Hungarian Radiology

[EXTENDED BOARD MEETING OF THE SOCIETY OF HUNGARIAN RADIOLOGISTS]

NAGY Gyöngyi

DECEMBER 20, 2002

Hungarian Radiology - 2002;76(06)

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Hungarian Radiology

[CALENDAR OF RADIOLOGICAL EVENTS 2003]

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[Foreign body in the urinary bladder causing diagnostic problem]

LADÁNYI Erzsébet, FEKETE Márta

Hungarian Radiology

[Regulation of the diagnostic ultrasound practice]

HORVÁTH László, PALKÓ András, HARKÁNYI Zoltán

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[Craniometry using conventional radiographs]

FEHÉRVÁRI Szabolcs

[I measured the length, width and height of the skull’s hole on standard two-direction radiographs. From these data the volume of the skull's hole can be calculated with high accuracy. I used for calculation the modified formula of sonographic determination of prostate size. Using this measurement method in 1.000 adults (500 male and 500 female) the average skull's hole volume was 1.492 cubic centimetres. In 100 children of 6-7 years (50 boys and 50 girls) average skull's hole volume was 1.423 cubic centimetres.]

Hungarian Radiology

[The value and the risk of X-ray studies in case of infants and children]

WEISENBACH János, TÓTH Áron, KHEZRI Seddiq

[INTRODUCTION - Nowadays the question of roentgenological examination's quantity and indications are getting more and more relevant and debated because of their riskbenefit factors. The authors did not find any publication in the Hungarian literature that carefully studied and measured the amount of radiation doses that are involved in patient's examinations concerning their diagnostic values. PATIENTS AND METHODS - 6094 roentgenological examination's indications and the radiation doses used were studied by the authors at the Department of Paediatrics of Pécs University. The data were analyzed from the examinations of chest, skull and limbs as conventional techniques, urological examinations e.g cystourethrography and intravenous urography, and the CT examinations done during 1999. The results were analysed concerning their effective diagnostic values. Conclusions were based on the results of 6094 examinations. RESULTS - 1591 chest X-ray examinations were performed due to the suspicion of infection. A high proportion of these examinations was negative (345) and 862 showed bronchitis. Similarly in traumatological skull X-ray examinations 225 of 343 were negative. One third of cystourethrographic examinations were also negative. In the case of intravenous urography the number of examinations done was low (30) and the results of those were of great value. CONCLUSION - Based on our results, the chest X-ray examinations with the indication of pneumonia and the traumatological cases of skull and limbs, the patients should be examined more carefully clinically before considering roentgenogical examinations in order to reduce the abundant examples of radiation induction.]

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[The majority of patients with advanced Parkinson’s disease are treated at specialized movement disorder centers. Currently, there is no clear consensus on how to define the stages of Parkinson’s disease; the proportion of Parkinson’s patients with advanced Parkinson’s disease, the referral process, and the clinical features used to characterize advanced Parkinson’s disease are not well delineated. The primary objective of this observational study was to evaluate the proportion of Parkinson’s patients identified as advanced patients according to physician’s judgment in all participating movement disorder centers across the study. Here we evaluate the Hungarian subset of the participating patients. The study was conducted in a cross-sectional, non-interventional, multi-country, multi-center format in 18 countries. Data were collected during a single patient visit. Current Parkinson’s disease status was assessed with Unified Parkinson’s Disease Rating Scale (UPDRS) parts II, III, IV, and V (modified Hoehn and Yahr staging). Non-motor symptoms were assessed using the PD Non-motor Symptoms Scale (NMSS); quality of life was assessed with the PD 8-item Quality-of-Life Questionnaire (PDQ-8). Parkinson’s disease was classified as advanced versus non-advanced based on physician assessment and on questions developed by the Delphi method. Overall, 2627 patients with Parkinson’s disease from 126 sites were documented. In Hungary, 100 patients with Parkinson’s disease were documented in four movement disorder centers, and, according to the physician assessment, 50% of these patients had advanced Parkinson’s disease. Their mean scores showed significantly higher impairment in those with, versus without advanced Parkinson’s disease: UPDRS II (14.1 vs. 9.2), UPDRS IV Q32 (1.1 vs. 0.0) and Q39 (1.1 vs. 0.5), UPDRS V (2.8 vs. 2.0) and PDQ-8 (29.1 vs. 18.9). Physicians in Hungarian movement disorder centers assessed that half of the Parkinson’s patients had advanced disease, with worse motor and non-motor symptom severity and worse QoL than those without advanced Parkinson’s disease. Despite being classified as eligible for invasive/device-aided treatment, that treatment had not been initiated in 25% of these patients.]

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