Schreyer, J Wessling, L Grenacher, M S Juchems

{"title":"[Postsurgical follow-up and long-term monitoring of colorectal cancer : Radiology as a key component].","authors":"K I Ringe, I Molwitz, A G Schreyer, J Wessling, L Grenacher, M S Juchems","doi":"10.1007/s00117-025-01435-z","DOIUrl":"10.1007/s00117-025-01435-z","url":null,"abstract":"Clinical/methodological issue: Colorectal cancer is one of the most common malignant tumors worldwide. Postsurgical follow-up and long-term monitoring are essential to detect local recurrence, metastases, or secondary tumors at an early stage.Standard radiological methods: According to the current guideline on colorectal cancer, radiologic follow-up is primarily performed using a single computed tomography (CT) scan 3 months after completion of therapy. Annual chest X‑ray examinations within the first 5 years after completion of treatment can be employed, and, due to cost-effective availability, regular abdominal ultrasound is recommended.Methodological innovations: The German guideline on colorectal cancer is currently being revised. As the sensitivity of ultrasound is inferior to CT and magnetic resonance imaging (MRI), thoracoabdominal CT will probably become crucial in follow-up care with the revised guideline, which would align with international recommendations.Performance: CT is well suited for detecting local recurrence, as well as lung or liver metastases. MRI is used in assessing local cancer grades for treatment planning and monitoring. Structured reporting, stage- and guideline-based recommendations including follow-up intervals as well as interdisciplinary tumor conferences ensure high-quality follow-up care.Achievements: Radiology is essential to interdisciplinary follow-up care for colorectal cancer.Practical recommendations: Structured reporting and clear recommendations on follow-up intervals should be standard in radiological reports. The importance of radiological follow-up for patients with colorectal cancer is likely to increase further with the guideline that is currently being revised.","PeriodicalId":74635,"journal":{"name":"Radiologie (Heidelberg, Germany)","volume":" ","pages":"436-442"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733533","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