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  • 1
    Electronic Resource
    Electronic Resource
    Magnetic resonance imaging of cartilaginous tumors: is it useful or necessary? (1996)
    Springer
    Skeletal radiology 25 (1996), S. 137-141 
    Details
    ISSN: 1432-2161
    Keywords: Key words Bone neoplasms ; MR ; Cartilage ; MR ; Gadolinium ; Sarcoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Objective. A retrospective study was undertaken to compare the diagnostic accuracy of plain radiography and magnetic resonance (MR) imaging in the diagnosis of cartilaginous tumors. Patients. The study population consisted of 68 patients with a histologically proven cartilaginous tumor. Design. For each lesion, a comparative analysis of ”plain radiography” versus ”plain radiography together with MR study” was performed by two radiologists together. Recently reported literature data were used as criteria by which to define the accuracy rating. Results and conclusions. MR imaging improves accuracy in diagnosing low-grade chondrosarcomas. Since osteochondromas have a characteristic appearance on plain films, MR imaging contributes only in the diagnostic workup of cases in which malignant transformation is suspected.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002560050050
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Postmortem MRI of the brain with neuropathological correlation (1995)
    Springer
    Neuroradiology 37 (1995), S. 343-349 
    Details
    ISSN: 1432-1920
    Keywords: Key words Magnetic resonance imaging (MRI) ; Postmortem examinations ; Brain tumours ; Correlative studies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We prospectively correlated in vitro MRI of the brain with the neuropathological findings in patients with suspected intracranial disease. In vitro MRI was performed on 91 consecutive formalin-fixed whole-brain specimens. In 60 cases, the images were correlated with the neuropathological findings (number of lesions, lesion boundaries, spread of oedema and type of lesions). As compared with neuropathology, MRI showed an equal number of lesions in 50 cases, more in 5, and less in 5 specimens, resulting in a sensitivity of 83.3 %. The extent of perilesional oedema was better seen on in vitro MRI than on gross pathology. Microscopic extent of glial tumours was underestimated on both T2-weighted images and macroscopic examination. Neuropathology remains the reference study, since on in vitro MRI primary brain tumours, metastatic deposits and non-neoplastic space-occupying lesions cannot be differentiated. However, in our study MRI had a specificity of 76.6 %. MRI of postmortem specimens is sensitive to focal brain lesions, and can focus the attention of the neuropathologist to abnormal regions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00588007
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Postmortem MRI of the brain with neuropathological correlation (1995)
    Springer
    Neuroradiology 37 (1995), S. 343-349 
    Details
    ISSN: 1432-1920
    Keywords: Magnetic resonance imaging (MRI) ; Postmortem examinations ; Brain tumours ; Correlative studies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We prospectively correlated in vitro MRI of the brain with the neuropathological findings in patients with suspected intracranial disease. In vitro MRI was performed on 91 consecutive formalinfixed whole-brain specimens. In 60 cases, the images were correlated with the neuropathological findings (number of lesions, lesion boundaries, spread of oedema and type of lesions). As compared with neuropathology, MRI showed an equal number of lesions in 50 cases, more in 5, and less in 5 specimens, resulting in a sensitivity of 83.3%. The extent of perilesional oedema was better seen on in vitro MRI than on gross pathology. Microscopic extent of glial tumours was underestimated on both T2-weighted images and macroscopic examination. Neuropathology remains the reference study, since on in vitro MRI primary brain tumours, metastatic deposits and non-neoplastic space-occupying lesions cannot be differentiated. However, in our study MRI had a specificity of 76.6%. MRI of postmortem specimens is sensitive to focal brain lesions, and can foucus the attention of the neuropathologist to abnormal regions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00588007
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Clinical usefulness of contrast-enhanced MP-RAGE of the brain (1996)
    Springer
    Neuroradiology 38 (1996), S. S14 
    Details
    ISSN: 1432-1920
    Keywords: Key words Brain ; Magnetic resonance imaging ; techniques ; Magnetic resonance imaging ; contrast enhancement ; Three-dimensional imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our purpose was to evaluate the usefulness of a 3D T1-weighted gradient-echo sequence (MP-RAGE) in clinical practice. We prospectively examined 200 patients with a variety of neurological disorders and symptoms. We compared lesion conspicuity and contrast enhancement on MP-RAGE images with conventional gadolinium-enhanced spin-echo (SE) T1-weighted images. Both the original MP-RAGE data and the reformatted images were characterised by improved differentiation between grey and white matter. More lesions were found on the 3D series, in both patients with neoplastic and non-neoplastic disease. Contrast enhancement of small oedematous lesions affecting the white matter in demyelinating disease was less obvious. Multiplanar reformatting, which can be realised in any desired plane and surface rendering with sophisticated segmentation algorithms superbly displayed the underlying anatomical relationships between lesions and normal brain structures. Excellent spatial resolution, the absence of posterior fossa artefacts and equivalent contrast enhancement resulted in an increased number of space-occupying lesions being found on the MP-RAGE images. Thus contrast-enhanced MP-RAGE is an alternative to conventional SE imaging in the investigation of intracranial masses. Although the total number of lesions found in patients with demyelinating disease was significantly higher on MP-RAGE, demonstration of blood-brain-barrier breakdown in active lesions was less obvious.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002340050911
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    Paper (German National Licenses)
    Fulltext
  • 5
    Electronic Resource
    Electronic Resource
    MRI after successful lumbar discectomy (1996)
    Springer
    Neuroradiology 38 (1996), S. S90 
    Details
    ISSN: 1432-1920
    Keywords: Key words Spine ; Intervertebral discs ; Magnetic resonance imaging ; Spinal surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our aim was to establish the normal range of MRI findings after successful lumbar discectomy. We prospectively examined 34 consecutive patients with an excellent clinical outcome by MRI 6 weeks and 6 months after surgery. All examinations included sagittal and axial spin-echo (SE) T1-weighted images before and after intravenous gadolinium-DTPA and fast SE T2-weighted images. Contrast enhancement along the surgical tract was seen in all patients 6 weeks and 6 months after surgery. After 6 months minimal or no mass effect on the dural sac by epidural scar was seen. In 20 % of patients there was recurrent disc herniation, with mass effect. Enhancing nerve roots were seen in 20 % of patients 6 weeks postoperatively, and half of these were associated with recurrent disc herniation at the same side. None of these patients still showed nerve root enhancement 6 months after surgery. Postoperative MRI studies must be interpreted with great care since the features described in the failed back surgery syndrome are also found, to some extent, in asymptomatic postoperative patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002340050929
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    Paper (German National Licenses)
    Fulltext
  • 6
    Electronic Resource
    Electronic Resource
    Clinical usefulness of contrast-enhanced MP-RAGE of the brain (1996)
    Springer
    Neuroradiology 38 (1996), S. S14 
    Details
    ISSN: 1432-1920
    Keywords: Brain ; Magnetic resonance imaging, techniques ; Magnetic resonance imaging, contrast enhancement ; Three-dimensional imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our purpose was to evaluate the usefulness of a 3D T1-weighted gradient-echo sequence (MP-RAGE) in clinical practice. We prospectively examined 200 patients with a variety of neurological disorders and symptoms. We compared lesion conspicuity and contrast enhancement on MP-RAGE images with conventional gadolinium-enhanced spin-echo (SE) T1-weighted images. Both the original MP-RAGE data and the reformatted images were characterised by improved differentiation between grey and white matter. More lesions were found on the 3D series, in both patients with neoplastic and nonneoplastic disease. Contrast enhancement of small oedematous lesions affecting the white matter in demyelinating disease was less obvious. Multiplanar reformatting, which can be realised in any desired plane and surface rendering with sophisticated segmentation algorithms superbly displayed the underlying anatomical relationships between lesions and normal brain structures. Excellent spatial resolution, the absence of posterior fossa artefacts and equivalent contrast enhancement resulted in an increased number of space-occupying lesions being found on the MPRAGE images. Thus contrast-enhanced MP-RAGE is an alternative to conventional SE imaging in the investigation of intracranial masses. Although the total number of lesions found in patients with demyelinating disease was significantly higher on MP-RAGE, demonstration of blood-brain-barrier breakdown in active lesions was less obvious.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02278112
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    Paper (German National Licenses)
    Fulltext
  • 7
    Electronic Resource
    Electronic Resource
    MRI after successful lumbar discectomy (1996)
    Springer
    Neuroradiology 38 (1996), S. S90 
    Details
    ISSN: 1432-1920
    Keywords: Spine ; Intervertebral discs ; Magnetic resonance imaging ; Spinal surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our aim was to establish the normal range of MRI findings after successful lumbar discectomy. We prospectively examined 34 consecutive patients with an excellent clinical outcome by MRI 6 weeks and 6 months after surgery. All examinations included sagittal and axial spin-echo (SE) T1-weighted images before and after intravenous gadolinium-DTPA and fast SE T2-weighted images. Contrast enhancement along the surgical tract was seen in all patients 6 weeks and 6 months after surgery. After 6 months minimal or no mass effect on the dural sac by epidural scar was seen. In 20% of patients there was recurrent disc herniation, with mass effect. Enhancing nerve roots were seen in 20% of patients 6 weeks postoperatively, and half of these were associated with recurrent disc herniation at the same side. None of these patients still showed nerve root enhancement 6 months after surgery. Postoperative MRI studies must be interpreted with great care since the features described in the failed back surgery syndrome are also found, to some extent, in asymptomatic postoperative patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02278130
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    Paper (German National Licenses)
    Fulltext
  • 8
    Electronic Resource
    Electronic Resource
    The value of MRI in the diagnosis of postoperative spondylodiscitis (2000)
    Springer
    Neuroradiology 42 (2000), S. 580-585 
    Details
    ISSN: 1432-1920
    Keywords: Key words Spine ; surgery ; Infection ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We evaluated the role of MRI in the diagnosis of postoperative spondylodiscitis. Spondylodiscitis is a serious complication of surgery, and the diagnosis frequently depends on a combination of clinical, laboratory and imaging findings. We compared the MRI findings in six patients with biopsy- or surgery-proven spondylodiscitis with those in 38 asymptomatic postoperative patients. Contrast enhancement and signal changes in the intervertebral disc or the vertebral endplates are not specific for spondylodiscitis, being also seen in the asymptomatic patients. However, absence of Modic type 1 changes, of contrast enhancement of the disc or of enhancing paravertebral soft tissues suggests that the patient does not have spondylodiscitis. MRI appears more useful for exclusion than for confirmation of postoperative spondylodiscitis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002340000361
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    Paper (German National Licenses)
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  • 9
    Electronic Resource
    Electronic Resource
    Magnetic resonance imaging of pilomatricoma (1996)
    Springer
    European radiology 6 (1996), S. 72-75 
    Details
    ISSN: 1432-1084
    Keywords: Magnetic resonance imaging ; Soft tissue neoplasms ; Pilomatrixoma ; Gadolinium
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two patients (a 16-month-old boy and a 53-year-old man) were referred for MR imaging of a small, subcutaneous nodule at the forearm. Plain films were available in one patient and showed a non-specific well-circumscribed lesion. Upon ultrasonography (1 patient), a nodular, well-circumscribed, hyperechoic lesion was seen. In both cases spin-echo (SE) T1-weighted images (T1W1) showed homogeneous, intermediate signal intensity (SI). On gadolinium-enhanced T1W1 (1 patient), no enhancement was observed. Both lesions showed predominant low-to-intermediate SI on T2WI. At histological examination characteristic findings of pilomatricoma were observed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00619959
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    Paper (German National Licenses)
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  • 10
    Electronic Resource
    Electronic Resource
    Intestinal stenosis from mesenteric injury after blunt abdominal trauma (1999)
    Springer
    European radiology 9 (1999), S. 1429-1431 
    Details
    ISSN: 1432-1084
    Keywords: Key words: Blunt abdominal trauma ; Mesenteric injury ; Intestinal obstruction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. We report a case in which blunt abdominal trauma resulted in injury to the mesentery with subsequent ischemic stricture of the adjacent small bowel. We present CT images at the time of trauma and 5 weeks later when clinical signs of intestinal obstruction occurred. We include images of enteroclysis and angiography of this uncommon sequela of blunt abdominal trauma. At surgery, a stenotic small bowel loop was found adjacent to a healed defect in the mesentery. Histological examination of the resected segment showed mucosal and submucosal ischemia with mucosal ulceration, mural inflammation, and fibrosis. Posttraumatic intestinal stenosis subsequent to a mesenteric tear should be included in the differential diagnosis in a patient with a history of blunt abdominal trauma and signs of intestinal obstruction.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050863
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    Paper (German National Licenses)
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