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Lipomatous Soft Tissue Masses of the Extremities: A Spectrum From Benign to Malignant 四肢脂肪瘤样软组织肿块:从良性到恶性
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-03-15 DOI: 10.1097/01.CDR.0000735124.32066.1a
Sohn Nijor, Sayed Ali, Stephen Ling, Padmaja Jonnalagadda
Fat-containing masses are the most common solid, soft tissue masses encountered by radiologists and clinicians in everyday practice. The vast majority of these are benign. The imaging appearance of many fat-containing masses is frequently characteristic enough to suggest a specific diagnosis such as lipoma. However, there is a spectrum of benign and malignant fat-containing tumors with overlapping features. It is important to differentiate simple lipomas from well-differentiated liposarcomas due to differences in treatment, prognosis, and long-term follow-up. As molecular markers are increasingly being used for definitive characterization of tumors, we discuss their role and histopathologic characteristics of fat-containing soft tissue masses.
含脂肪肿块是放射科医生和临床医生在日常实践中遇到的最常见的固体软组织肿块。其中绝大多数是良性的。许多含脂肪肿块的影像学表现往往具有特征性,足以提示脂肪瘤等特定诊断。然而,有一系列良性和恶性脂肪肿瘤具有重叠的特征。由于治疗、预后和长期随访的差异,区分单纯脂肪瘤和高分化脂肪肉瘤很重要。随着分子标记物越来越多地用于肿瘤的确切表征,我们讨论了它们的作用和含脂肪软组织块的组织病理学特征。
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引用次数: 0
Imaging in Cystic Lung Diseases: An Update 囊性肺疾病影像学研究进展
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-02-28 DOI: 10.1097/01.CDR.0000734664.39877.59
Felipe Aluja-Jaramillo, F. Gutiérrez, S. Rossi
Supplemental Digital Content is Available in the Text. Cystic lung diseases represent a broad set of disorders with different causes, but all of them are characterized by multiple thin-walled parenchymal lesions. Multidetector CT (MDCT), especially high-resolution CT (HRCT), is the imaging modality of choice for the diagnosis and follow-up of these entities. Cavities and emphysema are the most common alternative diagnoses that must be differentiated from true pulmonary cysts. In this review, we discuss the most common cystic lung diseases, their physiopathology, and the CT imaging appearance, with special emphasis on the key imaging findings that are crucial in their differential diagnosis.
文本中提供了补充数字内容。囊性肺疾病代表了一系列不同病因的疾病,但所有疾病都以多个薄壁实质病变为特征。多探测器CT(MDCT),特别是高分辨率CT(HRCT),是诊断和随访这些实体的首选成像方式。空洞和肺气肿是最常见的替代诊断,必须与真正的肺囊肿区分开来。在这篇综述中,我们讨论了最常见的囊性肺疾病、它们的物理病理学和CT成像表现,特别强调对其鉴别诊断至关重要的关键成像结果。
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引用次数: 0
Biliary Tract Emergencies 胆道急症
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-01-31 DOI: 10.1097/01.CDR.0000732052.02369.a3
Andrew Goschka, G. Altınok
Cholelithiasis has a high prevalence in Western populations; therefore careful evaluation of the biliary system is essential in acute patients undergoing abdominal imaging. An estimated 15% of the U.S. population has cholelithiasis, although 80% will remain asymptomatic. The disease burden results in 300,000 cholecystectomies performed annually for biliary colic, cholecystitis, and additional related complications.1 However, biliary pathology is not solely related to cholelithiasis. Additional biliary pathology may result from diverse etiologies with infectious, inflammatory, metabolic, neoplastic, traumatic, and iatrogenic causes. Therefore, appropriate management is not solely limited to cholecystectomy, but instead depends on the specific diagnosis. This article explores the various acute biliary pathologies with which radiologists should be familiar, with a particular emphasis on the clinical features, radiologic appearance, adjunct imaging modalities, and treatment.
胆石症在西方人群中发病率很高;因此,仔细评估胆道系统是必要的急性病人进行腹部影像学检查。据估计,15%的美国人患有胆石症,尽管80%的人没有症状。疾病负担导致每年因胆绞痛、胆囊炎和其他相关并发症进行30万例胆囊切除术然而,胆道病理并不仅仅与胆石症有关。其他的胆道病理可能由多种病因引起,包括感染性、炎症性、代谢性、肿瘤性、创伤性和医源性原因。因此,适当的处理不能仅仅局限于胆囊切除术,而是取决于具体的诊断。这篇文章探讨了放射科医生应该熟悉的各种急性胆道病理,特别强调了临床特征、放射学表现、辅助成像方式和治疗。
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引用次数: 0
A Multisystemic Pictorial Review of Diabetes Mellitus 糖尿病的多系统影像学综述
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-01-15 DOI: 10.1097/01.CDR.0000725624.70337.47
Tejen Shah, Zerwa Farooq, D. Cohen-Addad, D. DeAlwis
Supplemental Digital Content is Available in the Text. Diabetes mellitus is a leading cause of death with immense burden on the health care system. The number of patients suffering from diabetes is expected to rise dramatically in the coming years secondary to lifestyle changes. Diabetes is a multisystemic disease that exerts its effects through decreased insulin sensitivity leading to various degrees of metabolic dysregulation. The pathogenesis of complications associated with diabetes is largely dependent on the duration of the disease and common coexisting conditions such as hyperlipidemia, hypertension, and obesity. Acute hyperglycemic and hypoglycemic events can lead to life-threatening illness such as acute coronary syndrome, hyperosmolar state, and diabetic ketoacidosis. The deleterious effects of long-standing diabetes are usually mediated by microvascular disease leading to diabetic retinopathy, nephropathy, cardiomyopathy, and neuropathy.
文本中提供了补充数字内容。糖尿病是造成死亡的主要原因,给卫生保健系统带来了巨大负担。由于生活方式的改变,未来几年糖尿病患者的数量预计将急剧增加。糖尿病是一种多系统疾病,其作用是通过降低胰岛素敏感性导致不同程度的代谢失调。糖尿病并发症的发病机制在很大程度上取决于疾病的持续时间和常见的共存条件,如高脂血症、高血压和肥胖。急性高血糖和低血糖事件可导致危及生命的疾病,如急性冠状动脉综合征、高渗状态和糖尿病酮症酸中毒。长期糖尿病的有害影响通常由微血管疾病介导,导致糖尿病视网膜病变、肾病、心肌病和神经病变。
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引用次数: 0
Multimodality Imaging of Common Breast Cancers 常见乳腺癌的多模态成像
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2020-12-31 DOI: 10.1097/01.CDR.0000723976.13012.f5
Jessica F. Martin, Su-Ju Lee, M. Mahoney
The most common types of primary breast malignancies (invasive ductal carcinoma, invasive lobular carcinoma, and ductal carcinoma in situ) each typically demonstrate unique imaging features. Given the increasing importance of diagnosing breast cancers as early as possible to ensure prompt treatment and improved patient outcomes, it is critical for radiologists to readily recognize these characteristics on multimodality imaging.
最常见的原发性乳腺恶性肿瘤类型(浸润性导管癌、浸润性小叶癌和导管原位癌)通常都表现出独特的影像学特征。鉴于尽早诊断乳腺癌以确保及时治疗和改善患者预后的重要性日益增加,放射科医生在多模态成像中容易识别这些特征至关重要。
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引用次数: 0
Permanent Ventricular Shunts: Normal Appearance and Complications 永久性心室分流:正常外观和并发症
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2020-09-30 DOI: 10.1097/01.cdr.0000698096.24913.be
Karsten G. Jennings, C. Lisanti, Christian L. Carlson
Hydrocephalus is a common condition that is primarily treated with ventricular shunting, most commonly with a ventriculoperitoneal shunt. However, a ventriculoperitoneal shunt may be contraindicated, requiring an alternate shunt system. The various ventricular shunts are associated with both similar and unique adverse events. This article reviews the various types of ventricular shunt systems and their associated complications.
脑积水是一种常见的疾病,主要通过脑室分流术治疗,最常见的是脑室腹膜分流术。然而,脑室-腹腔分流术可能是禁忌的,需要替代分流术系统。各种心室分流与相似和独特的不良事件有关。本文综述了各种类型的心室分流系统及其相关并发症。
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引用次数: 0
Systematic Approach to the Radiographic Interpretation of the Ankle and Foot Using a Checklist Approach to Avoid Common Diagnostic Errors 使用检查表法对踝和足进行放射学解释以避免常见诊断错误的系统方法
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2020-09-15 DOI: 10.1097/01.CDR.0000696352.22899.a0
Kendall Weierich, M. Minor, L. Bui-mansfield
Traumatic foot and ankle injuries are common; therefore, radiologists need to be proficient in the interpretation of ankle and foot radiographs. The recognition of common injury patterns through the use of a checklist approach has the potential to improve a radiologist's diagnostic accuracy. The objective of this pictorial essay is to present a simple but thorough checklist for accurate radiographic evaluation of the ankle and foot and review some common injury patterns of the ankle and foot.
创伤性足部和脚踝损伤很常见;因此,放射科医生需要精通踝足x线片的判读。通过使用检查表方法识别常见损伤模式有可能提高放射科医生的诊断准确性。这篇图片文章的目的是提供一个简单但彻底的检查表,用于准确评估脚踝和脚的放射学,并回顾一些常见的脚踝和脚损伤模式。
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引用次数: 1
Breast Cancer in Patients Younger Than 40 Years: Imaging, Assessment, and Management 40岁以下的乳腺癌患者:影像学、评估和管理
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2020-08-31 DOI: 10.1097/01.cdr.0000695668.13296.16
D. Suleimenova, M. Eghtedari, R. Rakow-Penner, V. Lim, W. Ladd, H. Ojeda-Fournier
“Young women,” defined as women younger than 40 years at breast cancer diagnosis, represent approximately 7% of all women diagnosed with breast cancer in developed countries. Breast cancer is the leading cause of cancer-related death in young women. It constitutes more than 12,150 newly diagnosed patients every year in the United States. Young women have specific issues including those related to fertility, cancer genetics, and psychosocial concerns, and often need a different approach than do older women.1 Although breast cancer in older women is detected most commonly by mammographic screening, breast cancer in young women is diagnosed more often by clinical symptoms. Delayed diagnosis in this age group is common due to lack of awareness in women and physicians.2 The radiologist must have an appropriate level of suspicion while evaluating young women so as not to miss breast cancer.
“年轻女性”,定义为乳腺癌诊断时年龄小于40岁的女性,约占发达国家所有确诊乳腺癌女性的7%。乳腺癌是年轻女性癌症相关死亡的主要原因。在美国,每年有超过12150名新诊断的患者。年轻女性有一些特殊的问题,包括与生育、癌症遗传和心理社会问题有关的问题,她们通常需要与年长女性不同的治疗方法虽然老年妇女的乳腺癌最常通过乳房x光检查发现,但年轻妇女的乳腺癌更常通过临床症状诊断。由于妇女和医生缺乏认识,这一年龄组的延迟诊断很常见放射科医生在评估年轻女性时必须有适当的怀疑程度,以免遗漏乳腺癌。
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引用次数: 1
Bronchopulmonary Dysplasia: From Neonate to Adult 支气管肺发育不良:从新生儿到成人
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2020-08-15 DOI: 10.1097/01.cdr.0000694608.60024.8b
E. Tsai, Melanie Stenback, B. Newman
“Bronchopulmonary dysplasia” is a term devised in 1967 to describe chronic lung disease in premature infants treated for respiratory distress syndrome. With improving management techniques, younger and lower birth-weight infants now are surviving after they are born at increasingly premature stages of lung development. Despite improving management techniques, the overall incidence of bronchopulmonary dysplasia has not changed significantly over time, but the clinical definition and radiographic features have evolved accordingly.1
“支气管肺发育不良”是1967年发明的一个术语,用来描述因呼吸窘迫综合征而治疗的早产儿的慢性肺病。随着管理技术的改进,年龄更小、出生体重更低的婴儿在出生时肺部发育阶段越来越早,现在他们也能存活下来。尽管管理技术不断提高,但支气管肺发育不良的总体发病率并没有随着时间的推移而发生显著变化,但其临床定义和影像学特征却发生了相应的变化
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引用次数: 0
What the Radiologist Needs to Know About Biceps Tenodesis: Normal Postprocedure Imaging Appearance and Complications 放射科医生需要了解的关于肱二头肌肌腱固定术的信息:术后正常影像学表现和并发症
IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2020-08-03 DOI: 10.1097/01.cdr.0000718952.58449.c2
David J. Oettel, Nathan D. Cecava, L. Bui-mansfield
Proximal long head biceps tendon (LHBT) pathology is a common and well-recognized cause of anterior shoulder pain.1–4 Various surgical procedures have been developed to address LHBT pathology. Postoperative imaging can be confusing if the radiologist is not aware of the various surgical techniques. An astute radiologist may be the first to identify a postoperative complication. An understanding of the LHBT anatomy, surgical indications, surgical procedures, and both normal and abnormal postoperative imaging appearance will enhance the radiologist's accuracy in imaging interpretation and interactions with referring providers.
近端长头二头肌腱(LHBT)病理学是一种常见且公认的肩前疼痛原因。1-4已经开发了各种手术程序来解决LHBT病理学问题。如果放射科医生不了解各种手术技术,术后成像可能会令人困惑。精明的放射科医生可能是第一个发现术后并发症的人。了解LHBT解剖结构、手术指征、手术程序以及正常和异常的术后成像外观,将提高放射科医生在成像解释和与转诊提供者互动方面的准确性。
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引用次数: 0
期刊
Contemporary Diagnostic Radiology
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