• Coronary artery disease (CAD) is a major cause of morbidity and mortality. • Invasive coronary angiography (ICA) is the reference standard for detection of CAD. • Noninvasive computed tomography angiography excludes CAD with high sensitivity. • CT may effectively reduce the approximately 2 million negative ICAs in Europe. • DISCHARGE addresses this hypothesis in patients with low-to-intermediate pretest probability for CAD.
Treatment of rectal cancer, which includes periodic evaluations, may lead to earlier identification of recurrent local infiltration. Differentiation between local recurrence and other post radiation changes is frequently rather difficult. Pelvic MR examination was performed in 30 patients (20 men, 10 women) at the Institute of oncology, Sremska Kamenica. All patients underwent surgical resection of rectal cancer at the same institution. Preoperative or postoperative radiation therapy was administrated in 29 patients (93%). Criteria for detection of local recurrent tumours were based on morphologic changes, such as the presence of tumour inflltration, size increase of the mass and the change of the mass shape. Recurrent tumor inflitration was detected in 50% patients. Tumours of low differentiation histological type was predominantly found within 10 months after surgery, while moderately differentiated and high differentiated types were detected within 20 months and after 20 months after resection, respectively. Pelvic MR examination represents important diagnostic modality for recurrent rectal cancer identification.
The paper is aimed at determining diagnostic quality of the images in different chest CT examination protocols. Two groups of patients underwent scanning based on two different protocols using Siemens Somatom 4 Plus scanner in the spiral mode. The study included the total of 64 patients divided in two groups according to their body weight (BW). Group one included 34 patients weighing above 80 kg and they were scanned according to the standard protocol. Group two comprised 30 patients weighting below 80 kg and they were scanned using the same protocol however with reduction of tube current of 13 mA. All the scans were subsequently reconstructed using noise-reduction filter (enhancement of low contrast resolution).
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