Rontgenpraxis; Zeitschrift fur radiologische Technik最新文献_第2页

Diagnose der Pilzpneumonie in der Thorax-CT 胸部肺炎的ct诊断

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2008.03.004

Martina Heckmann, Michael Uder, Werner Bautz, Marc Heinrich

{"title":"Diagnose der Pilzpneumonie in der Thorax-CT","authors":"Martina Heckmann, Michael Uder, Werner Bautz, Marc Heinrich","doi":"10.1016/j.rontge.2008.03.004","DOIUrl":"10.1016/j.rontge.2008.03.004","url":null,"abstract":"<div><p>The importance of fungal infection of the lung in immunocompromised patients has increased substantially during the last decades. Numerically the most patients are those with neutropenia, e.g. patients with malignancies or solid organ and stem cell transplantation, chemotherapy, corticosteroid use and HIV infection. Although fungal infections can occur in immunocompetent patients, their frequency in this population is rare.</p><p>The clinical symptoms such as fever accompanied with non-productive cough are unspecific. In some patients progression to hypoxemia and dyspnea may occur rapidly. In spite of improved antifungal therapy morbidity and mortality of these infections are still high. Therefore an early and non-invasive diagnosis is very important. That is why CT and even better High-Resolution-CT (HR-CT) is a very important modality in examining immunocompromised patients with a probability of fungal infection. CT is everywhere available and, as a non-invasive method, able to give the relevant diagnose efficiently.</p><p>This paper should give an overview about the radiologic findings and possible differential diagnosis of diverse pulmonary fungal infections in CT. Pneumonias caused by Aspergillus, Cryptococcus, Candida, Histoplasma, Mucor and Geotrichum capitatum are illustrated.</p></div>","PeriodicalId":76505,"journal":{"name":"Rontgenpraxis; Zeitschrift fur radiologische Technik","volume":"56 6","pages":"Pages 207-218"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rontge.2008.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051326","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

Arterielles popliteales Entrapment Syndrom (PAES) — ein Fallbericht zur Differentialdiagnose der Claudicatio intermittens 这是一篇关于克劳迪卡交互诊断的微分诊断病例

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2007.06.001

C. Wissgott, P. Kamusella, H.J. Steinkamp

引用次数: 0

Verfeinertes Staging von hilusnahen Bronchialkarzinomen durch EKG-gegatete Mehrschicht-Spiral-CT - Fallbeschreibung 进一步定性的冠状动脉支气肿与多管旋转心电图

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2007.04.001

Susanne Ohlmann , Ralf Nowak , Armand Daliri , Rainer Michulla , Jens J. Froelich

引用次数: 0

Klinische Wertigkeit der Dual-Source-Computertomographie (DSCT) in der Primärdiagnostik der koronaren Herzkrankheit 在冠状动脉疾病的首要诊断中

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2007.06.003

H. Brunner , S. Fröhner , J. Brunn , M. Wagner , F.H. Gietzen , S. Kerber , R. Schmitt

{"title":"Klinische Wertigkeit der Dual-Source-Computertomographie (DSCT) in der Primärdiagnostik der koronaren Herzkrankheit","authors":"H. Brunner , S. Fröhner , J. Brunn , M. Wagner , F.H. Gietzen , S. Kerber , R. Schmitt","doi":"10.1016/j.rontge.2007.06.003","DOIUrl":"10.1016/j.rontge.2007.06.003","url":null,"abstract":"<div><p>Dual-source-CT-technology (DSCT) improves temporal resolution of cardiac computed tomography to 83ms per heart-phase. In this study, the clinical performance of this new method is evaluated.</p></div><div><h3>Materials and Methods</h3><p>In fifty patients (33 male, 17 female; age 50±13 years) with suspected coronary heart disease, CT angiography (slice thickness 0,75mm, contrast-agent 60–80ml iomeprol) was performed with a Somatom Definition scanner. Based on the coronary 15-segment-model of the AHA, scores for image quality and lumen reduction were established to enable the observer, to give recommendations for further therapy.</p></div><div><h3>Results</h3><p>Out of 750 possible AHA-segments, 655 were depicted (87,3%). 591 segments (90,2%) were assessed without any limitation of quality, 49 (7,5%) segments showed moderate, and 15 (2,3%) segments severe limitation in image quality. 508 (77,6%) segments were without pathological findings, 92 (14,0%) segments had minimal atherosclerotic lesions, 42 (6,4%) segments suffered from stenoses with lumen reduction less than 70%, and 13 (2,0%) showed significant stenoses of more than 70%. In 31 patients (62%), coronary heart disease was ruled out by CT angiography without any need for further non-invasive or invasive diagnostics. 8 patients (16%) underwent stress-testing for ischemia. In 11 (22%) patients coronary angiography was recommended, and DSCT findings were confirmed in 10 cases. Only one LCx stenosis was overestimated in DSCT.</p></div><div><h3>Conclusion</h3><p>Contrast-enhanced DSCT is a powerful tool in diagnosis of coronary heart disease. 98% of coronary segments could be assessed in diagnostic quality, and at least 90% of haemodynamically significant coronary stenoses were detected.</p></div>","PeriodicalId":76505,"journal":{"name":"Rontgenpraxis; Zeitschrift fur radiologische Technik","volume":"56 5","pages":"Pages 155-163"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rontge.2007.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051331","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

Magnetresonanztomographie von Spitzentanz in aufrechtem Stand unter Belastung (Weight bearing upright Magnetic Resonance Imaging of pointe dancing) 站立在Belastung下(负重直立的足尖舞磁共振成像)

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2007.06.002

Oliver Peter Graber, Wolfgang Oberthaler

引用次数: 2

Der von Meyenburg Komplex 是谁

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2008.03.005

Siegfried A Schwab, Werner Bautz, Michael Uder, Michael A Kuefner

引用次数: 0

Empfehlungen zur Prophylaxe der Nebenwirkungen bei intravasaler Applikation jodhaltiger Kontrastmittel 关于在静脉注射时预防副作用的建议

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2008-01-01 DOI: 10.1016/j.rontge.2008.03.001

Michael A. Kuefner, Marc Heinrich, Werner Bautz, Michael Uder

引用次数: 4

DR (a-Se) versus CR (DLR) – ist eine Verbesserung der Treffsicherheit möglich? Eine retrospektiv klinisch/histologische Analyse (n=100) 口径测试逆转录病毒/历史分析(n=100)

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2007-03-15 DOI: 10.1016/j.rontge.2006.10.001

Rüdiger Schulz-Wendtland, Michael Lell, Evelyn Wenkel, Cathrin Böhner, Marc-Steffen Dassel, Werner Bautz

{"title":"DR (a-Se) versus CR (DLR) – ist eine Verbesserung der Treffsicherheit möglich? Eine retrospektiv klinisch/histologische Analyse (n=100)","authors":"Rüdiger Schulz-Wendtland, Michael Lell, Evelyn Wenkel, Cathrin Böhner, Marc-Steffen Dassel, Werner Bautz","doi":"10.1016/j.rontge.2006.10.001","DOIUrl":"10.1016/j.rontge.2006.10.001","url":null,"abstract":"<div><h3>Purpose</h3><p>A retrospective clinical-histological study to determine the diagnostic accuracy using high-resolution digital phosphor storage plates (CR) (hardcopy) and full-field digital mammography (DR) (hardcopy) for microcalcifications and focal lesions (BI-RADS<sup>™</sup> category 4 or 5) (<em>n</em>=100).</p></div><div><h3>Materials and Methods</h3><p>From 01/2004 to 06/2004, 100 patients underwent digital storage plate mammography (CR) and, after diagnosis and preoperative wire localization, full-field digital mammography (a-Se) (DR) with the same exposure parameters. Five investigators retrospectively determined the diagnosis after the operation from randomly distributed mediolateral views (hardcopy reading). These results were correlated with the final histology.</p></div><div><h3>Results</h3><p>The accuracy of digital storage plate mammography (CR) and full-field digital mammography (DR) was 73% and 76% for all findings (<em>n</em>=100), 74%, 78% for microcalcifications (<em>n</em>=50) and 72%, 74% for focal lesions (<em>n</em>=50). The overall results showed no difference.</p></div><div><h3>Conclusion</h3><p>Our findings indicate equivalence of high-resolution digital phosphor storage plate mammography (CR) and full-field digital mammography (a-Se) (DR).</p></div>","PeriodicalId":76505,"journal":{"name":"Rontgenpraxis; Zeitschrift fur radiologische Technik","volume":"56 4","pages":"Pages 129-135"},"PeriodicalIF":0.0,"publicationDate":"2007-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rontge.2006.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26230368","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: 3

Aufbau eines teleradiotherapeutischen Netzwerks für Lymphompatienten im Rahmen des Kompetenznetzes Maligne Lymphome 在malidanny淋巴球职权范围内为淋巴瘤建立一个淋巴网

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2007-03-15 DOI: 10.1016/j.rontge.2006.07.001

H.T. Eich , A. Schneeweiß , R. Skripnitchenko , K. Hansemann , A. Goßmann , R.-P. Müller

{"title":"Aufbau eines teleradiotherapeutischen Netzwerks für Lymphompatienten im Rahmen des Kompetenznetzes Maligne Lymphome","authors":"H.T. Eich , A. Schneeweiß , R. Skripnitchenko , K. Hansemann , A. Goßmann , R.-P. Müller","doi":"10.1016/j.rontge.2006.07.001","DOIUrl":"https://doi.org/10.1016/j.rontge.2006.07.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of the subproject “Radiotherapy” within the competence network malignant lymphoma, funded by the Federal German Ministry of Education and Research (BMBF), was to build-up an electronic imaging transfer between five University departments of Radiation Oncology to improve communication between study centers and reference centers.</p></div><div><h3>Materials and Methods</h3><p>We describe our experiences with these modern teleradiotherapeutic possibilities, its feasibility within multicentric clinical trials.</p></div><div><h3>Results</h3><p>Telemedical functions could successfully be integrated into the existing quality asssurance programs of radiotherapy. Since January 2001 more than 700 patients (trials HD10–HD15 of the German Hodgkin Study Group, GHSG) could be assessed after digital transfer via internet, on mobile data carriers or an ISDN-connection in the radiotherapy reference center Cologne. Transfer of digital imaging between participating study centers and the radiotherapy reference center allows immediate or a short-term evaluation of adequacy of treatment fields by expert radiation oncologists before the start of radiotherapy. This improves dialogue and consensus between radiotherapy reference centers and study centers and thus contributes towards high radiotherapy quality for lymphoma patients.</p></div><div><h3>Conclusion</h3><p>The long-term aim is to network all those hospitals, institutions and private facilities taking part in the GHSG trials to achieve an integrated system of cooperation. This improves dialogue and consensus between the radiotherapy reference center and the study centers and thus contributes towards high radiotherapy quality for patients with Hodgkin's lymphoma.</p></div>","PeriodicalId":76505,"journal":{"name":"Rontgenpraxis; Zeitschrift fur radiologische Technik","volume":"56 4","pages":"Pages 145-151"},"PeriodicalIF":0.0,"publicationDate":"2007-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rontge.2006.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92012603","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

Radiotherapie der endokrinen Orbitopathie – State of the Art und Literaturübersicht 内分泌学及文学界的无线电治疗

Rontgenpraxis; Zeitschrift fur radiologische Technik Pub Date : 2007-03-15 DOI: 10.1016/j.rontge.2006.07.002

Hans Theodor Eich , Oliver Micke , M. Heinrich Seegenschmiedt

引用次数: 5