Hungarian Radiology

[Imaging studies of gynecological tumor staging]


DECEMBER 20, 2004

Hungarian Radiology - 2004;78(06)

[The imaging staging follows the surgical FIGO staging system in the classification of gynecological carcinomas taking into account the extent of tumor invasion and lymphnode involvement. The most important prognostic factors which influence treatment are the presence of invasive disease and lymphnode metastasis. Imaging techniques for evaluation of gynecological tumor staging are: abdominal and transvaginal ultrasound, computed tomography and magnetic resonance imaging. Transabdominal ultrasound is not a reliable staging modality for gynecological tumors. Computed tomography is useful in the advanced III and IV stages of diseases, but differentiation between stages I and II is difficult. Magnetic resonance imaging showed excellent diagnostic accuracy in determining adnex masses, in the assessment of cervical as well as endometrial and ovarian cancer extension. Magnetic resonance imaging is superior in comparison to computed tomography and ultrasound, in both early and advanced stage disease. Evaluation of lymph-node involvement using computed tomography and magnetic resonance imaging rely only size criteria, which is not reliable indicator of tumor involvement.]



Further articles in this publication

Hungarian Radiology

[Recent advances in the radiology of colon cancer - Onco Update 2004]


[The recent literature of colon cancer imaging, colonic stenting and the interventional treatment of colorectal liver metastases is overviewed. The introduction of virtual colonoscopy in the diagnosis of colon cancer drew attention in the last years and it is one of the most rapidly developing method. Several new publications was published about CT and MR colonography in the past one and half year. Nowadays, beside the double contrast barium enema and the colonoscopy (as gold standard), CT and MR colonography plays more and more important role. These methods can be applied only with multislice CT and modern MR machines equipped with appropriate softwares. Since these equipments are available only in limited number in Hungary, these methods has not been used in the daily practice. Development of interventional methods, like stenting of obstructive colon tumor and the percutaneous and intraarterial interventional treatment of colorectal metastases play more and more important role in the therapy, as indicated in the literature.]

Hungarian Radiology

[Digital radiology in Europe - radiology in digital Europe]

BARTA H. Miklós, FORRAI Gábor, PALKÓ András

Hungarian Radiology

[Melorheostosis Uncommon appearances]


[INTRODUCTION - Melorheostosis is a rare but well publicised disease. About 320 cases were reported up to 1994. The incidence is estimated 0.9 cases per million. CASE REPORT - We report a 40 year-old man diagnosed with severe melorheostosis and unusual radiographic appearances. No dripping candle wax cortical thickening was present. All the long bones of the upper extremities showed extensive periosteal and endosteal hyperostosis with extension of the changes into the hands and shoulder girdle. Osteosclerosis was present at both sides of the right sacro-iliac joint. There was also hypoplasia of the scapulae, distal ulnae, carpal bones and the left thumb. Distinctive features of the clinical history were that the disease was of prenatal origin. The lower extremities were normal and in spite of extensive bone and soft tissue changes in the upper extremities this patient never experienced pain - a prominent feature of adult melorheostosis. CONCLUSION - Melorheostosis is a rare disorder, diagnosis of which can be made from clinical presentation and radiographs. In case of atypical melorheostosis, the lower extremities may be found to be normal on radiographs. The presentation may be painless.]

Hungarian Radiology

[Meeting of the Hungarian College of Radiologists]

PALKÓ András, FORRAI Gábor

Hungarian Radiology

[Loránd Fráter - A president without position; Professor Eberhard Willich is 85 years old; My memories on Hungarians]


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Marchiafava-Bignami disease: Report of three cases

GUNAY Gul, MESUDE Özerden, ZEYNEP Ozdemir, CAHIT Keskinkiliç, HAKAN Selçuk, BATUHAN Kara, AYSUN Soysal

Marchiafava-Bignami disease (MBD) is a rare alcohol-associated disorder characterized by demyelination and necrosis of the corpus callosum. We report three patients who had history of chronic alcoholism, different clinical presentation and MRI findings consistent with the diagnosis of Marchiafava-Bignami disease.

Hungarian Radiology

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LÓRÁND Ágnes, HARKÁNYI Zoltán, LOVAS Györgyi, HÉJJ Ildikó

[The basic examination of the pediatric pelvic organs is the transabdominal ultrasound which provides useful information about the anatomy and the pathological changes and in the vast majority of cases it is sufficient for treatment planning and to establish the diagnosis. Additional examinations are needed in case of complex developmental anomalies, in suspition of tumor, in staging and follow up examinations of tumors. Among the modern imaging methods the use of CT and MRI can be considered. The authors described the most frequent diseases in their practice and gave a brief overview on anatomical and physiological basics which is necessary for the exact interpretation of the examinations.]

Hungarian Radiology

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Incidental intracranial lipomas: Assessment of 163 patients


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Lege Artis Medicinae



[It was during the last 15 years when justified by clinical studies the sensitivity/resistance to anticancer chemotherapy was included in the setting of the prognostic factors of the ovarian cancer, while demonstrating a stronger correlation with the outcome than those factors known before. Remission and duration of remission after first-line chemotherapy are the two important components of sensitivity and their combinations measure its grade in a semi-quantitative manner. The chemotherapy sensitivity/resistance approach is based on the observations on ovarian cancer patients treated with platinum based chemotherapy. This agent in repeated adminstrations during the whole course of the disease is still a decisive component of the ovarian cancer chemotherapy. As a consequence there is always “a platinum-free interval”. The prolongation of this platinum-free interval with non-platinum chemotherapy has the potencial of increasing the remission and survival by platinum reinduction administered in the third-line of chemotherapy. In spite of the facts mentioned above, there are centers which prefer the early re-administration of taxan/platinum combination to the prolongation of platinum- free interval and expose their patients to an elevated risk of cumulative, in the first-line non-haematological toxicity.The neurotoxicity can deteriorate the quality of life and the parenchymal laesion of kidneys can prevent further chemotherpy.]