Radiology Today PDF
Preview Radiology Today
~\~\\\\\hll"II/IIIIt/!J. # ~4~ ~ ~ ~ ~ ~ ~ ~ ~ RADIOLOGY TODAY A Multinational Series I 1//1" ~ ~\ ~I~ WIJII/I/I"I"\\\\\\~\~~ Radiology Today 1 Edited by M. W. Donner and F. H. W. Heuck 1981. 290 figures, 61 tables. XIX,431. ISBN 3-540-10099-7 Radiology Today 2 Edited by F. H. W. Heuck and M. W. Donner 1983. 306 figures, 44 tables. XII,362. ISBN 3-540-11754-7 Contents: Gastrointestinal Radiology, Swallowing Disorders, Liver Disease and Function, Renal Transplant, Obstructive Uropathy, Direct Coronal CT, Embolization, Digital Angiography, Lymphatic System, CT of Lung and Mediastinum, Bone Mineral Analysis, Soft Tissue Tumors, Interventional Neuroradiology, Nuclear Magnetic Resonance Radiology Today 3 Edited by M. W. Donner and F.H. W. Heuck 1985. 196 figures, 45 tables. XV,203. ISBN 3-540-13438-7 Contents: Critical Diagnostic Pathways, Gastrointestinal Tract, Liver and Pancreas, Genitourinary Tract, Interventional Radiology, Embolization and Angioplasty, Percutaneous Stone Extraction, Extracorporal Shock-Wave, Lithotripsy, Drainage Techniques, Variations and Cost, Containment in Radiology, Future of Magnetic, Resonance Imaging Radiology Today Edited by F. H.W. Heuck and M.W. Donner With 164 Figures and 38 Tables Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Proceedings of the Multinational Postgraduate Course, held in Salzburg, June 12-15, 1986. Editors Professor Dr. Friedrich H. W. Heuck Radiologisches Institut im Zentrum Radiologie des Katharinenhospitals der Stadt Stuttgart Kriegsbergstrasse 60, 7000 Stuttgart 1, FRO Professor Dr. Martin W. Donner Department of Radiology and Radiological Science The Johns Hopkins Medical Institutions 600 North Wolfe Street, Baltimore, MD 21205, USA ISBN-13: 978-3-642-71287-6 e-ISBN-13: 978-3-642-71285-2 DOl: 10.1007/978-3-642-71285-2 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illus trations, recitation, broadcasting, reproduction on microfilms or in other ways, and stor age in data banks. Duplication of this publication or parts thereof is only permitted un der the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prose cution act of the German Copyright Law. © Springer-Verlag Berlin, Heidelberg 1987 Softcover reprint of the hardcover 1st edition 1987 The use of registered names, trademarks, etc. in the publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant pro tective laws and regulations and therefore free for general use. Product Liability: The publisher can give no guarantee for information about drug dos age and application thereof contained in this book. In every individual case the respec tive user must check its accuracy by consulting other pharmaceutical literature. 2121/3140-543210 Preface The biennial symposium 'Radiology Today' continues its original mission to bring together European and American radiologists to discuss advances in the field. This volume presents material by well-known experts in cardiovascular and skeletal radiology. Its aim is to provide an overview of each major topic, trends in clinical development, and current interests in research. The future holds much promise for cardiovascular and skeletal radiology, primarily because of new techniques and procedures, but also because of the development of imaginative approaches to clinical problems. Ideas are born on both sides of the Atlantic, and we believe that it is important to ensure a rapid exchange of new information and to determine how it fits into today's medical care, keeping in mind the quality of patients' care, their safety and comfort, as well as cost. The traditional role of radiologists as consultants has increased greatly over time, with new responsibilities being continuously added. We radiologists are challenged to determine the diagnostic pathway appropriate to each patient. To arrive at the diagnosis quickly, safely, and at the lowest possible cost is as important as our participation in determining the patient's management. Some therapeutic procedures are even carried out by diagnostic radiol ogists themselves, employing ultrasound, computed tomography, or fluoroscopy and intracavitary catheters. Abscesses can be drained, and blood vessels dilated or blocked. In diagnosis and therapy, events are moving quickly, and advances are made at a rapid pace. Communication among investigators and with clini cians in community practice is therefore of the utmost impor tance. This volume is meant to reflect this goal. February 1987 F.H.W. Heuck M.W. Donner Contents Advances in Cardiovascular Imaging 1 A.B. CRUMMY Digital Arteriography: Ongoing Developments 3 R.L. SOULEN Magnetic Resonance Imaging of the Cardiovascular System 8 E. ZEITLER Comparison of Vascular CT and MRI . 12 B. TERWEY, R. WINTER Characterization of Vascular Lesions by Ultrasound 17 Progress in Vascular Interventions . . . . . . . . . 23 D.C. CUMBERLAND, D.J. MOORE, D.l. TAYLOR Laser Angioplasty: A Review .. . . . . . . . . 25 A.B. CRUMMY Fibrinolytic Therapy Combined with Clot Extraction 29 G.L. WOLF Drugs Useful in Angioplasty 33 Developments in Cardiovascular Imaging 35 J. BUCK Blood Flow Measurements with Digital Arteriography . 37 R. SORENSEN, T. BERGER, F. FOBBE, J.-H. SCHAFER, J. HEITZ, R. ARNTZ Selection of Imaging Techniques for Venous Thromboembolic Disease. . . . . . . . . . . . . . . 44 R. FELIX, M. LANGER, U. SPECK Clinical Usefulness of High-Versus Low-Osmolality Contrast Agents . . . . . . . . . . . . . . . 52 K.H. BARTH Developments in Angiographic and Interventional Instrumentation . . 58 V1 11 Contents Progress in Cardiovascular Interventions . . . . . . . . . . . 63 R. W. GUNTHER Inferior Vena Cava Filters: Types, Placement, and Efficiency 65 C. L. ZOLLIKOFER, D. MAASS, A. H. CRAGG Transluminal Vascular Stenting and Grafting . . . . . . . 71 R. SORENSEN, T. BERGER, F. FOBBE, S. BENDER Venography and Sclerotherapy of Varicoceles in Children and Adolescents: A New Catheter System . . . . . . . . . . . . 78 Important Hip Problems . . . . 81 R. FREIBERGER, H. SISSONS Radiologic and Pathologic Correlation in Hip Disease 83 M. HELLER, M. RICHARTZ-HELLER, H.-H. JEND Comparison of Imaging Modalities in Femoral Head Necrosis 90 W. DIHLMANN Osteoarthrosis and Arthritis (Synovitis) of the Hip . . . . . . 95 R. FREIBERGER Hip Arthrography . . . . . . . . . . . . . . 99 R.D. SCHULZ, M. ZIEGER Principles of Ultrasonography of the Hip in Newborn and Young Infants . . . . . . . . . . . . . . . . . . . 103 W. BESSLER, W. SCHAUB Nuclear Bone Scan in Hip Diseases 109 Metabolic Bone Diseases. . . . . . . . . . . . . . . . . . 117 A. BONAKDARPOUR Renal Osteodystrophy . 119 U. FAUST, F.H.W. HEUCK, W.A. KALENDER Progress in Quantitative Radiology of the Skeleton 125 C. CHRISTIANSEN, B. RIIS, L. NILAS, A. GOTFREDSEN Usefulness of Regional Bone Measurements in Patients with Osteoporotic Fractures . . . . . . . . . . . . . . . . 130 Trauma ......................... 135 M. K. DALINKA Diagnostic Errors in Skeletal Trauma in Adults 137 K.-D. EBEL Diagnostic Errors in Skeletal Trauma in Children 143 M. REISER, M. PFEILER, H. SCHMITMANN, R. WEISKE The Importance of High Quality Bone X-Ray Images 150 W. BESSLER, W. SCHAUB The Role of the Bone Scan in Trauma. . . . . . . 157 Contents IX Painful Joints 163 M. K. DALINKA Evaluation of the Painful Wrist . 165 R. FREIBERGER Shoulder Arthropathy. . . . . 170 Soft Tissue Disorders . . . . . . . . . . . . . . . . . . . 173 D. BEYER, K. BOHNDORF, M. REISER MRI - Proven and Potential Uses in Soft Tissue Evaluation . . 175 D.I. WILSON, P. MCLARDY-SMITH, I.e. MACLARNON, R.B. DUTHIE Ultrasound in Haemophilia . . 183 Bone Tumors. . . . . . . . . . . . . . . . . . . . . . . 187 H.I. KAUFMANN A Rational Radiologic Approach to Bone Tumors in Childhood 189 G. LECHNER, F. KARNEL, W. KUMPAN, M. SCHRATTER, P. RITSCHL Efficiency of CT in Bone Tumors 193 Subject Index 198 List of Contributors R. Arntz Abteilung Kardiologie und Pulmonologie, Medizinische Klinik der Freien Universitat Berlin, Klinikum Steglitz, Hindenburgdamm 30, 1000 Berlin 45, FRG K. H. Barth Department of Radiology, Georgetown University Hospital, 3800 Reservoir Road, N.W., Washington, DC 20007, USA S. Bender Abteilung Rantgendiagnostik, Freie Universitat Berlin, Klinikum Steglitz, Hindenburgdamm 30, 1000 Berlin 45, FRG T. Berger Abteilung Rantgendiagnostik, Klinik fUr Radiologie, Nuklearmedizin und physikalische Therapie, Freie Universitat Berlin, Klinikum Steglitz, Hindenburgdamm 30, 1000 Berlin 45, FRG W. Bessler Radiologisches Institut, Kantonsspital, 8401 Winterthur, Switzerland D. Beyer Radiologisches Institut, Universitat Kaln, Joseph-Ste1zmann-Strasse 9, 5000 Kaln 41, FRG M. Richartz-Heller Woldsenweg 6, 2000 Hamburg 20, FRG K. Bohndorf Radiologisches Institut, Universitat Kaln, loseph-Stelzmann-Strasse 9, 5000 Kaln 41, FRG A. Bonakdarpour Department of Diagnostic Imaging, Temple University Hospital, Broad and Ontario Streets, Philadelphia, PA 19140, USA J. Buck Radiologische Abteilung, Kreiskrankenhaus Munchen-Pasing, Steinerweg 5, 8000 Munchen 60, FRG C. Christiansen Department of Clinical Chemistry, Glostrup Hospital, University of Copenhagen, 2600 Glostrup, Denmark A. H. Cragg Department of Radiology, University of Minnesota Hospitals, Minneapolis, MN, USA XII List of Contributors A. B. Crummy Department of Radiology, Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA D. C. Cumberland Northern General Hospital, Herries Road, Sheffield S5 7AU, United Kingdom M. K. Dalinka Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA W. Dihlmann Rantgeninstitut, Allgemeines Krankenhaus Barmbeck, Lehrkrankenhaus der U niversitat Hamburg, Rubenkamp 148, 2000 Hamburg 60, FRG R. D. Duthie Nuffield Orthopaedic Centre and John Radcliffe Hospital, University of Oxford, Windmill Road, Headington, Oxford OX3 7LD, United Kingdom K.-D. Ebel Kinderkrankenhaus Riehl, Krankenanstalten der Stadt Kaln, Amsterdamer Strasse 59, 5000 Kaln 60, FRG U. Faust Institut fur Biomedizinische Technik, Universitat Stuttgart, Seidenstrasse 36, 7000 Stuttgart 1, FRG R. Felix Strahlen- und Poliklinik (WE 07), Universitatsklinikum Charlottenburg, Freie Universitat Berlin, Spandauer Damm 130, 1000 Berlin 19, FRG F. Fobbe Abteilung Rantgendiagnostik, Klinik fUr Radiologie, Nuklearmedizin und physikalische Therapie, Freie Universitat Berlin, Klinikum Steglitz, Hindenburgdamm 30, 1000 Berlin 45, FRG R. Freiberger Department of Radiology and Nuclear Medicine, Hospital for Special Surgery, Cornell University Medical College, 535 East 70th Street, New York, NY 10021, USA A. Gotfredsen Department of Clinical Chemistry, Glostrup Hospital, University of Copenhagen, 2600 Glostrup, Denmark R. W. Gunther Abteilung Radiologische Diagnostik, Klinikum der Rheinisch-Westfalischen Technischen Hochschule Aachen, Pauwellstrasse 1, 5100 Aachen, FRG J. Heitz Abteilung Kardiologie und Pulmonologie, Medizinische Klinik der Freien Universitat Berlin, Klinikum Steglitz, Hindenburgdamm 30, 1000 Berlin 45, FRG M. Heller Abteilung fur Rantgendiagnostik, Radiologische Klinik, Universitatskrankenhaus Eppendorf, Universitat Hamburg, Martinistrasse 52, 2000 Hamburg 20, FRG
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