Hungarian Radiology

[Dilemma of screening for lung cancer]


APRIL 20, 2002

Hungarian Radiology - 2002;76(02)

[Lung cancer still represents one of the greatest and unsolved health problem of the world. The lung cancer mortality rate is the highest among all cancer cases in both genders. While the world is focusing on both primary and secondary prevention, the position of mass screening for lung cancer is complex and controversial, yet. This raises many issues that can only solved by a multidisciplinary approach. This summary is intending to help the radiologists to make the right decision in our modern computerised world. Nowadays one of the most important question is if screening of the high-risk group with low-dose spiral CT is efficient and cost-effective.]



Further articles in this publication

Hungarian Radiology

[Fals diagnosis of a pancreas tumor]

BAGI Róbert, SZABÓ Tünde, DIBUZ Margit, MONOKI Erzsébet

[INTRODUCTION - Stromal tumors of the gastrointestinal tract are rare and the diagnosis is often not straitforward. CASE REPORT - A case of a 75-year-old male patient with a duodenal stromal tumor is presented. The differential diagnosis was difficult, since the mass mimicked a tumor of the pancreatic head. Authors briefly review of the characteristics of gastrointestinal stromal tumors. CONCLUSION - The role of diagnostic imaging in the diagnosis of stromal duodenal tumors is secondary. Correct diagnosis can be established using immunhistological and electromicroscopis studies, only.]

Hungarian Radiology

[Conference of the Young Radiologists]


Hungarian Radiology

[Scientific presentations of pediatric radiology sections of ECR 2002]


Hungarian Radiology

[Serious lesion of the skull]

Hungarian Radiology

[Atypical diaphragmatic herniation causing bowel obstruction]


[INTRODUCTION - A 21-year-old woman presented with iatrogenic diaphragmatic hernia causing bowel obstruction. CASE REPORT - Plain abdominal X-ray and barium swallow examinations showed a diaphragmatic hernia causing partial gastric obstruction. Surgery confirmed the radiological diagnosis. The hernia was located atypically at the centre of the diaphragm. CONCLUSION - The cause of the hernia was probably related to a pyogenic necrosis due to subphrenic abscess after cholecystectomy performed 2 years earlier, treated by drainage and repeated surgical interventions.]

All articles in the issue

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Clinical Neuroscience

[Investigating cognitive impairment in communities of practice – lessons learned]

VAJER Péter, JANCSÓ Zoltán, CSENTERI Orsolya, SZÔLLÔSI Gergô József, ANDRÉKA Péter

[In the “Three Generations for Health” programme, general practitioners were responsible for screening for dementia in their practices using mini-COG and Mini Mental State Examination. The aim was to present the screening results of those included, their assessment by the doctor and the further fate of the patients. After mini-COG test, MMSE test was performed in case of suspected dementia. The examiner categorized the result as abnormal or no abnormal, recorded the referral, and recorded the data in an online interface. Our study is a cross-sectional study; the evolution and distribution of the parameters described in the objectives are described with raw case numbers and proportions. Patients aged 55 years and over were recruited consecutively. Only those cases (29 730) where mini-COG and MMSE test results were available, their assessment by the physician, and referral data to specialist care were analyzed. The Mini-COG test revealed that 64% of the subjects were suspected of cognitive decline. Misclassification occurred in 13 015 cases, with 21% of the Mini-Cog test scores matching cognitive decline and 21% of lesions considered abnormal by GPs. The MMSE test raised the suspicion of dementia in 34% of the sample (10 174 people), with 4 262 (42%) of the participating GPs considering the result abnormal. 11% (2095 people) of people with abnormal Mini-Cog test scores and 17% (1709 people) of people with suspected dementia based on MMSE test scores were referred to specialist care. Our study assessed the practice of detecting cognitive decline in primary health care. The tools adopted for screening for dementia were used by practices, but the assessment of results and referral of suspected cases of dementia to specialist care were below the expected level. There is a need to improve primary care providers’ knowledge of dementia detection and treatment and to strengthen links with specialist care.]

Hypertension and nephrology

[May measurement month: analysis of the Hungarian results of years 2017 and 2019]

NEMCSIK János, PÁLL Dénes, JÁRAI Zoltán

[Cardiovascular (CV) diseases are not only the leading causes of mortality in Hungary, but also the mortality rate is excessively high compared with the average of European Union, so screening programs identifying subjects with elevated blood pressure (BP) is of utmost importance. May Measurement Month (MMM) is an annual global initiative which began in 2017 aimed at raising awareness of high BP. Hungary, through the Hungarian Society of Hypertension has joined the campaign of MMM from the beginning. The results of years 2017 and 2019 are presented in this paper. ]

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[Bottlenecks in primary aldosteronism care – focus on screening and biochemical diagnosis]


[ The primary (hyper) aldosteronism (PA) is a spectral disease forming a continuum from normotensive to cases that warrant adrenalectomy. PA definition is laden with inherent uncertainties. The main paradigm shift in the two new recommendations described below is that no change in medication is recommended before PA screening, to help broaden the scope of screenings. Both continue to be based on suppressed renin activity, but the serum aldosterone threshold has been lowered to increase sensitivity. With this algorithm, however, the proportion of positive screenings is significantly increased, creating another bottleneck, leading to congestion of patients referred to a specialist to perform an additional suppression test.]

Hypertension and nephrology

[Changes in systolic blood pressure in the Hungárián aduit population between 2010 and 2018 based on public health screening data]


[Using our mobile public health screening system, we examined the changes in systolic blood pressure averages and systolic pressure distribution between 2010 and 2018 by analyzing the data of 72,857 women (mean age 42.3±13.9 years) and 61,563 mén (mean age 42.2±13.9 years) in three consecutive time periods. The SBP averages have been gradually and significantly decreased since 2010 in all age groups. The parametric and non-parametric characteristics of the systolic distribution curves alsó showed a favorable change during the indicated period. The observed changes may indicate that the primary and secondary prevention, as well as the treatment of hypertension and the physician-patient cooperation in Hungarywere successful in the indicated period.]

Lege Artis Medicinae

[Five-year results of „Comprehensive Health Screening of Hungary 2010-2020”]

KISS István, BARNA István, DAIKI Tenno, DANKOVICS Gergely

[The „Comprehensive Health Screening of Hungary 2010-2020” have finished the 5th jubilee season. Int he past five year the program was working succesfully as a model for the primer and secondary prevention. The results of comprehensive screening have shown caracteristic picture about the health of population, and many people received education, informations about health protection, prevention and healthy lifestyle. More than 900 places, 7 millions of filled risk queries, 112 000 people’s comprehensive screening and 250 000 counsellings are the summary of activities. Some 200 000 people received the information pack. Significant is the familiar occurence of tumors and cardiovascular diseases, that means 20% of prevalence in test subjects. We are obese, smokers, physically inactive, our health behavior is poor. The improvement of the populational health care activity is among the strategical plans of health politics, and it is badly needed based on the results of MÁESZ Program.]