[Acute abdomen].
Abstract PMID: 30710212 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - February 1, 2019 Category: Radiology Authors: Scharitzer M, Mang T, Herold C Tags: Radiologe Source Type: research

Mitteilungen des Berufsverbandes der Deutschen Radiologen.
Authors: Abstract PMID: 30710213 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - February 1, 2019 Category: Radiology Tags: Radiologe Source Type: research

[Stress fracture of athletes as a cause of groin pain].
Abstract CLINICAL/METHODICAL ISSUE: In this article, suitable imaging of stress reactions and stress fractures in athletes will be examined. STANDARD RADIOLOGICAL METHODS: Diagnostic procedures include X‑ray, computed tomography (CT), magnetic resonance imaging (MRI), and bone scintigraphy. METHODICAL INNOVATIONS: MRI represents the gold standard for these types of injuries. PERFORMANCE: Of all imaging techniques, MRI shows the highest sensitivity in terms of diagnostic and prognostic aspects in stress reactions and stress fractures. PRACTICAL RECOMMENDATIONS: Early performance of MRI to eval...
Source: Der Radiologe - January 30, 2019 Category: Radiology Authors: Bath K, Steinhagen I Tags: Radiologe Source Type: research

[Acute abdomen - gastrointestinal causes].
This report provides information on etiology, clinical manifestations and therapeutic options for six common diseases resulting in acute abdomen-appendicitis, cholecystitis, bowel obstruction, diverticulitis, acute pancreatitis, and viscus perforation. PERFORMANCE: Besides initial ultrasound, CT scans often represent the imaging gold standard for the diagnostic evaluation of acute abdomen. PRACTICAL RECOMMENDATIONS: Depending on the underlying pathologic condition, sonography or CT is suitable for the stratification of the gastrointestinal disease causing acute abdomen. PMID: 30689008 [PubMed - as supplied b...
Source: Der Radiologe - January 25, 2019 Category: Radiology Authors: Schwarze V, Marschner C, Schulz C, Streitparth F Tags: Radiologe Source Type: research

[Erratum to: CEUS-diagnosis of solid renal tumors].
l K Abstract PMID: 30683949 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - January 25, 2019 Category: Radiology Authors: Stock K, Kübler H, Maurer T, Slotta-Huspenina J, Holzapfel K Tags: Radiologe Source Type: research

[Femoroacetabular impingement - Update 2019].
CONCLUSION: For the diagnosis of FAI typical clinical and imaging findings are required. Radiological diagnostics are an indispensable component in establishing the diagnosis of FAI, in the differentiation of the underlying deformities and in the assessment of treatment-relevant joint damage. PMID: 30649574 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - January 16, 2019 Category: Radiology Authors: Heuck A, Dienst M, Glaser C Tags: Radiologe Source Type: research

[Acute abdomen - a  practical approach].
[Acute abdomen - a practical approach]. Radiologe. 2019 Jan 16;: Authors: Kulinna-Cosentini C, Röhrich S, Arnoldner MA Abstract CLINICAL PROBLEM: Acute abdomen describes a critical clinical condition which includes a heterogeneous group of clinical presentations. Several diseases require immediate surgical treatment. Therefore, fast radiological assessment is demanded. STANDARD RADIOLOGICAL METHODS: Stable patients presenting at the emergency department with acute abdominal pain require an abdominal x‑ray, an ultrasound examination and/or a computed tomography (CT) scan...
Source: Der Radiologe - January 16, 2019 Category: Radiology Authors: Kulinna-Cosentini C, Röhrich S, Arnoldner MA Tags: Radiologe Source Type: research

[Posteromedial corner of the knee].
Abstract The posteromedial corner of the knee is increasingly being recognized in orthopedic surgery, traumatology and musculoskeletal radiology. The medial collateral ligament consists of a superficial part and a deep part. The posteromedial corner consists of the posterior oblique ligament (POL), the oblique popliteal ligament (OPL), the semimembranosus tendon and its arms, the posteromedial joint capsule and the posterior horn of the medial meniscus. The structures provide stability to the knee joint with respect to valgus stress, rotational stability as well as with respect to anterior and posterior ...
Source: Der Radiologe - January 15, 2019 Category: Radiology Authors: Jungmann PM Tags: Radiologe Source Type: research

[Vascular causes of clinically unclear acute abdomen].
Abstract CLINICAL ISSUE: Vascular abnormalities are a rare cause of an acute abdomen. They include arterial bleeding and ischemia, the latter being either in the arterial or venous system. The most common cause of an acute ischemic abdomen is acute mesenteric ischemia caused by a thromboembolic occlusion of the superior mesenteric artery, followed by thrombotic occlusion of the portal vein, the mesenteric vein as well as the hepatic veins and the suprahepatic part of the inferior vena cava. In the case of an acute abdomen due to internal bleeding, all abdominal arteries can be the source but most common ...
Source: Der Radiologe - January 11, 2019 Category: Radiology Authors: Schernthaner RE, Loewe C Tags: Radiologe Source Type: research

[Acute abdomen : What the clinician wants to know from the radiologist].
Abstract CLINICAL ISSUE: Acute abdominal pain is a prevalent problem in the emergency department. The work-up has to include a broad spectrum of differential diagnoses, which should be narrowed down with respect to frequent diagnoses without overlooking rare but potentially even more severe pathologies. STANDARD RADIOLOGICAL METHODS: The radiological method of choice for the initial work-up after sonography is computed tomography, which has demonstrated the highest sensitivity and specificity for most findings. Plain film radiographs of the abdomen rarely contribute to the final diagnosis. Magnetic ...
Source: Der Radiologe - January 9, 2019 Category: Radiology Authors: Tamandl D, Uray T Tags: Radiologe Source Type: research

[Acute abdominal trauma].
CONCLUSION: Progress in radiology has led to an increasingly more important role for radiology in the management of traumatic abdominal injury. Therefore, it is crucial for the radiologist to gain interdisciplinary knowledge of the relevant trauma mechanisms and injury patterns of the severely injured patient in order to provide a treatment process that provides the optimal outcome. PMID: 30627752 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - January 9, 2019 Category: Radiology Authors: Gäble A, Mück F, Mühlmann M, Wirth S Tags: Radiologe Source Type: research

[Colorectal cancer: role of imaging in screening].
Abstract CLINICAL PROBLEM: Colorectal cancer (CRC) is a major cause of cancer-related morbidity and mortality. Most colorectal cancers derive from benign precursor lesions, so-called adenomatous polyps, over a long period of time. Colorectal cancer screening is based on the detection of precancerous polyps and early stage CRC in asymptomatic individuals to reduce CRC incidence and mortality. The protective effect of screening programs can be improved by increasing the screening rates. PRACTICAL RECOMMENDATIONS: Apart from the established examinations, CT colonography (CTC) has been proposed as an op...
Source: Der Radiologe - December 18, 2018 Category: Radiology Authors: Mang T Tags: Radiologe Source Type: research

[Mimics of lung cancer].
Abstract Lung cancer is a histologically, immunologically and therefore morphologically and functionally very heterogeneous group of neoplasms with the highest cancer mortality worldwide. Therefore, the range of diseases mimicking lung cancer is also very broad and includes congenital, infectious and inflammatory changes as well as other benign space-occupying lesions and other primary and secondary pulmonary neoplasms. The difficulty in radiology lies in the ability to diagnose lung cancer with a high degree of certainty. This must take the limits of the specific diagnosis, knowledge of the classical pitfall...
Source: Der Radiologe - December 14, 2018 Category: Radiology Authors: Eisenhuber E, Schaefer-Prokop C, Mostbeck G Tags: Radiologe Source Type: research

[Radiological imaging to assess individual cardiovascular risk].
hwarz F Abstract CLINICAL/METHODICAL ISSUE: Radiologic imaging for the assessment of individual cardiovascular risk. STANDARD RADIOLOGICAL METHODS: The correct estimation of the individual cardiovascular risk is prerequisite for the prevention of cardiovascular diseases. Here, extensive evidence is available for coronary calcium scans as well as coronary CT angiography (CTA). METHODICAL INNOVATIONS: Summary of the available evidence for the use of calcium score and coronary CTA. Illustration of the significance of both tests in current guidelines. PERFORMANCE: Both tests have high prognostic value, ...
Source: Der Radiologe - December 14, 2018 Category: Radiology Authors: Ordu AD, Rippel K, Garthe LT, Scheurig-Münkler C, Kröncke T, Schwarz F Tags: Radiologe Source Type: research

[Image-based screening].
Abstract Screening is a special issue in medical questions concerning disease prevention. Preconditions for screening are clearly defined by the World Health Organization. High prevalence, effectiveness of therapy, availability of accepted test procedure and consensus concerning the economic concerns are necessary for successful implementation of a screening program. Preventive diagnostic studies can only be understood if one is familiar with the statistical terms sensitivity, specificity, prevalence, incidence and bias (especially overdiagnosis and lead time bias). Aspects of radiation protection are es...
Source: Der Radiologe - December 14, 2018 Category: Radiology Authors: Layer G Tags: Radiologe Source Type: research

[Obituary on Prof. Dr. Alexander R. Margulis].
Abstract PMID: 30542923 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - December 12, 2018 Category: Radiology Authors: Herold C, Reiser MF Tags: Radiologe Source Type: research

[Lung cancer screening].
Abstract CLINICAL/METHODICAL ISSUE: The National Lung Screening Trial (NLST) in 2011 was able to prove for the first time that screening with a low-dose CT can reduce lung carcinoma mortality by 20%. Despite the positive outcome of the NLST, there is-unlike in the USA-currently no systematic lung cancer screening in Europe. This is partly because several significantly smaller screening studies in Europe failed to show any improvement in lung cancer mortality. STANDARD RADIOLOGICAL METHODS: On the other hand, Europe's healthcare systems differ substantially from those in the United States, so that a ...
Source: Der Radiologe - December 12, 2018 Category: Radiology Authors: Prosch H, Ebner L Tags: Radiologe Source Type: research

[Incidental findings in recurrent patella dislocation].
Abstract PMID: 30523355 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - December 6, 2018 Category: Radiology Authors: Holl N, Weber MA Tags: Radiologe Source Type: research

[Acute Pelvic pain in women-gynecological causes].
CONCLUSION: Diagnostic imaging is pivotal to differentiate potentially life- and fertility-threatening conditions from those that can be treated conservatively. Profound knowledge of the most common gynecological pathologies allows prompt and correct radiological diagnosis and assists in proper treatment planning. PMID: 30519765 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - December 5, 2018 Category: Radiology Authors: Hecht S, Meissnitzer M, Forstner R Tags: Radiologe Source Type: research

[Toxic metabolic alterations of the central nervous system].
Abstract PMID: 30519728 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - December 1, 2018 Category: Radiology Authors: Reith W Tags: Radiologe Source Type: research

Mitteilungen des Berufsverbandes der Deutschen Radiologen.
Authors: Abstract PMID: 30519729 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - December 1, 2018 Category: Radiology Tags: Radiologe Source Type: research

[Osteitis pubis or symphysitis pubis].
Abstract CLINICAL/METHODICAL ISSUE: Osteitis pubis is one of the most common causes of chronic groin pain in many professional athletes. Symphysitis pubis with instability of the joint due to softening of the joint capsule and muscular imbalance of the corresponding muscles increases the instability of the sympyseal region, thus, resulting in a vicious cycle. STANDARD RADIOLOGICAL METHODS: Magnetic resonance imaging (MRI). METHODICAL INNOVATIONS: Optimized MRI sequence protocol with oblique (axial oblique) layers parallel to the linea arcuata of iliac bone together with large image field for depiction of...
Source: Der Radiologe - November 26, 2018 Category: Radiology Authors: Gaudino F, Weber MA Tags: Radiologe Source Type: research

[S3 guideline breast cancer: update on early detection, and mammography screening].
Abstract Based on the update of the S3-Guideline Early Detection, Diagnosis, Treatment and Follow-up Care of Breast Cancer (Version 4.0, December 2017, AWMF registry number 032-045OL, www.leitlinienprogramm-onkologie.de ), evolving topics and relevant changes to the former 2012 version concerning early detection and mammography screening are presented. The outline and figures follow the original text. PMID: 30467623 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - November 22, 2018 Category: Radiology Authors: Albert US, Schreer I, Arbeitsgruppe der Stufe-3-Leitlinie Mammarkarzinom Tags: Radiologe Source Type: research

[Labral pathologies of the hip joint].
This article gives an overview of MRI and the accuracy of detecting lesions of the labrum acetabulare and the influence on the therapeutic approach. PMID: 30456667 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - November 19, 2018 Category: Radiology Authors: Czerny C, Chiari C, Nöbauer-Huhmann I Tags: Radiologe Source Type: research

[Radiologic diagnosis of the gallbladder and bile ducts - part 2 : Acute and chronic cholecystitis, primary sclerosing cholangitis (PSC), benign and malignant masses of the biliary system].
Abstract Upper abdominal pain, icterus and cholestasis are the symptoms leading to evaluation of the biliary tract. Together with its complications biliary stone disease is the main reason for inflammation of the biliary system. A distinction is made between acute and chronic variants. In chronic bile duct inflammation primary sclerosing cholangitis (PSC), primary biliary cirrhosis (PBC) and more recently IgG4-associated sclerosing cholangitis are of particular importance. Besides benign and tumor-like-lesions, malignant entities as gallbladder carcinoma and cholangiocarcinoma (CCC) in its three locations hav...
Source: Der Radiologe - November 14, 2018 Category: Radiology Authors: Helmberger H, Kammer B Tags: Radiologe Source Type: research

[White matter alterations after chemotherapy and radiation].
Abstract Nowadays chemotherapy and radiotherapy are fundamental therapy concepts in the guidelines of malignant tumors of the central nervous system. Both therapy concepts can cause neurological symptoms or white matter alterations can occur, which can be classified into acute, subacute and chronic. Both symptoms and white matter alterations during acute and subacute phases are in most cases completely reversible, whereas chronic white matter alterations can lead to severe neurological limitations and further impair the quality of life of cancer patients. PMID: 30413853 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - November 9, 2018 Category: Radiology Authors: Simgen A Tags: Radiologe Source Type: research

[Toxic changes of the central nervous system].
nn A Abstract CLINICAL ISSUES: Various toxic agents can cause changes to the white matter of the brain leading to leukoencephalopathies. These changes often lead to signal alterations of the white matter with or without a diffusion restriction signal. White matter lesions can be reversible or irreversible. There are many differential diagnoses of toxic leukoencephalopathies. PRACTICAL RECOMMENDATIONS: For the radiologist it is necessary to be familiar with the causes, the clinical and the imaging presentation of toxic leukoencephalopathies because early treatment often leads to improved prognosis. P...
Source: Der Radiologe - November 6, 2018 Category: Radiology Authors: Reith W, Haußmann A Tags: Radiologe Source Type: research

[Imaging diagnostics of the elbow].
Abstract PMID: 30402783 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - November 1, 2018 Category: Radiology Authors: Weber MA Tags: Radiologe Source Type: research

Mitteilungen des Berufsverbandes der Deutschen Radiologen.
Authors: Abstract PMID: 30402784 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - November 1, 2018 Category: Radiology Tags: Radiologe Source Type: research

[Radiological evaluation of acute abdomen in children].
HJ Abstract CLINICAL/METHODICAL ISSUE: Acute, non-traumatic abdominal pain is one of the main reasons for medical consultation in pediatric patients. Knowledge of different diseases and their age dependence is essential for correct diagnosis and treatment. STANDARD RADIOLOGICAL METHODS: Ultrasonography is the imaging method of choice. X‑ray is only used in case of emergency, e. g., suspected perforation. METHODICAL INNOVATIONS: Contrast-enhanced ultrasonography (CEUS) and elastography complement ultrasonography. PERFORMANCE: Magnetic resonance imaging is of increasing relevance for differential...
Source: Der Radiologe - October 26, 2018 Category: Radiology Authors: Krüger PC, Mentzel HJ Tags: Radiologe Source Type: research

[Metabolic induced changes of the central nervous system].
g;mann A Abstract CLINICAL ISSUE: The diagnosis of metabolic disorders of the central nervous system (CNS) can be very challenging for radiologists because of the nonspecific white matter lesions of the brain, the rarity of these diseases, and the variety of possible differential diagnoses. RADIOLOGICAL STANDARD METHODS: Standard for the evaluation of the metabolic disorders is cranial MRI. The MRI spectroscopy can additionally help to reduce the possible differential diagnoses. PMID: 30367223 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 26, 2018 Category: Radiology Authors: Reith W, Yilmaz U, Mühl-Bennighaus R, Haußmann A Tags: Radiologe Source Type: research

[Groin pain in athletes : What does the sports physician expect from the radiologist?]
DISCUSSION: Close collaboration between the radiologist and sports physician guarantees that the raised questions from the athlete and the club concerning time loss and necessary therapy can be answered. Thus, the sports physician has to give the radiologist detailed information regarding symptoms, location of the pain and other clinical findings. The radiologist has to include this information into the interpretation of the images to distinguish safely between findings caused by the actual injury and those which are pre-existing. PMID: 30367224 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 26, 2018 Category: Radiology Authors: Ott H Tags: Radiologe Source Type: research

[Muscular injuries in the inguinal region including apophyseal injuries].
CONCLUSION: In addition to the clinical examination and the history of the course of the injury, MRI plays an important role in the evaluation of muscular and apophyseal injuries in the inguinal region. PMID: 30361779 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 25, 2018 Category: Radiology Authors: Mack MG, Regier M Tags: Radiologe Source Type: research

[Radiologic diagnostics of the gall bladder and bile ducts-part  1 : Imaging techniques-normal variants and congenital disorders-cholelithiasis].
[Radiologic diagnostics of the gall bladder and bile ducts-part 1 : Imaging techniques-normal variants and congenital disorders-cholelithiasis]. Radiologe. 2018 Oct 23;: Authors: Helmberger H, Kammer B Abstract Upper abdominal pain, icterus and cholestasis are the main symptoms leading to evaluation of the biliary tract. Since the advent of contrast-enhanced ultrasound techniques the accuracy of bile duct imaging has significantly improved. This is also true for computed tomography using isotropic secondary reconstructions as well as magnetic resonance imaging (MRI) including MR cholangiography (...
Source: Der Radiologe - October 23, 2018 Category: Radiology Authors: Helmberger H, Kammer B Tags: Radiologe Source Type: research

[MRI in patients with auditory implants equipped with implanted magnets-an update : Overview and procedural management].
CONCLUSION: Respecting the manufacturer's instructions, MRI scans without removal of the magnet in patients with these auditory implants is safe. However, due to possible defects/dislocations of the implant that may occur and the reduced quality of the skull MRI images, the indication for MRI in devices with MRI certification should only be performed under close consultation between the investigating physicians, the implanting team supervising the patient and the radiologist. All other possible diagnostic procedures should be exhausted first. PMID: 30350108 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - October 22, 2018 Category: Radiology Authors: Nospes S, Brockmann MA, Läßig A Tags: Radiologe Source Type: research

[Biopsies of kidney lesions: when and how?]
This article describes the clinical indications for an image-guided biopsy and discusses factors which should be considered when performing a biopsy. PMID: 30291407 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - October 1, 2018 Category: Radiology Authors: Schuster AH, Reimann N Tags: Radiologe Source Type: research

[Imaging of the kidneys and the urinary tract].
PMID: 30291408 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - October 1, 2018 Category: Radiology Authors: Herold C, Baltzer P Tags: Radiologe Source Type: research

Mitteilungen des Berufsverbandes der Deutschen Radiologen.
Authors: PMID: 30291409 [PubMed - in process] (Source: Der Radiologe)
Source: Der Radiologe - October 1, 2018 Category: Radiology Tags: Radiologe Source Type: research

[Autoimmune reactions and paraneoplastic syndromes].
Abstract CLINICAL ISSUE: Autoimmune disorders of the central nervous system (CNS) are common but are also a heterogeneous group of diseases. The most common form is multiple sclerosis (MS), others are clinically isolated syndrome (CIS), acute demyelinating encephalomyelitis (ADEM) and neuromyelitis optica spectrum disorders (NMOSD). Paraneoplastic syndromes are rare and tumor-associated, they are not induced by direct invasion of tumor tissue but by tumor-associated autoantibodies mostly against specific CNS proteins, e. g. limbic encephalitis and paraneoplastic cerebellar ataxia or degeneration. DIAGNOSTIC...
Source: Der Radiologe - September 20, 2018 Category: Radiology Authors: Lieb JM, Naumann N, Ahlhelm FJ Tags: Radiologe Source Type: research

[Damages to the central nervous system due to illicit drug use].
This article gives a review of the most important morphological imaging findings of the CNS in illicit drug users. PRACTICAL RECOMMENDATIONS: In cases of stroke or unclear leukoencephalopathies in young adults, the differential diagnosis of illicit drug use should be considered. PMID: 30238289 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 20, 2018 Category: Radiology Authors: Bachhuber A Tags: Radiologe Source Type: research

[Normal variants and pitfalls at the elbow joint].
This article describes more common but also rare, normal variants around the elbow joint. Classic pitfalls are illustrated and compared to similar pathological findings. PMID: 30238290 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 20, 2018 Category: Radiology Authors: Müller D, Schäffeler C Tags: Radiologe Source Type: research

[Renal functional diagnostics using magnetic resonance imaging].
Abstract Due to progress in the development of sequences and techniques magnetic resonance imaging (MRI) methods, such as functional MR urography (fMRU), arterial spin labeling (ASL), diffusion-weighted imaging (DWI), diffusion tension imaging (DTI) and blood oxygen level dependent MRI (BOLD-MRI) have become available for renal functional evaluation. In recent years research of these imaging techniques has demonstrated that they provide valid functional data with respect to renal perfusion, oxygenation and interstitial diffusion as well as glomerular filtration and the extent of an obstructive uropathy. Many patho...
Source: Der Radiologe - September 17, 2018 Category: Radiology Authors: Kirsch H, Mentzel HJ Tags: Radiologe Source Type: research

[What do orthopedic and trauma surgeons expect from radiologists when interpreting imaging of the elbow?]
Abstract CLINICAL ISSUE: The elbow is a complex joint with a multitude of acute and chronic pathologies. In addition to the clinical examination, radiological diagnostics play a decisive role in the further therapeutic management. DIAGNOSTIC WORK-UP/PERFORMANCE: While acute traumatic injuries often present with obvious structural changes and the need for rapid treatment decisions, chronic processes can present with less evident alterations. Especially in these cases there is a need for clear communication between the treating physician and the radiologist with respect to managing opti...
Source: Der Radiologe - September 17, 2018 Category: Radiology Authors: Lenz R, Bonacker J, Mittelmeier W, Ellenrieder M, Tischer T Tags: Radiologe Source Type: research

[Ultrasound diagnostics for myotendinous injuries and insertion tendinopathies of the elbow joint].
Abstract INTRODUCTION: Acute capsular injuries of the elbow joint and its ligaments predominantly occur after joint dislocation or subluxation. Together with lateral and medial epicondylitis they represent a common injury pattern in radiology, orthopedic and trauma surgery. CLINICAL ISSUE: Because of the complexity of the elbow joint, knowledge of the elbow dislocation and injury pattern as well as the anatomy is essential in order to adequately estimate the injury severity and joint stability. This is crucial for the correct diagnosis and choice of treatment. Systematic physical examination and careful ...
Source: Der Radiologe - September 14, 2018 Category: Radiology Authors: Doll J, Fischer C Tags: Radiologe Source Type: research

[Typical fractures and dislocations of the elbow joint and their treatment].
Abstract Diagnosis and treatment of injuries to the elbow joint place high demands on the treating physicians. The complex anatomy of the elbow joint enables a wide range of movement and complex functions in everyday and professional life. These must be restored in the event of injury.Clinical and imaging-based diagnostic procedures serve to classify typical injuries of this joint according to a large variety of different pathologies. These include fractures of the distal humerus, the proximal ulna, and the radial head, as well as dislocations and dislocation fractures.The following article gives an over...
Source: Der Radiologe - September 7, 2018 Category: Radiology Authors: Gierer P, Rocher S, Wichelhaus A, Rotter R Tags: Radiologe Source Type: research

[Nuclear magnetic resonance: The explorers].
PMID: 30194640 [PubMed - as supplied by publisher] (Source: Der Radiologe)
Source: Der Radiologe - September 7, 2018 Category: Radiology Authors: Semmler W Tags: Radiologe Source Type: research

[Diagnostic imaging of drug-induced osteonecrosis of the jaw].
Abstract Drug-induced osteonecrosis of the jaw represents a relatively new, multifactor-induced disease. Diseases with increased bone resorption are widely treated with antiresorptive drugs. Due to the active bone metabolism, especially in the lower jaw, it can lead to osteonecrosis if the barrier function in the oral cavity is impaired and it may be complicated by systemic comorbidities depending on duration, intensity, and application of antiresorptive therapy. Due to the special influence of these changes on the quality of life and because of the complex therapy management, the early detection and determin...
Source: Der Radiologe - September 5, 2018 Category: Radiology Authors: Hingst V, Weber MA Tags: Radiologe Source Type: research

[Painless hematuria: diagnostic workup using multislice computertomography].
r M Abstract BACKGROUND: Multislice computed tomography (MSCT) is the current standard in the work-up of hematuria. The examination protocol should be as accurate as possible while avoiding unnecessary exposure to ionizing radiation. OBJECTIVE: To present opportunities to reduce the overall radiation dose by tailoring examination protocols to the clinical requirements. METHODS: A four-phase MSCT protocol is an accurate tool to diagnose the cause of unclear hematuria in the majority of cases. In patients younger than 30 years and in patients younger than 40 years presenting only with microh...
Source: Der Radiologe - September 3, 2018 Category: Radiology Authors: Töpker M Tags: Radiologe Source Type: research

[Reliable diagnosis of cystic renal lesions].
J, Clevert DA Abstract CLINICAL/METHODICAL ISSUE: Cystic renal lesions are commonly seen during routine ultrasound examinations of the abdomen. STANDARD RADIOLOGICAL METHODS: Some cystic renal lesions cannot be sufficiently characterized using native ultrasound. In these cases additional imaging might be necessary. METHODICAL INNOVATIONS: Contrast-enhanced ultrasound (CEUS) is a reliable imaging modality to characterize cystic renal lesions. Contrast enhancement of septations and the cystic wall are visualized in high resolution. This information helps to categorize the cystic renal lesions applying...
Source: Der Radiologe - August 29, 2018 Category: Radiology Authors: Müller-Peltzer K, Negrão de Figueiredo G, Schwarze V, Rübenthaler J, Clevert DA Tags: Radiologe Source Type: research

[New developements in endovascular infrarenal aortic aneurysm treatment].
l;cker A Abstract CLINICAL/METHODICAL ISSUE: New technical developments in endovascular aortic repair (EVAR) have broadened the range of patients eligible for minimally invasive aneurysm treatment. Optimization of delivery sheaths and catheters by considerable downsizing of diameters, increase of pushability and stability combined with flexibility are important parameters. PERFORMANCE: Especially patients characterized by small and tortuous iliac access vessels can nowadays be treated by EVAR. Ease and effectiveness of applicability guarantee safety and quality improvement, which results in better treatment o...
Source: Der Radiologe - August 13, 2018 Category: Radiology Authors: Maßmann A, Shayesteh-Kheslat R, Frenzel F, Fries P, Bücker A Tags: Radiologe Source Type: research