Imaging

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Real-time tissue elastography as a complementary procedure

Tissue hardness provides radiologists and gynaecologists with significant information to help distinguish between benign and malignant tumours. Tumour tissue is harder and less malleable than normal glandular and fatty tissues. Therefore, the classification of tissue hardness determines whether a biopsy is necessary. For breast diagnoses, real-time tissue elastography, along with conventional…

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Modern radiological diagnostics for the evaluation of muscle diseases

Muscular diseases belong to a heterogeneous group with various causes like neurogenic, metabolic, dystrophic, or inflammatory mechanisms as well as channelopathies leading to disorders of the muscle cell membrane potential. In most progressive disease cases the result is a focal or general muscle weakness that, unfortunately, is a very unspecific symptom. Standard neuromuscular literature…

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Article • MRI

9-, 10- or even 11-Tesla – is more always better?

Advancing magnetic resonance imaging (MRI) up the Tesla scale may sound good, but will it produce the results and patient safety radiologists actually desire? Faced with the question: ‘How many Tesla should it be?’, Professor Siegfried Trattnig MD, head of the Centre of Excellence in high-field MRI at the University Clinic for Radiodiagnostics, Medical University of Vienna, and Austria’s…

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The economic value of PET-CT - a scenario-based analysis

PET/CT is an established clinical tool especially for cancer-related diagnosis. This involves both initial diagnosis and follow-up examinations. There are other procedures, like CT/MRT, bone scan, or mediastinoscopy, all of which are also costly. Given the fact that PET/CT is widely used anyway, the question arises whether it is medically responsible and financially favourable to focus solely on…

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Understanding breast cancer functions

High resolution radionuclide imaging is a technique increasingly used to detect breast cancers and has already been shown to offer improved diagnosis in many clinical situations. The technique, which will be discussed at RSNA 2010 (28 November to 3 December, Chicago) , is also allowing clinicians to detect previously unknown areas of breast cancer in women with newly-diagnosed disease.

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Diffusion weighted whole body MRI

Malignant diseases rank second in mortality rates in Germany. These patients thus receive a major proportion of ambulant and hospital care, with apparent socioeconomic consequences. To optimise treatment planning, for all solid tumour entities it is mandatory to delineate or stage the primary extent of tumour invasion and spread prior to therapy as precisely as possible.

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The potentiated value of MR-PET imaging

Even more precise diagnoses, even better process controls -- the future of MR-PET technology has dawned. The first commercial, full-body hybrid scanners are either waiting in the wings or already installed. But what does the introduction of the MR-PET really mean for clinical practice? Professor Heinz-Peter Schlemmer MD, Head of the Radiology Department at the German Cancer Research Centre in…

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RSNA 2010 Refresher course: A focus on major contrast agent issues

The 90-minute refresher course ‘Contrast Agent Issues 2010: What the Experts Really Do for Allergies, Contrast-induced Nephropathy, Nephrogenic Systemic Fibrosis, and Extravasation’, to be held during this year’s Radiological Society of North America meeting, will focus on the use of iodinated and gadolinium-based contrast media and the issues, advantages and considerations for patient…

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The Oslo Tomosynthesis Screening Trial

Digital breast tomosynthesis (DBT) is a promising new technology that acquires 3-D breast images. The individual images are presented as thin, high-resolution slices, which can be displayed individually or in a dynamic cine mode. Preliminary studies in a clinical setting have demonstrated that this new technology has the potential to improve not only the breast cancer detection but also to reduce…

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MRIs may lead to unnecessary breast surgery

Women could be undergoing unnecessary breast surgery as a result of having magnetic resonance imaging, says an expert on bmj.com. In the last decade, says Malcolm Kell, Consultant Surgeon and Senior Lecturer at the Eccles Breast Screening Unit at University College Dublin, MRI or magnetic resonance mammography has become the most favoured type of investigation for high risk patients when combined…

The Oslo Tomosynthesis Screening Trial

Digital breast tomosynthesis (DBT) is a promising new technology that acquires 3-dimensional images of the breast. The individual images are presented as thin high-resolution slices that can be displayed individually or in a dynamic cine mode. Preliminary studies in a clinical setting have demonstrated that this new technology has the potential to improve not only the detection of breast cancers…

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Cardiovascular ultrasound

Developed in partnership with international cardiologists, Medison reports that its EKO7 Cardiovascular Ultrasound system is a dedicated Cardiovascular Ultrasound system ‘…with 2-D Image Quality that you would expect from a premium class ultrasound system. As a matter of fact, the same applies to the colour Doppler, Pulsed Wave Doppler and CWD. So the EKO7 has excellent image quality, a…

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Investigating sports injuries

Radiologist Dr Karl-Friedrich Schünemann works in a group* practice in the small German city of Paderborn. Focusing on sports injuries and using MRI, CT and X-ray, the specialist medical team provides services such as neuroradiology, orthopaedics and CT-guided pain therapy. ‘The fact that we count a number of professional athletes among our clients also attracts many amateur athletes who…

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Oncologists gather for ‘white nights’ in St Petersburg

White nights in St Petersburg draw in not only romantics, but June in this beautiful city also sees thousands of delegates arrive to attend the many scientific conferences and congresses. Among oncologists, the ‘white nights’ period means another annual scientific conference organised by the NN Petrov Research Institute of Oncology. For its continuing focus on breast cancer, the halls are…

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New perspectives in coronary plaque imaging using dual source CT

Ongoing technical developments in computed tomography (CT) such as dual source CT have established coronary CT angiography (cCTA) as a robust non-invasive imaging test for the assessment of coronary artery disease. The most important advantage of cCTA over conventional catheter-based coronary angiography is that not only the coronary lumen but also the entire coronary artery wall is visualized…

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Multi-modality imaging in coronary artery disease

The focus on Coronary artery disease – from genes to outcomes at ESC 2010 underlines the importance of CAD diagnosis on the scientific agenda. During the session ‘Multi modality imaging to detect coronary artery disease’, chaired by Professor JJ Bax, of the Cardiology Department at Leiden University Medical Centre, the Netherlands, experts will discuss, for example, the advantages of the…

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