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  • 1
    Electronic Resource
    Electronic Resource
    Correlation between computed tomography and gross anatomy of the suspensory ligament of the ovary (1999)
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 341-346 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Infundibulo-pelvic ligament ; Axial computed tomography ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Pour corréler les études tomodensitométrique (TDM) et anatomique du ligament suspenseur de l'ovaire pour en préciser son aspect en TDM et son rôle potentiel dans le repérage des ovaires, nous avons réalisé une étude radio-anatomique sur 12 cadavres féminins initialement étudiés par TDM après injection intra-vasculaire de latex (veineuse : 2, artérielle : 6, artérielle et veineuse : 4). L'observation initiale des pelvis après isolement des blocs pelviens puis la dissection de six sujets ont permis d'obtenir des corrélations anatomiques précises sur les rapports et le contenu du ligament suspenseur de l'ovaire. Les opacifications artérielles obtenues étaient de mauvaise qualité, par contre les injections veineuses ou artérielles et veineuses ont permis une bonne corrélation entre coupes TDM et l'ðude anatomique. Cela souligne l'importance du réseau veineux qui sous-tend réellement le ligament suspenseur de l'ovaire contrairement à l'involution artérielle notée habituellement. L'étude montre la continuité effective entre le ligament «infundibulo-pelvien» en haut et le ligament «utéroovarien» en bas prolongé par les veines utérines, structures parfaitement analysées en TDM. La fréquence du développement du plexus pampiniforme dans de nombreux cas masquant fréquemment les ovaires déja atrophiques est soulignée. Quelques variantes anatomiques non détectées en TDM ont pû être mises en évidence. La visualisation du ligament suspenseur de l'ovaire permet de faciliter le repérage de l'ovaire et pourrait optimiser la recherche d'adénopathies satellites des cancers ovariens.
    Notes: Summary To assess the morphology of the suspensory ligament of the ovary on CT scan examination, an anatomic study of the suspensory ligament of the ovary was performed to demonstrate its morphology on CT and to facilitate the visualization of the ovaries. Twelve female cadavers were studied after intravascular injection of latex (venous: 2, arterial: 6, arterio-venous: 4). We first observed all the pelvises after their transection. Six dissections were then made to obtain optimal anatomic correlations on the content and relations of the infundibulo-pelvic ligament. The arterial opacifications were poor compared with to the good quality of the venous or arteriovenous opacifications. An upright correlation between CT slices and the anatomic study was made. This radio-anatomic study emphazises the importance of the veins, which really support the suspensory ligament of the ovary, as opposed to the involution of the arteries. This study points out the link between the infundibulo-pelvic ligament above and the utero-ovarian below, then with the superficial uterine vv. All these structures were well analyzed on CT and during the anatomic studies. A very well developed periovarian venous plexus which frequently concealed the ovaries was demonstrated. Some anatomic variations which were invisible on the CT scan examinations were displayed. The visualization of the suspensory ligament of the ovary should facilitate the visualization of the ovaries and could optimize the search for lymphadenopathies originating from ovarian cancers.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01631336
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  • 2
    Electronic Resource
    Electronic Resource
    Radiological anatomy of the right gastroepiploic artery (1984)
    Springer
    Surgical and radiologic anatomy 5 (1984), S. 265-271 
    Details
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé La plupart des gastroplasties se substituant à l'œsophage sont vascularisées par la seule artère gastro-épiploïque droite. Son origine, son trajet et ses rapports sont classiques et sujets à peu de variations. Son mode de terminaison et ses rapports avec l'artère gastro-épiploïque gauche sont par contre diversement décrits dans la littérature. L'anatomie radiologique est évaluée à partir de 50 artériographies. L'artère gastro-épiploïque droite est toujours beaucoup plus volumineuse (2,6 à 1,7 mm à son origine) que la gauche (absente dans 3 cas). L'anastomose à plein canal des descriptions classiques n'est retrouvée que dans 23,5% des cas.
    Notes: Summary Most gastroplasties performed to replace the esophagus are vascularized by the right gastroepiploic artery alone. Its origin, course and anatomical relations are classical and subject to little variation. Conversely, its mode of termination and relations to the left gastroepiploic artery have received quite different descriptions in the literature. This report describes the radiological anatomy of the right gastroepiploic artery based on arteriograms in 50 subjects. The right gastroepiploic artery was much larger (diameter 1.7 to 2.6 mm at its origin) than the left (absent in 3 cases) in our series. Direct end-to-end anastomosis of these two arteries, as described in classical reports, was found in only 23.5% of cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01798750
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Correlation between computed tomography and gross anatomy of the suspensory ligament of the ovary (2000)
    Springer
    Surgical and radiologic anatomy 21 (2000), S. 341-346 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Infundibulo-pelvic ligament ; Axial computed tomography ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To assess the morphology of the suspensory ligament of the ovary on CT scan examination, an anatomic study of the suspensory ligament of the ovary was performed to demonstrate its morphology on CT and to facilitate the visualization of the ovaries. Twelve female cadavers were studied after intravascular injection of latex (venous 2, arterial 6, arterio-venous 4). We first observed all the pelvises after their transection. Six dissections were then made to obtain optimal anatomic correlations on the content and relations of the infundibulo-pelvic ligament. The arterial opacifications were poor compared with to the good quality of the venous or arterio-venous opacifications. An upright correlation between CT slices and the anatomic study was made. This radio-anatomic study emphazises the importance of the veins, which really support the suspensory ligament of the ovary, as opposed to the involution of the arteries. This study points out the link between the infundibulo-pelvic ligament above and the utero-ovarian below, then with the superficial uterine vv. All these structures were well analyzed on CT and during the anatomic studies. A very well developed periovarian venous plexus which frequently concealed the ovaries was demonstrated. Some anatomic variations which were invisible on the CT scan examinations were displayed. The visualization of the suspensory ligament of the ovary should facilitate the visualization of the ovaries and could optimize the search for lymphadenopathies originating from ovarian cancers.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-999-0341-1
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Anatomic approach to the parametrium: value of computed tomographic in vitro study compared to dissection (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 123-127 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Parametrium ; Axial CT ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study is to describe the morphology of the normal parametrium by correlating the slices obtained with computed tomography of 12 female cadavers studied after intravascular injection of latex with the dissection findings in 6 of these patients. The upper limit, represented by the isthmus, was defined by the uterine a. and/or a superficial uterine v. and/or the coronary v. (Charpy). The lower limit corresponded to the insertion of the levator ani mm. at the junction of the middle and inferior thirds of the vagina. The paracervical and paravaginal tissues above the levator ani m. and medial to the pelvic fascia covering these muscles were perfectly visualized. The posterior limit, formed by the lateral ligament of the rectum and/or the sacrouterine ligaments, and the anterior limit determined by the umbilico-vesical fascia were more difficult to demonstrate. In this study the parametrium appeared as a highly vascular and essentially venous connective structure with a variable morphology dependent on the uterine position.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-998-0123-1
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  • 5
    Electronic Resource
    Electronic Resource
    Anatomic approach to the parametrium: value of computed tomographicin vitro study compared to dissection (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 123-127 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Parametrium ; Axial CT ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Le but de cette étude radioanatomique est de décrire la morphologie du paramètre en tomodensitométrie (TDM) en corrélant des coupes TDM de 12 cadavres féminins après injection intra-vasculaire de latex et l'aspect secondairement observé en dissection chez six d'entre eux. La limite crâniale se situant en regard de l'orifice interne du col est repérée par l'artère utérine sousligamentaire et/ou la veine utérine superficielle et/ou la veine coronaire de Charpy. La limite caudale est formée par l'insertion des muscles levator ani à la jonction tiers moyen/tiers inférieur du vagin. Le tissu para-cervical et para-vaginal au dessus de ce plan musculaire et médialement à l'aponévrose pelvienne recouvrant ceux-ci était parfaitement visualisé. La limite dorsale représentée par le ligament latéral rectal et/ou les ligaments utérosacrés ainsi que la limite ventrale définie par l'aponévrose ombilico-vésicale étaient plus difficiles à mettre en évidence. La vascularisation paramétriale est essentiellement sous-tendue par d'importants plexus veineux et un tissu conjonctif de soutien de morphologie variable dépendante de la position utérine.
    Notes: Summary The aim of this study is to describe the morphology of the normal parametrium by correlating the slices obtained with computed tomography of 12 female cadavers studied after intravascular injection of latex with the dissection findings in 6 of these patients. The upper limit, represented by the isthmus, was defined by the uterine a. and/or a superficial uterine v. and/or the coronary v. (Charpy). The lower limit corresponded to the insertion of the levator ani mm. at the junction of the middle and inferior thirds of the vagina. The paracervical and paravaginal tissues above the levator ani m. and medial to the pelvic fascia covering these muscles were perfectly visualized. The posterior limit, formed by the lateral ligament of the rectum and/or the sacrouterine ligaments, and the anterior limit determined by the umbilico-vesical fascia were more difficult to demonstrate. In this study the parametrium appeared as a highly vascular and essentially venous connective structure with a variable morphology dependent on the uterine position.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01628916
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Anastomoses between the spermatic and visceral veins:a retrospective study of 500 consecutive patients (1997)
    Springer
    Abdominal imaging 22 (1997), S. 226 -232 
    Details
    ISSN: 1432-0509
    Keywords: Key words: Vein, portal—Vein, anastomosis—Veins, anatomy—Phlebography, spermatic.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: Do visceral–spermatic vein shunts have any clinical impact on sclerotherapy of varicoceles? Methods: The spermatic venograms of 500 consecutive patients were retrospectively reviewed to classify visceral–spermatic communications. Men with an average age of 27.8 years (range 11–65 years old) underwent sclerotherapy of a varicocele. Of the 500 men, 445 were referred for oligoasthenospermia (89%), 45 for pain (9%), and 10 for prevention of infertility (2%). After bilateral catheterization, percutaneous sclerosis was performed below the upper third of the sacroiliac joint. Results: Three hundred forty patients (68%) had left-sided, 10 (2%) had right-sided, and 150 (30%) had bilateral varicoceles. Left side: Of 46 (9.4%) anastomoses, one (0.2%) communicated with the splenic vein and 45 (9.2%) with the inferior mesenteric vein of which 25 (5.1%) were a colic trunk with a competent valve, 15 (3.1%) were venules, and five (1%) were a single or double anastomosis. Right side: Of 48 (29.6%) anastomoses to the superior mesenteric vein, 34 (21%) were venules, 12 (7.4%) were a colic trunk with a competent valve, and two (1.2%) were a single or double vein. Our varicocele recurrence rate was only 1.2%. Conclusion: Visceral–spermatic vein communications are classified by number, morphology, and site. Percutaneous sclerotherapy could be optimized when performed caudally to these communications.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002619900176
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  • 7
    Electronic Resource
    Electronic Resource
    Utility of CT scan for the diagnosis of chest wall tuberculosis (1999)
    Springer
    European radiology 9 (1999), S. 1638-1642 
    Details
    ISSN: 1432-1084
    Keywords: Key words: Bone ; Tuberculosis ; CT ; Rib ; Sternum ; Chest wall
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The objective of this study was to determine the utility of CT scan findings for the diagnosis of chest wall tuberculosis, excluding the spine. We reviewed 15 patients (13 Africans and 2 Indians) with chest wall tuberculosis, retrospectively. The radiologic examination consisted of a plain X-ray and a CT scan of the chest for each patient. The site of disease was the rib in 13 patients or the body of the sternum in 2 patients. One rib was involved in 11 patients, 2 contiguous ribs (one site) in 2 patients, and bilateral disease (two sites) was observed in the remaining patient. The 14 rib sites involved the posterior arc or costovertebral joint in 11 cases, the anterior arc in 2 cases, and the anterior and middle arc in 1 case. The CT scan findings were an abscess (n = 14) or a soft tissue mass (n = 2), osteolytic lesions (n = 13), periosteal reaction (n = 10), and sequestrum (n = 14). Bone sclerosis was observed only in 3 cases of rib involvement. The association of a soft tissue abscess, an osteolytic lesion, and sequestrum, especially in immigrants to France, suggests chest wall tuberculosis on CT scan.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050900
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  • 8
    Electronic Resource
    Electronic Resource
    Intradural extramedullary spinal canal secondary neoplasms: MR findings in 30 patients (1998)
    Springer
    European radiology 8 (1998), S. 1187-1192 
    Details
    ISSN: 1432-1084
    Keywords: Key words: MR imaging ; Spine ; Neoplasms ; Meninges ; Carcinomatosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The purpose of this study was to describe magnetic resonance findings of intradural spinal canal secondaries and to select the best way of investigating this condition. Thirty patients with a known malignancy [breast carcinoma (n = 14), lung carcinoma (n = 10), other sites (n = 6)] and unexplained neurologic signs were studied with pre- and post-contrast T1-weighted images and T2-weighted images. Cerebrospinal fluid cytology was available in 16 patients and positive in 11 patients. In all the patients, post-contrast T1-weighted images demonstrated abnormal enhanced lesions. Most of them were nodular, located on the conus medullaris and the cauda equina. Few lesions appeared at the thoracic or cervical levels, as nodular or thin areas of enhancement. Pre-contrast T1-weighted sequences failed or were equivocal to detect the lesions. Eighteen of 30 patients had cerebral metastases. Fourteen had osseous metastases. In conclusion, post-contrast T1-weighted sequence is the optimal modality for the diagnostic of intradural spinal canal metastases. Axial and coronal images may be a useful adjunct to precise anatomic changes. T1-weighted and T2-weighted sequences remain necessary when further information is expected on vertebra or soft tissue.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003300050532
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  • 9
    Electronic Resource
    Electronic Resource
    Infectious sacroiliitis: value of computed tomography (CT) and magnetic resonance imaging (MRI) (1992)
    Springer
    European radiology 2 (1992), S. 233-239 
    Details
    ISSN: 1432-1084
    Keywords: Infectious sacroiliitis ; Sacroiliac joint ; Computed tomography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Infectious sacroiliitis is an uncommon septic arthritis, the diagnosis of which is difficult to establish. We retrospectively examined 14 cases of septic sacroiliitis, by CT (two of whom also had an MRI examination). The patient population consisted of eight men and six women; 9 were African, 8 had tuberculous sacroiliitis and 6 pyogenic sacroiliitis. All the cases showed a pre-sacroiliac soft tissue swellilng with ring-like enhancement following intravenous contrast in eight cases. A gas image was observed at the centre of the abcess in two cases. Joint narrowing was found in four patients and widening in eight, associated with an image of bone sequestration in seven, CT gave an etiologic orientation in 8 cases, and facilitated the guidance of bone biopsy. MRI showed low signal T1-weighted images and high signal T2 of the subchondral bone, joint space and soft tissue abcess. We conclude that CT is helpful in the evaluation of infectious sacroiliitis, and that further studies are necessary to evaluate the role of MRI in such pathologic processes.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00595836
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  • 10
    Electronic Resource
    Electronic Resource
    Anatomie radiologique de l'artère gastro-épiploïque droite (1984)
    Springer
    Surgical and radiologic anatomy 5 (1984), S. 15-17 
    Details
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01798762
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