Abstract:
:In acute nonvariceal gastrointestinal (GI) bleeding, immediate arteriographic haemostasis is presently assumed to be a therapeutic advantage. This study assesses whether the risk of a delayed haemostasis, caused by arteriographic findings precluding embolization, might influence patient outcome. We performed a 5.5-year retrospective database search to find all patients referred for arteriography to arrest acute nonvariceal GI bleeding with embolization. The embolized and nonembolized patients were compared for differences in baseline characteristics and bleeding parameters. In both groups the outcome of all endoscopic or surgical interventions after catheterization was included in the follow-up. Clinical success (at 30 days, after all therapy) and in-hospital mortality in the embolized and nonembolized group were compared. We retrieved 63 nonembolized bleedings in 58 patients and 49 embolized bleedings in 49 patients. In the nonembolized group, transfusion need and haemodynamic instability were significantly less severe. Forty-two of 63 (66%) nonembolized bleedings persisted requiring haemostasis by surgery (n=23), endoscopy (n=13) or supportive transfusions. Thirteen of 49 (27%) embolized bleedings recurred and were managed by surgery (n=7), endoscopy (n=3) or transfusion. Overall clinical success rate was 88.9% (56 of 63) in the nonembolized and 87.8% (43 of 49) in the embolized group. Mortality rate was 17.2% (10 of 58) in the nonembolized vs 30.6% (15 of 49) in the embolized patients (P=0.115). Whether or not arteriographic findings afforded the opportunity to embolize, outcome of acute nonvariceal GI bleeding did not differ significantly; however, patients undergoing embolization were more critically bleeding and ill.
journal_name
Eur Radioljournal_title
European radiologyauthors
Defreyne L,Vanlangenhove P,Decruyenaere J,Van Maele G,De Vos M,Troisi R,Pattyn Pdoi
10.1007/s00330-003-1882-zsubject
Has Abstractpub_date
2003-12-01 00:00:00pages
2604-14issue
12eissn
0938-7994issn
1432-1084journal_volume
13pub_type
杂志文章abstract:OBJECTIVES:To compare treatment outcomes of subcentimeter hypervascular nodules at high risk for developing into hepatocellular carcinomas (SHNHR) between early treatment and watchful waiting until progression to overt hepatocellular carcinoma (HCC) groups. METHODS:SHNHRs were defined as subcentimeter hypervascular no...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-4818-8
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVES:To determine whether there is a difference in frequency and clinical relevance of incidental findings detected by total-body computed tomography scanning (TBCT) compared to those by the standard work-up (STWU) with selective computed tomography (CT) scanning. METHODS:Trauma patients from five trauma centres...
journal_title:European radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00330-016-4598-6
更新日期:2017-06-01 00:00:00
abstract::Rapid clinical dissemination of CT colonography (CTC) is occurring in parallel with continued research into technique optimisation and diagnostic performance. A need exists therefore for current guidance as to basic prerequisites for effective clinical implementation. A questionnaire detailing CTC technique, analysis,...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-006-0407-y
更新日期:2007-02-01 00:00:00
abstract::The purpose of this article is to report four patients with massive pulmonary embolism treated with percutaneous catheter and guidewire fragmentation and local administration of recombinant tissue plasminogen activator (r-TPA). Four patients with massive pulmonary embolism initially underwent pulmonary angiography. Th...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050776
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:Epidermal growth factor receptor (EGFR) amplification and telomerase reverse transcriptase promoter (TERTp) mutation status of isocitrate dehydrogenase-wildtype (IDHwt) lower-grade gliomas (LGGs; grade II/III) are crucial for identifying IDHwt LGG with an aggressive clinical course. The purpose of this study...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07090-3
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate the association of relaxation-compensated chemical exchange saturation transfer (CEST) MRI with overall survival (OS) and progression-free survival (PFS) in newly diagnosed high-grade glioma (HGG) patients. METHODS:Twenty-six patients with newly diagnosed high-gr...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06066-2
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:To determine association of gross tumour volume (GTV) of resectable oesophageal squamous cell carcinoma (SCC) measured on T2-weighted imaging (T2WI), contrast-enhanced T1-weighted imaging (CE-T1WI) and diffusion-weighted imaging (DWI) with T category and lymphatic metastasis (LM). METHODS:Sixty oesophageal ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5477-0
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To investigate the association of chest CT findings with mortality in clinical management of older patients. METHODS:From January 21 to February 14, 2020, 98 older patients (≥ 60 years) who had undergone chest CT scans ("initial CT") on admission were enrolled. Manifestation and CT score were compared betwe...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06969-5
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:To determine the integrative value of contrast-enhanced computed tomography (CECT), transcriptomics data and clinicopathological data for predicting the survival of bladder urothelial carcinoma (BLCA) patients. METHODS:RNA sequencing data, radiomics features and clinical parameters of 62 BLCA patients were ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06371-w
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To compare the diagnostic performance of models based on a combination of contrast-enhanced (CE) magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) or time-intensity curves (TIC) in diagnosing malignancies of breast lesions. METHODS:A double-blind retrospective study was conducted in 328 ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06883-w
更新日期:2020-09-01 00:00:00
abstract::Decompressive craniotomy in hemispheric infarction has been reported to reduce mortality and improve outcome. Identifying tissue at risk and monitoring the benefit of craniotomy is hardly practical and has not been reported thus far. Perfusion CT was applied before and immediately after decompressive craniotomy in a p...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1656-z
更新日期:2003-08-01 00:00:00
abstract:INTRODUCTION:The aim of the study was to extract anthropometric measures from CT by deep learning and to evaluate their prognostic value in patients with non-small-cell lung cancer (NSCLC). METHODS:A convolutional neural network was trained to perform automatic segmentation of subcutaneous adipose tissue (SAT), viscer...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06630-w
更新日期:2020-06-01 00:00:00
abstract::Non-enhanced two-dimensional (2D) time-of-flight (TOF) MRA is well established for imaging of the deep venous system. However, based on the acquisition of multiple axial images, it can be time-consuming and often fails to delineate small superficial and perforating veins. The presented low-dose, direct-contrast-inject...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300000586
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:Coronary angiography using multidetector computed tomography (MDCT) allows non-invasive assessment of non-calcified, calcified and mixed plaques. Progression of coronary plaques may be influenced by statins. METHODS:Sixty-three consecutive patients underwent MDCT as a follow-up to their original CT angiograp...
journal_title:European radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00330-010-1880-x
更新日期:2010-12-01 00:00:00
abstract::Primary and metastatic tumors of the liver can be treated successfully with transcatheter chemoembolization (TACE) during selective arterial catheterism. Arteritis is a possible referred side effect which can lead to tortuosity of the arteries, stenosis and occlusion of vessels. In our hospitals 117 consecutive patien...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050159
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:To assess the value of time-intensity curves obtained after sulphur hefluoride-filled microbubble contrast agent injection to discriminate responders from non-responders among patients with Crohn's disease (CD). METHODS:Forty-three patients (29 male and 14 female; mean age ± SD, 48.5 ± 17.17 years) with init...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2754-1
更新日期:2013-06-01 00:00:00
abstract::Esophageal duplication cyst, Bochdalek's hernia and polysplenia are uncommon congenital anomalies which have not been reported to be associated with each other. We present the radiological aspects of an unusual coexistence of these three congenital anomalies in a 4-month-old girl. ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050696
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:To (a) determine the diagnostic validity of axillary ultrasound (AUS) in pT1 tumours and whether fine-needle aspiration (FNA) improves its diagnostic performance, and (b) determine the negative predictive value (NPV) of AUS in a simulation environment (cutoff: two lymph nodes with macrometastases) in patient...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-015-3901-2
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to investigate the prevalence and prognostic value of late gadolinium enhancement (LGE), as assessed by cardiovascular magnetic resonance (CMR) imaging, in patients with aortic stenosis. METHODS AND RESULTS:A systematic search of PubMed and EMBASE was performed, and observational c...
journal_title:European radiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00330-019-06386-3
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:Late gadolinium enhancement cardiac MR (LGE-CMR) and extracellular volume fraction (ECV-CMR) are widely used to evaluate macroscopic and microscopic myocardial fibrosis. Macrocyclic contrast media are increasingly used off-label for myocardial scar assessment, given the superior safety profile of these agents. ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5956-3
更新日期:2019-08-01 00:00:00
abstract::The authors described a very rare case of the cystic lymphangioma (CL) of the left upper extremity in a 12-year-old patient. The diagnosis was made by US and MRI and confirmed by histological examination of the resected specimen. ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-004-2347-8
更新日期:2005-02-01 00:00:00
abstract::Spontaneous and isolated dissection of the superior mesenteric artery is a rare and often fatal event which has been successfully treated by surgery in several reported cases. We present a patient with acute mesenteric ischemia due to superior mesenteric artery dissection who was successfully treated by percutaneous e...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300000520
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:This study aims to investigate whether aneurysm wall enhancement (AWE) is independently associated with symptomatic status of unruptured intracranial aneurysms (UIAs). METHODS:One hundred thirty-nine consecutive patients (67 male, mean age 58 ± 11 years) with 79 symptomatic and 87 asymptomatic UIAs were imag...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07063-6
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the diagnostic performance of shear-wave elastography (SWE) for breast cancer and to determine whether the integration of SWE into BI-RADS with subcategories of category 4 improves the diagnostic performance. METHODS:A total of 389 breast masses (malignant 120, benign 269) in 324 women who under...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-013-2873-3
更新日期:2013-10-01 00:00:00
abstract::We performed a bibliometric search to evaluate number and scientific "weight" of papers written by European radiologists, as compared with colleagues from other countries, to measure the contribution of European researchers to radiology journals, and to correlate bibliometric parameters with some socio-economic factor...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1640-7
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:To investigate the hepatobiliary enhancement patterns of gadoxetic acid (Gd-EOB-DTPA) MRI and the temporal evolution of focal nodular hyperplasia (FNH)-like lesions in pediatric cancer survivors. METHODS:We retrospectively included pediatric cancer survivors who had new liver lesions detected during surveil...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07157-1
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:To describe the technique and report on our initial experience with the use of intrahepatic dynamic contrast magnetic resonance lymphangiography (IH-DCMRL) for evaluation of the lymphatics in patients with hepatic lymphatic flow disorders. METHODS:This is a retrospective review of the imaging and clinical f...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06112-z
更新日期:2019-10-01 00:00:00
abstract::The majority of abnormal findings or lesions on T2-weighted fast spin-echo (FSE) magnetic resonance imaging (MRI) are hyperintense due to increased perfusion or fluid content, such as infections, tumours or synovitis. Hypointense lesions on T2-weighted images (both fat-suppressed and non-fat-suppressed) are less commo...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-015-4027-2
更新日期:2016-07-01 00:00:00
abstract::Our objective was to study Gd-EOB-DTPA for the characterization of focal liver lesions by means of dynamic MR imaging. A double-blind and randomized dose-ranging phase-2 clinical trial was performed in 31 patients (liver metastases n = 23, hepatocellular carcinoma n = 4, and hemangioma n = 4) at a field strength of 1....
journal_title:European radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s003300050150
更新日期:1997-01-01 00:00:00
abstract::In this study 15 patients with clinical findings and positive cerebrospinal fluid analyses for tuberculous meningitis were evaluated with magnetic resonance imaging (MRI). Tuberculous meningitis was diagnosed in 11 cases when thick meningeal enhancement was present after intravenous injection of gadolinium diethylenet...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/BF00180618
更新日期:1996-01-01 00:00:00