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The value of AI-based analysis of fractional flow reserve of volume computed tomographically detected coronary artery stenosis with regard to their hemodynamic relevance. 基于人工智能分析容积计算机断层扫描检测到的冠状动脉狭窄的分数血流储备的价值与血流动力学的相关性。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-04-17 DOI: 10.1055/a-2271-0887
Hans-Jürgen Noblé, Nadine Mühlbauer, Josef Ehling, Paul Martin Bansmann

Purpose: The aim of our work was to demonstrate the importance of artificial intelligence-based analysis of fractional flow reserves of computed tomographically detected coronary artery stenosis with regard to their hemodynamic relevance in patients with unclear chest pain and suspected stable coronary heart disease with a low to medium pre-test probability.

Material and methods: The collective of our retrospective analysis includes 63 patients in whom coronary artery stenosis was detected by volume computed tomographic examination in "one beat, whole heart" mode in the period from March to October 2022. In these patients, the fractional flow reserve was also determined by computed tomography, which was modulated by the use of artificial intelligence.

Results: The calculated values of the fractional flow reserve and the degrees of stenosis determined by computed tomography showed a moderate and significant negative correlation for all three coronary vascular territories (LAD/CX/RCA) (correlation coefficient rho = 0.54/0.54/0.6; p < 0.01 respectively). In just over a third (37.6 %) of all stenoses classified as high-grade by computed tomography, the assessment of hemodynamic relevance by calculating the fractional flow reserve deviated from the severity of the stenosis diagnosed by computed tomography, while the results in the peripheral areas "no stenosis/vascular occlusion" were 100 % consistent in each case.

Conclusion: The present results of this work illustrate that the calculation of the fractional flow reserve based on artificial intelligence as a supplement to volume computed tomography of the heart can make a decisive contribution to further therapy planning by increasing the specificity of the purely morphological method by the physiological aspect.

Key points: · Calculation of fractional flow reserve is a useful addition to computed tomography of the heart.. · It provides possibility to dispense with unnecessary further diagnostics by increasing specificity.. · The combination of both procedures leads to therapy optimization for patients..

Citation format: · Noblé H, Mühlbauer N, Ehling J et al. The value of AI-based analysis of fractional flow reserve of volume computed tomographically detected coronary artery stenosis with regard to their hemodynamic relevance. Fortschr Röntgenstr 2024; 196: 1253 - 1261.

我们的工作旨在证明,基于人工智能分析计算机断层扫描检测到的冠状动脉狭窄的分数流量储备,对于胸痛不明确、疑似稳定型冠状动脉心脏病且检测前概率为中低的患者的血液动力学相关性具有重要意义。在这些患者中,还通过计算机断层扫描确定了分流量储备,并使用人工智能对其进行了调节。分流量储备的计算值与计算机断层扫描确定的狭窄程度在所有三个冠状动脉血管区域(LAD/CX/RCA)均显示出中等程度的显著负相关(相关系数 rho = 0.54/0.54/0.6;p
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引用次数: 0
Transarterial microembolization for the management of refractory chronic joint pain in osteoarthritis. 经动脉微栓塞治疗骨关节炎难治性慢性关节疼痛。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-05-13 DOI: 10.1055/a-2288-5743
Lena Marie Wilms, Kai Jannusch, Daniel Weiss, Nilcolas Steinfort, Farid Ziayee, Gerald Antoch, Peter Minko

Osteoarthritis (OA) is a chronic degenerative disease significantly impacting both patient quality of life and socioeconomics. Traditional treatment options, including pharmacological and surgical interventions, are often limited. Advancements in our understanding of the pathological mechanisms behind OA indicate the involvement of pathological angiogenesis. Transarterial microembolization (TAME), a minimally invasive radiological procedure, may present an innovative therapeutic approach. This review aims to consolidate current knowledge and experiences regarding TAME as a therapeutic modality for alleviating chronic joint pain associated with OA. It explores the role of TAME, focusing on its indications, patient selection, clinical outcomes, and future perspectives. Potential complications and associated risks are systematically addressed, alongside proposed strategies for risk mitigation and effective management.The presented patient cases originate from our institution, supplemented by a thorough review of relevant literature retrieved from PubMed.TAME represents a promising therapeutic approach, providing relief from the burden of joint diseases and substantially enhancing patient quality of life. Clinical outcomes emphasize the efficacy and safety of TAME in mitigating pain and improving functional capabilities in patients with chronic joint pain associated with OA. With mounting evidence of its therapeutic benefits and applicability to numerous joint-related pathologies, TAME offers a valuable addition to the arsenal of treatments for these conditions. · TAME is an innovative therapy for treating chronic joint pain related to OA.. · TAME is a technically challenging minimally invasive intervention requiring a high level of expertise.. · Understanding the challenges and complications of TAME can reduce risk and enhance procedural outcomes.. · Wilms LM, Jannusch K, Weiss D et al. Transarterial microembolization for the management of refractory chronic joint pain in osteoarthritis. Fortschr Röntgenstr 2024; DOI 10.1055/a-2288-5743.

骨关节炎(OA)是一种慢性退行性疾病,严重影响患者的生活质量和社会经济。传统的治疗方法,包括药物和手术干预,往往效果有限。我们对 OA 背后病理机制的进一步了解表明,病理血管生成参与其中。经动脉微栓塞术(TAME)是一种微创放射手术,可能是一种创新的治疗方法。本综述旨在整合目前有关经动脉微栓塞术(TAME)的知识和经验,将其作为缓解与 OA 相关的慢性关节疼痛的一种治疗方式。它探讨了 TAME 的作用,重点关注其适应症、患者选择、临床结果和未来展望。文章系统地探讨了潜在的并发症和相关风险,并提出了降低风险和有效管理的策略。TAME是一种很有前景的治疗方法,可减轻关节疾病的负担,大大提高患者的生活质量。临床结果表明,TAME 在减轻 OA 相关慢性关节疼痛患者的疼痛和改善其功能方面具有良好的疗效和安全性。越来越多的证据表明,TAME 对多种关节相关病症都有治疗效果和适用性,它为这些病症的治疗方法提供了宝贵的补充。- TAME 是一种治疗与 OA 相关的慢性关节疼痛的创新疗法。- TAME是一种具有技术挑战性的微创介入疗法,需要高水平的专业知识。- 了解TAME的挑战和并发症可以降低风险并提高手术效果。- Wilms LM、Jannusch K、Weiss D 等人.经动脉微栓塞治疗骨关节炎难治性慢性关节疼痛.......Fortschr Röntgenstr 2024; DOI 10.1055/a-2288-5743。
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引用次数: 0
Radiologie finden. 查找放射科。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-11-22 DOI: 10.1055/a-2421-4214
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引用次数: 0
The worldwide COVID-19 pandemic caused a decline in sonographic examinations - is this a continuing trend? COVID-19 在全球范围内的流行导致超声检查的减少--这种趋势是否仍在持续?
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-03-13 DOI: 10.1055/a-2263-1632
Jonathan Kottlors, Philipp Fervers, Matthias F Froelich, Jan-Peter Grunz, Christian Booz, Andra-Iza Iuga, David Maintz, Carola Heneweer, Thorsten Persigehl, Nils Große Hokamp
<p><strong>Purpose: </strong>Due to the increasing number of COVID-19 infections since spring 2020 the patient care workflow underwent changes in Germany. To minimize face-to-face exposure and reduce infection risk, non-time-critical elective medical procedures were postponed. Since ultrasound examinations include non-time-critical elective examinations and often can be substituted by other imaging modalities not requiring direct patient contact, the number of examinations has declined significantly. The aim of this study is to quantify the baseline number of ultrasound examinations in the years before, during, and in the early post-pandemic period of the COVID-19 pandemic (since January 2015 to September 2023), and to measure the number of examinations at different German university hospitals.</p><p><strong>Materials and methods: </strong>The number of examinations was assessed based on a web-based database at all participating clinics at the indicated time points.</p><p><strong>Results: </strong>N = 288 562 sonographic examinations from four sites were included in the present investigation. From January 2020 to June 2020, a significantly lower number of examinations of n = 591.21 vs. 698.43 (p = 0.01) per month and included center was performed. Also, excluding the initial pandemic period until June 2020, significantly fewer ultrasound examinations were performed compared to pre-pandemic years 648.1 vs. 698.4 (p < 0.05), per month and included center, while here differences between the individual centers were observed. In the late phase of the pandemic (n = 681.96) and in the post-pandemic phase (as defined by the WHO criteria from May 2023; n = 739.95), the number of sonographic examinations returned to pre-pandemic levels.</p><p><strong>Conclusion: </strong>The decline in the number of sonographic examinations caused by the COVID-19 pandemic was initially largely intentional and can be illustrated quantitatively. After an initial abrupt decline in sonographic examinations, the pre-pandemic levels could not be reached for a long time, which could be due to restructuring of patient care and follow-up treatment. In the post-pandemic phase, the pre-pandemic level has been achieved again. The reasons for a prolonged reduction in ultrasound examinations are discussed in this article.</p><p><strong>Key points: </strong>· During the pandemic, significantly fewer ultrasound examinations were performed in the included centers.. · The number of examinations could not be reach the pre-pandemic level for a long time, which could be due to restructuring of patient care and follow-up treatment.. · Identifying causes for sonographic exam reduction is crucial in pandemic preparedness to uphold healthcare quality and continuity for all patients.. · The prolonged decline in sonographic examinations during the pandemic does not represent a lasting trend, as evidenced by the return to pre-pandemic levels..</p><p><strong>Citation format: </strong>· Kottlors J, Fer
目的:自 2020 年春季以来,由于 COVID-19 感染病例不断增加,德国对患者护理工作流程进行了调整。为了最大限度地减少面对面接触并降低感染风险,非时间紧迫的择期医疗程序被推迟。由于超声波检查包括非时间关键性的选择性检查,而且通常可以用其他不需要直接接触患者的成像方式来替代,因此检查次数明显减少。本研究旨在量化 COVID-19 大流行之前、期间和流行后早期(自 2015 年 1 月至 2023 年 9 月)的超声波检查基线次数,并测量不同德国大学医院的检查次数:在指定时间点,根据所有参与诊所的网络数据库对检查次数进行评估:本次调查包括来自四个地点的 N = 288 562 次超声波检查。从 2020 年 1 月至 2020 年 6 月,每个月进行的检查次数为 591.21 对 698.43(p = 0.01),所纳入中心的检查次数明显减少。此外,剔除大流行初期至 2020 年 6 月期间,与大流行前的 648.1 对 698.4 相比,超声检查次数明显减少(p 结论:大流行期间的超声检查次数明显减少:COVID-19 大流行导致超声波检查次数的下降最初在很大程度上是有意为之,这一点可以用定量的方式来说明。在最初超声检查数量突然下降之后,很长一段时间内都无法达到大流行前的水平,这可能是由于对病人护理和后续治疗进行了调整。在大流行后阶段,又达到了大流行前的水平。本文将讨论超声波检查次数长期减少的原因:- 大流行期间,所包括的中心进行的超声波检查次数明显减少。- 检查次数长期无法达到大流行前的水平,这可能是由于病人护理和后续治疗的结构调整所致。- 找出超声波检查减少的原因对于大流行病的准备工作至关重要,这样才能保证所有患者的医疗质量和连续性。- 大流行期间超声波检查的长期下降并不代表一种持久的趋势,这一点可以从超声波检查恢复到大流行前的水平得到证明。
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引用次数: 0
[A IgG4-associated hepatic pseudotumor - an important differential diagnosis of the cholangiocellular carcinoma]. [IgG4相关性肝假瘤--胆管细胞癌的重要鉴别诊断]。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-05-13 DOI: 10.1055/a-2313-0765
Hans Jonas Meyer, Adam Herber
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引用次数: 0
Wie bildgebende Verfahren Sehstörungen diagnostizieren und behandeln. 成像技术如何诊断和治疗视觉疾病。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-11-22 DOI: 10.1055/a-2421-4414
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引用次数: 0
DGNR-Jahrestagung 2024 – Ehrenmitgliedschaften verliehen. DGNR 2024 年年会 - 授予荣誉会员称号。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-11-22 DOI: 10.1055/a-2458-4349
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引用次数: 0
Kommentar zu: HERZ GEFÄßE – Geschlechts- und gefäßspezifische Entwicklung der Arteriosklerose. 评论:心脏血管 - 动脉硬化的发展与性别和血管有关。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-11-22 DOI: 10.1055/a-2414-4459
Patrick Krumm
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引用次数: 0
[Intracranial and spinal dural arteriovenous fistulas]. [颅内和脊髓硬膜动静脉瘘]。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-01 Epub Date: 2024-05-03 DOI: 10.1055/a-2289-4444
Stefan Heckl, Marius Horger, Till-Karsten Hauser, Christer Ruff, Nick Farhang, Georg Gohla, Florian Hennersdorf
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引用次数: 0
[Rheumatoid pulmonary nodules]. [类风湿肺结节]。
IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-27 DOI: 10.1055/a-2441-5073
Andrea Antunes Costa, Laura Pepina Kunkel, Daniela Kildal
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引用次数: 0
期刊
Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren
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