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DerRadiologe.60360188.eng.abstr
DerRadiologe.60360188.eng.abstr
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DerRadiologe.60360199.eng.abstr
DerRadiologe.60360199.eng.abstr
[ { "id": "DerRadiologe.60360199.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : Evaluation of frequency-selective fat saturation ( FS ) and short-tau inversion recovery ( STIR ) fat suppression ( FU ) in MRI of patients with malignant head and neck tumors . Methods : Forty-five patients with biopsy-proven carcinomas of the extracranial head and neck were examined with MRI at 1.0 T. A T 2-weighted TSE sequence with and without STIR-FU and a T 1-weighted SE sequence with and without FS were compared in axial slices . Results : STIR-FU was successful in all and FS in 85-88 % of the head examinations ( nasopharynx , sinuses , oropharynx , and oral cavity ) and 33-46 % of the neck examinations ( hypopharynx and larynx ) . When visualization and delineation of tumors were ranked on a four-point scale ( 0-3 ) , respective mean values for images with/without FU or FS were 2.6/1.9 for T 2-TSE in all examinations , 2.2/1.7 ( nasopharynx and sinuses ) and 1.3/1.4-1.6 ( oropharynx , oral cavity , hypopharynx , and larynx ) for T 1-SE without contrast media administration ( CM ) and 2.3/2.1 ( nasopharynx and sinuses ) and 2.4-2.5/1.9-2.0 ( oropharynx , oral cavity , hypopharynx , and larynx ) with CM . Conclusions : STIR-T 2-TSE was a technically reliable pathfinder for localization and extension of both tumors and lymph nodes . FS-T 1-SE was technically unreliable in examinations of the hypopharynx and larynx . With CM , FS-T 1-SE was most useful for MRI of carcinomas of the oral cavity and oropharynx . In the nasopharynx and sinuses , T 1-SE with CM and FS-T 1-SE with or without CM were equal for tu- mor visualization and delineation ." ], "offsets": [ [ 0, 1582 ] ] } ]
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"text": [ "MRI" ], "offsets": [ [ 134, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 141, 149 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 155, 164 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 165, 169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s1-t10", "type": "umlsterm", "text": [ "neck" ], "offsets": [ [ 174, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027530" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s1-t11", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 179, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s1-t12", "type": "umlsterm", "text": [ "neck tumors" ], "offsets": [ [ 174, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027533" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Methods" ], "offsets": [ [ 188, 195 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 209, 217 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "biopsy-proven" ], "offsets": [ [ 223, 236 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerRadiologe.60360199.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "biopsy-proven" ], "offsets": [ [ 223, 236 ] 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], "normalized": [ { "db_name": "UMLS", "db_id": "C0150627" } ] } ]
[]
[]
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DerRadiologe.60360207.eng.abstr
DerRadiologe.60360207.eng.abstr
[ { "id": "DerRadiologe.60360207.eng.abstr-passage-0", "type": "abstract", "text": [ "The radiologic imaging methods play an important role in the precise staging as basic requirement for an effective concept of tumor therapy . The accuracy of ultrasound in the primary staging according to the TNM-classification ( UICC ) was therefore prospectively investigated in 260 patients with head and neck tumors of the clinical stages T1N0 to T4N3. The clinically ( C1) and sonographically ( C2) evaluated pretherapeutic stages were compared to the postoperative histopathologic tumor classifications . The clinical staging was correct in 75.0 % , high in 7.7 % , low in 17.3 % , the N-stages were correct in 59.2 % , high in 17.7 % , low in 23.1 % . The sonographic staging was apparently superior with the T-classifications correct in 92.3 % , high in 7.7 % , low 0.0 % . The N-stages were correct in 89.6 % , high in 9.2 % , low in 1.2 % . The accuracy of combined TN classification rose from clinical 46.5 % to 84.6 % by sonography . Accompanying inflammations , foregoing biopsies and tooth extractions were the main reasons for incorrect staging . Therefore , the thorough sonographic investigation performed after the clinical examination and before invasive procedures , due to little patient discomfort , good availability and high accuracy , is an excellent sectional imaging method for staging , therapy-planning and follow up of tumors of the head and neck especially of the orofacial regions ." ], "offsets": [ [ 0, 1414 ] ] } ]
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DerRadiologe.60360217.eng.abstr
DerRadiologe.60360217.eng.abstr
[ { "id": "DerRadiologe.60360217.eng.abstr-passage-0", "type": "abstract", "text": [ "Freely transplanted , microvascularly anastomosed jejunal patches can be used to cover soft tissue defects in the oral cavity or oropharynx after the resection of malignant tumors . Even a patch without complications or alteration from tumor recurrence is morphologically diverse . Therefore it is difficult to distinguish between malignant and benign alterations , and knowledge of the possible morphological spectrum and the significance of an alteration is of practical interest . Computed tomography ( CT ; n = 30 ) and magnetic resonance imaging ( MRI ; n = 13 ) were used for follow-up examinations in patients who had an operative reconstruction with a jejunal patch . Three parts of a patch were differentiated with both imaging modalities : the region of the anastomosis , the mesenterial fatty tissue and the intestinal wall . The morphology of the patches correlated with clinical findings in the following cases . The patches were identified satisfactorily by CT and MRI . The appearance of patches without complications was influenced by a variable degree of fibrosis and by persistent intestinal folds . Recurrent tumors only infiltrated the margins of the patches . Destructive alterations in the patches were always less severe than those in the original orofacial soft tissue . Postoperative follow-up examinations with CT and MRI are particularly important when tumor recurrences spread under a patch , since these tumors are invisible in the clinical examinations . CT was advantageous in demonstrating osseous alterations and showed less loss of image quality in patients for whom the implantation of multiple metallic hardware during the operation had been necessary ." ], "offsets": [ [ 0, 1689 ] ] } ]
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[]
[]
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DerRadiologe.60360221.eng.abstr
DerRadiologe.60360221.eng.abstr
[ { "id": "DerRadiologe.60360221.eng.abstr-passage-0", "type": "abstract", "text": [ "In addition to the conventional radiological methods used in odontology , computed tomography ( CT ) provides superposition-free images of the mandible and maxilla . Its value has been proved not only in cases of malignancy but also in many other problems . If an examination is performed with a slice thickness of less than 1.5 mm , the form and position of retained teeth in the alveolar bone , as well as subsequent lesions of neighboring permanent teeth , can be visualized so that early treatment can be planned . If the parodontal space of a retained tooth is visible , orthodontic intervention is possible . Precise assessment of horizontal or vertical bone loss is essential in inflammatory dental diseases . The morphology and extent of benign cystic lesions are also shown by CT . With CT surgical strategy of an intended implant therapy can take into account the remaining bone substance and the exact position of nerves and foramina . If such therapy is possible , the location , form and number of implants are easily defined ." ], "offsets": [ [ 0, 1040 ] ] } ]
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DerRadiologe.60360226.eng.abstr
DerRadiologe.60360226.eng.abstr
[ { "id": "DerRadiologe.60360226.eng.abstr-passage-0", "type": "abstract", "text": [ "Functional evaluation of swallowing disorders requires rapid imaging modalities . Videofluorography and cinematography are the gold standard , but they have their limitations : no transverse plane imaging is achieved and structural resolution for exact topographic analysis is limited . Three cases preselected by videofluorography were studied to evaluate whether electron beam tomography ( EBT ) permits more detailed dynamic imaging of swallowing disorders focusing on the mesonasopharyngeal segment , the hypopharynx and the upper esophageal sphincter ( UES ) . Immediately after videofluorographic examination of the oropharyngeal deglutition , EBT is performed . The patient is in a supine position and while the patient swallows a 20 ml bolus of water or diluted iodine containing contrast agent , a sequence of 20 images per level is scanned . The levels , which are determined by using the scout view , are oriented parallel to the hard palate either at the level of the hard palate to image the mesonasopharyngeal segment or just above the hyoid bone to focus on the hypopharynx or at the location of the UES . The scan technique is a single-slice cinemode with a slice thickness of 3 mm ( exposure time 100 ms , interscan delay 16 ms , 130 kV , 620 mA ) . The following structural interactions that we have so far been unable to image can be clearly demonstrated with EBT : ( 1 ) during normal swallowing , the mesonasopharyngeal segment is completely and symmetrically closed by the soft palate and Passavant's cushion ; ( 2 ) lateral hypopharyngeal pouches can be located more precisely ; and ( 3 ) disorders of the UES can be differentiated into functional or morphologically caused disorders ( e . g . , goiter or cervical osteophytes ) . Videofluorography and cinematography are still the gold standard in functional evaluation of swallowing disorders . However , EBT permits dynamic imaging of pharyngeal deglutition in a preselected transverse plane and can give useful additional information concerning functional anatomical changes in the pharynx during swallowing . Further clinical evaluation is needed ." ], "offsets": [ [ 0, 2126 ] ] } ]
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DerRadiologe.60360229.eng.abstr
DerRadiologe.60360229.eng.abstr
[ { "id": "DerRadiologe.60360229.eng.abstr-passage-0", "type": "abstract", "text": [ "The importance of dental CT in comparison to conventional OPT in implantation diagnostics is demonstrated in specific indication groups ( atrophy of upper and lower jaw , patient after tumor and reconstructive surgery ) . The application of radiological techniques is illustrated in relation to diagnostic information quality , radiation exposure and cost effectiveness regarding clinical routine use ." ], "offsets": [ [ 0, 402 ] ] } ]
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[]
[]
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DerRadiologe.60360236.eng.abstr
DerRadiologe.60360236.eng.abstr
[ { "id": "DerRadiologe.60360236.eng.abstr-passage-0", "type": "abstract", "text": [ "Laser-induced interstitial thermotherapy ( LITT ) was introduced as a minimally invasive form of therapy for tumors in different anatomic regions . However , in the orofacial region , it has not been used so far for inoperable T4 carcinomas . Since vascular and neural structures are often close to the tumor or are even involved , online monitoring of LITT is necessary . The aim of our study was to establish a method of monitoring LITT with MRI ( magnetic resonance imaging ) in the orofacial region . Five patients with T4 carcinomas of the orofacial region underwent LITT under anesthesia . A 1.5 T whole-body imager with a circulary polarized head coil was used . Before and after the intervention , the region of interest was studied using T1- and T2-weighted sequences in axial and coronal planes , with and without contrast enhancement ( intravenous Gd-DTPA ) . Temperature distribution was monitored with a T1-weighted 2D-FLASH ( fast low angle shot ) sequence . The positioning of the optical fibers was monitored with MRI . Nd : YAG laser equipment was used for laser application . The necrosis was best seen on contrast-enhanced MRI . Immediately after LITT , the outcome could be be determined by MRI . We proposed that MRI-guided LITT be used for neoplasms in the orofacial region at advanced stages ." ], "offsets": [ [ 0, 1316 ] ] } ]
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[]
[]
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DerRadiologe.60360270.eng.abstr
DerRadiologe.60360270.eng.abstr
[ { "id": "DerRadiologe.60360270.eng.abstr-passage-0", "type": "abstract", "text": [ "Health care costs have risen considerably since 1970 in all industrialized countries . This has several causes : changes in demographic structure , the large number of physicians , increased personnel needs resulting from generous vacation and special leave privileges , wage increases and - last but not least - medical progress . Advances in medical technology are often regarded as one of the main reasons for spiralling costs in health care . Careful analyses reveal , however , that the high costs of imaging services are due to conventional radiography rather than to high-technology ( CT , MR ) imaging . The legitimate demands for cost reduction have to be met with improved cost efficiency while optimal quality standards must also be maintained . Relevant suggestions , such as generally accepted examination strategies , should be realized with the help of the scientific societies ." ], "offsets": [ [ 0, 894 ] ] } ]
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DerRadiologe.60360285.eng.abstr
DerRadiologe.60360285.eng.abstr
[ { "id": "DerRadiologe.60360285.eng.abstr-passage-0", "type": "abstract", "text": [ "Despite the low costs of a single examination , the overall expenses for ultrasonography are exceptionally high ( 1.4 billion DM in 1993 ) , not counting the costs of further examinations because of unclear findings . The advantages of sonography are that it is harmless and yields diagnostically important results . Its clinical benefit is beyond doubt in the case of acute clinical symptoms , but unclear for staging and follow-up of malignant tumors . It has been shown to be efficient in screening for renal and prostatic cancer . Here , the costs for sonographic screening appear to be potentially outweighed by the reduction in treatment expenses . However , the cost of sonographic examinations can somtimes be avoided : sonography should not be used if there is no clear indication or if the examiner is not really qualified or the equipment is insufficient . There is a conflict of interest when the referring physician performs to sonography himself , leading to unnecessary examinations . To limit costs it would be potentially helpful if sonographic examinations are only performed when the indications are valid . The education of the examining physicians must be improved , better equipment must be used , scanners can be shared , and patients can be referred to colleagues who are more experienced in sonography . The currently reformed reimbursement scheme is of little value because it does not permit a qualified , thorough , cost-efficient examination ." ], "offsets": [ [ 0, 1472 ] ] } ]
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[]
[]
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DerRadiologe.60360292.eng.abstr
DerRadiologe.60360292.eng.abstr
[ { "id": "DerRadiologe.60360292.eng.abstr-passage-0", "type": "abstract", "text": [ "Demands for increased productivity despite cuts in financial resources have renewed the discussion of cost effectiveness in medical care . Unfortunately , there is a lack of reliable data for evaluating the cost effectiveness of diagnostic procedures . The present article discusses various aspects of this topic and presents examples from the diagnostic evaluation of the upper abdomen . It is argued that modern imaging procedures have in the past helped to reduce costs and that they can become cost effective when they replace established combinations of diagnostic procedures . The present discussion is severely hampered by the fact that there are no generally accepted standards for evaluating diagnostic strategies and that there are no well-founded studies of the cost effectiveness of the strategies used in abdominal diagnosis . Cost effectiveness will in the future become an additional criterion for assessing the quality of medical care ." ], "offsets": [ [ 0, 952 ] ] } ]
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[]
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DerRadiologe.60360300.eng.abstr
DerRadiologe.60360300.eng.abstr
[ { "id": "DerRadiologe.60360300.eng.abstr-passage-0", "type": "abstract", "text": [ "The Swedish Mammography-Screening trials have shown a long-term reduction in the mortality rate in women aged between 50-69 of up to 30 % . The lower reduction in mortality observed in women aged 40-49 was not statistically significant . Long-term observation over 20 years ) has shown that a radiation dose of 2.4 mGy for a 2-view-mammography per breast does not lead to an increase in occurrence of breast cancers . The advantage of screening with regard to a reduction in death rate , frequent use of breast cancerving therapy and the reduction by half in the average size of the tumor compared to control groups results in : A recommendation for quality controlled screening in Germany from the age of 50 to 70. The possible advantage for younger women must be examined in further trials . Screening in the form of a de-centralized check-up system is to be carried out by practising doctors in co-operation with hospitals which will be responsible for double findings , assessment of difficult cases and continuous cost evaluation . Quality assuarance centres , reference and training centres are required . The mammography in curative check-ups will also benefit from a screening programme ." ], "offsets": [ [ 0, 1196 ] ] } ]
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DerRadiologe.60360306.eng.abstr
DerRadiologe.60360306.eng.abstr
[ { "id": "DerRadiologe.60360306.eng.abstr-passage-0", "type": "abstract", "text": [ "Due to its high dynamic range and contrast discernibility , digital radiography offers substantial advantages compared with conventional film-screen systems . Moreover , further advantages can be assumed for radiation protection . Digital radiography also allows conventional image data to be included in PACS ( Picture Archiving Communication System ) . These well-known advantages are faced with legal questions which are not yet settled . Cost effectiveness in using systems of digital radiography and PACS are also under dicussion . By means of examining economic efficiency and cost analysis of digital radiography systems , economic effectiveness was assessed . This was also compared with conventional alternatives . As a result , it may be assumed that amortisation is reached in three to four years . Based on lower costs for films , digital systems are more cost effective than conventional systems after this period ." ], "offsets": [ [ 0, 928 ] ] } ]
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DerRadiologe.60360315.eng.abstr
DerRadiologe.60360315.eng.abstr
[ { "id": "DerRadiologe.60360315.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteoporosis represents one of the most common disorders in Germany . Because of the general aging of the population and due to several secular trends ( less exercise , nutritional deficits , higher standard of living ) the prevalence of osteoporosis will increase substantially . Therefore , it is important to develop preventive strategies and analyze them according to both medical and economical criteria . During the last couple of years substantial progress has been made both in the area of diagnostic approaches as well as treatment modalities . Thus , from a medical point of view important conditions for a positive assessment of the cost-benefit-ratio of diagnostic approches in osteoporosis are now fulfilled . Currently , a strategy for selective screening of well-defined high risk groups appears to be most appropriate . These include 1. women with subnormal hormonal status provided that other risk factors are present , 2. patients with low-trauma fractures , 3. patients under prolonged steroid therapy , and 4. patients with secondary osteoporosis due to other causes . International studies have demonstrated that even more far-reaching preventive strategies can be conceived that could be both medically and economically effective . Currently , however , data for a detailed cost-benefit-analysis are lacking or based on outdated diagnostic equipment or treatment agents . New Studies on this topic are critically needed to evaluate preventive strategies , specifically for Germany ." ], "offsets": [ [ 0, 1504 ] ] } ]
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DerRadiologe.60360327.eng.abstr
DerRadiologe.60360327.eng.abstr
[ { "id": "DerRadiologe.60360327.eng.abstr-passage-0", "type": "abstract", "text": [ "Background : Electron beam CT ( EBCT ) can acquire rapid , multiple thin-section tomograms of the beating heart in synchrony with the electrocardiogram and quantify coronary calcification without intravenous contrast . Coronary calcification is an active process exclusively associated with atherosclerotic plaque formation and regulated in a manner similar to the calcification of bone . Clinical studies have demonstrated that EBCT coronary calcification ( 1 ) follows a pattern similar to the epidemiology of coronary artery disease ( CAD ) , ( 2 ) has a high sensitivity ( 90-95 % ) for coronary plaque and significant angiographic coronary stenoses , and ( 3 ) has the potential to assess the prognosis of patients with coronary atherosclerotic disease . Coronary calcium area or \" score \" correlates best with overall plaque burden within the coronary system . However , coronary calcium is of limited value in distinguishing coronary stenosis on a segment-by-segment basis ." ], "offsets": [ [ 0, 981 ] ] } ]
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[]
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DerRadiologe.60360337.eng.abstr
DerRadiologe.60360337.eng.abstr
[ { "id": "DerRadiologe.60360337.eng.abstr-passage-0", "type": "abstract", "text": [ "To date , positron emission tomography ( PET ) is the most powerful tool for the non-invasive study of biochemical processes . Besides its usefulness for basic research PET has been proven to be superior to conventional diagnostic methods in several clinical indications . However , the introduction of PET into clinical practice has been hindered considerably by its costs . Several American studies lend support to the hypothesis that PET may be more cost-effective than the conventional diagnostic work-up - at least for some of its clinical indications . In Germany , however , this hypothesis has still not been verified ." ], "offsets": [ [ 0, 627 ] ] } ]
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DerRadiologe.60360354.eng.abstr
DerRadiologe.60360354.eng.abstr
[ { "id": "DerRadiologe.60360354.eng.abstr-passage-0", "type": "abstract", "text": [ "The authors present a rare case of solitary non-Hodgkin lymphoma ( NHL ) in the skull of an 11-year-old girl . The clinical , radiological and histological findings as well as a review of the literature are included in this report . The morphological features of intra- and extracerebral tumor masses and the change in tumor extension due to chemotherapy and radiation therapy were evaluated with magnetic resonance imaging . Although rare , NHL should be considered in the differential diagnosis of skull tumors in children ." ], "offsets": [ [ 0, 526 ] ] } ]
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DerRadiologe.60360381.eng.abstr
DerRadiologe.60360381.eng.abstr
[ { "id": "DerRadiologe.60360381.eng.abstr-passage-0", "type": "abstract", "text": [ "Developmental anomalies of the pancreas result from fusion failure between the dorsal and ventral pancreatic ducts ( pancreas divisum ) or from rotational failure of the ventral bud ( pancreas anulare ) . These variations and anomalies of the ductal anatomy can be asymptomatic throughout life or can cause varying symptoms in different age periods . Pancreas divisum and pancreas anulare can be confirmed exclusively by means of pancreatography . Congenital disorders of the pancreas derive from genetic defects involving different organ systems , which usually dominanate the clinical symptoms . Developmental anomalies and congenital disorders of the pancreas lead to varying morphological alterations of the organ which can be assessed by means of modern imaging ." ], "offsets": [ [ 0, 768 ] ] } ]
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[]
[]
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DerRadiologe.60360389.eng.abstr
DerRadiologe.60360389.eng.abstr
[ { "id": "DerRadiologe.60360389.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To evaluate a new ultrasonographic imaging technique of the pancreas ( hydrosonography ) , based on a combination of chemical intestinal paralysis and water distension of the stomach and duodenum , regarding its significance for tumor detection , staging and assessment of tumor resectability . Material and methods : In an open prospective study 51 patients with suspected pancreatic neoplasm were examined between July 1995 and October 1995. The technique of hydrosonography included intravenous injection of 40 mg N-butylscopolaminiumbromid ( Buscopan ) and maximum gastric and duodenal wall distension by oral administration of an average of 1 l warm tap water ( 0.5-1.5 l ) . A detailed evaluation form was used to assess ( 1 ) overall imaging quality ; ( 2 ) accuracy of identification of the pancreas in its various anatomic regions and of peripancreatic vessel structures relevant for resectability , such as splenic , superior mesenteric , and portal veins , celiac trunk , and superior mesenteric , splenic and hepatic arteries ; and ( 3 ) tumor size , sonographic structure and level of organ and vessel infiltration . As gold standards for positive tumor detection and description , surgery and microscopic diagnosis were used , and for negative tumor detection , event-free survival of 6 months . Results : All examinations were diagnostic . Identification of the pancreas was complete in all 51 patients with an excellent overall imaging quality in 53 % . In 86 % of cases the various examined organ and vessel structures were depicted with either good or average imaging quality . In 48 of the 51 patients diagnosis positive for tumor or other organ pathology was made . A total of 16 pancreatic carcinomas and 5 benign tumors were diagnosed . Twenty-seven patients had pathology not related to a pancreatic neoplasm . For tumor detection , sensitivity was 82 % and specificity 100 % . For correct assessment of tumor resectability , sensitivity was 86 % and specificity 100 % . Conclusion : The new technique of hydrosonography combines the value of routine non-invasive abdominal ultrasound with increased sensitivity and specificity for tumor detection and assessment of resectability by improved imaging accuracy ." ], "offsets": [ [ 0, 2243 ] ] } ]
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DerRadiologe.60360397.eng.abstr
DerRadiologe.60360397.eng.abstr
[ { "id": "DerRadiologe.60360397.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To evaluate a new technique for imaging the pancreas ( spiral hydro-CT ) based on a combination of pharmacological intestinal paralysis and water distension of the stomach and duodenum with specific reference to tumor detection rate , differentiation of malignant versus benign tumors , differential diagnosis and assessment of tumor resectability ." ], "offsets": [ [ 0, 359 ] ] } ]
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[]
[]
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DerRadiologe.60360406.eng.abstr
DerRadiologe.60360406.eng.abstr
[ { "id": "DerRadiologe.60360406.eng.abstr-passage-0", "type": "abstract", "text": [ "The purpose of this study was to assess the role of spiral computed tomography ( SCT ) and magnetic resonance imaging ( MRI ) in the preoperative work-up of patients with pancreatic carcinoma , regarding local resectability and vascular involvement . Methods and materials : A total of 28 patients ( 19 men and 9 women ; mean age 58 years ) with known or highly suspected carcinoma of the pancreas were included in this study . All patients prospectively underwent MRI ( +/- gadolinium-DTPA ) and SCT ( 3-phase examination ) as preoperative diagnostic imaging studies , and laparotomy was carried out within 7 days , irrespective of the MRI or SCT findings . SCT and MR studies were reviewed independently by two radiologists , without knowing the results of the surgical exploration . Standardized image analysis was correlated with findings at laparatomy . Results : Laparotomy identified 10 patients to be suitable for surgical resection and 18 pancreatic carcinomas to be unresectable . In 17 of 18 non-resectable carcinomas MRI and SCT were able to obtain correct information about unresectability ( sensitivity 94 % ) , in 7 ( MRI ) , resp. 8 ( SCT ) carcinomas were correctly considered to be resectable ( sensitivity 70 % for MRI and 80 % for SCT ) . The presence of vascular involvement was depicted by SCT with a sensitivity of 82-100 % and 62-100 % by MRI . The specificity varied between 85-100 % for SCT and 77-100 % for MRI . Conclusion : Both MRI and SCT are good techniques for the preoperative work-up of pancreatic carcinomas in order to obtain a correct assessment of local resectability ." ], "offsets": [ [ 0, 1608 ] ] } ]
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[]
[]
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DerRadiologe.60360413.eng.abstr
DerRadiologe.60360413.eng.abstr
[ { "id": "DerRadiologe.60360413.eng.abstr-passage-0", "type": "abstract", "text": [ "MR imaging of the pancreas is compromised by several problems : motion artifacts from breathing , cardiac and vascular pulsation , and bowel peristalsis . These limitations can be overcome by modern scanner- and software technology . In the meantime , MRI of the pancreas can compete with well established methods as ultrasound and computed tomography ( CT ) . In addition , new sequences provide imaging modalities comparable to angiography and ERCP . In the future , the value and the efficacy of MRI in comparison to CT , and its clinical impact has to be evaluated in clinical studies . In this article , we review the technical development of MRI of the pancreas , and discuss its clinical use ." ], "offsets": [ [ 0, 700 ] ] } ]
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[]
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DerRadiologe.60360419.eng.abstr
DerRadiologe.60360419.eng.abstr
[ { "id": "DerRadiologe.60360419.eng.abstr-passage-0", "type": "abstract", "text": [ "The typical MRI features of the most common pancreatic diseases , such as pancreatitis and adenocarcinoma of the pancreas , have been established . However , even in these common pancreatic disorders , MRI correlation with the underlying pathology is limited for clinical reasons . We emphasize MR-pathological correlation of inflammatory and neoplastic pancreatic changes , including pancreatitis , adenocarcinoma , acinar cell carcinoma , rare cystic and solid pancreatic neoplasms , and islet cell tumors . By highlighting the correlation of key pathological features with MR findings , a better understanding of the MR appearance of pancreatic pathology can be provided . In addition , MRI may prove a powerful tool in detection and characterization of pancreatic tumors ." ], "offsets": [ [ 0, 776 ] ] } ]
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[]
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DerRadiologe.60360427.eng.abstr
DerRadiologe.60360427.eng.abstr
[ { "id": "DerRadiologe.60360427.eng.abstr-passage-0", "type": "abstract", "text": [ "Using heavily T2 weighted sequences , magnetic resonance tomography allows the delineation of the pancreatic duct system with high contrast . The development of fast and ultrafast imaging sequences results in a variety of different technical approaches already published . Aim of this article is the review of the different approaches and results published . In addition , we compare MRP in 34 patients with results of ERP using a snap-shot sequence approach . In this study , MRP has a sensitivity of 83,3 % , a specifity of 90,9 % and a accuracy of 83,3 % regarding detection of duct changes like stenosis , occlusion and duct dilatation . Our results indicate , that MR-pancreaticography can be a valuable adjunct to MR-imaging of the pancreas ." ], "offsets": [ [ 0, 748 ] ] } ]
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DerRadiologe.60360435.eng.abstr
DerRadiologe.60360435.eng.abstr
[ { "id": "DerRadiologe.60360435.eng.abstr-passage-0", "type": "abstract", "text": [ "Although the detection of pancreatic carcinoma has been considerably improved by recently developed imaging procedures , differential diagnosis between cancer and benign tumor masses , as well as lymph node staging , is still difficult . In vivo evaluation of regional glucose metabolism by means of positron emission tomography ( PET ) and fluorine-18-labelled fluorodeoxyglucose ( FDG ) is a new approach utilizing metabolic instead of morphological tumor properties for diagnosis ." ], "offsets": [ [ 0, 484 ] ] } ]
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[]
[]
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DerRadiologe.60360441.eng.abstr
DerRadiologe.60360441.eng.abstr
[ { "id": "DerRadiologe.60360441.eng.abstr-passage-0", "type": "abstract", "text": [ "Therapeutic strategies in the treatment of pancreatic carcinoma are based on the high number of non-resectable cancers , the high relative radioresistance and the high distant metastases rate . Even in curatively resected carcinomas , a locally effective treatment modality is needed because of the risk of microscopical residual disease in the peripancreatic tissue . The efficacy of radiotherapy is dose dependent . Based on an analysis of published data a dose of more than 50 Gy is recommended , resulting in a high morbidity rate with external beam radiotherapy alone . The use of intraoperative radiotherapy allows locally restricted dose escalation without increased perioperative morbidity . In adjuvant and in primary treatment , local tumor contol was improved ( 70-90 % ) . With palliative intent , pain relief was obtained rapidly in over 60 % of patients and led to improved patient performance . As a result of the high distant metastases rate , even in curatively resected carcinomas , the overall prognosis could not be significantly improved . Further dose escalation is limited by the increasing incidence of upper gastrointestinal bleeding ( 20-30 % ) ." ], "offsets": [ [ 0, 1172 ] ] } ]
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[]
[]
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DerRadiologe.60360470.eng.abstr
DerRadiologe.60360470.eng.abstr
[ { "id": "DerRadiologe.60360470.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction of the computed tomography index CTDI and the multiple scan average dose ( MSAD ) has led to standardization of the dose description in CT examinations . Despite the use of these dose parameters , many different dosages are reported in the literature for different CT methods . In addition , there is still a wide range of radiation dosimetry results reported for conventional CT , helical CT , and HRCT used in chest examinations . The variations in dosage are mainly due to differences in factors affecting the dose , i . e . beam geometry , beam quality , scanner geometry ( \" generation \" ) , and operating parameters . In addition , CT dosimetry instrumentation and methodology make a contribution to dosages . Recent studies calculating differences in factors affecting dosage and CT dosimetry and using similar operating parameters , show similar results in CT dosimetry for conventional and helical CT . On the other hand , dosages for HRCT were greatly reduced . This was mainly caused by narrow beam collimation and increasing section spacing ." ], "offsets": [ [ 0, 1067 ] ] } ]
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DerRadiologe.60360475.eng.abstr
DerRadiologe.60360475.eng.abstr
[ { "id": "DerRadiologe.60360475.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction . Computed tomography is a significant source of medical radiation exposure for populations in Europe . Reduced radiation exposure may be possible with modern CT scanners with an image quality that while less good than before remains acceptable for clinical purposes . The lung appears particularly well suited to investigation with low-dose CT owing to the high contrast between normal and diseased pulmonary parenchyma ." ], "offsets": [ [ 0, 435 ] ] } ]
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[]
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DerRadiologe.60360483.eng.abstr
DerRadiologe.60360483.eng.abstr
[ { "id": "DerRadiologe.60360483.eng.abstr-passage-0", "type": "abstract", "text": [ "Computed tomography accounts for a high percentage of the populations exposure to radiation . Every possible means of reducing patient exposure must be considered . Exposure reduction will be most appropriate for organs with large absorption differences , since the accompanying decrease in signal-to-noise ratio will have a smaller effect . It has been shown in the literature that high-contrast details in the lung can be depicted , even with the lowest exposure rates . Therefore , experimental data are presented by means of thermoluminescence dosimetry and calculations using conversion factors to determine the technical parameters to be adopted for achieving the effective equivalent dose close to that of a conventional chest X-ray in two projections . With helical CT ( pitch 2 , 50 mAs , 120 kV , 5-mm slice thickness ) it was possible to reduce the equivalent dose from 9.6 mSv to 0.6 mSv , which is comparable with the exposure in a conventional chest X-ray , measured to be 0.2 mSv ." ], "offsets": [ [ 0, 996 ] ] } ]
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[]
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DerRadiologe.60360489.eng.abstr
DerRadiologe.60360489.eng.abstr
[ { "id": "DerRadiologe.60360489.eng.abstr-passage-0", "type": "abstract", "text": [ "Pulmonary embolism is a frequent and potentially life-threatening event with uncharacteristic clinical manifestations . Diagnosis is commonly established by ventilation/perfusion scintigraphy and pulmonary angiography . Both methods , however , carry substantial drawbacks . Therefore , clinicians claim that there is a need for an accurate and non-invasive diagnostic modality . Spiral CT of the pulmonary arteries is a recent modality , that allows reliable visualization of emboli in pulmonary arteries up to fourth-order branches . This paper reviews the technical aspects , typical findings and diagnostic pitfalls of this recent technique . The potential role of spiral CT in the screening of patients with suspected pulmonary embolism is discussed and selected cases are presented ." ], "offsets": [ [ 0, 789 ] ] } ]
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[]
[]
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DerRadiologe.60360496.eng.abstr
DerRadiologe.60360496.eng.abstr
[ { "id": "DerRadiologe.60360496.eng.abstr-passage-0", "type": "abstract", "text": [ "Chronic thromboembolic pulmonary hypertension ( CTEPH ) is a rare result of recurrent pulmonary embolism and is treated by pulmonary thromboendarterectomy . Knowledge of the exact location of the thrombi is necessary in planning this operation . To date , pulmonary , angiography is the diagnostic imaging gold standard . Since the introduction of spiral CT excellent vascular opacification of the pulmonary arteries has become feasible , and thrombi in the pulmonary arteries can be visualized directly . Spiral CT is superior to angiography in demonstrating thrombi in the central pulmonary arteries , whereas angiography proves superior to CT in the evaluation of abnormalities within segmental arteries . The sensitivity of spiral CT in confirming the diagnosis of CTEPH is reported to be more than 90 % . According to the literature and based on our own results , the decision concerning operability is possible on the basis of spiral CT images in more than 80 % of patients with CTEPH . Spiral CT as a non-invasive tool may be used for CTEPH screening , for postoperative follow-up after pulmonary thrombendarterectomy and , combined with pulmonary angiography , to optimize operation planning ." ], "offsets": [ [ 0, 1201 ] ] } ]
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"DerRadiologe.60360496.eng.abstr-s8-t5", "normalized": [] }, { "id": "DerRadiologe.60360496.eng.abstr-s8-r12-t4.1-t5.1", "type": "affects", "arg1_id": "DerRadiologe.60360496.eng.abstr-s8-t4", "arg2_id": "DerRadiologe.60360496.eng.abstr-s8-t5", "normalized": [] } ]
DerRadiologe.60360503.eng.abstr
DerRadiologe.60360503.eng.abstr
[ { "id": "DerRadiologe.60360503.eng.abstr-passage-0", "type": "abstract", "text": [ "Mesenteric cysts are considered as a rare cause of abdominal complaints . Histologically , several specific types can be distinguished : lymphangioma , nonpancreatic pseudocyst , enteric duplication cyst , enteric cyst and mesothelial cyst . Histopathological classification and radiological findings in two cases of mesenteric cysts are presented , and , with regard to the literature , radiological appearance and differential diagnoses are discussed ." ], "offsets": [ [ 0, 454 ] ] } ]
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[]
[]
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DerRadiologe.60360508.eng.abstr
DerRadiologe.60360508.eng.abstr
[ { "id": "DerRadiologe.60360508.eng.abstr-passage-0", "type": "abstract", "text": [ "Diagnosis of esophageal motility disorders is difficult due to the large physiologic variability of bolus transport . With the help of a parametric multiple swallow technique ( introduced by Tatsch ) , using \" condensed images \" of each single swallow action before creating a \" mean image \" of six swallows , this problem can be solved . For testing this relatively new method , 12 patients underwent 16 pairs of parametric esophageal scintigraphy and esophageal manometry . This collective of patients consisted of 4 with achalasia and secondary hypomobility of the tubular esophagus , 7 with unspecific esophageal dysfunction confirmed by manometry and 1 with clinical dysphagia and normal status in manometry . Fourteen of 15 pathological manometric findings could be confirmed with parametric scintigraphy . Esophageal manometry was false negative in one case and esophageal scintigraphy in another one case . The calculated emptying rates 10 and 12 s after beginning of swallowing are ( mean +/- SD ) 56 +/- 34 % and 60 +/- 34 % respectively for solid meal and 54 +/- 25 % 57 +/- 22 % respectively for liquid meal . Of 60 emptying rates , 48 are in the pathologic range of less than 80 % . As expected , no significant difference was found between emptying rates after 10 and 12 s ( two-tailed matched pairs t -test , 5 % significance level ) . In conclusion , parametric esophageal multiple swallow scintigraphy has been proven to be a non-invasive and sensitive tool for pre- and posttherapeutic care of patients with esophageal motility disorders . It should be mentioned that esophageal scintigraphy can give additional information in some cases of normal esophageal manometry ." ], "offsets": [ [ 0, 1688 ] ] } ]
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DerRadiologe.60360521.eng.abstr
DerRadiologe.60360521.eng.abstr
[ { "id": "DerRadiologe.60360521.eng.abstr-passage-0", "type": "abstract", "text": [ "High-resolution computed tomography ( HRCT ) has proved to be the imaging technique of choice for the lung in numerous studies , allowing precise depiction of normal pulmonary anatomy - including the lobular architecture - as well as relevant pathologic changes . Its sensitivity , specificity and accuracy in this respect are markedly superior , not only to chest radiography , but also to conventional CT . Guidelines for standardized assessment and interpretation of HRCT findings have not been established in the German literature . The purpose of this paper was to develop a systematic classification of pulmonary HRCT findings based on the appearance of morphologic abnormalities ( descriptive classification ) and their relationship to anatomic structures of pulmonary parenchyma ( anatomic classification ) . Reticular , nodular , and non-reticular/non-nodular densities , as well as lucencies , can be differentiated . Abnormalities of the pleural space are discussed separately . Following the presentation of typical CT findings , morphologic correlation and differential diagnosis are discussed . In addition , we point out indications and specific features of the clinical value of the technique ." ], "offsets": [ [ 0, 1210 ] ] } ]
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DerRadiologe.60360543.eng.abstr
DerRadiologe.60360543.eng.abstr
[ { "id": "DerRadiologe.60360543.eng.abstr-passage-0", "type": "abstract", "text": [ "Pulmonary infections and tumors are a major cause of death in patients with AIDS . The combination of clinical , radiological , laboratory , and pathohistological data helps to narrow the spectrum of differential diagnoses or even allows a specific diagnosis in many patients . Nevertheless , an accurate diagnosis should be obtained as soon as possible during the clinical course of the illness to initiate treatment in time . Computed tomography ( CT ) has proven to provide promising results in the diagnosis of AIDS-related thoracic diseases . The aim of this paper was to demonstrate the diagnostic capacities of CT in the context of particular AIDS-related thoracic pathologies . Additional information on the spectrum of pathological agents and on differential diagnostic signs is summarized ." ], "offsets": [ [ 0, 800 ] ] } ]
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[]
[]
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DerRadiologe.60360560.eng.abstr
DerRadiologe.60360560.eng.abstr
[ { "id": "DerRadiologe.60360560.eng.abstr-passage-0", "type": "abstract", "text": [ "Bronchiolitis obliterans with organizing pneumonia ( BOOP ) is a clinicopathological syndrome of unknown etiology . Histopathologically , it is characterized by plugs of fibroplastic connective tissue within respiratory bronchioles , mononuclear cell infiltrates in parenchyma adjacent to the affected bronchioles and foam cells within alveolar airspaces . The disease usually presents as a subacute illness with complete resolution . A subset of BOOP , however , is associated with a fulminant course and a high lethality due to respiratory failure . Early diagnosis and therapy are mandatory . Chest radiography , computed tomography ( CT ) , bronchoalveolar lavage ( BAL ) and open lung biopsy are the primary diagnostic techniques . Radiographically , BOOP is characterized by patchy areas of consolidation that are usually bilateral , peripheral and often migratory . In some cases small , round opacities may be observed as the only abnormality . CT can show the pattern of ground glass opacities , areas of airspace consolidation and small , round opacities , while considerable fibrotic change is usually not seen . A reticular roentgenographic pattern , fibrotic changes mainly in subpleural location at CT , lack of lymphocytosis in BAL fluid and histological features of usual interstitial pneumonitis and BOOP in biopsy specimens are all considered risk factors for a fatal outcome ." ], "offsets": [ [ 0, 1395 ] ] } ]
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[]
[]
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DerRadiologe.60360567.eng.abstr
DerRadiologe.60360567.eng.abstr
[ { "id": "DerRadiologe.60360567.eng.abstr-passage-0", "type": "abstract", "text": [ "Collagen vascular diseases , representing systemic soft tissue disorders , may cause a broad spectrum of pathologic changes of the respiratory tract . The type and extent of manifestations can vary considerably among individuals and entities . This survey describes the chest radiographic and , in particular , high-resolution computed tomographic ( HRCT ) findings of individual lesions of the respiratory tract . It includes fibrosing alveolitis ( alveolitis , interstitial pneumonia , pulmonary fibrosis ) and bronchial ( bronchitis/bronchiolitis , bronchiectasis ) , pleural and vascular manifestations , as well as lymphadenopathy and abnormalities related to therapy . We present typical patterns of changes in progressive systemic sclerosis ( PSS , scleroderma ) , systemic lupus erythematosus ( SLE ) , mixed connective tissue disease ( MCTD , Sharp syndrome ) , Sjoegren syndrome , overlap syndrome and rheumatoid arthritis ( RA ) . Furthermore , we describe findings which are specific for individual entities such as esophageal involvement in PSS , acute pneumonitis and pulmonary hemorrhage in SLE , lymphoproliferative disease in Sjoegren syndrome and necrobiotic nodules in RA ." ], "offsets": [ [ 0, 1192 ] ] } ]
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[ "vascular diseases" ], "offsets": [ [ 9, 26 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042373" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "respiratory tract" ], "offsets": [ [ 131, 148 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282335" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "survey" ], "offsets": [ [ 249, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038951" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "chest" ], "offsets": [ [ 270, 275 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039992" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 357, 365 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "respiratory tract" ], "offsets": [ [ 395, 412 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282335" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "pneumonia" ], "offsets": [ [ 476, 485 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032285" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "fibrosis" ], "offsets": [ [ 498, 506 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016059" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "bronchiectasis" ], "offsets": [ [ 552, 566 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006267" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "pleural" ], "offsets": [ [ 571, 578 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032226" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "lymphadenopathy" ], "offsets": [ [ 620, 635 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024228" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "abnormalities" ], "offsets": [ [ 640, 653 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000768" }, { "db_name": "UMLS", "db_id": "C0000769" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 665, 672 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t8", "type": "umlsterm", "text": [ "fibrosing alveolitis" ], "offsets": [ [ 427, 447 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085786" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t9", "type": "umlsterm", "text": [ "interstitial pneumonia" ], "offsets": [ [ 463, 485 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206061" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s4-t10", "type": "umlsterm", "text": [ "pulmonary fibrosis" ], "offsets": [ [ 488, 506 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034069" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "sclerosis" ], "offsets": [ [ 738, 747 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036429" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "PSS" ], "offsets": [ [ 750, 753 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036421" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "scleroderma" ], "offsets": [ [ 756, 767 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011644" }, { "db_name": "UMLS", "db_id": "C0036421" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "lupus" ], "offsets": [ [ 781, 786 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024138" }, { "db_name": "UMLS", "db_id": "C0024131" }, { "db_name": "UMLS", "db_id": "C0024141" } ] }, { "id": "DerRadiologe.60360567.eng.abstr-s5-t5", "type": 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DerRadiologe.60360579.eng.abstr
DerRadiologe.60360579.eng.abstr
[ { "id": "DerRadiologe.60360579.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : The aim of this prospective study was not to describe individual morphological findings in benign and malignant solitary intrapulmonary nodules ; it was instead to examine in a critical manner the indications for differentiation found in the literature in order to facilitate safe differential diagnosis of benign and malignant nodules . Patients and methods : A total of 64 solitary pulmonary nodules were examined with high-resolution computed tomography and correlated with histological findings . Only lesions that had been removed by surgery were used . No lesion was excluded on the grounds of size . Results : Useful characteristics for the differentiation of benign from malignant pulmonary nodules were : diameter and density of the lesion , air inclusion , unsharp and dystelectatic margin , the presence of spicules , length of spicules , spicules extending to the visceral pleura , pleural tail sign and cirumscribed pleural thickening . Conclusion : For the differentiation of benign and malignant solitary pulmonary nodules meticulous assessment of the margin of the nodule is necessary . Using the criteria mentioned , a sensitivity of 85 % and a specifity of 78 % can be achieved for the identification of malignant pulmonary nodules . Since it was not possible to differentiate between benign and malignant nodules with certainty using imaging methods , the chance of patient survival could only be promoted by early surgery ." ], "offsets": [ [ 0, 1453 ] ] } ]
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[]
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DerRadiologe.60360586.eng.abstr
DerRadiologe.60360586.eng.abstr
[ { "id": "DerRadiologe.60360586.eng.abstr-passage-0", "type": "abstract", "text": [ "Two cases of arterioportal fistulas and new possibilities in diagnosis and treatment are reported : A 62-year-old women was admitted to our hospital with abdominal pain . Color flow duplex sonography showed an arterioportal fistula between the proper hepatic artery and the ectatic portal vein that was confirmed by angiography , permitting percutaneous embolization as a definitive treatment . The pain disappeared immediately . A 36-year-old man underwent surgery due to a penetrating gastric ulcer . He was referred to us with an abdominal murmur . Color flow duplex sonography proved by spiral CT with 3 D reconstruction and maximum intensity projection ( angio-CT ) revealed an arteriovenous fistula between the gastroduodenal artery and a mesenteric branch . Angiography confirmed the diagnosis and permitted definitive therapeutic embolization ." ], "offsets": [ [ 0, 852 ] ] } ]
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"C0019994" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 164, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "abdominal pain" ], "offsets": [ [ 154, 168 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000737" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Color" ], "offsets": [ [ 171, 176 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009393" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 189, 199 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 224, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 259, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "vein" ], "offsets": [ [ 289, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "angiography" ], "offsets": [ [ 316, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002978" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "embolization" ], "offsets": [ [ 354, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013931" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 383, 392 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s2-t9", "type": "umlsterm", 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"type": "umlsterm", "text": [ "ulcer" ], "offsets": [ [ 495, 500 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041582" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "gastric ulcer" ], "offsets": [ [ 487, 500 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038358" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Color" ], "offsets": [ [ 552, 557 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009393" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 570, 580 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "projection" ], "offsets": [ [ 647, 657 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033363" }, { "db_name": "UMLS", "db_id": "C0016538" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 697, 704 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "artery" ], "offsets": [ [ 732, 738 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003842" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "arteriovenous fistula" ], "offsets": [ [ 683, 704 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003855" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "Angiography" ], "offsets": [ [ 765, 776 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002978" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 791, 800 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 826, 837 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "embolization" ], "offsets": [ [ 838, 850 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013931" } ] }, { "id": "DerRadiologe.60360586.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "therapeutic embolization" ], "offsets": [ [ 826, 850 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013931" } ] } ]
[]
[]
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DerRadiologe.60360593.eng.abstr
DerRadiologe.60360593.eng.abstr
[ { "id": "DerRadiologe.60360593.eng.abstr-passage-0", "type": "abstract", "text": [ "Joint destruction , a hallmark of rheumatoid arthritis , is described with respect to different mechanisms : destruction by inflammatory cells of the synovial fluid , pannus tissue and even ischemic bone necroses . Destruction via the synovial fluid is due to polymorphonuclear neutrophils ( PMN ) that can invade the pannus-free cartilage surface . In the absence of anti-proteases as a result of direct contact between the PMN and cartilage , enzymatic degradation can occur . Pannus tissue usually develops from the synovial insertion . Increased cellular proliferation in this area leads to a superficial pannus tissue that covers the cartilage ( Fig . 4 b ) ; granulation tissue from the synovial insertion can destroy cortical bone and invade the subchondral tissue . The problem of isolated subchondral inflammatory foci is briefly discussed . The effector cells of cartilage destruction are identified as macrophages , PMN , and mast cells - cells that produce or activate destructive enzymes . Bone destruction is due to osteoclasts and even macrophages . Acute destruction via the granulation tissue may be followed by defect healing - scar tissue or chondroid metaplastic tissue can be present in the final stages of the disease . Ischemic bone necrosis leading to pseudocysts may also contribute to joint destruction ." ], "offsets": [ [ 0, 1330 ] ] } ]
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DerRadiologe.60360600.eng.abstr
DerRadiologe.60360600.eng.abstr
[ { "id": "DerRadiologe.60360600.eng.abstr-passage-0", "type": "abstract", "text": [ "Plain-film radiography is an important and basic element in the assessment of inflammatory rheumatic diseases . Its various uses include assessment of inflammatory osseous destruction and the activity of inflammatory changes . Furthermore , the inflammatory collateral phenomena can indicate an acute clinical phase , and the articular soft tissue swelling and tenosynovitis are shown directly and indirectly very clearly . On the other hand , high-resolution computed tomography is very capable of showing cortical structures of bone complementary to MR . In some special clinical questions and anatomical regions , especially the axial skeleton , it delivers information of high specifity , partly for definitive diagnosis and partly for planning surgical procedures . The assessment of changes in the sacroiliac joints , sternoclavicular joints and craniocervical junction are domains of computed tomography ." ], "offsets": [ [ 0, 912 ] ] } ]
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"DerRadiologe.60360600.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "rheumatic diseases" ], "offsets": [ [ 91, 109 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035435" } ] }, { "id": "DerRadiologe.60360600.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "uses" ], "offsets": [ [ 124, 128 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042153" } ] }, { "id": "DerRadiologe.60360600.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "assessment" ], "offsets": [ [ 137, 147 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0028708" } ] }, { "id": "DerRadiologe.60360600.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 341, 347 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerRadiologe.60360600.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "tenosynovitis" ], "offsets": [ [ 361, 374 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039520" } ] }, { "id": "DerRadiologe.60360600.eng.abstr-s4-t1", "type": "umlsterm", 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[]
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DerRadiologe.60360609.eng.abstr
DerRadiologe.60360609.eng.abstr
[ { "id": "DerRadiologe.60360609.eng.abstr-passage-0", "type": "abstract", "text": [ "Technical innovations and software improvements in magnetic resonance imaging ( MRI ) and high-resolution sonography ( US ) have definitely influenced the diagnostic imaging of rheumatic diseases . For MRI , improvements in surface coils , dedicated low-field systems ( 0.2 T ) , and software improvements ( shorter acquisition times and refinements of fat suppressing techniques ) must be mentioned . For sonography , the main innovations concern the development of higher transducer frequencies ( 7-15 Mhz ) and power Doppler imaging . Clinical evaluations have shown that MRI and US are most useful in cases of suspected rheumatic disease with negative plain film radiographs and for documenting the course of the disease , diagnosing of early rheumatoid arthritis , making a differential diagnosis in clinically unclear rheumatic diseases , investigating vascularization , and quantifying pannus formation . In order to improve diagnostic efficacy the role of MRI and US in the management of patients with rheumatic disease should be reconsidered ." ], "offsets": [ [ 0, 1052 ] ] } ]
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DerRadiologe.60360624.eng.abstr
DerRadiologe.60360624.eng.abstr
[ { "id": "DerRadiologe.60360624.eng.abstr-passage-0", "type": "abstract", "text": [ "In twenty-five patients with a clinical diagnosis of suspected sacroiliitis conventional radiography , CT and MRI were performed . In ten patients no abnormalities were demonstrated . In thirteen cases CT and MRI revealed sacroiliitis . In two patients with normal plain films and CT para- and intraarticular changes of signal intensity suggested suspicious sacroiliitis . MRI can be considered as an important imaging modality for early diagnosis of sacroiliitis . In eighteen patients with a firm diagnosis of ankylosing spondylitis and plain films of the thoracolumbar junction suggesting destructive Romanus and Anderson inflammatory lesions MRI was done . Two distinct groups of inflammatory changes were found . In ten patients MRI findings compatible with active inflammatory enthesitis were revealed at the disco-vertebral junction . In eight cases focal and linear changes of signal intensity within the intervertebral disks suggested an active inflammation . Using MRI the spectrum of inflammatory changes in sero-negative spondylitis can be presented . In sixteen patients with definite clinical diagnosis ( psoriatic arthritis - thirteen cases and Reiter's syndrome - three cases ) plain films and MRI of small hand joints were performed . The patients fell into two distinct groups . In the first MRI findings could not be differentiated from those seen in rheumatoid arthritis . In nine cases the distribution and extent of soft tissue findings were different , similar to changes seen in enthesitis . Therefore , on the basis of MRI findings in small peripheral joints easier differential diagnosis between sero-negative spondyloarthritides and rheumatoid arthritis is possible . In five patients with a diagnosis of Reiter's syndrome having clinical signs of enthesitis plain films and MRI of calcaneus were done . MRI revealed findings compatible with active inflammation which resembled those seen at the attachment of the annulus fibrosus and collateral ligaments of the small hand joints ." ], "offsets": [ [ 0, 2009 ] ] } ]
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DerRadiologe.60360632.eng.abstr
DerRadiologe.60360632.eng.abstr
[ { "id": "DerRadiologe.60360632.eng.abstr-passage-0", "type": "abstract", "text": [ "The appearance of gouty tophus in magnetic resonance imaging ( MRI ) is characteristic . On T1- and T2-weighted SE images , the signal intensity of tophaceous lesions is similar to that of muscles . According to the histology , T2-weighted SE images demonstrate extremely hyperintense signals , which reflect the high protein content in the amorpheous center of the tophus . The microscopic urate crystals deposited there have no MRI signal and are of no further diagnostic impact . Vascularized granulation tissue surrounding the tophus center enhance after intervenous application of contrast agents ( Gadolinium ) . The inflammed tophus is associated with local edema , causing high signal intensity . MRI is superior to plain radiography for early detection of intraosseous tophi . Involvement of anatomical structures such as ligaments and tendons can be evaluated sufficiently . For peripheral joints , axial slice orientation is most helpful ." ], "offsets": [ [ 0, 950 ] ] } ]
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[]
[]
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DerRadiologe.60360646.eng.abstr
DerRadiologe.60360646.eng.abstr
[ { "id": "DerRadiologe.60360646.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteoarthritis ( OA ) and rheumatoid arthritis ( RA ) are chronic diseases in which pathological anatomy changes very slowly . Whilst clinical and laboratory measures can be used to evaluate therapeutic response , assessment of disease progression requires imaging . Conventional radiography has performed well in RA but is too insensitive in OA . Never have imaging techniques been discussed which focus on the sites of fundamental pathological change in cartilage and synovia . Such techniques would provide potential end-points for measuring disease progression and the efficacy of therapeutic intervention . Many are non-invasive but are still at a developmental stage . Expense and complexity currently restricts their use to research . However , improving imaging hardware and information technology provide an exciting future for radiologists involved in joint imaging . Clinical trials involving techniques described here are just around the corner ." ], "offsets": [ [ 0, 958 ] ] } ]
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DerRadiologe.60360657.eng.abstr
DerRadiologe.60360657.eng.abstr
[ { "id": "DerRadiologe.60360657.eng.abstr-passage-0", "type": "abstract", "text": [ "Rheumatoid arthritis ( RA ) is the most frequent inflammatory joint disease , and it affects about 1 % of the population . The onset of arthritis is rarely acute ; it is subacute and usually progresses slowly . The clinical picture of RA is variable : mild to very aggressive and destructive courses , sometimes accompanied by organ involvement , leading to severe functional impairment and early disability can be observed . RA is diagnosed according to the ACR criteria published in 1958 and modified in 1988. The appearance of a palpable joint swelling or effusion is obligatory for the clinical diagnosis of arthritis . In RA , typically involvement of the joint of the hands and feet can be seen . Laboratory parameters play an important role as both diagnostic and prognostic tools . Besides clinical features and laboratory parameters , imaging techniques provide another cornerstone in the diagnosis of RA . Until now plain X-rays , which primarily visualize osseous changes , are the most important technique in daily practice , whereas magnetic resonance imaging and ultrasound may provide information about soft tissue changes in an earlier stage of disease . The main differential diagnoses of RA to be considered are the seronegative spondylarthropathies ( psoriatic arthritis , arthritides accompanying inflammatory bowel diseases , Reiter's syndrome , and spondylitis ankylosans with peripheral arthritis ) , Parvovirus-induced arthritis , crystal-induced arthritides and septic arthritis . Early diagnosis and therapeutic intervention seem to be of great prognostic importance . In several independently performed investigations a higher mortality was found in RA patients than in the normal population . Drug therapy of RA consists of nonsteroidal antirheumatic drugs ( NSAIDs ) , corticosteroids and disease-modifying drugs ( DMARDs ) . When the functional and radiological parameters were assessed , the DMARDs were found to have a disease modifying and in rare cases a remission-inducing property . Moreover , tolerance these to drugs is limited . Newer therapeutic trials have employed substances like Tenidap , Leflunomid , bacterial extracts , antibiotics and biological subcomes ( e . g . , monoclonal antibodies against cytokines , fusion proteins for soluble cytokinereceptors ) . Some promising results of these investigations need confirmation in larger patient populations , but some new perspectives for a more efficacious treatment of RA can be expected ." ], "offsets": [ [ 0, 2486 ] ] } ]
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"DerRadiologe.60360657.eng.abstr-s17-r12-t2.1-t1.1", "type": "interacts_with", "arg1_id": "DerRadiologe.60360657.eng.abstr-s18-t2", "arg2_id": "DerRadiologe.60360657.eng.abstr-s18-t1", "normalized": [] }, { "id": "DerRadiologe.60360657.eng.abstr-s18-r1-t1.1-t4.1", "type": "performs", "arg1_id": "DerRadiologe.60360657.eng.abstr-s18-t1", "arg2_id": "DerRadiologe.60360657.eng.abstr-s18-t4", "normalized": [] }, { "id": "DerRadiologe.60360657.eng.abstr-s18-r2-t3.1-t4.1", "type": "conceptual_part_of", "arg1_id": "DerRadiologe.60360657.eng.abstr-s18-t3", "arg2_id": "DerRadiologe.60360657.eng.abstr-s18-t4", "normalized": [] }, { "id": "DerRadiologe.60360657.eng.abstr-s18-r3-t4.1-t1.1", "type": "affects", "arg1_id": "DerRadiologe.60360657.eng.abstr-s18-t4", "arg2_id": "DerRadiologe.60360657.eng.abstr-s18-t1", "normalized": [] }, { "id": "DerRadiologe.60360657.eng.abstr-s18-r4-t1.1-t4.1", "type": "evaluation_of", "arg1_id": "DerRadiologe.60360657.eng.abstr-s18-t1", "arg2_id": "DerRadiologe.60360657.eng.abstr-s18-t4", "normalized": [] } ]
DerRadiologe.60360663.eng.abstr
DerRadiologe.60360663.eng.abstr
[ { "id": "DerRadiologe.60360663.eng.abstr-passage-0", "type": "abstract", "text": [ "Malignant schwannomas are rare . These malignomas are primary nerve sheath tumors that usually arise from a peripheral nerve . They appear most frequently in the lower extremities , including the hips and buttocks ( 34.8 % ) , the upper extremities ( 23.4 % ) , and in the trunk ( 17 % ) . To the best of our knowledge , this is the first reported case of a malignant schwannoma of the rectum . We describe the rare disease with reference to the literature ." ], "offsets": [ [ 0, 458 ] ] } ]
[ { "id": "DerRadiologe.60360663.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Malignant" ], "offsets": [ [ 0, 9 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "schwannomas" ], "offsets": [ [ 10, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027809" }, { "db_name": "UMLS", "db_id": "C0027859" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Malignant schwannomas" ], "offsets": [ [ 0, 21 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0701838" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 62, 67 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 75, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "nerve" ], "offsets": [ [ 119, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027769" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "peripheral nerve" ], "offsets": [ [ 108, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031119" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "nerve sheath tumors" ], "offsets": [ [ 62, 81 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206727" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "extremities" ], "offsets": [ [ 168, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "hips" ], "offsets": [ [ 196, 200 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019552" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "buttocks" ], "offsets": [ [ 205, 213 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006497" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "extremities" ], "offsets": [ [ 237, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "lower extremities" ], "offsets": [ [ 162, 179 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "upper extremities" ], "offsets": [ [ 231, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003792" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "knowledge" ], "offsets": [ [ 309, 318 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376554" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 358, 367 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "schwannoma" ], "offsets": [ [ 368, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027809" }, { "db_name": "UMLS", "db_id": "C0027859" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "rectum" ], "offsets": [ [ 386, 392 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034896" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "malignant schwannoma" ], "offsets": [ [ 358, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0701838" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 416, 423 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerRadiologe.60360663.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 446, 456 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] } ]
[]
[]
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DerRadiologe.60360677.eng.abstr
DerRadiologe.60360677.eng.abstr
[ { "id": "DerRadiologe.60360677.eng.abstr-passage-0", "type": "abstract", "text": [ "Successful completion of a transjugular intrahepatic portosystemic stentshunt ( TIPSS ) relies on knowledge of the individual hepatic vascular anatomy . The patients referred for TIPSS have an increased risk of contrast-medium-induced renal failure , and therefore the potential for a complete angiographic work-up during the procedure is limited . The same patient population also carries an increased risk of bleeding , which necessitates a rather accurate guiding technique for portal punctures . We have established transcutaneous sonographic guidance as a standard technique for transjugular portal puncture , reducing complication rates and intervention time . Competing imaging modalities for guidance are discussed ." ], "offsets": [ [ 0, 724 ] ] } ]
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[]
[]
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DerRadiologe.60360683.eng.abstr
DerRadiologe.60360683.eng.abstr
[ { "id": "DerRadiologe.60360683.eng.abstr-passage-0", "type": "abstract", "text": [ "Sonographic and CT-guided punctures allow the evaluation of suspected lesions in the head , thorax , abdomen , retroperitoneum and skeletal system . The size of the lesion to be evaluated determines the size and the diameter of the puncture needle . The quantity of the material obtained will be defined by the diameter of the needle , i . e . fine-needle biopsy is more adequate for cytological than for histological evaluation . Strict adherence to the indications and contraindications for puncture and painstaking performance of the procedure go a long why towards minimizing the complications . The advantage of CT-guided puncture , in contrast to an ultrasound-guided procedure , is visualization during the puncture procedure free from overshadowing . This permits punctures of lesions located deep in the thorax or the abdomen which are overshadowed by the lungs , by air in the small or large bowel or by bone structures . Moreover , this technique yields much more information about the tissues and organs surrounding the suspected lesion . This information is much more investigator-related with ultrasound-guided puncture . Therefore , the CT-guided puncture has become mandatory in the evaluation of suspected lesions . Moreover , using the same technique , percutaneous drainage of fluids in the interpleural space , abscesses in organs , hematomas , lymphoceles and urinomas ; ablation of metastases ; and sympathicolysis can be carried out . CT-guided puncture thus changes from a minimally invasive diagnostic procedure to a minimally invasive therapy ." ], "offsets": [ [ 0, 1570 ] ] } ]
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DerRadiologe.60360692.eng.abstr
DerRadiologe.60360692.eng.abstr
[ { "id": "DerRadiologe.60360692.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Both thoracic and lumbar sympathectomy and celiac ganglion block could be established as effective methods ; side effects are rarely reported . Only the high accuracy of CT-guided positioning can make this possible . Severe side effects are merely sporadic if the proper technique is applied ." ], "offsets": [ [ 0, 308 ] ] } ]
[ { "id": "DerRadiologe.60360692.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "sympathectomy" ], "offsets": [ [ 40, 53 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039038" } ] }, { "id": "DerRadiologe.60360692.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "ganglion" ], "offsets": [ [ 65, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017067" }, { "db_name": "UMLS", "db_id": "C0085648" } ] }, { "id": "DerRadiologe.60360692.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "methods" ], "offsets": [ [ 114, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerRadiologe.60360692.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "celiac ganglion" ], "offsets": [ [ 58, 73 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007571" } ] }, { "id": "DerRadiologe.60360692.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "side effects" ], "offsets": [ [ 124, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001688" } ] }, { "id": "DerRadiologe.60360692.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 286, 295 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerRadiologe.60360692.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "side effects" ], "offsets": [ [ 239, 251 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001688" } ] } ]
[]
[]
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DerRadiologe.60360705.eng.abstr
DerRadiologe.60360705.eng.abstr
[ { "id": "DerRadiologe.60360705.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction and Methods : A 0.5 T open-configuration MR system allows free access to the patient via a 58-cm-wide opening on both sides of the machine . A newly developed system for needle guidance enables the examiner to perform biopsies in combination with real-time imaging and to position laser fibers in the human body . For imaging , a 2D gradient echo sequence is used ( TR 19 ms , TE 9 ms , flip angle 30 ° , FOV 24 x 24 cm , slice thickness 10 mm matrix 256 x 128 ) . The acquired images are displayed on two LCD screens localized within the MR system , thus allowing an interactive needle guidance . This procedure is illustrated by a case report ." ], "offsets": [ [ 0, 659 ] ] } ]
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DerRadiologe.60360709.eng.abstr
DerRadiologe.60360709.eng.abstr
[ { "id": "DerRadiologe.60360709.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To develop an MR-guided technique for joint puncture in MR arthrography of the shoulder and to confirm the intracapsular position of the needle tip by visualization of the flow of contrast media into the joint ." ], "offsets": [ [ 0, 221 ] ] } ]
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DerRadiologe.60360713.eng.abstr
DerRadiologe.60360713.eng.abstr
[ { "id": "DerRadiologe.60360713.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : The purpose of our study was to determine the value of MRI in monitoring laser-induced interstitial thermotherapy ( LITT ) of cerebral neoplasms ." ], "offsets": [ [ 0, 156 ] ] } ]
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DerRadiologe.60360732.eng.abstr
DerRadiologe.60360732.eng.abstr
[ { "id": "DerRadiologe.60360732.eng.abstr-passage-0", "type": "abstract", "text": [ "Modern imaging techniques are a substantial part of treatment planning for minimally invasive radiotherapeutic procedures . The aim is three-dimensional assessment of the target volume and adjacent critical structures . In this paper , we report on our clinical experience with a precise system for stereotactic image correlation . Hereby , the advantages of each imaging modality can be combined . Precise immobilization of the patient is a prerequisite . The immobilization method has an accuracy of less than 1 mm . This method was evaluated in a clinical study in which a tumor control rate of 93 % was achieved in patients with brain metastases after stereotactic single high dose radiotherapy . This indicated the excellent reliability of this treatment planning method . The integration of functional image information , such as blood flow or activation of cerebral cortical areas , will be evaluated in the future ." ], "offsets": [ [ 0, 923 ] ] } ]
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[]
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DerRadiologe.60360737.eng.abstr
DerRadiologe.60360737.eng.abstr
[ { "id": "DerRadiologe.60360737.eng.abstr-passage-0", "type": "abstract", "text": [ "A treatment planning system for stereotactical neurosurgery has been developed . A modular system has been designed which is readily extendable . Different modalities of tomography ( CT , MRI ) can be correlated and presented simultaneously in transverse , frontal and sagittal reconstructions . The volumes of interest are segmented with respect to the different modalities , and the positions of the catheters are defined . The calculation of dose must be adapted to the physical requirements of the therapy and is designed as an independent process . The calculated data are shown in various presentations . The treatment planning system is applied to intratumoral chemotherapy . The drug is encapsulated in small carriers for prolonged release and injected via catheters directly into the tumor interstitium , bypassing the blood-brain barrier . The dose is calculated using the time-dependent , three-dimensional finite elements method . To achieve homogeneous temporal and spatial drug distribution it is necessary to use a great number of catheters due to the limited diffusion of drug , which is not practical in neurosurgery . Therefore this therapy concept is useful for small volumes only . Interstitial hyperthermia and brachytherapy , in contrast to intratumoral chemotherapy , show successful clinical results ." ], "offsets": [ [ 0, 1325 ] ] } ]
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[]
[]
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DerRadiologe.60360744.eng.abstr
DerRadiologe.60360744.eng.abstr
[ { "id": "DerRadiologe.60360744.eng.abstr-passage-0", "type": "abstract", "text": [ "Positron emission tomography ( PET ) is a noninvasive functional method for the study of solid tumor perfusion , metabolism and interaction with different therapeutic agents . The aim of the study was the investigation of the metabolism of hepatocellular carcinomas ( HCC ) and the kinetics during a treatment with intratumoral ethanol by PET . The ongoing study includes seven patients with child A cirrhosis and HCC ( UICC stage III-IVA ; tumor size 3-6 cm ) . Dynamic PET studies ( 60 min ) with 18F-fluordeoxyglucose ( FDG ) were performed prior to therapy to assess tumor viability . The evaluation of the FDG data demonstrated a liver-equivalent uptake in six of the tumors ( well and moderately differentiated HCC ) , which were poorly delineated against the normal liver parenchyma . One moderately differentiated HCC showed an increased FDG metabolism , indicating no correlation between histology and metabolism . A dose of 37-80 MBq 11C-ethanol was applied together with a nonlabelled therapeutic dose of the drug via a puncture needle positioned under sonography . Five out of seven tumors demonstrated a high 11C uptake shortly after the end of the ethanol injection followed by constant 11C-ethanol concentration during the whole study period of 45 min . The PET data demonstrated no significant elimination of the 11C-ethanol from the tumor and no accumulation in the surrounding liver tissue . One case showed a decrease of the intratumoral 11C-ethanol concentration due to a punkture of a tumor vein , and in another case the surrounding liver parenchyma demonstrated significant 11C uptake in the early phase following paratumoral injection of the drug . In conclusion , PET is a useful tool for the study of the mechanism and the kinetics of percutaneous intratumoral ethanol injection of HCC ." ], "offsets": [ [ 0, 1813 ] ] } ]
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"type": "isa", "arg1_id": "DerRadiologe.60360744.eng.abstr-s11-t2", "arg2_id": "DerRadiologe.60360744.eng.abstr-s11-t1", "normalized": [] }, { "id": "DerRadiologe.60360744.eng.abstr-s11-r4-t1.1-t3.1", "type": "analyzes", "arg1_id": "DerRadiologe.60360744.eng.abstr-s11-t1", "arg2_id": "DerRadiologe.60360744.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerRadiologe.60360744.eng.abstr-s11-r5-t1.2-t3.1", "type": "analyzes", "arg1_id": "DerRadiologe.60360744.eng.abstr-s11-t1", "arg2_id": "DerRadiologe.60360744.eng.abstr-s11-t3", "normalized": [] } ]
DerRadiologe.60360750.eng.abstr
DerRadiologe.60360750.eng.abstr
[ { "id": "DerRadiologe.60360750.eng.abstr-passage-0", "type": "abstract", "text": [ "Intention : CT angiography of intracranial vascular lesions requires a constant and high intra-arterial concentration of the contrast medium over the period of data acquisition . The volume of the injected contrast medium can be minimized by exact timing of the bolus injection . Non-predictable interindividual variance of veno-arterial circulation time , e . g . , in patients with impaired cerebral hemodynamics after subarachnoidal hemorrhage , requires determination of the appropriate prescan delay ." ], "offsets": [ [ 0, 506 ] ] } ]
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[]
[]
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DerRadiologe.60360781.eng.abstr
DerRadiologe.60360781.eng.abstr
[ { "id": "DerRadiologe.60360781.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteomyelitis is an infection of the bone marrow caused by both non-specific and specific agents . Non-specific endogenic osteomyelitis represents the most frequent form , followed by the specific form caused by Mycobacterium tuberculosis infection . Typically , the non-specific form occurs in children and young adults , and the sites most frequently affected are the distal and the proximal ends of the tibia and femur . In tuberculosis , osteomyelitis is predominantly located in the vertebral bodies . In rare cases osteomyelitis can be caused by viruses , fungi or echinococcus . It may also occur as so-called acute endogenic osteomyelitis , such as plasmocellular osteomyelitis and Brodie's abscess . Histologically , dense infiltration of leucocytes , granulation tissue and bone sequesters can be seen . In tuberculosis granulomas with central necrosis , epithelioid cells and giant cells of Langhans type are characteristically found . Most forms of acute osteomyelitis can be successfully treated with antibiotics , leading to complete healing without complications . Only a few reported cases develop into a secondary , chronic form ." ], "offsets": [ [ 0, 1147 ] ] } ]
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[ "osteomyelitis" ], "offsets": [ [ 122, 135 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029443" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "form" ], "offsets": [ [ 165, 169 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376315" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "Mycobacterium" ], "offsets": [ [ 212, 225 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026912" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "tuberculosis" ], "offsets": [ [ 226, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041296" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "infection" ], "offsets": [ [ 239, 248 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "Mycobacterium tuberculosis" ], "offsets": [ [ 212, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026926" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "form" ], "offsets": [ [ 280, 284 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376315" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "children" ], "offsets": [ [ 295, 303 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008059" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "adults" ], "offsets": [ [ 314, 320 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001675" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "tibia" ], "offsets": [ [ 406, 411 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040184" } ] }, { "id": "DerRadiologe.60360781.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "femur" ], "offsets": [ [ 416, 421 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015811" } ] }, { "id": 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[]
[]
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DerRadiologe.60360795.eng.abstr
DerRadiologe.60360795.eng.abstr
[ { "id": "DerRadiologe.60360795.eng.abstr-passage-0", "type": "abstract", "text": [ "In adults , infectious spondylitis is a rare but severe disease , caused by a bacterial thrombus in tissue of reduced resistance . In conventional radiographs initial findings are a narrowing of the intervertebral space , local osteoporosis and poorly defined erosive borders of the vertebral endplates . These changings can be found at least three to six weeks after the onset of disease . However , in Szintigraphy and MRT pathologic alterations are evident after ten to twelve days . Thus , early diagnosis and treatment becomes possible . In early stages of the disease a localized lysis surrounded by a reactive sclerosis appears in predisposed areas of the vertebral body ( subchondral , anterobasal , ventral , central ) . Apparently , a soft tissue tumor is associated . Sclerosis and reduction of the soft tissue tumor are the first signs of repair processes . After at least 12 weeks , computed tomography can reveal typical sintering of the vertebral body and occasionally the development of a bony sequester . In addition , MRT as well as CT can be helpful in the detection and localization of complications as abscesses or affection of the vertebral canal . The tuberculous spondylitis can sometimes cause difficulties in differential diagnosis . Clinical findings , affection of several vertebral bodies , large soft tissue tumors with appearance of calcification as well as not typical locations are strongly suggestive of tuberculous spondylitis , but these findings are not specific of the disease . Degenerative disorders such as erosive osteochondrosis or changings due to chronic dialysis ( e . g . amyloid or crystal arthropathies ) may cause even more problems in differential diagnosis . Typical for a blastomatous process is the integrity of the interverebral disc space , which is a rare finding in spondylitis ." ], "offsets": [ [ 0, 1837 ] ] } ]
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[]
[]
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DerRadiologe.60360805.eng.abstr
DerRadiologe.60360805.eng.abstr
[ { "id": "DerRadiologe.60360805.eng.abstr-passage-0", "type": "abstract", "text": [ "The prognosis of acute hematogenous osteomyelitis in children is mainly influenced by early diagnosis and prompt initiation of antibiotic and surgical therapy . In this age group , two forms of manifestation are differentiated : osteomyelitis in infants up to 18 months and juvenile osteomyelitis until the closure of the epiphyseal plate . Osteomyelitis in infants is often accompanied by septic arthritis of the adjacent joint . In juvenile osteomyelitis , the disease is mostly confined to the metaphysis . Plain films and ultrasonography represent the basic imaging modalities . Depending on the age of the child , the clinical course of the disease and the availability of the various methods , MRI and multiphase bone scintigraphy can be performed for further imaging . CT is of only limited value and should only be used for special cases concerning chronic osteomyelitis ." ], "offsets": [ [ 0, 880 ] ] } ]
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DerRadiologe.60360813.eng.abstr
DerRadiologe.60360813.eng.abstr
[ { "id": "DerRadiologe.60360813.eng.abstr-passage-0", "type": "abstract", "text": [ "Scintigraphic imaging identifies pathophysiological processes ; in other words it assesses regional perfusion , permeability , leukocytic accumulation and bone turnover . These processes precede morphological changes and this accounts for the high sensitivity of nuclear medicine procedures as well as the low specificity for the differential diagnosis of different diseases with similar pathophysiological characteristics . This review ( 1 ) describes and evaluates the currently used scintigraphic procedures , ( 2 ) suggests their differential use in certain clinical settings in comparison with alternative radiological methods and ( 3 ) addresses new developments in diagnosis using nuclear medicine procedures . In summary , we advise dynamic bone scanning as a primary scintigraphic investigation . A negative scan excludes osteomyelitis in most cases . The comparison is made with conventional radiology and clinical history . In cases with short clinical histories ( = granulocytic inflammation ) , leukocyte scintigraphy should be the next diagnostic step ; in chronic processes ( lymphomonocytic inflammation ) , gallium scintigraphy is advisable . Other scintigraphic methods might be of additional use in experienced hands . SPECT is useful for clarifying inconclusive planar scans of the head , spine and large joints ." ], "offsets": [ [ 0, 1333 ] ] } ]
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DerRadiologe.60360823.eng.abstr
DerRadiologe.60360823.eng.abstr
[ { "id": "DerRadiologe.60360823.eng.abstr-passage-0", "type": "abstract", "text": [ "In this paper the basic features of acute , subacute and chronic types of osteomyelitis , skeletal tuberculosis and some special forms of osteomyelitis are described . The diagnosis of osteomyelitis is established using clinical signs and symptoms , culture studies , laboratory studies and radiological signs . The common conservative and surgical treatments are discussed . In the treatment of post-traumatic/postoperative osteitis severe problems are encountered as a result of an increasing number of orthopaedic traumatologic surgical techniques using a variety of implants and because of a generally increasing occurrence of multiresistant strains . Thanks to modern treatment and the increased use of antibiotics , a considerable decrease in morbidity and mortality is observed . Despite this improved prognosis , an established infection remains one of the most challenging problems for the orthopaedic surgeon ." ], "offsets": [ [ 0, 920 ] ] } ]
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[]
[]
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DerRadiologe.60360845.eng.abstr
DerRadiologe.60360845.eng.abstr
[ { "id": "DerRadiologe.60360845.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Transcranial Doppler ultrasonography ( TCD ) and magnetic resonance angiography ( MRA ) are well-established techniques for ascertaining intracranial obstructive artery disease . The short examination time required for additional helical CT angiography ( CTA ) allows quick management of emergency patients already undergoing native CT . However , today the ability of CTA to detect stenoses of the middle cerebral artery ( MCA ) has not been proven . To analyse the value of CTA in the classification of atherosclerotic disease 23 MCA stenoses confirmed by TCD and MRA were investigated . Methods : CTA was performed on a Hispeed advantage scanner ( GE ) using a bolus injection of 70 ml KM and 40 ml NaCl with a flow rate of 2.5 ml/s , a thickness of 1 mm , a pitch of 1.5 and a 1 mm increment . CTA was presented as maximum intensity projection ( MIP ) and as multi-projection volume reconstruction ( MPVR ) . A three-step classification of stenosis was compared with the results of TCD and MRA . Results : Good opacification of the MCA was achieved in M1 and M2 segments in all patients . Classification of stenosis by CTA agreed with MRA and TCD in 14 cases ; 7 stenoses were assigned to a lower classification by CTA . Two low-grade stenoses could not be proven by CTA . Although MIP and MPVR yield the same result in stenosis classification MPVR showed a sharper image quality . In contrast to MRA , veins were highly opacified in CTA . Artery and vein were sometimes superimposed , which had to be avoided by changing the projection angle . Conclusion : Medium- and high-grade MCA stenoses can be demonstrated by CTA quickly and reliably . Compared to MRA and TCD , CTA provides lower grading of stenosis ." ], "offsets": [ [ 0, 1729 ] ] } ]
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[]
[]
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DerRadiologe.60360850.eng.abstr
DerRadiologe.60360850.eng.abstr
[ { "id": "DerRadiologe.60360850.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To evaluate the role of CT angiography ( CTA ) in the diagnosis of dissection of the internal carotid artery ( ICA ) ." ], "offsets": [ [ 0, 128 ] ] } ]
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[]
[]
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DerRadiologe.60360855.eng.abstr
DerRadiologe.60360855.eng.abstr
[ { "id": "DerRadiologe.60360855.eng.abstr-passage-0", "type": "abstract", "text": [ "Background and purpose : Without recanalisation , acute basilar artery ( BA ) occlusion has a mortality of 90 % , which is reduced to 50 % if recanalisation is achieved . Fast diagnosis of BA occlusion is necessary in order to start thrombolytic therapy without delay . We wanted to assess the role of CT angiography ( CTA ) in the diagnostic evaluation of suspected acute BA occlusion ." ], "offsets": [ [ 0, 387 ] ] } ]
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[]
[]
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DerRadiologe.60360859.eng.abstr
DerRadiologe.60360859.eng.abstr
[ { "id": "DerRadiologe.60360859.eng.abstr-passage-0", "type": "abstract", "text": [ "Dural sinus thrombosis is not uncommon . Due to the nonspecific symptomatology , as well as the manifold etiology , clinical diagnosis may be difficult . In these cases imaging procedures are frequently crucial in deciding how to proceed and how to treat . The aim of our study was to evaluate the diagnostic utility of helical CT in the detection of dural sinus thrombosis . In 20 patients with clinically suspected thrombosis CT angiography was performed . In 6 patients dural sinus thrombosis was diagnosed . In order to acquire also arterial vessels , a short delay of about 22 s after the onset of the application of contrast medium was selected . By this method we found an occlusion of the MCA in two patients with clinically suspected sinus thrombosis . In all patients the transverse slices and the multiplanar reconstructions showed filling defects or an \" empty delta \" sign . With irregular outlines the thrombus could be depicted over the complete course of the sinus . The MIP reconstructions were particularly helpful in the evaluation of the vessel anatomy and the pathological collateral venous drainage . In three patients MR angiograms were available for comparison . The smaller veins , such as the v. vermis inferior , were less clearly depicted than in CT angiography . CT angiography is a fast and reliable method to exclude or verify a sinus thrombosis . It can be performed immediately after non-enhanced CT . According to our present experience CT angiography is sufficient for the diagnosis of a sinus thrombosis ." ], "offsets": [ [ 0, 1541 ] ] } ]
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DerRadiologe.60360872.eng.abstr
DerRadiologe.60360872.eng.abstr
[ { "id": "DerRadiologe.60360872.eng.abstr-passage-0", "type": "abstract", "text": [ "Vertebral artery dissection ( VAD ) is an important cause of posterior circulation stroke in young adults . Initial symptoms are often non-specific and diagnostic arteriography is not performed until neurological deficits are obvious . Since magnetic resonance tomography ( MRT ) is superior in the diagnosis of vertebrobasilar ischemia , we retrospectively analyzed the role of MRT and MR angiography ( MRA ) in the detection of dissections of the vertebral artery . Between 1989 and 1995 we identified 24 patients with a vertebral artery dissection and 1 patient with a basilar artery dissection ( 8 females and 17 males , 23-60 years of age , mean 41.2 years ) . The diagnosis of VAD ( 14 left VAD , 9 right VAD , 1 bilateral VAD , 1 basilar artery dissection ) was established by specific arteriographical findings ( DSA ) or clinical and neuroradiological course . All patients underwent a combined MRT/MRA examination protocol at 1.5T that consisted of spin-echo imaging and time of flight MRA of the intra- and extracranial arteries using 2D Flash and 3D Fisp sequences . The MRT/MRA findings were correlated to DSA and ultrasound results . During the acute and subacute stage , MRT/MRA revealed abnormal findings in 21 of 22 dissected vessels ( 95.5 % ) . There was one false-negative MRT/MRA in a patient with a V1 dissection ( intimal flap without peripheral flow disturbances ) . In 7/22 VAD the MRT/MRA findings were rated specific ( double lumen n = 1 , mural hematoma n = 4 , pseudoaneurysm n = 2 ) . DAS was sensitive in 100 % and ultrasound in 77.3 % . Specific results were obtained by DSA in 8/22 VAD ( 36.4 % ) and in 7/22 VAD ( 30.4 % ) by MRT/MRA . When MRT/MRA and DSA results were combined , the specific findings increased to 43.5 % . Follow-up examinations revealed recanalization in 52 % of initially stenosed or occluded vertebral arteries ; four patients developed a pseudoaneurysm , and two of them underwent ligation of the VAD . With this retrospective approach , we were able to show a high sensitivity of MRT/MRA for the presence of disturbed flow in the dissected vertebral artery . The MRA projections tended to overestimate stenosis and were inferior to DSA in the appreciation of irregularities of the vessel wall . Identification of high-grade stenosis , especially in the presence of distal occlusion , was improved on the MRA source images . During the acute and subacute stage , the diagnosis of luminal thrombus can be difficult , because signal ambiguities exist between hemoglobin breakdown products and flow effects and adjacent fat tissues . The differentiation between luminal thrombus and mural hematoma requires interpretation of MRA source images , together with flow compensated spin-echo images . Additional fat suppressed images and flow presaturation may be required at the appropriate levels . The identification of mural hematoma is important , because this finding is considered specific and cannot be obtained with DSA . There is a complementary role of MRT/MRA and DSA for an improved overall specificity for vertebral artery dissection . A negative MRT/MRA result in a patient with appropriate symptoms , however , cannot exclude a dissection and should prompt DSA . On the other hand , a suggestive MRT/MRA result in the appropriate clinical context can replace DSA . The advantage of MRT/MRA is that the method offers a simultaneous diagnosis of posterior fossa ischemia and vertebral artery abnormalities . Therefore , MRT/MRA should be recommended in patients with suspected VAD and especially in those who have no definite neurological deficit . These patients will benefit greatly from early diagnosis and therapy . The fact that all our patients were diagnosed after neurological symptoms and that 64 % of them have residual deficits gives an ethical and economical rationale for advocating early MRT/MRA in these patients ." ], "offsets": [ [ 0, 3891 ] ] } ]
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DerRadiologe.60360884.eng.abstr
DerRadiologe.60360884.eng.abstr
[ { "id": "DerRadiologe.60360884.eng.abstr-passage-0", "type": "abstract", "text": [ "Dysembryoplastic neuroepithelial tumors ( DNT ) were first described as a new tumor entity by Daumas-Duport et al. in 1988 and were introduced into the revised WHO classification of brain tumors in 1993. The purpose of this study was to work out neuroradiological CT and MRT patterns of DNT . Five patients , aged 11-61 years ( three female , two male ) underwent complete presurgical neuroradiological exploration ( 5 CT , 4 MRT investigations , 2 angiography ) because of brain tumor . Four cases complained of seizures and one of occipital-located headache . Total microsurgical excision was achieved in two cases . Two further lesions were resected subtotally after stereotactic biopsy diagnosis . In one case , stereotactic biopsy alone was carried out . All DNTs were localized cortically : two frontobasal medial in the gyrus rectus , two temporobasal in the gyrus occipitotemporalis lateralis and one infratentorial in the lobus caudalis cerebelli . They were sharply demarcated from the surrounding brain tissue . Cortical localization was better visualized by MRT , especially on coronal and sagittal images . CT scans showed a hypodense lesion , MRT a high-signal intensity in T2, low signal in T1 and in proton-weighted images a hyperintense rim with a slightly hyperintense small cyst . The multinodular tumor architecture was best seen in MRT . Two DNTs presented partial contrast enhancement , while three DNTs did not take up contrast . In two lesions there were focal calcifications . The infratentorial DNT was associated with a bony defect of the tabula interna into which the tumor expanded . Two angiographies showed no pathological tumor neovascularization . A hypodense , sharply demarcated lesion with a multinodular pattern in MRT with cortical location and without space-occupying signs is , in combination with the clinical symptom of epileptic seizures , highly suggestive of DNT . As our results demonstrate , DNT can also occur in the infratentorial space ." ], "offsets": [ [ 0, 1987 ] ] } ]
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[]
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DerRadiologe.60360890.eng.abstr
DerRadiologe.60360890.eng.abstr
[ { "id": "DerRadiologe.60360890.eng.abstr-passage-0", "type": "abstract", "text": [ "In inflammatory peripheral facial nerve palsy pathologically intense , linear and smooth enhancement of the distal intrameatal nerve segment can always be observed on T1-w- SE- MR sequences . The other nerve segments often present with a pathological enhancement as well . On T2-w- SE sequences , a thickening of the distal intrameatal nerve segment can be observed . The pathological enhancement persists over weeks and months ; even in patients with complete clinical recovery , a persistent enhancement of the distal intrameatal nerve segment can be demonstrated . No correlation can be established between the intensity of the enhancement , the clinical condition and the electrophysiological data on electroneurography . The persistent enhancement of the different nerve segments is due to a long-lasting breakdown of the blood-peripheral nerve-barrier related to the process of degeneration and regeneration of the facial nerve in inflammatory palsy ." ], "offsets": [ [ 0, 957 ] ] } ]
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[]
[]
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DerRadiologe.60360897.eng.abstr
DerRadiologe.60360897.eng.abstr
[ { "id": "DerRadiologe.60360897.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To evaluate characteristic and reliable MRI patterns of different inflammatory lesions of the spinal cord and the nerve roots in immunologically compromised and immunologically competent patients in order to be able to establish a correct diagnosis based on MRI findings . Material and methods : The MRI examinations of 52 patients ( 27 men , 25 women , mean age 38.5 years , range 14-75 years ) with proven inflammatory lesions ( 39 patients ) or tumorous/postactinic lesions of the spinal cord ( 6 patients ) and vascular malformations of the spinal cord ( 7 patients ) were retrospectively analyzed . All examinations were performed on a 1.5 T MR unit , using bi- or triplanar T 1-w pre- and postcontrast as well as T 2-w SE sequences . Additionally , a review of the common medical literature concerning inflammatory lesions of the spinal cord was included . Results : Clinical and radiological examinations allow a subdivision of inflammations of the spinal cord and the nerve roots into ( meningoradiculo ) myelitis and meningoradiculo ( myelitis ) in immunologically suppressed or competent patients . The MRI patterns of these two inflammatory subtypes vary : meningoradiculitis presents with an enhancement of the nerve roots and the leptomeninges ; myelitis itself is characterized by single or multiple , diffuse or multifocal , with or without nodular , patchy or diffusely enhancing intramedullary lessions , with or without thickening of the cord and leptomeningeal inflammation . This differentiation helps to determine the underlying etiology in some of the patients . The immunologically suppressed patient suffers from viral infections ( especially herpes simplex , varicella-zoster virus , cytomegalovirus ) , bacterial infections ( tuberculosis ) , but rarely from parasitic infections . The immunologically competent patient suffers from bacterial ( borreliosis ) , but rarely viral infections , sarcoidosis and demyelinating diseases . Idiopathic myelitis is also common . Conclusions : Secondary ischemic and demyelinating processes result in a complex morphology of inflammatory lesions on MRI , and therefore the whole spectrum of demyelinating , ischemic and inflammatory lesions has to be included in the differential diagnosis . Even tumors may imitate inflammatory myelitis and radiculitis . Most commonly , meningoradiculitis can be separated from myelitis . A reliable diagnosis of a specific inflammatory lesion is difficult and is mostly achieved in patients with multiple sclerosis and in patients with HIV-associated cytomegalovirus infection ." ], "offsets": [ [ 0, 2589 ] ] } ]
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DerRadiologe.60360914.eng.abstr
DerRadiologe.60360914.eng.abstr
[ { "id": "DerRadiologe.60360914.eng.abstr-passage-0", "type": "abstract", "text": [ "Plasmacytomas can be divided into multiple , solitary osseous and solitary extraosseous/extramedullary plasmacytomas . Intracranial plasmacytomas of the dura , leptomeninx and cerebrum are well known from the literature . They are manifestations of multiple myeloma , intracranial extramedullary plasmacytoma or metastatic disease of extramedullary plasmacytoma in distant locations . We describe a cerebellar manifestation of a solitary plasmacytoma of the bone , and a leptomeningeal carcinomatosis of a multiple plasmacytoma . A summary of the literature concerning intracranial plasmacytomas is given . Dural manifestations of plasmacytoma have the same features as meningiomas in CT or MRI . Cerebral or cerebellar manifestations cannot be differentiated from brain tumors by means of CT or MRI . In CT , plasmacytomas show high-density lesions . T2w-MRI reveals a low-intensity lesion . In T1w-MRI, intense homogeneous contrast enhancement can be demonstrated ." ], "offsets": [ [ 0, 967 ] ] } ]
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"type": "umlsterm", "text": [ "plasmacytoma" ], "offsets": [ [ 296, 308 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032131" } ] }, { "id": "DerRadiologe.60360914.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "metastatic" ], "offsets": [ [ 312, 322 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerRadiologe.60360914.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 323, 330 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerRadiologe.60360914.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "plasmacytoma" ], "offsets": [ [ 349, 361 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032131" } ] }, { "id": "DerRadiologe.60360914.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "multiple myeloma" ], "offsets": [ [ 249, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026764" } ] }, { "id": "DerRadiologe.60360914.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "metastatic disease" ], 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DerRadiologe.60360933.eng.abstr
DerRadiologe.60360933.eng.abstr
[ { "id": "DerRadiologe.60360933.eng.abstr-passage-0", "type": "abstract", "text": [ "Besides the skeletal elements , i . e . , the clavicle , scapula and humerus , several muscles and soft tissues also participate in the construction of the human shoulder . These elements from and surround the shoulder girdle joints , which are the acromioclavicular and glenohumeral joint . Towards the trunk a connection is achieved by the sternoclavicular joint . Ossification of the clavicle , scapula and humerus begins within the 5th to 7th embryonic week . Around the age of 20 years ossification is completed . Parallel to this development and during adulthood , age-dependent changes take place in the composition and mixture of the bone marrow from red to yellow marrow . The shoulder girdle joints are constructed to permit a wide range of motion of the arm against the trunk . At the glenohumeral joint the spherical humeral head glides within the concave groove of the glenoid cavity . Stability is attained by the fibrocartilaginous glenoid labrum , which enlarges the articulating areas and the joint capsule with its strengthening ligaments . Variation of the joint capsule insertion , the glenoid labrum or the bony surfaces may predispose to luxation . Additional support to prevent luxation is obtained by the glenohumeral ligaments and the long biceps tendon . Active movement is provided by the superficial muscles and the rotator cuff muscles . Several bursae support free movement and decrease friction of the musculotendineous systems near the joint . Despite this complex construction several degenerative diseases can impair free movement of the human shoulder ." ], "offsets": [ [ 0, 1588 ] ] } ]
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"tissues" ], "offsets": [ [ 104, 111 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "human" ], "offsets": [ [ 156, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020114" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "shoulder" ], "offsets": [ [ 162, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "elements" ], "offsets": [ [ 179, 187 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013879" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "shoulder" ], "offsets": [ [ 210, 218 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037004" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "joints" ], "offsets": [ [ 226, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 284, 289 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "glenohumeral joint" ], "offsets": [ [ 271, 289 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037009" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 359, 364 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "sternoclavicular joint" ], "offsets": [ [ 342, 364 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038291" } ] }, { "id": "DerRadiologe.60360933.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "clavicle" ], "offsets": [ [ 387, 395 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008913" } ] }, { "id": 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[]
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DerRadiologe.60360944.eng.abstr
DerRadiologe.60360944.eng.abstr
[ { "id": "DerRadiologe.60360944.eng.abstr-passage-0", "type": "abstract", "text": [ "This article reviews the pathogenesis and clinical and imaging findings in shoulder impingement syndrome . Shoulder impingement is caused by compression of the supraspinatus tendon underneath the coracoacromial arch , mainly in forward flexion of the arm . Different stages of impingement syndrome are described . Stage I relates to edema and hemorrhage of the supraspinatus tendon . Stage II is characterized by bursal inflammation and fibrosis , as well as tendinopathy . In stage III there is a tear of the rotator cuff . Clinical signs may overlap . Moreover , calcifying tendinitis , fractures and pain originating from the cervical spine may mimic shoulder impingement syndrome . Imaging is important for the exact diagnosis . Standard radiographs are the basis of imaging in shoulder impingement syndrome . They may demonstrate subchondral sclerosis of the major tuberosity , subacromial spurs , and form anomalies of the acromion . They are also important in the differential diagnosis of shoulder impingement syndrome and demonstrate calcifying tendinitis , fractures and neoplasm . Ultrasonography has found acceptance as a screening tool and even as a final diagnostic method by many authors . However , there is a high interobserver variability in the demonstration of rotator cuff tears . Its usefulness has therefore been questioned . MR imaging is probably the method of choice in the evaluation of the rotator cuff and surrounding structures . Several investigations have demonstrated that differentiation of early findings , such as tendinopathy versus partial tears , may be difficult with MR imaging . However , reproducibility for full-thickness tears appears to be higher than for sonography . Moreover , specificity appears to be superior to sonography . MR arthrography is not universally accepted . However , it allows for more exact differentiation of discrete findings and may be indicated in preoperative planning . Standard arthrography and CT have a limited role in the current assessment of the rotator cuff ." ], "offsets": [ [ 0, 2039 ] ] } ]
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"DerRadiologe.60360944.eng.abstr-s22-t4", "normalized": [] }, { "id": "DerRadiologe.60360944.eng.abstr-s22-r7-t1.2-t4.1", "type": "evaluation_of", "arg1_id": "DerRadiologe.60360944.eng.abstr-s22-t1", "arg2_id": "DerRadiologe.60360944.eng.abstr-s22-t4", "normalized": [] }, { "id": "DerRadiologe.60360944.eng.abstr-s22-r8-t5.1-t1.1", "type": "location_of", "arg1_id": "DerRadiologe.60360944.eng.abstr-s22-t5", "arg2_id": "DerRadiologe.60360944.eng.abstr-s22-t1", "normalized": [] } ]
DerRadiologe.60360951.eng.abstr
DerRadiologe.60360951.eng.abstr
[ { "id": "DerRadiologe.60360951.eng.abstr-passage-0", "type": "abstract", "text": [ "The diagnosis of glenohumeral instability is based on the patient's history and physical examination . The main objective in using imaging techniques is to define the tpye and extent of the underlying pathology for therapeutic planning . Plain radiography is the initial step in the diagnostic procedure but can miss typical lesions of the glenohumeral joint structures . CT arthrography and MR imaging offer great sensitivity and accuracy for the detection of traumatic abnormalities of the labral-capsular complex , fractures of the glenoid rim and Hill-Sachs lesions . The advantages and pitfalls of both imaging techniques are discussed ." ], "offsets": [ [ 0, 642 ] ] } ]
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[]
[]
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DerRadiologe.60360966.eng.abstr
DerRadiologe.60360966.eng.abstr
[ { "id": "DerRadiologe.60360966.eng.abstr-passage-0", "type": "abstract", "text": [ "Indications of MR arthrography were analyzed in this prospective study . The aim was to evaluate possible advantages over conventional MRI , establish diagnostic criteria and to analyze its meaning further for the therapeutic management of postoperative patients ." ], "offsets": [ [ 0, 264 ] ] } ]
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[]
[]
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DerRadiologe.60360971.eng.abstr
DerRadiologe.60360971.eng.abstr
[ { "id": "DerRadiologe.60360971.eng.abstr-passage-0", "type": "abstract", "text": [ "Sonography of the shoulder joint is a well-established technique in the hands of the experienced examiner , when using a standardized protocol . It has proved invaluable in assessing pathological soft tissue changes , especially after trauma . The static evaluation of anatomy and dynamic assessment of function are especially helpful in both preoperative staging and postoperative follow-up . The normal anatomy , examination techniques , including our own variations , and pathological conditions are discussed . The findings and various classifications of impingement syndrome , rotator cuff injuries , biceps tendon lesions and inflammatory changes are examined . Review of the major articles in the literature shows excellent correlation with our results , the overall sensitivity in the case of rotator cuff lesions being over 90 % . A well-performed ultrasound examination in most cases obviates the need for the more invasive arthroscopy and the more cumbersome and expensive MRI examinations ." ], "offsets": [ [ 0, 1002 ] ] } ]
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[ "tissue" ], "offsets": [ [ 201, 207 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 235, 241 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "evaluation" ], "offsets": [ [ 255, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220825" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "anatomy" ], "offsets": [ [ 269, 276 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" }, { "db_name": "UMLS", "db_id": "C0002808" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "assessment" ], "offsets": [ [ 289, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0028708" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 303, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 368, 381 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "anatomy" ], "offsets": [ [ 405, 412 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" }, { "db_name": "UMLS", "db_id": "C0002808" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 427, 437 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "variations" ], "offsets": [ [ 458, 468 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042333" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 519, 527 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "classifications" ], "offsets": [ [ 540, 555 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008902" }, { "db_name": "UMLS", "db_id": "C0008903" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 571, 579 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 595, 603 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 613, 619 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "rotator cuff" ], "offsets": [ [ 582, 594 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085515" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Review" ], "offsets": [ [ 668, 674 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282443" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 704, 714 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "overall" ], "offsets": [ [ 766, 773 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282416" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "sensitivity" ], "offsets": [ [ 774, 785 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "rotator cuff" ], "offsets": [ [ 801, 813 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0085515" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "ultrasound" ], "offsets": [ [ 857, 867 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "need" ], "offsets": [ [ 907, 911 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027552" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "arthroscopy" ], "offsets": [ [ 934, 945 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003904" } ] }, { "id": "DerRadiologe.60360971.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "MRI" ], "offsets": [ [ 984, 987 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] } ]
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DerRadiologe.60360981.eng.abstr
DerRadiologe.60360981.eng.abstr
[ { "id": "DerRadiologe.60360981.eng.abstr-passage-0", "type": "abstract", "text": [ "The influence of biomechanics in surgery of the locomotor apparatus has been constantly increasing over the last few decades . The purpose of this study was to determine wether biomechanical studies can significantly influence therapy and treatment of shoulder injuries , especially shoulder instability . The investigation was performed on 23 fresh human specimens with intact capsular ligaments of the glenohumeral joint . A Bankart lesion from 3 o ' clock to 6 o ' clock was repaired , and a Bankart repair and anterior inferior capsular shift , as described by Neer , were performed . The measurement was done on six clinically relevant positions of instability : superior , anterior , anterior-inferior , inferior , posterior-inferior , posterior . Measurement was done using a specially developed strain-gauge system . It was demonstrated that both instability and too much stability of the shoulder joint lead to a significant change in shoulder biomechanics . The anatomical 0-position of the glenohumeral joint in 110 ° of abduction is a position of about 60 ° of external rotation compared to the 0-position for clinical measurement . From the therapy point of view , one has to ask for anatomical reconstruction instead of tight repair in soft-tissue repair in the glenohumeral joint . Immediate post-operative rehabilitation in a 60 ° range of motion is possible ." ], "offsets": [ [ 0, 1376 ] ] } ]
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[]
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DerRadiologe.60360991.eng.abstr
DerRadiologe.60360991.eng.abstr
[ { "id": "DerRadiologe.60360991.eng.abstr-passage-0", "type": "abstract", "text": [ "A case of confirmed esophageal bronchogenic cyst is reported . We review the clinical and pathologic features of this rare congenital foregut anomaly , and emphasize its radiographic appearances with special reference to differential diagnosis ." ], "offsets": [ [ 0, 245 ] ] } ]
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[]
[]
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DerRadiologe.70370001.eng.abstr
DerRadiologe.70370001.eng.abstr
[ { "id": "DerRadiologe.70370001.eng.abstr-passage-0", "type": "abstract", "text": [ "Malignant lymphomas can be subdivided into Hodgkin's disease and low- or high-grade non-Hodgkin's lymphoma ( NHL ) . The principal therapeutic options are polychemotherapy and radiotherapy . Besides the histological classification , staging of the disease with particular regard to risk factors is an essential prerequisite for the therapeutic decision . Diagnostic imaging modalities such as computer tomography , magnetic resonance imaging , and ultrasonography have improved the accuracy of clinical staging such that invasive pathological staging is only necessary in exceptional cases . A novel therapeutic approach is high-dose chemotherapy with autologous haematopoietic stem-cell support . This treatment improves the survival of patients with relapsed high-grade NHL . The place of high-dose therapy as the primary therapeutic option in malignant lymphoma is now being assessed in prospective studies following encouraging results from single-centre studies , including those involving the treatment of low-grade lymphoma . The effects of antibodies directed against lymphatic cells are currently being examined in experimental treatments . An assessment of the viability and rate of proliferation of lymphoma tissue on completion of therapy using sensitive radiological and nuclear medical methods is an important aim for the future ." ], "offsets": [ [ 0, 1344 ] ] } ]
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"text": [ "lymphoma" ], "offsets": [ [ 98, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370001.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "NHL" ], "offsets": [ [ 109, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024305" }, { "db_name": "UMLS", "db_id": "C0079745" } ] }, { "id": "DerRadiologe.70370001.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "Malignant lymphomas" ], "offsets": [ [ 0, 19 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370001.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 131, 142 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerRadiologe.70370001.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "polychemotherapy" ], "offsets": [ [ 155, 171 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013218" } ] }, { "id": "DerRadiologe.70370001.eng.abstr-s2-t3", "type": "umlsterm", "text": [ 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DerRadiologe.70370010.eng.abstr
DerRadiologe.70370010.eng.abstr
[ { "id": "DerRadiologe.70370010.eng.abstr-passage-0", "type": "abstract", "text": [ "Radiological staging continues to remain the basis of a critical therapy of malignant lymphoma . As staging system , the Ann Arbor classification with some added modification is used . Up to now , CT is the imaging study of choice for staging and follow-up of cases of lymphoma . In future however , due to the advantages of the MRI , parts of the staging will be performed by MRI only . Imaging studies provide accurate measurement of extent of nodal disease . The detection of extra-nodal disease depends on the growth pattern and on the location . Focal lesions of sufficient size can be readily detected , diffuse infiltration is often missed . Computed tomography precisely reflects pathologic changes of lung involvement , but the findigs are not specific . One weakness of the imaging studies is the low detection rate of splenic and hepatic involvement . Staging of gastrointestinal lymphoma has been improved by \" hydro-CT \" or \" Hydro-MRI \" ." ], "offsets": [ [ 0, 952 ] ] } ]
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[]
[]
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DerRadiologe.70370027.eng.abstr
DerRadiologe.70370027.eng.abstr
[ { "id": "DerRadiologe.70370027.eng.abstr-passage-0", "type": "abstract", "text": [ "Primary extranodal lymphoma manifestation in the narrow sense is the term used to define the primary organ manifestation of a malignant lymphoma , excluding the thymus , spleen , Waldeyer's tonsillar ring , the appendix and Peyer's patches . However , in the clinical routine the term is also used for the secondary organ manifestation of underlying lymphoproliferative disease . Primary extranodal lymphomas are mainly non-Hodgkin lymphomas ; there is primary extranodal manifestation of Hodgkin's disease in only about 1 % of the cases . Among the extranodal NHL , the highly malignant forms predominate . A major exception is MALT lymphomas , which mainly show low slow growth . In the past , they were considered to be pseudolymphomas because of their slow and localized tumor growth . They were included as an entity of their own for the first time in the Revised European American Lymphoma ( REAL ) classification of 1994. The incidence data vary between 10 % and 25 % for primary extranodal manifestation . The major reason for this is the difference in extranodal regions because of classification . Secondary organ involvment of an NHL occurs in up to 40 % of the cases in the long-term course of the disease in primary nodal lymphomas . Secondary organ involvment is frequently diagnosed in AIDS patients who develop an AIDS-related lymphoma ( 85 % of cases ) . The following contribution reports on the radiological imaging of extranodal lymphoma manifestation in the thoracoabdominal region ." ], "offsets": [ [ 0, 1504 ] ] } ]
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[]
[]
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DerRadiologe.70370035.eng.abstr
DerRadiologe.70370035.eng.abstr
[ { "id": "DerRadiologe.70370035.eng.abstr-passage-0", "type": "abstract", "text": [ "The gastrointestinal tract is the most common extranodal site for non-Hodgkin's lymphoma . Primary gastrointestinal lymphoma ( PGIL ) represents a specific entity and has to be differentiated from nodal lymphomas because of its different biological behaviour , prognosis and treatment . Imaging methods are important for detection and staging of PGIL . Gastrointestinal lymphomas produce a spectrum of pathological and radiological appearances . PGIL is encountered often enough to warrant familiary with the clinical , radiological and therapeutic options ." ], "offsets": [ [ 0, 558 ] ] } ]
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[]
[]
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DerRadiologe.70370051.eng.abstr
DerRadiologe.70370051.eng.abstr
[ { "id": "DerRadiologe.70370051.eng.abstr-passage-0", "type": "abstract", "text": [ "Manifestation of childhood Hodgkin's disease and Non-Hodgkin's lymphoma differ , especially in the latter , from those in adults . Extranodal involvement is seen even more frequently in childhood Non-Hodgkin's lymphomas than in adults . This article reviews the radiological findings in malignant lymphomas in children , explains the differences in the manifestation of Hodgkin's disease and Non-Hodgkin's lymphomas , of different subtypes and of the malignant lymphomas in adults . The problems in diagnosis of organ manifestation and special problems of diagnostic imaging procedures in children are discussed ." ], "offsets": [ [ 0, 613 ] ] } ]
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"text": [ "Non-Hodgkin's" ], "offsets": [ [ 196, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0605770" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "lymphomas" ], "offsets": [ [ 210, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "adults" ], "offsets": [ [ 228, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001675" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 275, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 287, 296 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "lymphomas" ], "offsets": [ [ 297, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "children" ], "offsets": [ [ 310, 318 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008059" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "Hodgkin's" ], "offsets": [ [ 370, 379 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0605770" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 380, 387 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "Non-Hodgkin's" ], "offsets": [ [ 392, 405 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0605770" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "lymphomas" ], "offsets": [ [ 406, 415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t9", "type": "umlsterm", "text": [ "malignant" ], "offsets": [ [ 451, 460 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t10", "type": "umlsterm", "text": [ "lymphomas" ], "offsets": [ [ 461, 470 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t11", "type": "umlsterm", "text": [ "adults" ], "offsets": [ [ 474, 480 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001675" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t12", "type": "umlsterm", "text": [ "malignant lymphomas" ], "offsets": [ [ 287, 306 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s3-t13", "type": "umlsterm", "text": [ "malignant lymphomas" ], "offsets": [ [ 451, 470 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024299" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 499, 508 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 556, 566 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 567, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 575, 585 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "children" ], "offsets": [ [ 589, 597 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008059" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "diagnostic imaging" ], "offsets": [ [ 556, 574 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerRadiologe.70370051.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "imaging procedures" ], "offsets": [ [ 567, 585 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] } ]
[]
[]
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DerRadiologe.70370062.eng.abstr
DerRadiologe.70370062.eng.abstr
[ { "id": "DerRadiologe.70370062.eng.abstr-passage-0", "type": "abstract", "text": [ "The sonographic diagnosis of malignant lymphoma in childhood is described . Malignant lymphomas are sonographically relatively uniform : initial enlargement of the lymph nodes and organs involved and disturbance of normal echo texture by mainly hypoechoic lesions can be found . Generally , four sonographic patterns of infiltration are described : diffuse , small nodular , large nodular and bulky type . Secondary , tumor-related or inflammatory complications ( e . g . dislocation or compression of vessels , thoracic inlet syndrome , venous thrombosis , ileus , urinary retention , abscess and effusion ) can be sonographically evaluated . Response to therapy correlates with normalization of size and echo texture and recovery from tumor-related complications . Differential diagnosis with ultrasound is based on the topographic distribution and echo pattern of infiltration and , with certain restrictions , on the echogenicity of lesions and perfusion feasible with Doppler sonography . The primary diagnosis has to be established histologically ." ], "offsets": [ [ 0, 1054 ] ] } ]
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"DerRadiologe.70370062.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "venous thrombosis" ], "offsets": [ [ 538, 555 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042487" } ] }, { "id": "DerRadiologe.70370062.eng.abstr-s6-t9", "type": "umlsterm", "text": [ "urinary retention" ], "offsets": [ [ 566, 583 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080274" } ] }, { "id": "DerRadiologe.70370062.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 656, 663 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerRadiologe.70370062.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "tumor-related" ], "offsets": [ [ 737, 750 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerRadiologe.70370062.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 751, 764 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": 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[]
[]
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DerRadiologe.70370074.eng.abstr
DerRadiologe.70370074.eng.abstr
[ { "id": "DerRadiologe.70370074.eng.abstr-passage-0", "type": "abstract", "text": [ "The management of patients who have malignant lymphomas requires functional methods to differentiate residual soft tissue masses . Positron emission tomography ( PET ) was performed in patients with histologically proven malignant lymphomas prior to the onset of second-line chemotherapy to examine tumor viability . Twenty patients ( 68 malignant lesions and 3 benign lesions ) with Hodgkin lymphomas ( HL ) as well as 26 patients ( 46 malignant lesions and 1 benign lesion ) with non-Hodgkin lymphomas ( NHL ) were studied with fluorine-18-deoxyglucose ( FDG ) . Oxygen-15-labelled water was used in addition in 14 patients with 25 lesions to obtain information on the tissue perfusion . PET with FDG is highly sensitive for the detection of viable tumor tissue , all malignant lesions being correctly classified in this study . We noted no statistically significant difference in FDG metabolism for Hodgkin and non-Hodgkin lymphomas . Even normal-sized lymph-node metastases ( 1 cm ) were detected with PET and FDG . The possible limitations are inflammatory processes , which may obscure tumor detection because of the increased FDG uptake , as well as malignant lesions with low FDG uptake as a result of reduced perfusion . Comparison of tumor perfusion and FDG uptake showed a significant nonlinear correlation of r = 0.78 between the two parameters . Two patients with scar tissue and no evidence of malignancy were excluded from blood stem-cell support therapy as a result of the PET study . The data demonstrate that PET is a useful tool for making a diagnosis and deciding on therapy for malignant lymphomas ." ], "offsets": [ [ 0, 1620 ] ] } ]
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DerRadiologe.70370081.eng.abstr
DerRadiologe.70370081.eng.abstr
[ { "id": "DerRadiologe.70370081.eng.abstr-passage-0", "type": "abstract", "text": [ "The role of radiotherapy in the treatment of Hodgkin's disease and non-Hodgkin's lymphoma has changed considerably in the last few decades . Clinical observation of mainly unicentric pathogenesis with continuous expansion and subclinical involvement of adjoining regions of lymph nodes has resulted in the introduction of a large-field technique with total nodal irradiation ( TNI ) or total lymphatic irradiation ( TLI ) . The introduction of polychemotherapy has led to further improvement in the cure rate and in considerations concerning using both methods and adapting them to the stage and risk . Today the combination of radiation and chemotherapy leads to a reduction in the amount of radiation required in the affected regions ( involved field irradiation = IFI ) ." ], "offsets": [ [ 0, 774 ] ] } ]
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[]
[]
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DerRadiologe.70370089.eng.abstr
DerRadiologe.70370089.eng.abstr
[ { "id": "DerRadiologe.70370089.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To develop and implement a method to obtain digital subtraction ( DS ) spiral computed tomography angiograms ( SCTA ) in order to avoid superimposition of bony structures and vascular calcifications on SCTA maximum intensity projections ( MIPs ) and shaded surface display ( SSD ) ." ], "offsets": [ [ 0, 292 ] ] } ]
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[]
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DerRadiologe.70370098.eng.abstr
DerRadiologe.70370098.eng.abstr
[ { "id": "DerRadiologe.70370098.eng.abstr-passage-0", "type": "abstract", "text": [ "Aim : Recent developments of the Internet ( World Wide Web ) allow the integration of audio , video , digital film sequences , and three-dimensional data . The applicability of these innovations for medical documentation is demonstrated ." ], "offsets": [ [ 0, 238 ] ] } ]
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DerRadiologe.70370124.eng.abstr
DerRadiologe.70370124.eng.abstr
[ { "id": "DerRadiologe.70370124.eng.abstr-passage-0", "type": "abstract", "text": [ "This report deals with radiologic examinations outside official working hours in a German university hospital and the influence of new government regulations . A total of 65,113 radiologic examinations were requested and performed outside official working hours between 1 July 1990 and 30 Juni 1994. The data were analyzed according to the age and sex of this patient population compared with the entire population studied within this 4-year period . Further analysis included the time of the study , the organ systems investigated , and the radiologic technique ." ], "offsets": [ [ 0, 564 ] ] } ]
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"DerRadiologe.70370124.eng.abstr-s2-t5", "arg2_id": "DerRadiologe.70370124.eng.abstr-s2-t2", "normalized": [] }, { "id": "DerRadiologe.70370124.eng.abstr-s2-r34-t2.1-t1.2", "type": "measurement_of", "arg1_id": "DerRadiologe.70370124.eng.abstr-s3-t2", "arg2_id": "DerRadiologe.70370124.eng.abstr-s2-t1", "normalized": [] }, { "id": "DerRadiologe.70370124.eng.abstr-s2-r35-t2.2-t1.2", "type": "conceptual_part_of", "arg1_id": "DerRadiologe.70370124.eng.abstr-s2-t2", "arg2_id": "DerRadiologe.70370124.eng.abstr-s2-t1", "normalized": [] }, { "id": "DerRadiologe.70370124.eng.abstr-s2-r36-t7.1-t4.1", "type": "measures", "arg1_id": "DerRadiologe.70370124.eng.abstr-s2-t7", "arg2_id": "DerRadiologe.70370124.eng.abstr-s2-t4", "normalized": [] } ]
DerRadiologe.70370139.eng.abstr
DerRadiologe.70370139.eng.abstr
[ { "id": "DerRadiologe.70370139.eng.abstr-passage-0", "type": "abstract", "text": [ "Aim and methods : The aim of the present study was to evaluate the MRI criteria of infectious spondylitis ( spondylodiscitis ) . The MR images of 23 patients suffering from spondylodiscitis ( 78 % unspecific , 22 % specific ) were retrospectively analyzed . Results : The height of the intervertebral discs involved was normal in 40 % , reduced in 43 % and increased in 17 % of the cases . The most common findings can be summarized in an MR triad : 1 ) The vertebral bodies involved are hypointense in T1-weighted images ( 100 % ) with a lack of delineation of the intervertebral discs ( 53 % ) . 2 ) The injection of Gd-DTPA yields an enhancement of the vertebral bodies involved and intervertebral discs ( 95 % and 74 % respectively ) . 3 ) The vertebral bodies and intervertebral discs are hyperintense in T2-weighted sequences ( 76 % and 90 % respectively ) ." ], "offsets": [ [ 0, 864 ] ] } ]
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[]
[]
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"DerRadiologe.70370139.eng.abstr-s6-t1", "arg2_id": "DerRadiologe.70370139.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerRadiologe.70370139.eng.abstr-s4-r3-t2.1-t1.1", "type": "interacts_with", "arg1_id": "DerRadiologe.70370139.eng.abstr-s5-t2", "arg2_id": "DerRadiologe.70370139.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerRadiologe.70370139.eng.abstr-s5-r1-t3.1-t2.1", "type": "produces", "arg1_id": "DerRadiologe.70370139.eng.abstr-s5-t3", "arg2_id": "DerRadiologe.70370139.eng.abstr-s5-t2", "normalized": [] } ]
DerRadiologe.70370152.eng.abstr
DerRadiologe.70370152.eng.abstr
[ { "id": "DerRadiologe.70370152.eng.abstr-passage-0", "type": "abstract", "text": [ "In order to evaluate magnetic resonance imaging ( MRI ) changes in correlation with different degrees of internal derangement of the temporomandibular joint , we evaluated 117 joints of 59 symptomatic patients and 31 volunteers . Data analysis included morphologic and morphometric characteristics . Sixteen joints ( 19 % ) were considered normal , 40 demonstrated anterior displacement with reduction ( 47 % ) and 27 anterior displacement without reduction ( 32 % ) . In three of the volunteers anterior displacement with reduction was noted . Advancing anterior position of the disk was associated with reduced ability to open the mouth , progressive deformity and shortening of the disk , thinning of the bilaminar zone , regressive and proliferative bony changes of the condyle , reduced translatory movement of the disk and condyle , thinning of joint space , cranial and dorsal displacement of the condyle and flattening of the slope of the tuberculum . In addition to alterations in condylar and disk morphology , MRI can demonstrate various additional measurable changes that correlate well with the degree of anterior disk displacement ." ], "offsets": [ [ 0, 1146 ] ] } ]
[ { "id": "DerRadiologe.70370152.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "magnetic" ], "offsets": [ [ 21, 29 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024488" } ] }, { "id": "DerRadiologe.70370152.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "resonance" ], "offsets": [ [ 30, 39 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0459800" } ] }, { "id": "DerRadiologe.70370152.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 40, 47 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerRadiologe.70370152.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "MRI" ], "offsets": [ [ 50, 53 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] }, { "id": "DerRadiologe.70370152.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "joint" ], "offsets": [ [ 151, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022417" } ] }, { "id": "DerRadiologe.70370152.eng.abstr-s1-t6", "type": "umlsterm", "text": [ 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DerRadiologe.70370159.eng.abstr
DerRadiologe.70370159.eng.abstr
[ { "id": "DerRadiologe.70370159.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Since patient cooperation in neonates and infants up to 5 years is always reduced , deep sedation is usually recommended to obtain constant high-quality images during MRI . According to the widely accepted AAP Guidelines , deep sedation is not always distinguishable from general anesthesia , substantiating the demand for state-of-the-art anaesthesia . This is particularly true in this age group , where pharmacokinetics and pharmacodynamics show wide interindividual variation . In this review we outline the techniques required to provide safe and effective patient care in the unique MRI environment . Choice of drugs and procedure : From the viewpoint of induction time , half-life of action and success rate , we have found that inhalation anesthetics and propofol present clear advantages . Both offer rapid induction and emergence , allowing outpatient examinations in a tight schedule with a reliable sedation state . Tracheal intubation or a laryngeal mask airway is required to supply volatile anesthetics and to secure the airway , since propofol in appropriate doses causes respiratory depression and loss of the protective reflexes . Positive-pressure ventilation is recommended since the reduction of tidal volumes by sedative drugs ( including high-dose chloral hydrate , barbiturates ) may cause atelectasis and decreased oxygen saturation . Anesthesia machines : Several respirators work well outside a critical magnetic field strength of 10 mT ( e . g . Draeger : Titus , Siemens : Servo 900 ) . The use of long low-compliance tubing ( 4-5 m ) allows the respirator to be placed at the distal end of the patient table . Side-stream capnometry and spirometry at the proximal tube connector facilitate compensation for losses in tidal volume due to gas compression . Syringe pumps work properly when kept outside the 10 mT line . Some defibrillators ( e . g . , Lifepac , Physiocontrol ) are approved for use in strong magnetic fields . Monitoring : State-of-the-art monitoring is also attainable for high-risk patients , including invasive pressure measurement . Since wiring without special filters may not cross the HF shield of the examination room , hydraulic and pneumatic systems are used ( blood pressure by oscillometry , airway monitoring by side-stream spirometry ) . Optical fibers are used for pulse oximetry . A telemetric EKG is usually provided by the MRT manufacturer . Because oscilloscopes are distorted by the magnetic field , the monitors are placed outside the examination room . In addition , this eliminates the possibility of erasing the EPROMs contained in most monitors . Personnel : With the setup described , the presence of a second anesthetist within the examination room is superfluous . A second anesthesia team can shorten the time lag between examinations by overlapping induction if a separate anesthesia induction and emergence room is provided . Conclusion : The level of sedation required for MRI in newborn and infants can only be achieved safely and efficiently by general anesthesia performed by trained staff . Complete state-of-the-art anesthesia care can be delivered if appropriate instrumentation is used ." ], "offsets": [ [ 0, 3186 ] ] } ]
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DerRadiologe.70370165.eng.abstr
DerRadiologe.70370165.eng.abstr
[ { "id": "DerRadiologe.70370165.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Mediastinal diseases are mostly diagnosed by CT and MRI . The applicability of ultrasound is limited by the surrounding air- and bone-containing thorax , which permits only restricted echo windows . Transesophageal endoscopic ultrasonography circumvents this problem and ensures visualization of parts of the mediastinum ." ], "offsets": [ [ 0, 337 ] ] } ]
[ { "id": "DerRadiologe.70370165.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 27, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "MRI" ], "offsets": [ [ 67, 70 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024485" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Mediastinal diseases" ], "offsets": [ [ 15, 35 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025061" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "ultrasound" ], "offsets": [ [ 94, 104 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "air-" ], "offsets": [ [ 135, 139 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001861" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "thorax" ], "offsets": [ [ 160, 166 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039992" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Transesophageal" ], "offsets": [ [ 214, 229 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014852" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "ultrasonography" ], "offsets": [ [ 241, 256 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175676" }, { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "visualization" ], "offsets": [ [ 294, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0150627" } ] }, { "id": "DerRadiologe.70370165.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "mediastinum" ], "offsets": [ [ 324, 335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025066" } ] } ]
[]
[]
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DerRadiologe.70370170.eng.abstr
DerRadiologe.70370170.eng.abstr
[ { "id": "DerRadiologe.70370170.eng.abstr-passage-0", "type": "abstract", "text": [ "A 33-year-old multiparous woman in the 34th gestational week presented with severe upper abdominal pain , nausea and vomiting . Clinical examination revealed severe epigastric tenderness . Abdominal ultrasound examination showed geographical areas with increased echogenicity in the right lobe of the liver . Through haematological examination , we found severe thrombocytopenia and fibrinolysis . The diagnosis of HELLP syndrome was suspected and a caesarean section was performed . We suggest that obstetrical patients with upper abdominal pain and abnormal liver sonography should immediately be haematologically investigated to exclude the life-threatening condition of the HELLP syndrome ." ], "offsets": [ [ 0, 694 ] ] } ]
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[]
[]
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"DerRadiologe.70370170.eng.abstr-s6-r25-t7.1-t6.1", "type": "associated_with", "arg1_id": "DerRadiologe.70370170.eng.abstr-s6-t7", "arg2_id": "DerRadiologe.70370170.eng.abstr-s6-t6", "normalized": [] }, { "id": "DerRadiologe.70370170.eng.abstr-s6-r26-t4.1-t5.1", "type": "associated_with", "arg1_id": "DerRadiologe.70370170.eng.abstr-s6-t4", "arg2_id": "DerRadiologe.70370170.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerRadiologe.70370170.eng.abstr-s6-r27-t3.1-t4.1", "type": "location_of", "arg1_id": "DerRadiologe.70370170.eng.abstr-s6-t3", "arg2_id": "DerRadiologe.70370170.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerRadiologe.70370170.eng.abstr-s6-r28-t7.1-t4.1", "type": "associated_with", "arg1_id": "DerRadiologe.70370170.eng.abstr-s6-t7", "arg2_id": "DerRadiologe.70370170.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerRadiologe.70370170.eng.abstr-s6-r29-t4.1-t3.1", "type": "associated_with", "arg1_id": "DerRadiologe.70370170.eng.abstr-s6-t4", "arg2_id": "DerRadiologe.70370170.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerRadiologe.70370170.eng.abstr-s6-r30-t7.1-t1.1", "type": "occurs_in", "arg1_id": "DerRadiologe.70370170.eng.abstr-s6-t7", "arg2_id": "DerRadiologe.70370170.eng.abstr-s6-t1", "normalized": [] } ]
DerRadiologe.70370173.eng.abstr
DerRadiologe.70370173.eng.abstr
[ { "id": "DerRadiologe.70370173.eng.abstr-passage-0", "type": "abstract", "text": [ "Calcifying obliterative atherosclerosis isolated within the descending thoracic aorta causing subtotal vascular occlusion was associated with symptoms such as in aortic coarctation in a 56-year-old patient . Remarkable in this unique case is the atypical and isolated manifestation of atherosclerotic disease within the thoracic aorta , as well as the tumorous extent of luminal calcification . Differential diagnostic considerations had to include calcifying tumor of the aorta , remnants after aortitis or secondary calcified aortic dissection ." ], "offsets": [ [ 0, 547 ] ] } ]
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[]
[]
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DerRadiologe.70370191.eng.abstr
DerRadiologe.70370191.eng.abstr
[ { "id": "DerRadiologe.70370191.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose of this review is , to highlight key issues in transplantation medicine today and to summarise basic information on current state of perfused organ transplantation . There is special emphasis on ethical and legal considerations with regard to living donor transplantation , brain death concept , donor consent and organ allocation . Transplantation frequencies and the impact of whole organ transplantation on the treatment concept for patients with end stage organ disease is heavily dependent on donor and organ availability . Organ donor rate of 25 to 30 donors per million inhabitants per year seems to yield sufficient organ supply for patients on renal replacement therapy . 15 to 20 liver transplantations per million inhabitants per year , my be sufficient , to cover the need of organs for non malignant end stage liver diseases . This frequency my be achieved by increasing donor rates and employing \" split techniques \" , where one liver is used for two recipients . One year graft survival in kidney transplantation can be expected to be between 85 and 90 % , one year patient survival in heart and liver transplantation can be expected to be beyond 80 % . The risk of organ failure is highest in the first year , long term results are dependent on incidence of chronic rejection , comorbidity of the patient and original disease . Patient- and/or graft loss after the first year is in the order of 1 to 5 % . Whole organ transplantation for kidneys , hearts and livers are considered routine procedures , lung transplantation is reaching standard phase , pancreas and combined pancreas kidney transplantation is well established technically , but its indication is still controversial ." ], "offsets": [ [ 0, 1707 ] ] } ]
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DerRadiologe.70370197.eng.abstr
DerRadiologe.70370197.eng.abstr
[ { "id": "DerRadiologe.70370197.eng.abstr-passage-0", "type": "abstract", "text": [ "Introduction : Orthotopic liver transplantation ( OLT ) has become an accepted treatment for end-stage liver disease . However , postoperative complications result in significant patient morbidity and mortality . Early detection and treatment of these complications is therefore of utmost importance . Materials and methods : We retrospectively reviewed the postoperative complications of the patients who underwent OLT at our institution . Duplex Doppler sonography and cholangiography were the primary imaging modalities in postoperative evaluation of the transplanted liver . Other important techniques were CT , MRI , and angiography , which may contribute to a reliable diagnosis of vascular or biliary complications . Results : Second to primary organ dysfunction , vascular complications are the most frequent cause of graft loss . Thrombosis of the hepatic artery is the most common and most serious vascular complication , with a reported incidence from 4 to 42 % . Bile duct sludge , leaks and strictures are frequent complications after liver transplantation , which can contribute to graft dysfunction . Biliary tract complications usually occur within the first 3 months and require interventional radiological or surgical therapy . Since liver transplant recipients undergo immunosuppressive therapy , they are at increased risk of developing late post-transplant malignancies , which are best depicted by US , CT or MRI . However , radiological diagnosis of lymphoproliferative disorder has to be confirmed by liver biopsy . Conclusion : Cholangiography and Duplex sonography are routinely used in the postoperative evaluation of patients with OLT . CT , MRI , and angiography are problem-solving tools in equivocal cases ." ], "offsets": [ [ 0, 1738 ] ] } ]
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DerRadiologe.70370205.eng.abstr
DerRadiologe.70370205.eng.abstr
[ { "id": "DerRadiologe.70370205.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : Postoperative complications contribute significantly to the morbidity and mortality of liver transplant patients . The management of these complications requires a multidisciplinary approach in which interventional radiology plays an integral role . Indications , techniques , and results of radiological interventions in the management of the liver transplant patient are presented ." ], "offsets": [ [ 0, 394 ] ] } ]
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[]
[]
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DerRadiologe.70370225.eng.abstr
DerRadiologe.70370225.eng.abstr
[ { "id": "DerRadiologe.70370225.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To determine the value of MR imaging in differentiating the various causes of human renal allograft dysfunction ." ], "offsets": [ [ 0, 123 ] ] } ]
[ { "id": "DerRadiologe.70370225.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 27, 32 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerRadiologe.70370225.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 39, 46 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerRadiologe.70370225.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "causes" ], "offsets": [ [ 78, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerRadiologe.70370225.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "human" ], "offsets": [ [ 88, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020114" } ] }, { "id": "DerRadiologe.70370225.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "dysfunction" ], "offsets": [ [ 110, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031847" } ] } ]
[]
[]
[]
DerRadiologe.70370233.eng.abstr
DerRadiologe.70370233.eng.abstr
[ { "id": "DerRadiologe.70370233.eng.abstr-passage-0", "type": "abstract", "text": [ "Purpose : To assess the value of functional magnetic resonance urography for the noninvasive postoperative evaluation of renal transplants . Methods : A saturation inversion projection sequence allows the selective imaging of strongly T 1 weighted signal from the MR contrast agent . A coronal slab leads to images comparable to conventional urography which can be acquired as a sequence with four images per minute . Results : 15 patients with urologic questionable findings after renal transplantation were studied . FMRU revealed in 6 patients normal findings , in 6 moderate dilatation of the renal pelvis without any urodynamic relevant obstruction . 3 pathologic findings , ureteral leak , ureteropelvic-junction obstruction and ureteral stenosis were diagnosed and consequently surgically treated . The imaging quality in all studies was diagnostic and urologically relevant . Conclusion : FMRU can be used as a noninvasive technique for the assessment of renal transplant in cases with suspicion of complication in the excretory system ." ], "offsets": [ [ 0, 1045 ] ] } ]
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"text": [ "evaluation" ], "offsets": [ [ 107, 117 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220825" } ] }, { "id": "DerRadiologe.70370233.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "transplants" ], "offsets": [ [ 127, 138 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerRadiologe.70370233.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "magnetic resonance" ], "offsets": [ [ 44, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0917874" } ] }, { "id": "DerRadiologe.70370233.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "renal transplants" ], "offsets": [ [ 121, 138 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022671" } ] }, { "id": "DerRadiologe.70370233.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Methods" ], "offsets": [ [ 141, 148 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": 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