Double line sign: a helpful sonographic sign to detect occult fractures of the proximal humerus.


:The aim of this study was to describe a new sonographic sign of bone fracture and to determine if it can be helpful in decreasing the number of missed fractures of the proximal humerus. Ultrasound (US) of the shoulder was performed in 57 consecutive patients with shoulder pain and/or disability following trauma. All cases were prospectively reviewed for the presence of a humeral fracture. Sonographic signs of fractures, with special emphasis on what was termed the 'double line sign' (DLS), were assessed. Plain radiography was considered the standard of reference and in equivocal cases magnetic resonance imaging (MRI). Twenty-eight patients had a tuberosity complex fracture, which were all detected at US examination. Sonographic features of a fracture were periosteal elevation, corticol bone discontinuity, step-off deformity or a combination of these findings. This study showed that in 26 (93%) patients an additional sonographic feature, a DLS, could be demonstrated. The DLS is a helpful and probably reliable sonographic sign to indicate a humeral fracture. High-spatial-resolution US substantially increases the detection of fractures of the proximal humerus and should be considered as an alternative diagnostic tool prior to computed tomography (CT), MRI and arthroscopy in patients with persisting shoulder pain and/or disability following trauma.


Eur Radiol


European radiology


Rutten MJ,Jager GJ,de Waal Malefijt MC,Blickman JG




Has Abstract


2007-03-01 00:00:00












  • Actual role of endobronchial ultrasound (EBUS).

    abstract::Many pathologies of the airway involve the bronchial wall and the parabronchial structures. The view of the endoscopist, however, is limited to the lumen and the internal surface of the airway. Processes within the airway wall and outside the airway can only be assessed by indirect signs. Especially in malignancies, t...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Herth FJ,Eberhardt R

    更新日期:2007-07-01 00:00:00

  • Expiratory CT in cigarette smokers: correlation between areas of decreased lung attenuation, pulmonary function tests and smoking history.

    abstract::The aim of this study was to determine the correlation between cigarette-smoke-related bronchial disease and air trapping as assessed by expiratory high-resolution CT (HRCT) scans. Thirty healthy subjects (11 non-smokers, 7 ex-smokers for > 2 years, 12 current smokers; age range 35-55 years) with a smoking history bet...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Verschakelen JA,Scheinbaum K,Bogaert J,Demedts M,Lacquet LL,Baert AL

    更新日期:1998-01-01 00:00:00

  • 3D-black-blood 3T-MRI for the diagnosis of thoracic large vessel vasculitis: A feasibility study.

    abstract:OBJECTIVES:To evaluate the feasibility of T1w-3D black-blood turbo spin echo (TSE) sequence with variable flip angles for the diagnosis of thoracic large vessel vasculitis (LVV). METHODS:Thirty-five patients with LVV, diagnosed according to the current standard of reference, and 35 controls were imaged at 3.0T using 1...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Treitl KM,Maurus S,Sommer NN,Kooijman-Kurfuerst H,Coppenrath E,Treitl M,Czihal M,Hoffmann U,Dechant C,Schulze-Koops H,Saam T

    更新日期:2017-05-01 00:00:00

  • Seminal vesicle invasion in prostate cancer: prediction with combined T2-weighted and diffusion-weighted MR imaging.

    abstract::The aim of this study was to evaluate the usefulness of diffusion-weighted imaging (DWI) in detecting seminal vesicle invasion (SVI). A total of 283 patients underwent conventional MRI and DWI before prostate cancer surgery. The apparent diffusion coefficient (ADC) values of all PCa foci, SVI and seminal vesicle were ...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Ren J,Huan Y,Wang H,Ge Y,Chang Y,Yin H,Sun L

    更新日期:2009-10-01 00:00:00

  • MRI findings in patients with severe trismus following radiotherapy for nasopharyngeal carcinoma.

    abstract::The aim of the study was to document MRI findings in masticator structures in patients with trismus developing after radiotherapy for nasopharyngeal carcinoma (NPC). MRI neck examinations were reviewed in 35 patients with marked trismus, defined as an interincisal gap of 25 mm or less, post-radiotherapy for NPC. Patie...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Bhatia KS,King AD,Paunipagar BK,Abrigo J,Vlantis AC,Leung SF,Ahuja AT

    更新日期:2009-11-01 00:00:00

  • Integrated diagnostic imaging of primary thoracic rhabdomyosarcoma.

    abstract::We report a rare case of primary thoracic rhabdomyosarcoma in a girl who was referred with acute chest pain, hacking cough, and wheezing. A chest X-ray revealed a complete opacity of the right hemithorax. Ultrasound revealed a right-sided pleural effusion and a solid mass above the liver dome, suggesting a neoplastic ...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Almberger M,Iannicelli E,Matrunola M,Schiavetti A,Capocaccia P

    更新日期:2001-01-01 00:00:00

  • Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique.

    abstract::We report on a new minimally invasive technique for the retrieval of a surgical pin fragment after accidental migration into the soft tissue of the shoulder in two patients. The technique is performed under local anaesthesia and uses combined CT and fluoroscopic guidance. The materials used were simple, combining a bo...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Amoretti N,Hauger O,Marcy PY,Hovorka I,Lesbats-Jacquot V,Fonquerne ME,Maratos Y,Boileau P

    更新日期:2010-01-01 00:00:00

  • Diagnostic imaging of tumors of the hand and wrist.

    abstract::Tumors of the hand and wrist most commonly result from dystrophic lesions and hamartomas. Neoplastic lesions are rare. Imaging modalities are required for their detection and accurate location, careful assessment of the internal structure and borders, evaluation of the relation with surrounding tendons, nerves, and ve...

    journal_title:European radiology

    pub_type: 杂志文章,评审


    authors: Garcia J,Bianchi S

    更新日期:2001-01-01 00:00:00

  • Comparison between software volumetric breast density estimates in breast tomosynthesis and digital mammography images in a large public screening cohort.

    abstract:OBJECTIVES:To compare software estimates of volumetric breast density (VBD) based on breast tomosynthesis (BT) projections to those based on digital mammography (DM) images in a large screening cohort, the Malmö Breast Tomosynthesis Screening Trial (MBTST). METHODS:DM and BT images of 9909 women (enrolled 2010-2015) w...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Förnvik D,Förnvik H,Fieselmann A,Lång K,Sartor H

    更新日期:2019-01-01 00:00:00

  • Influence of heart rate on diagnostic accuracy and image quality of 16-slice CT coronary angiography: comparison of multisegment and halfscan reconstruction approaches.

    abstract::The lower the heart rate the better image quality in multislice computed tomography (MSCT) coronary angiography. We prospectively assessed the influence of heart rate on per-patient diagnostic accuracy and image quality of MSCT coronary angiography and compared adaptive multisegment and standard halfscan reconstructio...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Dewey M,Teige F,Laule M,Hamm B

    更新日期:2007-11-01 00:00:00

  • Application and assessment of a robust elastic motion correction algorithm to dynamic MRI.

    abstract::The purpose of this study was to assess the performance of a new motion correction algorithm. Twenty-five dynamic MR mammography (MRM) data sets and 25 contrast-enhanced three-dimensional peripheral MR angiographic (MRA) data sets which were affected by patient motion of varying severeness were selected retrospectivel...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Herrmann KH,Wurdinger S,Fischer DR,Krumbein I,Schmitt M,Hermosillo G,Chaudhuri K,Krishnan A,Salganicoff M,Kaiser WA,Reichenbach JR

    更新日期:2007-01-01 00:00:00

  • Resting-state fMRI revealed different brain activities responding to valproic acid and levetiracetam in benign epilepsy with central-temporal spikes.

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    journal_title:European radiology

    pub_type: 杂志文章


    authors: Zhang Q,Yang F,Hu Z,Zhang Z,Xu Q,Dante M,Wu H,Li Z,Li Q,Li K,Lu G

    更新日期:2017-05-01 00:00:00

  • Liver-to-thoracic volume ratio: use at MR imaging to predict postnatal survival in fetuses with isolated congenital diaphragmatic hernia with or without prenatal tracheal occlusion.

    abstract:OBJECTIVE:To evaluate the relationship of the liver-to-thoracic volume ratio (LiTR) by MRI with postnatal survival in foetuses with isolated congenital diaphragmatic hernia (CDH). METHODS:In 30 conservatively managed CDH foetuses and in 31 who underwent fetoscopic endoluminal tracheal occlusion (FETO), logistic regres...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Cannie MM,Cordier AG,De Laveaucoupet J,Franchi-Abella S,Cagneaux M,Prodhomme O,Senat MV,Mokhtari M,Vlieghe V,Nowakowska D,Benachi A,Jani JC

    更新日期:2013-05-01 00:00:00

  • From radiation osteitis to osteoradionecrosis: incidence and MR morphology of radiation-induced sacral pathologies following pelvic radiotherapy.

    abstract:OBJECTIVE:To investigate the incidence rate, time-to-onset and recovery, MRI morphology and occurrence of insufficiency fractures in radiation-induced changes in the sacrum following pelvic radiotherapy. MATERIAL AND METHODS:410 patients with pelvic malignancies treated with radiotherapy were reviewed. Follow-up was 1...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Meixel AJ,Hauswald H,Delorme S,Jobke B

    更新日期:2018-08-01 00:00:00

  • Subtraction multiphase CT angiography: A new technique for faster detection of intracranial arterial occlusions.

    abstract:OBJECTIVE:To describe and evaluate a novel technical development to improve detection of intracranial vessel occlusions using multiphase CT angiography (MPCTA). MATERIALS AND METHODS:The institutional ethics committee approved the study. Fifty patients (30 consecutive distal (M2 or smaller) anterior circulation occlus...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Byrne D,Walsh JP,Sugrue G,Stanley E,Marnane M,Walsh CD,Kelly P,Murphy S,Kavanagh EC,MacMahon PJ

    更新日期:2018-04-01 00:00:00

  • CT measurement of coronary calcium mass: impact on global cardiac risk assessment.

    abstract::Coronary calcium mass percentiles can be derived from electron beam CT as well as from multidetector-row CT of all manufacturers. Coronary calcium mass may serve as a more individualized substitute for age for cardiac risk stratification. The aim was to investigate the potential impact of CT coronary calcium mass quan...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Becker CR,Majeed A,Crispin A,Knez A,Schoepf UJ,Boekstegers P,Steinbeck G,Reiser MF

    更新日期:2005-01-01 00:00:00

  • Correlation of patient survival with clinical tumor measurements in malignant pleural mesothelioma.

    abstract:OBJECTIVES:To evaluate differences in the tumor response classifications that result from clinical measurements and to compare these response classifications with overall survival for patients with malignant pleural mesothelioma (MPM). METHODS:One hundred thirty-one computed tomography (CT) scans were collected from 4...

    journal_title:European radiology

    pub_type: 杂志文章,随机对照试验


    authors: Li F,Ahmad M,Qayyum F,Straus CM,MacMahon H,Kindler H,Armato SG 3rd

    更新日期:2019-06-01 00:00:00

  • Automatic exposure control in CT: the effect of patient size, anatomical region and prescribed modulation strength on tube current and image quality.

    abstract:OBJECTIVES:To study the effect of patient size, body region and modulation strength on tube current and image quality on CT examinations that use automatic tube current modulation (ATCM). METHODS:Ten physical anthropomorphic phantoms that simulate an individual as neonate, 1-, 5-, 10-year-old and adult at various body...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Papadakis AE,Perisinakis K,Damilakis J

    更新日期:2014-10-01 00:00:00

  • Varicocele: strategies in diagnosis and treatment.

    abstract::Varicocele can be very easily diagnosed by physical examination and subsequently treated when it is painful or associated with testicular hypotrophy. However, palpability of the spermatic vein and reflux in low grade or even questionable varicoceles can be difficult to assess without imaging modalities. This can be a ...

    journal_title:European radiology

    pub_type: 杂志文章,评审


    authors: Cornud F,Belin X,Amar E,Delafontaine D,Hélénon O,Moreau JF

    更新日期:1999-01-01 00:00:00

  • Pancreatic adenocarcinoma.

    abstract::Adenocarcinoma is the most common malignant pancreatic tumor, affecting the head of the pancreas in 60-70% of cases. By the time of diagnosis, at least 80% of tumors are unresectable. Helical computed tomography (CT) is very effective in detecting and staging adenocarcinoma, with a sensitivity of up to 90% for detecti...

    journal_title:European radiology

    pub_type: 杂志文章,评审


    authors: Schima W,Ba-Ssalamah A,Kölblinger C,Kulinna-Cosentini C,Puespoek A,Götzinger P

    更新日期:2007-03-01 00:00:00

  • Imaging the cranial nerves: Part I: methodology, infectious and inflammatory, traumatic and congenital lesions.

    abstract::Many disease processes manifest either primarily or secondarily by cranial nerve deficits. Neurologists, ENT surgeons, ophthalmologists and maxillo-facial surgeons are often confronted with patients with symptoms and signs of cranial nerve dysfunction. Seeking the cause of this dysfunction is a common indication for i...

    journal_title:European radiology

    pub_type: 杂志文章,评审


    authors: Borges A,Casselman J

    更新日期:2007-08-01 00:00:00

  • Contrast-enhanced breast MRI: factors affecting sensitivity and specificity.

    abstract::Contrast-enhanced MRI (CE-MRI) of the breast has been investigated for over 10 years. The reports of sensitivity for cancer detection have generally been greater than 90 %. However, estimates of specificity have varied greatly. Differing results are due to differences in study populations, technical methods and criter...

    journal_title:European radiology

    pub_type: 杂志文章,评审


    authors: Piccoli CW

    更新日期:1997-01-01 00:00:00

  • "In-house" pharmacological management for computed tomography coronary angiography: heart rate reduction, timing and safety of different drugs used during patient preparation.

    abstract::We retrospectively evaluated the effect, timing and safety of different pharmacological strategies during 64-slice CT coronary angiography (CT-CA). From the institutional database of CT-CAwe enrolled 560 consecutive patients with suspected coronary artery disease. The type of drug preparation (group 1 = no treatment; ...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Maffei E,Palumbo AA,Martini C,Tedeschi C,Tarantini G,Seitun S,Ruffini L,Aldrovandi A,Weustink AC,Meijboom WB,Mollet NR,Krestin GP,de Feyter PJ,Cademartiri F

    更新日期:2009-12-01 00:00:00

  • White matter rather than gray matter damage characterizes essential tremor.

    abstract:OBJECTIVES:We investigated changes in gray matter (GM) and white matter (WM) in the whole brain, including both cortical and subcortical structures, and their relationship with tremor severity, psychiatric symptoms, and cognitive impairment in patients affected by essential tremor (ET). METHODS:We studied 19 ET patien...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Pietracupa S,Bologna M,Bharti K,Pasqua G,Tommasin S,Elifani F,Paparella G,Petsas N,Grillea G,Berardelli A,Pantano P

    更新日期:2019-12-01 00:00:00

  • Follow-up of gastro-intestinal stromal tumours (GIST) during treatment with imatinib mesylate by abdominal MRI.

    abstract::Typical MRI findings for gastro-intestinal stromal tumours (GIST) under treatment with imatinib were evaluated. MRI was performed in 45 patients (25 responders, 20 non-responders) with metastatic or locally advanced, unresectable GIST. Target lesions were selected and re-evaluated after 2, 4, and 6 months of therapy w...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Stroszczynski C,Jost D,Reichardt P,Chmelik P,Gaffke G,Kretzschmar A,Schneider U,Felix R,Hohenberger P

    更新日期:2005-12-01 00:00:00

  • Single-phase DECT with VNCT compared with three-phase CTU in patients with haematuria.

    abstract:OBJECTIVE:To retrospectively evaluate the diagnostic performance of single-phase dual-energy CT (DECT) with virtual non-contrast CT (VNCT) compared with three-phase CT urography (CTU) in patients with haematuria. METHODS:A total of 296 patients underwent three-phase CTU (NCT at 120 kVp; nephrographic phase and excreto...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Park JJ,Park BK,Kim CK

    更新日期:2016-10-01 00:00:00

  • Gray-scale three-dimensional sonography of thyroid nodules: feasibility of the method and preliminary studies.

    abstract::The aim of the study was differential evaluation of new and classical sonographic features of benign thyroid nodules and thyroid cancer with three-dimensional gray-scale sonography and evaluation of the effectiveness of the thin-slice surface rendered images in comparison with multiplanar reformation (MPR) presentatio...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Slapa RZ,Slowinska-Srzednicka J,Szopinski KT,Jakubowski W

    更新日期:2006-02-01 00:00:00

  • Value of an early arteriographic acquisition for evaluating the splanchnic vessels as an adjunct to biphasic CT using a multislice scanner.

    abstract::Our objective was to assess the clinical value of an early arterial scan for assessing the hepatic and mesenteric vasculature in patients with suspected primary or metastatic hypervascular liver disease undergoing multislice computed tomography. In 42 patients a very early arteriographic scan was performed before stan...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Zandrino F,Curone P,Benzi L,Musante F

    更新日期:2003-05-01 00:00:00

  • TACE with degradable starch microspheres (DSM-TACE) as second-line treatment in HCC patients dismissing or ineligible for sorafenib.

    abstract:OBJECTIVES:To date, there is no approved second-line treatment for patients dismissing sorafenib or ineligible for this treatment, so it would be useful to find an effective alternative treatment option. The aim of our study was to evaluate safety, feasibility and effectiveness of transarterial chemoembolisation with d...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Iezzi R,Pompili M,Rinninella E,Annicchiarico E,Garcovich M,Cerrito L,Ponziani F,De Gaetano A,Siciliano M,Basso M,Zocco MA,Rapaccini G,Posa A,Carchesio F,Biolato M,Giuliante F,Gasbarrini A,Manfredi R,HepatoCatt Study G

    更新日期:2019-03-01 00:00:00

  • Blood-ocular barrier damage: use of contrast-enhanced MRI.

    abstract::The blood-ocular barrier (BOB) shares similar neuroepithelial origin, microanatomy and functions with the blood-brain barrier. There are many natural (e. g. diabetes, hypertension) or iatrogenic (chemotherapy, retinal photocoagulation) conditions which can cause a BOB breakdown, resulting in visual acuity impairment o...

    journal_title:European radiology

    pub_type: 杂志文章


    authors: Manfré L,Midiri M,Giuffré G,Mangiameli A,Cardella G,Ponte F,De Maria M,Lagalla R

    更新日期:1997-01-01 00:00:00