Hungarian Radiology

[“Magic photos” in Szeged]

GYENES György

OCTOBER 20, 2007

Hungarian Radiology - 2007;81(05-06)

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Hungarian Radiology

[XV. Symposium and Postgradual Training of the Pediatric Radiologists]

KIS Éva

Hungarian Radiology

[Prenatal detection of campomelic dysplasia by sonography]

NAGY Gábor, VRECZENÁR László

[INTRODUCTION - The campomelic dysplasia is a disorder characterized by short and bowed lower limbs resulting in dwarfism. CASE REPORT - In the case of a 21-year-old primipara woman the second screening ultrasonography raised the suspicion of short and bowed lower limbs of the fetus, at the 19th week of the pregnancy. Repeated examinations proved the presence of short and bowed femurs and tibias and abnormal echogenecity of the bones. The upper limbs were almost normal in length. During the 19th week of pregnancy, after a genetic analysis in agreement of the parents the pregnancy was interrupted without any complication. Photography and Xray of the fetus confirmed the diagnosis. CONCLUSION - Fetal ultrasonography should include exact size measurement and observation of the shape of the long bones, making possible the early detection of limb anomalies. The anomaly being proven by positive genetic analysis the pregnancy can be interrupted at the parents' request.]

Hungarian Radiology

[Technical aspects of MR urography based on two cases]

HORVÁTH László, BOGNER Péter, NAGY Gyöngyi, BAJZIK Gábor, VANDULEK Csaba, REPA Imre

[Intravenous urography has been the gold standard in diagnostic radiology studying the urogeintal system. However, ultrasound and other cross-sectional imaging methods have brought major change in this area. Beside modern (multislice) CT examinations the methods of MR urography are more frequently applied making possible both static and dynamic examinations beyond the wellknown advantages of MR imaging. The authors describe two complemetary methods of MR urography which provide a complete evaluation of the urinary system. The first method is aimed to image stationary fluid by using heavily T2 weighted turbo spin echo pulse sequences. This measurement well depicts the dilations of the excretory system even with little or no excretion of urine. The second method is analogous with the traditional IVU, as the excretion of a less nephrotoxic gadolinium based contrast medium followed by a T1 weighted gradient echo pulse sequence (possibly dynamic) helps to visualise the renal cavities and the urinary pathways. Normal renal function is a prerequisite when using this technique in order to visualise normal and obstructed urinary pathway disorders. The use of MR urography together with traditional MR methods may significantly reduce the number of invasive examinations and methods based on X-ray radiation exposure. MR urography may be exceptionally important in the uroradiological study of distensions of renal cavities in pediatric cases, pregnant women and renal transplant patients or in case of contrast material allergy.]

Hungarian Radiology

[Jugulotympanic glomus tumor - 7-year follow up of a rare disease]

SEBŐ Nóra, LÁZÁR István, SZÍGYÁRTÓ Mária, SÍPOS Gyula

[INTRODUCTION - The jugulotympanic glomus tumor is rare pathology with slow progression and its treatment is difficult. We present the imaging and clinical findings of a case obtained during 7 year follow up period. CASE REPORT - A 77-year-old female patient was admitted in 2000 with slowly progressing swelling of the neck. A palpable soft, non-painful resistance was noted at the main neck vessel region. Angiography revealed a jugulo-tympanic glomus tumor and embolization of the feeders from the external carotid artery was also performed. The size of the tumor is decreased but a clinically silent floating thrombus appeared in the internal jugular vein. It was treated with LMWH. Three years later external carotid artery transsection and denudation was performed. Slow progression of the tumor toward the subclavian vein was detected without intracranial invasion, in 2004. Repeated angiography was performed in 2005, but embolization was not possible due to technical reasons. Irradiation was considered to diminsh clinical symptoms, however due to the old age of the patients and the risk of bleeding, the treatment was not performed. Symptomatic therapy has been applied. CONCLUSION - Jugulo-tympanic glomus tumor is one of the non-chromaffin paragangliomas. The clinical symptomps are dominated by the paresis of IX.-X.-XI. nerves. Semimalignant disease and metastases are rare. The course is mostly influenced by compression syndromes and intracranial spread. The therapy is mostly microsurgical but preoperative embolization is frequently done to decrease blood loss. Surgical therapy is recommended with prior embolization of the feeders in order to decrease the blood supply of the mass. If surgery cannot be carried out irradiation therapy is needed. Unfortunately, all of these procedures are seldom curatives because of natural course of the disorder and the high frequency of recurrencies.]

Hungarian Radiology

[Professor Mózes Péter was awarded professor emeritus title]

LOMBAY Béla

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[Aim of the study: The research aims to map the opinions of nurses working on transplantation wards about the preparedness of laic people in relation to the theme of organ donation. In addition, we wanted to examine whether nurses give preference to religious beliefs and ethical principles against legal regulation. We also wondered whether nurses working on transplantation wards would offer their own organs. Materials and methods: The descriptive study was conducted among transplant nurses in Budapest, Szeged and Pécs, using a self-constructed questionnaire. Our results were obtained using a Pearson’s Chi-square test (all statistically significant levels were set at P<0.05), as well as using the one sample t-test. Results: The total sample size was 37. According to nurses, the laic population does not have the sufficient knowledge about the current legal rules. Nurses are positively committed to offering their own organs for a possible donation. In relation to organ donation, nurses prefer the religious and ethical principles against legal rules. Conclusions: The laic population is not fully aware of organ donation, which puts the success of organ donation at risk. It would worth to involve transplant nurses into the education of the laic population to improve the general acceptance of organ donation who work in transplantation fields and who do donor care, so laics would be more accepting and less conflict would occur, supposedly more organ transplants would occur.]

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