Critical reviews in computed tomography最新文献_第6页

Anterior mediastinal extension of primary chest wall infections: role of spiral CT in detection and management. 原发性胸壁感染的前纵隔延伸:螺旋CT在检测和治疗中的作用。

Critical reviews in computed tomography Pub Date : 2003-01-01 DOI: 10.1080/10408370390808496

S. L. Novick, E. Fishman

{"title":"Anterior mediastinal extension of primary chest wall infections: role of spiral CT in detection and management.","authors":"S. L. Novick, E. Fishman","doi":"10.1080/10408370390808496","DOIUrl":"https://doi.org/10.1080/10408370390808496","url":null,"abstract":"UNLABELLED The purpose of this review was to define the role of spiral CT in the diagnosis and clinical management of patients with mediastinal infections resulting from extension of anterior chest wall infections. The review focuses on determining the frequency of mediastinal extension of chest wall infections as well as to define the patterns spread. SUBJECTS AND METHODS CT scans of 22 consecutive patients collected over a 2-year period with anterior chest wall infections were evaluated both prospectively and retrospectively. Clinical, pathologic, and CT characteristics of the infections were evaluated. The extension of the infection into the mediastinum as well as the role of CT in diagnosis and management of these patients was examined. RESULTS Of the 22 patients, 10/22 (45.4%) showed CT evidence of mediastinal infection. Extension of chest wall infection occurred in patients with both soft tissue and sternoclavicular joint processes. The assessment of mediastinal involvement was best seen at the level of the great vessels origin from the aortic arch. CT findings in the mediastinum included fat hyperdensity and stranding, fluid collections (abscess), and mass effect on the great vessels. Sensitivity and specificity of CT for determination of mediastinal infection were both 100%. In 5 of 10 cases with evidence of mediastinal extension, the clinical situation required surgical drainage. In the other five cases the patients were managed with antibiotic therapy alone. CONCLUSIONS Mediastinal involvement of chest wall infections is a common occurrence. Conservative and/or surgical management must be tailored to the patient. Factors to consider in management decisions include the clinical status, CT findings, and patient compliance. Rapid CT evaluation may permit timely surgical intervention, limiting complications in some patients.","PeriodicalId":83673,"journal":{"name":"Critical reviews in computed tomography","volume":"78 1","pages":"79-93"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88136423","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: 4

Case of the month. Renal arteriovenous malformation. 本月热门案例。肾动静脉畸形。

Critical reviews in computed tomography Pub Date : 2003-01-01

Christopher L Smith

引用次数: 0

Radiation issues with multidetector row helical CT. 多排螺旋CT的辐射问题。

Critical reviews in computed tomography Pub Date : 2003-01-01

Terry T Yoshizumi, Rendon C Nelson

引用次数: 0

Acute appendicitis. 急性阑尾炎。

Critical reviews in computed tomography Pub Date : 2003-01-01 DOI: 10.3109/10408370390808432

K. Horton

引用次数: 0

Case of the month. Islet cell tumor of the pancreas. 本月热门案例。胰岛细胞瘤胰腺的胰岛细胞瘤。

Critical reviews in computed tomography Pub Date : 2003-01-01

David J Grand

引用次数: 0

Imaging of sinonasal anatomy and inflammatory disorders. 鼻窦解剖及炎性疾病影像学。

Critical reviews in computed tomography Pub Date : 2003-01-01 DOI: 10.3109/bctg.44.4.187.228

Gul Moonis

引用次数: 6

CT imaging of patients with metallic hardware. 金属硬体患者的CT成像。

Critical reviews in computed tomography Pub Date : 2003-01-01 DOI: 10.3109/bctg.44.6.305.313

Karen M Horton

引用次数: 2

Anterior mediastinal extension of primary chest wall infections: role of spiral CT in detection and management. 原发性胸壁感染的前纵隔延伸:螺旋CT在检测和治疗中的作用。

Critical reviews in computed tomography Pub Date : 2003-01-01

Steven L Novick, Elliot K Fishman

{"title":"Anterior mediastinal extension of primary chest wall infections: role of spiral CT in detection and management.","authors":"Steven L Novick, Elliot K Fishman","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The purpose of this review was to define the role of spiral CT in the diagnosis and clinical management of patients with mediastinal infections resulting from extension of anterior chest wall infections. The review focuses on determining the frequency of mediastinal extension of chest wall infections as well as to define the patterns spread.Subjects and methods: CT scans of 22 consecutive patients collected over a 2-year period with anterior chest wall infections were evaluated both prospectively and retrospectively. Clinical, pathologic, and CT characteristics of the infections were evaluated. The extension of the infection into the mediastinum as well as the role of CT in diagnosis and management of these patients was examined.Results: Of the 22 patients, 10/22 (45.4%) showed CT evidence of mediastinal infection. Extension of chest wall infection occurred in patients with both soft tissue and sternoclavicular joint processes. The assessment of mediastinal involvement was best seen at the level of the great vessels origin from the aortic arch. CT findings in the mediastinum included fat hyperdensity and stranding, fluid collections (abscess), and mass effect on the great vessels. Sensitivity and specificity of CT for determination of mediastinal infection were both 100%. In 5 of 10 cases with evidence of mediastinal extension, the clinical situation required surgical drainage. In the other five cases the patients were managed with antibiotic therapy alone.Conclusions: Mediastinal involvement of chest wall infections is a common occurrence. Conservative and/or surgical management must be tailored to the patient. Factors to consider in management decisions include the clinical status, CT findings, and patient compliance. Rapid CT evaluation may permit timely surgical intervention, limiting complications in some patients.","PeriodicalId":83673,"journal":{"name":"Critical reviews in computed tomography","volume":"44 2","pages":"79-93"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22394012","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

Paranasal and orbital anatomy revisited: identification of the ethmoid arteries on coronal CT scans. 鼻旁和眶解剖重述:冠状CT扫描上筛动脉的识别。

Critical reviews in computed tomography Pub Date : 2003-01-01 DOI: 10.3109/bctg.44.5.263.278

Thaddaeus F Gotwald, Andreas Menzler, Norman J Beauchamp, Dieter zur Nedden, S James Zinreich

{"title":"Paranasal and orbital anatomy revisited: identification of the ethmoid arteries on coronal CT scans.","authors":"Thaddaeus F Gotwald, Andreas Menzler, Norman J Beauchamp, Dieter zur Nedden, S James Zinreich","doi":"10.3109/bctg.44.5.263.278","DOIUrl":"https://doi.org/10.3109/bctg.44.5.263.278","url":null,"abstract":"Objective: The aim of this study was to identify recognizable landmarks on coronal CT (CCT) scans for the localization of the anterior and posterior ethmoid arteries, which are important anatomic structures and surgical landmarks within the ethmoid sinuses.Materials and methods: Four series of plastinated cadaver specimens and 80 CCT examinations were evaluated to identify the anatomical landmarks that define the course of the anterior and posterior ethmoid arteries within the ethmoid sinuses.Results: The following anatomic landmarks: the indentations into the medial orbital wall, the relationship between the superior oblique and medial rectus orbital muscles, and the lateral ethmoid fovea wall thinning proved to be useful CCT landmarks for the localization of the anterior and posterior ethmoid arteries.Conclusion: The results of this study suggest that familiarity with the above-mentioned landmarks on routine CCT images facilitates the localization of the anterior and posterior ethmoid arteries as they enter the ethmoid sinus.","PeriodicalId":83673,"journal":{"name":"Critical reviews in computed tomography","volume":"44 5","pages":"263-78"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/bctg.44.5.263.278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24119999","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: 28

Case of the month. Acute cholecystitis. 本月热门案例。急性胆囊炎。

Critical reviews in computed tomography Pub Date : 2003-01-01 DOI: 10.3109/bctg.44.4.183.186

Karen M Horton

引用次数: 1