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Biomedical subjects

S Feuerbach

Publications and source records attributed to S Feuerbach.

At least 145 records · Page 8Linked to original sources

Age-related morphology of the normal pancreas on computed tomography.

Abdominal computed tomographic scans were performed on a group of 360 patients between the ages of 20 and 80 years. The anteroposterior diameter of the pancreatic head, body, and tail, the age-related ratio of vertebral body-pancreas diameter, and the external and internal contours of the organ were analyzed. The age-related changes in the pancreas were compared with known anatomical findings.

Adult↗

[MR tomography of gynecologic diseases of the minor pelvis].

The results of MR examinations of 31 women with gynaecological diseases are described; all had CT and histological confirmation at operation. The extent and relationship of the lesions were well demonstrated by the three-dimensional sections of MR, in some cases better than on CT. Variations in the signals allowed better differentiation of myomas and ovarian carcinomas from normal tissue. Like CT, MR tomography was not reliable in showing the extent of infiltration into neighbouring structures.

Adult↗

[Traumatology of the midface--diagnostic and therapeutic guidelines for the practicing ENT physician from the viewpoint of the radiologist].

Local and combined facial fractures are usually correctly diagnosed by conventional plain films in conjunction with the clinical picture. If the image quality is reduced due to soft tissue swelling of problems in positioning a multiply injured patient, conventional tomography or computed tomography (CT) are indicated. The advantages of CT are the detailed imaging of soft tissue and bone structures; in patients with skull trauma, CT of the facial bones can be combined with cranial computed tomography without re-positioning the patient. CT proved to be the most accurate method for the evaluation of blow-out-fractures of the orbit. The radiation dose is less and the investigation time is shorter compared to conventional tomography in the demonstration of facial fractures. Conventional tomography is indicated when artefacts caused by dental fillings reduce the image quality of CT.

Facial Bones↗

[Possibilities and limitations of computerized tomography in the staging of the subdiaphragmatic spread of Hodgkin's disease].

The value of computed tomography in the assessment of subdiaphragmatic spread was studied prospectively in 72 patients with so far untreated, histologically confirmed Hodgkin's disease. In 17 patients (23.6%) computed tomography (CT) diagnosed subdiaphragmatic involvement, with no false-positive results. In 55 (76.4%) CT was within normal limits. In 30 patients exploratory laparotomy gave false-negative results in 7 (23.4%). The causes of false-negative results in CT are that lymph-nodes which were not enlarged but involved were not demonstrated and spleen involvement was not identified. Including those correctly positively diagnosed cases (17), CT had a sensitivity of 70.8% and a false-negative rate of 29.2%. It is concluded that when CT is within normal limits only exploratory laparotomy can with certainty exclude subdiaphragmatic involvement.

Diagnostic Errors↗

[Computed tomographic morphometry of the normal pancreas in adults].

The relationship of the morphology of the normal pancreas, as seen on CT, and age was studied in 200 normal people aged between 19 and 87 years. The A.P. diameter, vertebral body/pancreas ratio, cranio-caudal diameter, contour and structure of the pancreas were analysed. The most marked age-related changed occurred in the vertebral body/pancreas ratio, but all other measurements showed a reduction dependent on age. With increasing age, the contour of the pancreas becomes more lobulated and, at the same time, the structure changes from an homogeneous to an inhomogeneous appearance. These findings correspond with pathological-anatomical observations.

Adult↗

[False interpretations of computed tomograms in malignant lymph node diseases of the pelvis and abdomen].

In the presence of a retroperitoneal mass with loss of normal aortic and caval contours no distinction can be made by CT between metastases or malignant lymphoma and primary sarcoma or retroperitoneal fibrosis if a primary tumour is not known. A false diagnose is quite possible if intestinal loops or vessels are considered as enlarged lymph nodes. These pitfalls can be avoided by intravenous application of contrast medium and by filling of all intestinal loops with orally administered contrast medium, in special cases even via a gastric tube. Pitfalls in post-therapeutic changes, like haematoma, scar tissue or lymphocele, are confounded with tumour recurrence of recent metastases and are give false-positive results in follow-up examinations. If no regression of lymph node enlargement after therapy is observed, a distinction between active metastases and nodal induration is impossible. False-negative results are due to metastatic, but not enlarged lymph nodes and cannot be avoided by CT.

Abdominal Neoplasms↗

The use of CT in monitoring cryosurgery.

One of the main problems encountered in cryosurgery is that of controlling the amount of tissue that is irreversibly destroyed by cooling. In vitro-experiments in which the homogeneous cooling of various substances, as well as "ice-ball" propagation within different tissues of animals via a cryotip were evaluated. In vivo experiments, on an anaesthetized pig, indicate CT to be a useful continuous-monitoring technique with a high spatial resolution. Using CT simultaneous localization of pathological tissue and measurement of temperature distribution is possible. The density changes induced by cooling were visualized on CT and the corresponding temperature changes were measured using thermocouples. The greatest decrease in density was observed as a change of phase took place. The speed of ice-ball propagation as well as the diameter of the ice ball generated varied considerably depending on the type of tissue. Construction of cryoprobes of a very small diameter could facilitate the percutaneous treatment of lesions within the body.

Animals↗

[Diagnosis of renal involvement in malignant lymphomas (author's transl)].

The article describes involvement of the kidneys in 2 patients suffering from malignant lymphoma. In the first patient, small nodular infiltrates are seen in the symmetrically enlarged kidneys. In the second patient, a large, intrarenally growing tumour can be observed on the right, whereas on the left side an abdominal lymphatic node can be seen growing into the kidney. At the same time, there are lymphatic infiltrates of different size in both kidneys. The diagnosis is basically established by computerised tomography combined with visualisation of enlarged abdominal lymphatic nodes, both kidneys being involved; at the same time, the intrarenal infiltrates are found to possess a density which largely corresponds to that of the surrounding lymph nodes.

Female↗

Computed tomography of pharyngo-laryngeal carcinoma.

CT scans of 36 carcinomas of the laryngo-pharyngeal region were analysed retrospectively and the results compared with the endoscopic and operative findings. For the final tumour staging in 18 cases of carcinoma of the larynx equivalent results were obtained in 12 cases; CT scan offered a better evaluation in two cases and insufficient dates in four. Destruction of cartilagineous structures, submucosal tumour infiltration and the pre-epiglottic space are better shown on CT scans. Faulty evaluation of tumour presence of extent are due to superficial tumour growth or to motion artefacts. For the final staging of 18 carcinomas of the pharynx results of CT and clinical findings were comparable in nine cases. CT was less precise in five and superior to endoscopy in four. Evaluation of neoplastic infiltration of the parapharyngeal soft-tissue and of the skull base was the main advantage of CT scanning. Low grade tumours of the oro- and hypopharynx were not visible on CT and tumours of the base of the tongue were insufficiently displayed.

Carcinoma↗