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Correlación entre las cinéticas del PSA y positividad de la tomografía por emisión de positrones 18F-PSMA-1007 en la reestadificación de la recaída del cáncer de próstata PSA动力学与18F-PSMA-1007正电子发射断层扫描阳性在前列腺癌复发再分期中的相关性
Q4 Medicine Pub Date : 2022-10-06 DOI: 10.24875/rar.m22000021
M. Bergero, L. Costa, María Arceluz, Carlos David, Marcelo Fleurquín, Liliana Ríos, Patricio Modina, Fernando Faccio
Introduction: Prostate-specific antigen (PSA) kinetics (PSA velocity [PSAV] and PSA doubling time [PSADT]) are predictors of positivity in Choline PET/CT, but this correlation has not been correctly established in PSMA PET/CT. Objective: To evaluate the diagnostic correlation between PSA kinetics and positivity of 18F PSMA PET/CT in patients with relapsed prostate cancer (RPC). Material and methods: We performed an observational cross-sectional study of 54 patients with RPC that were evaluated with 18F-PSMA PET/CT. The concordance between 18F-PSMA PET/CT and PSA kinetics was analyzed. Results: The mean age was 68 ± 8 years. Time to relapse had a median (Q1-Q3) of 29 (8; 48) months. The trigger PSA
前列腺特异性抗原(PSA)动力学(PSA速度[PSAV]和PSA倍增时间[PSADT])是胆碱PET/CT阳性的预测因子,但在PSMA PET/CT中尚未正确建立这种相关性。目的:探讨前列腺癌(RPC)患者PSA动力学与18F PSMA PET/CT阳性的诊断相关性。材料和方法:我们对54例RPC患者进行了一项观察性横断面研究,并通过18F-PSMA PET/CT进行了评估。分析了18F-PSMA PET/CT与PSA动力学的一致性。结果:患者平均年龄68±8岁。到复发的中位时间(Q1-Q3)为29 (8;48个月。触发PSA
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引用次数: 1
Hernia de hiato paraesofágica congénita con presentación insidiosa 先天性食管旁裂孔疝,表现隐伏
Q4 Medicine Pub Date : 2022-10-06 DOI: 10.24875/rar.m22000019
P. M. Barberá-Pérez, Irene Baquedano-Lobera, P. Lalaguna-Mallada, Jordi Sorribes-i Estorch, Elena Faci-Alcalde, Diana Marquina-Martínez
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引用次数: 0
Presentación sintomática del músculo sóleo accesorio. Reporte de un caso 副索肌的症状表现。病例报告
Q4 Medicine Pub Date : 2022-10-06 DOI: 10.24875/rar.m22000015
C. Daher, Sofía Siracusa, A. Barrera, Rodrigo Birbuet, F. Villalba, Daniel Gutiérrez, Ernesto Sontag, Carlos Urrere
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引用次数: 0
Una causa infrecuente de dolor abdominal: infarto de epiplón menor. Reporte de caso 腹痛的一个罕见原因:小附睾梗死。个案报告
Q4 Medicine Pub Date : 2022-10-06 DOI: 10.24875/rar.m22000018
Camila Cifuentes-Jiménez, John Mackinnon-Dahlgren, Ricardo Vega-Finsterbusch, Patricia Ríos-Álvarez
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引用次数: 1
Utilidad de la tomografía computarizada multicorte para la estimación de la composición del derrame pericárdico 多层螺旋CT在评估心包积液成分中的应用
Q4 Medicine Pub Date : 2022-10-06 DOI: 10.24875/rar.m22000034
J. Saidman, Mariano Falconi, Diego Pérez de Arenaza, María J. Gutiérrez-Vallecillo, E. Gentile, M. Ulla
El ecocardiograma (ETT) de primera línea por su La computarizada multicorte (TCMC), parte, complemento ante limitaciones del ETT y de urgencia paciente con de DP. El objetivo del es la utilidad y rol de la TCMC, mediante la medición de densidades, para estimar la etiología del DP, ilustrado con casos de nuestra institución. Derrame pericárdico. Pericardiocentesis. Ecocardiograma Tomografía multicorte. Abstract Pericardial effusion (PE) is a common entity in daily practice, which can occur due to a wide range of conditions. Imaging methods are a key diagnostic tool in the evaluation of the pericardium. Transthoracic echocardiogram (TTE) is the first line imaging method because of its cost-effectiveness. Multi-slice Computed Tomography (MSCT), on the other hand, represents a valuable complement to the limitations of TTE and in emergency evaluation of the patient with suspected PE. The objecti-ve of this review is to show the usefulness and role of the MSCT —through the measurement of densities— to estimate the etiology of PE, illustrated with cases of our Institution.
计算机多部分(TCMC)的原始心电图(ETT),是对ETT和DP紧急情况限制的补充。TCMC的利用和控制目标,密度医学的媒介,DP病因的评估,新研究所的研究。Derrame percárdico。心包穿刺术。Tomografía多组心电图。摘要心包积液(PE)是日常生活中常见的一种疾病,其发生原因多种多样。影像学方法是评估心包的关键诊断工具。经胸超声心动图(TTE)由于其成本效益而成为一线成像方法。另一方面,多层计算机断层扫描(MSCT)是对经胸超声心动图的局限性和对疑似PE患者的紧急评估的一种有价值的补充。本综述的目的是通过密度测量来显示MSCT在评估PE病因方面的有用性和作用,如我们机构的案例所示。
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引用次数: 0
Presentaciones infrecuentes y atípicas del carcinoma hepatocelular en tomografía computarizada y resonancia magnética 计算机断层扫描和磁共振成像中肝细胞癌的罕见和非典型表现
Q4 Medicine Pub Date : 2022-10-06 DOI: 10.24875/rar.m22000033
G. Espil, H. Altieri, Marina Bustamante, Mariano Volpacchio, N. Larrañaga, S. Kozima
intervalos seguimiento. pacientes HCC 40% diagnóstico Palabras clave: computarizada. Abstract The typical imaging appearance of hepatocellular carcinoma (HCC) is widely recognized and consists in hyper enhancement in the arterial phase with lavage in the portal and late venous phases, as on computed tomography (CT) as on magnetic resonance imaging (MRI). This pattern is observed in 60% of cases and has been incorporated into the diagnostics directi-ves of the different organizations which participates in the hepatic diseases studies and its presence avoid the necessity of a biopsy. Besides, are auxiliar signs useful on the HCC diagnostic, T2 hyperintensity, presence of grease, venous tumor thrombosis and the growth between intervals in follow up studies. However, not all HCC patients harbor these characteristics and in 40% of cases the atypical introduction proposes a diagnostic and handling challenge of patients.
intervalos seguimiento。HCC患者40%诊断为Palabras clave:计算机。摘要肝细胞癌(HCC)的典型影像学表现已被广泛认可,包括动脉期的过度增强,门静脉期和静脉晚期的灌洗,如计算机断层扫描(CT)和磁共振成像(MRI)。这种模式在60%的病例中观察到,并已纳入参与肝病研究的不同组织的诊断指南,其存在避免了活检的必要性。此外,在随访研究中,辅助信号对HCC的诊断、T2高信号、油脂的存在、静脉肿瘤血栓形成和间隔生长是否有用。然而,并非所有HCC患者都具有这些特征,在40%的病例中,非典型引入对患者的诊断和处理提出了挑战。
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引用次数: 0
Agenesia de la arteria carótida interna: unilateral y bilateral. A propósito de dos casos 颈内动脉发育不全:单侧和双侧。关于两个案例
Q4 Medicine Pub Date : 2022-07-19 DOI: 10.24875/rar.m22000036
Matías Negrotto, Joaquín García, Alejandra Jaume, Mariana Romero, Alejandra Garretano
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引用次数: 0
Resonancia magnética de alta definición para la evaluación de trastornos laberínticos 用于评估迷宫障碍的高清晰度磁共振成像
Q4 Medicine Pub Date : 2022-07-15 DOI: 10.24875/rar.m22000025
Marina A. Esteves da Cunha, Manuel Perez-Akly, A. Miquelini, Adriana Granson, Federico Olivera-Plata, C. Besada
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引用次数: 0
Diferenciación de la patología tumoral musculoesquelética benigna y maligna utilizando la técnica de difusión con resonancia magnética 磁共振扩散技术鉴别肌肉骨骼肿瘤良恶性病理
Q4 Medicine Pub Date : 2022-07-15 DOI: 10.24875/rar.m22000007
Rodrigo Re, D. Cabral, Mauricio O. Zenklusen, F. Bernocco, R. Sanz, Agustina Warde
Resumen Introducción: La imagen ponderada en difusión es una técnica de imagen funcional que aporta información complementaria a las secuencias convencionales de resonancia magnética. El coeficiente de difusión aparente (CDA) se valora junto con la secuencia de difusión, calculando el logaritmo negativo de la proporción de intensidades de dos conjuntos de imágenes, lo que permite el análisis cuantitativo de la restricción a la difusión. Objetivo: Determinar si existe una diferencia significativa entre los valores de CDA de las lesiones musculoesqueléticas benignas y malignas, correlacionando los resultados con los hallazgos histológicos. Método: Estudio prospectivo, observacional y descriptivo. Se incluyeron en el trabajo pacientes con sospecha de lesiones tumorales del sistema musculoesquelético de cualquier edad y sexo, sin antecedentes de radioterapia previa o cirugía, evaluados con resonancia magnética y con posterior biopsia o cirugía. Resultados: Se incluyeron 170 pacientes, de los cuales 80 (44 benignos) eran hombres y 90 (43 benignos) eran mujeres. El total fue de 87 lesiones benignas y 83 lesiones malignas, con Abstract Introduction: Diffusion-weighted imaging is a functional imaging technique that provides complementary information to conventional magnetic resonance imaging sequences. The apparent diffusion coefficient (ADC) is evaluated together with the diffusion sequence, calculating the negative logarithm of the intensity ratio of two image sets, allowing the quantitative analysis of the diffusion. Objective: To determine if there is a statistical significance between the ADC values of benign and malignant musculoskeletal lesions, correlating the results with the histological findings. Method: Prospective, observational and descriptive study. Patients with suspected tumoral lesions of the musculoskeletal system of any age and sex, with no history of prior radiation therapy or surgery, evaluated with resonance with subsequent biopsy or surgery. Results: This study included 170 patients. Male patients were 80 (44 benign), and female patients were 90 (43 benign). The total was 87 benign 168). Conclusions: Diffusion and, in particular, ADC values have provided additional information in the characterization of benign and malignant tumors, with a statistical significance, establishing high ADC values for benign tumors. transición (flechas). C y D: resonancia magnética (RM) en cortes coronales STIR y T1, confirmando la extensión a partes blandas (flechas). E y F: RM en cortes axial T1 y STIR con probable colección (flechas). G: mapa de CDA con restricción de la difusión. H: biopsia por punción guiada por tomografía. I y J: preparado histológico de hematoxilina-eosina. Mediano y gran aumento. Tejido óseo que muestra trabéculas parcialmente desvitalizadas, algunas de apariencia necrótica, otras viables, y a nivel intertrabecular infiltrado inflamatorio, agudo,
摘要导言:扩散加权成像是一种功能成像技术,为传统的磁共振成像序列提供了补充信息。表观扩散系数(CDA)与扩散序列一起评估,计算两组图像强度比的负对数,从而对扩散限制进行定量分析。目的:通过将结果与组织学发现联系起来,确定良性和恶性肌肉骨骼病变的CDA值之间是否存在显著差异。方法:前瞻性、观察性和描述性研究。疑似任何年龄和性别的肌肉骨骼系统肿瘤病变的患者,没有放疗或手术史,通过核磁共振成像和随后的活检或手术进行评估,被纳入工作。结果:共纳入170例患者,其中80例(44例良性)为男性,90例(43例良性)为女性。共有87个良性病变和83个恶性病变,摘要介绍:扩散加权成像是一种为传统磁共振成像序列提供补充信息的功能成像技术。显式扩散系数(ADC)与扩散序列一起评估,计算两组图像强度比的负对数,以便对扩散进行定量分析。目的:确定良性和恶性肌肉骨骼损伤的ADC值之间是否具有统计意义,并将结果与组织学结果进行相关性。方法:前瞻性、观察性和描述性研究。疑似任何年龄和性别的肌肉骨骼系统肿瘤损伤的患者,以前没有放射治疗或手术史,在随后的活检或手术中进行核磁共振评估。结果:这项研究包括170名患者。男性患者80例(44例良性),女性患者90例(43例良性)。共有87名贝宁人168人)。结论:传播,特别是ADC值,为良性和恶性肿瘤的特征提供了额外的信息,具有统计意义,为良性肿瘤建立了高ADC值。过渡(箭头)。C和D:STIR和T1冠状切口的磁共振成像(MRI),确认延伸到软部(箭头)。E和F:核磁共振成像在T1轴向切片中,并与可能的收藏(箭头)一起搅拌。G: 具有传播限制的CDA地图。H: CT引导穿刺活检。I和J:苏木精-伊红的组织学制剂。中高增长。骨组织显示部分失活的小梁,一些呈坏死外观,另一些可行,在急性炎症性浸润的股骨间水平,
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引用次数: 0
Lesiones no neoplásicas que simulan tumores del sistema musculoesquelético 模拟肌肉骨骼系统肿瘤的非肿瘤性病变
Q4 Medicine Pub Date : 2022-07-15 DOI: 10.24875/rar.m22000011
Katherine Dávila-Malca, Nicolás A. Lauria, Alberto A. Joly, Aurelio J. Burgos-Flor
Se del de Tumores y Partes nuestra institución con diagnósticos presuntivos de lesiones tumorales y biopsias negativas para células neoplásicas. La etiología de las lesiones de los ocho pacientes fue calcificación heterotópica con esclerosis ósea, lesión por estrés, hematoma organizado, absceso, infiltración de médula ósea con área respetada, remodelación ósea, cambios reparativos y esteatonecrosis. Palabras Abstract Tumor mimicking lesions in the musculoskeletal system are defined as benign non-neoplastic entities that may be clinically and/or radiologically confused with neoplasms. The etiology and anatomical locations of these lesions vary from normal va-riants to traumatic, inflammatory or metabolic lesions. With adequate interrogation, physical examination and appropriate selection of imaging methods, tumor lesions can be differentiated from non-tumor lesions. In cases where diagnostic certain-ty is not achieved, biopsy should be used to rule out malignancy. We analyzed eight cases from the Bone and Soft tissue Tumors Committee in our institution with presumptive diagnosis of tumor lesions and negative biopsies for neoplastic cells. We found eight patients being these lesions heterotopic calcification with bone sclerosis, stress injury, organized hematoma, abscesses, bone marrow infiltration with respected area, remodeling, reparative steatonecrosis. de remodelación ósea sin neoplasia. A: centellograma óseo que muestra moderada captación en la epífisis proximal del húmero derecho (flecha). B: imagen de resonancia magnética (RM) coronal ponderada en T2 FatSat que muestra, adyacente al arpón (artefacto de imagen), una alteración de la señal focal (flecha) interpretada como lesión de probable origen condral. C: tomografía computada en ventana ósea en la que se observa que la lesión humeral epifisaria proximal descrita en la RM no presenta correlato tomográfico.
我是肿瘤的SE,也是我们机构的一部分,假设诊断为肿瘤病变,肿瘤细胞活检呈阴性。8例患者的病变病因为异位钙化伴骨硬化、应力损伤、有组织血肿、脓肿、骨髓浸润伴尊重区、骨重塑、修复性改变和脂肪坏死。肌肉骨骼系统中的肿瘤模拟病变被定义为临床和/或放射上可能与肿瘤混淆的良性非肿瘤实体。这些损伤的病因和解剖位置从正常VA患者到创伤、炎症或代谢损伤不等。通过适当的审讯、体检和适当的成像方法选择,肿瘤病变可以与非肿瘤病变区分开来。在无法诊断某些疾病的情况下,应使用生物疗法来判断恶性程度。我们分析了我机构骨和软组织肿瘤委员会的8例病例,假设诊断出肿瘤病变并对肿瘤细胞进行了阴性活检。我们发现8名患者患有这些异位钙化病变,分别伴有骨硬化、压力损伤、有组织血肿、脓肿、骨髓浸润、重塑、修复性脂肪变性。没有肿瘤的骨重塑。A: 骨闪烁图显示右肱骨近端骨骺有中度吸收(箭头)。B: T2-FATSAT冠状加权磁共振成像(MRI)显示,在鱼叉(成像伪影)附近,病灶信号(箭头)发生改变,被解释为可能起源于软骨的病变。C: 骨窗CT扫描显示MRI中描述的肱骨近端骨骺损伤没有CT相关性。
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引用次数: 0
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Revista Argentina de Radiologia
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