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  • 1
    Electronic Resource
    Electronic Resource
    Role of duplex color Doppler ultrasound, computed tomography, and MR angiography in the diagnosis of septic puerperal ovarian vein thrombosis (1999)
    Springer
    Abdominal imaging 24 (1999), S. 85-91 
    Details
    ISSN: 1432-0509
    Keywords: Septic puerperal ovarian vein thrombosis (SPOVT)—Computed tomography—Magnetic resonance angiography—Ultrasound.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Septic puerperal ovarian vein thrombosis (SPOVT) is one of the underlying etiologies of puerperal fever. A correct diagnosis of this condition is important because adequate treatment requires additional administration of anticoagulants. The purpose of this study was to evaluate the role of duplex color Doppler ultrasound (CDUS), computed tomography (CT), and magnetic resonance angiography (MRA) in the detection of SPOVT. Methods: Twenty-six patients with puerperal fever suspected to be due to SPOVT and unresponsive to broad antibiotic treatment for at least 48 h were included in a prospective study using CDUS, CT, and MR imaging including MRA. Examinations were analyzed and then correlated to a standard of reference gathered from surgical and clinical follow-up data and from results of imaging. Results: SPOVT was present in nine patients (right side n = 8, bilateral n = 1). CDUS was inconclusive due to gaseous distention of the bowel or obesity in 13 of 26 cases. After counting inconclusive findings as wrong results for statistical purposes, sensitivity, specificity, and accuracy for CDUS were 55.6%, 41.2%, and 46.2%, respectively. CT had a sensitivity of 77.8% with a specificity of 62.5%; accuracy was 68.0%. MRA rendered conclusive results in all evaluated patients, resulting in a sensitivity and specificity of 100%. Conclusion: MRA is recommended in all patients with inconclusive CDUS findings and persistent suspicion for SPOVT. CT has the advantage of more rapid access and lower cost and thus will probably remain a sufficiently accurate alternative.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002619900448
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  • 2
    Electronic Resource
    Electronic Resource
    Female pelvis (1999)
    Springer
    European radiology 9 (1999), S. 1715-1721 
    Details
    ISSN: 1432-1084
    Keywords: Key words: MRI ; Female pelvis ; Gynecologic neoplasm ; Mullerian duct anomalia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Magnetic resonance imaging is gaining increasing importance in imaging of the female pelvis. This overview attempts to describe the various imaging strategies in the evaluation of gynecologic diseases, as well as the normal MR anatomy of the female genital organs. The MR indications for the assessment of various pathologic conditions, including characterization and staging of gynecologic neoplasms and prenatal diagnosis of fetal malformations, are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050915
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    MR imaging and CT of the female pelvis: radiologic–pathologic correlation (1999)
    Springer
    European radiology 9 (1999), S. 3-15 
    Details
    ISSN: 1432-1084
    Keywords: Key words: Cervical carcinoma ; Endometrial carcinoma ; Leiomyoma ; Adenomyosis ; Benign adnexal masses ; Ovarian carcinoma ; Female pelvis ; MR imaging ; CT
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. For imaging of the female pelvis, transvaginal ultrasound is the method of choice. Magnetic resonance imaging and CT provide important additional information in various disorders. Magnetic resonance imaging is superior to CT in diagnosing benign and malignant disorders of the uterus. The same holds for the characterization of adnexal masses, where MR imaging reliably differentiates dermoids, ovarian fibromas, and most endometriomas. Differentiation of other benign and malignant ovarian tumors by CT and MR imaging is based on identical morphological criteria; no superiority of MR imaging over CT has been established. Computed tomography is still the preferred imaging modality for staging ovarian cancer. A thorough knowledge of the pathomorphological changes associated with the different disorders of the female pelvis not only helps to choose the proper imaging modality and examination protocol, but also improves image interpretation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050620
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    CT and MRI of the male genital tract: radiologic–pathologic correlation (1999)
    Springer
    European radiology 9 (1999), S. 16-28 
    Details
    ISSN: 1432-1084
    Keywords: Key words: CT ; MRI ; prostate ; testis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Technical advances in magnetic resonance imaging (MRI), notably in high-resolution MRI, have opened up new diagnostic applications in male pelvic pathology. A major indication is the preoperative staging of prostate cancer, where MRI is more reliable than other imaging modalities in differentiating between localized and advanced disease. In monitoring local recurrence after radical prostatectomy MRI is also valuable in differentiating scar tissue from new growth. In benign prostate disease, MRI effectively displays the congenital cysts that may be associated with infertility. Other disease, however – notably benign prostatic hyperplasia – is generally an incidental finding. Ultrasound remains the imaging modality of choice for evaluation of pathologies of the penis, testis and scrotum, e. g. in differentiating malignant from benign scrotal masses or in diagnosing acute scrotum due to testicular torsion or rupture. In isolated cases, MRI is also a valuable diagnostic aid in conditions of these organs, e. g. in the preoperative localization of ectopic testes in cryptorchidism or if US findings are equivocal.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050621
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    Paper (German National Licenses)
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