Abstract:
:Perforations of the gastrointestinal tract have many causes. Holes in the wall of gastrointestinal organs can be created by blunt or penetrating trauma, iatrogenic injury, inflammatory conditions that penetrate the serosa or adventitia, extrinsic neoplasms that invade the gastrointestinal tract, or primary neoplasms that penetrate outside the wall of gastrointestinal organs. This article provides a radiologic approach for investigating the wide variety of gastrointestinal perforations. General principles about contrast agents and studies are reviewed, and then perforations in specific gastrointestinal organs are discussed.
journal_name
Radiol Clin North Amjournal_title
Radiologic clinics of North Americaauthors
Rubesin SE,Levine MSdoi
10.1016/s0033-8389(03)00100-3subject
Has Abstractpub_date
2003-11-01 00:00:00pages
1095-115, vissue
6eissn
0033-8389issn
1557-8275pii
S0033-8389(03)00100-3journal_volume
41pub_type
杂志文章,评审abstract::With the increasing availability of curative surgical techniques for primary and secondary hepatic neoplasms, the tasks for clinical imaging of patients suspected of having liver cancer have become more exacting. Detection of tumor, differential diagnosis of individual nodules, and mapping the anatomic extensions of m...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Computed tomographic (CT) angiography (CTA) has become the preferred imaging test of choice for various aortic conditions because of its excellent spatial resolution, rapid image acquisition, and its wide availability. CTA provides a robust tool for planning aortic interventions and diagnosing acute and chronic vascul...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2015.08.005
更新日期:2016-01-01 00:00:00
abstract::A variety of disease processes may involve the axial skeleton, producing acute symptoms and signs. This discussion summarizes some of the important diseases that become apparent in this fashion. Roentgen manifestations of these disorders include abnormalities of vertebral body shap or density, loss of intervertebral d...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract::Based on our experience with 28 patients, there is good evidence that gadolinium-enhanced MR will be useful in evaluation of skull base involvement, sinus involvement, or intracranial extension by neoplasms that involve the neck above the hard palate. This region has historically been a difficult area to image with an...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::Many changes have occurred in the past decade in the imaging of the breast. These improvements have led to more sensitive and specific breast imaging and to the widespread use of minimally invasive biopsy techniques. They have also facilitated a closer working relationship between breast imager and surgeon and have co...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(01)00006-9
更新日期:2002-05-01 00:00:00
abstract::This article presents an update of the field of percutaneous discectomy and a perspective as to where percutaneous discectomy currently fits in the treatment of patients with herniated discs. The future of minimally invasive disc surgery is also entertained, and a novel approach to lumbar disc surgery is presented. ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(05)70041-5
更新日期:1998-05-01 00:00:00
abstract::Paired inspiratory and dynamic expiratory multislice CT imaging is a promising method for diagnosing TBM. A low-dose technique should be considered for the dynamic portion to reduce radiation exposure. Visual and quantitative analysis of the central airways provide a comprehensive assessment by allowing for the accura...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(03)00023-x
更新日期:2003-05-01 00:00:00
abstract::Musculoskeletal traumatic injuries in children demonstrate characteristic imaging findings. The physis is the most susceptible structure to traumatic injury. The periosteum in children plays a key role in rapid bone healing and stability. The main complications of fractures in children are premature physeal closure, p...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2017.02.011
更新日期:2017-07-01 00:00:00
abstract::The leukemias and lymphomas together account for over 40% of the malignant disorders in childhood. Radiologists who deal with these patients must understand some aspects of the biology, natural history, and clinical manifestations of the disease in order to provide useful imaging consultative services. This article su...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-11-01 00:00:00
abstract::Gout is a group of diseases characterized by arthritis and results from a disturbance of urate metabolism with the deposition of monosodium urate crystals in the joints and soft tissues. Often, but not invariably, the serum urate levels are elevated as a result of overproduction or underexcretion of uric acid. Clinica...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/S0033-8389(03)00158-1
更新日期:2004-01-01 00:00:00
abstract::The prevalence of adult congenital heart disease (ACHD) is increasing due to advances in surgical techniques, anesthesia, and perioperative care. Imaging plays an important role, not only in the surveillance of ACHD, but also in the initial evaluation of cases that have escaped detection early in life and present with...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2018.08.013
更新日期:2019-01-01 00:00:00
abstract::Skeletal growth is a dynamic process. A knowledge of the structure and function of the normal growth plate is essential in order to understand the pathophysiology of abnormal skeletal growth in various diseases. In this well-illustrated article, the authors provide a radiographic classification of abnormal growth plat...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract::Arthrography of the elbow is performed infrequently, but may be quite useful in demonstrating the presence, number, and location of intra-articular loose bodies, and in evaluating articular cartilaginous surfaces. Such information may be valuable in the selection of an operative versus a nonoperative course of treatme...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1981-06-01 00:00:00
abstract::In single-center trials across 42,838 examinations, 150 (0.35%) cancers were identified only sonographically in average-risk women. Over 90% of the 126 women with sonographically depicted cancers had dense or heterogeneously dense parenchyma. Of the 150 cancers, 141 (94%) were invasive, with a mean size of 9 to 11 mm ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2004.04.003
更新日期:2004-09-01 00:00:00
abstract::This article describes the clinical and imaging roles of MR with respect to the following: neck masses of known or uncertain etiology; staging of cervical metastatic disease; thyroid and parathyroid; and evaluation of the thoracic inlet. Pertinent normal anatomy is highlighted when appropriate. ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::The sacroiliac joints present unique problems in diagnosis for both the clinician and the radiologist. Each of the imaging modalities presents advantages and problems. The specific clinical problems determine whether advanced imaging modalities such as scintigraphy, CT scan, or magnetic resonance imaging will compleme...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-09-01 00:00:00
abstract::Ultrasonography is a dynamic, powerful, and readily available tool in the armamentarium of biliary diagnosis. The use of this modality is indicated in the initial work-up of jaundice since ultrasonography is exquisitely sensitive to the presence of intrahepatic or extrahepatic biliary dilatation. The liver and pancrea...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1991-11-01 00:00:00
abstract::Sonography and computed tomography play complementary roles in imaging mass lesions in the salivary glands and their surroundings. Ninety per cent of parotid tumors originate from the superficial lobe, and we consider sonography to be the method of choice for imaging these lesions. The sensitivity of high-resolution s...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1985-03-01 00:00:00
abstract::The posterior skull base can be involved by a variety of pathologic processes. They can be broadly classified as: traumatic, neoplastic, vascular, and inflammatory. Pathology in the posterior skull base usually involves the lower cranial nerves, either as a source of pathology or a secondary source of symptoms. This r...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2016.08.002
更新日期:2017-01-01 00:00:00
abstract::Disease of the thoracic aorta can present with a broad clinical spectrum of symptoms and signs. The accepted diagnostic gold standard, selective digital subtraction angiography, is now being challenged by state-of-the-art CT angiography (CTA) and MR angiography(MRA). Currently, in many centers, cross-sectional imaging...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2004.03.005
更新日期:2004-05-01 00:00:00
abstract::Neuroimaging is an invaluable diagnostic tool for sorting through the vast array of etiologies that underlie altered mental status (AMS). Head computed tomography (CT) without contrast is the primary modality for evaluation of AMS and should be complemented by MR imaging in cases of negative CT but high clinical conce...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2019.08.002
更新日期:2020-01-01 00:00:00
abstract::This article outlines the benefits of imaging osteoarthritis with ultrasonography and some of the limitations. Pathologic structures able to be identified in osteoarthritis with ultrasonography are reviewed, with a focus on the validity of the technique. Common ultrasonographic abnormalities seen in osteoarthritis in ...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2009.04.007
更新日期:2009-07-01 00:00:00
abstract::The sella and parasellar region, found between the anterior and central skull base, represents the central aspect of the skull base. Given the location of the pituitary gland in this location, small lesions in this location may have major physiologic effects on the human body. This article reviews the anatomy, develop...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2016.09.002
更新日期:2017-01-01 00:00:00
abstract::The American College of Radiology Breast Imaging and Reporting Data System (ACR BI-RADS) defines a mass as a space-occupying lesion seen in at least two projections. This article focuses on the management of breast masses with mammography and ultrasonography. Recommended work-up pathways are modified for nonpalpable m...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0033-8389(05)70193-7
更新日期:2000-07-01 00:00:00
abstract::Pelvic pain during the first trimester of pregnancy can pose a challenge to the clinician. The noninvasive nature, safety, and reliability of ultrasonography make it the diagnostic method of choice for pregnant patients who have pelvic pain. Sonography provides information that allows for diagnosis of both pregnancy-r...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2006.10.015
更新日期:2006-11-01 00:00:00
abstract::A coalition is a congenital bony, cartilaginous, or fibrous connection (called a bar) between two or more bones. Coalitions are clinically significant because they prevent normal joint motion. Tarsal coalition may be difficult to identify on clinical and imaging evaluation. Given the high prevalence of coalition, radi...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2008.09.005
更新日期:2008-11-01 00:00:00
abstract::The treatment strategy in advanced non-small cell lung cancer (NSCLC) has evolved from empirical chemotherapy to a personalized approach based on histology and molecular markers of primary tumors. Targeted therapies are directed at the products of oncogenic driver mutations. Immunotherapy facilitates the recognition o...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2018.01.012
更新日期:2018-05-01 00:00:00
abstract::The role of imaging in the diagnosis and management of prostate is reviewed. Transrectal ultrasonography, which can be used to guide biopsy, is most frequently used imaging technique in cancer detection. For determining the extent of disease, CT and MR imaging are the most commonly used modalities; bone scintigraphy a...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2006.10.008
更新日期:2007-01-01 00:00:00
abstract::Thermal ablation of tumors is a rapidly growing field that has found various applications in the musculoskeletal system. Radiofrequency ablation (RFA) has become the reference standard for treatment of most osteoid osteomas. More recently, RFA has been applied to several other forms of primary tumors and in the treatm...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.rcl.2008.12.006
更新日期:2009-05-01 00:00:00
abstract::Over the past several years, operative techniques, postoperative care, and immunosuppressive therapy have advanced steadily, allowing 5-year survival for liver transplantation to increase from 20% 15 years ago to 65% today. Biliary and vascular complications, however, remain causes of significant morbidity and mortali...
journal_title:Radiologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00