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Schwarz-Bundy BD, Thater G, Appelhaus S, Schönberg SO, Weis M. [Sports injuries in children and adolescents]. Radiologie (Heidelb) 2023; 63:275-283. [PMID: 36811691 DOI: 10.1007/s00117-023-01123-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/19/2023] [Indexed: 02/24/2023]
Abstract
CLINICAL/METHODOLOGICAL ISSUE Due to active participation of children and adolescents in school sports as well as in club sports, sporting injuries in childhood are common. Because skeletal maturity is not yet complete, injury patterns in children differ from sporting injuries in adults. Knowledge of the pathophysiologic characteristics, as well as knowledge of typical injury sequelae, is of great relevance to radiologists. This review article therefore deals with common acute and chronic sporting injuries in children. STANDARD RADIOLOGICAL METHODS Basic diagnostic imaging comprises conventional X‑ray imaging in two planes. In addition, sonography, magnetic resonance imaging (MRI) and computed tomography (CT) are used. PRACTICAL RECOMMENDATIONS Close consultation with clinical colleagues and knowledge of childhood-specific injuries help identify sports-associated trauma sequelae.
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Affiliation(s)
- B D Schwarz-Bundy
- Klinik für Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland
| | - G Thater
- Klinik für Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland
| | - S Appelhaus
- Klinik für Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland
| | - S O Schönberg
- Klinik für Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland
| | - M Weis
- Klinik für Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland.
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Viergutz T, Terboven T, Henzler T, Schäfer D, Schönberg SO, Sudarski S. [Relevant incidental findings and iatrogenic injuries : A retrospective analysis of 1165 resuscitation room patients]. Anaesthesist 2018; 67:901-906. [PMID: 30367211 DOI: 10.1007/s00101-018-0505-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 09/27/2018] [Accepted: 10/08/2018] [Indexed: 12/21/2022]
Abstract
BACKGROUND Whole-body computed tomography (CT) is increasingly being used as the diagnostic modality of choice in patients admitted to the resuscitation room. Beyond findings related to the suspected diagnosis it often additionally reveals incidental findings. The aim of this investigation was the evaluation of these findings in patients admitted via the emergency room after suffering potential major trauma or life-threatening medical conditions. Furthermore, the number of iatrogenic injuries as well as misplaced catheters and endotracheal tubes was investigated. METHODS All patients admitted from 1 February 2012 to 31 January 2014 via the resuscitation area of the Mannheim University Medical Center, a tertiary care hospital and level 1 trauma center, were included in this study if they had undergone a whole-body CT scan at admission. Data from 1362 patients were collected retrospectively and 197 patients were excluded because of missing data so that the final cohort consisted of 1165 patients (1038 trauma and 127 internal neurological patients). Reports from the whole-body CT scans were screened for incidental findings. These findings were then classified as either clinically relevant or not. Furthermore, the reports were checked for iatrogenic injuries as well as misplaced catheters and endotracheal tubes. RESULTS A total of 465 incidental findings were reported in 293 patients (25.1%) of the final cohort. In the synopsis of the radiological and clinical findings, 72 were rated as clinically relevant. In one patient two relevant incidental findings were reported and one patient presented with three incidental findings. In total, relevant incidental findings could be detected in 5.8% of the study patients (68/1165). In the discharge letters and/or the radiological report 16.2% of the incidental findings rated as clinically relevant were reported to be previously known, 66.2% were reported to be unknown and 17.6% could not be unequivocally classified as known or unknown due to missing references in the discharge letters. The group of internal neurological patients were clearly older than the trauma patients (61.6 years vs. 45.5 years). The rate of relevant incidental findings in the internal neurological group was more than twice as high as in the trauma group (11.0% vs. 5.2%); however, in the relatively young trauma group 1 in 20 patients showed an incidental finding classified as clinically relevant. In 43 (3.7%) patients a total of 46 iatrogenic injuries or misplaced catheters were reported. The most common finding was a too deeply placed endotracheal tube and five transurethral catheters placed in the emergency room were found to be blocked within the urethra. CONCLUSION In addition to the main diagnosis, clinically relevant incidental findings were reported in nearly 25% of whole-body CT scans of patients admitted to the resuscitation room. Approximately 6% of patients had incidental findings rated as clinically relevant. In the internal neurological group of patients the rate of incidental findings was doubled compared to the trauma group; however, the latter were significantly younger. Whole-body CT was also useful for diagnosing iatrogenic injuries and misplaced catheters in approximately 4% of the study patients.
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Affiliation(s)
- T Viergutz
- Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
| | - T Terboven
- Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland
| | - T Henzler
- Institut für klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Mannheim, Deutschland
| | - D Schäfer
- Institut für klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Mannheim, Deutschland
| | - S O Schönberg
- Institut für klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Mannheim, Deutschland
| | - S Sudarski
- Institut für klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Mannheim, Deutschland
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Gawlitza J, Michels JD, Borggrefe M, Schönberg SO, Akin I, Saur J, Henzler T, Trinkmann F. Time to exhale: quantitative CT-Parameter in Exspiration beinhalten zusätzliche Information bei Patienten mit COPD. Pneumologie 2017. [DOI: 10.1055/s-0037-1598551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- J Gawlitza
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim
| | - JD Michels
- I. Medizinische Klinik, Universitätsmedizin Mannheim
| | - M Borggrefe
- I. Medizinische Klinik, Universitätsmedizin Mannheim
| | - SO Schönberg
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim
| | - I Akin
- I. Medizinische Klinik, Universitätsmedizin Mannheim
| | - J Saur
- I. Medizinische Klinik, Universitätsmedizin Mannheim
| | - T Henzler
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim
| | - F Trinkmann
- I. Medizinische Klinik, Universitätsmedizin Mannheim
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Scheurlen K, Schnitzer A, Krammer J, Kaiser C, Schönberg SO, Wasser K. [Value of galactography for the diagnostic work-up of pathological nipple discharge in multimodal breast diagnostics. Part 2: a systematic review of the literature]. Radiologe 2015; 54:160-6. [PMID: 24233402 DOI: 10.1007/s00117-013-2573-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The survey results of a previous study showed that galactography is now rarely used in Germany and newer methods are applied. The evidential value of galactography should be established and opposed to the evidential value of ultrasound (US) and magnetic resonance mammography (MRM). MATERIALS AND METHODS A search was carried out in PubMed and Cochrane involving studies written in English or German. The level of evidence was measured according to the Oxford Centre for Evidence-based Medicine. RESULTS A total of 19 studies were included, 14 with results on galactography, 10 on US and 5 on MRM. Almost all studies were retrospective with an evidence assigned to level 3b or lower. The results on the diagnostic values showed a very wide range. Because of very variable numbers of cases and consideration of various pathologies, the studies are only comparable to a limited extent. CONCLUSION Galactography, US and MRM all show a weak level of evidence and no superiority of a particular method can be derived. Therefore, galactography can no longer be considered as a mandatory standard in modern multimodal imaging of the breast. Recommendations for the diagnostic work-up of pathological nipple discharge have to be included in current guidelines and must consider these facts.
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Affiliation(s)
- K Scheurlen
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland
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Budjan J, Riffel P, Ong MM, Bolenz C, Schönberg SO, Haneder S. [Infectious diseases and injuries of bladder and urinary tract]. Radiologe 2015; 54:1111-22; quiz 1123-4. [PMID: 25367313 DOI: 10.1007/s00117-014-2748-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Urinary tract infections are the most common infectious diseases in Germany. In most cases clarification does not rely on imaging techniques other than sonography and is made mostly based on clinical symptoms. Computed tomography (CT) and magnetic resonance imaging (MRI) can be used in selected cases to find the cause and detection or exclusion of complications, e.g. recurrent or atypical and complicated courses. The method of choice for clarification of urolithiasis is CT. Using low-dose techniques, detection or exclusion of urinary stones can be achieved with a high sensitivity and specificity as well as an acceptable level of radiation exposure. Native stone CT supplies additional fundamental information that can substantially influence further therapy planning. The diagnosis of ureteral injuries is clinically and radiologically not trivial and clarification is aided by urographic contrast media. The method of CT cystography has an important role in the diagnostics of urinary bladder injuries.
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Affiliation(s)
- J Budjan
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland,
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Ong MM, Riffel P, Budjan J, Bolenz C, Schönberg SO, Haneder S. [Oncological diseases and postoperative alterations of the bladder and urinary tract]. Radiologe 2014; 54:1221-34; quiz 1235-6. [PMID: 25425104 DOI: 10.1007/s00117-014-2768-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
In the challenging evaluation of upper urinary tract malignancies multidetector computed tomography (CT) has become the standard imaging method. Cross sectional imaging not only allows the detection and visualization of the tumor itself but also provides nodal and metastasis staging in one examination (one-stop-shop). The majority of urothelial carcinomas are located in the urinary bladder. In this case, CT and more recently magnetic resonance imaging (MRI) can also deliver decisive information regarding TNM classification. A combination of clinical, histological, morphological and functional parameters allows both risk stratification and a targeted therapy based on the individual tumor stage.
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Affiliation(s)
- M M Ong
- Institut für Klinische Radiologie und Nuklearmedizin, Medizinische Fakultät Mannheim, Universitätsmedizin Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland,
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Weisser G, Sauter E, Zöllner F, Weipert M, Schönberg SO, Schad L. UMMDiffusion: Eine OpenSource Software zur klinischen Evaluation der Kurtosis Bildgebung. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Scheurlen K, Schnitzer A, Krammer J, Kaiser C, Schönberg SO, Wasser K. [Value of galactography for the diagnostic work-up of pathological nipple discharge in multimodal breast diagnostics : Part 1: An online survey among German breast care centers.]. Radiologe 2013; 54:63-67. [PMID: 24233401 DOI: 10.1007/s00117-013-2572-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
PURPOSE Galactography has been used in cases of pathological discharge for decades. Meanwhile other methods, such as high-resolution ultrasound (US) and magnetic resonance mammography (MRM) have been established for modern multimodal breast imaging. A survey among certified German breast care centers aimed to investigate to what extent galactography is currently used and whether newer techniques in multimodal imaging are preferred. MATERIALS AND METHODS An anonymous online survey was carried out nationwide and open to 342 radiology units in certified German breast care centers. RESULTS A total of 177 units (52 %) participated in the survey of which 13 % generally do not provide galactography, 33 % conduct a maximum of 5 galactographies per year, 24 % conduct 6-10, 18 % 11-20, 8 % 21-50 and 5 % 51-100. Of the participants 53 % give first priority to US and prefer galactography to MRM in stepwise diagnosis and 32 % prefer MRM to galactography. Only 4 % use galactography initially. CONCLUSION Currently galactography is no longer a mandatory standard and newer methods are preferred. The evidential value of galactography in comparison to other techniques should be established on the basis of the literature. The second part of this paper will deal with this question.
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Affiliation(s)
- K Scheurlen
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland
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Ong M, Hausotter K, Schönberg SO, Michaely HJ. Hybrid-MRA steady state VIBE Bildgebung - Eine zeitverzögerte Betrachtung der Gefäße und Umgebungsstrukturen: Evaluation der gewonnenen Zusatzinformationen bei der peripheren MRA. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Lassel EA, Daab M, Schülein P, Drechsler J, Schönberg SO, Schad L, Zöllner F, Weisser G. In-Haus-MPG-Zertifizierung von Software in der Radiologie am Beispiel von UMMPerfusion. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Budjan J, Klein SA, Heidenreich D, Attenberger U, Kreil S, Schönberg SO, Hofmann W, Michaely HJ. MR-Bildgebung bei akuter abdomineller Graft versus Host Disease. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Henzler T, Shi J, Apfaltrer P, Haberland U, Klotz E, Schönberg SO, Fink C. Dynamische CT Volumen Perfusion von Bronchialkarzinomen: Baseline Perfusions Charakteristika von verschiedenen Tumor Histologien. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bamberg F, Parhofer KG, Lochner E, Theisen D, Schönberg SO, Reiser MF, Weckbach S. Prädiktiver Wert der Ganzkörper Magnetresonanztomografie für das Auftreten von Kardio-Cerebrovaskulären Ereignissen bei Patienten mit Diabetes Mellitus. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Diehl S, Sadick M, Riester T, Huck K, Schönberg SO. Grafts - bail out oder geplant? ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1345960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Hausmann D, Bittencourt LK, Sertdemir M, Weidner A, Büsing K, Brade J, Schönberg SO, Dinter DJ. Evaluation der diagnostischen Genauigkeit der 18-F Cholin PET/CT mit Time-of-Flight-Rekonstruktionsalgorithmus (TOF) bei Prostatakarzinompatienten mit biochemischem Rezidiv. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Fink C, Henzler T, Nitschmann S, Schönberg SO. [Reduction of lung cancer-associated mortality by computed tomography screening. National Lung Screening Trial]. Internist (Berl) 2012; 53:1505-6. [PMID: 23132257 DOI: 10.1007/s00108-012-3170-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- C Fink
- Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Universitätsklinikum Mannheim, Mannheim, Germany.
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Wenz F, Belka C, Reiser M, Schönberg SO. [Image-guided radiation therapy. Paradigm change in radiation therapy]. Radiologe 2012; 52:207-12. [PMID: 22274657 DOI: 10.1007/s00117-011-2191-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
CLINICAL ISSUE The introduction of image-guided radiotherapy (IGRT) has changed the workflow in radiation oncology more dramatically than any other innovation in the last decades. STANDARD TREATMENT Imaging for treatment planning before the initiation of the radiotherapy series does not take alterations in patient anatomy and organ movement into account. TREATMENT INNOVATIONS The principle of IGRT is the temporal and spatial connection of imaging in the treatment position immediately before radiation treatment. DIAGNOSTIC ASSESSMENT The actual position and the target position are compared using cone-beam computed tomography (CT) or stereotactic ultrasound. PERFORMANCE The IGRT procedure allows a reduction of the safety margins and dose to normal tissue without an increase in risk of local recurrence. ACHIEVEMENTS In the future the linear treatment chain in radiation oncology will be developed based on the closed-loop feedback principle. PRACTICAL RECOMMENDATIONS The IGRT procedure is increasingly being used especially for high precision radiotherapy, e.g. for prostate or brain tumors.
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Affiliation(s)
- F Wenz
- Klinik für Strahlentherapie und Radioonkologie, Universitätsmedizin Mannheim der Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim.
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Schönberg SO, Gretz N. Interdisziplinäre Forschung in einem Institut für Medizintechnologie. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Apfaltrer P, Bachmann V, Meyer M, Henzler T, Grüttner J, Walter T, Schoepf UJ, Schönberg SO, Fink C. Dual Energy CTA bei Patienten mit akuter Lungenembolie: Volumetrie von Perfusionsdefekten und Korrelation mit CTA Obstruktionsscores, CT Parametern der Rechtsherzdekompensation und dem Verlauf. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Henzler T, Vogler N, Meyer M, Apfaltrer P, Sueselbeck T, Sudarski S, Schönberg SO, Fink C. Einfluss verschiedener Kalziumscore Schwellenwerte auf die Prävalenz signifikanter Koronarstenosen in Herzkatheteruntersuchungen bei Patienten mit einer mittleren Prätestwahrscheinlichkeit für eine koronare Herzerkrankung. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Michaely HJ, Haneder S, Schönberg SO, Augustin J, Pietsch H, Jost G, Attenberger UI. Einfluss monomerer und dimerer Röntgenkontrastmittel auf die renale Oxygenierung. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Reichert M, Tao A, Ritschl R, Ritschl A, Hansmann JH, Dix JE, Schönberg SO, Runge VM, Attenberger UI. Evaluation des Benefits dedizierter Akquisitionstechniken zur verbesserten Detektion von Hirnfiliae - Vergleich einer T1-gewichteten, Spinecho-basierten 3D SPACE mit einer 3D MP-RAGE-Sequenz bei 3 Tes. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Sudarski S, Henzler T, Kayed H, Süselbeck T, Meyer M, Borggrefe M, Schönberg SO, Fink C. Zusammensetzung von Koronarplaques mit Dual Source CT-Angiographie und Virtual Histology Intravascular Ultrasound in NSTEMI-Patienten und Patienten mit stabiler KHK. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Sertdemir M, Dinter DJ, Hausmann D, Michaely HJ, Schönberg SO, Weidner AM. Vergleich der dynamischen kontrastverstärkten MRT beim Prostatakarzinom: 1,5 - versus 3 T Feldstärke. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Debus A, Walleyo A, Kilian AK, Büsing KA, Schaible T, Schönberg SO, Neff KW. Intraindividueller Vergleich der prognostischen Wertigkeit der fetalen MR-Lungenvolumetrie vor und nach der 30. SSW bei Kindern mit kongenitaler Zwerchfellhernie. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Reichert M, Ai T, Nittka M, Zbigniew G, Schönberg SO, Runge VM, Attenberger UI. Möglichkeiten zur Metallartefaktreduktion im MRT bei 1,5 Tesla als auch 3 Tesla unter Verwendung innovativer Sequenztechniken. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kilian AK, Debus A, Schaible T, Schönberg SO, Neff KW. Leberverlagerung als unabhängiger Prognosefaktor bei Feten mit kongenitaler Zwerchfellhernie (CDH): eine 'matched pair'-Analyse. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dinter D, Schönberg SO. Ganzkörper-MRT und Ganzkörper-CT in der urologischen Radiologie - Traum oder Wirklichkeit? ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Schnitzer A, Schönberg SO, Wasser K. Schränkt die intraoperative Radiotherapie (IORT) des Mammakarzinoms die diagnostische Aussagekraft der MR-Mammographie in der Nachsorgediagnostik ein? ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Haneder S, Konstandin S, Attenberger UI, Budjan J, Schönberg SO, Michaely HJ. Quantitative 23Na-, BOLD- und DWI-Bildgebung der gesunden menschlichen Niere zur Etablierung von Normwerten bei 3,0T. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Apfaltrer P, Henzler T, Meyer M, Krissak R, Grüttner J, Süselbeck T, Schönberg SO, Fink C. Akute Lungenembolie: Korrelieren CT-Angiographie-Obstruktionsscores mit einer Rechtsherzbelastung und dem klinischen Verlauf. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Henzler T, Renker M, Weininger M, Kerl JM, Bauer RW, Schönberg SO, Fink C, Schoepf UJ. Vergleich zwischen gefilterter Rückprojektion und eines neuartigen iterativen Verfahrens zur Bildrekonstruktion für die Beurteilbarkeit von stark kalzifizierten Koronararterien mittels Dual Source CT. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Apfaltrer P, Reimer P, Süselbeck T, Krissak R, Henzler T, Schymik G, Schröfel H, Starck P, Schönberg SO, Fink C. Aortoiliakale CTA für die Planung der transkutanen Aortenklappenimplantation: Aortenwurzelanatomie und Häufigkeit klinisch relevanter Nebenbefunde. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Haneder S, Attenberger UI, Riffel P, Henzler T, Schönberg SO, Michaely HJ. MRA der Unterschenkelgefäße bei 3T: Intraindividueller Vergleich zwischen KM-freier EKG-getriggerter 3D Turbospinecho-MRA und KM-verstärkten Techniken mit CTM bzw. hoher zeitlicher Auflösung. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Henzler T, Nance JW, Meyer M, Apfaltrer P, Krissak R, Reichert M, Braunagel M, Schönberg SO, Fink C. Optimierung der Kontrastmittelapplikation für die Dual-Energ CT Angiographie der Lunge bei Patienten mit Verdacht auf Lungenembolie. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Jochum S, Brockmann C, Lederle K, Schönberg SO, Diehl SJ, Scharf J. Detektion von intrakraniellen Aneurysmen: Dual Energy CT versus DSA. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Krissak R, Schoepf JU, Lechel U, Graf TG, Schmidt B, Brix G, Takx R, Schönberg SO, Fink C. Strahlendosis der Koronar CT-Angiografie – Vergleich von 128-Zeilen Dual-Source mit 64-Zeilen Single- und Dual-Source CT. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0029-1247982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Krissak R, Henzler T, Prechel A, Reichert M, Grüttner J, Süselbeck T, Schönberg SO, Fink C. Reduktion der Strahlendosis in der triple-rule-out Dual-Source-CT-Angiografie bei Patienten mit akutem Thoraxschmerz durch Verwendung eines niedrig-kV Untersuchungsprotokolls – Triple-rule-out CTA Strahlendosis bei normalgewichtigen Patienten–Vergleich 100 kV und 120 kV. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0029-1247981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Apfaltrer P, Süselbeck T, Henzler T, Reichert M, Büsing KA, Schönberg SO, Fink C. Dual-Source CTA der Aorta und Beckenstrombahn vor perkutanem transfemoralem Aortenklappenersatz: erste Ergebnisse – CTA bei perkutanem Aortenklappenersatz. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0029-1248000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Saur J, Trinkmann F, Dösch C, Papavassiliu T, Schönberg SO, Borggrefe M, Kaden J. Einfluss pulmonaler Parameter auf die nicht-invasive Bestimmung des Herzzeitvolumens mittels Inertgas-Rückatmung. Pneumologie 2009. [DOI: 10.1055/s-0029-1213994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Trinkmann F, Papavassiliu T, Kraus F, Leweling H, Schönberg SO, Borggrefe M, Kaden JJ, Saur J. Inertgas-Rückatmung zur Bestimmung des Herzzeitvolumens: Einfluss der pulmonalen Shuntkorrektur auf die Messgenauigkeit im klinischen Alltag. Pneumologie 2009. [DOI: 10.1055/s-0029-1214081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Dinter DJ, Martetschläger F, Büsing KA, Schönberg SO, Scharf HP, Lehmann LJ. [Shoulder injuries in overhead athletes: utility of MR arthrography]. Sportverletz Sportschaden 2008; 22:146-52. [PMID: 18814056 DOI: 10.1055/s-2008-1027747] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The goal of this work was to assess the accuracy of the MR-Arthrografie in the evaluation of over head athletes injuries in comparison with athroscopy. MATERIAL AND METHODS In 29 patients (middle age: 30 years, 21 male, 8 female, age 16 - 53 years) with persistent pain after conservative therapy an Arthro-MRI with intraarticular application of gadolinum was performed prior to arthroscopic surgery. The MRI was retrospectivly analysed of three examiners independently from one another. The result were compared to the results of the Arthroscopy. Interrater Reliability was calculated by using of Cohens Kappa. RESULTS The MR-Arthrography could demonstrate 8 of 9 (88.9 %) partial tears of he rotator cuff. All SLAP (Superiores Labrum from Anterior to Posterior) Lesions as well as all bankart type Lesions were recognized through the MR-Arthrography. However, dependent upon the experience of the examiner in a span between 33.3 % (fellow radiologist) and 93.3 % (consultant radiologist). We found a high agreement between consultant radiologist and shoulder surgeon with Kappa of 0.79 for rotator cuff tear-, 0.86 for Bankart- and 0.82 for SLAP-Läsionen.
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Affiliation(s)
- D J Dinter
- Institut für klinische Radiologie und Nuklearmedizin, Medizinische Fakultät Mannheim der Universität Heidelberg
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Findeisen HM, Weckbach S, Schönberg SO, Stark RG, Parhofer KG. Assoziation von Metabolischem Syndrom und vaskulärer Multimorbidität im Ganzkörper-MRT bei langjährigen Diabetikern. DIABETOL STOFFWECHS 2008. [DOI: 10.1055/s-2008-1076248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schönberg SO, Michaely HJ. Diffuse parenchymatöse Erkrankungen der Niere. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Sadick M, Michaely HJ, Kränzlin B, Schock D, Skude V, Gretz N, Schönberg SO. Morphologische und dynamische renale MR-Bildgebung an einem 3.0T Scanner – Evaluation der technischen Realisierbarkeit an einem pcy-Mausmodell. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Dinter DJ, Niedergethmann M, Aramin N, Weisser G, Singer C, Berisha S, Schönberg SO. Stellt die Signalintensitätskurve der dynamischen MRT einen Indikator der Pankreastextur vor Pankreaskopfresektion dar? ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Notohamiprodjo M, Herrmann KA, Glaser C, Baumeister R, Schönberg SO, Reiser M, Jakobs TF. Etablierung der MR Lymphangiographie bei 3 Tesla. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Weisser G, Jochum S, Götz E, Schönberg SO. Evaluation vergleichbarer Untersuchungsprotokolle an CT-Geräten unterschiedlicher Generation. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ruggiero S, Shazi S, Schönberg SO, Lederle K, Weisser G. Vergleich von Methoden zur Kalibration und Qualitätssicherung bei radiologischen Befundungsmonitoren. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Michaely HJ, Attenberger UI, Kramer H, Reiser M, Schönberg SO. Dixon-Fettsättigung für die Steady State MR-Angiographie (MRA) nach Gabe von Gadofosveset (Vasovist®). ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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