Abstract:
:The clinical management of patients with skeletal metastases puts new demands on imaging. The radiological imaging in screening for skeletal metastases entails detection, metastatic site description and radiologically guided biopsy for morphological typing and diagnosis. Regarding sensitivity and the ease in performing surveys of the whole skeleton, radionuclide bone scintigraphy still is the first choice in routine follow-up of asymptomatic patients with metastatic disease of the skeleton. A negative scan has to be re-evaluated with other findings, with emphasis on the possibility of a false-negative result. Screening for metastases in patients with local symptoms or pain is best accomplished by a combination of radiography and MRI. Water-weighted sequences are superior in sensitivity and in detection of metastases. Standard spin-echo sequences on the other hand are superior in metastatic site description and in detection of intraspinal metastases. MRI is helpful in differentiating between malignant disease, infection, benign vertebral collapse, insufficiency fracture after radiation therapy, degenerative vertebral disease and benign skeletal lesions. About 30% of patients with known cancer have benign causes of radiographic abnormalities. Most of these are related to degenerative diseases and are often easily diagnosed. However, due to overlap in MRI characteristics, bone biopsy sometimes is essential for differentiating between malignant and nonmalignant lesions. Performing bone biopsy and aspiration cytology by radiologist and cytologist in co-operation has proven highly accurate in diagnosing bone lesions. The procedure involves low risk to the patient and provides a morphological diagnosis. Once a suspected metastatic lesion is detected, irrespective of modality, the morphological diagnosis determines the appropriate work-up imaging with respect to the therapy alternatives. The integration of multimodality imaging in the assessment of skeletal metastases is complex and requires multidiciplinary co-operation in order to optimize screening and medical clinical care with respect to the prognosis and life quality of patients with bone metastatic disease.
journal_name
Eur Radioljournal_title
European radiologyauthors
Söderlund Vdoi
10.1007/BF00187654subject
Has Abstractpub_date
1996-01-01 00:00:00pages
587-95issue
5eissn
0938-7994issn
1432-1084journal_volume
6pub_type
杂志文章,评审abstract:OBJECTIVE:To determine the diagnostic accuracy of diffusion-weighted (DW) magnetic resonance (MR) imaging in the preoperative assessment of myometrial invasion by endometrial cancer. MATERIALS AND METHODS:In this prospective study, 47 patients with histologically confirmed endometrial cancer underwent preoperative MR ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-009-1597-x
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVES:We aim to compare the diagnostic performance to assess thyroid nodules and reliability for recommending fine needle aspiration biopsy (FNAB) between American College of Radiology thyroid image reporting and data system (ACR TI-RADS) and American Thyroid Association (ATA) guidelines. METHODS:In total, this r...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5992-z
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:To investigate the value of histogram analysis of diffusion kurtosis imaging (DKI) maps in the evaluation of glioma grading. METHODS:A total of 39 glioma patients who underwent preoperative magnetic resonance imaging (MRI) were classified into low-grade (13 cases) and high-grade (26 cases) glioma groups. Par...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-5108-1
更新日期:2018-04-01 00:00:00
abstract::Our purpose was to assess the effect of computer-aided detection (CAD) on lesion detection as a second reader in computed tomographic colonography, and to compare the influence of CAD on the performance of readers with different levels of expertise. Fifty-two CT colonography patient data-sets (37 patients: 55 endoscop...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-007-0608-z
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVES:To evaluate changes in T1 and T2* relaxometry of dentate nuclei (DN) with respect to the number of previous administrations of Gadolinium-based contrast agents (GBCA). METHODS:In 74 relapsing-remitting multiple sclerosis (RR-MS) patients with variable disease duration (9.8±6.8 years) and severity (Expanded ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4245-2
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To determine variability of volume computed tomographic dose index (CTDIvol) and dose-length product (DLP) data, and propose a minimum sample size to achieve an expected precision. METHODS:CTDIvol and DLP values of 19,875 consecutive CT acquisitions of abdomen (7268), thorax (3805), lumbar spine (3161), cer...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-016-4333-3
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The purpose was to identify distinguishing CT features of pathologically diagnosed asbestosis, and correlate diagnostic confidence with asbestos body burden. METHODS:Thirty-three workers (mean age at CT: 73 years) with clinical diagnoses of asbestosis, who were autopsied (n = 30) or underwent lobectomy (n = ...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-015-3973-z
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:We describe 64 foetuses with cortical formation abnormalities (CFA) who had two in utero magnetic resonance (iuMR) exams, paying particular detail to those in which the original classification of CFA category changed between the two studies. The goal was to attempt to quantify the value of third-trimester fo...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07125-9
更新日期:2020-09-04 00:00:00
abstract::Heterotropic mesenteric ossification is a rare entity. Only a few cases have been described in the literature. We report a case of heterotropic mesenteric ossification in a patient who underwent several laparotomies, after suffering from multiple gunshot wounds. We discuss the radiographic findings of this disease tha...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-004-2464-4
更新日期:2005-01-01 00:00:00
abstract::The aim of this study was to describe a new magnetic resonance imaging (MRI) classification system for intra-articular soft tissue tumours based on the morphology of the lesion, with the aim to aid the differential diagnosis. We performed a retrospective review of 52 consecutive patients presenting to a specialist mus...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-006-0381-4
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To prospectively compare reduced-dose (RD) CT colonography (CTC) with standard-dose (SD) imaging using several reconstruction algorithms. METHODS:Following SD supine CTC, 40 patients (mean age, 57.3 years; 17 M/23 F; mean BMI, 27.2) underwent an additional RD supine examination (targeted dose reduction, 70-9...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-3603-9
更新日期:2015-07-01 00:00:00
abstract::Our purpose was to assess image quality and interpretation problems of two-dimensional (2D) coronary MR angiograms. The coronary arteries of 27 subjects (12 normal volunteers and 15 patients) were evaluated with 2D coronary MR angiography (MRA). Coronary MRA was performed with a fat-suppressed electrocardiographically...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/BF00180601
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:Complications following colorectal cancer resection are common. The degree of aortic calcification (AC) on CT has been proposed as a predictor of complications, particularly anastomotic leak. This study assessed the relationship between AC and complications in patients undergoing colorectal cancer resection....
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07189-7
更新日期:2020-11-17 00:00:00
abstract:OBJECTIVES:To utilize a deep learning model for automatic detection of abnormalities in chest CT images from COVID-19 patients and compare its quantitative determination performance with radiological residents. METHODS:A deep learning algorithm consisted of lesion detection, segmentation, and location was trained and ...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-020-07044-9
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:To determine the residual lipid fraction in fractured vertebrae by (1)H MR spectroscopy (MRS) and its confounding effect on differentiating benign from metastatic compression fractures of the spine using apparent diffusion coefficient (ADC) obtained by diffusion-weighted read-out-segmented echo-planar imagin...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2620-1
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To compare the diagnostic performance of models based on a combination of contrast-enhanced (CE) magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) or time-intensity curves (TIC) in diagnosing malignancies of breast lesions. METHODS:A double-blind retrospective study was conducted in 328 ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06883-w
更新日期:2020-09-01 00:00:00
abstract::This discussion on developments within publishing presents further thought on green, gold and hybrid models of open access. It also discusses some of the advantages and disadvantages which may be encountered by researchers, authors, institutions, scientific organisations and publishers. ...
journal_title:European radiology
pub_type: 评论,社论
doi:10.1007/s00330-013-2777-2
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:This study aimed to evaluate automated breast ultrasound (ABUS) compared to hand-held traditional ultrasound (HHUS) in the visualisation and BIRADS characterisation of breast lesions. MATERIALS AND METHODS:From January 2016 to January 2017, 1,886 women with breast density category C or D (aged 48.6±10.8 yea...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-017-5011-9
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility, image quality, and radiation dose of automatic spectral imaging protocol selection (ASIS) and adaptive statistical iterative reconstruction (ASIR) with reduced contrast agent dose in abdominal multiphase CT. METHODS:One hundred and sixty patients were randomly divided into two sc...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4349-8
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To investigate the imaging findings and clinical time course of COVID-19 pneumonia. METHODS:A total of 113 baseline and follow-up CT scans from 24 January 2020 to 18 February 2020 were longitudinally collected from 29 confirmed COVID-19 patients in a single center. The changes in the clinical and laboratory...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07007-0
更新日期:2020-11-01 00:00:00
abstract::The blood-ocular barrier (BOB) shares similar neuroepithelial origin, microanatomy and functions with the blood-brain barrier. There are many natural (e. g. diabetes, hypertension) or iatrogenic (chemotherapy, retinal photocoagulation) conditions which can cause a BOB breakdown, resulting in visual acuity impairment o...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050121
更新日期:1997-01-01 00:00:00
abstract::This was a prospective, multicenter study designed to evaluate the utility of MDCT in the diagnosis of coronary artery disease (CAD) in patients scheduled for elective coronary angiography (CA) using different MDCT systems from different manufacturers. Twenty national sites prospectively enrolled 367 patients between ...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-008-1239-8
更新日期:2009-05-01 00:00:00
abstract:PURPOSE:To evaluate dual-energy CT (DECT) imaging of hypodense liver lesions in patients with hepatic steatosis, having a high incidence in the general population and among cancer patients receiving chemotherapy. METHODS:One hundred and five patients with hepatic steatosis (liver parenchyma <40 HU) underwent contrast-...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-3772-6
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVES:To compare the diagnostic accuracy of 3D versus 2D contrast-enhanced vessel-wall (CE-VW) MRI of extracranial and intracranial arteries in the diagnosis of GCA. METHODS:This prospective two-center study was approved by a national research ethics board and enrolled participants from December 2014 to October 2...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06536-7
更新日期:2020-04-01 00:00:00
abstract::The objective of this study was to optimize ankle joint MR imaging in volunteers at 1.5 Tesla (T) and 3.0 T, and to compare these optimized sequences concerning image quality and performance in assessing cartilage, ligament and tendon pathology in fresh human cadaver specimens. Initially our clinical ankle protocol co...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-006-0446-4
更新日期:2007-06-01 00:00:00
abstract::We report an uncommon case of spontaneous massive hemorrhage of the abdominal wall caused by rupture of a deep iliac circumflex (DIC) artery. Enhanced computed tomography (CT) demonstrated a marked extravasation in a huge hematoma of the abdominal wall. Although a pelvic arteriogram demonstrated no extravasation, a su...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050432
更新日期:1998-01-01 00:00:00
abstract::We describe changes in imaging features of a textiloma (retained surgical sponge or retained foreign body) left in the renal fossa after exploratory renal surgery. One year after the initial surgery, the MR aspect of the textiloma was not specific, with a homogeneous low signal intensity on T1-weighted images. Serial ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050338
更新日期:1998-01-01 00:00:00
abstract::This paper presents work on interactive 2D projection magnetic resonance angiography, based on fresh blood imaging (FBI), which integrates navigation and triggering optimisation into a continuous fluoroscopic procedure. The technique was developed on a clinical 1.5-T MRI system and performed in five healthy volunteers...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1218-0
更新日期:2009-04-01 00:00:00
abstract:KEY POINTS:• Identify, assure, and measure major sources of variability affecting the MRI-directed biopsy pathway for prostate cancer diagnosis.• Develop strategies to control and minimize variations that impair pathway effectiveness including the performance of main players and team working.• Assure end-to-end quality...
journal_title:European radiology
pub_type: 社论
doi:10.1007/s00330-020-07527-9
更新日期:2020-11-25 00:00:00
abstract::Severe thoracic sarcoidosis includes manifestations with significant clinical and functional impairment and a risk of mortality. Severe thoracic sarcoidosis can take on various clinical presentations and is associated with increased morbidity. The purpose of this article was to describe the CT findings in severe thora...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-004-2480-4
更新日期:2005-01-01 00:00:00