Klinischer Stellenwert der Durchleuchtung der Magen-Darm-Passage (MDP) an einem Universitätsklinikum

Egger, L.; Fikentscher, T.; Poschenrieder, Florian; Röhrl, Stephan M; Friedrich, Christoph; Schill, G; Agha, Ayman; Hoffstetter, Patrick; Überbacher, C.; Stroszczynski, Christian; Schreyer, A. G.

doi:10.1055/s-0032-1312848

Cited by 3 publications

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“…Even if in total 3.5 % (n = 75) more anatomical structures or foreign material was able to be detected on images acquired in a lying position, this information was not diagnostically relevant in a single case so that routine acquisition of images in a lying position as a supplement to images in a standing position or in a leftlateral position is no longer to be viewed as indicated in the majority of cases. A further publication from the same working group retrospectively examined the value of conventional fluoroscopy of the gastrointestinal passage in 300 patients of a university hospital [131]. In this study the authors found that a further diagnostic imaging method such as endoscopy, CT, or ultrasound was initiated in over 87 % of patients who underwent gastrointestinal passage prior to a change in diagnosis or treatment.…”

Section: Venous Occlusionmentioning

confidence: 99%

A Review of Scientific Topics and Literature in Abdominal Radiology in Germany – Part 1: Gastrointestinal Tract

Schreyer

Weßling

Kinner

et al. 2015

Fortschr Röntgenstr

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The working group for abdominal and gastrointestinal diagnosis is a group of the German Radiological Society (DRG) focusing clinically and scientifically on the diagnosis and treatment of the gastrointestinal tract with all parenchymatous abdominal organs. In addition to the clinical and scientific further development of abdominal radiology, the education of radiologists within this core discipline of radiology is one of the major aims. In this article we give an up-to-date literature review of scientific radiological topics especially covered by German radiologists. This manuscript focuses on the most recent literature on the diagnosis of the stomach, small bowel, colon and rectum. The review with a focus on the most recent studies published by German radiologists concludes with a synopsis of mesenterial bleeding and ischemia followed by a critical appraisal of the current literature on conventional abdominal radiography. Key Points: ??Based on recent literature and guidelines there is a change of paradigms regarding the diagnosis of esophagus and gastric cancer towards CT, which is considered equally to endosonography. ??For small bowel imaging in Crohn?s disease ultrasound as well as MRI with a new focus on DWI are the most important imaging modalities scientifically. ??For colonic diagnosis virtual colonoscopy has replaced the conventional radiological methods. For staging of rectal carcinoma as well as for therapeutic stratification a high resolution MRI of the pelvis is of paramount interest. ??Multislice CT is considered the most important modality to assess mesenteric ischemia or bleeding. Citation Format: ??Schreyer AG, Wessling J, Kinner S et?al. A Review of Scientific Topics and Literature in Abdominal Radiology in Germany ? Part 1: Gastrointestinal Tract. Fortschr R?ntgenstr 2016; 188: 134???145

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Section: Venous Occlusionmentioning

confidence: 99%

A Review of Scientific Topics and Literature in Abdominal Radiology in Germany – Part 1: Gastrointestinal Tract

Schreyer

Weßling

Kinner

et al. 2015

Fortschr Röntgenstr

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Proktologische Diagnostik

Ommer¹,

Mölle²,

Shafik³

et al. 2018

Chirurgische Proktologie

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Interobserver Agreement in MR Enterography for Diagnostic Assessment in Patients with Crohn's Disease

Schleder

Pawlik

Wiggermann

et al. 2013

Fortschr Röntgenstr

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Purpose: To evaluate the extent to which MRE can be used as an observer-independent, objective imaging method for the diagnosis and evaluation of CD with respect to the detection of inflammatory changes of the small bowel and lymphadenopathy as diagnostic criterion and bowel distension as a quality criterion. Materials and Methods: MRE scans of 84 patients (42 female, median age 37 years) were evaluated independently by 4 experienced radiologists. Analysis of inflammatory changes of the bowel wall, lymphadenopathy and adequate bowel distension was conducted separately for the jejunum, ileum and terminal ileum. The Kendall?s W-test was used for the statistical comparison of concordance. Results: In a total of 55 patients, inflammatory activity of the bowel wall was detected and MRE was found to have a high interobserver reproducibility concerning inflammatory changes of the intestinal wall (Kendall?s W 0.527???0.823). Concerning lymphadenopathy (31 cases, 36.9?%), a low to moderate consensus could be shown with a Kendall?s W value of 0.402???0.505. For the assessment of adequate bowel distension, a moderate concordance between the operators could be found (Kendall?s W 0.497???0.581). Conclusion: MRE has proven high interobserver agreement with respect to the diagnosis of inflammatory disease activity of the bowel as a diagnostic criterion in patients with CD. Concerning adequate bowel distension as a quality criterion of the examination itself and lymphadenopathy as a diagnostic criterion, moderate interobserver agreement could be found. This is thought to have a rather small effect on the diagnostic significance and conclusiveness of the method in the daily routine. Key Points: Citation Format:

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Klinischer Stellenwert der Durchleuchtung der Magen-Darm-Passage (MDP) an einem Universitätsklinikum

Cited by 3 publications

References 0 publications

A Review of Scientific Topics and Literature in Abdominal Radiology in Germany – Part 1: Gastrointestinal Tract

A Review of Scientific Topics and Literature in Abdominal Radiology in Germany – Part 1: Gastrointestinal Tract

Proktologische Diagnostik

Interobserver Agreement in MR Enterography for Diagnostic Assessment in Patients with Crohn's Disease

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