A Hutzelmann, S Palmié, M Freund, R Buhl, M Heller
{"title":"[Dura thickening adjacent to intracranial, para-dural space-occupying lesions in MRI. Histologic correlation].","authors":"A Hutzelmann, S Palmié, M Freund, R Buhl, M Heller","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>With intracranial tumors a flat, contrast-enhancing, probably dural structure adjacent to the tumor can occasionally be observed on gadolinium-DTPA enhanced MR images. Thers we have attempted to evaluate a tumor infiltration of these enhancement on MRI.</p><p><strong>Material and methods: </strong>This study included 50 patients, 19 patients had a dural thickening at the tumor base (13 meningiomas and 6 metastases), while 31 patient did not (12 meningiomas and 19 metastases). Studies included plane T2-weighted spin echo (SE) images as well as T1-weighted axial, coronal, or sagittal plains with and without contrast agent. Histopathological examinations, were done on the tumor base adjacent to the dura mater.</p><p><strong>Results: </strong>7 of 12 meningiomas showed a meningeal thickening on MRI with histopathologically proven tumor infiltration as did also 5 of 6 metastases. But 3 of 12 meningiomas and 15 of 19 metastases without dural thickening at the tumor base also showed tumor invasion into the dura mater.</p><p><strong>Conclusion: </strong>MR imaging is still not able to determine whether or not there is a dural infiltration of the tumors base because there was no correlation between MR images and histopathologic results. In conclusion, metastases adjacent to the dura infiltrate the dura mater in a higher percentage than meningiomas.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"305-8"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391662","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}
P Springer, A Dessl, S M Giacomuzzi, Stöhr, A Stöger, G Bodner, W Buchberger
{"title":"[Virtual CT colonoscopy. Examination technique, limitations and perspectives].","authors":"P Springer, A Dessl, S M Giacomuzzi, Stöhr, A Stöger, G Bodner, W Buchberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Virtual CT-colonoscopy is a post-processing method which allows for reconstruction of inner bowel surface structures from helical CT datasets. The reconstructed images simulate the views which are known from fiberoptic endoscopy. Since colorectal cancer is the second main cause of death in USA and Europe today and since recent screening recommendations are often ignored by the public, a non-invasive or minimal-invasive procedure for colonic evaluation would offer some benefits. Virtual CT-colonoscopy generally involves three essential steps: patient preparation with cleansing of the bowel and administration of an air enema, helical CT-examination by using appropriate scan parameters, and interactive 3D rendering of the volume data-set. Although recent studies have demonstrated that polypoid lesions of about 5 mm size are well detectable and although virtual colonoscopy offers many advantages over fiberoptic endoscopy, some technical and clinical limitations must still be noted. Thus, the current inability of virtual colonoscopy to provide texture and color leads to problems in identifying flat lesions; the presence of retained or adherent fecal matter may result to false positive diagnosis and collapsed segments of bowel may cause problems as they cannot subsequently be evaluated during image reconstruction. Virtual endoscopy is still in its infancy and further technical and clinical developments are necessary. Virtual CT-colonoscopy may then prove to be equal or superior to colonoscopy in sensitivity and specificity for polyp detection and be able to reduce the number of unnecessary colonoscopic procedures.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"301-4"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391661","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}
{"title":"[Recommendations for standardized radiologic follow-up of thrust plate endoprosthesis].","authors":"G Gruber, J Wricke, H Stürz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The thrust-plate endoprosthesis (TPE) is a cementless, total endoprosthetic replacement of the coxal femur with metaphysical anchorage. A combination of the TPE with an endoprosthetic cup component, which is also cementless, is recommended based on the concept of the TPE. The TPE requires a special radiological technique. In radiological follow-up examinations, the positioning area of the TPE, particularly on the resected femoral neck, is especially important. A gap-free, level positioning of the implant on the resected and flat-ground femoral neck is ideal. In order to be able to exactly judge the positioning area, the bony area and the TPE that lies on it should have no overlap in the anterio-posterior optical path of the X-ray and must be hit exactly orthogonally by the central X-ray beam. As radiological examinations of human femoral preparations show, this succeeds best with an inner rotation positioning of the femur from 10 to 20 degrees. According to our experience, especially in freshly operated patients, the positioning of the legs with the femur in a slightly abducted position (about 10-20 degrees) is better tolerated. Only when the positioning of the TPE cannot be exactly judged with the above-mentioned examination method should the examiner use an X-ray image intensifier. Experience has shown that this is only necessary in exceptional cases. In the present examination, the special problems of radiological examination of the TPE are discussed. Recommendations for standardized radiological examinations, as well as findings following TPE implantation, are given.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"312-6"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391664","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}
{"title":"[Radiologic imaging of MALT lymphoma. (Comparison between stomach roentgen image, computerized tomography and magnetic resonance tomography].","authors":"J Thiele, J P Schneider, F Schmidt, H G Schulz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The new classification of primary lymphomas of the stomach according to the MALT concept is very promising in therapy planning and prognostic estimation. This new classification sets strict requirements for imaging diagnostics. Besides endosonography which allows the determination of the infiltration depth in stages E I1 and E I2 in an excellent manner, computed tomography and, possibly, magnetic resonance tomography are indispensible for evaluation of higher stages and of the resectability of a lymphoma. Further MRI examinations are recommended.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"324-7"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391667","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}
{"title":"[Unusual computerized tomography and magnetic resonance imaging of cerebellar metastasis].","authors":"B Vinz, R Grote, C Bartels, S Reissberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a 68-year old patient with brainstem/cerebellum abnormalities, a left cerebellar mass was demonstrated. It was characterized by hyperdensities in computed tomography; MRI revealed conspicuously low signal intensities on T2 weighting and isointense signal values with a peripheral gadolinium enhancement on T1 weighting. The histological finding was a metastasis of a mucus-forming adenocarcinoma which had originated in a tumor of the ascending colon.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"328-30"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20393368","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}
{"title":"[Indications and outcome effectiveness of transpopliteal angioplasty].","authors":"S A Beyer-Enke, R Adamus, R Loose, E Zeitler","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>In this retrospective study, the results following angioplasty by the retrograde transpopliteal approach were evaluated to confirm the indications of this technique.</p><p><strong>Patients and methods: </strong>34 patients were evaluated. Of these 28 were male and 6 were female. Differences to a normal group of patients planned to have angioplasty are the different location of the puncture and on extremely negative selection.</p><p><strong>Results: </strong>Technical success was observed in 84%. A long-term patency ratio of 0.53 was achieved after 30 month. No complications relevant to the therapy were observed.</p><p><strong>Conclusions: </strong>The transpopliteal approach is a safe and efficient alternative to femoral puncture if the latter is impossible. Compared to the crossover-technique, mechanical considerations favor this technique.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"297-300"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391660","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}
{"title":"[Xanthogranulomatous pyelonephritis with septic lung metastases and infiltration of the colon. Difficult preoperative differential pulmonary hypernephroma metastasis diagnosis].","authors":"N Hortling, G Layer, P Albers, H H Schild","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Xanthogranulomatous pyelonephritis (XGP) is a rare and aggressive form of chronic pyelonephritis for which partial or complete nephrectomy is mandatory [1.2]. The diagnosis and, in particular, the differentiation from hypernephroma is mostly established by the histopathological examination only. We have reviewed the literature and present an unusual case of XGP with septic spreading into the lungs mimicking pulmonary metastasis and with an inflammatory infiltration of the descending colon.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"317-20"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391665","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}
{"title":"[Nuclear magnetic resonance tomography detection of heroin-associated CNS lesions].","authors":"L Niehaus, S Röricht, B U Meyer, B Sander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rare patterns of heroin-associated lesions within the central nervous system are described. In one case, magnetic resonance imaging revealed the combination of a border zone infarct within the thoracal spinal cord and a bilateral lesion within the globus pallidus. In a second case, cerebral border zone infarctions were observed which were attributed to a vasospasm of the basal cerebral arteries. Drug-abuse should be considered as a potential cause of these unusual manifestations of ischemic lesions in young patients.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"309-11"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20391663","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}
{"title":"[Costs and performance in roentgen diagnosis--conventional technique versus digital technique].","authors":"G A Brandt, M Homburg, N Cimanowski, E Ohmen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Relationships from benefits-costs analyses in radiography are presented. The impact of several factors (equipment, frequency of examinations, ...) on the planning of a department and special financial aspects, e.g., leasing of equipment, are discussed. The cost relationships of conventional versus digital radiography are demonstrated for the example of a 1000-bed hospital.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"344-50"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20393372","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}
{"title":"[Ossification of the stylohyoid chain in computerized tomography--Eagle syndrome].","authors":"H Lugmayr, G Krennmair, F Lenglinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The computed tomographic morphology of a typical Eagle syndrome is presented on the basis of a case history. In a 40-year old male patient [correction of female] presenting with bilateral tinnitus, globus hystericus, and increasing hoarseness computed tomography revealed bilateral ossification of the stylohyoid ligament. The incidence of stylalgia is very low in comparison to the occurrence of a elongated styloid process or an ossified stylohyoid ligament. However, in cases of unexplained complaints in the head and neck region it should be considered in the differential diagnosis as it has therapeutic consequences.</p>","PeriodicalId":76986,"journal":{"name":"Aktuelle Radiologie","volume":"7 6","pages":"331-2"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20393369","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}