Abstract:
:Axillary management in patients with breast cancer has become much less invasive with the introduction of sentinel lymph node biopsy (SLNB). However, over 70 % of SLNBs are negative, questioning the generic use of this invasive procedure. Emerging evidence indicates that breast cancer patients with a low axillary burden of disease do not benefit from axillary lymph node dissection (ALND). Non-invasive techniques such as paramagnetic iron oxide contrast-enhanced magnetic resonance imaging (MRI) may provide genuine alternatives to axillary staging and should be evaluated within clinical trials. Selective axillary surgery could then be offered based on imaging findings and for therapeutic intent. This non-operative approach would reduce morbidity further and facilitate interpretation of follow-up imaging. Key Points • Modern imaging and biopsy greatly help the axillary staging of breast cancer. • Superparamagnetic iron oxide (SPIO)-enhanced MRI offers a further advance. • Sentinel lymph node biopsy may become redundant with SPIO-enhanced MRI. • Selective therapeutic axillary surgery should be based upon preoperative imaging findings.
journal_name
Eur Radioljournal_title
European radiologyauthors
Ahmed M,Usiskin SI,Hall-Craggs MA,Douek Mdoi
10.1007/s00330-013-3009-5subject
Has Abstractpub_date
2014-02-01 00:00:00pages
288-93issue
2eissn
0938-7994issn
1432-1084journal_volume
24pub_type
杂志文章,评审abstract:OBJECTIVE:To update quality standards for CT colonography based on consensus among opinion leaders within the European Society of Gastrointestinal and Abdominal Radiology (ESGAR). MATERIAL AND METHODS:A multinational European panel of nine members of the ESGAR CT colonography Working Group (representing six EU countri...
journal_title:European radiology
pub_type: 杂志文章,实务指引
doi:10.1007/s00330-012-2632-x
更新日期:2013-03-01 00:00:00
abstract:PURPOSE:to prospectively compare two rectal filling techniques for dynamic MRI of pelvic floor disorders (PFD). METHODS AND MATERIALS:Twenty-six patients with PFD underwent the two techniques during the same procedure, one based on rectal placement of a balloon-catheter filled with saline and air insufflation (air-bal...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-4016-5
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the delayed effects of irreversible electroporation (IRE) ablation on nerves. METHODS:The study was approved by the institutional animal care and use committee. CT-guided IRE-ablation (electric field per distance, 1,500 V/cm; pulse length, 70 μs; number of pulses, 90) of 6 sciatic nerves was perf...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2610-3
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To compare a multi-feature-based radiomic biomarker with volumetric analysis in discriminating lung adenocarcinomas with different disease-specific survival on computed tomography (CT) scans. METHODS:This retrospective study obtained institutional review board approval and was Health Insurance Portability a...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-4855-3
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:To evaluate whether quantitative susceptibility mapping (QSM) can be employed to detect abnormalities within normal-appearing basal ganglia on conventional MRI in patients with neuropsychiatric systemic lupus erythematosus (NPSLE). METHODS:For 33 SLE patients (13 NPSLE and 20 non-NPSLE patients) and 23 age/...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-3929-3
更新日期:2016-04-01 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:OBJECTIVES:To validate new diagnostic criteria for hepatocellular carcinoma (HCC) on gadoxetic acid-enhanced MR imaging (Gd-EOB-MRI) using hypointensity on the hepatobiliary phase (HBP) as an alternative to washout in combination with ancillary features. METHODS:This retrospective study included 288 patients at high r...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5727-1
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:To identify and evaluate profiles of US and CT features associated with acute appendicitis. METHODS:Consecutive patients presenting with acute abdominal pain at the emergency department were invited to participate in this study. All patients underwent US and CT. Imaging features known to be associated with ...
journal_title:European radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00330-009-1706-x
更新日期:2010-07-01 00:00:00
abstract::We reviewed imaging findings of CT and MR imaging in 20 cases of surgically confirmed craniopharyngioma in an attempt to determine their relation to patterns of tumor extent. The relationship between these patterns and the frequency of preoperative CT diagnosis and MR imaging diagnosis according to the surgical diagno...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050184
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVES:To compare contrast-to-noise ratios (CNRs) and iodine discrimination thresholds on iodine maps derived from dual energy CT (DECT) and subtraction CT (SCT). METHODS:A contrast-detail phantom experiment was performed with 2 to 15 mm diameter tubes containing water or iodinated contrast concentrations ranging ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5496-x
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:3D-FLAIR sequences with delayed acquisition after contrast medium injection have demonstrated new insights into blood-labyrinthine barrier (BLB) abnormalities in various diseases. The aim of this study was to assess the BLB in patients referred with unilateral acute vestibular syndrome (UAVS). MATERIALS AND ME...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-018-5825-0
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:Reference ranges of left ventricular (LV) parameters from cardiac magnetic resonance (CMR) were established to investigate the impact of ageing and hypertension as important determinants of cardiac structure and function. METHODS:One thousand five hundred twenty-five contrast-enhanced CMRs were conducted in...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5345-y
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:To evaluate thread sign of biliary intraductal papillary mucinous neoplasm (B-IPMN) on magnetic resonance imaging (MRI). METHODS:Thread sign was defined as intraductal linear or curvilinear hypointense striations. Two radiologists independently evaluated the presence and location of thread sign on MR cholan...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-4158-5
更新日期:2016-09-01 00:00:00
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
doi:10.1007/s00330-009-1428-0
更新日期:2009-10-01 00:00:00
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
doi:10.1007/s00330-007-0685-z
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:The current gold standard in the assessment of lateral intracranial dural arteriovenous fistulas (LDAVF) is digital subtraction angiography (DSA). However, magnetic resonance imaging (MRI) is a non-invasive emerging tool for the evaluation of such lesions. The aim of our study was to compare the DSA to our 3...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4335-1
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To assess feasibility and image quality (IQ) of a new post-processing algorithm for retrospective extraction of an optimised multi-phase CT (time-resolved CT) of the liver from volumetric perfusion imaging. METHODS:Sixteen patients underwent clinically indicated perfusion CT using 4D spiral mode of dual-sour...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-013-2992-x
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the differential diagnostic performance of a computed tomography (CT)-based deep learning nomogram (DLN) in identifying tuberculous granuloma (TBG) and lung adenocarcinoma (LAC) presenting as solitary solid pulmonary nodules (SSPNs). METHODS:Routine CT images of 550 patients with SSPNs were retr...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07024-z
更新日期:2020-12-01 00:00:00
abstract::The original version of this article, published on 27 May 2019, unfortunately contained a mistake. The following correction has therefore been made in the original. ...
journal_title:European radiology
pub_type: 已发布勘误
doi:10.1007/s00330-019-06333-2
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:To evaluate an image-navigated isotropic high-resolution 3D late gadolinium enhancement (LGE) prototype sequence with compressed sensing and Dixon water-fat separation in a clinical routine setting. MATERIAL AND METHODS:Forty consecutive patients scheduled for cardiac MRI were enrolled prospectively and exa...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07517-x
更新日期:2020-12-02 00:00:00
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
doi:10.1007/s00330-009-1499-y
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:To investigate the imaging findings and clinical time course of COVID-19 pneumonia. METHODS:A total of 113 baseline and follow-up CT scans from 24 January 2020 to 18 February 2020 were longitudinally collected from 29 confirmed COVID-19 patients in a single center. The changes in the clinical and laboratory...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07007-0
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:Radiomic involves testing the associations of a large number of quantitative imaging features with clinical characteristics. Our aim was to extract a radiomic signature from axial T2-weighted (T2-W) magnetic resonance imaging (MRI) of the whole prostate able to predict oncological and radiological scores in ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07105-z
更新日期:2021-02-01 00:00:00
abstract::Over the past decades, life expectancy in patients with congenital heart disease has increased dramatically. However, serious complications may develop late after total repair in infancy. These complications are usually the result of longstanding pulmonary regurgitation, which leads to dilatation of the right ventricl...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-004-2574-z
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVES:To compare contrast effects of gadobutrol with gadoterate meglumine for brain MRI in multiple sclerosis (MS) in a multicentre, randomized, prospective, intraindividual study at 3 T. METHODS:Institutional review board approval was obtained. Patients with known or suspected active MS lesions were included. Tw...
journal_title:European radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00330-015-3889-7
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To assess whether with recent MR technology current patient preparation literature recommendations for female pelvic MRI are still valid and how they are influencing the position of the female pelvic organs, image quality, and diagnostic confidence. METHODS:This prospective study was performed in two centre...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06869-8
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To assess the discrepancy rate for the interpretation of abdominal and pelvic computed tomography (CT) examinations among experienced radiologists. METHODS:Ninety abdominal and pelvic CT examinations reported by three experienced radiologists who specialize in abdominal imaging were randomly selected from th...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-010-1763-1
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To assess severity and factors of pain during high-intensity focused ultrasound (HIFU) ablation of benign thyroid nodules. METHODS:128 patients who underwent a HIFU ablation for a benign thyroid nodule were analysed. All patients received a bolus of intravenous pethidine and diazepam before treatment. After ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-5200-6
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:Intravoxel incoherent motion (IVIM) diffusion-weighted magnetic resonance imaging (MRI) provides information on both perfusion and diffusion and has been used to evaluate Crohn's disease (CD) activity and fibrosis in children; however, there are no reports on its use in adults. We aimed to determine its valu...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5848-6
更新日期:2019-06-01 00:00:00
abstract::Streak artifact is an important source of image degradation in computed tomographic imaging. In coronary MDCT angiography, streak artifact from pacemaker leads in the SVC can render segments of the right coronary artery uninterpretable. With current technology in clinical practice, there is no effective way to elimina...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1013-y
更新日期:2008-11-01 00:00:00