[Severe hypoxemia associated with cytolytic hepatitis in Q fever].
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Biomedical subjects
Publications and source records attributed to M Aubert.
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In 76 patients the diagnosis of the mediastinal extension of a bronchial cancer, assessed by computed tomography (CT), was compared to histological specimens obtained by mediastinoscopy and surgery (58/76). The extension to mediastinal nodes was present in 26 subjects (34.2%) and yet was not recognised 15 times on CT. There were 15 false negatives (FN) and 3 false positives (FP). Sensitivity 43%, specificity 94%, predictive value for positives (VPP) 70%, predictive value for negatives (VPN) 75%. Extension was present in 18 patients. These were recognised 14 times by CT. There were no false positives. (Sensitivity 70%, specificity 100%, VPP 100%, VPN 94%). We conclude That CT is useful for diagnosing direct mediastinal extension and allows the juxta-hilar extension of the cancer to be assessed. CT has no place in the diagnosis of mediastinal gland involvement. Mediastinoscopy (5.2% FN; no FP) is better than TDM for the diagnosis of extension to the mediastinal nodes both for peripheral and central cancers.
From a 3,000 patients study, estimation of venous system by B-mode Imaging coupled with directional Doppler velocimetry is reported. Concordance in 85% of correlations between ultrasonic venography and conventional phlebography for deep vein calf thrombosis is promising. Real time venous echography provides reliable diagnosis with simple, repetitive and non-invasive control of deep veins system. Significant visualization of superficial veins system provides for non-occlusive disease or thrombotic lesions a new approach and eventual enlargement of surgical indications.
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