{"title":"[Computer tomography-guided puncture of the retroperitoneal space].","authors":"J Triller, F Terrier, P Probst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A CT-guided fine-needle puncture was performed in 42 patients with renal or retroperitoneal space-occupying growths identified by means of computed tomography. In 18 out of 24 patients (75%), CT-guided fine-needle puncture enabled verification of malignant neoplasias, relapses and metastases by means of identification of malignant cells. In 9 out of 13 patients suspected of retroperitoneal abscess, fine-needle puncture helped to establish the diagnosis by a positive bacteriological finding. In 5 cases, CT-guided anterograde pyelography and percutaneous nephrostomy were effected after puncture of the renal pelvis by means of sonography had failed. CT-guided puncture should be used as an additional or complementary examination over and above computed tomography alone whenever a space-occupying growth is present the aetiology of which remains unclear. CT-guided puncture is indicated on principle in retroperitoneal space-occupying growths which cannot be properly defined by sonography.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695834","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":"[Computer tomographic findings in metastasizing choriocarcinoma].","authors":"H Schild, N Treese, M Reuss, K Friese","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The angiographic picture of metastatic choriocarcinoma is well known since long, computertomographic findings, however, have not yet been described. The article gives a case-report and discusses the computertomographic picture of the disease.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"57-9"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17740179","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":"[A pulsating tumor in the chest wall].","authors":"R Rienmüller, D Hahn, M Manz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A pericardial constriction with calcification and a pulsating cyst is an unusual outcome after a pericardial windowing. The application of cardiac computed tomography evaluating the morphological parameters of the heart chambers and the adjacent vessels is an appropriate noninvasive method in the diagnostics of pericardial constriction.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"93-7"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695694","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}
A Gebauer, D Valena-Eberhard, M Zrenner, C Becker-Gaab, M Kessler, D Hahn
{"title":"[2-dimensional echoencephalography or cranial CT in premature or newborn infants with suspected intracranial hemorrhages].","authors":"A Gebauer, D Valena-Eberhard, M Zrenner, C Becker-Gaab, M Kessler, D Hahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>65 newborns or low-birthweight infants with suspicion of intracranial hemorrhage were examined with B-mode small part scanners. In 12 cases the diagnosis made by ultrasound could be compared with CT. There was a similar accuracy of both methods in case of intraventricular (IVH) and subependymal (SEH) hemorrhage. SEH seems to be easier detected by US. On the other hand there are problems in diagnosing subdural (SDH) and intracerebral (IHC) hemorrhages by US. These problems are caused by the adjacent skull, but does not exist for CT. B-mode-Echoencephalography is the method of choice for examination of high risk infants and for the follow up, because US is a cribside method and of high diagnostic accuracy. CT-studies should be done in case of hemorrhage adjacent to the skull and if the US-diagnosis seems not to be reliable.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"51-6"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695832","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":"[CT diagnosis of adrenal gland tumors].","authors":"D Uhlenbrock, W Appel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article reports on 36 examinations conducted to identify a possible adrenal tumour, or leading to the discovery of a disease of the adrenal glands. Pathological findings were obtained in 17 cases, including 6 adenomas, 6 metastases, 1 leukaemic infiltrate, 1 primary carcinoma, 1 phaeochromocytoma, 1 cyst and 1 bilateral adrenal hyperplasia. In 16 patients, CT produced the correct diagnosis. No false-negative diagnosis were seen. The tumours are described in respect of their morphological characteristics and their density performance in the CT. This is followed by a comparative discussion involving the results obtained by other working groups. The ranking of CT in respect of diagnosis of adrenal tumours is discussed in comparison to the competing imaging methods. Since CT ranks very high as far as its diagnostic value is concerned, it should be given preference in the identification of adrenal tumours.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"60-6"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695833","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":"[Computer tomographic image of the cranial vault].","authors":"J Klumair, K Fochem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Imaging of the vault of the cranium via CT must be considered as an additional examination. It is possible to assess the CT image already stored during examination of the brain, without additionally exposing the patient, merely by changing position and breadth of the window. In our opinion, primary indication for CT of the vault of the cranium exists only if diagnosis based on survey remains doubtful. However, examination will always be combined with a representation of the individual strata of the brain. Our studies have also shown that in many cases CT assessment of the vault of the cranium necessarily also involves comparison with the surveys.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"84-6"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695692","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}
J Gonzales Morantes, R Rangel Guerra, H K Campa Nunez, H Vogel
{"title":"[Cerebral cysticercosis in the computer tomogram].","authors":"J Gonzales Morantes, R Rangel Guerra, H K Campa Nunez, H Vogel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cysticercosis cerebralis can occur as a parenchymatous, subarachnoidal, ventricular or mixed type. One further form can be identified besides these clearly defined types. X-ray morphology in the computer tomogram, as well as the histopathological findings, suggest that this special form may be designated as \"vasculitis cysticercotica\" or \"encephalopathia inflammatorica cysticercotia\". Our own results indicate that this disease is widespread among the populations in developing and threshold countries; in our own patient material (Northern Mexico), the rate of incidence was more than 9%.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695693","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":"[Image of tumorous obstructions of the extrahepatic bile ducts in computer tomography].","authors":"W Castrup, B Schlüter, J Wedell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Basing on a patient material consisting of 28 patients with tumours in the region of the extrahepatic bile ducts, the following criteria are examined which govern the demonstration of tumour obstructions by means of the computer tomogram: Extent of widening of the bile ducts, assessment of stenosis or complete obstruction of the bile ducts and demonstration of the structure of the tumorous tissue and of the tumorous infiltration into the adjacent tissues. Computerized tomography of this region can achieve a narrowing-down of the indications for an endoscopic or percutaneous visualization of the bile ducts, these being more severely invasive methods.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 2","pages":"75-9"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17695835","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":"[Correlation between CT findings and clinical course in viral and bacterial meningoencephalitis].","authors":"H Krüger, D Grosse, H Drewnitzky, R Rohkamm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The computed axial tomograms (CAT) of 50 patients with viral or bacterial meningoencephalitis are correlated with the clinical course, the laboratory data, and the EEG changes. The diagnostic value of CAT in the early diagnosis of herpes simplex encephalitis is of specific importance. Hypodense regions are demonstrated after the fifth day of illness in the temporal lobe. All other viral or bacterial meningoencephalitis cases have no specific changes on CAT examination compared with clinical or laboratory data. However, in localised encephalitis CAT may reveal hypodense regions. For follow-up studies of meningoencephalitis CAT is of important diagnostic value in demonstrating complications such as abscess or occlusive hydrocephalus.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 1","pages":"32-7"},"PeriodicalIF":0.0,"publicationDate":"1983-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17682830","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":"[Current value of sonography in pancreas diagnosis].","authors":"J Triller, H Klauser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The topical value of sonography in pancreas diagnosis is examined and discussed in a retrospective study comprising 264 patients. In 80% of the cases sonography can supply clear results if conditions of examination are optimal. Sonography is of excellent value in examining the normal pancreas (88%) and in identifying a pancreatic pseudocyst (93%) and carcinoma of the pancreas (87%). The sonographically guided fine-needle puncture enables cytological verification in more than 60% of the cases of carcinoma of the pancreas by detecting the presence of malignant cells. Invasive investigation methods are used on-target. Thanks to its high power of resolution, computerized tomography is considered as the method of choice in the diagnosis of inflammatory diseases of the pancreas and in clarifying a sonographic finding which lacks clarity. Today the emphasis of ERCP is mainly on detecting ductal changes when suspecting chronic pancreatitis or carcinoma of the pancreas.</p>","PeriodicalId":79210,"journal":{"name":"Computertomographie","volume":"3 1","pages":"42-8"},"PeriodicalIF":0.0,"publicationDate":"1983-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17682832","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}