Publications by authors named "R Einspieler"

For imaging the facial canal in its tympanic and mastoid segments, a new technique was developed with high-resolution computed tomography (HRCT). This method is based on comparative anatomical studies and makes it possible to depict the course of the facial canal, especially in malformations of the middle ear and in cases of fractures, tumors and cholesteatomas. A longitudinal scan of the petrous part of the temporal bone is obtained by reconstruction based on primary axial CT-standards.

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The facial canal containing the intratemporal portion of the facial nerve is very important for the otologist and radiologist concerning fractures and other lesions of the temporal bone. Axial and/or coronal standards are sufficient for imaging of the labyrinthine and the mastoidal segment of the facial canal. The sensitivity of visualization (sensitivity = number of identified structures per number of examinations) of the tympanic segment, however, is low and particularly the pyramidal segment (elbow, posterior knee) is not visualized in these standards.

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Serial magnetic resonance imaging studies were performed in 28 patients undergoing primary radiation therapy for invasive cervical cancer. T2-weighted spin-echo pulse sequences with long repetition times (2,500 msec) and echo times (30-100 msec) were used at a field strength of 1.5 T.

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High-field MRI was performed in a series of 24 patients with squamous cell carcinomas of the tongue, oro- and hypopharynx. The value of contrast enhanced T1-weighted images in tumor staging was established prospectively. Non-contrast T1-weighted images did not provide sufficient tumor-delineation.

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This study investigates the reliability of magnet resonance imaging in the evaluation of response to therapy and in follow-up after primary irradiation (RTX) of uterine cervical carcinomas in 25 patients (follow-up eleven to 39 months). Most of the tumors showed six months after RTX a significant reduction of volume and signal intensity in T2 weighted images. 20/25 (80%) showed a total tumor regression, 5/25 (20%) had a residual tumor (all of them had a primary tumor volume higher than 50 ccm).

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