Chest, Musculoskeleton, G.I. and Abdomen, Urinary Tract: 5th Halley Radiological Refresher Course

185 Pages·1996·7.08 MB·English

by  C. D. R. Flower (auth.)

SYLLABUS 1: CLINICAL MRI (Editor: H. Imhof)
11 th Annual Scientific Meeting of the
European Society for Magnetic Resonance in Medicine
(Vienna, April 20-24, 1994)
SYLLABUS 2: MUSCULOSKELETAL IMAGING: AN UPDATE
Categorical Course ECR '95
(Eds. A. L. Baert, P. Grenier, U. V. Willi -Invited Ed. J. L. Bloem)
(Vienna, March 5-10, 1995)
SYLLABUS 3: CHEST, MUSCULOSKELETON, G.I. AND ABDOMEN,
URINARY TRACT (Editor: L. Dalla Palma)
5th Halley Radiological Refresher Course
(Budapest-Tihany, May 6-9,1996)
Kindly offered by BRACCO s.p.a. -Milano

Springer
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SYLLABUS
5th Halley Radiological Refresher Course
CHEST, MUSCULOSKELETON,
G.I. AND ABDOMEN,
URINARY TRACT
EDITOR: L. DALLA PALMA
Springer
Prof. LUDOVICO DALLA PALMA
Direttore, Istituto di Radiologia deII'Universita
Ospedale di Cattinara
Strada di Fiume
1-34149 Trieste
ISBN-13: 978-3-540-75019-2 e-ISBN-13: 978-88-470-2225-6
DOl: 10.1007/978-88-470-2225-6
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Halley Project '96
Preface
This volume brings together the papers which 33 radiologists, chosen among
the leading European experts, presented at the Halley Project 1996 Refresher
Course.
The project, which I promoted and co-ordinated, started out under the aegis
of the European Association of Radiology in 1992 with the aim of fostering the
advancement of Radiology in various countries of Eastern Europe: Bulgaria,
the Czech Republic, Slovakia, Hungary, Poland and Rumania.
Thanks to the expertise and enthusiasm of distinguished colleagues from
various countries in Western Europe and to the generosity of two sponsors,
Bracco International and Schering A.G., it was possible to set up, in 1992, 1993,
1994 and 1995. four Faculties of Experts in Uroradiology. Gastrointestinal and
Abdominal Radiology, Chest Radiology and Skeletal Radiology. These four
faculties then gave a refresher course on the four radiological subspecialities in
the six nations mentioned above.
The project was called Halley, after the famous comet, in a desire to express
the idea of spreading Western radiological culture among Eastern radiologists
who were visited in their own countries.
In these 4 years. as project leader, I accompanied the four Faculties during
their tour and was thus able to experience the various local situations, not only
in radiological terms but also socially. thanks to the ever warm relationships
among radiologists of different nationalities and of different ages who attended
the courses.
The number of participants attending the Halley Refresher course increased
steadily year by year, reaching an average of 200 radiologists in the last 2 years.
The event became a national feast for Radiology, an opportunity for
participants to meet each other and the various speakers who took part over
the course of the 4 years. I was thus able to see first hand the culture and
organisation of Radiology progressively developing in these countries, thus
confirming that the project has achieved what it set out to do: bring Western
and Eastern European Radiology into harmony.
This year, the fifth in our activity, I wished to celebrate the event by
inviting all the 33 speakers who took part in the four previous Refresher
Courses to participate in a single refresher course which would review the
four subspecialities in such a way as to update progress in each branch to
1996.
For this reason I thought it was a good idea for us to all meet in a central
Eastern European country: Hungary. an easily accessible venue for
radiologists from the other five countries. Each Society of Radiology has
chosen 50 of its members for these 4 days of radiological update.
This was possible thanks to Bracco International who generously sponsored
this initiative. which has the purpose of celebrating the union of radiologists,
teachers and students from all over Europe.
VI
The European Union, which politicians have not yet achieved, is already
reality in radiology! This sums up the spirit and the objective of the Executive
Board of the European Association of Radiology.
This volume, to which Bracco International wished to give a particular form,
and which will be distributed on a wide scale, gathers together all the 33
lectures presented at this 5th Halley Refresher Course. They are excellent
papers, which focus on the most up-to-date issues in radiology of the chest,
gastro intestinal tract, skeleton and urinary tract.
I would like to express my heartfelt gratitude to the authors, who are among
the leading experts in their subspeciality, for their expertise and generosity and
who have made it possible to print this volume in real-time alongside the
refresher course. The update will thus be also made available for all those who
have been unable to take part in the Refresher Course. By reading this volume
they too will be able to enter the spirit of the Halley Project.
Finally thanks must be extended to the publisher, Springer-Verlag, for co
operation in keeping to our strict time limits and for the high editorial quality
of the final product.
L. Dalla Palma
Halley Project '96
Table of Contents
Faculty of Chest Radiology. . . XI
Faculty of Skeletal Radiology. XIII
Faculty of G.I. and Abdominal Radiology . XV
Faculty of Uroradiology. . . . . . . . . XVII
Chest Radiology
Haemoptysis: The Role of Radiology in Investigation and Treatment
CO.R Flower. . . . . . . . . . . . . . . . . . . . . . . 3
Small-Airway Diseases of the Lungs: Value of Expiratory CT
1. Verschakelen ..................... . 8
CT of Chronic Obstructive Lung Disease
P. Grenier. . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Imaging in Pulmonary Embolism
Cl. Herold. . . . . . . . . . . . 17
Minimally Invasive Methods for the Assessment of Solitary Pulmonary
Nodules
P. Schnyder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Mediastinal Masses
F. Laurent ..... ....... 24
Congenital Abnormalities Affecting the Respiratory System
O. Shaw ................................ 30
Radiology in Chest Emergencies
L. Bonomo, M.L. Storto, C Ciccotosto and A. Guidotti .... 34
Interventional Radiology of the Chest: Percutaneous Procedures
RF. Oondelinger and B. Ghaye. . . . . . . . . . . . . . . . . . . . . 40
Skeletal Radiology
Digital Skeletal Radiography
H. Pettersson. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
VIII
Surface Lesions of Bone
A.M. Davies. . . . .. ....................... 55
Advances in Joint Imaging
I. Watt. . . . . . . . . . . ............. 60
Radiological Assessment of Pain in the Knee
C. Masciocchi and M.V. Maffey ..................... 65
Radiological Assessment of Pain in the Foot
K. Jonsson ............................... 69
Bone Marrow Imaging
M.F. Reiser, A Stabler, A Baur and M. Steinborn ............ 72
Metastatic Bone Disease
D. Vanel ................................ 76
G.I. and Abdominal Radiology
Radiological Workup in Oral-pharyngeal Dysphagia:
Costs and Clinical Results
A Montesi, M. Matei, A Pisani, L. Provinciali, M. G. Ceravolo and
F. Mari. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 81
Ischaemic Bowel Disease: Radiographic and Imaging Features
J. Pringot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Disorders of the Small Intestine
D.J. Nolan .......... . . ........... 94
Defecography in Anorectal Functional Disorders
P. Mahieu . . . . . . . . . . . . . . . . . . . . ....... 98
Imaging of Focal Lesions of the Liver: Ultrasonography,
Computed Tomography and Magnetic Resonance Imaging
M. Luning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Pancreatic Tumours
AL. Baert, S. Gryspeerdt and L. Van Hoe ... 110
Imaging an Abdominal Mass in Children: Concepts and Challenges
U.V. Willi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
New Interventional Procedures in the Abdomen
J. Lammer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Uroradiology
New Frontiers in Uroangiographic Contrast Media
F. Stacul . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Imaging in Renovascular Hypertension .
N. Grenier . . . . . . . . . . . . . .............. 128
Urinary Tract Infection in Children
H. Carty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
IX
Acute Renal Infections in Adults
L. Dalla Palma . . . . . . . .. ................. 137
Imaging of Urinary Tract Obstruction
J.A.W. Webb. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Malignant Renal Tumours
J.F. Moreau and O. Helenon. . . . . . . . . . . . . . . . . . . 147
Imaging of the Lower Urinary Tract
S. Dorph . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Imaging of Prostate Cancer
R.H. Oyen . . . . . . .. ..................... 159
Interventional U roradiology
M.J. Kellett. . . . . . . .. ................... 165
Management Issues in Radiology
H.M. Saxton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170