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Draulans C, Everaerts W, Isebaert S, Gevaert T, Oyen R, Joniau S, Lerut E, De Wever L, Laenen A, Weynand B, Vanhoutte E, De Meerleer G, Haustermans K. OC-0160 When PI-RADS and ISUP meet each other: identification of candidates for pelvic lymph node dissection. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30580-8] [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: 11/28/2022]
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Van Schie M, Dinh C, Van Houdt P, Pos J, Heijmink S, Kerkmeijer L, Kotte A, Oyen R, Haustermans K, Van der Heide U. OC-0499: Evaluation of prostate tumor delineations on multiparametric MRI in a multicenter radiotherapy trial. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30809-0] [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: 10/14/2022]
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Ghobadi G, Van Houdt P, De Jong J, Walreven I, Dinh C, Van der Poel H, Heijmink S, Pos F, Isebaert S, Oyen R, Raylander S, Bentzen L, Høyer S, Klawer E, Dinis Fernandes C, Tanderup K, Haustermans K, Van der Heide U. SP-0128: Multi-parametric functional imaging for lesion identification and RT personalisation in prostate cancer. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30438-9] [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: 11/17/2022]
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Lefere I, Van Ongeval C, Van Steen A, Oyen R. Lactating Adenoma in the Presence of Galactoceles. JBR-BTR 2015; 98:131-132. [PMID: 30394444 DOI: 10.5334/jbr-btr.799] [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] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 07/14/2015] [Indexed: 06/08/2023]
Abstract
A 22-year-old woman was referred to our department with a painless, fast growing breast mass. She noticed this mass during lactation, after giving birth to her first child. Her gynecologist palpated a large mass in the left breast, two smaller nodules in the left breast, and one small nodule in the right breast. Ultrasonography of the breasts, mammography and MRI were performed, and a tentative diagnosis of phyllodes tumor was proposed. She was subsequently referred to our centre.
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Affiliation(s)
- I Lefere
- Department of Radiology, UZ Gasthuisberg, KUL, Leuven..
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Braeckman P, Joniau S, Oyen R, Croes R, Van Poppel H. Polyarteritis nodosa mimicking a testis tumour: a case report and review of the literature. Cancer Imaging 2015. [PMCID: PMC4554691 DOI: 10.1102/1470-7330.2002.0014] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
A 28-year-old man presented with a seven-day history of testicular pain. Physical examination revealed a mass in the lower pole of the left testis. This mass was a tumour suspect on scrotal ultrasound and MRI. Testicular tumour markers were negative. A radical orchidectomy was performed. Histologically, the diagnosis of polyarteritis nodosa (PAN) was made. Retrospectively, the diagnosis of PAN could have been made earlier. The patient was treated for superficial thrombophlebitis in the months prior to admission. This was considered to be a paraneoplastic phenomenon after radical nephrectomy for a conventional type renal cell carcinoma two years earlier. After the diagnosis of PAN was made on the orchidectomy specimen, the cutaneous lesions were finally recognized as cutaneous PAN. With this knowledge, a simple testicular biopsy could have avoided a radical orchidectomy. A short review of literature on testicular PAN is given.
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Affiliation(s)
- P. Braeckman
- />Department of Urology, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium
| | - S. Joniau
- />Department of Urology, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium
| | - R. Oyen
- />Department of Radiology, University Hospital Gasthuisberg, Leuven, Belgium
| | - R. Croes
- />Department of Pathology, University Hospital Gasthuisberg, Leuven, Belgium
| | - H. Van Poppel
- />Department of Urology, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium
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Abstract
In 1923 Masson described a neo-plastic process consisting of papillary hyperplasia of the vascular endothelial cells, with a consequent obliteration of the vascular lumen, followed by degenerative changes. He introduced the term ‘vegetant intravascular hemangioendothelioma’. However, these days it is more commonly known as papillary endothelial hyperplasia (PEH)[1]. Although relatively rare, there are numerous accounts of PEH in literature, describing its predilection for the head and neck region. Our case report describes the finding of a PEH within the kidney; a site previously described only once in the literature.
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Affiliation(s)
- S. Van den Bogaert
- />Department of Urology, University Hospitals, Herestraat 49, B-3000 Leuven, Belgium
| | - K. Boel
- />Department of Urology, University Hospitals, Herestraat 49, B-3000 Leuven, Belgium
| | - H. Van Poppel
- />Department of Urology, University Hospitals, Herestraat 49, B-3000 Leuven, Belgium
| | - R. Oyen
- />Department of Radiology, University Hospitals, Herestraat 49, B-3000 Leuven, Belgium
| | - B. Van Damme
- />Department of Pathology, University Hospitals, Herestraat 49, B-3000 Leuven, Belgium
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Dinh C, Haustermans K, Steenbergen P, Ghobadi G, Lerut E, Oyen R, Poel H, Jong J, Heijmink S, Heide U. PO-0772: Multi-center validation of a model for prostate tumor delineation using multi-parametric MRI. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40764-9] [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: 10/23/2022]
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Lopez-Rendon X, Bosmans H, Oyen R, Zanca F. Effective dose and organ doses estimation taking tube current modulation into account with a commercial software package. Eur Radiol 2015; 25:1919-25. [PMID: 25680725 DOI: 10.1007/s00330-015-3623-5] [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] [Received: 06/26/2014] [Revised: 01/13/2015] [Accepted: 01/20/2015] [Indexed: 10/24/2022]
Abstract
PURPOSE To evaluate the effect of including tube current modulation (TCM) versus using the average mAs in estimating organ and effective dose (E) using commercial software. METHOD Forty adult patients (24 females, 16 males) with normal BMI underwent chest/abdomen computed tomography (CT) performed with TCM at 120 kVp, reference mAs of 110 (chest) and 200 (abdomen). Doses to fully irradiated organs (breasts, lungs, stomach, liver and ovaries) and E were calculated using two versions of a dosimetry software: v.2.0, which uses the average mAs, and v.2.2, which accounts for TCM by implementing a gender-specific mAs profile. Student's t-test was used to assess statistically significant differences between organ doses calculated with the two versions. RESULTS A statistically significant difference (p < 0.001) was found for E on chest and abdomen CT, with E being lower by 4.2% when TCM is considered. Similarly, organ doses were also significantly lower (p < 0.001): 13.7% for breasts, 7.3% for lungs, 9.1% for the liver and 8.5% for the stomach. Only the dose to the ovaries was higher with TCM (11.5%). CONCLUSION When TCM is used, for the stylized phantom, the doses to lungs, breasts, stomach and liver decreased while the dose to the ovaries increased. KEY POINTS • Estimated dose to the ovaries increased with TCM. • Estimated dose to lungs, breasts, stomach and liver decreased with TCM. • A unique but gender-specific mAs profile resulted in a radiation dose shift. • Even for normal size patients there is a variety in mAs profiles.
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Affiliation(s)
- X Lopez-Rendon
- Department of Imaging and Pathology, Division of Medical Physics and Quality Assessment, KU Leuven, Herestraat 49, box 7003, 3000, Leuven, Belgium,
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Affiliation(s)
- G. Uhlenbruck
- Max-Planck-Institut für Hirnforschung Köln-Lindenthal
| | - U. Reifenberg
- Max-Planck-Institut für Hirnforschung Köln-Lindenthal
| | - R. Oyen
- Max-Planck-Institut für Hirnforschung Köln-Lindenthal
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Bonne L, Bex M, Oyen R, Claus F. Epididymal adrenal rest tissue in a patient with congenital adrenal hyperplasia. JBR-BTR 2014; 97:193-194. [PMID: 25223140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Isebaert S, Dirix P, Tosco L, Janssen P, Joniau S, Lerut E, Van den Bergh L, Oyen R, Van Poppel H, Haustermans K. PD-0302: Necessity and extent of pelvic radiotherapy in cN0 high-risk prostate cancer patients. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)30407-2] [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: 10/23/2022]
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Steenbergen P, Haustermans K, Pos F, Oyen R, Heijmink S, De Wever L, Kalisvaart R, Teertstra J, Van den Bergh L, Van der Heide U. PD-0137: Prostate tumor delineation using multiparametric MRI: Inter observer variability and pathology validation. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)30242-5] [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: 10/23/2022]
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Van den Bergh L, Isebaert S, Koole M, Oyen R, Joniau S, Lerut E, Deroose C, De Keyzer F, Van Poppel H, Haustermans K. Does 11C-choline PET-CT contribute to multiparametric MRI for prostate cancer localisation? Strahlenther Onkol 2013; 189:789-95. [DOI: 10.1007/s00066-013-0359-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Accepted: 03/25/2013] [Indexed: 11/30/2022]
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14
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De Brabandere M, Al-Qaisieh B, De Wever L, Haustermans K, Kirisits C, Moerland M, Oyen R, Rijnders A, Van den Heuvel F, Siebert F. OC-0180: CT and MRI based seed localization in post-implant evaluation of permanent prostate brachytherapy. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32486-5] [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: 11/27/2022]
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Van den Bergh L, Joniau S, Lerut E, Deroose C, Isebaert S, Ameye F, Oyen R, Van Poppel H, Haustermans K. PD-0133: Can we use a sentinel node procedure to select patients for wholepelvis radiotherapy in prostate cancer? Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32439-7] [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: 10/23/2022]
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Peeters E, Spiessens C, Oyen R, De Wever L, Vanderschueren D, Penninckx F, Miserez M. Sperm motility after laparoscopic inguinal hernia repair with lightweight meshes: 3-year follow-up of a randomised clinical trial. Hernia 2012; 18:361-7. [PMID: 23269401 DOI: 10.1007/s10029-012-1028-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2012] [Accepted: 12/08/2012] [Indexed: 01/22/2023]
Abstract
PURPOSE To analyse the effects of lightweight meshes in laparoscopic inguinal hernia repair on male fertility aspects, chronic pain development and recurrence at 3-year follow-up. METHODS Fifty-nine male patients with a primary, unilateral or bilateral inguinal hernia were randomised to laparoscopic inguinal hernia repair using a standard polypropylene (Marlex(®)) or lightweight mesh (VyproII(®), TiMesh(®)). Patients attended clinical follow-up 3 years postoperatively, at which male fertility aspects, by semen analysis and scrotal ultrasound, chronic pain status (McGill Pain Questionnaire), quality of life (SF-36) and recurrence were assessed, or completed quality of life, pain and hernia-specific questionnaires at home. RESULTS In total, 49 patients (83.1 %) completed follow-up (median follow-up = 39.1 months), by questionnaire and/or clinical follow-up. As other semen parameters and scrotal ultrasound results, sperm motility was unchanged compared to 1 year postoperatively, but not significantly different between VyproII(®) and TiMesh(®) versus Marlex(®) patients (-8.5 % and -8 % vs. -2.8 %; P = 0.23). Pain perception and quality of life were comparable between the heavyweight and lightweight groups, and no change was noted in comparison with 1 year postoperatively. Chronic pain incidence was 6.1 % (3 patients), without occurrence of disabling pain. Three patients were clinically diagnosed with a recurrent hernia (5.9 %). CONCLUSIONS The decrease in sperm motility in patients operated on with a lightweight mesh compared to patients operated on with a heavyweight mesh 1 year after laparoscopic inguinal hernia repair could not be confirmed at 3 years follow-up. Furthermore, heavyweight and lightweight groups were comparable regarding quality of life, chronic pain and recurrence rate.
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Affiliation(s)
- E Peeters
- Department of Abdominal Surgery, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium,
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Zanca F, Van Ongeval C, Claus F, Jacobs J, Oyen R, Bosmans H. Comparison of visual grading and free-response ROC analyses for assessment of image-processing algorithms in digital mammography. Br J Radiol 2012; 85:e1233-41. [PMID: 22844032 DOI: 10.1259/bjr/22608279] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To compare two methods for assessment of image-processing algorithms in digital mammography: free-response receiver operating characteristic (FROC) for the specific task of microcalcification detection and visual grading analysis (VGA). METHODS The FROC study was conducted prior to the VGA study reported here. 200 raw data files of low breast density (Breast Imaging-Reporting and Data System I-II) mammograms (Novation DR, Siemens, Germany)-100 of which abnormal-were processed by four image-processing algorithms: Raffaello (IMS, Bologna, Italy), Sigmoid (Sectra, Linköping, Sweden), and OpView v. 2 and v. 1 (Siemens, Erlangen, Germany). Four radiologists assessed the mammograms for the detection of microcalcifications. 8 months after the FROC study, a subset (200) of the 800 images was reinterpreted by the same radiologists, using the VGA methodology in a side-by-side approach. The VGA grading was based on noise, saturation, contrast, sharpness and confidence with the image in terms of normal structures. Ordinal logistic regression was applied; OpView v. 1 was the reference processing algorithm. RESULTS In the FROC study all algorithms performed better than OpView v. 1. From the current VGA study and for confidence with the image, Sigmoid and Raffaello were significantly worse (p<0.001) than OpView v. 1; OpView v. 2 was significantly better (p=0.01). For the image quality criteria, results were mixed; Raffaello and Sigmoid for example were better than OpView v. 1 for sharpness and contrast (although not always significantly). CONCLUSION VGA and FROC discordant results should be attributed to the different clinical task addressed. ADVANCES IN KNOWLEDGE The method to use for image-processing assessment depends on the clinical task tested.
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Affiliation(s)
- F Zanca
- Leuven University Center of Medical Physics in Radiology, University Hospitals Leuven, Belgium.
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Isebaert S, Van den Bergh L, Koole M, Oyen R, Joniau S, Lerut E, Deroose C, De Keyzer F, Van Poppel H, Haustermans K. OC-0050 DOES 11C-CHOLINE PET-CT CONTRIBUTE TO MULTIPARAMETRIC MR IMAGING FOR PROSTATE CANCER LOCALIZATION? Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)70389-4] [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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Van DBL, Joniau S, Budiharto T, Lerut E, Deroose C, Oyen R, Ameye F, Haustermans K, Van Poppel H. 568 MAPPING OF PELVIC LYMPH NODE METASTASES IN PROSTATE CANCER. ACTA ACUST UNITED AC 2011. [DOI: 10.1016/s1569-9056(11)60558-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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Michielsen K, De Keyzer F, Verslype C, Dymarkowski S, van Malenstein H, Oyen R, Maleux G, Vandecaveye V. Pretreatment DCE-MRI for prediction of PFS in patients with inoperable HCC treated with TACE. Cancer Imaging 2011. [DOI: 10.1102/1470-7330.2011.9058] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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De Paepe K, De Keyzer F, Wolter P, Oyen R, Verhoef G, Vandecaveye V. 5. 3 Tesla whole-body diffusion-weighted imaging for staging lymphoma: comparison with PET/CT. Cancer Imaging 2011. [DOI: 10.1102/1470-7330.2011.9068] [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: 11/16/2022] Open
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D'Hauwe R, Lerut E, De Wever L, Oyen R, Claus F. Birt-Hogg-Dubé (BHD) syndrome. JBR-BTR 2011; 94:32-34. [PMID: 21466062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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De Paepe K, Bevernage C, De Keyzer F, Wolte P, Oyen R, Verhoef G, Vandecaveye V. 6. 3 Tesla whole-body diffusion-weighted imaging (WB-DWI) for early treatment assessment and treatment prediction in lymphoma. Cancer Imaging 2011. [DOI: 10.1102/1470-7330.2011.9069] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Van Moerkercke W, Verhamme M, Doubel P, Meeus G, Oyen R, Van Steenbergen W. Autoimmune pancreatitis and extrapancreatic manifestations of IgG4-related sclerosing disease. Acta Gastroenterol Belg 2010; 73:239-246. [PMID: 20690563] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
In a review of the literature concerning autoimmune pancreatitis we had special interest for the concept of IgG4-related pathology as a systemic disease with several clinical manifestations. In general, IgG4-positivity can not only be found in the pancreas, but also at the level of the kidneys, extrahepatic biliary ducts, gallbladder, lungs, salivary glands, lacrimal glands, retroperitoneal tissue, ureters, prostate, meninges and lymph nodes. IgG4 seems to be a central key player in the pathophysiology of this disease.
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Affiliation(s)
- W Van Moerkercke
- Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
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Heye S, Fourneau I, Maleux G, Claes K, Kuypers D, Oyen R. Preoperative mapping for haemodialysis access surgery with CO(2) venography of the upper limb. Eur J Vasc Endovasc Surg 2010; 39:340-5. [PMID: 20080420 DOI: 10.1016/j.ejvs.2009.11.036] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2009] [Accepted: 11/22/2009] [Indexed: 12/20/2022]
Abstract
OBJECTIVE This study aims to evaluate the impact of CO(2) venography on the planning and outcome of native arteriovenous fistula (AVF) creation. METHODS Records of patients who underwent CO(2) venography prior to access surgery between January 2000 and December 2008 were reviewed. CO(2) venography was performed selectively in chronic kidney disease (CKD) in stage IV-V patients without suitable veins on clinical examination. Findings at surgery were compared to CO(2) venography images. Patency of AVFs was analysed by the Kaplan-Meier method. Differences in outcome of maturation were compared using a chi(2) test. RESULTS A total of 209 CO(2) venograms were obtained in 116 patients. In 89 patients (77%), 101 AVFs (21 forearm AVF (21%) and 80 elbow AVF (79%) were created. Surgical findings corresponded with CO(2) venography findings in 90% of patients. In 10 cases (10%), access was created at the elbow despite a patent forearm cephalic vein on CO(2) venography (n = 2) or access was attempted with a vein which was thought to be unsuitable on CO(2) venography (n = 8). Maturation rate of the latter was 50% (4/8) vs. 88% (80/91) for AVFs created with veins considered usable (P = 0.004). The overall maturation rate was 84% with 1-year primary, assisted primary and secondary patency rates of 63%, 70% and 71%, respectively. CONCLUSION CO(2) venography is a useful tool for venous mapping prior to vascular access surgery, resulting in an overall maturation rate of 84% and good patency rates.
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Affiliation(s)
- S Heye
- Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.
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Hsu C, Joniau S, Oyen R, Roskams T, Van Poppel H. MP-18.02: Is Prostate Cancer Index a Stronger Prognostic Factor than Cancer Volume for Adverse Final Histopathologic Outcomes in Ct3a Prostate Cancer? Urology 2009. [DOI: 10.1016/j.urology.2009.07.1337] [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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Hsu C, Joniau S, Oyen R, Roskams T, Van Poppel H. UP-2.120: Determining Under- and Over-Grading by Biopsy Gleason Score in Clinical T3 Prostate Cancer. Urology 2009. [DOI: 10.1016/j.urology.2009.07.339] [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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Joniau S, Hsu C, Oyen R, Roskams T, Van Poppel H. UP-1.107: A Pre-Treatment Table for the Prediction of Final Histopathology after Radical Prostatectomy in Clinical Unilateral T3a Prostate Cancer Using PSA Density and Biopsy Gleason Score. Urology 2009. [DOI: 10.1016/j.urology.2009.07.554] [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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Van den Heuvel F, Slagmolen P, Budiharto T, Junius S, Verstraete J, Oyen R, Haustermans K. SU-FF-T-147: Intra Fractional Motion in Clinical IMRT Prostate Treatments, Warrants the Use of Faster Treatment Techniques. Med Phys 2009. [DOI: 10.1118/1.3181621] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Stavem P, Jeremic M, Hjort PF, Wislöff F, Vogt E, Oyen R, Abrahamsen AF, Sövde A. Hereditary thrombocytopenia with excessively prolonged bleeding time. Scand J Haematol 2009; 6:250-61. [PMID: 5348279 DOI: 10.1111/j.1600-0609.1969.tb02405.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Joniau S, Tailly T, Goeman L, Oyen R, Van Poppel H. POD-1.10: Radiofrequency Ablation of Small Renal Masses: A Multicenter Analysis of Intermediate Term Results of 56 Tumors in 49 Patients. Urology 2008. [DOI: 10.1016/j.urology.2008.08.150] [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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Joniau S, De Baets K, Lerut E, Roskams T, Oyen R, Van Poppel H. UP.77: Prostate Cancer Diagnosed at Multiple Repeat Biopsies Following Isolated High-Grade Prostatic Intraepithelial Neoplasia: Which Cancers are Significant at Radical Prostatectomy Specimen? Urology 2008. [DOI: 10.1016/j.urology.2008.08.404] [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: 11/28/2022]
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Geldof K, Maleux G, Heye S, Van Cleynenbreugel B, Oyen R. Transcatheter embolization of an isolated lumbar arterial bleeding complicating radical nephrectomy for renal infarction with infected perirenal haematoma. JBR-BTR 2008; 91:203-205. [PMID: 19051941] [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] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Lumbar arterial bleedings are rare but potentially life threatening. We report a case of an isolated right lumbar arterial bleeding after radical nephrectomy for renal infarction with infected perirenal haematoma. The diagnosis was suggested by computed tomography and confirmed with angiography. Definitive treatment of this vascular injury was obtained after percutaneous transcatheter embolization of the fourth right lumbar artery. General anaesthesia, further blood loss due to difficult surgical dissection, or even failure to find and ligate the injured artery, especially in redo-operations, can be avoided by this minimal invasive procedure. Endovascular embolization of a lumbar artery injured after radical nephrectomy might be a valuable treatment alternative in patients with postoperative retroperitoneal bleeding.
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Affiliation(s)
- K Geldof
- Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.
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Kubasiewicz L, Maleux G, Oyen R, Vanrenterghem Y, Kuypers D. Pseudoaneurysm Complicating Protocol Renal Transplant Biopsies: Case Reports. Transplant Proc 2008; 40:1397-8. [DOI: 10.1016/j.transproceed.2007.10.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2007] [Revised: 07/02/2007] [Accepted: 10/04/2007] [Indexed: 11/17/2022]
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Hsu CY, Joniau S, Oyen R, Roskams T, Van Poppel H. IMPORTANCE OF THE LEARNING CURVE IN REDUCING POSITIVE SURGICAL MARGIN RATE AND IMPROVING BIOCHEMICAL PROGRESSION FREE SURVIVAL AFTER RADICAL PROSTATECTOMY FOR CT3A PROSTATE CANCER. ACTA ACUST UNITED AC 2008. [DOI: 10.1016/s1569-9056(08)60383-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cassiman D, Claes K, Lerut E, Oyen R, Joniau S, Van Damme B, Jaeken J. Bilateral renal cell carcinoma development in long-term Fabry disease. J Inherit Metab Dis 2007; 30:830-1. [PMID: 17505913 DOI: 10.1007/s10545-007-0648-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2007] [Accepted: 04/12/2007] [Indexed: 10/23/2022]
Affiliation(s)
- D Cassiman
- Metabolic Center, University Hospital Gasthuisberg, Leuven, Belgium.
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Hsu C, Joniau S, Oyen R, Roskams T, van Poppel H. POD-04.01: Postoperative nomogram for clinical unilateral T3a prostate cancer. Urology 2007. [DOI: 10.1016/j.urology.2007.06.038] [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: 10/22/2022]
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Hsu C, Joniau S, Oyen R, Roskams T, van Poppel H. 4022 POSTER The relationship between age and cancer related outcomes in clinical unilateral T3a prostate cancer. EJC Suppl 2007. [DOI: 10.1016/s1359-6349(07)71090-x] [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: 11/25/2022] Open
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Joniau S, Goeman L, Roskams T, Lerut E, Oyen R, Van Poppel H. Effect of nutritional supplement challenge in patients with isolated high-grade prostatic intraepithelial neoplasia. Urology 2007; 69:1102-6. [PMID: 17572195 DOI: 10.1016/j.urology.2007.02.063] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2005] [Revised: 01/21/2007] [Accepted: 02/27/2007] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To investigate, through a prospective follow-up study, the effects of a dietary supplementation challenge in men with isolated high-grade prostatic intraepithelial neoplasia (HGPIN). METHODS The effects of a 6-month supplementation challenge with selenium, vitamin E, and soy isoflavonoids in men diagnosed with isolated HGPIN on biopsy were evaluated. A total of 100 patients entered the study. Of the 100 men, 29 were excluded because they refused additional biopsies or were noncompliant with the protocol, 71 underwent repeat biopsies at 3 months, and 58 underwent a third set at 6 months. The prostate-specific antigen (PSA) level was recorded at inclusion and before each set of biopsies. The study endpoint was defined as the diagnosis of PCa at 3 months or the histopathologic status at 6 months. RESULTS At the study endpoint, PCa had been found in 24 men (33.8%), HGPIN in 34 (47.9%), and no HGPIN or carcinoma in 13 (18.3%). The PCa risk throughout the study period was 25.0% in the group with a stable or decreasing PSA level (n = 48, 67.6%) and 52.2% in the group with an increasing PSA level (n = 23, 32.4%). This difference was statistically significant (P = 0.0458). Isolated HGPIN remaining at the first repeat biopsy and the percentage of initial cores with HGPIN were significant predictors of PCa at additional biopsies. CONCLUSIONS The results of our study have shown that a decrease in the PSA level while taking a selenium, vitamin E, and soy isoflavonoids supplement predicts for a significantly lower risk of PCa in future biopsies. The percentage of initial biopsy cores with HGPIN and isolated HGPIN remaining at the first repeat biopsy are significant predictors of PCa in future biopsies.
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Affiliation(s)
- S Joniau
- Department of Urology, University Hospitals Katholieke Universiteit Leuven, Leuven, Belgium.
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Hsu C, Joniau S, Oyen R, Roskams T, Van Poppel H. UP-02.32. Urology 2006. [DOI: 10.1016/j.urology.2006.08.774] [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: 10/24/2022]
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Hsu CY, Joniau S, Oyen R, Roskams T, Van Poppel H. Transrectal ultrasound in the staging of clinical T3a prostate cancer. Eur J Surg Oncol 2006; 33:79-82. [PMID: 17067773 DOI: 10.1016/j.ejso.2006.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2006] [Accepted: 09/06/2006] [Indexed: 10/24/2022] Open
Abstract
INTRODUCTION The clinical staging of T3a prostate cancer is usually based on digital rectal examination (DRE). Overstaging of clinical T3a prostate cancer is present in 13-27% of the cases presented and understaging is in the range of 30%. The value of transrectal ultrasound (TRUS) as a staging tool is not generally accepted. The purpose of this study is to determine whether TRUS can refine the local staging in unilateral clinical T3a (cT3a) prostate cancer. PATIENTS AND METHODS Between 1987 and 2004, 200 patients were staged as unilateral cT3a prostate cancer by DRE. All patients underwent radical prostatectomy and bilateral pelvic lymphadenectomy. Preoperative TRUS staging was performed for all patients. Final histopathological staging was compared with DRE and TRUS staging. The operable group (OG) was defined as T2 to unilateral T3a, and the advanced group (AG) was defined as bilateral T3a to T4. RESULTS All DRE patients were assumed operable. However, in this group histopathology showed 27.0% of the patients had advanced disease. TRUS confirmed 184 patients to be operable (140 having unilateral cT3a, 44 patients having cT1c to cT2). Sixteen patients were considered to have advanced disease by TRUS. Importantly, in this group, 68.7% of the cases were indeed confirmed to have advanced disease by histopathology. CONCLUSION TRUS can be used to refine clinical staging in unilateral cT3a prostate cancer. In cases where TRUS indicates advanced disease, it might be wise to trust the TRUS staging, rather than the DRE.
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Affiliation(s)
- C-Y Hsu
- Department of Urology, University Hospitals KULeuven, Herestraat 49, 3000 Leuven, Belgium
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Joniau S, Van Baelen A, Hsu C, Oyen R, Roskams T, Van Poppel H. TREATMENT OF CLINICAL STAGE T3 PROSTATE CANCER: A SURGICAL DISEASE? ACTA ACUST UNITED AC 2006. [DOI: 10.1016/s1569-9056(06)60767-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Abstract
Alkaline encrusted pyelitis is an infectious disease characterised by encrustations in the wall of the upper urinary tract, surrounded by severe inflammation. Destruction of native kidneys and kidney grafts may occur, resulting in end stage renal failure. Corynebacterium group D2, an urea splitting microorganism, is nearly exclusively associated with this disease. The most important predisposing factors are previous urological procedures and an immunosuppressed state. In a suggestive clinical context, diagnosis should be made with unenhanced computed tomography findings and bacteriologic isolation of the responsible microorganism. The treatment is threefold: appropriate antibiotic therapy, by preference with glycopeptides, acidification of urine and chemolysis, and if needed, surgical removal of encrustations. We report the case of a patient who was diagnosed with this rare condition and could escape maintenance dialysis after correct diagnosis was made and conservative treatment was started using antibiotics and combined oral and local acidification.
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Affiliation(s)
- S Van Hooland
- Department of Nephrology, University Hospital Gasthuisberg, 3000 Leuven, Belgium.
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Heye S, Woestenborghs H, Van Kerkhove F, Oyen R. Adrenocortical carcinoma with fat inclusion: case report. ACTA ACUST UNITED AC 2005; 30:641-3. [PMID: 15688105 DOI: 10.1007/s00261-004-0281-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2004] [Accepted: 09/16/2004] [Indexed: 12/01/2022]
Abstract
Adrenocortical carcinoma is a rare tumor that arises from the adrenal cortex, with an estimated incidence of 0.5% to 2% per 1 million patients yearly. Although some fat content can be expected in hormonally active adrenocortical carcinomas, areas of 100% fat are extremely rare. We present a case of an adrenocortical carcinoma with a small focus of pure fat depicted on magnetic resonance imaging.
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Affiliation(s)
- S Heye
- Department of Radiology, University Hospitals Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium.
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Drieskens O, Oyen R, Van Poppel H, Vankan Y, Flamen P, Mortelmans L. FDG-PET for preoperative staging of bladder cancer. Eur J Nucl Med Mol Imaging 2005; 32:1412-7. [PMID: 16133380 DOI: 10.1007/s00259-005-1886-9] [Citation(s) in RCA: 106] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2004] [Accepted: 06/12/2005] [Indexed: 10/25/2022]
Abstract
PURPOSE The presence of lymph node involvement (N) and distant metastasis (M) in patients with invasive bladder carcinoma is a major determinant of survival and, therefore, a pivotal element in the therapeutic management. The aim of this prospective study was to evaluate the use of( 18)F-fluorodeoxyglucose positron emission tomography (FDG-PET) in this indication. METHODS Whole-body FDG-PET and computed tomography (CT) were performed in 55 patients with non-metastatic invasive bladder cancer for preoperative staging. Correlative imaging of PET with CT was performed, leading to a PET(CT) result. The imaging results were compared with the gold standard, consisting of histopathology (lymphadenectomy, guided biopsy) or clinical follow-up for 12 months, and related to overall survival using the Kaplan-Meier method. RESULTS The gold standard was available in 40 patients and indicated NM-positive disease in 15 patients (12 N lesions, 8 M lesions), and NM-negative disease in 25 patients. For the diagnosis of NM-positive disease, the sensitivity, specificity and accuracy of PET(CT) were 60%, 88% and 78%, respectively. Diagnostic discordances between PET(CT) and CT alone were found in 9/40 patients, among whom PET was correct in six (15%): three with true-positive and one with true-negative distant metastases, and two with true-negative lymph nodes. Median survival time of patients in whom PET(CT) indicated NM-positive disease was 13.5 months, compared with 32.0 months in the patients with a NM-negative PET(CT) (p=0.003). CONCLUSION Addition of metabolism-based information provided by FDG-PET to CT in the preoperative staging of invasive bladder carcinoma yields a high diagnostic and prognostic accuracy.
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Affiliation(s)
- O Drieskens
- Department of Nuclear Medicine, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium
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Volders W, Degryse H, Oyen R. Imperforated Cowper's syringocele. JBR-BTR 2005; 88:160-1. [PMID: 16038242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Affiliation(s)
- W Volders
- Department of Medical Imaging, AZ KLINA, Brasschaat, Belgium
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Verswijvel G, Janssens F, Deroo F, Van Robaeys J, Goethuys H, Palmers Y, Oyen R. Ureteral ectopy in the seminal vesicle associated with cyst formation and renal dysplasia: contribution of 3D-MRI. JBR-BTR 2004; 87:175-9. [PMID: 15487256] [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] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
A case of a congenital anomaly of the urinary tract in a 25-year-old Caucasian male is presented. Preoperative and pathologic findings demonstrated an ectopic ureter which terminated in a seminal vesicle cyst. Both structures formed an abortive common duct at the bladder base. The ipsilateral kidney was dysplastic. Findings on voiding cytourethrography, spiral CT, and MRI are discussed and correlated with pathologic findings. The authors suggest that MRI, especially with the use of 3D sequences, is the examination of choice in the evaluation of a complex congenital urogenital anomaly as presented.
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Affiliation(s)
- G Verswijvel
- Department of Radiology, Ziekenhuis Oost Limburg. Campus St Jan, Schiepse Bos 6, 3600 Genk, Belgium
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Verswijvel G, Oyen R. Magnetic resonance imaging in the detection and characterization of renal diseases. Saudi J Kidney Dis Transpl 2004; 15:283-299. [PMID: 18202479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
Over the last decade, state-of-the-art magnetic resonance MRI has become a valuable partner in the clinical imaging arena to tackle a wide variety of kidney diseases in a non-invasive manner, mainly due to its high tissue contrast and multiplanar imaging capabilities. Paramagnetic contrast agents have further improved the performance of MRI of the kidney since their administration seems to be applicable in virtually all patients, irrespective of their age, renal function and their ability to cooperate. Moreover, MRI is particularly helpful for further differentiation of lesions that are equivocal on CT and/or ultrasound. Further technical developments of applied MR-techniques and further improvements in spatial resolution will expand the imaging possibilities and create new tracts and challenges in the MRI evaluation of kidney disease. An overview of the current status of MRI in the diagnosis of renal abnormalities, which includes description of technique and normal anatomy and congenital variants, is given. The benefits of MRI in diagnosing diseases of renal parenchyma mass lesions such as cysts, renal cystic diseases, and benign and malignant tumors is reviewed. Furthermore, the MRI diagnosis of vascular diseases, diffuse renal parenchymal diseases, renal infectious diseases and the pathology of the renal collecting system will be discussed.
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Affiliation(s)
- Geert Verswijvel
- Department of Radiology, Ziekenhuis Oost Limburg, Genk, Belgium,
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Goeman L, Joniau S, Ponette D, Van der Aa F, Roskams T, Oyen R, Van Poppel H. Is low-grade prostatic intraepithelial neoplasia a risk factor for cancer? Prostate Cancer Prostatic Dis 2003; 6:305-10. [PMID: 14663472 DOI: 10.1038/sj.pcan.4500681] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.6] [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: 11/09/2022]
Abstract
INTRODUCTION High-grade prostatic intraepithelial neoplasia (HGPIN) is generally accepted to be a precursor lesion of prostate cancer. The likely outcome of isolated low-grade PIN (LGPIN) lesions in prostate biopsies remains unclear. A follow-up study of 106 patients with LGPIN- and HGPIN lesions was performed. MATERIALS AND METHODS In a 2-y period, 207 men were diagnosed with isolated PIN on standard systematic sextant biopsy of the prostate. In total, 104 patients had LGPIN and 103 had HGPIN. No patients had ever received androgen deprivation therapy, chemotherapy or radiation therapy. In all, 106 patients who underwent repeat second or third sextant biopsies were analysed in the study; 30% of these patients received a selenium-vitamin E supplement for at least 6 months. RESULTS In total, 43 had LGPIN and 63 HGPIN on the first biopsy. The mean age was 63.5 y (range 46-77) in the LGPIN group and 64.9 y in the HGPIN group. The mean total PSA was 6.96 ng/ml (range 0.59-34.13) in the LGPIN group and 8.44 ng/ml (range 0.59-35.3) in the HGPIN group. In the LGPIN group, 30% of the patients had cancer in at least one of the repeat biopsy cores. In the HGPIN group, 27% had cancer in at least one of the repeat biopsy cores. The mean total PSA of patients who had cancer in repeat biopsies with LGPIN was 7.84 ng/ml (range 2.92-34.13). The mean total PSA of the patients who had cancer in repeat biopsy in the HGPIN was 6.73 ng/ml (range 0.56-25). There was no significant difference in PSA and pathological stage between those patients who did and those who did not receive selenium-vitamin E supplements. CONCLUSIONS These data are intriguing since the risk of finding prostate carcinoma on repeat sextant biopsy in the LGPIN group is 30%. This is higher than commonly reported. The importance of recognising and re-biopsying HGPIN was confirmed. If chemoprevention could be shown to be effective, it might be beneficial not only in HGPIN but also in LGPIN. The possible activity of chemopreventive agents and their combination with iso-flavonoids needs further investigation.
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Affiliation(s)
- L Goeman
- UZ Gasthuisberg, Department of Urology, Leuven, Belgium
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Ghysel C, Ponette D, Oyen R, Van Oosterom A, Van Poppel H. A lymph node metastasis from a 'burned-out' germ cell tumour presenting as an inguinal mass. BJU Int 2003; 92 Suppl 3:e2. [PMID: 19125460 DOI: 10.1111/j.1464-410x.2003.02941.x] [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: 11/30/2022]
Affiliation(s)
- C Ghysel
- Department of Urology, Universitaire Ziekenhuizen, Leuven, Belgium
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