This content is machine translated Sports injuries The agony of choice in imaging It may sound a bit old-fashioned, but with any medical problem, the classic order applies: history, clinical examination, additional clarifications. Imaging therefore comes in third place if there is already…
View Post 8 min This content is machine translated Radiochemotherapy as therapy of choice Anal carcinoma: diagnostics and current treatment concepts Risk factors for anal carcinoma include female sex, human papillomavirus infections, promiscuity/anal intercourse, smoking, and immunosuppression (e.g., HIV infection). If there are abnormal findings on inspection, palpation, and/or anoscopy, the…
View Post 8 min This content is machine translated From adjuvant to neoadjuvant radio/radiochemotherapy. Multimodal therapy of rectal cancer Analogous to the S3 guideline of the DKG 2014, recommendations can be made depending on the stage. Stage I: Here, total mesorectal excision (TME) alone is standard. Stage II and…
View Post 6 min This content is machine translated Current status of a nearly 70-year therapy Radioiodine therapy in differentiated thyroid carcinoma. For papillary and follicular thyroid carcinomas, ablative radioiodine therapy with TSH stimulation is given four to six weeks after surgery. Studies show that high standard activity (3.7 GBq vs. 1.1…
View Post 7 min This content is machine translated Lower radiation exposure to the surrounding organs Proton therapy: When and for whom? Radiotherapy with protons can replace photon radiotherapy in tumor treatment concepts. Due to the finite range of the proton beam, unnecessary radiation exposure to surrounding organs can be avoided. Children…
View Post 8 min This content is machine translated Treatment of brain metastases Surgery, radiosurgery, or conventional radiotherapy? Brain metastases are a local problem that can often be addressed well with local therapy. Because of the risk of intraoperative tumor seeding, surgical resection must be supplemented with conventional…
View Post 1 min This content is machine translated Hydrocephalus occlusus in proximal aqueductal stenosis Neuroradiological signs and neurosurgical treatment. Case description: We report a 43-year-old patient who had suffered a first-ever seizure last summer. Comprehensive epilepsy workup revealed no epileptic potentials. However, in the course of further workup, MRI…
View Post 2 min This content is machine translated Oral mucositis during radiotherapy Does flushing with tricyclic antidepressant help? Oral mucositis may occur as a side effect of radiotherapy for head and neck tumors. This is frequent, sometimes extremely painful and clearly limits the therapeutic options. Pain-relieving medications are…
View Post 8 min This content is machine translated Radiotherapy for bone metastases Primary goals are pain reduction and functional preservation When treating bone metastases, interdisciplinary discussion is necessary to ensure an optimal multimodal therapy regimen and thus the best possible outcome for the patient. Radiotherapy is considered the treatment of…
View Post 2 min This content is machine translated Cerebral DVA ("developmental venous anomaly"). Seizure event in the context of meningitis Case report: A 30-year-old man with an unremarkable medical history suffered a focal clonic seizure of the left upper extremity, secondarily generalized. Five days earlier, the patient had a fever…
View Post 7 min This content is machine translated Stroke from a neuroradiological point of view Clarification of some interventional issues Endovascular therapy for acute ischemic stroke focuses primarily on mechanical removal of thrombi from the affected cerebral vessel (mechanical thrombectomy). Using second-generation techniques (stent retrievers), high recanalization rates can be…
