[Treatment planning with functional MRI].
Abstract CLINICAL/METHODICAL ISSUE: The aim of magnetic resonance imaging (MRI) guided radiotherapy is high precision in treatment delivery. With new developments it is possible to focus the high dose irradiation on the tumor while sparing the surrounding tissue. The achievements in precision of the treatment planning and delivery warrant equally precise tumor definition. STANDARD RADIOLOGICAL METHODS: In conventional radiation therapy it is necessary to carry out a planning computed tomography (CT). For many tumors there is also need for an additional morphological MRI because of more accurate tumor definiti...
Source: Der Radiologe - October 27, 2015 Category: Radiology Authors: Georg P, Andrzejewski P, Pinker K, Georg D Tags: Radiologe Source Type: research

[Recurrent migratory knee pain].
PMID: 26508136 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 27, 2015 Category: Radiology Authors: Reimer V, Ehrhardt A, Freitag T, Beer M, Schmidt SA Tags: Radiologe Source Type: research

[Possibilities of sonographic image fusion : Current developments].
Abstract CLINICAL/METHODICAL ISSUE: For diagnostic and interventional procedures ultrasound (US) image fusion can be used as a complementary imaging technique. METHODICAL INNOVATIONS: Image fusion has the advantage of real time imaging and can be combined with other cross-sectional imaging techniques. PERFORMANCE: With the introduction of US contrast agents sonography and image fusion have gained more importance in the detection and characterization of liver lesions. ACHIEVEMENTS: Fusion of US images with computed tomography (CT) or magnetic resonance imaging (MRI) facilitates the diagnostics and po...
Source: Der Radiologe - October 13, 2015 Category: Radiology Authors: Jung EM, Clevert DA Tags: Radiologe Source Type: research

[The silent revolution].
PMID: 26440658 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 6, 2015 Category: Radiology Authors: Delorme S, Jenderka KV Tags: Radiologe Source Type: research

[SENDS criteria from the diversification of MAST procedures : Implementation of preoperative simulation].
Abstract CINICAL ISSUE: Minimal access spinal technologies (MAST) lead to a diversification of surgical procedures, which requires careful selection of the procedure and outcome monitoring. For a rational selection of the procedure simulation, endoscopy, navigation, decompression and stabilization (SENDS) criteria can be derived from the development of the MAST procedures. Preoperative simulation has diagnostic and therapeutic values. The SENDS criteria can be verified indirectly via outcome control. STANDARD TREATMENT: Biomechanically meaningful diagnostic x-rays of the spinal segment to be surgically treate...
Source: Der Radiologe - October 6, 2015 Category: Radiology Authors: Rieger B Tags: Radiologe Source Type: research

[Clinical forensic imaging : Detection and documentation of internal injuries in living victims of violence].
Abstract External examination of the body surface with documentation of all visible findings can still be regarded as the status quo of clinical forensic injury assessment. It is obvious that internal findings cannot be detected using this technique. For obtaining such findings accessible well-established radiological techniques, such as computed tomography (CT) and magnetic resonance imaging (MRI) should be used. Especially MRI with no damaging radiation exposure for the examined person allows the detection of internal soft tissue and organ damage and offers a great potential regarding new techniques for allowing...
Source: Der Radiologe - October 6, 2015 Category: Radiology Authors: Glemser PA, Krauskopf A, Simons D, Schlemmer HP, Yen K Tags: Radiologe Source Type: research

[Ultrasound elastography].
Abstract Noninvasive, ultrasound-based methods for visualizing and measuring tissue elasticity are becoming more and more common in routine practice. Using hepatic shear wave elastography, cut-off levels can help to detect the degree of relevant fibrosis (F ≥ 2) with a diagnostic accuracy using the area under the reader operating characteristic (AUROC) of 87 % and cirrhosis (F = 4, AUROC 93 %). Normal values virtually exclude liver cirrhosis (negative predictive value up to 97 %) and high shear wave velocities predict complications in the course of primary sclerosing cho...
Source: Der Radiologe - October 5, 2015 Category: Radiology Authors: Goertz RS Tags: Radiologe Source Type: research

[Optoacoustic imaging].
Abstract CLINICAL/METHODICAL ISSUE: Imaging modalities play an increasing role in today's medical diagnostics. Among them, ultrasound (US) is one the most widespread techniques although it has relatively poor soft tissue contrast. Furthermore, US is poorly suited as a modality for molecular imaging (MI). STANDARD RADIOLOGICAL METHODS: Methods such as Doppler and contrast-enhanced US (CEUS) allow functional imaging of the vasculature; however, ultrasound-based MI remains limited to the vascular network due to the size of available contrast agents. METHODICAL INNOVATIONS: Optoacoustic imaging combines the ...
Source: Der Radiologe - October 5, 2015 Category: Radiology Authors: Fournelle M, Tretbar S Tags: Radiologe Source Type: research

[Transcranial focused ultrasound : Neurological applications of magnetic resonance-guided high-intensity focused ultrasound].
CONCLUSION: This article describes the technical basis of transcranial focused ultrasound neurosurgery and summarizes the current clinical experience of this new class of image-guided, non-invasive interventions. PMID: 26438092 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 5, 2015 Category: Radiology Authors: Werner B, Martin E Tags: Radiologe Source Type: research

[Ultrasound motion tracking for radiation therapy].
CONCLUSION: It is not clear whether ultrasound motion tracking will become established in the clinical routine although all technical prerequisites can be considered as fulfilled, such that exciting progress in this field of research is still to be expected. PMID: 26438093 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 5, 2015 Category: Radiology Authors: Jenne J, Schwaab J Tags: Radiologe Source Type: research

[Molecular ultrasound imaging : Clinical applications].
CONCLUSION: Molecular ultrasound imaging is rapidly evolving in preclinical research for a broad field of applications. Translation to clinical practice is conceivable for many indications and is already ongoing for BR55. PMID: 26438094 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 5, 2015 Category: Radiology Authors: Rix A, Palmowski M, Kiessling F Tags: Radiologe Source Type: research

[Interventions on the spine].
PMID: 26432700 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 2, 2015 Category: Radiology Authors: Helmberger T Tags: Radiologe Source Type: research

[Kyphoplasty combined with intraoperative radiotherapy (Kypho-IORT) : Alternative therapy for patients with oligometastatic spinal metastases].
CONCLUSION: The Kypho-IORT procedure is a safe, feasible and beneficial modern treatment option for instant stabilization and local tumor control in patients with spinal metastases. More than 100 operations have been successfully performed so that the method can be deemed suitable for inclusion in the clinical routine. A phase II dose escalation study has now been completed and submitted for publication and a 2-arm non-inferiority trial (phase III study) for comparison with conventional irradiation is in progress. PMID: 26420600 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 29, 2015 Category: Radiology Authors: Bludau F, Reis T, Schneider F, Clausen S, Wenz F, Obertacke U Tags: Radiologe Source Type: research

[Ganglion block : When and how?]
Abstract CLINICAL ISSUE: Increasing understanding of the anatomy and physiology of neural structures has led to the development of surgical and percutaneous neurodestructive methods in order to target and destroy various components of afferent nociceptive pathways. The dorsal root ganglia and in particular the ganglia of the autonomous nervous system are targets for radiological interventions. The autonomous nervous system is responsible for the regulation of organ functions, sweating, visceral and blood vessel-associated pain. STANDARD RADIOLOGICAL METHODS: Ganglia of the sympathetic chain and non-myelinized...
Source: Der Radiologe - September 17, 2015 Category: Radiology Authors: Bale R Tags: Radiologe Source Type: research

[Periradicular infiltration therapy : Clinical indications, technique and results].
CONCLUSION: Periradicular infiltration is of significant importance concerning the treatment of spinal nerve root irritation. Periradicular infiltration is regarded as a safe procedure, especially when supported by computed tomography (CT) scans. PMID: 26377920 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 16, 2015 Category: Radiology Authors: Oder B, Thurnher S Tags: Radiologe Source Type: research

[Kyphoplasty - Vertebroplasty : A critical assessment].
Abstract CLINICAL ISSUE: Painful vertebral compression fractures. STANDARD TREATMENT: Analgesia. TREATMENT INNOVATIONS: Osteoplastic procedures, such as kyphoplasty and vertebroplasty. DIAGNOSTIC WORKUP: Anamnestic and radiological associations of clinical complaints with the radiomorphological findings of vertebral compression fractures are required for an adequate consideration to assess whether an osteoplastic procedure should be carried out. A computed tomography (CT) scan allows a reliable judgement whether an osteoplastic procedure is technically feasible and promising to improve the local ver...
Source: Der Radiologe - September 15, 2015 Category: Radiology Authors: Kasperk C Tags: Radiologe Source Type: research

[Business intelligence in radiology : Challenges and opportunities].
Abstract Due to economic pressures and need for higher transparency, a ubiquitous availability of administrative information is needed. Therefore radiology managers should consider implementing business intelligence (BI) solutions. BI is defined as a systemic approach to support decision-making in business administration. It is an important part of the overall strategy of an organization. Implementation and operation is initially associated with costs and for a successful launch important prerequisites must be fulfilled. First, a suitable product must be selected, followed by the technical and organizational imple...
Source: Der Radiologe - September 10, 2015 Category: Radiology Authors: Escher A, Boll D Tags: Radiologe Source Type: research

[Vertebroplasty - state of the art].
Abstract BACKGROUND: Percutaneous vertebroplasty (PVP) using PMMA (polymethyl methacrylate) was first described in 1987 by Gallibert and Deramond for the treatment of vertebral body instability in patients with aggressive forms of vertebral hemangioma. Other types of painful osteolytic bone lesions, such as osteoporotic vertebral fractures and vertebral metastasis are in the meantime more commonly treated using this method. METHODICAL INNOVATIONS: Within the last few years, this technique has become widely accepted and it is proposed for osteolytic bone lesions in areas that are more difficult to approach sur...
Source: Der Radiologe - September 10, 2015 Category: Radiology Authors: Wilhelm K Tags: Radiologe Source Type: research

[Acute aortic diseases : Diagnostic imaging and therapy].
Abstract Diagnostic imaging is crucial in the work-up of acute aortic diseases. Current imaging algorithms enable radiologists differentiating the various entities with subsequent clinically relevant treatment options. Within this educational overview we focus on non-traumatic acute aortic disease. Recent developments of cross sectional imaging are summarized. As for acute aortic disease, we discuss dissections, intramural hematoma, penetrating aortic ulcer, and aortitis. Current treatment options are presented. PMID: 26336960 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 4, 2015 Category: Radiology Authors: Reimer P, Vosshenrich R, Storck M Tags: Radiologe Source Type: research

[Interventions on facet joints : Techniques of facet joint injection, medial branch block and radiofrequency ablation].
This article presents a technical overview of commonly used fluoroscopy-guided interventions on the facet joints of the cervical and lumbar spine, such as facet joint injection, blockade of the medial nerve branches and radiofrequency ablation. PMID: 26334438 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 3, 2015 Category: Radiology Authors: Artner J, Klessinger S Tags: Radiologe Source Type: research

[(68)Ga-pentixafor PET: clinical molecular imaging of chemokine receptor CXCR4 expression in multiple myeloma].
PMID: 26330211 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 2, 2015 Category: Radiology Authors: Avanesov M, Karul M, Derlin T Tags: Radiologe Source Type: research

[Interventions on the intervertebral discs : Indications, techniques and evidence levels].
Abstract CLINICAL ISSUE: Over the last decades a number of different minimally invasive interventions have been proposed for the treatment of intervertebral disc herniation and degeneration. All of these interventions aim at relieving pressure from compressed nerve roots by mechanical ablation, chemical dissolution, evaporation or coagulation of disc tissue. STANDARD TREATMENT: Microsurgical sequestrectomy with direct visualization of the spinal canal. TREATMENT INNOVATIONS: Minimally invasive intradiscal interventions, such as chemonucleolysis, manual and automated disc decompression, laser disc decompr...
Source: Der Radiologe - September 2, 2015 Category: Radiology Authors: Streitparth F, Disch AC Tags: Radiologe Source Type: research

[Diffusion-weighted imaging in acute stroke].
Abstract Diffusion-weighted imaging (DWI) enables the early detection of acute ischemic stroke and with high sensitivity and specificity. The signal changes are based on decreased diffusion of water molecules that is caused by cytotoxic edema. Despite the possibility of early detection of ischemic changes magnetic resonance imaging (MRI) is not normally necessary for the therapy decision; however, under some conditions, such as unknown time from onset of symptoms, multiparametric MRI including DWI can provide useful information that will influence the therapy. PMID: 26330213 [PubMed - as supplied by publisher...
Source: Der Radiologe - September 2, 2015 Category: Radiology Authors: Yilmaz U Tags: Radiologe Source Type: research

[Basic principles and technique of diffusion-weighted imaging and diffusion tensor imaging].
CONCLUSION: Diffusion-weighted MRI is an established technique for the assessment of pathological processes. Although DWI is mainly applied in stroke diagnostics, it is increasingly being used to detect and characterize various lesions in the brain as well as in the whole body. With new sequence techniques imaging artefacts can be significantly reduced. In addition, DTI allows the reconstruction and 3-dimensional visualization of tissue fibre structure. This method has proven to be clinically important primarily for the depiction of nerve tracts in the brain and spinal cord when planning surgical interventions and radiatio...
Source: Der Radiologe - September 2, 2015 Category: Radiology Authors: Backens M Tags: Radiologe Source Type: research

[Magnetic resonance imaging : Density equalizing mapping analysis of global research architecture].
DISCUSSION: The results show that the current trend is continuing and the scientific interest in MRI is continuously increasing. PMID: 26306540 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 27, 2015 Category: Radiology Authors: Ohlendorf D, Schwarze B, Groneberg DA, Schwarzer M Tags: Radiologe Source Type: research

[MRI/PET for the detecton of bone metastases : The new gold standard?]
PMID: 26311438 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 27, 2015 Category: Radiology Authors: Weber MA Tags: Radiologe Source Type: research

[Utility of coronal oblique slices in cervical spine MRI : Improved detection of the neuroforamina].
CONCLUSIONS: Adding coronal oblique planes in cervical spine MRI increases sensitivity and confidence in attributing the cause of neuroforaminal pathology. They are regarded as useful by all the readers. PMID: 26311439 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 27, 2015 Category: Radiology Authors: Freund W, Klessinger S, Mueller M, Halatsch ME, Hoepner G, Weber F, Schmitz B Tags: Radiologe Source Type: research

[Sonographic fracture diagnostics].
CONCLUSIONS: Sonographic algorithms for fracture evaluation (SAFE) offer a safe diagnosis and guidance of the therapeutic course of certain pediatric fractures, thereby reducing unnecessary radiation exposure. PMID: 26293601 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 21, 2015 Category: Radiology Authors: Eckert K, Ackermann O Tags: Radiologe Source Type: research

[Diffusion-weighted imaging and diffusion tensor imaging in preoperative diagnostics].
Abstract The extent of anisotropy and the direction of diffusion of H protons characterize the tissue structure and qualitative and quantitative evaluation of the appropriate parameters provide inferences for the membrane permeability, axon thickness, integrity and connectivity. The technique of fiber tracking is implemented in the presurgical diagnostics for lesions in the brain to show the relationship of the lesion to the fiber system. The benefit of this technique for preoperative and intraoperative localization of the pyramidal tracts, the primary motor areas, the optic radiation and the speech regions could ...
Source: Der Radiologe - August 21, 2015 Category: Radiology Authors: Reith W Tags: Radiologe Source Type: research

[Diffusion formation and psychiatric diseases].
This article shows examples of the application of diffusion-weighted imaging (DWI) in psychiatric disorders. PMID: 26286437 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 19, 2015 Category: Radiology Authors: Reith W, Kulikovski J Tags: Radiologe Source Type: research

[Diffusion-weighted imaging].
PMID: 26275883 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 15, 2015 Category: Radiology Authors: Reith W Tags: Radiologe Source Type: research

[Whole-body ferromagnetic detector systems in clinical MRI].
;ber UK Abstract CLINICAL/METHODICAL ISSUE: In spite of technical and organizational measures, ferromagnetic objects still find their way into the magnetic resonance imaging (MRI) room and can cause severe injuries. STANDARD RADIOLOGICAL METHODS: A detailed patient education and MRI safety training for personnel are necessary to avoid MRI incidents with ferromagnetic objects. METHODICAL INNOVATIONS: Whole body ferromagnetic detection systems should increase patient safety and minimize risks for personnel and MRI equipment in the clinical routine. PERFORMANCE: In a clinical MRI setting, a screener sy...
Source: Der Radiologe - August 7, 2015 Category: Radiology Authors: Güttler FV, Heinrich A, Teichgräber UK Tags: Radiologe Source Type: research

[Radiation dose in cerebral angiography and flat detector CT applications in neuroradiology].
We describe the effective patient dose of current applications in the field of angiography and demonstrate strategies to minimize the dose to the patient. In addition, we compare FD-CT applications to standard multislice CT applications. PMID: 26245985 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - August 7, 2015 Category: Radiology Authors: Struffert T, Lang S, Scholz R, Hauer M, Dörfler A Tags: Radiologe Source Type: research

[fMRI and DTI in delayed development of number processing].
h W Abstract The neuronal correlate of the current cultural performance arose from developmental processes that can be observed by functional and anatomical magnetic resonance imaging. The velocity of these maturation processes occurs differently between adolescents, causing implications for both school career and academic performance. Regarding spatial-numerical cognition the myelinization of the superior longitudinal bundle appears to be crucial because this fiber connection intermediates between the linguistic nature of number words and conception of their spatial-numerical magnitude. The neuroscientific observ...
Source: Der Radiologe - August 7, 2015 Category: Radiology Authors: Krick CM, Neuhaus A, Klewin C, Wörner T, Kreis S, Reith W Tags: Radiologe Source Type: research

[Safety in radiology].
PMID: 26220126 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - July 30, 2015 Category: Radiology Authors: Herold C, Trattnig S Tags: Radiologe Source Type: research

[Physical interactions in MRI : Some rules of thumb for their reduction].
g S Abstract Magnetic resonance imaging (MRI) is one of the most powerful and at the same time gentlest clinical imaging techniques at the present time; however, the enormous physical complexity as well as simple inattentiveness (projectile effect) implicate a significant risk potential and place high demands on the MR operator to ensure a safe workflow. A sound knowledge of the potential MR interactions is the foundation for a safe and profitable operation for all parties.The first part of this article deals with the three most important sources of physical interaction, i.e. static magnetic field, gradient and hi...
Source: Der Radiologe - July 30, 2015 Category: Radiology Authors: Mühlenweg M, Schaefers G, Trattnig S Tags: Radiologe Source Type: research

[Protection of the unborn child in diagnostic and interventional radiological procedures].
Abstract The radiation exposure of an unborn child should be principally avoided, whenever it is medically reasonably possible; therefore, the identification of pregnant patients is the first and the most important step in radiation protection of the unborn child. However, in cases of emergency saving the life of the patient has a higher priority than the radiation protection of the unborn child. In this review article, we present a longitudinal section through the national and international literature and guidelines as a basis for radiological management of a (possibly) pregnant patient. We also list some radiolo...
Source: Der Radiologe - July 30, 2015 Category: Radiology Authors: Hojreh A, Prosch H, Karanikas G, Homolka P, Trattnig S Tags: Radiologe Source Type: research

[New aspects from legislation, guidelines and safety standards for MRI].
g S Abstract Many aspects of magnetic resonance (MR) operation are not directly regulated by law but in standards, guidelines and the operating instructions of the MR scanner. The mandatory contents of the operating instructions are regulated in a central standard of the International Electrotechnical Commission (IEC) 60601-2-33. In this standard, the application of static magnetic fields in MRI up to 8 Tesla (T) in the clinical routine (first level controlled mode) has recently been approved. Furthermore, the equally necessary CE certification of ultra-high field scanners (7-8 T) in Europe is expected f...
Source: Der Radiologe - July 30, 2015 Category: Radiology Authors: Mühlenweg M, Schaefers G, Trattnig S Tags: Radiologe Source Type: research

[Principles of Doppler sonography].
This article describes the technical and physical basics of medical Doppler techniques. PMID: 26187613 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - July 18, 2015 Category: Radiology Authors: Jenderka KV, Delorme S Tags: Radiologe Source Type: research

[Radiological diagnostics of pediatric lungs].
Abstract Pediatric lung diseases are a common clinical problem. Besides the clinical examination and laboratory tests, imaging studies are the mainstay in the diagnostics of pediatric lung diseases. Thorough consideration of radiation protection based on optimized equipment also includes the protection of relatives and medical staff. The high impact of radiation protection in children necessitates a different choice of imaging modalities compared to adults. Ultrasound and magnetic resonance imaging (MRI) as adjunct or complementary imaging methods are of greater value than computed tomography (CT). The suspicion o...
Source: Der Radiologe - July 9, 2015 Category: Radiology Authors: Beer M, Ammann B Tags: Radiologe Source Type: research

[Cardiovascular diseases in childhood].
Abstract Cardiac imaging in childhood poses significant challenges for the instrumentation and the operator. Small cardiac structures, high heart beat rates, non-compliant or sedated patients and in addition to the challenge of detecting acquired heart diseases, a broad spectrum of congenital heart defects (CHD) needs to be addressed, preferably without the burden of ionizing radiation. These challenges require not only accurate anatomical imaging but also a comprehensive assessment of hemodynamic and functional parameters for prognosis and risk stratification. With an incidence of 1 % among all live births...
Source: Der Radiologe - July 3, 2015 Category: Radiology Authors: Hart C Tags: Radiologe Source Type: research

[A 17-year-old female patient with lower abdominal pain for 2 years].
PMID: 26113206 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - June 26, 2015 Category: Radiology Authors: Billich C, Schwab B Tags: Radiologe Source Type: research

[Cardiac and vascular malformations].
Abstract Malformations of the heart and great vessels show a high degree of variation. There are numerous variants and defects with only few clinical manifestations and are only detected by chance, such as a persistent left superior vena cava or a partial anomalous pulmonary venous connection. Other cardiovascular malformations are manifested directly after birth and need prompt mostly surgical interventions. At this point in time echocardiography is the diagnostic modality of choice for morphological and functional characterization of malformations. Additional imaging using computed tomography (CT) or magnetic re...
Source: Der Radiologe - June 26, 2015 Category: Radiology Authors: Ley S, Ley-Zaporozhan J Tags: Radiologe Source Type: research

[Secreting and destroying infection of the foot].
PMID: 26108986 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - June 26, 2015 Category: Radiology Authors: Schwarze M, Weber MA, Lehner B, Maier MW Tags: Radiologe Source Type: research

[Pediatric thorax].
PMID: 26105558 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - June 25, 2015 Category: Radiology Authors: Delorme S, Puderbach M Tags: Radiologe Source Type: research

[Which diagnostics should be used to clarify persistent, newly occurring cardiac complaints in outpatient treatment?]
PMID: 26099593 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - June 24, 2015 Category: Radiology Authors: Weber MA Tags: Radiologe Source Type: research

[Interventional radiological treatment of tumor pain].
This article presents a classification of patients suffering from tumor pain which can help therapists to decide on the correct form of treatment. Treatment options are discussed using typical case histories and it is shown that patients suffering from severe tumor pain must be treated sequentially, which means that treatment is carried out in multiple steps and each cycle of therapy has to be adapted to the stage of the disease. Local pain treatment is fundamentally based on individual case decisions which should be discussed within an interdisciplinary tumor board and the panel should arrive at a consensus decision. In a...
Source: Der Radiologe - June 13, 2015 Category: Radiology Authors: Düx M Tags: Radiologe Source Type: research

[Drug therapy in interventional radiology].
Abstract In the context of pre-interventional drug therapy, a premedication is given to patients who are known to have an allergy to contrast media, have renal impairment or hyperthyroidism. An already existing anticoagulation therapy, in anticipation of the planned intervention, must be reviewed and changed or even suspended as required. For peri-interventional drug therapy it is important to consider how strenuous the procedure will be as well as the general condition of the patient. Further discussion with anesthetists may be required for the planning of pain therapy or sedation during the procedure. These fact...
Source: Der Radiologe - June 12, 2015 Category: Radiology Authors: Sumkauskaite M, Bryant M, Kortes N, Stampfl U, Radeleff B Tags: Radiologe Source Type: research

[Image-guided pain therapy : Sympathicolysis].
CONCLUSION: After the introduction of CT guidance, major complications have become rare events. In addition to the usual risks of percutaneous interventions there are, however, a number of specific complications, such as syncope caused by irritation of cardiac sympathetic nerves in thoracic SL and ureteral injury in lumbar SL. PMID: 26063075 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - June 5, 2015 Category: Radiology Authors: Burbelko M, Wagner HJ, Gutberlet M, Grothoff M Tags: Radiologe Source Type: research

[Image-guided pain therapy].
PMID: 26036931 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - June 4, 2015 Category: Radiology Authors: Helmberger T Tags: Radiologe Source Type: research