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Biomedical subjects

F Frühwald

Publications and source records attributed to F Frühwald.

At least 55 records · Page 3Linked to original sources
PubMed1987

[Comparison of the value of general and oblique images and whole lung tomography in a high kilovoltage technic in the detection of pulmonary coin lesions].

The ranking of high kvp pa. and lateral chest x-ray, left and right oblique films and whole lung tomography in the detection of pulmonary coin-shaped lesions is compared. Out of a total number of 327 coin lesions in 115 patients detected by high kvp whole lung tomography, only 52% were found on pa and lateral chest films. Additional oblique films improved the score to 64%. Oblique films proved to be especially helpful in detecting pleural lesions. Although CT has a higher sensitivity in detecting nodules (with decreasing specificity) whole lung tomography will continue to play an important role in the management of tumour patients.

Diagnosis, Differential↗
PubMed1986

[Sonographically demonstrable changes following percutaneous kidney biopsy].

For diagnosis and therapeutic strategies exact histological diagnosis of certain renal diseases is of great importance. Biopsy, therefore, is an integrated component of patient management. Haemorrhage is the most common complication following percutaneous renal biopsy. Gross haematuria can easily be detected, whereas perirenal bleeding is harder to detect. A high incidence of perirenal haematomas after biopsy can be evaluated with the help of sonography. In a survey of 207 percutaneous renal biopsies performed in 168 patients, we found 64 perirenal haematomas (30.9%). 2 haematomas (0.96%) required surgical intervention. In 4 patients (1.9%) transitory gross haematuria with obstruction of the bladder by blood clots occurred. These were removed by cystoscopy.

Adolescent↗
PubMed1986

[Annular phased array--initial experiences with a new transducer technology].

During a 3 month period 177 patients underwent sonographic examinations of the upper abdomen. Scanning was performed with a new annular phased array transducer and with a conventional rotating sector transducer. Our study indicates that the annular array is more effective for outlining boundaries of the liver, spleen and pancreas in the near and far zones. Due to the better lateral resolution the new technology permits sonographic imaging of parenchymal organs even in cases of severe obscuration by bowel gas.

Abdomen↗
PubMed1986

[Realtime sonography in the diagnosis and follow-up of malignant tongue tumors. II. Detection and staging].

92 sonographic examinations performed in 62 patients were evaluated to determine the possible application of sonography in the diagnosis and follow-up of malignant tumours of the tongue. Squamous cell carcinomas were by far dominant and proved to be hypoechoic, mainly inhomogeneous and ill-defined masses. In most cases, they ranged between 2 and 4 cm. in diameter. In 50% of the lesions an infiltration of the pharynx wall was confirmed, and exulcerations were correctly detected by sonography in 75%. In preoperative determination of the size of the tumour, sonography correctly detected the size in 93% of the cases and was thus markedly superior to the clinical palpatory examination, which determined a mere 43% correctly. Sonography should be included in the pretherapeutic staging of tumours of the tongue to objectify the clinical findings. It is also adequate to document tumour behaviour during radiation.

Aged↗
PubMed1986

Sonoanatomy of the shoulder.

With the aid of ultrasound we tried to visualize the muscles of the shoulder region, the collum scapulae, the axillary artery and vein and the brachial plexus. We were successful with exception of the vessels and the nerves. Knowledge of the anatomical landmarks is essential in ultrasound image reading.

Axillary Artery↗
PubMed1986

Sonography of the tongue and floor of mouth. Part I: Anatomy.

Normal structures of the tongue and floor of the mouth were studied using anatomic sections cut with a stainless steel band saw. The sections were performed on the same planes as used in US and CT scanning. The ultrasound studies were carried out with 20 young and healthy volunteers. CT images were obtained from head-neck preparations that were subsequently used for anatomic sectioning. On comparing these sections to US and CT images, normal structures including intrinsic and extrinsic tongue muscles, vessels and salivary glands were identified. Knowledge of the anatomic landmarks is mandatory for optimal US image reading.

Adolescent↗
PubMed1986

Sonography of the tongue and floor of mouth. Part II: Neoplasms of the tongue.

Frequently, correct evaluation of space-occupying lesions in the tongue is not possible with clinical methods only. In an attempt to assess the value of sonography in the detection of tongue lesions, we used submental sonography to examine 62 patients with suspicious palpatory findings upon physical examination of the tongue. Ultrasound detected 45 out of 47 tumours that were eventually confirmed either by surgery or by biopsy. Inadequate technique was the only factor that affected the detection rate. Sonography appears to be a reasonable guide in determining size and site of a tumour of the tongue. Thus, more precision in therapy planning may be achieved.

Aged↗
PubMed1986

Sonography of the tongue and floor of mouth.

The study about the sonoanatomy of the tongue and the floor of the mouth was undertaken with 20 volunteers. A description of the examination technique is given in comparison with computerized tomography. It is pointed out that it is easier to adjust the section planes optimally to the anatomical situation with ultrasound. This examination technique is noninvasive and easy to do. It is comfortable for the patient and can be repeated frequently, for example it allows a follow-up of cancer patients. Finally--this technique is cheap and can be performed at any given place.

Adolescent↗
PubMed1986

[Evaluation of real-time sonography in the pretherapeutic staging of malignant tumors of the tongue and mouth floor].

Based on our three years experience with about 200 transcutaneous real-time sonographies of the tongue and the floor of mouth, an assessment of the determination of size and site of 38 pretherapeutically examined malignant tumours (35 squamous cell carcinomas) was made. The patients were examined in reclined position, the head retroflected. Curved array transducers of 5 or 7.5 MHz and a silicon elastomer block as interface turned out to be optimal. All tumours could be detected by sonography as hypoechoic, more or less homogeneous, ill-defined areas. Two thirds of the tumour ulcerations could be seen as hard hyperechoic reflexes within the hypoechoic areas. When comparing the maximal diameter of tumours of the 20 operated patients, we found an agreement (5 mm tolerance) of sonography with the surgical specimen in 14 of 20 tumours (70%), of sonography with the clinically estimated diameter in 10 of 20 tumours (50%), whereas the clinically estimated diameter was in agreement with the surgical specimen in only 8 of 20 tumours (40%). A peritumoral inflammatory infiltration can simulate a larger tumour size in sonography. The extent of tumours within the tongue, to the floor of mouth, the lateral pharyngeal wall and the preepiglottic space was documented correctly in most cases. In three cases a previously unknown spread across the midline was found sonographically. Including the sonographic findings in the TNM classification, 5 T1 tumours would have been staged as T2 and one T3 tumour as T4. Inflammatory diseases of the tongue can show the same sonomorphology as malignant tumours.

Adult↗
PubMed1986

[Intolerance reaction following glucagon administration in a double-contrast study].

Whereas intolerance reactions against contrast media are a well-known hazard during radiologic procedures, intolerance reactions to other preparations used in radiology are rare. Glucagon, frequently used to induce gastrointestinal hypotonia, is said to have almost no side-effects. A case of anaphylactic reaction during double-contrast upper gastrointestinal examination is reported. Pseudoallergic reaction to propylparaben, a preservative agent in glucagon, is suspected. IgE-antibodies to glucagon could not be detected by RAST.

Adult↗
PubMed1985

[EHDP (ethylidene-1-hydroxy-1,1-diphosphonate) in the treatment of polyosseous Paget disease].

13 patients with polyosseous Paget's disease were treated for a mean period of 7 months with disodium etidronate (EHDP, ethylidene-1-hydroxy-1,1-diphosphonate); the average daily dosage was 5 mg/kg body weight. Subjectively, all patients reported a considerable improvement, in particular with regard to pain. Objectively, a significant decrease in plasma alkaline phosphatase activity and in urinary hydroxyproline excretion was observed. Bone scintigraphy showed a decreased activity of bone lesions after therapy, but no clear-cut regression was found radiologically. No serious side-effects were observed during treatment with EHDP and oral administration of the drug proved to be advantageous.

Aged↗
PubMed1985

[Ultrasound guided puncture of wall fixed intrathoracic processes].

To improve differentiation of intrathoracic lesions in the vicinity of the chest wall, 167 patients were investigated via sonography. In the case of an indication the lesions were punctured, assisted by sonography. Sonography proved helpful in differentiating between liquid and solid masses and in localising the spot for puncture resulting in the successful removal of material for cytologic analysis in all our cases without any complications. The results of the study are presented, and the sonographic morphology is shown.

Biopsy, Needle↗
PubMed1985

[Real-time sonography in the diagnosis and follow-up of malignant tongue tumors. I. Anatomic basis].

Normal structures of the tongue and floor of the mouth were studied using anatomic sections cut with a stainless steel band saw. The sections were performed on the same planes as used in US and CT scanning. The ultrasound studies were carried out with 20 young and healthy volunteers. CT images were obtained from head/neck preparations that were subsequently used for anatomic sectioning. On comparing these sections to US and CT images, normal structures including intrinsic and extrinsic tongue muscles, vessels and salivary glands were identified. Knowledge of the anatomic landmarks is mandatory for optimal US image reading.

Adolescent↗
PubMed1985

[The use of sonography in the diagnosis of pathological changes in the mouth floor and tongue region].

The application of real-time sonography in the area of the tongue and floor of the mouth is described. Its value is examined by a sonographic-surgical correlation of 40 examinations. In 38 cases, the sonographic findings correlated well with the clinical picture, as well as with the intraoperative and pathologic findings. Ultrasound seems to be a practicable imaging method, especially with malignant infiltration of the tongue.

Carcinoma, Squamous Cell↗
PubMed1985

[Sonographic, clinical and surgical correlations in the diagnosis and control of the course of tongue infiltrations].

With a high-resolution sonographic system, anatomical details in the area of the floor of the mouth and tongue are visualized. The value of sonography in the pretherapeutic assessment of suspicious palpation findings was investigated. 22 patients' tumors were examined during radiation, to document the course of therapy. 55 sonograms were evaluated and confirmed the excellent applicability of this procedure in the precise pretherapeutic determination of the size of the lesions and their relation to the surrounding structures. The tumors are readily detected even during radiotherapy.

Humans↗