Hungarian Radiology - 2004;78(04)

Hungarian Radiology

AUGUST 20, 2004

Hungarian Radiology

AUGUST 20, 2004

[Recent results of breast diagnostics - Onco update 2004]

FORRAI Gábor

[The purpose of this overview is to demonstrate the recent results of breast diagnostics and the place of the imaging and interventional methods. Review of the most recent articles (September 2002- December 2003) in the following subjects: breast screening, digital mammography, computer assisted diagnosis, breast ultrasound, breast MRI, scintimammography, positron emission tomography, guided biopsies, other interventions, new diagnostical methods, percutaneous tumour ablation. Experiences about breast diagnostic methods are accumulating year-to-year rapidly. Therefore the current examination algorithm is changing continuously. New diagnostic and therapeutic modalities are entering in the daily routine. These are the reasons why the up-to-date knowledge of the literature is mandatory.]

Hungarian Radiology

AUGUST 20, 2004

[Diagnostic difficulties of pancreatic rupture caused by blunt abdominal trauma]

WENINGER Csaba, ROSTÁS Tamás, MORÓ Zsuzsanna, GERSEI Emma

[INTRODUCTION - The aim of this study was to analyze the radiological observations of four cases of pancreatic fracture caused by blunt abdominal trauma. PATIENTS AND METHOD - The authors diagnosed pancreatic transection in four patient during a 4-year period. The patients were examined with spiral CT. Two children suffered pancreatic injury caused by blunt abdominal trauma (7,5 and 13 years old) and two adult men (40 and 35 years old). RESULTS - The abdominal ultrasound examination was not diagnostic regarding to pancreatic injury, but depicted free abdominal fluid and associated injuries of other organs. The pancreatic fracture was diagnosed only in one case at the first abdominal CT. The examiner failed to recognize the pancreatic transection in two cases at the initial CT. A pseudocyst was diagnosed by the examiner correctly in the 4th case, depicted earlier with US some weeks after the blunt abdominal trauma, but the pancreatic rupture was seen during reviewing of the CT scans, only. CONCLUSION - The recognition of pancreatic injury is difficult but very important, because it requires surgical intervention. In the literature, spiral CT considered as the best imaging technique in the evaluation of pancreatic injury. The radiologist has to think about the traumatic injury of pancreas also and know the signs of pancreatic fracture.]

Hungarian Radiology

AUGUST 20, 2004

[Echogenic changes of liver hemangioma during follow up ultrasound examinations]

JUHAROS Ágota

[INTRODUCTION - Toxic damage of the liver has a characteristic echogenicity. In case of recovery the echogenicity of the hemangioma can change significantly. CASE REPORT - A middle age alcoholic male patient was admitted because of liver hemangioma. The diagnosis was proved by CT and MRI examination. Follow up ultrasonography showed an increased echogenicity of the hemangioma after the introduction of the diet and echogenicity decreased after the relapse. CONCLUSION - Observation of the echogenic changes may have a significant role in the differential diagnosis and we suggest to use the term of ’echogenic inversion’ for this phenomenon.]

Hungarian Radiology

AUGUST 20, 2004

[Osteogenesis imperfecta and spondylo-costal dysplasia in a male child]

MARIKOVA Olga, IVO Marik, KAZIMIERZ Kozlowski

[INTRODUCTION - Co-existence of osteogenesis imperfecta with another bone dysplasia is rare. That of osteogenesis imperfecta and spondylo-costal dysplasia has not yet been reported. CASE REPORT - The authors present a 13 year-old boy. He was disproportionate with shortening of the upper segment, and the upper and lower extremities, and he had dysmorphic face. His parents were healthy. Radiographs revealed osteogenesis imperfecta and spondylocostal dysplasia. CONCLUSION - Patients with two bone dysplasias have a much worse prognosis. Superimposition of any skeletal dysplasia on abnormal osteogenesis enhances the disposition to deformities and fractures.]

Hungarian Radiology

AUGUST 20, 2004

Hungarian Radiology

AUGUST 20, 2004