Hungarian Radiology

[NEWS]

NAGY Gyöngyi

JUNE 20, 2002

Hungarian Radiology - 2002;76(03)

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Hungarian Radiology

[NEWS]

PALKÓ András

Hungarian Radiology

[Ogilvie’s syndrome associated with excretory urography]

SZÁNTÓ Dezső, SZŰCS Gabriella

[INTRODUCTION - The Ogilvie's syndrome is a disturbance of colonic innervation with parasympathic overreaction was assumed to be cause of large bowel segment spasm and poststenotic accumulation of gas. There is no distention in small intestine. CASE REPORT - In case of a 15 years old male during excretory urography six minutes after the administration of contrast material infusion Ogilvie's syndrome had occured. On 6, 12 and 18 min. abdominal plain film were demonstrated the acute spasm and poststenotic large bowel distention by air lumenogram phenomenon in the kidneys ambilateral renal tuberculosis by the whitening-like contrast opacity arising from centre calyx (pyelotubular reflux) in right side and by clubbing of calyces in left side (daisy flower sign). Not involved the small intestine. The colonic spasm and accumulation of gas lasted approximately 6 hours and ceased without medical aid. CONCLUSION - The Ogilvie's syndrome accompanying excretory urography is a toxic effect attributing to transient injury of peripheric neures and neurovisceral synapses.]

Hungarian Radiology

[MR-guided ultrasound surgery]

JÓLESZ Ferenc A., BÉRCZI Viktor, HÜTTL Kálmán, REPA Imre, KULLERVO Hynynen

[The powerful union of focused ultrasound surgery and magnetic resonance imaging has created a new approach to noninvasive surgery. Using this integrated therapy delivery system the physician can achieve correct localisation of tumors, optimal targeting of acoustic energy, real time monitoring of energy deposition, and the means to accurately control the deposited thermal dose within the entire tumor volume. The advantages of MRI over ultrasound guidance in controlling focused ultrasound surgery lie in the more sensitive detection of tumor target, the real time detection of tissue temperature, and the confirmation of thermally-induced tissue changes - powerful features that eventually can replace the traditional surgical approach. Applying software that connects the therapy and imaging system, the physician can generate an entire plan from quantifying temperature changes to positioning the therapy transducer. The non-invasive debulking of tumors without disturbing adjacent, functionally intact structures is thereby accomplished. Ongoing clinical trials involving the treatment of breast fibroadenoma, localized breast cancers, and uterine fibroids have been most encouraging. But nowhere has the application of MRI-guided focused ultrasound surgery been more compelling than in brain, where not only tumor treatment is possible but also the focal, transient, reversible breakdown of the blood-brain-barrier. The implications of this mechanism for targeted intra-cerebral tumor therapy or other non-oncologic applications are clearly enormous. In addition to tumor treatment, MRI-guided focused ultrasound surgery has other potential clinical applications such as vascular occlusion, targeted drug delivery, and targeted gene therapy. FUS is not a new idea but the emergence of MRI based guidance has accelerated the progres of focused ultrasound surgery technology, certain weaknesses remain including excessively long treatment times, body and organ motion, and difficulties in finding acoustic windows at certain anatomic locations. Nevertheless, the successful clinical implementations of this method is already in progress.]

Hungarian Radiology

[Chondrodysplasia punctata - retrospective diagnosis]

K. Kozlowski, P. Beighton, J. Godlonton

[A 10 year-old, mentally normal boy with flat face, skin abnormalities, contracture of Achilles and knee tendons, strabismus and unique bony abnormalities is reported. The characteristics of skin changes and pattern of bony abnormalities allowed the retrospective diagnosis of atypical form of chondrodysplasia punctata.]

Hungarian Radiology

[CALENDAR OF RADIOLOGICAL EVENTS, 2002]

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[OBJECTIVE - Since the 60’s several publications dealt with the phenomenon how physicians inform parents of newborns about postnatal recognition of Down’s syndrome and the support they receive right after breaking the bad news. Howe - ver, the rest of these studies concentrated on surveying parental satisfaction, while relatively few international studies deal with the other side of the communicational situation, the opinion of the informer. Our study focused on the circumstances of parental information in Hungarian institutions of obstetrics in order to evaluate the possibilities for interventions. METHODS - The Down’s team operating at the University of Pécs Faculty of Health Sciences carried out a national survey in 2005 - an interview-based questionnaire filled by physicians of institutions of obstetrics - with the help of the National Register for Congenital Diseases of the National Centre for Epidemiology and Down’s Foun dation. RESULTS - The coverage of the survey reached 74%. Rest of the surveyed institutions did not have information protocol, however, 70% of them believes it would be necessary. Only 44% of the physicians received communication training and 81% of them believe they can manage communication, 33% have felt that the mother of a newborn with Down’s syndrome would expect special help that the institutions are unable to provide. CONCLUSION - There are serious problems with the circumstances of parental informing in Hungarian institutions of obstetrics. This situation would obviously require intervention. An aimed communicational training based on international experience and exploiting the openness of physicians, as well as the establishment of information protocol could be elements of such intervention.]

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[The aim of the study: To investigate the circumstances of breaking bad news by health care professionals and the conditions of communication at the Ophthalmology Clinic of the University of Pécs, among diabetic retinopathy patients. Material and method: Quantitative and cross-sectional examination, February-December 2018. Statistical methods: descriptive and mathematical statistics (χ2-test), SPSSv22, (p<0,05). Results: Most of the examined medical professionals working at the clinic (20 persons/90.90%) can’t be supported by a protocol for breaking bad news, however, the need for a protocol is formulated as more than half of the respondents (11 persons/59.09%). Conclusions: Health care professionals would need to develop a protocol to break bad news in health care institutions, also in the Clinic of Ophthalmology, furthermore, attention should be paid to improving the circumstances during providing information to patients.]