Renal radiology

Author(s):  
Michael J. Weston

This chapter acts as an introduction to Chapters 10–16 and highlights the uses of plain radiography, fluoroscopy, ultrasound, computed tomography, positron emission tomography, magnetic resonance imaging, radionuclide studies, and image-guided intervention. All imaging studies work best if a specific question is asked. This helps to choose both the best modality and protocol to answer the question. The clinical information given will often assist the interpretation of the findings. The more vague the indication for a scan, the less likely that useful information will be provided. Both the requesting clinician and the radiologist need to be clear how the scan result will alter management. Performing imaging procedures that will not alter the outcome is wasteful and unkind to the patient.

2019 ◽  
Vol 12 (7) ◽  
Author(s):  
John P. Bois ◽  
Vidhu Anand ◽  
Nandan S. Anavekar

Diagnosis of the inflammatory aortopathies and importantly, their distinction in the later stages of disease from genetically mediated or acquired (degenerative) aortopathy remains a challenging clinical problem. Historically, the diagnosis of inflammatory aortopathy has required tissue sampling and pathological assessment. Although histological diagnosis remains an important diagnostic criterion, the ability to obtain sufficient tissue samples is problematic and requires invasive approaches that pose important risk. Continuing refinement in the capabilities of multimodality imaging, including ultrasound, computed tomography, magnetic resonance imaging, and positron emission tomography provides important insights into the broad spectrum of disease which comprise the inflammatory aortopathies. This review examines the current and emerging role of multimodality imaging in the evaluation of aortitis.


Author(s):  
Nicolo Pipitone

Imaging techniques play a key role in the assessment of patients with the idiopathic inflammatory myopathies (IIM). Magnetic resonance imaging (MRI) can reveal muscle inflammation similarly to muscle scintigraphy and 18F-Fluorodeoxyglucose positron emission tomography, but is also able to visualize findings of chronic muscle damage such as muscle atrophy or fat replacement. Ultrasonography has a more limited role because it can only depict the superficial muscle layers. Imaging findings are not specific to IIM, but in the appropriate clinical context they support the diagnosis. MRI is also useful to target biopsy to affected muscles, thus increasing biopsy yield. In addition, because different myopathies present with different patterns of muscle involvement, imaging studies can provide differential diagnostic clues. Finally, imaging studies—especially MRI—can be used to monitor the effects of treatment by serially evaluating changes in muscle inflammation and damage.


1996 ◽  
Vol 35 (03) ◽  
pp. 102-104 ◽  
Author(s):  
E. U. Nitzsche ◽  
J. J. Laubenberger ◽  
Almut Einert ◽  
E. Moser ◽  
G. H. Simon

SummaryMedullary carcinoma of the thyroid gland is a rare tumor. Its prognosis is mainly linked to surgery, because there is no valid alternative therapy to improve patients outcome. In this report, we discuss the recurrence of such a tumor in a 64-year-old female, focusing on magnetic resonance imaging and positron emission tomography evaluation of this tumor.


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