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1.
Radiologie (Heidelb) ; 64(5): 366-372, 2024 May.
Artículo en Alemán | MEDLINE | ID: mdl-38587632

RESUMEN

STANDARD RADIOLOGICAL METHODS: Fetal: Ultrasound and magnetic resonance imaging (MRI); postnatal: conventional X­ray diagnostics, computed tomography (CT) and MRI. METHODICAL INNOVATIONS: MRI-based lung ventilation and perfusion measurement. PRACTICAL RECOMMENDATIONS: Lifelong follow-up care should be provided, in which radiology is part of the treatment team.


Asunto(s)
Hernias Diafragmáticas Congénitas , Femenino , Humanos , Recién Nacido , Masculino , Embarazo , Cuidados Posteriores , Hernias Diafragmáticas Congénitas/diagnóstico por imagen , Hernias Diafragmáticas Congénitas/cirugía , Imagen por Resonancia Magnética/métodos , Tomografía Computarizada por Rayos X/métodos , Ultrasonografía Prenatal/métodos
2.
Radiologie (Heidelb) ; 63(10): 729-735, 2023 Oct.
Artículo en Alemán | MEDLINE | ID: mdl-37407747

RESUMEN

CLINICAL/METHODICAL ISSUE: Differentiating between septic arthritis and transient synovitis can be challenging but is very important as a late diagnosis of septic arthritis can lead to sepsis and joint damage. For correct diagnosis and prediction of complications, the right combination of physical examination, laboratory and radiological studies is needed. STANDARD RADIOLOGICAL METHODS: Hip ultrasound is easy to learn and has a high sensitivity for joint effusion. Faster diagnosis and therapy are possible due to increasing use of ultrasound. Magnetic resonance imaging (MRI) is primarily used to rule out co-infections (osteomyelitis, pyomyositis) and differential diagnoses. X­ray is typically nonremarkable in septic arthritis. PRACTICAL RECOMMENDATIONS: Routine use of ultrasound in nontraumatic pediatric hip pain. Generous use of MRI in case of elevated inflammatory markers or inconclusive clinical findings. Using only few sequences may be appropriate to avoid sedation, primarily fluid sensitive sequences (fat-saturated T2, TIRM, STIR), in case of positive findings, accompanied by T1-weighted images.


Asunto(s)
Artritis Infecciosa , Sinovitis , Niño , Humanos , Articulación de la Cadera/diagnóstico por imagen , Articulación de la Cadera/patología , Sinovitis/diagnóstico por imagen , Sinovitis/patología , Artritis Infecciosa/diagnóstico por imagen , Artritis Infecciosa/patología , Cadera/patología , Radiografía
3.
Radiologie (Heidelb) ; 63(4): 275-283, 2023 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-36811691

RESUMEN

CLINICAL/METHODOLOGICAL ISSUE: Due to active participation of children and adolescents in school sports as well as in club sports, sporting injuries in childhood are common. Because skeletal maturity is not yet complete, injury patterns in children differ from sporting injuries in adults. Knowledge of the pathophysiologic characteristics, as well as knowledge of typical injury sequelae, is of great relevance to radiologists. This review article therefore deals with common acute and chronic sporting injuries in children. STANDARD RADIOLOGICAL METHODS: Basic diagnostic imaging comprises conventional X­ray imaging in two planes. In addition, sonography, magnetic resonance imaging (MRI) and computed tomography (CT) are used. PRACTICAL RECOMMENDATIONS: Close consultation with clinical colleagues and knowledge of childhood-specific injuries help identify sports-associated trauma sequelae.


Asunto(s)
Traumatismos en Atletas , Deportes , Adulto , Humanos , Niño , Adolescente , Traumatismos en Atletas/diagnóstico por imagen , Traumatismos en Atletas/etiología , Imagen por Resonancia Magnética
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