Imaging decisions (Berlin, Germany)最新文献

{"title":"Clinical Implementation of Dual-Source Computed Tomography for Diagnostic Cardiovascular Angiography: Initial Experience","authors":"R. Dikkers,&nbsp;G. J. De Jonge,&nbsp;T. P. Willems,&nbsp;P. M. A. Van Ooijen,&nbsp;L. H. Piers,&nbsp;R. A. Tio,&nbsp;M. Oudkerk","doi":"10.1111/j.1617-0830.2006.00074.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00074.x","url":null,"abstract":"<div>\u0000 \u0000 <p>Coronary angiography (CAG) has been the standard method for detection and follow-up of coronary artery disease for years. However, it has a slight but discrete complication rate. With the introduction of multidetector computed tomography (MDCT), the coronary system could be evaluated non-invasively. The limited temporal and spatial resolution of the first MDCT scanners made the examination quality of scanning of patients with high, increasing or irregular heart rates or patients with stents, clips or severely calcified arteries less predictable. The introduction of dual-source computed tomography (DSCT) might constitute a promising new concept for cardiac CT. In this study, we present our first experience with DSCT. We investigated seven patients for different indications with DSCT. Image quality was reliable in all patients despite the presence of high heart rates (up to 105 beats per minute), heavy calcifications and surgical clips. DSCT showed stenoses which were not detected on CAG. Regarding the fact that DSCT not only offers morphological information of the coronary vessel wall and lumen but also delivers all standard functional cardiac parameters, it has true potential as a routine diagnostic tool in the cardiac diagnostic workup. In conclusion, first results of DSCT show high-quality, consistent cardiac and coronary imaging independent of heart rate and patient condition. These features enable a breakthrough in non-invasive cardiac and coronary imaging.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 2","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2006-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00074.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109168483","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":"Imaging of the Postoperative Knee","authors":"M. Galla,&nbsp;J. D. Agneskirchner,&nbsp;P. Lobenhoffer","doi":"10.1111/j.1617-0830.2006.00064.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00064.x","url":null,"abstract":"<div>\u0000 \u0000 <p>As imaging techniques develop rapidly, it has become essential to differentiate which techniques are suitable for evaluation of postoperative results. Depending on the surgical procedure, standard radiography, magnetic resonance imaging and computed tomography can be employed for imaging of the postoperative knee. For accurate assessment of the postoperative status knowledge of the utilized surgical methods and the expected imaging appearances of the structures that have been reconstructed, resected or replaced is necessary. Both radiologists and orthopaedic surgeons must be familiar with the possibilities of each imaging method and its indications resp. contraindications. As a single technique is not always sufficient to provide all the information, all imaging methods should be considered complementary. This article will give an overview on different imaging techniques, their indications and their problems in postoperative assessment of surgical results around the knee joint.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 1","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2006-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00064.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109173190","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":"Derangement of Knee: Role of Radionuclide Imaging in the Diagnosis","authors":"V. R. Prasad","doi":"10.1111/j.1617-0830.2006.00066.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00066.x","url":null,"abstract":"<div>\u0000 \u0000 <p>Bone scintigraphy in diagnosis of knee derangements is a very useful investigation. From its inception, bone scintigram has developed into a reliable tool with advancing technologies of both hardware and software. The bone scintigraphy is not widely performed though it can be very rewarding especially in diagnosing knee lesions. Bone scintigraphy and magnetic resonance imaging (MRI) are complementary in diagnosing the lesions and where MRI is contra-indicated, bone scintigram has established itself as an alternative.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 1","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2006-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00066.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109232224","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":"Knee Imaging","authors":"Edwin J.R. van Beek","doi":"10.1111/j.1617-0830.2006.00061.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00061.x","url":null,"abstract":"","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2006-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00061.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109173193","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":"Can We Really Trust MRI in Diagnosing Knee Injuries in Athletes?","authors":"Christer G. Rolf,&nbsp;Masoud Riyami","doi":"10.1111/j.1617-0830.2006.00062.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00062.x","url":null,"abstract":"<p>This review discusses the so frequent dilemma for a sports physician or orthopaedic surgeon to stand in front of a professional soccer or rugby player with a knee injury, showing clear clinical signs of a meniscus tear or possibly chondral injury, but with an magnetic resonance imaging (MRI) which has been reported as normal. When arthroscopy finally is undertaken after a lot of discussion and delay caused by the reportedly normal MRI, the clinical suspicion is verified. The opposite situation may of course also occur. A clinician usually refers to MRI when the clinical diagnosis is unclear. However, among professional clubs in the UK the referral to a tertiary specialist is in many cases accompanied with an already undertaken MRI. In this review, we demonstrate several illustrative cases, where MRI has led to unnecessary management delays. The review focuses on meniscus and focal cartilage injuries. We suggest a range of possible solutions, which may improve the situation. There are several controversies to be addressed. First, detailed communication between the clinician and radiologist are often hampered by formal procedures. A referral is sent to the Radiology Department and a radiographer will perform a routine MRI protocol. The referral question may not always point to the correct injury, and is depending on the experience of the clinician. Usually, the radiologist is not present during scanning and instead puts together a protocol and subsequently reports on the images without having seen the injured player. Secondly, the use of different routine protocols for investigation of different structures is often not known in detail by the clinician. Thirdly, there is often a lack of standardized reporting of exact location, size and severity of focal cartilage injury in relation to the patients sporting demands. Furthermore, the quality of healed cartilage in a treated focal defect is of course of vital interest for allowing return to sport. Last but not least, inability to verify dynamic instabilities and structural behaviour during movement of the injured knee decreases the clinical value of MRI when compared with arthroscopy for a number of common sport injuries of the knee.</p>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 1","pages":"2-7"},"PeriodicalIF":0.0,"publicationDate":"2006-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00062.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109173192","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":"Magnetic Resonance Imaging of the Knee: a Review","authors":"P. W. J. Vincken,&nbsp;B. P. M. ter Braak,&nbsp;A. R. van Erkel,&nbsp;E. G. Coerkamp,&nbsp;T. P. W. de Rooy,&nbsp;W. M. C. Mallens,&nbsp;J. L. Bloem","doi":"10.1111/j.1617-0830.2006.00065.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00065.x","url":null,"abstract":"<p>In the past 15 years, magnetic resonance imaging (MRI) of the knee has become available as an alternative to diagnostic arthroscopy. MRI has proven to be accurate for the diagnosis of intra- and peri-articular pathology, especially for meniscal pathology (accounting for 86% of the indications for arthroscopy) and ligamentous injuries. It is good enough, especially when using the concept of composite injury (sensitivity of 87.3% and specificity of 88.4%), to appropriately identify patients, who require arthroscopic therapy. In playing this role MRI has diagnostic and therapeutic impact. MRI, when used in all patients with high clinical suspicion of intra-articular knee pathology instead of direct arthroscopy, can avoid 35% of arthroscopies. By influencing the therapy received by a patient, MRI also has the ability to influence patient outcome and societal costs. In patients with sub-acute and chronic knee complaints and with high clinical suspicion of intra-articular knee pathology MRI of the knee can be used to select patients for arthroscopy without additional societal costs and without disadvantageous effect on patient outcome.</p>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 1","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2006-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00065.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109173194","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":"Computed Tomography of Knee Injuries","authors":"J. M. Ahn,&nbsp;G. Y. El-Khoury","doi":"10.1111/j.1617-0830.2006.00063.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2006.00063.x","url":null,"abstract":"<div>\u0000 \u0000 <p>The knee is the largest and most complex joint in the body and a wide variety of bone and soft tissue injuries are seen in the knee. Trauma to the knee can result in injury to the bone, articular cartilage, meniscus and ligaments. Fractures of the proximal tibia, particularly those that extend into the knee joint, are serious injuries that frequently result in functional impairment. Recent advances in cross-sectional imaging, particularly in computed tomography (CT), have given this modality a prominent role in the detection and classification of fractures in and around the knee. With the advent of high-performance multi-detector CT, isotropic data sets can be generated with subsecond gantry rotation times and submillimetre slice thickness. CT arthrography can clearly demonstrate many lesions in the plethora of internal derangement of the knee. CT arthrography also deserves its advantage as it may be used to evaluate knee injuries in patients where magnetic resonance imaging is contraindicated. In this article we discuss the indications for imaging of knee injuries by CT, present the advantages of multi-detector CT and CT arthrography, and provide examples that highlight the utility of CT in the evaluation of the knee injuries.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"10 1","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2006-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2006.00063.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109173191","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":"1H Magnetic Resonance Spectroscopy of the Brain in Paediatrics: the Diagnosis of Creatine Deficiencies","authors":"P. E. Sijens,&nbsp;M. Oudkerk","doi":"10.1111/j.1617-0830.2005.00054.x","DOIUrl":"10.1111/j.1617-0830.2005.00054.x","url":null,"abstract":"<div>\u0000 \u0000 <p>The diagnosis of creatine deficiencies, a paediatric application of magnetic resonance spectroscopy that has already become a diagnostic tool in clinical practice, is reviewed and illustrated with results from recent examinations.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"9 4","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2005-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2005.00054.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115730107","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":"Keyword index*","authors":"","doi":"10.1111/j.1617-0830.2005.00058.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2005.00058.x","url":null,"abstract":"","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"9 4","pages":"iv"},"PeriodicalIF":0.0,"publicationDate":"2005-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2005.00058.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137809725","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":"Magnetic Resonance Imaging of the Fetus: Physicists', Technologists' and Radiologists' Perspectives","authors":"J. Morris,&nbsp;E. Whitby,&nbsp;M. Paley","doi":"10.1111/j.1617-0830.2005.00052.x","DOIUrl":"10.1111/j.1617-0830.2005.00052.x","url":null,"abstract":"<div>\u0000 \u0000 <p> <i>In utero</i> magnetic resonance imaging has expanded from a research tool into everyday practise for many centres worldwide. This is predominantly for central nervous system abnormalities, but research is continuing on it's role in other body systems. The technique is dependent on radiographers, radiologists and physicists working together to optimise the sequences and reduce the time taken. Experience is essential on all aspects including the interpretation of the images. There is no doubt that it is a useful adjuvant to antenatal ultrasound in certain clinical situations. For optimal use a multidisciplinary team approach with detailed case discussion is essential.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"9 4","pages":"2-7"},"PeriodicalIF":0.0,"publicationDate":"2005-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2005.00052.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127462663","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}