Effects of sarcopenia and myosteatosis are alleviated in reduced port surgery for diverticulitis.

Purpose: Many studies report the predictive value of sarcopenia, myosteatosis, and visceral fat for clinical outcome after surgery. Radiological analysis of body composition is a valuable tool for identifying high-risk patients undergoing major abdominal surgery. Despite the high prevalence of diverticular disease, patients with benign conditions have hardly been studied in this context.

[Decompression of the lateral femoral cutaneous nerve of the thigh : Treatment of meralgia paresthetica].

Objective: Treatment of non-responding pain to conservative treatment located at the anterolateral thigh with surgical decompression of the lateral femoral cutaneous nerve of the thigh (LFCN).

Indications: Compression syndrome of the LFCN; patients suffering from the following symptoms: pain (dysesthesia), numbness (paresthesia), hypersensibility to temperature (or temperature changes) along the course of the LFCN located at the anterolateral thigh.

Contraindications: A new or recrudescent hernia with additional pain or recent laparoscopic hernia repair as a supposed iatrogenically induced compression of the LFCN.

Skeletal muscle index is an independent predictor of early recurrence in non-obese colon cancer patients.

Purpose: Progressive loss (sarcopenia) and fatty infiltration of muscle mass (myosteatosis) are well-established risk factors for an adverse clinical outcome in obese patients. Data concerning non-obese sarcopenic patients in oncologic surgery are scarce and heterogeneous. The aim of this study was to determine the impact of sarcopenia and myosteatosis in non-obese patients with cancer of the right colon on clinical outcome.

[Surgical decompression of the peroneal nerve at the level of the fibular head].

Objective: Functional and sensible regeneration of deficits related to common peroneal nerve palsy.

Indications: Functional deficits like foot drop, malfunctioning pronation, foot in supination and sensible deficits located at the anterior and lateral lower leg, the dorsum of the foot, the extension side of toes 1-4 and the interdigital space between toe 1 and 2, for positive Hoffmann-Tinel sign located at the fibular head and steppage gait.

Contraindications: Infection, spinal cord damage and spinal cord tumors with related sensitivity disorders and paralysis, advanced multiple sclerosis, amyotrophic lateral sclerosis, pAVK IV, reinnervation refractory muscles with denervation >15-18 months, polyneuropathy, previous nerve lesions by direct trauma.

Risk of needle tract seeding after coaxial ultrasound-guided percutaneous biopsy for primary and metastatic tumors of the liver: report of a single institution.

Purpose: The objective of this study was to determine the incidence of needle track seeding after ultrasound-guided percutaneous biopsy of indeterminate liver lesions with a coaxial biopsy system without any other additional intervention or ablation therapy.

Methods: We identified 172 patients in a retrospective cohort study who underwent ultrasound-guided biopsy due to a liver mass in our institution between 2007 and 2016. The same coaxial biopsy system was used in all patients, no consecutive ablation was performed.

Strangulating Closed-Loop Obstruction: Sonographic Signs.

Purpose: To evaluate different sonographic signs of strangulating closed-loop obstruction retrospectively.

Materials And Methods: Over a period of approximately 10 years all documents, US scans and video clips of patients with strangulating intestinal obstruction were reviewed. The following sonographic signs were evaluated: akinetic bowel loops; echo-free luminal content; hyperechoic congestion of the mesentery; free peritoneal fluid; bowel wall thickening; signs of ischemia on color Doppler or contrast-enhanced US.

Clinical significance of periportal tracking as an extrarenal manifestation of acute pyelonephritis.

Purpose: The purpose of this study was to evaluate whether hepatic periportal tracking (PPT) in patients with acute pyelonephritis correlates with the severity of pyelonephritis.

Material And Methods: A database search was conducted of patients with clinically suspected acute pyelonephritis who underwent abdominal computed tomography (CT) between January 2004 and June 2009 for disease evaluation. The final study group consisted of 274 patients (221 women, 53 men) with a mean age of 43 ± 20 years.

CT-guided biopsy of lesions of the lung, liver, pancreas or of enlarged lymph nodes: value of additional fine needle aspiration (FNA) to core needle biopsy (CNB) in an offsite pathologist setting.

Rationale And Objectives: To assess the value of additional fine needle aspiration (FNA) to core needle biopsy (CNB) in computed tomography-guided biopsy of lesions of the lung, liver, pancreas, or of enlarged lymph nodes in an offsite cytopathologist setting.

Materials And Methods: This retrospective Health Insurance Portability and Accountability Act-compliant study was approved by the Institutional Review Board (IRB); informed consent (IC) was waived. Data of 377 patients who underwent computed tomography-guided FNA and CNB of lesions of the lung, liver, pancreas, or enlarged lymph nodes were enrolled.

Accuracy of MSCT Coronary Angiography with 64 Row CT Scanner-Facing the Facts.

Improvements in multislice computed tomography (MSCT) angiography of the coronary vessels have enabled the minimally invasive detection of coronary artery stenoses, while quantitative coronary angiography (QCA) is the accepted reference standard for evaluation thereof. Sixteen-slice MSCT showed promising diagnostic accuracy in detecting coronary artery stenoses haemodynamically and the subsequent introduction of 64-slice scanners promised excellent and fast results for coronary artery studies. This prompted us to evaluate the diagnostic accuracy, sensitivity, specificity, and the negative und positive predictive value of 64-slice MSCT in the detection of haemodynamically significant coronary artery stenoses.

Computer-assisted 3-dimensional anthropometry of the scaphoid.

Scaphoid fracture fixation using a cannulated headless compression screw and the Matti-Russe procedure for the treatment of scaphoid nonunions are performed routinely. Surgeons performing these procedures need to be familiar with the anatomy of the scaphoid. A literature review reveals relatively few articles on this subject.

Computer tomography aided 3D analysis of the distal dorsal radius surface and the effects on volar plate osteosynthesis.

The aims of this study were to measure the size of Lister's Tubercle, the extent of the extensor pollicis longus (EPL) groove and the dihedral angle of the distal dorsal radius. Computer tomography scans of 30 forearms were performed by using a 64-slice Siemens SOMATOM Sensation CT system (Resolution 0.6 mm).

Thick curved planar reformation of unenhanced multislice computed tomography demonstrating urolithiasis.

Objectives: To determine what slice thickness provides optimal curved planar reformation (CPR) images of the urinary tract.

Methods: A total of 75 consecutive patients with acute flank pain were included in a retrospective pilot study and underwent unenhanced multislice computed tomography (MSCT) (collimation 3.75 mm, pitch 6, reconstruction increment 3 mm, working voltage 120 kV, and tube current 100 mA) with CPR reconstruction of the urinary tract.

Early spondyloarthritis: usefulness of clinical screening.

Objectives: To evaluate the usefulness of clinical parameters in screening for early SpA in patients meeting Calin's criteria for inflammatory back pain (IBP).

Methods: General practitioners used Calin's criteria for IBP to refer patients younger than 45 years to our early SpA clinic. We obtained the patients' medical history and performed a clinical examination including plain X-rays and magnetic resonance images of all affected areas.

99mTc-apcitide scintigraphy in patients with clinically suspected deep venous thrombosis and pulmonary embolism.

Aim: Detection of acute deep venous thrombosis (DVT) in patients presenting with clinical symptoms suggesting DVT and pulmonary embolism (PE) with (99m)Tc-apcitide, a synthetic polypeptide, binding to glycoprotein IIb/IIIa receptors expressed on activated platelets is the objective of the study.

Materials And Methods: Nineteen patients (11 males, eight females) received within 24h after admission to the hospital a mean of 841 MBq (range 667 to 1,080) (99m)Tc-apcitide i.v.

Acute pulmonary embolism: comparison of standard axial MDCT with paddlewheel technique.

Purpose: The purpose of this study was to evaluate the ability of rotated paddlewheel reformations for the detection of central and peripheral pulmonary embolism (PE) compared to standard axial multi detector CT (MDCT) images.

Material And Methods: CT scans of 35 patients with PE were reviewed by three independent readers for the detection of pulmonary emboli using standard axial CT scans and reformatted paddlewheel technique. All images were evaluated in random order.

Forty-one-month follow-up of the Symmetry aortic connector system for proximal venous anastomosis.

Objective: Results of short- and midterm follow-up studies of the patency rate of the Symmetry aortic connector systems (St Jude Medical, Inc, Minneapolis, Minn) are controversial. Long-term follow-up studies are still lacking (so far, the longest mean follow-up period was 19 months). The aim of our study was (1) to evaluate the patency rate of this device over a longer time-period and (2) to analyze risk factors for graft occlusion.

MDCT angiography of the pulmonary arteries: influence of body weight, body mass index, and scan length on arterial enhancement at different iodine flow rates.

Objective: The purpose of this study was to assess whether body weight, body mass index, and scan length influence arterial enhancement during CT angiography (CTA) of the pulmonary arteries at different iodine flow rates.

Materials And Methods: CTA examinations of the pulmonary arteries performed for routine clinical care of 120 patients between March and December 2003 were retrospectively evaluated. Patients had received either 120 mL of contrast medium with an iodine concentration of 300 mg I/mL (group A) or 90 mL of contrast medium with an iodine concentration of 400 mg I/mL (group B).

Psoriatic arthritis and rheumatoid arthritis: findings in contrast-enhanced MRI.

Objective: Our objective was to define typical MRI findings of the wrist and the hand in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA).

Materials And Methods: Eighteen PsA and 21 RA patients with arthralgia of the wrist or hand joints underwent gadolinium-enhanced MRI of the wrist and hand. Two experienced radiologists interpreted abnormalities in consensus with respect to periarticular soft-tissue swelling, synovitis with or without effusion, periostitis, bone edema, bone erosions, bone cysts, and tenosynovitis.

High-concentration contrast media in multiphasic abdominal multidetector-row computed tomography: effect of increased iodine flow rate on parenchymal and vascular enhancement.

Objective: The purpose of this study was to assess the influence of the iodine flow rate on parenchymal and vascular enhancement during multiphasic abdominal multidetector-row computed tomography (MDCT).

Methods: Fifteen patients underwent MDCT at an iodine flow rate of 1.2 g/s as well as 1.

MDCT angiography of the pulmonary arteries: influence of iodine flow concentration on vessel attenuation and visualization.

Objective: Our objective was to assess the influence of iodine flow concentration on attenuation and visualization of the pulmonary arteries in thoracic MDCT angiography.

Materials And Methods: One hundred consecutive patients who were referred to our department with suspected acute pulmonary embolism underwent MDCT angiography of the pulmonary arteries either with 120 mL of standard contrast medium (300 mg I/mL) (group A) or with 90 mL of high-concentration contrast medium (400 mg I/mL) (group B). The contrast medium was injected at a flow rate of 4 mL/sec.

The 936C>T polymorphism of the gene for vascular endothelial growth factor is associated with 18F-fluorodeoxyglucose uptake.

Background: Positron emission tomography (PET) is a an important technology for detection and staging of breast cancer. The method is based upon assessment of glucose metabolism using the 18F-fluorodeoxyglucose (18F-FDG) as glucose analog. A strong variability of 18F-FDG uptake by breast cancer tissue has been reported, the reason for which is not fully understood but may involve vascular density and integrity.