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  • 1
    Electronic Resource
    Electronic Resource
    Renal growth in patients nephrectomized for Wilms tumour as compared to renal agenesis (1988)
    Springer
    European journal of pediatrics 147 (1988), S. 54-58 
    Details
    ISSN: 1432-1076
    Keywords: Wilms tumour ; Solitary kidney ; Kidney size ; Renal hypertrophy ; Ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Compensatory growth in 27 undiseased congenital solitary kidneys and in 31 solitary kidneys in patients with Wilms tumour was monitored in long-term follow-up studies by ultrasound volume biometry. In congenital solitary kidneys hypertrophy was not detectable at the time of birth. Parenchymal mass increase achieved 188% of the volume of a healthy kidney within at least 4 years of life and afterwards paralleled the physiological growth documented in healthy kidney pairs. Disease-free kidneys in Wilms tumour patients all developed a similar 180% volume augmentation within 2–4 years after nephrectomy, irrespective of the chosen mode of radiation and single or tripte chemotherapy. The age of the patient at onset of surgical and concomitant conservative therapy determined slight differences in kinetics but not in degree of compensatory growth.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00442612
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  • 2
    Electronic Resource
    Electronic Resource
    Transient hypothyroidism associated with prematurity, sepsis, and respiratory distress (1979)
    Springer
    European journal of pediatrics 132 (1979), S. 85-92 
    Details
    ISSN: 1432-1076
    Keywords: Transient hypothyroidism ; Neonatal intensive care ; Preterm infants ; Respiratory distress syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Serial TSH and T4 determinations were performed in sixty neonates admitted to our hospital for neonatal intensive care within a period of three months. Seven patients (12%) showed transient hypothyroidism on the basis of low T4 and high TSH values. Only one of these patients, who had meconium aspiration and pneumonia, did not have the respiratory distress syndrome. In addition, 4 of these patients had sepsis. All of the patients were born before 37 gestational weeks and had birth weight under 2200 g. In addition, two patients of this gestational age and birth weight group had a progressive fall of T4 to extremely hypothyroid values without simultaneous elevation of TSH. Two of the 5 patients who died had histological studies of their thyroids. These revealed colloid-depleted vesicles, desquamated epithelium, and prominent vascularisation of the thyroid. The results of this study show that early recognition and therapy of transient hypothyroidism may be live saving.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00447374
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The diagnostic significance of cholescintigraphy and ultrasound examination in cholestatic syndromes in infancy (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 37-42 
    Details
    ISSN: 1437-9813
    Keywords: Biliary atresia ; Neonatal hepatitis ; Cholestatic syndrome ; Ultrasound examination ; Cholescintigraphy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Thirty-three neonates and infants with cholestatic syndromes of various etiologies were evaluated by cholescintigraphy and ultrasound examinations. The results of these two diagnostic procedures were compared with the final diagnosis as confirmed by liver biopsy and/or laparotomy and the clinica follow-up of the infants. Fourteen patients had an obstructive cholangiopathy (11 biliary atresia, 2 choledochal cysts, 1 congenital choledochal stenosis), 13 had neonatal hepatitis, and 6 had cholestasis of another etiology. Typical ultrasonic and/or scintigraphic findings confirmed or excluded the need for surgical exploration in 28 patients. Thus, for must infants with cholestatic syndromes it is possible to differentiate the cause without invasive diagnostic techniques such as liver biopsy or exploratory laparotomy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00177078
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    CT and MRI: prognostic tools in patients with AIDS and neurological deficits (1992)
    Springer
    Neuroradiology 35 (1992), S. 75-78 
    Details
    ISSN: 1432-1920
    Keywords: AIDS ; Encephalopathy ; Computed tomography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary To determine the prognostic value of CT and MRI in AIDS we studied the survival of patients with neurological involvement, in relation to the initial imaging results. Twenty-six initial CT and 15 MRI examinations of 41 patients were reviewed for the presence of cerebral atrophy and/or focal lesions. The mean survival time of patients with initially normal imaging was longer (700±89 days) than that of patients with isolated cerebral atrophy (326±65) or isolated focal lesions (202±97). The shortest survival (78±44 days) was found in patients with both cerebral atrophy and focal lesions. The risk of death in patients with focal lesions alone 6.4 times higher, and in patients with both changes 19.3 times higher than in patients with initially normal imaging. Cerebral imaging with CT and/or MRI thus allows identification of AIDS-related cerebral changes and may contribute to assessment of prognosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00588284
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  • 5
    Electronic Resource
    Electronic Resource
    Real-time ultrasound in Crohn's disease: characteristic features and clinical implications (1986)
    Springer
    Pediatric radiology 16 (1986), S. 8-12 
    Details
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Thirty-two children with Crohn's disease were evaluated by real-time ultrasonography. The typical pattern of Crohn's disease caused by bowel wall thickening is the “bull's eye phenomenon”, the elongated tubular stiff bowel loop with narrowing of the lumen and the small bowel conglomerate tumor. In indefinable abdominal complaints sonography may lead to the correct diagnosis. The differential diagnosis of similar sonographic features and the limitations of ultrasound in gastrointestinal disease must be considered. In proven Crohn's disease the findings in follow-up match the clinical course and may delineate complications, such as ileus, abscess, hydronephrosis, gallstones or involvement of parenchymal organs, as seen in 15 patients. Thus ultrasound will restrict repeated x-ray studies and support patient management.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02387496
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Sonographic evidence of intraperitoneal fluid an experimental study and its clinical implications (1984)
    Springer
    Pediatric radiology 14 (1984), S. 299-303 
    Details
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In order to evaluate the sensitivity of ultrasound to intraperitoneal fluid, such as ascites or blood, an experimental study was performed in the pig. Various amounts of fluid were injected into the peritoneal cavity to investigate distribution and diagnostic criteria in different positions. As little as 10 ml of fluid was visualized around the urinary bladder in an upright position. In the supine position, 20 ml could be detected around the bladder and 30 ml around the liver. The injection of at least 60 ml resulted in a pattern of free-floating bowel loops. The sonographic findings of fluid distribution were correlated to radiological studies. As different amounts of fluid produce characteristic sonographic patterns, an approximate estimation of the intraperitoneal fluid volume can be made.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01601880
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  • 7
    Electronic Resource
    Electronic Resource
    Kidney size in childhood sonographical growth charts for kidney length and volume (1985)
    Springer
    Pediatric radiology 15 (1985), S. 38-43 
    Details
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Kidney size was determined in a sonographic study of 325 children without kidney pathology. Real-time ultrasound equipment adjusted for the pediatric age group, provided standardized renal biometry. Outer kidney diameters showed a linear correlation to somatic developmental parameters. Renal volume was established by the formula for an ellipsoid and showed good correlation to body weight. Growth charts for kidney length and volume in childhood are constructed and provide the basis for objective intra- and interindividual determination of renal size.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02387851
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  • 8
    Electronic Resource
    Electronic Resource
    Sonographic biometry of liver and spleen size in childhood (1983)
    Springer
    Pediatric radiology 13 (1983), S. 206-211 
    Details
    ISSN: 1432-1998
    Keywords: Sonographic morphometry ; Liver size in childhood ; Spleen size in childhood
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In 194 healthy children of all ages, sonographic measurements of the liver and spleen were performed on standardized section planes and normal values established. These measurement values showed an approximately linear increase in the course of development and correlated best with the body length. For a rapid orientative evaluation of the liver size, sonographic nomograms of the individual measurements were developed. The spleen size was determined by volume calculation. On the basis of an index of liver size, which was calculated from the individual measurements, a diagram for simultaneous determination of liver and spleen size could be developed. These nomograms permit objective morphometry of size changes in the two organs.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00973157
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  • 9
    Electronic Resource
    Electronic Resource
    MRI of knee arthritis in rheumatoid arthritis and spondylarthropathies (1991)
    Springer
    Rheumatology international 11 (1991), S. 183-186 
    Details
    ISSN: 1437-160X
    Keywords: MRI ; Rheumatoid arthritis ; Spondyl-arthropathy ; Gonarthritis ; Arthritis ; Radiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The knees of fifty-two patients suffering from rheumatoid arthritis (RA), 22 patients with seronegative spondylarthopathies (SA) as well as of 20 healthy volunteers were examined by magnetic resonance imaging (MRI). Osseous erosions (RA 52%-SA 18%; P〈0.005), Baker cysts (RA 56%-SA 12%; P〈0.005), pannus formation (RA 67%-SA 36%; P〈0.05), and cartilage thinning with narrowing of the joint space (RA 46%-SA 18%; P〈0.05) proved to be more frequent MRI findings in patients with RA. Additionally, in patients with RA erosions were more extensive. Follow-up MRI examinations of 19 patients revealed an improvment in MRI changes in SA within an average interval of 6 months. No substantial changes were noted in 7 of 13 RA patients. Quantitative and qualitative MRI findings of knee arthritis differ in patients with RA and SA and this was statistically significant. However, as there is considerable overlap of the MRI and radiographic changes in both groups the discriminating diagnostic value in the individual case was limited.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00332559
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