Hungarian Radiology

[Open letter to the Hungarian radiologists]


OCTOBER 15, 2010

Hungarian Radiology - 2010;84(03)



Further articles in this publication

Hungarian Radiology

[Our future]


Hungarian Radiology

[Emergency imaging in pregnant women]

BORBÉLY Krisztina, KATHIA Chaumoître, FORRAI Gábor

[The use of adequate imaging protocol reduces morbidity and mortality in emergency cases of pregnant women. The least harmful, but sufficiently informative imaging method should be chosen that provides us with the diagnosis in the shortest delay. Although the reduction of harmful effects is important, life threatening complications can be avoided by an indicated and well effectuated imaging method using ionizing radiation.]

Hungarian Radiology

[Pulmonary abnormalities in haematological malignancies - The role of imaging in differential]

GYŐRI Gabriella, MAGYAR Péter, KOVÁCS Balázs, BÉRCZI Viktor, BALASSA Katalin, DEMETER Judit

[Patients with hematological malignancies may develop a wide range of pulmonary abnormalities due to the hematological disease itself as well as in response to therapy. Immunosuppression and intensive chemotherapy induced severe neutropenia hold a high risk of infection. Infectionrelated morbidity and mortality are still high. One of the most common infectious complications is invasive mycosis, which is lethal in a high percentage of cases if not treated immediately and adequately. Non-infectious complications, such as secondary pulmonary lymphoma, thromboembolism, hemorrhage or drug induced fibrosis may develop during the course of the disease. Sometimes it is difficult to make a definitive diagnosis. As invasive methods (bronchoscopy, bronchoalveolar lavage, biopsy) are mostly contraindicated in these patients with severe neutropenia and thrombocytopenia, imaging techniques are especially important. It is a great challenge to differentiate infectious and noninfectious processes. CT and HRCT play an essential role in differential diagnosis. An early and accurate diagnosis is sometimes the only chance for survival.]

Hungarian Radiology

[Differential diagnosis of malignant cervical lymph nodes with real-time ultrasonographic elastography and Doppler ultrasonography]

ARDA Kemal, CILEDAG Nazan, GUMUSDAG Demir Pelin

[PURPOSE - Real-time ultrasonographic elastography is a new imaging technique which is used in characterizing the difference in hardness between pathologic and normal tissue. The purpose of our study was to evaluate the diagnostic performance of real-time ultrasonographic elastography and Doppler ultrasonography (DUS) individually and combined in differentiation of benign and malignant cervical lymph nodes (LN). PATIENTS AND METHODS - Fifty-one patients (12 men, 39 women) referred for fine-needle aspiration or surgical biopsies of suspected cervical lymph nodes were examined with gray scale ultrasonography, power DUS, and realtime ultrasonographic elastography. During DUS examination vascularity and resistance index (RI) values were evaluated. A five-group elastographic colour code pattern was used to evaluate the ultrasonographic elastograms for LN (pattern 1, an absent or a very small hard area; pattern 2, hard area <45%; pattern 3, hard area ≥45%; pattern 4, peripheral hard and central soft areas; pattern 5, hard area occupying entire solid component with or without soft rim). In addition, strains of LN and surrounding muscles were measured on elastograms, and the muscle-to-LN ratio (strain index) was calculated. Real-time ultrasonographic elastography and DUS results were compared with the final diagnosis obtained by fine-needle aspiration cytology analysis and/or by surgical pathology. The diagnostic potential of the examined criteria for malignancy was evaluated with univariate analysis and multivariate generalized estimating equation regression p≤0.05 indicated statistical significance. RESULTS - A strain index higher than 2.45 and colour pattern 4-5 had high utility in malignant LN classification with 93.8% sensitivity, 89.5% specificity (p<0.001). The results were significantly better than those obtained by using DUS characterization - that is, RI greater than 0.57 - which had 78.9% sensitivity (p<0.001). CONCLUSION - Real-time ultrasonographic elastography had 93.8% sensitivity and 89.5% specificity in the differentiation of benign and malignant cervical LN in patients referred for fine-needle aspiration or surgical biopsies with suspicion of malignancy. Real-time ultrasonographic elastography and DUS in addition to gray scale ultrasonography may improve the differential diagnosis of LN.]

Hungarian Radiology

[Interdisciplinary mummy research - Paleoradiology and paleopathology research of the Archbishop of Kalocsa Pál Széchényi’s mummy]

KRISTÓF Lilla Alida, POHÁRNOK László, KERÉNYI Tibor, TÓTH Vilmos, ISTÓK Roland, HARGITTAI Péter, FORNET Béla, PAP Ildikó, PÁLFI György

[Purpose - The scientific study of Pál Széchényi’s mummy was carried out by our research team composed of the members of several institutions in 2007 April. The scientific examinations represented a milestone, since up till now it was unclear whether it was a natural or artificial mummy and the century-old question whether Pál Széchényi was in fact a victim of arsenic poisoning in 1710 or it was only a legend could also be answered. Methods - The non-invasive examinations were carried out with multislice CT, traditional X-ray, biopsy, toxicology, energy-dispersive X-ray, X-ray fluorescens analysis, 3D optical digitalization indicator system, endoscope and 3D rapid-prototyping printing. Results - The examinations proved that Archbishop Pál Széchényi’s death was natural, and his body was artificially mummified. The CT examinations were carried out in a slice thickness of under 1 mm facilitating printed skull copy made by 3D rapid-prototyping method which provided the exact and detailed basis for the facial reconstruction.]

All articles in the issue

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Clinical Neuroscience

[The Comprehensive Aphasia Test in Hungarian]


[In this paper we present the Comprehensive Aphasia Test-Hungarian (CAT-H; Zakariás and Lukács, in preparation), an assessment tool newly adapted to Hungarian, currently under standardisation. The test is suitable for the assessment of an acquired language disorder, post-stroke aphasia. The aims of this paper are to present 1) the main characteristics of the test, its areas of application, and the process of the Hungarian adaptation and standardisation, 2) the first results from a sample of Hungarian people with aphasia and healthy controls. Ninety-nine people with aphasia, mostly with unilateral, left hemisphere stroke, and 19 neurologically intact control participants were administered the CAT-H. In addition, we developed a questionnaire assessing demographic and clinical information. The CAT-H consists of two parts, a Cognitive Screening Test and a Language Test. People with aphasia performed significantly worse than the control group in all language and almost all cognitive subtests of the CAT-H. Consistent with our expectations, the control group performed close to ceiling in all subtests, whereas people with aphasia exhibited great individual variability both in the language and the cognitive subtests. In addition, we found that age, time post-onset, and type of stroke were associated with cognitive and linguistic abilities measured by the CAT-H. Our results and our experiences clearly show that the CAT-H provides a comprehensive profile of a person’s impaired and intact language abilities and can be used to monitor language recovery as well as to screen for basic cognitive deficits in aphasia. We hope that the CAT-H will be a unique resource for rehabilitation professionals and aphasia researchers in aphasia assessment and diagnostics in Hungary. ]

Lege Artis Medicinae

[Thiazide- or thiazide-like diuretics should be used in the treatment of patients with hypertension? Particularities of the situation in Hungary]


[Diuretics have remained the cornerstone of the antihypertensive treatment since their widespreading in the 1960s. According to the 2018 ESC/ESH Guidelines for the management of arterial hypertension, in the absence of evidence from direct comparator trials and recognizing that many of the approved single-pill combinations are based on hydrochlorothiazide, this drug and thiazide-like indapamide can be considered suitable antihypertensive agents. In the 2018 Hungarian guidelines indapamide is named as the most efficacious diuretic in the treatment of patients with hypertension. The aim of the publication is redefining thiazide- and thiazide-like diuretic use in the treatment of hypertensive patients, with particular attention to presently available hydrochlorothia­zide and indapamide, and their combination drugs in Hungary.]

Lege Artis Medicinae

[LAM 30: 1990–2020. Facing the mirror: Three decades of LAM, the Hungarian medicine and health care system]


Lege Artis Medicinae

[Focus on Lege Artis Medicinae (LAM)]

VASAS Lívia, GEGES József

[Three decades ago, LAM was launched with the goal of providing scientific information about medicine and its frontiers. From the very beginning, LAM has also concerned a special subject area while connecting medicine with the world of art. In the palette of medical articles, it remained a special feature to this day. The analysis of the history of LAM to date was performed using internationally accepted publication guidelines and scientific databases as a pledge of objectivity. We examined the practice of LAM if it meets the main criteria, the professional expectations of our days, when publishing contents of the traditional printed edition and its electronic version. We explored the visibility of articles in the largest bibliographic and scientific metric databases, and reviewed the LAM's place among the Hun­ga­rian professional journals. Our results show that in recent years LAM has gained international reputation des­pite publishing in Hungarian spoken by a few people. This is due to articles with foreign co-authors as well as references to LAM in articles written exclusively by foreign researchers. The journal is of course full readable in the Hungarian bibliographic databases, and its popularity is among the leading ones. The great virtue of the journal is the wide spectrum of the authors' affiliation, with which they cover almost completely the Hungarian health care institutional sys­tem. The special feature of its columns is enhanced by the publication of writings on art, which may increase Hungarian and foreign interest like that of medical articles.]

Lege Artis Medicinae

[A short chronicle of three decades ]


[Hungarian professional periodicals started quite late in European context. Their publish­ing, editing and editorial philosophy were equally influenced by specific historical and political situations. Certain breaking points of history resulted in termina­tion of professional journals (War of In­de­pendence 1848-1849, First and Se­cond World Wars), however there were pe­riods, which instigated the progress of sciences and founding of new scientific journals. Both trends were apparent in years after the fall of former Hungarian regime in 1990. The structure of book and journal publishing has changed substantially, some publishers fell “victim” others started successfully as well. The latters include the then-established publishing house Literatura Medica and its own scientific journal, Lege Artis Me­di­cinae (according to its subtitle: New Hun­garian Medical Herald) issued first in 1990. Its appearance enhanced significantly the medical press market. Its scientific publications compete with articles of the well-established domestic medical journals however its philosophy set brand-new trends on the market. Concerning the medical community, it takes on its problems and provides a forum for them. These problems are emerging questions in health care, economy and prevention, in close interrelation with system of public health institutions, infrastructure and situation of those providing individual health services. In all of them, Lege Artis Medicinae follows consequently the ideas of traditional social medicine.]