Abstract:
:Injury to the renal artery following blunt trauma is detected increasingly due to widespread and early use of multidetector computed tomography (CT), but optimal treatment remains controversial as no guidelines are available. This review illustrates the spectrum of imaging findings of traumatic renal artery dissection based on our experience, with the aim of understanding the physiopathology of ischaemic damage to the kidney, and the process of choosing the best therapeutic strategy (conservative, endovascular, surgical). Five main patterns of traumatic renal artery dissection are described: avulsion of renal hilum; dissection of the segmental renal branches; preocclusive main renal artery dissection; renal artery stenosis without flow limitation; thrombogenic renal artery intimal tear. In the polytrauma patient, management depends on various factors (haemodynamic status, associated lesions, time of diagnosis) rather than on the degree of renal artery stenosis. Non-operative management (NOM) is the preferred option in case of non-flow-limiting dissection of the renal artery and angio-embolisation is an important adjunct to NOM in cases of active bleeding. Embolisation of the renal artery stump may be the best option in cases of occlusive dissection, as catheter manipulation carries a high risk of vessel rupture. The therapeutic window for kidney revascularisation in cases of flow-limiting dissection of main renal artery may be variable. Endovascular stenting >4 h after trauma should be performed only if residual flow with preserved parenchymal perfusion is detected at angiography. Antiplatelet therapy administration is recommended in cases of stenting, but conditioned by the bleeding risk of the patient.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Rozzanigo U,Luppi G,Gatti F,Donner D,Centonze M,Luciani Ldoi
10.1016/j.crad.2020.08.029subject
Has Abstractpub_date
2021-02-01 00:00:00pages
153.e17-153.e24issue
2eissn
0009-9260issn
1365-229Xpii
S0009-9260(20)30385-8journal_volume
76pub_type
杂志文章,评审abstract:AIM:The purpose of our study was to describe radiological manifestations of tuberculosis in patients with myelodysplastic syndromes. MATERIALS AND METHODS:Chest radiographs and CTs of 12 patients with tuberculosis among 195 consecutive patients with myelodysplastic syndrome, proved by bone marrow biopsy, were reviewed...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2001.0742
更新日期:2002-05-01 00:00:00
abstract::Pneumatocele of the infratemporal fossa caused by herniation of air through a break in the wall of the aerated maxillary sinus is rare. Two cases are reported: one arising from a maxillary pneumocele with a defect in the wall of the zygomatic recess and one associated with maxillary radionecrosis with pathological fra...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81463-1
更新日期:1992-01-01 00:00:00
abstract:AIM:To describe the imaging features of inferior mesenteric vein (IMV)-inferior vena cava (IVC) shunts, and to describe a treatment strategy for portosystemic encephalopathy, which can be caused by them. MATERIALS AND METHODS:Between 2000 and 2004, we treated seven patients who had symptomatic IMV-IVC shunts. The resu...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2006.11.014
更新日期:2007-04-01 00:00:00
abstract::Abdominal fat distribution has been compared in 25 men and 25 women by computed tomography (CT) at the level of the umbilicus. Men have significantly more fat within the abdominal cavity. Women have similar total fat, but store a greater proportion of it in their subcutaneous tissues. For this reason, abdominal CT may...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80303-1
更新日期:1983-03-01 00:00:00
abstract:AIM:To evaluate the safety and efficacy of computed tomography (CT)-guided percutaneous fine-needle aspiration biopsy (FNAB) of pancreatic masses that traverses the gastrointestinal tract or solid viscera. MATERIALS AND METHODS:From January 2002 to December 2012, 144 patients underwent 165 CT-guided biopsies of pancre...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.05.111
更新日期:2014-10-01 00:00:00
abstract:AIMS:The aim of this retrospective study was to assess the relative efficacy of plain abdominal radiographs and detailed renal tract ultrasound (US) examination in the diagnosis and follow-up of children with renal tract calculi. METHODS:The records and imaging studies of 28 paediatric patients who had presented with ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0501
更新日期:2000-09-01 00:00:00
abstract:AIM:To evaluate the problems that may arise in breast magnetic resonance imaging (MRI) related to the presence of artefacts and pitfalls, in order to improve its accuracy, sensitivity, and specificity. MATERIALS AND METHODS:Six hundred and thirty breast MRI examinations performed using a 1.5 T magnet were analysed ret...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2013.05.103
更新日期:2013-11-01 00:00:00
abstract::The results of 100 attempts at endoscopic retrograde cholangio-pancreatography (ERCP) performed in patients with jaundice have been reviewed. The examination provided a diagnosis in 75% of cases. The reason for failure to cannulate the correct duct was obstruction at the lower end of the common bile duct in 15 patient...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80236-0
更新日期:1978-03-01 00:00:00
abstract:AIM:To demonstrate that carbon dioxide (CO2) microbubble contrast enhancement depicts blood vessels when used for x-ray examinations. MATERIALS AND METHODS:Microbubbles were generated by cavitation of physiological saline to which CO2 gas had been added using an ejector-type microbubble generator. The input pressure v...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2012.08.011
更新日期:2013-04-01 00:00:00
abstract:AIM:To compare the safety and efficacy of percutaneous computed tomography (CT)-guided core-needle biopsy (CNB) of pancreatic masses traversing the gastrointestinal tract or solid viscera versus trans-mesenteric and retroperitoneal approaches. MATERIALS AND METHODS:CT-guided CNB of pancreatic lesions performed between...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.02.021
更新日期:2016-06-01 00:00:00
abstract::Gastrointestinal stromal tumours (GISTs) can lead to emergency situations, such as gastrointestinal bleeding, intestinal obstruction, and tumoural rupture with haemoperitoneum or peritonitis. In addition, if a GIST grows exophytically to a large size, it is often misdiagnosed as a tumour arising from adjacent organs. ...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2015.10.025
更新日期:2016-02-01 00:00:00
abstract::During the last 4 years we have treated four patients with extensive mediastinal non-Hodgkin's lymphoma (NHL). None had extrathoracic disease and they were clinically stage I-II. All received intensive combination chemotherapy and radiotherapy resulting in good response. Nevertheless, when treatment was completed, com...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80183-7
更新日期:1989-05-01 00:00:00
abstract:AIM:To investigate the clinical and image features of thymic neuroendocrine tumours (NETs), and characterise the radiological patterns of recurrence and metastasis on serial imaging studies. MATERIALS AND METHODS:The study included 14 patients (11 males) with a histopathological diagnosis of thymic NETs (one typical c...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.11.025
更新日期:2018-05-01 00:00:00
abstract::In this report, we illustrate the imaging findings of diseases in the subperitoneal space of the broad ligament and sigmoid mesocolon and discuss the pathways of subperitoneal spread of disease. The subperitoneal space of the broad ligament and sigmoid mesocolon is continuous with that of the parietal peritoneum overl...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(98)80213-4
更新日期:1998-12-01 00:00:00
abstract:AIM:To investigate the value of hepatic extracellular volume fractions (fECVs) measured using routine liver computed tomography (CT) evaluating liver fibrosis (LF). MATERIALS AND METHODS:A total of 60 patients (male:female ratio, 39:21; mean age, 42.4 years) histologically diagnosed with LF underwent routine liver CT....
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.10.003
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:To assess the incidence, characteristics and prognostic significance of calcification within colorectal hepatic metastases. MATERIALS AND METHODS:A retrospective analysis of CT in 265 patients with locally advanced or metastatic cancer was performed. Four groups were defined: (a) calcification within liver met...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80315-2
更新日期:1998-10-01 00:00:00
abstract::The uncinate process of the pancreas has been assessed in 106 consecutive patients without pancreatic disease in order to establish normal features. The process measures approximately 1 X 1.3 cm in size, is frequently inseparable from the superior mesenteric vein without contrast enhancement and can adopt a number of ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80024-2
更新日期:1988-03-01 00:00:00
abstract::The double contrast barium enema, in most cases performed by the 'instant' technique without bowel preparation, has been compared with the pathological examination of the colon following resection in 37 patients with ulcerative colitis. Radiology has been found to underestimate the histological extent of disease. This...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80079-8
更新日期:1978-05-01 00:00:00
abstract::The aim of this study was to document the appearances of fistula-in-ano on magnetic resonance imaging (MRI) and to prospectively evaluate the accuracy of MRI in the pre-operative assessment of anal fistulae. Patients with a clinical diagnosis of fistula-in-ano and awaiting surgery (n = 35) were examined with MRI. The ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82906-x
更新日期:1994-01-01 00:00:00
abstract::Progeria or 'prematurely old' is an autosomal recessive trait that appears insidiously at or after the age of 6 months. Two affected siblings are reported showing radiologically progressive attenuation of the clavicles and terminal phalanges, widening of cranial sutures and mandibular hypoplasia. Scleroderma was also ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(76)80082-7
更新日期:1976-07-01 00:00:00
abstract:AIM:To develop and validate a test bolus (TB)-based quantitative model to create an individualised contrast medium injection protocol for use at coronary computed tomography angiography (CCTA) to improve patient-to-patient uniformity of intracoronary attenuation. MATERIALS AND METHODS:In the model-building phase, 175 ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.04.001
更新日期:2016-11-01 00:00:00
abstract::Twenty-seven patients with carcinoma of the bladder were treated at the Glasgow Institute of Radiotherapeutics as part of a national hyperbaric oxygen trial. These patients were treated on a 4 MeV linear accelerator either in air or in 3 atm, absolute, of oxygen, by random selection. Of these patients, one-third were ...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0009-9260(76)80134-1
更新日期:1976-04-01 00:00:00
abstract::We report a patient who presented acutely to a neurosurgical unit with a mild left hemiparesis following mild trauma and an episode of hypotension. Computed tomography of the brain showed fresh partial thrombosis of a right parietal arteriovenous malformation. Subsequent angiography confirmed partial obliteration of a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82085-9
更新日期:1990-08-01 00:00:00
abstract::A comparison has been made of the MRI findings of 17 studies in 16 patients with osteomyelitis: eight studies were performed in patients with acute osteomyelitis, six in chronic and three in healed osteomyelitis. Soft tissues, cortex and marrow were assessed in all patients. The best predictors of acute osteomyelitis ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80934-1
更新日期:1990-01-01 00:00:00
abstract::The use of duplex ultrasound for the diagnosis and assessment of abdominal aortic dissection and visceral arterial involvement is discussed. Ultrasound is simple and non-invasive and may be superior to aortography in diagnosis; it should be performed after ultrasound assessment of the aortic root. It also provides an ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82147-6
更新日期:1990-11-01 00:00:00
abstract::Sclerosing encapsulating peritonitis (SEP) is a serious complication of peritoneal dialysis (PD) characterized by thickened peritoneal membranes, which lead to decreased ultra-filtration and intestinal obstruction. Its early clinical features are nonspecific, and it is often diagnosed late following laparotomy and per...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2007.01.022
更新日期:2007-08-01 00:00:00
abstract:AIM:To assess the accuracy and risk factors for complications of computed tomography (CT)-guided percutaneous core needle biopsy (CNB) for small (≤20 mm) pulmonary lesions. MATERIALS AND METHODS:A retrospective study was undertaken comprising 169 patients who underwent CT-guided CNB for small (≤20 mm) pulmonary lesion...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2012.09.008
更新日期:2013-01-01 00:00:00
abstract:AIM:To assess inter-observer variation in the interpretation of chest radiographs of individuals with pneumonia versus those without pneumonia. MATERIALS AND METHODS:Chest radiographs of out-patients with a lower respiratory tract infection (LRTI) were assessed for the presence of infiltrates by radiologists from thre...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.crad.2004.01.011
更新日期:2004-08-01 00:00:00
abstract:AIM:To compare the complications and outcomes of Neuroform and Enterprise stents in the treatment of unruptured wide-necked aneurysms. MATERIALS AND METHODS:Under the auspices of the institutional review board, a review of a prospectively collected patient log identified 130 patients who underwent elective stent-assis...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.07.015
更新日期:2014-12-01 00:00:00
abstract::The absorption of vitamin B12 and of a synthetic bile acid analogue 75SeHCAT was measured simultaneously in 26 patients presenting with persistent diarrhoea following pelvic irradiation for treatment of carcinoma of the cervix. Four groups were identified, namely patients with isolated bile acid malabsorption, patient...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(85)80059-3
更新日期:1985-05-01 00:00:00