Abstract:
OBJECTIVES:To evaluate the feasibility of whole-body diffusion-weighted MRI (WB-DWI/MRI) for detecting primary tumour, nodal and distant metastases in pregnant women with cancer. METHODS:Twenty pregnant patients underwent WB-DWI/MRI in additional to conventional imaging. Reproducibility of WB-DWI/MRI between two readers was evaluated using Cohen's κ statistics and accuracy was compared to conventional imaging for assessing primary tumour site, nodal and visceral metastases. RESULTS:Both WB-DWI/MRI readers showed good-very good agreement for lesion detection (primary lesions: κ=1; lymph nodes: κ=0.89; distant metastases: κ=0.61). Eight (40 %) patients were upstaged after WB-DWI/MRI. For nodal metastases, WB-DWI/MRI showed 100 % (95 % CI: 83.2-100) sensitivity for both readers with specificity of 99.4 % (96.9-100) and 100 % (80.5-100) for readers 1 and 2, respectively. For distant metastases, WB-DWI/MRI showed 66.7 % (9.4-99.2) and 100 % (29.2-100) sensitivity and specificity of 94.1 % (71.3-99.9) and 100 % (80.5-100) for readers 1 and 2, respectively. Conventional imaging showed sensitivity of 50 % (27.2-72.8) and 33.3 % (0.8-90.6); specificity of 100 % (98-100) and 100 % (80.5-100), for nodal and distant metastases respectively. CONCLUSIONS:WB-DWI/MRI is feasible for single-step non-invasive staging of cancer during pregnancy with additional value for conventional imaging procedures. KEY POINTS:• In our study, WB-DWI/MRI was more accurate than conventional imaging during pregnancy. • WB-DWI/MRI improves diagnostic assessment of patients with cancer during pregnancy. • Accurate imaging and oncologic staging improves treatment and outcome.
journal_name
Eur Radioljournal_title
European radiologyauthors
Han SN,Amant F,Michielsen K,De Keyzer F,Fieuws S,Van Calsteren K,Dresen RC,Gziri MM,Vandecaveye Vdoi
10.1007/s00330-017-5126-zsubject
Has Abstractpub_date
2018-05-01 00:00:00pages
1862-1874issue
5eissn
0938-7994issn
1432-1084pii
10.1007/s00330-017-5126-zjournal_volume
28pub_type
杂志文章abstract:PURPOSE:To determine the necessity of preprocedural biliary drainage prior to chemoembolisation for hepatocellular carcinoma (HCC) with bile duct invasion. MATERIALS AND METHODS:The study included 52 patients who received chemoembolisation for unresectable HCC invading bile duct and causing hyperbilirubinemia (>3 mg/d...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-5110-7
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Transient elastography-based liver stiffness value (TE-LSV) has been investigated for assessing clinically significant portal hypertension (CSPH). The aetiology of CSPH is an important factor determining TE-LSV. There is insufficient evidence for selecting cut-off values. AIMS:This study performed a meta-an...
journal_title:European radiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00330-018-5478-z
更新日期:2018-12-01 00:00:00
abstract::The aim of this study was to evaluate the feasibility of endoluminal stent-graft placement in an angiographic suite for the treatment of emergent type-B aortic dissections and ruptured thoracic aortal aneurysms. Twenty-six patients with either urgent type-B dissection (n=8) or aneurysms (n=18) of the descending thorac...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-003-1921-9
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:Hypoxia is associated with poor prognosis and treatment resistance in breast cancer. However, the temporally variant nature of hypoxia can complicate interpretation of imaging findings. We explored the relationship between hypoxia and vascular function in breast tumours through combined 18F-fluoromisonidazol...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07067-2
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to compare findings of ultrasound (US) with dual-energy CT (DECT) in patients presenting with suspected gouty hand and wrist arthritis. METHODS:This prospective study included 180 patients (136 men and 44 women, age range, 31- 94 years; mean age, 65.9 years) with an initial cli...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5363-9
更新日期:2018-10-01 00:00:00
abstract::Because of its sensitivity and high tissue contrast, magnetic resonance imaging (MRI) is the technique of choice for structural imaging in epilepsy. In this review the effect of using optimised scanning protocols and the use of high field MR systems on detection sensitivity is discussed. Also, the clinical relevance o...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-007-0710-2
更新日期:2008-01-01 00:00:00
abstract::The purpose of this study was to compare moving-table three-dimensional contrast-enhanced magnetic resonance angiography (CE MRA), using 1.0-mol gadobutrol, with intra-arterial digital subtraction angiography (i.a. DSA) for evaluation of pelvic and peripheral arteries in patients with peripheral arterial occlusive dis...
journal_title:European radiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1007/s00330-003-1844-5
更新日期:2003-09-01 00:00:00
abstract::Iodinated X-ray contrast media are among the most frequently used pharmaceuticals for intravascular administration. Although the newer low osmolality, nonionic contrast media, are generally well tolerated, it is well known that they, like the ionic contrast media, give rise to immediate or delayed adverse reactions in...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300000543
更新日期:2000-01-01 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:OBJECTIVE:To explore the predictive value of MRI parameters and tumour characteristics before neoadjuvant chemotherapy (NAC) and to compare changes in tumour size and tumour apparent diffusion coefficient (ADC) during treatment, between patients who achieved pathological complete response (pCR) and those who did not. ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-010-2020-3
更新日期:2011-06-01 00:00:00
abstract::The objective of this paper is to quantify the fatty degeneration (infiltration) of rotator cuff muscles with a new spectroscopic FLASH (SPLASH) sequence. Before planned surgery (reconstruction or muscle transfer), 20 patients (13 men, 7 women; 35-75 years) with different stages of rotator cuff disease underwent an MR...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-004-2410-5
更新日期:2004-12-01 00:00:00
abstract::Since improvement in the material, true aneurysms and pseudoaneurysm formations have become relatively rare complications after femoro-popliteal reconstruction with polytetrafluoroethylene (PTFE) grafts. We report a case of late graft rupture and pseudoaneurysm formation within the straight femoral part of a femoro-po...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050909
更新日期:1999-01-01 00:00:00
abstract::We report a rare case of dysplasia epiphysealis hemimelica (DEH) in the wrist of a 7-year-old boy. Clinical, radiological and histopathological manifestations are discussed. The correct diagnosis of DEH, however, was made by the confrontation of the radiological and pathological data. The radiologist should inform the...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050766
更新日期:1999-01-01 00:00:00
abstract::The role of diffusion-weighted magnetic resonance imaging (DWI) to differentiate breast lesions in vivo was evaluated. Sixty women (mean age, 53 years) with 81 breast lesions were enrolled. A coronal echo planar imaging (EPI) sequence sensitised to diffusion (b value=1,000 s/mm(2)) was added to standard MR. The mean d...
journal_title:European radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00330-007-0621-2
更新日期:2007-10-01 00:00:00
abstract::Inflammatory myofibroblastic tumour (IMFT) is a distinct entity under the group of inflammatory pseudotumours. Sometimes these pseudotumours can have an aggressive appearance on imaging, which makes it indistinguishable from other malignant neoplasms. We present a case of IMFT of the bladder in a child. ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-009-1646-5
更新日期:2010-08-01 00:00:00
abstract:INTRODUCTION:Numerous publications have studied the regional anatomy of the carpal tunnel to define a "safe zone" to reduce the risk of perioperative neurovascular complications. This zone, located between the ulnar neurovascular bundle and the median nerve, is considered to be safe mainly because of the absence of vas...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06416-0
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:Endovascular embolization is a valid option for the management of visceral artery aneurysms. Imaging is crucial for providing anatomical assessments, but preoperative non-invasive investigations may not be exhaustive. The aim of this work is to present preliminary experience with the use of three-dimensional...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-3820-2
更新日期:2016-01-01 00:00:00
abstract::Accessory ossicles and sesamoid bones are frequent findings in routine radiographs of the ankle and foot. They are commonly considered fortuitous and unrelated to the patient's complaint; however, they may eventually cause painful syndromes or degenerative changes in response to overuse and trauma. They may also suffe...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-003-2011-8
更新日期:2003-12-01 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:To compare Magnetic Resonance (MR) and Computed Tomography (CT) for the assessment of left (LV) and right (RV) ventricular functional parameters. METHODS:Seventy nine patients underwent both Cardiac CT and Cardiac MR. Images were acquired using short axis (SAX) reconstructions for CT and 2D cine b-SSFP (bal...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-011-2345-6
更新日期:2012-05-01 00:00:00
abstract::Diagnosis of myocardial viability after infarction focuses on the prediction of functional improvement of dysfunctional myocardium after revascularization therapy. Magnetic resonance imaging provides different approaches for the detection of myocardial viability. Measurement of end-diastolic wall thickness is easy to ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1701-y
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the accuracy of high-pitch delayed enhancement (DE) CT for the assessment of myocardial viability with MRI as the reference standard. METHODS:Twenty-four patients (mean age 66.9 ± 9.2 years) with coronary artery disease underwent DE imaging with 128-slice dual-source CT (prospective electrocardi...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-011-2149-8
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:To compare the value of functional future liver remnant (functFLR) to established clinical and imaging variables in prediction of post-hepatectomy liver failure (PHLF) after major liver resection. METHODS:This retrospective, cross-sectional study included 62 patients, who underwent gadoxetic acid enhanced M...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5487-y
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To determine effectiveness of coronary artery calcium score (CACS) alone and combined with Systematic Coronary Risk Evaluation (SCORE) in adult patients for significant coronary artery stenosis by using computed tomography coronary angiography (CTCA) as reference standard. METHODS:Two thousand twenty-one pat...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-014-3477-2
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:To assess epiphyseal growth plate closure of the knee for forensic age estimation using an ultrasound (US)-based method and to compare the findings with MRI. METHODS:Thirty-three healthy male individuals (age, 14.4-19.3 years) were prospectively evaluated for epiphyseal growth plate closure of the right kne...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07343-1
更新日期:2020-10-14 00:00:00
abstract::This study was prospectively conducted to evaluate the clinical potential of the advanced breast biopsy instrumentation (ABBI) system as an alternative to needle localization and open surgery in the management of nonpalpable breast lesions (NPBL). One hundred and eighty-six consecutive patients were referred for manag...
journal_title:European radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s003300000736
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:Metastatic breast cancer is a heterogeneous disease, commonly affecting the liver. We report our experience with (90)Y radioembolisation (RE) and its effects on the survival of patients with treatment-refractory breast cancer liver metastases. METHODS:A total of 77 female patients affected by breast cancer ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2556-5
更新日期:2013-01-01 00:00:00
abstract::Although spatial resolution of current MR angiography is excellent, temporal resolution has remained unsatisfactory. We evaluated clinical applicability of 2D thick-slice, contrast-enhanced subtraction MR angiography (2D-MR digital subtraction angiography) with sub-second temporal resolution in cerebrovascular occlusi...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300000584
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:Previous studies using transthoracic echocardiography (TTE) observed moderate heritability of aortic root dimensions. Computed tomography angiography (CTA) might provide more accurate heritability estimates. Our primary aim was to assess the heritability of the aortic root with CTA. Our secondary aim was to ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4590-1
更新日期:2017-06-01 00:00:00
abstract::The aim of this study was to evaluate accuracy of 11 G vacuum-assisted percutaneous biopsy (VAPB) carried out on digital stereotaxic table, on breast non-palpable lesions (NPLs), non-visible by US. Prospective study on 132 consecutive NPLs (126 patients) not reliably found by US; 82% showed microcalcifications. Surgic...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-001-1168-2
更新日期:2002-03-01 00:00:00