[Side effects and complications following administration of roentgen contrast media--reducing the risk and prevention].
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Biomedical subjects
Publications and source records attributed to R Kukulies.
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Clinical and radiological findings obtained from diagnosis and follow-up examination of post-traumatic algodystrophy (Morbus Sudeck) are very much open to subjective interpretation. Decisive importance is attributed not only to alteration of soft tissue but also to typical distribution patterns and severity of bone demineralisation. No objectifiable and quantifiable have so far become available for proper assessment but are urgently desirable in view of the great number of therapeutic approaches. Densitometry integrated with computed tomography was applied to nine patients with algodystrophy of hand or foot in the region of spongy bones to determine absorption values which were then compared with those on the clinically intact side. Significant differences between sides proved to be objectifiable and were quantifiable measures by which demineralisation of the effected extremity could be assessed. Repeated examinations were undertaken for follow-up through a period up to nine months.
The authors report on the application of intraarterial renal digital subtraction angiography in 82 patients and more than 122 conventional angiographies. The radiological criteria of renal carcinoma are discussed. The value of angiography in relation to other imaging methods is assessed and compared.
Pulmonary arteriovenous fistulae (M. Osler) can usually be well demonstrated by radiological methods. In addition to a chest film and conventional tomography pulmonary angiography is frequently required to obtain a correct diagnosis. We had occasion to examine a patient by computed tomography and sequential scintigraphy. The arteriovenous fistulae could be well detected with both methods by the typical pharmacokinetics of contrast medium and radiopharmacon. By means of computed tomography moreover, the number, the site and the vascular pattern of fistulae could be shown. Sequential scintigraphy provides detailed information about the perfusion times of blood in the heart, fistulae and healthy lung segments.