Specific back pain - effective diagnosis and treatment from the radiologist's point of view.

The diagnosis and treatment of specific back pain is important in radiology. Due to the high number of patients suffering from back pain, it is important to provide excellent diagnostic and therapeutic support.Based on a recent literature search and considering the relevant guidelines as well as expert opinions, the aspects of specific back pain important for radiologists in terms of pathogenesis, diagnosis, and treatment are presented.

The radiologist as a physician - artificial intelligence as a way to overcome tension between the patient, technology, and referring physicians - a narrative review.

Background: Large volumes of data increasing over time lead to a shortage of radiologists' time. The use of systems based on artificial intelligence (AI) offers opportunities to relieve the burden on radiologists. The AI systems are usually optimized for a radiological area.

[Back pain: a phenomenon of age? : Degenerative alterations of the spine are normal with increasing age. But how is this "normal" in old age defined, does it compulsorily lead to more complaints and a relevant impairment of the quality of life?].

Background: Under the assumption that a certain degree of degeneration is normal in old age, the changes that significantly lead to discomfort should be identified. Care should be taken to ensure that the geriatric patient receives adequate treatment and can quickly return to a normal pain-free life.

Material And Methods: A prospective study was performed on symptomatic outpatients who came for a magnetic resonance (MR) examination of the spine.

[CT-guided pain management of specific low back pain : Disc impairment vs. osseous degeneration].

Background: Back pain is common and leads the patient to the radiologist both for diagnosis and in specific cases for therapy.

Objectives: The current study compares the pain-reducing effect of microinvasive computed tomography (CT)-guided pain therapy for specific back pain caused by herniated discs or spondylarthrosis.

Materials And Methods: Over a period of 3.

The physician as a success determining factor in CT-guided pain therapy.

Background: Back pain is a common problem and a burden for the patient. MR-morphologically proven pain-causing changes of the spine is often successfully treated utilizing CT-guided pain therapy. The CT-guided execution enables a controlled and reproducible therapy.

CT-guided Interventional Therapy of Back Pain - Predictors of Success in Treatment.

Purpose:  The aim of the presented study was to investigate if distribution of the drug-contrast medium mixture in CT-guided periradicular therapy can predict intervention success.

Materials And Methods:  Over a 15-month period, 97 patients admitted to our institution by a pain physician for CT guided periradicular therapy were treated. In 420 CT guided interventions, we measured the relative distribution of the drug mixture in relationship to the neuroforamen.

[Patient satisfaction with radiologists in private practice].

Background: Radiology is an interface discipline. The radiologist must provide answers for various diagnostic questions in a short time by means of various examinations. The patient as well as the referring physician must be adequately and appropriately considered within a reasonable period, at the same time ensuring a high quality of examination with the lowest possible radiation exposure.

Diagnostic value of proton MR spectroscopy in peripheral arterial occlusive disease: a prospective evaluation.

Objective: The objective of the present study was to determine the detectability of metabolic alterations in patients with peripheral arterial occlusive disease (PAOD) using proton MR spectroscopy (hydrogen-1 MR spectroscopy).

Subjects And Methods: Twenty-seven people were included in this study: 10 patients with PAOD and a pain-free walking distance of less than 200 m served as the patient group and 17 young healthy subjects served as a control group. Hydrogen-1 MR spectroscopy was performed on a 1.

Multi-detector CT in the evaluation of patients with recurrence of rectal cancer.

The advantages of multiplanar reconstruction in rectal cancer recurrence diagnostics using medium resolution multi-detector CT are evaluated. We included 40 patients after a rectal cancer operation in this study. During follow-up ten patients developed a recurrence.

Multislice computed tomography angiography of the abdominal arteries: comparison between computed tomography angiography and digital subtraction angiography findings in 52 cases.

Since the introduction of multislice CT scanners, CT angiography (CTA) has become a powerful tool for imaging the vascular system. We compare conventional angiography to CTA in the diagnosis of morphological changes in the abdominal aorta and its branches. A retrospective analysis of 52 patients who underwent both multislice CT angiography (MSCTA) and digital subtraction angiography before surgical treatment is presented.

3D CT versus axial helical CT versus conventional tomography in the classification of acetabular fractures: a ROC analysis.

Aim: To assess the diagnostic power of three-dimensional computed tomography (3D CT), axial helical computed tomography (CT) and conventional tomography in the classification of acetabular fractures by interdisciplinary review.

Materials And Methods: Receiver operating characteristics (ROCs) were assessed for two radiologists and two surgeons blinded to the presence of acetabular fractures in an animal model (a total of 62 porcine hips, 40 of them with artificial acetabular fractures). Main target parameter was the diagnostic accuracy in the classification of the artificial fractures following Judet et al.