Treatment of thoracic multiloculated empyemas with intracavitary urokinase: a prospective study.

Abstract:

:The authors prospectively treated 10 consecutive patients with multiloculated empyemas with intracavitary instillation of urokinase via a percutaneous drainage catheter. Urokinase (100,000 IU) in 100 mL of 5% dextrose in water was instilled into the pleural cavity via a percutaneous drainage catheter. After overnight clamping, the catheter was opened and the empyema drained with use of negative suction (20 cm H2O). Intermittent irrigation of the catheter with normal saline was performed to prevent clogging of the catheter. Complete drainage of multiloculated empyemas was accomplished in nine patients by means of intracavitary instillation of urokinase via a single 8-F catheter. One patient showed complete drainage of multiloculated empyema, but recurrent empyema appeared in the site of a previous tube thoracostomy. A total of 100,000-700,000 IU (mean, 400,000 IU) of urokinase were needed for complete drainage in all patients. Plasminogen and fibrin degradation product levels in empyema fluid were determined before instillation of urokinase to demonstrate any fibrinolytic action. No complications occurred.

journal_name

Radiology

journal_title

Radiology

authors

Lee KS,Im JG,Kim YH,Hwang SH,Bae WK,Lee BH

doi

10.1148/radiology.179.3.2027990

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

771-5

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

179

pub_type

杂志文章
  • 99mTc-pertechnetate thyroid scintigraphy in patients predisposed to thyroid neoplasms by prior radiotherapy to the head and neck.

    abstract::Histories, physical examinations and 99mTc-pertechnetate imaging were used to evaluate 1,452 persons who had had x-ray therapy to the neck region for benign conditions 18 to 35 years previously. Thyroid abnormalities were found in 301 patients (21%) and thyroid malignancy was found in 29% of 193 patients with abnormal...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/15.3.653

    authors: Arnold J,Pinsky S,Ryo UY,Frohman L,Schneider A,Favus M,Stachura M,Arnold M,Colman M

    更新日期:1975-06-01 00:00:00

  • Nerve rootlet avulsion. A complication of myelography using the Chynn needle.

    abstract::The authors report a case of traumatic removal of nerve tissue during myelography with the Chynn aspiration cannula. If such a situation occurs, the authors suggest making a second puncture at a different level. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/125.3.734

    authors: Brodey PA,London SS,Sung MA

    更新日期:1977-12-01 00:00:00

  • Imaging Publications in the COVID-19 Pandemic: Applying New Research Results to Clinical Practice.

    abstract:: Online supplemental material is available for this article. ...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.2020201724

    authors: Eng J,Bluemke DA

    更新日期:2020-10-01 00:00:00

  • Sellar and juxtasellar lesion detection with MR.

    abstract::We compared the effectiveness of magnetic resonance (MR) imaging and computed tomography (CT) in evaluating sellar and juxtasellar lesions. Fifty-five lesions were imaged with a Technicare 0.5-T superconducting MR imager and GE 9800 and 8800 CT scanners: 26 pituitary adenomas (including six microadenomas), six craniop...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.157.1.4034960

    authors: Lee BC,Deck MD

    更新日期:1985-10-01 00:00:00

  • Deglutition after near-fatal choking episode: radiologic evaluation.

    abstract::Acute airway obstruction during oral intake is a relatively common event that may be fetal if not relieved immediately. Deglutition was studied in 75 individuals who had experienced a near-fatal choking episode (NFCE) or sudden inability to breathe during food intake that was promptly relieved by means of a Heimlich m...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.176.3.2389020

    authors: Feinberg MJ,Ekberg O

    更新日期:1990-09-01 00:00:00

  • Quantitative assessment of digitized portal images: effect of sampling frequency on observer performance.

    abstract::To investigate spatial resolution requirements for digitized portal images in radiation therapy, observer performance tests were performed. One hundred twenty portal images were digitized with sampling frequencies of 0.700, 0.350, and 0.175 mm for observation. Receiver operating characteristic analysis was used to det...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.183.2.1561370

    authors: Okajima K,Nagata Y,Mitsumori M,Ishigaki T,Kimura I,Nakano Y,Minato K,Komori M,Sato K,Takahashi T

    更新日期:1992-05-01 00:00:00

  • Results and significance of angiography in potential kidney donors.

    abstract::Multiple renal arteries originating from the aortoiliac vessels were identified angiographically in 44% of 444 prospective renal donors. Bilateral multiple renal arteries were identified in 12%. With good immunological donor-recipient matching, 17 kidneys with multiple renal arteries were transplanted with excellent r...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/133.1.45

    authors: Spring DB,Salvatierra O Jr,Palubinskas AJ,Amend WJ Jr,Vincenti FG,Feduska NJ

    更新日期:1979-10-01 00:00:00

  • Radiation therapy for pineal tumors and suprasellar germinomas.

    abstract::Data on all patients with pineal body tumors and suprasellar germinomas seen at the University of California--San Francisco over a 25-year period were reviewed. Of 19 patients treated, 15 are still alive. Although treatment techniques varied, all patients received irradiation to the primary tumor site but not to the s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/124.1.221

    authors: Wara WM,Fellows CF,Sheline GE,Wilson CB,Townsend JJ

    更新日期:1977-07-01 00:00:00

  • Meniscal lesions of the knee joint: CT diagnosis.

    abstract::Computed tomography (CT) resulted in a diagnostic accuracy of 89.2% and 96.1% for medial and lateral meniscal lesions, respectively, in 109 patients who underwent surgery after a direct CT study of the knee joint for a clinically suspected meniscal lesion. The meniscal lesions were the only pathologic condition found ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.157.1.3839930

    authors: Passariello R,Trecco F,de Paulis F,Masciocchi C,Bonanni G,Zobel BB

    更新日期:1985-10-01 00:00:00

  • Xeroradiography of the thyroid.

    abstract::In a study of 726 patients, xeroradiography of the thyroid using a modified oblique projection was found to be superior to conventional soft-tissue radiography in detecting calcification in thyroid tumors because of edge enhancement. This facilitated a diagnosis of carcinoma in 75% of 68 primary tumors and 55% of 33 r...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.141.2.7291570

    authors: Kasai N,Tsuya A

    更新日期:1981-11-01 00:00:00

  • The reliability of echocardiography in the diagnosis of infective endocarditis.

    abstract::The echocardiograms of 17 patients with proved infective endocarditis were surveyed to assess the reliability of echocardiography in this disease. Vegetations were present on 20 valves (11 aortic, 7 mitral, 2 tricuspid) at surgery or autopsy. Echocardiography correctly identified the abnormality in 11 valves. There we...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/125.2.473

    authors: Thomson KR,Nanda NC,Gramiak R

    更新日期:1977-11-01 00:00:00

  • Does the Clearance of Inhaled (99m)Tc-Sestamibi Correlate with Multidrug Resistance Protein 1 Expression in the Human Lung?

    abstract::Purpose To examine the relation between the lung elimination rate of inhaled technetium 99m ((99m)Tc)-sestamibi and immunohistochemical expression of bronchopulmonary multidrug resistance protein 1 (MRP1) and permeability glycoprotein (P-gp) and assess the repeatability of the inhaled (99m)Tc-sestamibi clearance techn...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.16151389

    authors: Mohan HK,Routledge T,Cane P,Livieratos L,Ballinger JR,Peters AM

    更新日期:2016-09-01 00:00:00

  • Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis.

    abstract:PURPOSE:To investigate the cost-effectiveness of computed tomography (CT) relative to radiography for cervical spine screening in trauma patients. MATERIALS AND METHODS:A decision analysis model was constructed to compare the incremental cost-effectiveness of radiography and CT as primary cervical spine screening moda...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.212.1.r99jl08117

    authors: Blackmore CC,Ramsey SD,Mann FA,Deyo RA

    更新日期:1999-07-01 00:00:00

  • Automated real-time needle-guide tracking for fast 3-T MR-guided transrectal prostate biopsy: a feasibility study.

    abstract:PURPOSE:To assess the feasibility of automatic needle-guide tracking by using a real-time phase-only cross correlation ( POCC phase-only cross correlation ) algorithm-based sequence for transrectal 3-T in-bore magnetic resonance (MR)-guided prostate biopsies. MATERIALS AND METHODS:This study was approved by the ethics...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.14132067

    authors: Zamecnik P,Schouten MG,Krafft AJ,Maier F,Schlemmer HP,Barentsz JO,Bock M,Fütterer JJ

    更新日期:2014-12-01 00:00:00

  • Amiodarone pulmonary toxicity: CT findings in symptomatic patients.

    abstract::The computed tomographic (CT) chest scans of 11 patients who developed respiratory or constitutional symptoms while receiving amiodarone therapy were reviewed. CT findings indicative of significant amiodarone exposure included (a) high-attenuation parenchymal-pleural lesions in eight of the 11 patients (73%), and (b) ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.177.1.2399310

    authors: Kuhlman JE,Teigen C,Ren H,Hruban RH,Hutchins GM,Fishman EK

    更新日期:1990-10-01 00:00:00

  • Unilateral iliac horn (central Posterior iliac process). Case report.

    abstract::An anomaly of the pelvis consisting of a unilateral iliac horn is presented. It appeared as an isolated bony malformation which was not associated with signs, symptoms, or stigmata of hereditary onycho-osteodysplasia. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/120.3.562

    authors: Wasserman D

    更新日期:1976-09-01 00:00:00

  • Reperfusion and irreversible myocardial injury: identification with a nonionic MR imaging contrast medium.

    abstract::The potential of a new nonionic gadolinium complex--gadodiamide injection--to (a) allow distinction between reperfused and occlusive infarction and (b) enable differentiation between reperfused reversible and irreversible myocardial injury was investigated. Three groups of rats were used: 10 with reversibly reperfused...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.182.3.1535880

    authors: Saeed M,Wendland MF,Takehara Y,Masui T,Higgins CB

    更新日期:1992-03-01 00:00:00

  • Osteopetrosis: MR characteristics at 1.5 T.

    abstract::Four patients with proved osteopetrosis (three with the infantile malignant form and one with the benign form) were examined with magnetic resonance imaging at 1.5 T. All patients were studied in the coronal and sagittal planes using both short and long repetition time/echo time sequences. The infantile malignant form...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.161.1.3763870

    authors: Rao VM,Dalinka MK,Mitchell DG,Spritzer CE,Kaplan F,August CS,Axel L,Kressel HY

    更新日期:1986-10-01 00:00:00

  • Biliary atresia and noncardiac polysplenic syndrome: US and surgical considerations.

    abstract::Ten percent of children with biliary atresia have an associated complex of anomalies, including polysplenia, azygous continuation of the inferior vena cava, preduodenal portal vein, hepatic arterial anomalies, and bilaterally bilobed lungs. These abnormalities will not be detected if the preoperative workup is limited...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.163.2.3550880

    authors: Abramson SJ,Berdon WE,Altman RP,Amodio JB,Levy J

    更新日期:1987-05-01 00:00:00

  • Functionally relevant coronary artery disease: comparison of 64-section CT angiography with myocardial perfusion SPECT.

    abstract:PURPOSE:To prospectively determine the accuracy of 64-section computed tomographic (CT) angiography for the depiction of coronary artery disease (CAD) that induces perfusion defects at myocardial perfusion imaging with single photon emission computed tomography (SPECT), by using myocardial perfusion imaging as the refe...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2482071307

    authors: Gaemperli O,Schepis T,Valenta I,Koepfli P,Husmann L,Scheffel H,Leschka S,Eberli FR,Luscher TF,Alkadhi H,Kaufmann PA

    更新日期:2008-08-01 00:00:00

  • Sarcoidosis: correlation of extent of disease at CT with clinical, functional, and radiographic findings.

    abstract::Computed tomography (CT) was compared with chest radiography in the assessment of disease severity in 27 patients with sarcoidosis. The CT scans and radiographs were each read twice by two independent observers. Disease extent was assessed on CT scans by visual scoring (0%-100% involvement of the lung parenchyma) and ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.171.3.2717730

    authors: Müller NL,Mawson JB,Mathieson JR,Abboud R,Ostrow DN,Champion P

    更新日期:1989-06-01 00:00:00

  • Stereotactic core biopsy breast and blood cell by-products: a source of material for molecular genetics research--initial experience.

    abstract::Stereotactic core biopsy washings and blood drop samples, routinely discarded by-products, provide satisfactory fresh cellular material for flow cytometry and molecular genetics microsatellite polymerase chain reaction (PCR) analysis for detection of loss of DNA alleles (loss of heterozygosity). Cytokeratin-positive (...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.218.3.r01mr11881

    authors: Stomper PC,Stewart CC,Stoler DL

    更新日期:2001-03-01 00:00:00

  • Pancreas allograft rejection: correlation of transduodenal core biopsy with Doppler resistive index.

    abstract:PURPOSE:To determine the usefulness of sonographically obtained resistive indexes (RIs) in the diagnosis of pancreas allograft rejection. MATERIALS AND METHODS:Findings were studied from 78 transduodenal pancreas allograft biopsies that were ultrasound-guided and cystoscopically directed. The 78 biopsies included 40 t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.200.1.8657950

    authors: Nelson NL,Largen PS,Stratta RJ,Taylor RJ,Grune MT,Hapke MR,Radio SJ

    更新日期:1996-07-01 00:00:00

  • Colonic strictures in infants following intestinal ischemia. Treatment by balloon catheter dilatation.

    abstract::Successful balloon catheter dilatation through the defunctionalized limb of a colostomy was performed in three infants with postischemic colonic stricture. This experience suggests that balloon catheter dilatation can be an alternative to surgical resection in treating delayed ischemic colonic stricture. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.149.2.6622690

    authors: Ball WS Jr,Seigel RS,Goldthorn JF,Kosloske AM

    更新日期:1983-11-01 00:00:00

  • Volume detection threshold: quantitative comparison of computed radiography and screen-film radiography in detection of pneumothoraces in an animal model that simulates the neonate.

    abstract:PURPOSE:To quantitatively compare computed radiography (CR) and screen-film radiography (SFR) in the detection of pneumothorax in an animal model that simulates the neonate. MATERIALS AND METHODS:Three rabbits underwent placement of 5-F catheters in the right pleural space. Eight CR and eight SFR images were obtained....

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.194.3.7862970

    authors: Don S,Cohen MD,Kruger RA,Winkler TA,Katz BP,Li W,Dreesen RG,Kennan N,Tarver R,Klatte EC

    更新日期:1995-03-01 00:00:00

  • Musculoskeletal infection of the extremities: evaluation with MR imaging.

    abstract::Magnetic resonance (MR) imaging was performed in 17 patients, 11-84 years of age, referred for evaluation of possible osteomyelitis involving the appendicular skeleton. MR imaging permitted successful identification of osteomyelitis in ten patients (four acute, two subacute with Brodie abscess, two chronic, and two ac...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.166.1.3336680

    authors: Tang JS,Gold RH,Bassett LW,Seeger LL

    更新日期:1988-01-01 00:00:00

  • The opossum as an animal model for studying radiation esophagitis.

    abstract::Six opossums were evaluated as a possible animal model of radiation esophagitis. In a single exposure to the esophagus, four animals received 60Co radiation of various doses; two served as controls. Pre- and postirradiation evaluations using fiberoptic endoscopy, mucosal biopsy, barium esophagography, and manometry we...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/131.3.731

    authors: Northway MG,Libshitz HI,West JJ,Withers HR,Mukhopadhyay AK,Osborne BM,Szwarc IA,Dodd GD

    更新日期:1979-06-01 00:00:00

  • The lactating breast: contrast-enhanced MR imaging of normal tissue and cancer.

    abstract:PURPOSE:To retrospectively describe the magnetic resonance (MR) imaging characteristics of normal breast tissue and breast cancer in the setting of lactation. MATERIALS AND METHODS:The HIPAA-compliant study was exempt from institutional approval, and informed consent was not required. Unilateral MR imaging of 10 breas...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2372040837

    authors: Espinosa LA,Daniel BL,Vidarsson L,Zakhour M,Ikeda DM,Herfkens RJ

    更新日期:2005-11-01 00:00:00

  • Therapeutic blockade of arteries using compressed Ivalon.

    abstract::A new technique for embolization with compressed Ivalon plugs is described. Fourteen arteries--six renal, three splenic, two pulmonary, one left gastric, and two abdominal aortas--were occluded in six dogs. In one case of renal artery embolization, three plugs were used, and in one case of abdominal aorta embolization...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.136.3.7403540

    authors: Zollikofer C,Castaneda-Zuniga WR,Galliani C,Rysavy JA,Formanek A,Amplatz K

    更新日期:1980-09-01 00:00:00

  • Embolization of multiple Rasmussen aneurysms as a treatment of hemoptysis.

    abstract::A 40-year-old man with a history of tuberculosis developed massive hemoptysis. Embolization of a bronchial artery branch did not resolve the bleeding. Selective angiography eventually revealed three pseudoaneurysms arising from an apical segmental branch of the right pulmonary artery, two of which were successfully em...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.193.2.7972750

    authors: Santelli ED,Katz DS,Goldschmidt AM,Thomas HA

    更新日期:1994-11-01 00:00:00