Lead arthropathy: arthritis caused by retained intra-articular bullets.

Abstract:

:The cases of 14 patients seen 6 weeks to 7 years after gunshot wounds with painful, restrictive joint disease and retained intra-articular bullets were reviewed. Twelve patients had radiographic findings characteristic of lead synovitis. The earliest finding was a fine, punctate deposition of radiopaque lead on the articular cartilage that resembled chondrocalcinosis but was of greater density. This was followed by more discrete lead speckling of hypertrophied synovium. The opacities became larger, coarser, and more confluent over time, ultimately outlining the synovium, articular cartilage, and joint capsule. Synovial hypertrophy and diffuse chronic inflammation and fibrosis were seen in seven patients on gross pathologic examination. The lead was deposited extracellularly in the subsynovial layer and within the marrow spaces of subarticular and periarticular bone. Electron-microscopic study suggests that lead is initially incorporated within cells and secondarily deposited extracellularly after cell death. Bullets in joints are not physiologically inert and should be removed when encountered.

journal_name

Radiology

journal_title

Radiology

authors

Sclafani SJ,Vuletin JC,Twersky J

doi

10.1148/radiology.156.2.4011890

subject

Has Abstract

pub_date

1985-08-01 00:00:00

pages

299-302

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

156

pub_type

杂志文章
  • Gallbladder ablation through radiologic intervention: an experimental alternative to cholecystectomy.

    abstract::Twenty pigs underwent (a) cystic duct occlusion by means of fluoroscopically guided transcatheter endoluminal bipolar radio-frequency (RF) electrocoagulation and (b) gallbladder sclerotherapy with one of two different regimens of ethanol and sodium tetradecyl-sulfate (STS). Serum ethanol levels and hepatic enzyme test...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.171.1.2928530

    authors: Becker CD,Quenville NF,Burhenne HJ

    更新日期:1989-04-01 00:00:00

  • Use of 99mTc (V) DMSA scintigraphy in the detection and localization of intestinal inflammation: comparison of findings and colonoscopy and biopsy.

    abstract:PURPOSE:To evaluate the potential use of technetium 99m (99mTc) (V) dimercaptosuccinic acid (DMSA) scintigraphy in the detection and localization of intestinal inflammation. MATERIALS AND METHODS:In a prospective study, 62 patients who were suspected of having intestinal inflammation and 30 control subjects were enrol...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.220.2.r01au30381

    authors: Lee BF,Chiu NT,Wu DC,Tsai KB,Liu GC,Yu HS,Wang ST

    更新日期:2001-08-01 00:00:00

  • Association of achalasia and pulmonary Mycobacterium fortuitum infection.

    abstract::A case of achalasia complicated by Mycobacterium fortuitum pulmonary infection and empyema is reported. This association has been documented in the medical literature. Possible mechanisms explaining this association are discussed. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.160.1.3715050

    authors: Aronchick JM,Miller WT,Epstein DM,Gefter WB

    更新日期:1986-07-01 00:00:00

  • Practical and technical considerations in establishing an intraoperative radiation therapy program in the community practice.

    abstract::The Radiation Oncology Center in Sacramento, California, has developed a procedure for establishing an intraoperative radiation therapy facility in a community practice. The logistics pertaining to personnel, equipment, physical measurements, and quality assurance are presented. Particular emphasis is given to the mos...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.168.1.3380970

    authors: Wolkov HB,Chenery SG,Asche DR,McPeek EC,Hanks GE,Holmes TW

    更新日期:1988-07-01 00:00:00

  • Cirrhotic nodules: association between MR imaging signal intensity and intranodular blood supply.

    abstract:PURPOSE:To retrospectively determine whether there is a relationship between the intranodular blood supply evaluated at computed tomography (CT) during arterial portography (CTAP) and CT during hepatic arteriography (CTHA) and the magnetic resonance (MR) imaging signal intensity of nodules associated with cirrhosis. M...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2372041389

    authors: Shinmura R,Matsui O,Kobayashi S,Terayama N,Sanada J,Ueda K,Gabata T,Kadoya M,Miyayama S

    更新日期:2005-11-01 00:00:00

  • Congenital heart disease in children: coronary MR angiography during systole and diastole with dual cardiac phase whole-heart imaging.

    abstract:PURPOSE:To assess the optimal timing for coronary magnetic resonance (MR) angiography in children with congenital heart disease by using dual cardiac phase whole-heart MR imaging. MATERIALS AND METHODS:The local institutional review board approved this study, and informed consent was obtained from parents or guardians...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.11101659

    authors: Uribe S,Hussain T,Valverde I,Tejos C,Irarrazaval P,Fava M,Beerbaum P,Botnar RM,Razavi R,Schaeffter T,Greil GF

    更新日期:2011-07-01 00:00:00

  • Coin ingestion: unusual appearance of the penny in a child.

    abstract::The United States of America changed the composition of the penny in 1982. It is now a copper-plated, zinc-based coin. Erosions of the edge of this new coin were observed when it was impacted in the esophagus of a 13-month-old child. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.158.2.3941880

    authors: Fernbach SK,Tucker GF

    更新日期:1986-02-01 00:00:00

  • Cerebral astrocytomas: histopathologic correlation of MR and CT contrast enhancement with stereotactic biopsy.

    abstract::Gadolinium-labeled diethylenetriaminepentaacetic acid was used as a contrast agent for stereotactic magnetic resonance (MR) imaging in six selected patients with brain tumors who underwent stereotactic biopsy. Regions of contrast enhancement demonstrated by computed tomography (CT) and MR imaging in four of the six pa...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.166.3.2829270

    authors: Earnest F 4th,Kelly PJ,Scheithauer BW,Kall BA,Cascino TL,Ehman RL,Forbes GS,Axley PL

    更新日期:1988-03-01 00:00:00

  • Laminectomy: effects on postoperative technetium and gallium scintigraphy.

    abstract::Bone scans using Tc-99m diphosphonate were found to become abnormal within 2 weeks after laminectomy in less than half of patients regardless of the extent of the operation. The degree of new uptake equaled that of the sacroiliac joints in only one of 19 patients with a normal preoperative scan. However, the Ga-67 cit...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.151.3.6585860

    authors: Silberstein EB,Schneider HJ,Khodadad G,DeVries D,Rauf GC,Noll R

    更新日期:1984-06-01 00:00:00

  • Myocardial bridging: depiction rate and morphology at CT coronary angiography--comparison with conventional coronary angiography.

    abstract:PURPOSE:To prospectively assess the depiction rate and morphologic features of myocardial bridging (MB) of coronary arteries with 64-section computed tomographic (CT) coronary angiography in comparison to conventional coronary angiography. MATERIALS AND METHODS:Patients were simultaneously enrolled in a prospective st...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2463062071

    authors: Leschka S,Koepfli P,Husmann L,Plass A,Vachenauer R,Gaemperli O,Schepis T,Genoni M,Marincek B,Eberli FR,Kaufmann PA,Alkadhi H

    更新日期:2008-03-01 00:00:00

  • Primary non-small cell lung cancer: review of frequency, location, and time of recurrence after radiofrequency ablation.

    abstract:PURPOSE:To review the recurrence patterns in patients with primary non-small cell lung cancer (NSCLC) treated with percutaneous image-guided radiofrequency (RF) ablation. MATERIALS AND METHODS:This retrospective review was institutional review board approved and HIPAA compliant. Informed consent was waived. Data from ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.00000090174

    authors: Beland MD,Wasser EJ,Mayo-Smith WW,Dupuy DE

    更新日期:2010-01-01 00:00:00

  • Synthetic ossicular replacements: normal and abnormal CT appearance.

    abstract::Twenty-two patients with synthetic ossicular replacements were studied with computed tomography (CT). Twelve patients had total ossicular replacement prostheses (TORPs), and ten patients had partial ossicular replacement prostheses (PORPs). Good results were achieved in 12 patients (eight with TORPs and four with PORP...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.163.3.3575730

    authors: Swartz JD,Berger AS,Zwillenberg S,Granoff DW,Popky GL

    更新日期:1987-06-01 00:00:00

  • Prostate cancer: sextant localization at MR imaging and MR spectroscopic imaging before prostatectomy--results of ACRIN prospective multi-institutional clinicopathologic study.

    abstract:PURPOSE:To determine the incremental benefit of combined endorectal magnetic resonance (MR) imaging and MR spectroscopic imaging, as compared with endorectal MR imaging alone, for sextant localization of peripheral zone (PZ) prostate cancer. MATERIALS AND METHODS:This prospective multicenter study, conducted by the Am...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2511080409

    authors: Weinreb JC,Blume JD,Coakley FV,Wheeler TM,Cormack JB,Sotto CK,Cho H,Kawashima A,Tempany-Afdhal CM,Macura KJ,Rosen M,Gerst SR,Kurhanewicz J

    更新日期:2009-04-01 00:00:00

  • Anterior pontomesencephalic vein and basilar artery in exophytic brainstem gilioma.

    abstract::The angiographic differentiation of an intrinsic exophytic brainstem glioma from an extra-axial posterior fossa tumor is not always easy. The location of the basilar artery alone may not be significant. Displacement of the anterior pontomesencephalic vein anterior to the basilar artery appears to be a reliable indicat...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/124.2.403

    authors: Sarwar M,Bafnitzky S,Schechter MM

    更新日期:1977-08-01 00:00:00

  • Peripheral cholangiocarcinoma of the liver: two-phase spiral CT findings.

    abstract:PURPOSE:To determine characteristic features of peripheral cholangiocarcinoma on two-phase spiral computed tomographic (CT) scans. MATERIALS AND METHODS:Thirty-four patients with peripheral cholangiocarcinoma underwent two-phase spiral CT. Hepatic arterial phase and portal venous phase images were obtained 30 and 65 s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.204.2.9240550

    authors: Kim TK,Choi BI,Han JK,Jang HJ,Cho SG,Han MC

    更新日期:1997-08-01 00:00:00

  • Radionuclide angiography in evaluation of chemodectomas of the jugular glomus.

    abstract::Clinical, radiographic, and radionuclide angiographic findings of three cases of jugular glomic tumor associated with hearing loss are discussed. In one case computed tomographic findings are discussed. It is concluded that radioisotopic techniques may be useful in diagnosis and follow-up of this tumor. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/121.3.673

    authors: Alavi A,Devenney JE,Arendale S,Zimmerman RA

    更新日期:1976-12-01 00:00:00

  • Prostate cancer: sextant localization with MR imaging, MR spectroscopy, and 11C-choline PET/CT.

    abstract:PURPOSE:To retrospectively compare sensitivity and specificity of magnetic resonance (MR) imaging, three-dimensional (3D) MR spectroscopy, combined MR imaging and 3D MR spectroscopy, and carbon 11 (11C)-choline positron emission tomography (PET)/computed tomography (CT) for intraprostatic tumor sextant localization, wi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2443061063

    authors: Testa C,Schiavina R,Lodi R,Salizzoni E,Corti B,Farsad M,Kurhanewicz J,Manferrari F,Brunocilla E,Tonon C,Monetti N,Castellucci P,Fanti S,Coe M,Grigioni WF,Martorana G,Canini R,Barbiroli B

    更新日期:2007-09-01 00:00:00

  • Automated Calculation of the Alberta Stroke Program Early CT Score: Feasibility and Reliability.

    abstract::Background The Alberta Stroke Program Early CT Score (ASPECTS) evaluation is a qualitative method to evaluate focal hypoattenuation at brain CT in early acute stroke. However, interobserver agreement is only moderate. Purpose To compare ASPECTS calculated by using an automatic software tool to neuroradiologist evaluat...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2019181228

    authors: Maegerlein C,Fischer J,Mönch S,Berndt M,Wunderlich S,Seifert CL,Lehm M,Boeckh-Behrens T,Zimmer C,Friedrich B

    更新日期:2019-04-01 00:00:00

  • Optimal technique for detection of gallstones at injection cholecystography: in vitro analysis.

    abstract::Injection cholecystography is often employed during invasive gallbladder procedures to determine the number of gallstones that are present. The authors undertook this study to define the optimal radiographic technique for performance of injection cholecystography. Condoms filled with 100 mL of contrast medium at four ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.180.1.2052720

    authors: Kammer B,Saini S,Brink JA,Knoefel WT,Ferrucci JT,Simeone JF,Mueller PR

    更新日期:1991-07-01 00:00:00

  • Determination of regional ejection fraction in patients with myocardial infarction by using merged late gadolinium enhancement and cine MR: feasibility study.

    abstract:PURPOSE:To quantify regional ejection fraction (EF) in patients with myocardial infarction (MI) by using merged late gadolinium enhancement (LGE) and cine magnetic resonance (MR) imaging, and compare this method with the standardized 17-segment American Heart Association approach. MATERIALS AND METHODS:After instituti...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2493080340

    authors: Masci PG,Dymarkowski S,Rademakers FE,Bogaert J

    更新日期:2009-01-01 00:00:00

  • Intracranial vascular stenosis and occlusion: diagnostic accuracy of three-dimensional, Fourier transform, time-of-flight MR angiography.

    abstract:PURPOSE:To assess the accuracy of three-dimensional, Fourier transform, time-of-flight magnetic resonance (MR) angiography in the detection of intracranial steno-occlusive diseases. MATERIALS AND METHODS:One hundred thirty-one patients (62 male and 69 female patients, aged 6-77 years [mean, 53 years 8 months]) underwe...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.193.1.8090890

    authors: Korogi Y,Takahashi M,Mabuchi N,Miki H,Shiga H,Watabe T,O'Uchi T,Nakagawa T,Horikawa Y,Fujiwara S

    更新日期:1994-10-01 00:00:00

  • Standard-, Reduced-, and No-Dose Thin-Section Radiologic Examinations: Comparison of Capability for Nodule Detection and Nodule Type Assessment in Patients Suspected of Having Pulmonary Nodules.

    abstract::Purpose To compare the capability of pulmonary thin-section magnetic resonance (MR) imaging with ultrashort echo time (UTE) with that of standard- and reduced-dose thin-section computed tomography (CT) in nodule detection and evaluation of nodule type. Materials and Methods The institutional review board approved this...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017161037

    authors: Ohno Y,Koyama H,Yoshikawa T,Kishida Y,Seki S,Takenaka D,Yui M,Miyazaki M,Sugimura K

    更新日期:2017-08-01 00:00:00

  • Minimizing central bile duct injury during radiofrequency ablation: use of intraductal chilled saline perfusion--initial observations from a study in pigs.

    abstract:PURPOSE:To determine whether intraductal perfusion with chilled saline reduces thermal injury to bile ducts during radiofrequency (RF) ablation. MATERIALS AND METHODS:In swine, anesthesia was induced and the common bile duct was surgically cannulated with a pediatric feeding tube. RF thermal lesions were created adjac...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2321030210

    authors: Raman SS,Aziz D,Chang X,Ye M,Sayre J,Lassman C,Lu DS

    更新日期:2004-07-01 00:00:00

  • In situ saphenous vein bypass grafts: angiographic evaluation and interventional repair of complications.

    abstract::In situ saphenous vein grafts are being used with increasing frequency for bypass procedures involving the femoral and popliteal arteries. Complications of these procedures include anastomotic stenoses and persistent arteriovenous fistulae that may result in failure of the graft. Balloon angioplasty and embolotherapy ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.160.3.3737910

    authors: Kinnison ML,Perler BA,Kaufman SL,Mitchell SE,Kadir S,Williams GM,White RI Jr

    更新日期:1986-09-01 00:00:00

  • Persistent bile leak after liver transplantation: biloma drainage and endoscopic retrograde cholangiopancreatographic sphincterotomy.

    abstract::Persistent bile leaks after liver transplantation were successfully treated in three patients with percutaneous or surgical drainage of bilomas and endoscopic retrograde ampullary sphincterotomy. In all three patients, biliary anastomoses were achieved by means of choledochocholedochostomies, with a T-tube stent in th...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.179.3.2027980

    authors: Ward EM,Wiesner RH,Hughes RW,Krom RA

    更新日期:1991-06-01 00:00:00

  • MR imaging response of brain metastases after gamma knife stereotactic radiosurgery.

    abstract:PURPOSE:To characterize the magnetic resonance (MR) imaging response of brain metastases after gamma knife stereotactic radiosurgery and determine whether imaging features and tumor response rates correlate with local tumor control and survival. MATERIALS AND METHODS:Serial MR examinations were performed in 48 patient...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.211.3.r99jn48807

    authors: Peterson AM,Meltzer CC,Evanson EJ,Flickinger JC,Kondziolka D

    更新日期:1999-06-01 00:00:00

  • Normal brain iodine-125 radiation damage: effect of dose and irradiated volume in a canine model.

    abstract::High-activity iodine-125 sources in plastic catheters were surgically placed in the cerebral white matter of healthy beagle dogs and later removed. Reference doses, calculated at a point 0.75 mm from the source, ranged from 10 to 40 Gy. Necrosis, vascular-related damage, and edema were quantified by computed tomograph...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.158.3.3945760

    authors: Turowski K,Fike JR,Cann CE,Higgins RJ,Davis RL,Gutin PH,Phillips TL,Weaver KA

    更新日期:1986-03-01 00:00:00

  • Draped aorta: CT sign of contained leak of aortic aneurysms.

    abstract:PURPOSE:To evaluate the usefulness of a new computed tomographic (CT) sign of "draped aorta" in the diagnosis of a contained leak in an aortic aneurysm. MATERIALS AND METHODS:CT scans were retrospectively evaluated in 10 patients in whom an unidentifiable aortic wall and posterior aspect of the aorta that followed the...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.199.1.8633170

    authors: Halliday KE,al-Kutoubi A

    更新日期:1996-04-01 00:00:00

  • Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure.

    abstract::Osteoid osteoma is a benign, self-limited tumor of bone that usually requires surgical excision for relief of pain and to prevent long-term consequences. Radio-frequency electrodes have been successfully and safely used to ablate small areas of the central nervous system and to perform ablation elsewhere in the body. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.183.1.1549690

    authors: Rosenthal DI,Alexander A,Rosenberg AE,Springfield D

    更新日期:1992-04-01 00:00:00

  • Case 274.

    abstract::History A 47-year-old Sudanese man without a known remarkable medical history presented to the emergency department for a syncopal episode. The patient denied chest pain, dyspnea, focal weakness, or prior similar episodes. He was originally from north Sudan and eventually moved to Saudi Arabia, where he worked as a fa...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2019171769

    authors: Handran CB,Hurwitz Koweek LM,Mammarappallil JG

    更新日期:2019-10-01 00:00:00